DOI QR코드

DOI QR Code

The Reliability and Validity of the Evaluation Tool for the Performance Outcomes in Simulation Practicum -Focused on 'Applying Nursing Process through Critical Thinking' in Women's Health Nursing Simulation Practicum -

시뮬레이션 실습에서 학습성과 평가도구의 신뢰도 및 타당도 -여성건강 간호학 실습에서 비판적 추론과정을 통한 간호과정 적용(학습성과)을 중심으로-

  • Received : 2017.03.03
  • Accepted : 2017.04.07
  • Published : 2017.04.30

Abstract

The aim of study was to identify the reliability and validity of an evaluation tool developed on the basis of performance outcome in Women's Health Nursing simulation practicum. A total of 110 undergraduate nursing students were recruited from one college. Data collection of this study was conducted between August and December of 2014. The data were analyzed using factor analysis, multitrait/multi-item matrix analysis, Pearson's correlation coefficient, and Cronbach's alpha with SPSS win 20.0 program. An exploratory factor analysis demonstrated that the four-factor structures of 10 items explained 68.2% of the total variance. It was significantly correlated with the Critical Thinking Disposition scale(r=.42, p <.001). The Cronbach's alpha was 0.89,ranging from 0.61 to 0.92. The results of this study support the reliability and validity of this evaluation tool. It could be a useful tool in evaluating the performance outcome in simulation practicum for nursing students.

본 연구는 여성건강간호학 시뮬레이션 실습교육에서 비판적 추론과정을 통한 간호과정 적용의 학습성과에 기반한 시뮬레이션 실습교육 평가를 위해 개발된 루브릭 형태의 도구에 대해 신뢰도와 타당도를 확인하기 위한 방법론적 연구이다. 본 연구의 대상자는 2014년 8월부터 12월까지 일 대학 시뮬레이션 실습교과를 이수한 간호학과 3학년 재학생 110명으로 요인분석, 신뢰도 분석 및 관련변인과의 상관분석을 실시하였다. 요인분석 결과 총 10문항 4요인 구조가 확인되었으며 '인지', '해석', '반응', '반영'으로 구분되었다. 비판적 사고 경향 도구와의 상관분석을 실시한 결과 유의한 양의 상관관계가 있는 것으로 나타나 비판적 사고와 관련된 학습성과에 기반한 평가도구의 준거타당도를 확인하였다. 수렴타당도와 판별타당도를 살펴보기 위해 다속성-다문항 매트릭스 분석을 실시한 결과 10개 문항과 4개 요인구조 간 개별 상관계수가 .83~.95로 수렴타당도와 판별타당도가 충족되었다. 내적일관성을 나타내는 신뢰도 Cronbach's alpha 값은 .89로 높게 나타나 본 도구의 타당도와 신뢰도가 높음을 확인하였다. 본 연구결과는 임상실습 교육을 시뮬레이션 실습교육으로 대체하고 있는 현실에서 시뮬레이션 교육과정에서 학습성과 달성을 위한 평가도구로 타당도와 신뢰도를 확인함으로써 시뮬레이션 실습 평가도구로서 적용 가능성을 제시하였다는 것에 의의가 있다 하겠다.

Keywords

References

  1. G. S. Kang, Y. K. Kim, "Development and Application of Integrated-Simulation Practice Program using Standardized Patients : Caring for Alcoholism with Diabetes Mellitus in the Community", Journal of the Korea Academia-Industrial cooperation Society, vol. 17, no. 8, pp. 662-672, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.8.662
  2. S. J. Shin, D. Y. Jung, "Critical Thinking in Nursing Science: A Literature Review", Korean Journal of Adult Nursing, vol. 21, no. 1, pp. 117-128, 2009.
  3. Korean Accreditation Board of Nursing Education. Accreditation assessment standards for education of korea(the course of the nursing bachelor's degree). Seoul: Korean Nurses Association, 2012.
  4. Shepherd IA, Kelly CM, Skene FM, White KT. "Enhancing graduate nurses' health assessment knowledge and skills using low-fidelity adult human simulation. Simulation in Healthcare", Journal of the Society for Simulation in Healthcare, vol. 2, pp. 16-24, 2007. DOI: https://doi.org/10.1097/SIH.0b013e318030c8dd
  5. S. J. Lee, Y. S. Roh, J. O. Kim, K. I. Jang, E. N. Ryoo, Y. M. Park, "Comparison of Multi-Mode Simulation and SimMan(R) Simulation on Evaluation of Nursing Care for Patients with Dyspnea", Journal of Korean Academic Society of Nursing Education, vol.16, no.1, pp. 51-60, 2010. DOI: https://doi.org/10.5977/JKASNE.2010.16.1.051
  6. M. H. Cho, I. S. Kwon, "A Study on the Clinical Practice Experiences on Nursing Activities of Nursing Students", Journal of Korean Academic Society of Nursing Education, vol. 13, no. 2, pp. 143-154, 2007.
  7. J. H. Park, E. Jung, K. K. Jin, B. Y. Hyo, "Delivery training for undergraduate medical students using birth simulator", Obstetrics & Gynecology Science, vol. 51, no. 9, pp. 950-956, 2008.
  8. McCaughey CS, Traynor MK. "The role of simulation in nurse education", Nurse Education Today, vol. 30, pp. 827-832, 2010. DOI: https://doi.org/10.1016/j.nedt.2010.03.005
  9. Gardner R, Raemer DB, "Simulation in obstetrics and gynecology", Obstetrics and Gynecology Clinics of North America, vol. 35, pp. 97-127, 2008. DOI: https://doi.org/10.1016/j.ogc.2007.12.008
  10. Jeffries P, Norton B. "Selecting learning experiences to achieve curriculum outcomes", Teaching in Nursing: A Guide for Faculty, pp. 187-212, 2005.
  11. Suzie KE, Cynthia F. "A review of currently published evaluation instruments for human patient simulation", Clinical Simulation in Nursing, vol. 6, pp. 25-35, 2010. DOI: https://doi.org/10.1016/j.ecns.2009.08.004
  12. S. A. Kim, S. K. Lee, Y. J. Lee, J. Y. Yeo, "A Preliminary Study on the Development of Performance Evaluation System for the simulation education in women's health nursing", Journal of Korean Clinical Academic Nursing Society, vol. 2, no. 2, pp. 1-10, 2013.
  13. Y. H. Chung, "Theory: The development and statistics of measurement tool", Korean Journal of Nursing Query, vol.14, no.1. pp. 88-103, 2005.
  14. J, Yoon, "A Study on the Critical Thinking Disposition of Nursing Students-Focusing on a School Applying Integrated Nursing Curriculum", Journal of Korean Academy nursing administration, vol. 14, no. 2, pp. 159-166, 2008.
  15. Hair JF. "Multivariated at analysis", 7th ed, Upper Saddle River, NJ: Prentice Hall, 2010.
  16. Lasater K. "Clinical Judgment Development: Using simulation to create an Assessment Rubric. Journal of Nursing Education, vol. 46, no. 11, pp. 496-503, 2007.
  17. Todd M, Manz JA, Hawkins KS, Parsons ME, Hercinger M. "The development of a quantitative evaluation tool for simulation sin nursing education", International journal of nursing education scholarship, vol. 5, no. 1, pp. 1-17, 2008. DOI: https://doi.org/10.2202/1548-923X.1705
  18. Clark M. "Evaluating an Obstetric Trauma Scenario", Clinical Simulation in Nursing, vol. 2, no. 2, pp. e75-e77, 2006. DOI: https://doi.org/10.1016/j.ecns.2009.05.028
  19. K. K. Shim, H. S. Shin, "The Reliability and Validity of the Lasater Clinical Judgement Rubric in Korean Nursing Students", Child Health Nursing Research, vol. 21, no. 2, pp. 160-167, 2015. DOI: https://doi.org/10.4094/chnr.2015.21.2.160
  20. Ware JE, Harris WJ, Gandek B, et al. "MAP-R for Windows: Multitrait/Multi-Item Analysis Program-Revised User's Guide", Health Assessment Lab; Boston, MA: 1997.
  21. Y. S. Song, "Development and Validation of a Situational Judgment Test for a Competency of Public Ethics: A Case of an University in South Korea", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 7, pp. 4478-4488. 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.7.4478
  22. H. C. Kang, "A Guide on the Use of Factor Analysis in the Assessment of Construct Validity", Journal of Korean Academy of Nursing, vol. 43, no. 5, pp. 587-594, 2013. DOI: https://doi.org/10.4040/jkan.2013.43.5.587
  23. H. R., Kim, "The Proposed Rubrics Simulation Education Effect on Nursing Studenta  s Academic Achievement", The Korean Academic Society of Nursing Education, vol. 19, no. 4, pp. 487-497, 2013. DOI: https://doi.org/10.5977/jkasne.2013.19.4.487
  24. Y. E. Chyn, K. M. Kim, H.-Y. Hwang, "The Effect of High-Fidelity Simulation Practice Related with Classical Education of Medical Surgical Nursing", Journal of the Korea Academia-Industrial cooperation Society" vol. 16, no. 12, pp. 8176-8186, 2015. DOI: http://doi.org/10.5762/KAIS.2015.16.12.8176
  25. S. Y. Han, "Effects of High-fidelity Simulation-based Education on Nursing Care for Patients with Acute Chest Pain", Journal of the Korea Academia-Industrial cooperation Society, vol. 15, no. 3, pp. 1515-1521, 2014. DOI: http://doi.org/10.5762/KAIS.2014.15.3.1515
  26. J. H. Lee, M. Choi, "Evaluation of Effects of a Clinical Reasoning Course among Undergraduate Nursing Students", Korean Journal of Adult Nursing, vol. 23, no. 1, pp. 1-9, 2011.
  27. K. H. Lee, S. J. Shin, "Validity of Instrument Development Research in Korean Nursing Research", Journal of Korean Academy of Nursing, vol. 43, no. 6. pp. 697-703, 2013. DOI: https://doi.org/10.4040/jkan.2013.43.6.697