Effects of High-fidelity Simulator and Standardized Patient on Nursing Care for Children with Fever in Nursing Students

고충실도(High-fidelity) 시뮬레이터와 표준화 환자 (Standardized Patient)를 활용한 발열환아 간호 교육의 효과

  • Received : 2016.11.20
  • Accepted : 2017.03.03
  • Published : 2017.06.30

Abstract

Purpose: This study was conducted to investigate the effects of simulation-based education using high-fidelity simulator and standardized patient in nursing care for children with fever on nursing students. Methods: A total of 166 senior nursing students who completed pediatric nursing practicum courses participated in this study. The single group study design with pretest and posttest was used. The simulation education was provided for 200mins including orientation, simulation preparation, simulation practicum, and debriefing. Pre and post surveys were performed using questionnaires on clinical performance competency, communication skills, critical thinking disposition and self-confidence. Results: The mean scores of clinical performance competency (t=-2.56, p<.05), communication skills (t=-6.39, p<.001), critical thinking disposition (t=-3.43, p<.001), and self-confidence (t=-3.72, p<.001) in posttest were significantly higher than those in pretest. Also, clinical performance competency in nursing care for children with fever has significant relationships with communication skills, critical thinking disposition and self-confidence. Conclusion: The results indicate that simulation-based education using high-fidelity simulator and standardized patient is an effective strategy for improving clinical performance competency, communication skills, critical thinking disposition and self-confidence in nursing students. Further study is needed to verify the effects.

Keywords

References

  1. Carlson, S., Kotze, W., & van Rooyen, J. D. (2005). Experiences of final year nursing students in their preparedness to become registered nurses. Curationis, 28(4), 65-73.
  2. Chae, S. M., Bang, K. S., Yu, J., Lee, J. H., Kang, H. J., Hwang, I. J., et al. (2015). Effects of simulation-based learning in nursing care of children with asthma. Journal of Korean Academy Society of Nursing Education, 21(3), 298-307. https://doi.org/10.5977/jkasne.2015.21.3.298
  3. Cho, H. Y. (2015). The effect of simulation-based Learning scenario using standardized respiratory patients on learning satisfaction, clinical skill competency and self-efficacy in healthrelated department students. Journal of the Korean Academia-Industrial cooperation Society, 16(3), 2100-2108. https://doi.org/10.5762/KAIS.2015.16.3.2100
  4. Choi, M. S. (2005). A study the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students. Unpublished master's thesis, Ewha Woman's University, Seoul.
  5. Han, S. J. (2000). A study on relationship between empowerment and satisfaction of clinical practice in nursing students. Journal of Korean Academic Society of Nursing Education, 6, 32-146.
  6. Hayden, J., Jeffries, P., Smiley, R., Alexander, M., & Kardong-Edgren, S. (2014). the NCSBN national simulation study: a longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. Journal of Nursing Regulation, 5(2), 1-66. https://doi.org/10.1016/S2155-8256(15)30049-1
  7. Hockenberry, M. J. (2005). Wong's essentials of pediatric nursing, 7th ed. Elsevier Mosby, st. Louis, MO.
  8. Hur, G. (2003). Construction and validation of a global interpersonal communication competence scale. Korean Journal of Journalism & Communication Studies, 47(6), 380-408.
  9. Hyun, K. S., & Jeong, Y. (2010). The relationship among clinical competence on diabetic diet education using standardized patients, self-efficacy, communication, learning satisfaction and professional values of nursing students. Journal of Korean Academy Adult Nursing, 22(2), 221-228.
  10. Joo, G. E., Sohng, K. Y., & Kim, H. J. (2015). Effects of standardized patient simulation program for nursing students on nursing competence, communication skill, self-efficacy and critical thinking ability for blood transfusion. Journal of Korean Academic Fundamental Nursing, 22(1), 49-58. https://doi.org/10.7739/jkafn.2015.22.1.49
  11. Kang, H. Y., Choi, E. Y., & Kim, H. R. (2013). Nursing student's experiences in team based simulation learning. The Journal of Korean Academy Society of Nursing Education, 19(1), 5-15. https://doi.org/10.5977/jkasne.2013.19.1.5
  12. Kim, D. H., Park, J. Y., & Lee, N. Y. (2012). Factors influencing problem solving ability among nursing students. Journal of the Korean Data Analysis Society, 14(3), 1551-1563.
  13. Kim, E. J. (2014). Nursing students' clinical judgment skills in simulation: using tanner's clinical judgment model. The Journal of Korean Academy Society of Nursing Education, 20(2), 212-222. https://doi.org/10.5977/jkasne.2014.20.2.212
  14. Kim, S. G. (2015). Effect of simulation-based high-risk neonatal care education on learning satisfaction, class participation, learning motivation and clinical competency in nursing students. Journal of the Korean Academia-Industrial cooperation Society, 16(10), 6807-6815. https://doi.org/10.5762/KAIS.2015.16.10.6807
  15. Kim, S. H. (2012). Effects of simulation-based practice using standardized patients for the care of women with postpartum hemorrhage on nursing student's clinical performance competence and critical thinking deposition. Korean Parent Child Health Journal, 15(2), 71-79.
  16. Kim, S. H., Nam, H. A., & Kim, M. O. (2014). Critical thinking disposition, problem solving process, and simulation-based assessment of clinical competence of nursing students in pediatric nursing. Child Health Nursing Research., 20(4), 294-303. https://doi.org/10.4094/chnr.2014.20.4.294
  17. Kim, S. M., Park, M. J., & Yang, Y. K. (2015). Effects on problem solving ability and learning satisfaction of nursing students of receiving a teaching method using standardizes patients-blood transfusion. Journal of Korean Academic Fundamental Nursing, 22(4), 406-415. https://doi.org/10.7739/jkafn.2015.22.4.406
  18. Kleinheksel, A. (2014). Transformative learning through virtual patient simulation: Prediction critical student reflection. Clinical Simulation in Nursing, 10(6), 301-308. https://doi.org/10.1016/j.ecns.2014.02.001
  19. Lee, J. (2015). The effects of the use of high-fidelity patient simulation in nursing education: a meta-analysis. Unpublished master's thesis, Sahmyook University, Seoul.
  20. Park, Y, Park, S. H., & Park, M. J. (2015). Effects of simulation education program on clinical practicum in nursing students. Journal of the Korean Data Analysis Society, 17(3), 1711-1724.
  21. Potts, N., & Mandleco, B. L. (2011). Pediatric Nursing: Caring for Children and Their Families (3rd ed.). Delma Cengage Learning, NY.
  22. Shin, H. S., & Kim, M. J. (2014). Evaluation of an integrated simulation courseware in a pediatric nursing practicum. Journal of Nursing Education, 53(10), 589-594. https://doi.org/10.3928/01484834-20140922-05
  23. Shin, H. S., & Shim, K. K. (2010). Nursing students' experiences on pediatric nursing simulation practice. Journal of East-West Nursing Research, 16(2), 147-155.
  24. Stroup, C. (2014). Simulation usage in nursing fundamental: Integrative literature review. Clinical Simulation in Nursing, 10(3), 155-164. https://doi.org/10.1016/j.ecns.2013.10.004
  25. Tuzer, H., Dinc, L., & Elcin, M. (2016). The effects of using highfidelity simulation and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students. Nurse Education Today, 45, 120-125. https://doi.org/10.1016/j.nedt.2016.07.002
  26. Yee, J. A. (2004). A study on the image of nurses and the professional self-concept perceived by nursing students. Journal of Korean Academy of Nursing Administration, 10(1), 325-334.
  27. Yoon, J. (2004). Development of an instrument for the measurement for critical thinking disposition: in nursing. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul.