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The Effectiveness of Child Nursing Simulation Using Standardized Patient on Nursing Student's Anxiety, self-efficacy and Critical Thinking Disposition

표준화환자를 활용한 아동간호 시뮬레이션이 간호학생의 불안, 자기효능감 및 비판적사고 성향에 미치는 효과

  • Shim, Kaka (College of Nursing Science, KyungHee University East-West Nursing Research Institute) ;
  • Son, MiSeon (Department of Nursing, Konkuk University Glocal Campus) ;
  • Ji, EunSun (Department of Nursing, Konkuk University Glocal Campus)
  • 심가가 (경희대학교 동서간호학연구소) ;
  • 손미선 (건국대학교 글로컬캠퍼스 간호학과) ;
  • 지은선 (건국대학교 글로컬캠퍼스 간호학과)
  • Received : 2017.07.13
  • Accepted : 2017.10.13
  • Published : 2017.10.31

Abstract

This study was conducted to investigate the effects of child nursing simulation using standardized patient on nursing student's anxiety, self-efficacy, and critical thinking disposition. A one group pre test-post test design was used. The subjects of the study were 62 students in the nursing department and 4th year students at the university in C city. The hospitalized child nursing simulation was conducted for approximately 3.5 hours, including 60 minutes of pre-study and orientation, 60-80 minutes of hands-on scenarios, and 30 minutes of reflection diary writing and debriefing. The data collection was conducted from March to December 2016. Statistical analyses of the collected data were conducted, including t-tests, Pearson's correlation coefficient, and Cronbach's ${\alpha}$. Analyses were conducted using SPSS 21.0. The results of the study showed that anxiety (p <.001) was significantly lower and self-efficacy (p<.001) and critical thinking disposition (p<.001) were higher. Therefore, we propose that various scenarios for simulation practice that utilize standardized patients to enhance core nursing abilities be developed.

본 연구는 표준화환자를 활용한 아동간호 시뮬레이션이 간호학생의 불안, 자기효능감 및 비판적사고 성향에 미치는 효과를 검정하기 위하여 시도된 단일군 사전사후 설계(one group pre test-post test design)연구이다. 대상자는 C시에 소재한 일개 대학교의 간호학과 4학년 재학생 62명이다. 표준화환자를 활용한 아동간호 시뮬레이션은 사전학습 및 오리엔테이션 60분, 시나리오 구현 60-80분과 성찰일지 작성 및 디브리핑 30분 등을 포함하여 실습조별로 약 3.5시간동안 진행되었다. 자료수집은 2016년 3월에 시작되어 2016년 12월까지 진행되었다. 자료 분석은 SPSS 21.0 프로그램의 기술 통계 및 paired t-test, pearson's correlation을 이용하여 분석하였다. 본 연구 결과, 표준화환자를 활용한 아동간호 시뮬레이션 후 간호학생의 불안(p<.001)은 역할극에 비하여 통계적으로 유의하게 낮았으며, 자기효능감(p<.001)과 비판적사고 성향(p<.001)은 유의하게 증가되었다. 표준화환자를 활용한 시뮬레이션 실습 교육은 간호학생의 불안을 감소시키고, 자기효능감과 비판적사고 성향 향상에 효과적인 것으로 나타났다. 아동간호학 교육에서 표준화환자를 활용한 시뮬레이션 실습은 간호학생의 핵심역량을 강화시키므로 다양한 시나리오를 개발해야 함을 제안한다.

Keywords

References

  1. W. S. Lee, K. C. Cho, S. H. Yang, Y. S. Roh, G. Y. Lee, "Effects of problem-based learning combined with simulation on the basic nursing competency of nursing students", Journal of Korean Academy Fundamental Nursing, vol. 16, no. 1, pp. 64-72, 2009.
  2. K. C. Lim, "Directions of simulation-based learning in nursing practice education: A systematic review", Journal of Korean academic society of nursing education, vol. 17, no. 2, pp. 246-256, 2011. DOI: https://doi.org/10.5977/jkasne.2011.17.2.246
  3. S. R. Lee, H. S. Park, G. Y. Cho, "The effects of child exercise on physical function, stress and depression in middle aged women with osteoarthritis", Journal of Academy Fundamental Nursing, vol. 17, no. 2, pp. 156-168, 2010.
  4. J. J. Yang, "Development and evaluation of a simulation-based education course for nursing students", Journal of Korean Academy Adult Nursing, vol. 20, no. 4, pp. 548-560, 2008.
  5. W. S. Lee, M. O. Kim, "Effects and adequacy of high-fidelity simulation-based teaching for obstetrical nursing", Journal of Korea Academy of Nursing, vol. 41, no. 4, pp. 433-443, 2011. DOI: https://doi.org/10.4040/jkan.2011.41.4.433
  6. M. S. Lee, S. W. Hahn, "Effect of simulation-based practice on clinical performance and problem solving process for nursing students", Journal of Korean Academy Society Nursing Education, vol. 17, no. 2, pp. 226-234, 2011. DOI: https://doi.org/10.5977/jkasne.2011.17.2.226
  7. R. Kneebone, "Simulation in surgical training: educational issues and practical implications", Medical education, vol. 37, no. 3, pp. 267-277, 2003. DOI: https://doi.org/10.1046/j.1365-2923.2003.01440.x
  8. G. E. Joo, K. Y. Sohng, H. J. Kim, "Effects of a standardized patient simulation program for nursing students on nursing competence, communication skill, self-efficacy and critical thinking ability for blood transfusion", Korean Academy Fundamental Nursing, vol. 22, no. 1, pp. 49-58, 2015. DOI: https://doi.org/10.7739/jkafn.2015.22.1.49
  9. R. Theroux, C. Pearce, "Graduate students'experiences with standardized patients as adjuncts for teaching pelvic examinations", Journal of American Academic Nurse Practice, vol. 18, no. 9, pp. 429-435, 2006. DOI: https://doi.org/10.1111/j.1745-7599.2006.00158.x
  10. J. A. Vessey, K. Huss, "Using standardized patients in advanced practice nursing education", Journal Professional Nursing, vol. 18, no. 1, pp. 29-35, 2002. DOI: https://doi.org/10.1053/jpnu.2002.30898
  11. M. R. Eom, H. S. Kim, E. K. Kim, K. Seong, "Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem solving ability", Journal of Academy Nursing, vol. 40, no. 2, pp. 151-160, 2010. DOI: https://doi.org/10.4040/jkan.2010.40.2.151
  12. Y. Park, S. H. Park, M. J. Park, "Effects of simulation education program on clinical practicum in nursing students", Journal of the Korean Data Analysis Society, vol. 17, no. 3, 1711-1724, 2015.
  13. M. S. Yoo, I. Y. Yoo, Y. O. Park, Y. J. Son, "Comparison of student's clinical competency in different instructional methods for fundamentals of nursing practicum", Journal of Korean Academy of Nursing, vol. 32, no. 3, pp. 327-335, 2002. DOI: https://doi.org/10.4040/jkan.2002.32.3.327
  14. S. H. Sok, H. S. Kang, W. O. Kim, K. S. Hyun, J. Lee, S. Park, "Effects and development of clinical competency evaluation using standardized patients among nursing students: Based on abdominal surgical patients", Journal of Korean Academy of Adult Nursing, vol. 21, no. 5, pp. 468-476, 2009.
  15. K. S. Hyun, H. S. Kang, W. O. Kim, S. Park, J. Lee, S. Sok, "Development of a multimedia learning DM diet education program using standardized patients and analysis of its effects on clinical competency and learning satisfaction for nursing students", Journal of Korean Academy of Nursing, vol. 39, no. 2, pp. 249-258, 2009. DOI: https://doi.org/10.4040/jkan.2009.39.2.249
  16. M. J. Lee, D. Jung, "The impact of a simulation-based education program for emergency airway management on self-efficacy and clinical performance among nurses", Korean Journal of Adult Nursing, vol. 26, no. 1, pp. 1-10, 2014. DOI: https://doi.org/10.7475/kjan.2014.26.1.1
  17. Y. H. Kim, S. Y. Kang, M. W. Kim, K. S. Jang, J. Y. Choi, "Usefulness of clinical performance examination for graduation certification of nursing students", Journal of Korean Academy of Nursing Administration, vol. 14, no. 3, pp. 344-351, 2008.
  18. H. K. Oh, Y. I. Han, "Effects of simulation-based training on stress and self-efficacy in nursing students", Journal of Korean Academy of School Health, vol. 24, no. 1, pp. 33-40, 2011.
  19. D. M. Musher, B. L. Musher, "Contagious acute gastrointestinal infections", New England Journal of Medicine, vol. 351, no. 23, pp. 2417-2427, 2004. DOI: https://doi.org/10.1056/nejmra041837
  20. J. W. Kim, H. S. Jung, J. S. You, S. W. Lee, "Status of global virus surveillance network in the western pacific region of the world health organization, 2009-2015", Public Health Weekly Report, vol. 9, no. 25, pp. 483-487, 2016.
  21. C. D. Spielberger, "Anxiety: Current trends in theory and research", pp. 23-46, New York: Academic press, 1972.
  22. J. T. Kim, D. K. Shin, "A study based on the standardization of the STAI for Korea", The New Medical Journal, vol. 21, no. 11, pp. 69-75, 1978.
  23. M. Sherer, J. E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs, R. W. Rogers, "The self-efficacy scale: Construction and validation", Psychological Reports, vol. 51, no. 2, pp. 663-671, 1982. DOI: https://doi.org/10.2466/pr0.1982.51.2.663
  24. H. Y. Hong, "The Relationship of Perfectionism, Self-Efficacy and Depression" [dissertation], Seoul: The Ewha Womans University of Korea, 1995.
  25. S. R. Lim, Y. S. Cho, H. S. Bae, "Effect of attribution disposition and self-efficacy on test anxiety in selected dental hygiene students", The Journal of Korean Society of Dental Hygiene, vol. 11, no. 3, pp. 313-323, 2011.
  26. J. Yoon, "Development of an instrument for the measurement of critical thinking disposition in nursing" [dissertation], Seoul: The Catholic University of Korea, 2004.
  27. I, S. Ko, S. H. Lee, K. Y. Song, W. J. Ro, M. R. Han, S. H. Hong, H. Y. Lee, E. M. Kim, "Simulation practice training scenario (for nursing program learning outcomes achievement)", Seoul: Korean Nursing Association, 2014.
  28. M. S. Son, "Effects of simulation-based pediatric nursing education for gastroenteritis on the anxiety, self-efficacy and critical thinking disposition for nursing students" [dissertation], Chungju: The Konkuk University of Korea, 2016.
  29. H. S. Barrows, "An overview of the uses of standardized patients for teaching and evaluating clinical skills", Academic Medicine: Journal of the Association of American Medical Colleges, vol. 68, no. 6, pp. 443-451, 1993. DOI: https://doi.org/10.1097/00001888-199306000-00002
  30. P. Wallace, "Coaching standardized patients: For use in the assessment of clinical competence", New York, NY: Springer Publishing, 2007.
  31. H. K. Hur, H. O. Choi, J. S. Jung, H. W. Kang, G. Y. Kim, "Influence of simulation-based practice on emergency care for patients with dyspnea on learning outcomes in nursing students", Journal of Korean Critical Care Nursing, vol. 5, no. 1, pp. 12-22, 2012.
  32. J. O. Lee, "The Effects of simulation-based training, underwent before or after the clinical practice for the nursing students", Journal of Korean Academic Society of Nursing Education, vol. 20, no. 2, pp. 203-211, 2014. DOI: https://doi.org/10.5977/jkasne.2014.20.2.203
  33. J. S. Han, H. C. Baek, A. S. Jeong, "The effects of psychiatric nursing simulation on anxiety and self-confidence about clinical placement of nursing students", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 11, pp. 7812-7819, 2015. DOI: https://doi.org/10.5762/kais.2015.16.11.7812
  34. M. A. Kim, K. H. Lee, H. J. Park, E. J. Kim, I. H. Lee, "Relationships among irrational beliefs, self-efficacy, and adjustment to college with four-year-course nursing freshmen: mediating effect of self-efficacy", Journal of the Korean Data Analysis Society, vol. 18, no. 2, pp. 1163-1178, 2016.
  35. H. K. Oh, Y. I. Han, "Effects of nursing simulation-based education on problem solving process and self-efficacy of nursing college students", Korean Journal of Health Service Management, vol. 6, no. 4, pp. 245-254, 2012. DOI: https://doi.org/10.12811/kshsm.2012.6.4.245
  36. M. Luctkar-Flude, B. Wilson-Keates, M. Larocque, "Evaluating high-fidelity human simulators and standardized patients in an undergraduate nursing health assessment course", Nurse Education Today, vol. 32, no. 4, pp. 448-452, 2012. DOI: https://doi.org/10.1016/j.nedt.2011.04.011
  37. S. M. Kim, S. Y. Park, "The effects of attribution disposition, self-efficacy and clinical competency and satisfaction for clinical practice of nursing college students", Journal of the Korean Data Analysis Society. vol. 16, no. 6, pp. 3409-3421, 2014.
  38. C. L. Reeve, S. Bonaccio, "Does test anxiety induce measurement bias in cognitive ability tests?", Intelligence. vol. 36, no. 6, pp. 526-538, 2008. DOI: https://doi.org/10.1016/j.intell.2007.11.003
  39. S. M. Chae, K. S. Bang, J. Yu, J. H. Lee, H. J. Kang, I. J. Hwang, M. K. Song, J. S. Park, "Effects of simulation-based learning in the nursing care of children with asthma", Korean Academy Social Nursing Education, vol. 21, no. 3, pp. 298-307, 2015. DOI: https://doi.org/10.5977/jkasne.2015.21.3.298
  40. N. C. Facione, P. A. Facione, C. A. Sanchez, "The california critical thinking disposition inventory (CCTDI) test manual", Millbrae, CA: The California Academic Press, 1994.
  41. M. Adib-Hajbaghery, N. Sharifi, "Effect of simulation training on the development of nurses and nursing students' critical thinking: A systematic literature review", Nurse Education Today, vol. 50, pp. 17-24, 2017. DOI: https://doi.org/10.1016/j.nedt.2016.12.011
  42. M. A. Shinnick, M. Woo, T. B. Horwich, R. Steadman, "Debriefing: the most important component in simulation?", Clinical Simulation in Nursing, vol. 7, no. 3, pp. 105-111, 2011. DOI: https://doi.org/10.1016/j.ecns.2010.11.005
  43. T. Gore, C. W. Hunt, F. Parker, K. H. Raines, "The effects of simulated clinical experiences on anxiety: Nursing students' perspectives", Clinical simulation in nursing, vol. 7, no. 5, pp. 175-180, 2011. DOI: https://doi.org/10.1016/j.ecns.2010.02.001
  44. I. S. Kwon, G. E. Lee, G. D. Kim, Y. H. Kim, K. M. Park, H. S. Park, S. K. Sohn, W. S. Lee, K. S. Jang, B. Y. Chung, "Development of a critical thinking disposition scale for nursing students", Journal of Korean Academy of Nursing, vol. 36, no. 6, pp. 950-951, 2006. DOI: https://doi.org/10.4040/jkan.2006.36.6.950
  45. R. C. Feng, M. J. Chen, M. C. Chen, Y. Pai, "Critical thinking competence and disposition of clinical nurses in a medical center", Journal of Nursing Research, vol. 18, no. 2, pp. 77-87, 2010. DOI: https://doi.org/10.1097/jnr.0b013e3181dda6f6
  46. S. Wangensteen, I. S. Johansson, M. E. Bjorkstrom, G. Nordstrom, "Critical thinking dispositions among newly graduated nurses", Journal of Advanced Nursing, vol. 66, no. 10, pp. 2170-2181, 2010. DOI: https://doi.org/10.1111/j.1365-2648.2010.05282.x
  47. K. Y. Sohng, M. J. Choi, "Clinical performance evaluation of one to one interaction simulation program using standardized patient simulation for nursing students", Journal of Healthcare Simulation, vol. 2, no. 1, pp. 29-36, 2013.