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Content Analysis of Debriefing after Simulation-based Nursing Education on Respiratory Distress Syndrome in the Neonatal Intensive Care Unit

간호학생이 경험한 시뮬레이션 기반 간호교육의 디브리핑에 대한 내용분석: 호흡곤란증후군 신생아 간호를 중심으로

  • Kang, Kyung-Ah (Department of Nursing, Sahmyook University) ;
  • Kim, Sunghee (Red Cross College of Nursing, Chung-Ang University) ;
  • Kim, Shin-Jeong (Division of Nursing, Research Institute of Nursing Science, Hallym University) ;
  • Lee, Myung-Nam (College of Health Science, Department of Nursing, Kangwon National University)
  • 강경아 (삼육대학교 간호학과) ;
  • 김성희 (중앙대학교 적십자간호대학) ;
  • 김신정 (한림대학교 간호학부.간호학연구소) ;
  • 이명남 (강원대학교 보건과학대학 간호학과)
  • Received : 2018.03.19
  • Accepted : 2018.04.09
  • Published : 2018.04.30

Abstract

Purpose: The purpose of this study was to explore nursing students' experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies. Methods: Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students' descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos. Results: The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize. Conclusion: This study succeeded in charaterizing learners' experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students' core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.

Keywords

References

  1. Lee MN, Kim HS, Jung HC, Kim YH, Kang KA. Development and evaluation of a scenario for simulation learning of care for children with respiratory distress syndrome in neonatal intensive care units. Child Health Nursing Research. 2013;19(1):1-11. https://doi.org/10.5468/CHNR.2013.19.1.1
  2. Kim JH, Park IH, Shin S. Systematic review of Korean studies on simulation within nursing education. The Journal of Korean Academic Society of Nursing Education. 2013;19(3):307-319. https://doi.org/10.5977/jkasne.2013.19.3.307
  3. Korean Accreditation Board of Nursing Education. Certification criteria and handbook [internet]. Seoul: Korean Accreditation Board of Nursing Education; 2017 [cited 2017 May 10]. Available from: http://kabone.or.kr/kabon02/index04.php.
  4. Kardong-Edgren S, Willhaus J, Bennett D, Hayden J. Results of the national council of state boards of nursing national simulation survey: Part II. Clinical Simulation in Nursing. 2012;8(4):e117-e123. https://doi.org/10.1016/j.ecns.2012.01.003
  5. Fey MK, Scrandis D, Daniels A, Haut C. Learning through debriefing: Students' perspectives. Clinical Simulation in Nursing. 2014; 10(5):e249-e256. https://doi.org/10.1016/j.ecns.2013.12.009
  6. Komasawa N, Sanuki T, Fujiware S, Haba M, Ueki R, Kaminoh Y, et al. Significance of debriefing methods in simulation-based sedation training courses for medical safety improvement in Japan. SpringerPlus. 2014;28(3):637. https://doi.org/10.1186/2193-1801-3-637
  7. Dreifuerst KT. The essentials of debriefing in simulation learning: A concept analysis. Nursing Education Perspectives. 2009;30(2):109-114.
  8. Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simulation in Healthcare. 2007;2(2):115-125. https://doi.org/10.1097/SIH.0b013e3180315539
  9. Lee CM, So HS, Kim Y, Kim JE, An M. The effects of high fidelity simulation-based education on clinical competence and confidence in nursing students: A systematic review. The Journal of the Korea Contents Association. 2014;14(10):850-861. https://doi.org/10.5392/JKCA.2014.14.10.850
  10. Hyland JR, Hawkins MC. High-fidelity human simulation in nursing education: A review of literature and guide for implementation. Teaching and Learning in Nursing. 2009;4(1):14-21. https://doi.org/10.1016/j.teln.2008.07.004
  11. Neill MA, Wotton K. High-fidelity simulation debriefing in nursing education: A literature review. Clinical Simulation in Nursing. 2011;7(5):e161-e168. https://doi.org/10.1016/j.ecns.2011.02.001
  12. Lee EJ. The cognition type of nursing student on debriefing in simulation learning: A q-methodological approach [master's thesis]. Seoul: Hanyang University; 2013. p. 1-69.
  13. Lindamood KE, Weinstock P. Application of high-fidelity simulation training to the neonatal resuscitation and pediatric advanced life support programs. Newborn and Infant Nursing Reviews. 2011;11(1):23-27. https://doi.org/10.1053/j.nainr.2010.12.010
  14. Statistics Korea. 2014 Causes of death statistics in 2014 [Internet]. Seoul: Statistics Korea; 2014 [cited 2017 May 15]. Available from: http://kostat.go.kr/portal/korea/index.action.
  15. Jang YS. The survey on the actual conditions of neonatal intensive care units and analysis of survival rate of high-risk newborn infants. Health Promotion Report. Seoul: Samsung Medical Center; 2010 November. Report No.:10-11.
  16. Kim JY. Development of a scenario of simulation and analysis of the effect of debriefing: Focused on case of cerebral hemorrhage patients [master's thesis]. Daejeon: Eulji University; 2012. p. 1-75.
  17. Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M. The effectiveness of video-assisted debriefing versus oral debriefing alone at improving neonatal resuscitation performance: A randomized trial. Simulation in Healthcare. 2012;7(4):213-221. https://doi.org/10.1097/SIH.0b013e3182578eae
  18. Waznonis AR. Methods and evaluations for simulation debriefing in nursing education. The Journal of Nursing Education. 2014;53(8):459-465. https://doi.org/10.3928/01484834-20140722-13
  19. Jeong HI. Effects of simulation training with debriefing on knowledge and performance skill of basic CPR (cardiopulmonary resuscitation) among some students in health-related departments [master's thesis]. Gwangju: Chosun University; 2013. p. 1-38.
  20. Jeong KI, Choi JY. Effect of debriefing based on the clinical judgment model on simulation based learning outcomes of end-of-life care for nursing students: A non-randomized controlled trial. Journal of Korean Academy of Nursing. 2017;47(6):842-853. https://doi.org/10.4040/jkan.2017.47.6.842
  21. Cochran WG. Sampling techniques. 3rd ed. New Delhi: Wiley India; 2007. p. 10-20.
  22. Krippendorff K. Content analysis: An introduction to its methodology. 2nd ed. Thousand Oaks, California: Sage; 2004. p. 5-20.
  23. Kim DK, Yu JC. Mass media research. 1st ed. Seoul: Nanam; 2005. p. 25-35.
  24. Eom MR, Kim HS, Kim EK, Seong K. Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem solving ability. Journal of Korean Academy of Nursing. 2010;40(2):151-160. https://doi.org/10.4040/jkan.2010.40.2.151
  25. Boet S, Bould MD, Sharma B, Revees S, Naik VN, Triby E, et al. Within-team debriefing versus instructor-led debriefing for simulation-based education: A randomized controlled trial. Annals of Surgery. 2013;258(1):53-58. https://doi.org/10.1097/SLA.0b013e31829659e4
  26. Ha EH, Song HS. The effects of structured self-debriefing using on the clinical competency, self-efficacy, and educational satisfaction in nursing students after simulation. The Journal of Korean Academic Society of Nursing Education. 2015;21(4):444-453. https://doi.org/10.5977/jkasne.2015.21.4.445
  27. Brannagan KB, Dellinger A, Thomas J, Mitchell D, Lewis-Trabeaux S, Dupre S. Impact of peer teaching on nursing students: Perceptions of learning environment, self-efficacy, and knowledge. Nurse Education Today. 2013;33(11):1440-1447. https://doi.org/10.1016/j.nedt.2012.11.018
  28. Linton DL, Pangle WM, Wyatt KH, Powell KN, Sherwood RE. Identifying key futures of effective active learning: The effects of writing and peer discussion. CBE Life Sciences Education. 2014;13(3):469-477. https://doi.org/10.1187/cbe.13-12-0242
  29. Jung MS, Kwon HJ. A structural equation model on core competencies of nursing students. The Journal of Korean Academic Society of Nursing Education. 2015;21(2):256-265. http://www.dbpia.co.kr/Article/NODE06298393 https://doi.org/10.5977/jkasne.2015.21.2.256
  30. Kane J, Pye S, Jones A. Effectiveness of a simulation-based educational program in a pediatric cardiac intensive care unit. Journal of Pediatric Nursing. 2011;26(4):287-294. https://doi.org/10.1016/j.pedn.2010.05.00

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