디지털융복합연구 (Journal of Digital Convergence)

  • 제16권8호
  • /
  • Pages.221-231
  • /
  • 2018
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

PBL 연계 투약시뮬레이션교육이 간호대학생의 시스템 사고능력, 학습몰입, 문제해결 적극성 및 투약간호수행능력에 미치는 효과

The Effect of Simulation Integrated with Problem Based Learning on System Thinking, Learning Flow, Proactivity in Problem Solving and Performance Ability for Medication in Nursing Students

  • 박민정 (국립군산대학교 간호학과) ;
  • 최동원 (인천가톨릭대학교 간호대학)
  • 투고 : 2018.05.28
  • 심사 : 2018.08.20
  • 발행 : 2018.08.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 간호대학생을 대상으로 개발한 문제중심학습 연계 시뮬레이션교육을 적용한 후 학생의 시스템 사고능력, 학습몰입, 문제해결 적극성 및 투약간호 수행능력에 미치는 효과를 검증한 비동등성 대조군 전후설계의 유사실험연구이다. 연구대상은 전북과 경인지역에 소재한 간호대학생으로 실험군 37명, 대조군 41명이었고, 실험군에게는 문제중심학습 연계 시뮬레이션 교육프로그램, 대조군에게는 시뮬레이션 교육프로그램을 적용하였다. 자료수집은 프로그램을 적용하기 전과 후에 측정하였고, SPSS WIN Version 22.0 프로그램을 이용하여 분석하였다. 연구 결과, 실험군이 대조군에 비해 시스템 사고능력(t=2.14, p=.036), 문제해결 적극성(t=2.07, p=.042) 및 투약간호수행능력(t=5.26, p=<.001)은 유의하게 향상되었으나 학습몰입은 통계적으로 유의하지 않았다. 따라서 간호대학생의 임상상황에서의 적응을 위하여 교수자들은 문제중심학습 연계 시뮬레이션 교육을 교과과정에 적용하는 것을 고려할 필요가 있다.

The purpose of this study was to identify the effect of simulation integrated with problem based learning(SIM-PBL) on nursing students. A non-equivalent pre-post test of quasi-experimental design was used. 37 were assigned to an intervention group and 41 to a control group. SIM-PBL was applied to intervention group and simulation was applied to control group. Data were analyzed using the SPSS 20.0 program. There were significant increases in system thinking(t=2.14, p=.036), proactivity in problem solving(t=2.07, p=.042), and performance ability for medication(t=5.26, p=<.001) in the intervention group compared to the control group. However, there was no difference in learning flow between the intervention and control groups. In order to adapt to the clinical setting, it is necessary to consider the SIM-PBL needs to be considered in the curriculum of nursing students.

키워드

참고문헌

  1. Y. J. Oh & H. Y. Kang. (2013). Metacognition, Learning Flow and Problem Solving Ability in Nursing Simulation Learning. The Korean Journal of Fundamentals of Nursing, 20(3), 239-247. DOI : 10.7739/jkafn.2013.20.3.239
  2. O. H. Cho & K. H. Hwang. (2016a). The Effect of Education based on Simulation with Problem-based Learning on Nursing Students' Learning Motivation, Learning Strategy, and Academic Achievement. The Korea Contents Association, 16(7), 640-650. DOI : 10.5392/jkca.2016.16.07.640
  3. K. O. Park, Y. M. Ahn, N. R. Kang, M. J. Lee & M. Sohn. (2013). Psychometric Evaluation of a Six Dimension Scale of Nursing Performance and Student Nurse Stress Index Using an Objective Structured Clinical Examination-Modules for Asthma and Type 1 Diabetes. Child Health Nursing Research, 19(2), 85-93. DOI : 10.4094/chnr.2013.19.2.85
  4. M. J. Lee, Y. M. Ahn, I. S. Cho & M. Sohn. (2014). Effectiveness of Simulation Integrated with Problem Based Learning on Clinical Competency and Self-efficacy in Nursing Students. Child Health Nursing Research, 20(2), 123-131. DOI : 10.4094/chnr.2014.20.2.123
  5. W. H. Jun. & E. J. Lee. (2013) Effects of S-PBL in Fundamental Nursing Practicum among Nursing Students: Comparision Analysis of a Ordinary Least Square and a Quantile Regression for Critical Thinking Disposition, The Journal of the Korea Contents Association 13(11), 1036-1045. DOI : 10.5392/JKCA.2013.13.11.1036
  6. S. Y. Liaw, F. G. Chen, P. Klainin, J. Brammer, A. O'Brien & D. D. Samarasekera. (2010). Developing clinical competency in crisis event management: An integrated simulation problem-based learning activity. Advances in Health Sciences Education, 15(3), 403-413. DOI : 10.1007/s10459-009-9208-9
  7. H. N. Lee, Y. J. Kwon, H. J. Oh & H. D. Lee. (2011). Development and Application of the Educational Program to Increase High School Students' Systems Thinking Skills Focus on Global Warming. Journal of the Korean Earth Science Society, 32(7), 784-797. DOI : 10.5467/jkess.2011.32.7.784
  8. S. Campbell & K. Daley. (2012). Simulation Scenarios for Nursing Educators: Making It Real, 2nd Edition. New york: Springer Publishing Company.
  9. O. H. Cho & K. H. Hwang. (2016b). The Effects of Simulation-based Education on Nursing Students' Presence in Education, Systems Thinking and Proactivity in Problem Solving. The Journal of Korean Academic Society of Home Care Nursing, 23(2), 147-154. http://uci.or.kr/G704-SER000009889.2016.23.2.003
  10. O. BenZvi Assaraf & N. Orion. (2005). Development of system thinking skills in the context of earth system education. Journal of Research in Science Teaching, 42(5), 518-560. DOI : 10.1002/tea.20061
  11. I. B. Suk & E. C. Kang. (2007). Development and Validation of the Learning Flow Scale. Journal of Educational Technology, 23(1), 121-154. DOI : 10.17232/kset.23.1.121
  12. J. R. Han. (2016). The Effects of Shared Leadership on Team Performance and Team Commitment of Team-Based Learning in Nursing Students : Mediating Effects of Team Trust. Journal of Digital Convergence. 14(12), 303-311. DOI :10.14400/JDC.2016.14.12.303
  13. H. W. Kim & E. Y. Suh. (2012). Nursing Students' Immersion Experience in a Comprehensive Simulation Scenario Using High-Fidelity Human Patient Simulator among Nursing Students : A Phenomenological Study. Journal of military nursing research, 30(1), 89-99. http://uci.or.kr/I410-ECN-0102-2012-510-003214751
  14. J. H. Kim, K. J. Kwon & S. H. Lee. (2017). Factors Influencing Problem Solving Abilities of Nursing Students. Journal of Digital Convergence. 15(4), 295-307. DOI : 10.14400/JDC.2017.15.4.295
  15. M. H. Kang, Y. H. Song, S. H. Park. (2008). Relationships among Metacognition, Flow, Interactions and Problem Solving Ability in Web- based Problem Based Learning. Research Institute of Curriculum & Instruction, 12(2), 293-315. DOI : 10.24231/rici.2008.12.2.293
  16. C. A. Rauen. (2004). Simulation as a Teaching Strategy for Nursing Education and Orientation in Cardiac Surgery. Critical Care Nurse, 24(3), 46-51. http://ccn.aacnjournals.org/content/24/3/46.long
  17. C. A. Oh & H. S. Yoon. (2007). Perception and Experience of Medication Errors in Nurses with Less than One Year Job Experience. The Korean Journal of Fundamentals of Nursing, 14(1), 6-17. https://j.kafn.or.kr/journal/view.php?number=439
  18. Y. A. Song. (2014). Effect of Simulation-based Practiceby applying Problem based Learning on Problem Solving Process, Self-confidence in Clinical Performance and Nursing Competence. Korean Journal of Women Health Nursing, 20(4), 246-254. DOI :10.4069/kjwhn.2014.20.4.246
  19. W. S. Lee, K. C. Cho, S. H. Yang, Y. S. Roh & G. Y. Lee. (2009). Effects of problem-based learning combined with simulation on the basic nursing competency of nursing students. The Korean Journal of Fundamentals of Nursing, 16(1), 64-72. https://j.kafn.or.kr/journal/view.php?number=552
  20. H. Y. Lee, H. S. Kwon & K. S. Park. (2013). An instrument development and validation for measuring high school students' systems thinking, Journal of the Korean Association for Research in Science Education, 33(5), 995-1006. DOI : 10.14697/jkase.2013.33.5.995
  21. J. H. Lee. (2010). Analysis of the structural relationships among self-determination motivation to learn, metacognition, self-directed learning ability, learning flow, and school achievement. Korean Journal of Educational Research, 48(2), 67-92. http://uci.or.kr/G704-000614.2010.48.2.002
  22. Marshall, L. C. (2003). The relationship between efficacy, teamwork, effort and patient satisfaction. Unpublished doctorial dissertation, the university of southern california, USA.
  23. E. M. Kwon. (2009). The correlation among team efficacy, interpersonal understanding, proactivity in problem solving and team performance. Unpublished master's thesis, Ewha Womans University, Seoul.
  24. Dolansky, M. A. & S. M. Moore. (2013). The Key is Systems Thinking. Online Journal of Issues in Nursing, 18(3), 1-12. DOI : 10.3912/OJIN.Vol18No03Man01
  25. H. R. Kim, E. Y. Choi, & H. Y. Kang. (2011). Simulation module development and team competency evaluation. Journal of Korean Academy of Fundamentals of Nursing, 18(3), 392-400. https://j.kafn.or.kr/journal/view.php?number=686
  26. Y. J. Son, & Y. A. Song. (2012). Effects of simulation and problem-based learning courseson student critical thinking, problem solving abilities and learning. The Journal of Korean Academic Society of Nursing Education, 18(1), 43-52. DOI : 10.5977/jkasne.2012.18.1.043
  27. J. Y. Kim & E. Y. Choi. (2008). Learning Element Recognition and Academic Achievement of Nursing Student Receiving PBL with Simulation Education. The Journal of Korean Academic Society of Adult Nursing, 20(5), 731-742. DOI : 10.5977/jkasne.2008.14.1.055
  28. A. Lathrop, B. Winningham & L. VandeVusse. (2007). Simulation-Based Learning for Midwives: Background and Pilot Implementation. Journal of Midwifery and Women's Health, 52(5), 492-498. DOI : 10.1016/j.jmwh.2007.03.018
  29. M. S. Kim. & S. Y. Yun. (2015). Factors influencing flow state of cooperative learning among nursing students: in convergence era, Journal of Digital Convergence. 13(10), 397-403. DOI : 10.14400/jdc.2015.13.10.397
  30. Y. J. Yoo & J. M. Kim. (2014). Determinants Influencing Learning Flow of Domestic Adult Learners: An Integrative Literature Review. The Journal of Training and Development, 29, 1-27. http://uci.or.kr/G704-SER000002289.2014..29.003
  31. M. McEwen & E. M. Wills. (2016). Theoretical basis fornursing. 2nd Edition.. Philadelphia: Wolters KluwerHealth | Lippincott Williams & Wilkin.
  32. Korean Accreditation board of nursing education. (2017). Protocol for core nursing skill. 4.1th Edition. Seoul: Korean Accreditation board of nursing education.