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Evaluating the Applicability of Clinical Practicum with Simulation Used Additionally in an Undergraduate Nursing Curriculum

시뮬레이션을 활용한 실습교육과정의 적용가능성 평가

  • Oh, Hankyo (College of Nursing, Chungnam National University) ;
  • Song, Rhayun (College of Nursing, Chungnam National University) ;
  • Ahn, Sukhee (College of Nursing, Chungnam National University)
  • Received : 2019.08.19
  • Accepted : 2019.10.20
  • Published : 2019.10.28

Abstract

This study was to examine the effects of simulation used additionally in clinical practicum and evaluate its applicability in an undergraduate nursing curriculum. A longitudinal survey was used to measure the changes on the scores of clinical competency, clinical confidence, critical thinking and problem solving ability of students(N=77) who had experienced simulation in the clinical practicum curricula throughout their junior and senior years. Variables were measured 4 times, at the beginning and the end of each year, and data were analyzed using repeated measures of ANOVAs. Clinical competency score in senior year improved significantly(t=-13.75, p<.001) whereas no significant changes in junior year. Clinical confidence and critical thinking disposition over 2 years showed significant increases(F=177.86, p<.001; F=247.79, p<.001, respectively). Problem solving ability increased throughout the junior and senior years, however, it did not make a significant difference at any point of measures.

본 연구는 간호대학의 교육과정에서 시뮬레이션을 활용한 실습교육과정의 적용가능성을 평가하기 위함이다. D시 소재 일 간호대학에서 시뮬레이션을 활용한 실습교육을 임상실습과 병행하여 받은 일 개 학년 학생들을 대상(n=77)으로 2년 동안의 임상수행능력, 임상수행자신감, 비판적 사고성향 및 문제해결능력의 변화를 파악하기 위해 시행된 종단연구이다. 본 연구대상 대학의 실습교육과정 평가를 위해 수집된 자료 중 일부(2015~2016년도)를 사용한 2차 자료분석으로, 3학년과 4학년의 학년 초와 학년 말에 측정된 변수들을 반복측정분산분석으로 분석하였다. 연구결과, 4학년에서의 임상수행능력이 학년 초에 비해 학년 말에 유의하게 향상되었고(t=-13.75, p<.001), 임상수행자신감과 비판적 사고는 2년에 거쳐 유의하게 증가되었다(F=177.86, p<.001; F=247.79, p<.001). 한편, 문제해결능력은 시점에 따른 유의한 차이가 없었다.

Keywords

References

  1. M. J. Park. (2008). A new approach to curriculum development in higher education: competence-based curriculum. J Curriculum Stud, 26(4), 173-97 https://doi.org/10.15708/kscs.26.4.200812.008
  2. H. S. Kim. (2015). The essence of nursing practice: philosophy and perspective. New York: Springer Publishing Company
  3. American Association of Colleges of Nursing. (2016). The essentials of baccalaureate education for professional nursing practice. Aacnnursing [Online]. http://www.aacnnursing.org/Portals/42/Publications/ BaccEssentials08.pdfNursing.
  4. C. Larew, S. Lessans, D. Spunt, D. Foster & B. G. Covington. (2006). Innovations in clinical simulation: application of Benner's theory in an interactive patient care simulation. Nursing Education Perspectives, 27(1), 16-21
  5. B. C. Parker & F. Myrick. (2009). A critical examination of high-fidelity human patient simulation within the context of nursing pedagogy. Nurse Educ Today, 29(3), 322-9. DOI : 10.1016/j.nedt.2008.10.012.
  6. C. Foronda, S. Liu & E. B. Bauman. (2012). Evaluation of simulation in undergraduate nurse education: an integrative review. Clinical Simulation in Nursing, 9(10),e409-e16. DOI : 10.1016/j.ecns. 2012.11.003.
  7. J. H. Kim, I. H. Park & S. Shin. (2013). Systematic review of Korean studies on simulation within nursing education. The Journal of Korean Academic Society of Nursing Education, 19(3), 307-19. https://doi.org/10.5977/jkasne.2013.19.3.307
  8. J. Hayden. (2010). Use of simulation in nursing education: National survey results. Journal of Nursing Regulation, 1(3), 52-7. https://doi.org/10.1016/s2155-8256(15)30335-5
  9. J. K. Hayden, R. A. Smiley, M. Alexander, S. Kardong-Edgren & P. R. Jeffries. (2014). Supplement: 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), C1-S64. https://doi.org/10.1016/S2155-8256(15)30049-1
  10. W. C. McGaghie, S. B. Issenberg, E. R. Petrusa & R. J. Scalese. (2010). A critical review of simulation‐based medial education research: 2003-2009. Medical Education, 44(1), 50-63. https://doi.org/10.1111/j.1365-2923.2009.03547.x
  11. M. C. Schlairet. (2011). Simulation in an undergraduate nursing curriculum: implementation and impact evaluation. J Nurs Educ, 50(10), 561-8. https://doi.org/10.3928/01484834-20110630-04
  12. V. M. Howard, N. Englert, K. Kameg & K. Perozzi. (2011) Integration of simulation across the undergraduate curriculum: student and faculty perspectives. Clinical Simulation in Nursing, 7(1), e1-e10. DOI : 10.1016/j.ecns.2009.10.004.
  13. C. M. Lee, H. S. So, Y. Kim, J. E. Kim & M. An. (2014). 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, 14(10), 850-61. https://doi.org/10.5392/JKCA.2014.14.10.850
  14. J. J. Yang. (2012). The effects of a simulation-based education on the knowledge and clinical competence for nursing students. The Journal of Korean Academic Society of Nursing Education, 18(1), 14-24. https://doi.org/10.5977/jkasne.2012.18.1.014
  15. I. S. Kwon et al. (2006). Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing, 36(6), 950-8. https://doi.org/10.4040/jkan.2006.36.6.950
  16. S. J. Lee, Y. K. Jang, H. N. Lee & K. Y. Park. (2003). A study of development of life-skills: communication, problem solving, and self-directed learning. Seoul : Korean Education Development Institute (R2003-15-03).
  17. G. Alinier, B. Hunt, R. Gordon & C. Harwood. (2006). Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education. J Adv Nurs, 54(3), 359-69. DOI : 10.1111/j.1365-2648.2006.03810.x.
  18. H. B. Yuan, B. A. Williams & J. B. Fang. (2012). The contribution of high-fidelity simulation to nursing students' confidence and competence: a systematic review. Int Nurs Rev, 59(1), 26-33. DOI : 10.1111/j.1466-7657.2011. 00964.x.
  19. C. A. Blum, S. Borglund & D. Parcells. (2010). High-fidelity nursing simulation: impact on student self-confidence and clinical competence. International Journal of Nursing Education Scholarship, 7(1).
  20. D. H. Kim, Y. Lee, M. S. Hwang, J. H. Park, H. S. Kim & H. G. Cha. (2012). Effects of a simulation-based integrated clinical practice program (SICPP) on the problem solving process, clinical competence and critical thinking in a nursing student. The Journal of Korean Academic Society of Nursing Education, 18(3), 499-509. https://doi.org/10.5977/jkasne.2012.18.3.499
  21. P. R. Jeffries. (2005). A framework for designing, implementing, and evaluating: simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2), 96-103.
  22. A. Han, D. S. Cho & J. Won. (2014). A study on learning experiences and self-confidence of core nursing skills in nursing practicum among final year nursing students. Journal of Korean Academy of Fundamentals of Nursing, 21(2), 162-73. https://doi.org/10.7739/jkafn.2014.21.2.162
  23. M. Adib-Hajbaghery, & N. Sharifi. (2017). Effect of simulation training on the development of nurses and nursing students' critical thinking: a systematic literature review. Nurse Educ Today, 50, 17-24. https://doi.org/10.1016/j.nedt.2016.12.011
  24. H. Shin, H. Ma, J. Park, E. S. Ji & D. H. Kim. (2015). The effect of simulation courseware on critical thinking in undergraduate nursing students: multi-site pre-post study. Nurse Educ Today, 35(4), 537-42. https://doi.org/10.1016/j.nedt.2014.12.004
  25. Z. C. Y. Chan. (2013). A systematic review of critical thinking in nursing education. Nurse Educ Today, 33(3), 236-40. DOI : 10.1016/j.nedt.2013.01.007.
  26. J. H. Lee & M. N. Choi. (2011). Evaluation of effects of a clinical reasoning course among undergraduate nursing students. Korean Journal of Adult Nursing, 23(1), 1-9.
  27. M. S. Lee & S. W. Hahn. (2011). Effect of simulation-based practice on clinical performance and problem solving process for nursing students. The Journal of Korean Academic Society of Nursing Education, 17(2), 226-34. https://doi.org/10.5977/JKASNE.2011.17.2.226