Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

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Factors Influencing Objective Emergency Nursing Performance of Nursing Students on Simulation Practice

시뮬레이션 실습에서 간호학생의 객관적 응급간호 임상수행능력에 영향 미치는 요인

  • 최은희 (영남이공대학교 간호대학)
  • Received : 2019.11.11
  • Accepted : 2020.03.06
  • Published : 2020.03.31
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Abstract

This study examined the factors affecting the emergency nursing performance of nursing students during a simulation. The variables related to the simulation were the objective and subjective emergency nursing performance, critical thinking, program outcome, simulation satisfaction, simulation confidence, and simulation immersion. The participants were 92 senior students who provided informed consent with an explanation about attending the study. The general characteristics and simulation-related data were obtained from the students before and after the simulation. An assessor evaluated the objective emergency nursing performance during the simulation and program outcome through a report reviewed after the simulation. Data analysis was performed using the number, percentage, mean, standard deviation, X2-test, one-way ANOVA, Pearson correlation, and progressive regression through the SPSS/WIN 22.0 program. Emergency nursing performance by the assessor was negatively associated with the satisfaction of clinical practice (r=-.31, p=.005) and positively related to the subjective clinical performance (r=.23, p=.036). The affecting rate was just 12%, which was low for explaining the objective emergency nursing performance during the simulation. Further studies will be needed to explore other factors affecting the emergency nursing performance.

본 연구의 목적은 간호학생의 객관적 응급간호 임상수행능력에 영향 미치는 요인을 확인하기 위함이다. 영향 변수로는 간호학생의 일반적 특성과 함께 시뮬레이션 관련 변수로 객관적·주관적 임상수행능력, 비판적 사고성향, 학습 성과 성취 정도, 시뮬레이션 만족도, 시뮬레이션 자신감과 시뮬레이션 몰입도가 포함되었다. 대상자는 Y대학의 간호학과 4학년 92명이었으며 대상자들은 시뮬레이션 실습 전 연구에 대한 전반적인 설명과 함께 연구참여에 대한 동의서를 작성하였다. 일반적 특성과 시뮬레이션 관련 변수들은 학생들의 자가설문형태로 자료를 수집하였으며 객관적 임상수행능력은 간호학생들이 시뮬레이션 상황에서 간호수행을 하는 동안 평가자가 수행평가표에 따라 평가하였다. 학습성과 성취는 시뮬레이션 실습이 끝난 후 디브리핑 시간 동안 학생이 작성한 보고서를 평가자가 학습성과 평가도구를 이용하여 평가하였다. 자료 분석은 SPSS/WIN 22.0 Program을 이용하여 실수, 백분율, 평균, 표준편차, X2-test, one-way ANOVA, Pearson correlation, progressive regression으로 분석하였다. 연구결과, 평가자에 의해 측정된 객관적 응급간호 임상수행능력은 임상실습만족도와 부정적인 상관관계가 있었으며(r=-.31, p=.005) 간호학생이 평가한 주관적 응급간호 임상수행능력과 긍정적인 상관관계가 있었다(r=.23, p=.036). 회귀분석 결과, 설명력은 12%로 나타나 시뮬레이션 상황에서 응급간호 임상수행능력을 전반적으로 설명하기에는 다소 부족하였으므로 추후 연구에서는 응급간호 임상수행능력에 영향을 미칠 수 있는 다른 요인에 대한 탐색이 요구된다.

Keywords

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