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Effects of a simulation-based Korean Advanced Life Support (KALS) program on knowledge, confidence, and critical thinking disposition for paramedic students

시뮬레이션 기반 한국전문소생술 교육이 응급구조과 대학생의 지식, 자신감 및 비판적 사고성향에 미치는 효과

  • Jung, Hwa-Yoon (Department of Emergency Medicine, Seoul National University Hospital) ;
  • Song, Hyo-Suk (Department of Emergency Medical Service, Daejeon Health Institute of Technology) ;
  • Noh, Ji-Young (Department of Emergency Medical Service, Daejeon Health Institute of Technology) ;
  • Kang, Kwang-Soon (Department of Emergency Medical Service, Daejeon Health Institute of Technology) ;
  • Bang, Sung-Hwan (Department of Special Warfare Medical Non-Commissioned Officer, Daejeon Health Institute of Technology) ;
  • Shim, Gyu-Sik (Department of Emergency Medical Technology, Nazarene University)
  • 정화윤 (서울대학교병원 응급의학과) ;
  • 송효숙 (대전보건대학교 응급구조과) ;
  • 노지영 (대전보건대학교 응급구조과) ;
  • 강광순 (대전보건대학교 응급구조과) ;
  • 방성환 (대전보건대학교 특전의무부사관과) ;
  • 심규식 (나사렛대학교 응급구조학과)
  • Received : 2020.02.08
  • Accepted : 2020.04.19
  • Published : 2020.04.30

Abstract

Purpose: The purpose of this study was to test the effect of simulation-based learning on knowledge, confidence, and critical thinking of paramedical students enrolled in the Korean Advanced Life Support (KALS) program. This study used a one group, pre-post test design. Methods: The subjects of this study were 79 paramedical students in D city. Data were collected before and after the simulation-based training using a structured questionnaire. The data were analyzed using SPSS version 22.0. Results: After the simulation-based KALS education, knowledge (t=-6.88, p<.001) and confidence (t=-10.12, p<.001) increased among paramedical students. There was a positive correlation between confidence and critical thinking disposition (r=0.37, p=.001). Conclusion: A practical module for simulation-based education that can improve knowledge, confidence, and critical thinking disposition related to professional resuscitation is needed for use with paramedical students. Additionally, follow-up studies should be conducted to verify the educational effects of such a program.

Keywords

References

  1. Korea Centers for Disease Control. (2019). 2006-2018 Acute cardiac arrest survey statistics. 2018. https://www.cdc.go.kr/board.es?mid=a20501000000&bid=0015&act=view&list_no=365339
  2. Bobrow BJ, Spaite DW, Berg RA, Stolz U, Sanders AB, Kern KB et al. Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest. JAMA 2010;304(13):1447-54. https://doi.org/10.1001/jama.2010.1392
  3. Hwang SO, Lim GS. Cardiopulmonary Resuscitation and Advanced Cardiovascular Life Support, Koonja, pp.15-25.
  4. Kim EJ, Lee KR, Lee MH, Kim JY. Nurses' cardiopulmonary resuscitation performance during the first 5 minutes in in-situ simulated cardiac arrest. J Korean Acad Nurs 2012;42(3):361-8. https://doi.org/10.4040/jkan.2012.42.3.361
  5. Yoou SK, Kwon HJ. Study about the satisfaction with simulation practice course experience on ACLS of paramedic students. J of the Korea Academia-Industrial cooperation Society. 2015;16(10):6647-54. https://doi.org/10.5762/KAIS.2015.16.10.6647
  6. Park DS. The effects of empowerment of the paramedics on critical thinking. The Journal of the Korean Society of Emergency Medical Technology 2008;12(3):115-27.
  7. Hur HK, Park SM, Shin YH, Lim YM, Kim GY, Kim KK et al. Development and applicability evaluation of an emergent care management simulation practicum for nursing students. J Korean Acad Soc Nurs Educ 2013;19(2):228-40. https://doi.org/10.5977/jkasne.2013.19.2.228
  8. Shin SH, Kwon MS, Kwon SM. Effects of a simulation-based training for advanced cardiovascular life support on the knowledge and competence for nursing students. J of the Korea Academia-Industrial cooperation Society 2013;14(11):5819-26. https://doi.org/10.5762/KAIS.2013.14.11.5819
  9. Jo HY. The effect of SIM-PBL education on critical thinking disposition and self-efficacy in paramedic students. Korean J Emerg Med Ser 2013;17(3):61-71. https://doi.org/10.14408/KJEMS.2013.17.3.061
  10. Lee OS. The effects of simulation-based practice on critical thinking disposition, communication skill, and clinical performance for nursing students. J of the Korea Academia-Industrial cooperation Society 2017;18(4)93-100. https://doi.org/10.5762/KAIS.2017.18.4.93
  11. KACPR. Korean association of cardiopulmonary resuscitation newsletter 2019;13(2). Available at: www.kacpr.org
  12. Yoon MO. The effect and continuity of AHA basic life support(BLS) education on cardiopulmonary resuscitation knowledge, attitude, self-efficacy, and performance of nursing students. Asia-pacific J of Multimedia Services Convergent with Art, Humanities, and Sociology 2018;8(1):737-47. https://doi.org/10.21742/AJMAHS.2018.01.81
  13. Park DH, Kim HJ. Effects of a simulation-based training on nursing students' knowledge, confidence, clinical competence and clinical competence to advanced cardiovascular life support. J of Convergence for Information Technology 2019;9(1):61-7. https://doi.org/10.22156/CS4SMB.2019.9.1.061
  14. Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulationbased education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study. Chest 2008;133(1):56-61. https://doi.org/10.1378/chest.07-0131
  15. Kim JY, Kim EJ. Effects of simulation on nursing student's knowledge, clinical reasoning and self-confidence: a quasi-experimental study. Korean J Adult Nurs 2015;27(5):604-11. https://doi.org/10.7475/kjan.2015.27.5.604
  16. Shin SH, Kwon MS, Kwon SM. Effects of a simulation-based training for advanced cardiovascular life support on the knowledge and competence for nursing students. J of Korea Academia-Industrial cooperation Society 2013;14(11):5819-26. https://doi.org/10.5762/KAIS.2013.14.11.5819
  17. Chae MJ, Choi SH. Effectiveness of student learning with a simulation program focusing on cardiac arrest in knowledge, self-confidence, critical thinking, and clinical performance ability. Korean J Adult Nurs 2016;28(4):447-58. https://doi.org/10.7475/kjan.2016.28.4.447
  18. Yun J. Development of an instrument for the measurement of critical thinking disposition: in nursing. Unpublished doctoral dissertation, Catholic University of Korea 2004, Seoul, Korea
  19. Chae MJ. Effects of nursing simulation education for patients with cardiac arrest on knowledge, self-confidence, critical thinking disposition and clinical performance ability of nursing students. Unpublished doctoral dissertation. Chonnam National University 2015, Gwangju, Korea.
  20. Kim DH, Lee YJ, Hwang MS, Park JH, Kim HS, Cha HG. Effects of a simulation-based integrated clinical practice program(SICPP) on the problem solving process, clinical competence and critical thinking in a nursing student. J Korean Acad Soc Nurs Educ 2012;18(3):499-509. https://doi.org/10.5977/jkasne.2012.18.3.499
  21. Beyea SC, Kobokovich LJ. Human patient simulation: a teaching strategy. AORN Journal 2004;80(4):738-42. https://doi.org/10.1016/S0001-2092(06)61329-X
  22. Rhodes ML, Curran C. Use of the human patient simulator to teach clinical judgment skills in a baccalaureate nursing program. Computers Informatics Nursing 2005;23(5): 256-62. https://doi.org/10.1097/00024665-200509000-00009