DOI QR코드

DOI QR Code

시뮬레이션 교육방법에 따른 응급구조학과 학생들의 전문심장소생술 지식, 수행자신감 및 수행능력의 차이

Differences in advanced cardiac life support knowledge, confidence, satisfaction, and performance ability of paramedic students according to simulation education methods

  • 투고 : 2021.11.10
  • 심사 : 2021.12.28
  • 발행 : 2021.12.31

초록

Purpose: This study aimed to analyze the impact of rapid cycle deliberate practice (RCDP) simulation education on advanced cardiac life support knowledge, confidence, satisfaction, and performance ability among paramedic students, and provide basic data on the appropriate methods of educational instruction. Methods: The 48 subjects to be instructed were divided into the traditional simulation education group and the RCDP simulation education group. Six participants were randomly assigned to each group and pre-surveyed. They were then exposed to a lecture about advanced cardiac life support related theories for 60 min and post-surveyed through questionnaires with the same learning goals and scenarios. Results: The advanced cardiac life support knowledge (t=-4.813, p=.000) and performance ability (t=-2.903, p=.006) were significantly different between the traditional simulation education and RCDP simulation education groups The results also showed a significant difference in attach monitor (z=6.857, p=.009), analyze EKG rhythm (z=11.111, p=.001), and defibrillation (z=12.632, p=.000), indicating differences in performance capabilities between the two groups. Conclusion: To improve advanced cardiac life support knowledge, performance ability, and confidence in the paramedic students who receive RCDP simulation education, simulation education methods that are appropriate for the subjects being taught, and detailed learning goals and feedback are necessary.

키워드

참고문헌

  1. Yoou SK, Lee JE. A meta-analysis of the effects of cardiopulmonary resuscitation training. Korean J Emerg Med Ser 2017;21(1):17-44. https://doi.org/10.14408/KJEMS.2017.21.1.017
  2. Statistics Korea. Cause-specific death statistics. Available at: http://kosis.kr, 2020
  3. Cardiopulmonary resuscitation and advanced cardiovascular life support, Hwang Seong-oh, Lim Kyung-soo, 5th ed. Paju: Gunja Publishing House. 2016. 3.
  4. Song KJ, Oh DJ. Review: Current status of CPR in Korea. Korean Journal of Medicine 2007;73(1):4-10.
  5. Shin HS, Kim JS. Factors affecting emergency room nurse job in small and medium sized hospitals. J Korean Acad Nurs Adm 2015;21(4):386-92. https://doi.org/10.11111/jkana.2015.21.4.386
  6. Ministry of Health and Welfare [Internet]. Sejong: Ministry of Health and Welfare; 2017[cited 2018 Nov 22]. Available from: http://www.mohw.go.kr/.
  7. Lee OH. The work and job satisfaction of paramedics in the emergency room of university hospitals. Korean J Emerg Med Ser 2011;15(1):47-63. https://doi.org/10.14408/KJEMS.2011.15.1.047
  8. Byun HS, Kwon KH, Suh BD. Effect of simulation-based education for advanced cardiovascular life support on knowledge, self-efficacy, clinical performance ability and problem solving process in nursing students. Journal of the Korea Entertainment Industry Association 2014;8(4):261-73. https://doi.org/10.21184/jkeia.2014.12.8.4.261
  9. Hong BS. Comparison of effect cardiopulmonary resuscitation training in accordance with the education methods. Unpublished master's thesis. Gachon University 2015, Inchon, Korea.
  10. Chang SJ, Kwon EO, Kwon YO, Kwon HK. The effects of simulation training for new graduate critical care nurses on knowledge, self-efficacy, and performance ability of emergency situations at intensive care unit. Korean J Adult Nurs 2010;22(4):375-83.
  11. Kim JH, Lee YM. A brief history of the development of mannequin simulators for medical simulation education. Korean J Emerg Med Ser 2006;10(2):15-23.
  12. Oh HK, Song RY, Ahn SH. Evaluating the applicability of clinical practicum with simulation used additionally in an undergraduate nursing curriculum. Journal of the Korea Convergence Society 2019;10(10):357-69. https://doi.org/10.15207/JKCS.2019.10.10.357
  13. Lapkin S, Levett-Jones TA. Cost-utility analysis of medium vs high-fidelity human patient simulation manikins in nursing education. Journal of Clinical Nursing 2011;20:3543-52. https://doi.org/10.1111/j.1365-2702.2011.03843.x
  14. Gardner R, Raemer DB. Simulation in obstetrics and gynecology. Obstet Gynecol Clin North Am 2008;35(1):97-127. https://doi.org/10.1016/j.ogc.2007.12.008
  15. 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. Journal of Convergence for Information Technology 2019;9(1):61-76. https://doi.org/10.22156/CS4SMB.2019.9.1.061
  16. Hoadley TA. Learning advanced cardiac life support: a comparison study of the effects of low-and high-fidelity simulation. Nurs Educ Perspect 2009;30(2):91-5. PMID: 19476072
  17. Bond WF, Spillane L. The use of simulation for emergency medicine resident assessment. Academic Emergency Medicine 2002;9(11):1295-8. https://doi.org/10.1197/aemj.9.11.1295
  18. Hur HK, Shin YH, Park SM, Lim YM, Kim GY, Kim KK et al. Effectiveness of an emergent care management simulation education among senior nursing students according to learning styles. The Journal of the Korea Contents Association 2014;14(3):314-27. https://doi.org/10.5392/JKCA.2014.14.03.314
  19. Park SM, Choi ES. Influencing factors on the satisfaction of the paramedic students in clinical training. Korean J Emerg Med Ser 2012;16(1):91-101. https://doi.org/10.14408/KJEMS.2012.16.1.091
  20. Kim MY, Kim SH. Effect of rapid cycle deliberate practice advanced life support simulation education on nurse's performance, confidence, and satisfaction. Journal of the Korea Academia-Industrial cooperation Society 2019;20(11):44-55. https://doi.org/10.5762/KAIS.2019.20.11.44
  21. Magee MJ. Farkouh-Karoleski C, Rosen TS. Improvement of immediate performance in neonatal resuscitation through rapid cycle deliberate practice training. Journal of Graduate Medical Education2018;10(2):192-7. https://doi.org/10.4300/JGME-D-17-00467.1
  22. Taras J, Everett T. Rapid cycle deliberate practice in medical education- a systematic review. Cureus 2017;9(4):e1180.
  23. Kwon HJ, Yoou SK. Validation of a Korean version of the satisfaction with simulation experience scale for paramedic students. Korean J Emerg Med Ser 2014;18(2):7-20. https://doi.org/10.14408/KJEMS.2014.18.2.007
  24. Doughty C, Welch-Horan DH. Rapid cycle deliberate practice pediatric simulation scenarios. Mededportal Publications 2015;11:101-34. https://doi.org/10.15766/mep_2374-8265.10134
  25. 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
  26. Lee YH, Ahn HY. The effects of simulation education for new nurses on emergency management using low-fidelity simulator. J Korean Acad Soc Nurs Educ 2019;25(3):331-43. https://doi.org/10.5977/jkasne.2019.25.3.331
  27. Auerbach M, Kessler D, Foltin JC. Repetitive pediartic simulation resuscitation training. Pediatric Emergency Care 2011;27(1):29. https://doi.org/10.1097/PEC.0b013e3182043f3b
  28. Kim HM. Effects of knowledge and education experience to attitude on cardiopulmonary resuscitation among university students. Unpublished master's thesis. Inje University 2014, Gimhae, Korea.
  29. Kim HS. The effect of simulation-based advanced life support training for nursing students. Unpublished master's thesis. Chung-Ang University 2018, Seoul, Korea.
  30. OH JY, Song MS, Park JH, You MA. Effects of simulation-based training on nursing students' knowledge and ability to perform advanced cardiovascular life support. Journal of Korean Critical Care Nursing 2015;8(2):23-32.
  31. Ko SJ, Choi EH. Effect of team debriefing in simulation-based cardiac arrest emergency nursing education. Korean J Adult Nurs 2017;29(6):667-76. https://doi.org/10.7475/kjan.2017.29.6.667