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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

An Action Research to Improve Nursing Ethics and Professional Course using Visual Thinking and Window Panning

비주얼 씽킹과 윈도우 패닝을 적용한 간호윤리와 전문직 교과목 수업개선에 관한 실행연구

  • Choi, Hanna (Department of Nursing, Nambu University) ;
  • Kim, Suhyun (Department of Nursing, Nambu University)
  • Received : 2020.11.13
  • Accepted : 2021.03.05
  • Published : 2021.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

This is an action research study of mixed methodology design to confirm the implementation process and effects of applying visual thinking and window paning on improving nursing ethics and professional courses. Based on the conceptual model for action research, a quantitative and qualitative approach was taken. The data was collected and analyzed in an integrated manner. The survey analysis was done using the SPSS WIN 23.0 program. The participants were interviewed after experiencing the techniques in class and content analysis was used on the answers. As a result of applying visual thinking and window paning, ethical decision-making confidence (t=6.748, p<.001) and nursing professional intuition (t=-3.52, p<.001) showed statistically significant changes. There was, however, no significant change in biomedical ethics consciousness (t=1.291, p=.199). Qualitative analysis found that they had fresh experience, an unfamiliar but comfortable feeling, feeling of being mine, insufficient time, systematic case study approach based on theory, were able to cultivate cooperation and coordination ability through discussion and experience in various professional fields, pride, ethical responsibility consciousness and were able to apply learning content in the field. Visual thinking and window paning foster diverse competencies in nursing education and help integrative learning. Therefore, based on the results it is proposed that visual thinking and window paning are applied to the improvement of instruction in other courses to develop core nursing competency.

본 연구는 비주얼 씽킹과 윈도우 패닝을 적용한 간호윤리와 전문직 교과목 수업개선의 실행과정과 그 효과를 확인하기 위한 통합연구방법설계의 실행연구이다. 이 연구는 G시 소재 간호학과 2학년 학생들 중 114명을 대상으로 2018년 2월부터 9월까지 이루어졌다. 실행연구에 대한 개념적 모형을 기반으로 하여 양적·질적 접근을 통해 통합적으로 자료를 수집하고 분석하는 과정을 거쳤다. 양적접근으로는 윤리적의사결정 자신감, 생명의료윤리의식, 간호전문직관을 설문지를 통해 평가하였고, SPSS WIN 23.0 program 으로 분석하였다. 질적 접근으로는 수업참여에 대한 경험을 개방형 질문을 통해 면담하고 전사된 자료는 내용분석을 실시하였다. 비주얼 씽킹과 윈도우 패닝을 적용한 결과 윤리적의사 결정자신감(t=6.748, p<.001), 간호전문직관(t=-3.52, p<.001)은 통계적으로 유의한 변화를 보였으나 생명의료윤리의식(t=1.291, p=.199)은 유의한 변화가 없었다. 질적분석 결과, 신선한 경험, 낯설지만 편안한 느낌, 내것이 되어감, 부족한 시간, 이론 기반의 체계적인 사례연구 접근, 토의토론을 통한 협력과 조정능력함양, 다양한 전문직 분야에 대한 체감, 자긍심, 윤리적 책임의식, 학습내용의 현장적용 등을 경험하는 것으로 나타났다. 비주얼 씽킹과 윈도우 패닝을 적용한 교수법은 간호교육에 있어서 다양한 역량을 함양하고 통합적인 학습이 일어나도록 돕는다. 따라서 본 연구의 결과를 반영하여 간호핵심역량을 개발하기 위한 타교과목의 수업개선에도 적용할 것을 제안한다.

Keywords

References

  1. H. J. Park, "Ethical dilemma of nurse", Journal of Korean Academy of Nursing Administration, Vol. 15, No. 1, pp.128-135, 2009.
  2. J. H. Sin, S. H. Jung, M. H. Lee, Y. Yang, "Experiences of ethical issues and needs for ethics education in clinical", The Journal of Korean Nursing Administration Academic Society, Vol. 21, No. 3, pp.327-339, 2015. DOI : https://doi.org/10.11111/jkana.2015.21.3.327
  3. M. O. Chang, K. H. Jung, "A study on the effect of small and medium-sized hospital nurses' nursing professionalism and biomedical ethics on their confidence in ethical decision-making", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociaology, Vol. 9, No. 11, pp.743-755, 2019. DOI : https://doi.org/10.35873/ajmahs.2019.9.11.067
  4. Korean Accreditation Board of Nursing Education (KABON), Nursing core competencies[Internet]. Korean Accreditation Board of Nursing Education, 2012 [cited 2020 september 8]. Available from : http://www.kabon.or.kr/
  5. H. Y. Hwang, "The current status and consideration for nursing ethics education in south korea", Korean Journal of Medical Ethics, Vol. 20, No. 3, pp.305-316, 2017. DOI : https://doi.org/10.35301/ksme.2017.20.3.305
  6. S. Kim, I. Lee, S. Y. Kim, Y. G. Noh, "Nursing ethics research in korea from 2009 to 2016", Korean Journal of Medical Ethics, Vol. 20, No. 4, pp.406-424, 2017. https://doi.org/10.35301/ksme.2017.20.4.406
  7. M. S. Choi, "A Study on the design of the consciousness of bioethics' training for nurses", Journal of the Korea Bioethics Association, Vol. 20, No. 2, pp.59-73, 2019. https://doi.org/10.37305/JKBA.2019.12.20.2.59
  8. Y. M. Kim, H. Park, "Current trends of teaching-learning methods in korean undergraduate nursing education", The Journal of Learner-Centered Curriculum and Instruction. Vol. 16, No. 3, pp.945-966, 2016.
  9. M. Moorman, "The meaning of visual thinking strategies for nursing students", Humanities, Vol. 4, No. 4, pp.748-759, 2015. DOI:https://doi.org/10.3390/h4040748
  10. M. Moorman, D. Hensel, "Using visual thinking strategies in nursing education", Nurse Educator, Vol. 41, No. 1, pp.5-6, 2016. DOI:https://doi.org/10.1097/NNE.0000000000000185
  11. M. Moorman, D. Hensel, K. A. Decker, K. Busby, "Learning outcomes with visual thinking strategies in nursing education", Nurse Education Today, Vol. 51, pp.127-129, 2017. DOI:https://doi.org/10.1016/j.nedt.2016.08.020
  12. R. W. Pike, Creative training techniques handbook: tips, tactics, and how-to for delivering effective training. Amherst:HRD Press Inc.;1989.
  13. O. Zuber-Skerritt, M. Fletcher, "The quality of an action research thesis in the social sciences", Quality Assurance in Education, Vol. 15, pp.413-436. 2007. DOI:http://dx.doi.org/10.1108/09684880710829983
  14. J. W. Creswell, V. L. Plano-Clark, Designing and conducting mixed methods research. Thousand Oaks, CA: Sage;2007.
  15. D. P. Sulmasy, G. Geller, D. M. Levine, R. C. Faden, "Medical house officers' knowledge, attitude, and confidence regarding medical ethics", Archives of internal medicine. Vol. 150, No. 12, pp.2509-2513, 1990. https://doi.org/10.1001/archinte.1990.00390230065008
  16. C. A. Laabs, "Confidence and knowledge regarding ethics among advanced practice nurses", Nursing Education Perspectives, Vol. 33, No. 1, pp.10-14, 2012. DOI:http://dx.doi.org/10.5480/1536-5026-33.1.10
  17. C. H. Kim, The Relationships among ethical dilemma, professional values, ethical confidence of clinical nurses, master thesis, Chungnam National University, Daejeon, Korea, 2014.
  18. S. Gorovitz, "Bioethics and social responsibility", the Monist. Vol. 60, No. 1, pp. 3-15, 1977. https://doi.org/10.5840/monist197760128
  19. Y. S. Lee, "A study of Ethical Values of Korean Nurses", Journal of Korean Academy of Nursing, Vol. 20, No. 2, pp.249-270, 1990. DOI: https://doi.org/10.4040/jnas.1990.20.2.249
  20. qS. J. Kwan, A study on the consiousness of biomedical ethics of the nursing students and medical students, Master thesis, Keimyung University, Daegu, Korea, 2003.
  21. Y. J. Jung, The effect of nursing student's knowledge of life-sustaining treatment plan, consciousness of biomedical ethics, perception of hospice on the attitude toward withdrawal life-sustaining treatment, Master thesis, Kosin University, Pusan, Korea, 2019.
  22. E. J. Yeun, Y. M. Kwon, O. H. Ahn, "Development of a nursing professional values scale", Journal of Korean Academy of Nursing, Vol. 35, No. 6, pp.1091-1100, 2005. https://doi.org/10.4040/jkan.2005.35.6.1091
  23. M. H. Kim, A study on the factors affecting the view of nursing as professionalism, Master thesis, Kyung Hee University, Seoul, 2008.
  24. K. Krippendorff, Content analysis: An introduction to its methodology. Beverly Hills, CA: Sage;2004.
  25. S. H. Choi, J. Jung, S. W. Jung, "Concept and procedures of qualitative content analysis", Journal of Qualitative Inquiry, Vol. 2, No. 1, pp.127-155, 2016.
  26. E. G. Guba, Y. S. Lincoln, Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches, San Francisco (CA): Jossey-Bass Publishers; pp. 103-127. 1981.
  27. Korean Nurses Association, Nursing education Learning objective, Seoul:Korean Nurses Association. 2018.
  28. C. Grady, M. Danis, K. L. Soeken, P. O'Donnell, C. Taylor, A. Farrar, et al, "Does ethics education influence the moral action of praticing nurses and social workers?", American Journal of Bioethics. Vol. 8, No. 4, pp.4-11, 2008. DOI: https://doi.org/10.1080/15265160802166017
  29. M. Y. Moon, "Effects of ethical values and nursing professionalism on the consciousness of biomedical ethics before applying nursing ethics education in nursing college students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 8, No. 9, pp.305-314, 2018. DOI : https://doi.org/10.35873/ajmahs.2018.8.9.031
  30. I. S. Kim, "Effects of bioethics education on the consciousness of bioethics of freshman Nursing and health students", Journal of the Korea Bioethics Association. Vol. 14, No. 1, pp. 1-13, 2013.
  31. G. S. Joeng, "The effect of biomedical ethics education program for nursing students freshman", The Journal of Korean Academic Society of Nursing Education, Vol. 22, No. 3, pp.376-386, 2016. DOI : https://doi.org/10.5977/jkasne.2016.22.3.376
  32. E. J. Seo, N. H. Cha, "Relationships among nursing professional values, bioethics and death ethic perception", Journal of Digital Convergence. Vol. 14, No. 5, pp.349-358, 2016. DOI : https://doi.org/10.14400/JDC.2016.14.5.349
  33. Y. S. Choi, G. S. Jeong, R. Michong, "Biomedical ethics education for nursing students: The effect on awareness and application of nursing code of ethics, consciousness of biomedical ethics and moral sensitivity", The Journal of Korean Academic Society of Nursing Education, Vol. 24, No. 3, pp.214-224, 2018. DOI : https://doi.org/10.5977/jkasne.2018.24.3.214
  34. S. Y. Kim, "Effects of biomedical ethics education using movies on biomedical ethics awareness of nursing students", The Journal of the Korea Contents Association, Vol. 14, No. 7, pp.281-290, 2014. DOI : https://doi.org/10.5392/JKCA.2014.14.07.281
  35. W. J. Kim, J. H. Park, "The effects of an action learning-based nursing ethics education on self-assertiveness and ethical values", Journal of muscle and joint health, Vol. 24, No. 3, pp.179-186, 2017. DOI : https://doi.org/10.5953/JMJH.2017.24.3.179
  36. M. K. Baek, "A case study on the family and culture class using learner-centric visual thiking." The Journal of Yeolin Education, Vol. 27, No. 4, pp. 349-372, 2019. DOI : http://dx.doi.org/10.18230/tjye.2019.27.4.349
  37. Y. R. Ji, H. M. Chung. "Effects of Case-Based Learning on Task Achievement and Learning Satisfaction in the University Class", Journal of Learner Centered Curriculum and Instruction, Vol. 14, No. 9, pp. 243-265, 2014.