Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Effects of Simulation-based practice and clinical practice for critical thinking disposition and nursing process confidence

시뮬레이션기반 실습과 임상실습이 간호대학생의 비판적사고성향과 간호과정자신감에 미치는 효과

  • Kim, Hwa-Young (Dept. of Nursing, Dong-A University of Health) ;
  • Ma, Hyunhee (Dept. of Nursing, Dong-A University of Health) ;
  • Lee, Mijin (Dept. of Nursing, Dong-A University of Health)
  • 김화영 (동아보건대학교 간호학과) ;
  • 마현희 (동아보건대학교 간호학과) ;
  • 이미진 (동아보건대학교 간호학과)
  • Received : 2021.03.19
  • Accepted : 2021.06.20
  • Published : 2021.06.28
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Abstract

The purpose of this study was to determine the effects of simulation-based practice and clinical practice on nursing students' critical thinking disposition and nursing process confidence. This study is a quasi-experimental design using the non-equivalent control group pretest-posttest only design, targeting 103, 4th grade(51=control group, 52=experimental group) in the Department of Nursing at D University. The collected data were analyzed using the SPSS/WIN 23.0 program, and the main research results are as follows. Students who experienced simulation-based practice showed significant improvement in critical thinking tendencies(t=-3.28, p=.001) compared to those who experienced clinical practice. There was no significant difference in nursing process confidence (t=-1.78, p=.079), but it was significantly higher in actual application, collaborative contsistency, and nursing contsistency. As a result, There were no significant difference in some, but it was contfirmed that simulation-based practice improved the critical thinking disposition and nursing process confidence in of nursing students. In addition to clinical practice, it is considered necessary to study simulation-based practice using repetitive practice and standardized patients in a free simulation practice environment.

본 연구의 목적은 시뮬레이션기반 실습과 임상실습이 간호대학생의 비판적사고와 간호과정자신감의 미치는 효과를 확인하고자 수행되었다. 본 연구는 D대학교 간호학과 4학년 103명(대조군 51명, 실험군 52명)을 대상으로 비동등성 전·후 설계를 이용한 유사실험연구이다. 수집된 자료는 SPSS 23.0 프로그램을 이용하여 분석하였으며, 주요 연구결과는 다음과 같다. 시뮬레이션기반 실습을 경험한 학생이 임상실습을 경험한 학생에 비해 비판적사고성향(t=-3.28, p=.001)은 유의한 향상을 보였다. 간호과정자신감(t=-1.78, p=.079)은 유의한 차이는 없었으나 실제적용, 협업 일관성, 간호일관성에서 유의하게 높게 나타났다. 결과적으로 일부 유의한 차이는 없었으나 시뮬레이션기반 실습이 간호대학생의 비판적사고성향 및 간호과정자신감을 향상시키는 것으로 확인되어 임상실습과 더불어 자유로운 시뮬레이션 실습환경에서의 반복 연습과 표준화환자를 활용한 시뮬레이션기반 실습 연구가 필요할 것으로 생각된다.

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