디지털융복합연구 (Journal of Digital Convergence)

  • 제20권2호
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  • Pages.525-541
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  • 2022
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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간호학생의 문제중심학습 기반 시뮬레이션 실습 프로그램 개발 및 효과: 혼합연구방법

Development and Effects of Problem-Based Learning Based on Simulation Practice Program for Nursing Students: Mixed Methods Research

  • 이정은 (제주한라대학교 간호학과) ;
  • 임연길 (제주한라대학교 간호학과) ;
  • 오윤희 (제주한라대학교 간호학과)
  • 투고 : 2021.11.10
  • 심사 : 2022.02.20
  • 발행 : 2022.02.28
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초록

본 연구는 간호학생 대상으로 문제중심학습 기반의 시뮬레이션 실습 프로그램을 개발하고 효과를 검증하기 위한 혼합연구이다. 자료수집은 2021년 4월 19일부터 6월 11일까지 J도 소재 일개 대학 간호학과 학생 91명의 구조화된 설문지와 12명의 초점집단면담을 실시하였고 수집된 자료는 SPSS 23.0과 주제분석을 활용하여 분석하였다. 양적연구결과, 문제중심학습 기반의 시뮬레이션 실습 프로그램은 대상자의 임상수행능력(t=2.78, 𝜌=.006), 학습만족도(t=2.41, 𝜌=.017)와 자신감(t=2.81, 𝜌=.005)을 향상시키는 데 효과가 있었으나, 문제해결능력 향상에는 효과가 없는 것으로 나타났다. 질적연구 결과, 4개의 중심주제와 8개의 하위주제가 도출되었으며, 도출된 중심주제는 '우선순위에 근거한 통합적인 간호를 학습함', '의사소통을 통한 팀 상호협동을 경험함', '중환자간호를 선명하게 학습함', 그리고 '간호역량이 향상됨'이었다. 본 연구는 혼합연구방법을 통하여 문제중심학습 기반의 시뮬레이션 실습 효과를 검증하였다는데 의의가 있으며 간호학생 대상으로 근거 기반의 시뮬레이션 실습 교육 프로그램을 개발하는데 기초적인 자료로 제공되어 실습교육 현장에서 다양하게 활용될 수 있기를 기대한다.

This study aimed to develop simulation practice program with PBL (S-PBL) for nursing students and evaluate the effect of the program on their problem solving ability, clinical performance competency, learning satisfaction and confidence. The participants were nursing students who applied for simulation practice courses at an university in J province. The study was a mixed-method design using a nonequivalent one group pretest-posttest design (n=91) and focus group interview (n=12). Quantitative data were analyzed using SPSS 23.0 program and qualitative data thematic analysis. Quantitative data showed S-PBL was effective in improving clinical performance competency, learning satisfaction and confidence of the participants, but not in improving problem solving ability. As a result of the qualitative study, four themes and eight sub-themes were derived, and the themes were "Learn integrated nursing care based on priority", "Experience team cooperation through communication," "Learn vividly critical care" and "Improved nursing competency". The S-PBL could be effective in practical education for nursing students. In further study, it is necessary to develop various simulation practice programs based on PBL through a mixed-method design and apply them to nursing curriculum.

키워드

참고문헌

  1. R. E. Thomas. (1997). Problem-based learning: measurable outcomes. Medical education, 31(5), 320-329. https://doi.org/10.1046/j.1365-2923.1997.00671.x
  2. M. J. Park & D. Y. Choi (2018). The effect of simulation integrated with problem based learning on system thinking, learning flow, proactivity in problem solving and performance ability for medication in nursing students. Journal of Digital Convergence, 16(8), 221-231. https://doi.org/10.14400/JDC.2018.16.8.221
  3. R. W. Ma, E. J. Lee, H. O. Kim & Y. J. Jee. (2017). Study on the simulation-based education using the self-directed learning. Asia-pacific J Multimed Serv Converg Art Humanit Sociol, 7(6), 277-285. https://doi.org/10.35873/ajmahs.2017.7.6.026
  4. C. Y. Huang & Y. H. Wang. (2020). Toward an integrative nursing curriculum: combining team-based and problem-based learning with emergency-care scenario simulation. International Journal of Environmental Research and Public Health, 17(12), 4612. doi: 10.3390/ijerph17124612
  5. Y. A. Song. (2020). Effects of integrative simulation practice on nursing knowledge, critical thinking, problem-solving ability, and immersion in problem-based learning among nursing students. Korean Journal of Women Health Nursing, 26(1), 61-71. https://doi.org/10.4069/kjwhn.2020.03.15.1
  6. H. J. Kim & I. H. Chun. (2018). The effect of problem-based learning and simulation practice convergence education for nursing students. Journal of the Korea Convergence Society, 9(7), 355-364. https://doi.org/10.15207/JKCS.2018.9.7.355
  7. J. Hustad, B. Johannesen, M. Fossum & O. J. Hovland. (2019). Nursing students' transfer of learning outcomes from simulation-based training to clinical practice: a focus-group study. BMC nursing, 18(1), .1-8. https://doi.org/10.1186/s12912-019-0376-5
  8. M. Y. Moon. (2017). Effects of Convergence- based Integrated simulation Practice program on the Clinical decision making, Problem solving process, Clinical competence and Confidence of core fundamental nursing skill performance for Nursing Students. Journal of Digital Convergence. 15(7), 271-284. https://doi.org/10.14400/JDC.2017.15.7.271
  9. V. Unver, et al. (2018). Integrating simulation based learning into nursing education programs: Hybrid simulation. Technology and Health Care, 26(2), 263-270. https://doi.org/10.3233/thc-170853
  10. E. H. Choi, H. S. Byun & E. H. (2016). The Effect of a Simulation-based Integrated Clinical Practice Program on Problem-Solving Competence, Critical Thinking and Clinical Competence among Nursing Students. Crisisonomy, 12(6), 125-141. http://dx.doi.org/10.14251/crisisonomy.2016.12.6.125
  11. J. Y. Kang. (2020). Effects of Integrated Simulation Module for Nursing Students: A Mixed Methods Study. The Journal of Learner-Centered Curriculum and Instruction 20(9), 1217-1235. http://doi.org/10.22251/jlcci.2020.20.9.1217
  12. Korean Accreditation Board of Nursing Education (2020). 2020 Handbook for universities in the first half of nursing education certification evaluation. Seoul :Korean Accreditation Board of Nursing Education.
  13. J. W. Creswell & V. L. Plano Clark. (2017). Designing and conducting mixed methods research (3rd rd.). Thousand Oaks, CA:Sage.
  14. S. J. Lee, Y. K. Chang, H. N. Lee & K. Y. Park (2003). A study on the development of life-skills: communication, problem solving, and self-directed learning. Seoul: Korean Educational Development Institute.
  15. P. M. Schwirian. (1978). Evaluating the performance of nurses: a multidimensional approach. Nursing Research, 27(6), 347-351. https://doi.org/10.1097/00006199-197811000-00004
  16. W. H. Lee, J. J. Kim, J. S. Yoo, H. K. Hur, K. S. Kim & S. M. Lim. (1990). Development of a clinical performance measurement tools for nursing students. The Journal of Yonsei College of Nursing, 13, 17-29.
  17. M. S. Choi. (2005). A study on the relationship between teaching effective of clinical nursing education and clinical competency in nursing students. Unpublished master's thesis, Ewha Women's University, Seoul.
  18. J. H. Yoo. (2016). Factors influencing nursing students' flow experience and clinical competency in simulation-based education: Based on Jeffries's simulation model. Unpublished master's thesis, Sungshin University, Seoul.
  19. National League for Nursing. (2006). Designing and implementing models for the innovative use of simulation to teach nursing care of ill adults and children: A national, multi-site, multi- method study, National League for Nursing and Laerdal Medical.
  20. S. M. Allessi, S. R. Trollip. (2001). Multimedia for learning: Methods and development. 3rd ed. Boston: Allyn and Bacon.
  21. Y. M. Cho & S. L. Kang. (2019). Effect of Simulation-Problem Based Learning Education on Self-Determined Motivation, Academic Self-Efficacy andSelf-Regulated Learning in Nursing Student. Journal of Learner-Centered Curriculum and Instruction, 19(11), 25-41. http://dx.doi.org/10.22251/jlcci.2019.19.11.25
  22. H. J. Park & S. H. Lee (2015). Development and effects of integrated simulation program (maternal-child) for nursing students. Child Health Nursing Research, 21(4), 293-301. http://dx.doi.org/10.4094/chnr.2015.21.4.293
  23. W. S. Peng, et al. (2021). Application of virtual scenario simulation combined with problem-based learning for paediatric medical students. Journal of International Medical Research, 49(2), 1-7. http://dx.doi.org/10.1177/0300060520979210
  24. H. J. Lee. (2019). Health-promoting Lifestyle of Nursing Students: Using Mixed Methods Research. J Korean Acad Community Health Nurs, 30(40), 414-425. https://doi.org/10.12799/jkachn.2019.30.4.414
  25. H. N. Yeo, M. Park & N. J. Je. (2020). Evidence-Based Simulation Training Education Experience of Nursing Students. Journal of Korean Society for Simulation in Nursing, 8(2), 39-50. https://doi.org/10.17333/JKSSN.2020.8.2.39
  26. M. S. Song & K. S. Jae. (2018). Nursing student's experiences on simulation practice focusing on cardiac arrest. The journal of the convergence on culture technology, 4(1), 119-128. https://doi.org/10.17703/JCCT.2018.4.1.119
  27. M. Sandelowski. (1986). The Problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37. https://psycnet.apa.org/doi/10.1097/00012272-198604000-00005
  28. H. J. Kang, M. Y. Kim & H. Choi. (2016). Effects of Integrated Nursing Practicum by applying Simulation-Problem Based Learning on Critical Thinking Disposition, Nursing Process Competence, and Self-confidence on Core Basic Nursing Skill. Journal of Learner-Centered Curriculum and Instruction, 16(2), 495-508.
  29. E. K. Lee, et al. (2020). Effects of Clinical Nursing Simulation Education Program Based on Problem-Based Learning. Journal of Korean Society for Simulation in Nursing, 8(2), 51-63. https://doi.org/10.17333/JKSSN.2020.8.2.51
  30. H. S. Byun, K. H. Kwon. & B. D. Suh. (2014). Effect of a 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, 8(4), 261-273. doi: 10.21184/jkeia.2014.12.8.4.261
  31. D. H. Kim, Y.J. Lee, M. S. Hwang, J. H. Park, H. S. Kim & H. G. Cha. (2012). Effects of a simulation-based integrated clinical practice program (SICPP) on the problem solving process, clinical competence and critical thinking in a nursing student. The Journal of Korean Academic Society of Nursing Education, 18(3), 499-509. https://doi.org/10.5977/jkasne.2012.18.3.499
  32. D. Parmelee, L. K. Michaelsen, S. Cook & P. D. Hudes. (2012). Team-based learning: A practical guide. AMEE guide no. 65. Medical Teacher, 34(5) 275-287. https://doi.org/10.3109/0142159X.2012.651179
  33. M. Akaike, et al. (2012). Simulation based medical education in clinical skills laboratory. Journal of Investigative Medicine, 59(1-2), 28-35. https://doi.org/10.2152/jmi.59.28
  34. S. L. Ogilvie, B. Cragg & B. Foulds. (2011). Perceptions of nursing students on the process and outcomes of a simulation experience. Nurse Educator. 36(2), 56-58. https://doi.org/10.1097/nne.0b013e31820b4fd5