문화기술의 융합 (The Journal of the Convergence on Culture Technology)

  • 제9권4호
  • /
  • Pages.259-268
  • /
  • 2023
  • /
  • 2384-0358(pISSN)
  • /
  • 2384-0366(eISSN)
국제문화기술진흥원 (The International Promotion Agency of Culture Technology)
권호 표지
DOI QR코드

DOI QR Code

표준화 환자를 활용한 정신간호 시뮬레이션 실습 교육 효과 -학습동기, 학습자기효능감, 학습만족도, 전이동기-

The Effects of Mental Health Nursing Simulation Practice Using Standardized Patients on Learning Outcomes -Learning Motivation, Learning Self-Efficacy, Learning Satisfaction, Transfer Motivation-

  • 김남석 (제주한라대학교 간호학부) ;
  • 송지현 (제주한라대학교 간호학부)
  • 투고 : 2023.05.15
  • 심사 : 2023.07.05
  • 발행 : 2023.07.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 간호대학생을 대상으로 표준화 환자를 활용한 정신시뮬레이션 실습교육 효과를 검증하기 위해 시도 되었다. 본 연구는 단일군 사전·사후설계 연구이며 자료수집은 J소재 일개 대학 간호학과 학생 95명에게 구조화된 설문지를 제공하였다. 수집된 자료는 SPSS/WIN 27.0 program을 활용하여 분석하였다. 연구 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육 프로그램은 대상자의 학습동기(t =-2.011, p =.046), 학습자기효능감(t =-2.225, p =.027)과 학습만족도(t =-3.428, p =.001), 전이동기(t =-2.628, p =.009)을 향상시키는데 효과가 있는 것으로 나타났다. 또한 자가 평가 내용을 텍스트 마이닝으로 분석한 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육과 관련된 단어는 상황, 경험, 연기, 의사소통, 시나리오, 정신간호 임상실습 등이 있으며, 만족도와 관련된 단어는 실제, 도움, 반응, 이해, 다양 등이 있었다. 본 연구 결과 실제 상황과 유사한 환경을 구현하였고 다양한 사례를 적용한 정신시뮬레이션 실습 교육프로그램은 간호대학생의 실습 교육의 효과가 있는 것으로 나타나 향후 현장 적응 능력을 향상할 수 있도록 적극 활용 할 필요가 있다고 본다.

The purpose of this study was to verify the effectiveness of mental simulation practice training using standardized patients for nursing students. This study is a single-group pre- and post-design study, and for data collection, a structured questionnaire was provided to 95 nursing students from a university located in J. The collected data was analyzed using the SPSS/WIN 27.0 program. Results of the study The mental simulation practice training program using standardized patients improved the subject's learning motivation (t=-2.011, p=.046), learning self-efficacy (t=-2.225, p=.027), and learning satisfaction (t=-). 3.428, p=.001) and transfer motivation (t=-2.628, p=.009). In addition, as a result of analyzing the self-assessment contents by text mining, words related to mental simulation practice education using standardized patients included situation, experience, acting, communication, scenario, and mental nursing clinical practice, and words related to satisfaction were actual, There was help, response, understanding, variety, etc. As a result of this study, an environment similar to the actual situation was implemented, and the mental simulation training program applying various cases was found to be effective in practical education of nursing students, so it is necessary to actively utilize it to improve the ability to adapt to the field in the future.

키워드

참고문헌

  1. A.M. Brown, "Simulation in undergraduate mental health nursing education: A literature review," Clinical Simulation in Nursing, Vol. 11, No. 10, pp. 445-449, 2015. https://doi.org/10.1016/j.ecns.2015.08.003
  2. S.K. Bell, R. Pascucci, K. Fancy, K. Coleman, D. Zurakowski, E. C. Meyer, "The educational value of improvisational actors to teach communication and relational skills: Perspectives of interpro fessional learners, faculty, and actors," Patient education and counseling, Vol. 96, No. 3, pp. 381-388, 2014. https://doi.org/10.1016/j.pec.2014.07.001
  3. R.O. Beltran, J.N. Scanlan, N. Hancock, T. Luckett, "The effect of first year mental health fieldwork on attitudes of occupational therapy students towards people with mental illness," Australian Occupational Therapy Journal, Vol. 54, No. 1, pp. 42-48, 2007. https://doi.org/10.1111/j.1440-1630.2006.00619.x
  4. L. Alexander, J. Sheen, N. Rinehart, M. Hay, L. Boyd, "Mental health simulation with student nurses: A qualitative review," Clinical Simulation in Nursing, Vol. 14, pp. 8-14, 2018. https://doi.org/10.1016/j.ecns.2017.09.003
  5. J. Johnson, H. Salisbury, S. Deaver, M. Johan sson, A. Calisch, "Standardized patients in art therapy education: A phenomenological study," Art Therapy, Vol. 30, No. 2, pp. 79-85, 2013. https://doi.org/10.1080/07421656.2013.786983
  6. Y.G. Bak, T.K. Kim, "The effect of simulationbased education using a standardized patients for schizophrenia nursing care on communication self-efficacy, learning self-efficacy and flow experience in nursing students," Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 8, No. 6, pp. 437-447, 2018. https://doi.org/10.35873/ajmahs.2018.8.6.040
  7. H. Tuzer, L. Dinc, M. Elcin, "The effects of using high-fidelity simulators and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students," Nurse education today, Vol. 45, pp. 120-125, 2016. https://doi.org/10.1016/j.nedt.2016.07.002
  8. K.L. Becker, L.E. Rose, J.B. Berg, H. Park, J.H. Shatzer, "The teaching effectiveness of standardi zed patients," Journal of Nursing Education, Vol. 45, No. 4, pp. 3-111, 2006. https://doi.org/10.3928/014 84834-20060401-03
  9. P. Kowalski, "Changes in students' motivation to learn during the first year of college", Psychological Reports, Vol. 101, No. 1, pp. 79-89, 2007. https://doi.org/10.2466/pr0.101.1.79-89
  10. Y.J. Kim, K.H. Jung, "Nursing Students' Experiences in Simulation Education with Standardized Patients," Journal of Korean Society for Simulation in Nursing, Vol. 10, No. 2 pp. 19-34, 2022. https://doi.org/10.17333/JKSSN.2022.10.2.19
  11. S.R. Song, Y.J. Kim, "Effect of a self-evaluation method using video recording on competency in nursing skills, self-directed learning ability, and academic self-efficacy," Journal of Korean Academy of Fundamentals of Nursing, Vol. 22, No. 4, pp. 416-423, 2015. https://doi.org/10.7739/jkafn.2015.22.4.416
  12. M. Bong, "Tests of the internal/external frames of reference model with subject-specific academic self-efficacy and frame-specific academic selfconcepts," Journal of Educational Psychology, Vol. 90, No. 1, pp. 102-110, 1998. https://doi.org/10.1037/0022-0663.90.1.102
  13. Y.J. Ha. "The effects of learning strategies and task value on learning satisfaction and academic achievement of online learners." The Journal of Learner-Centered Curriculum and Instruction, Vol. 10, No. 3, pp. 577-598, 2010. G704-001586.2010.10.3.002
  14. E.J. Ko, E.J. Kim. "Relationships of Ambiguity tolerance, anxiety, nursing competency, and satisfaction with simulation training," Journal of the Korean Data Analysis Society, Vol. 22, No. 4, pp. 1413-1425, 2020. https://doi.org/10.37727/jkdas.2020.22.4.1413
  15. A.K. Chung, Y.N. Hong, J.J. Kang. "The analysis of structural relationships among self-efficacy, perceived usefulness, supervisor and peer support, satisfaction, and transfer intentions in corporate mobile-learning." The Journal of the Institute of Internet Broadcasting and Communication, Vol. 16, No. 4, pp. 189-196, 2016. https://doi.org/10.7236/JIIBC.2016.16.4.189
  16. H.W. Ayres, "Factors related to motivation to learn and motivation to transfer learning in a nursing population." North Carolina State University, Raleigh, USA, 2005.
  17. Y.J. Lee, J.M. Kim, "The Relationship among Training Transfer, Transfer Motivation and the Work Environment of Job Training Program Participants in Large Corporations," Journal of Agricultural Education and Human Resource Development, Vol. 42, No. 4, pp. 249-274, 2010. https://doi.org/10.23840/agehrd.2010.42.4.249
  18. H.J. Kim, "The effects of Pre-briefing Team-based Learning in Standardized Patients Simulation," Journal of Digital Convergence, Vol. 18, No. 8, pp. 271-279, 2020. https://doi.org/10.14400/JDC.2020.18.8.271
  19. E. Sidares, G. McKenzie, J. Noone, D. Markle, M. Frazier, M. Sullivan, "Making Simulation Come Alive: Standardized Patients in Undergraduate Nursing Education," Nursing Education Perspectives, Vol. 34, No. 6, pp. 421-425, 2013. https://doi.org/10.5480/1536-5026-34.6.421
  20. C.A. Ryan, N. Walshe, R. Gaffney, A. Shanks, L. Burgoyne, C.M. Wiskin, "Using Standardized Patients to assess Communication Skills in Medical and Nursing Students," BMC medical education, Vol. 10, pp. 1-8, 2010. https://doi.org/10.1186/1472-6920-10-24
  21. A.K. de Presno, A. Ogard-Repal, M. Fossum, "Simulations with Standardized Patients for Nursing Students in Preparation for Clinical Placements in Mental Health Care," Clinical Simulation in Nursing, Vol. 54, pp. 70-76, 2021. https://doi.org/10.1016/j.ecns.2021.01.009
  22. E. Jeong. "The Effects of ARCS Learning Motivation on Learning Immersion, Self-Efficacy and Learning Outcomes among University Students Majoring in Airline Services," Ph.D. Thesis. Kyonggi University, Suwon, Kyonggido, Korea., 2022.
  23. S.Y. Park, Y.R Kweon (2012). "The Effect of Using Standardized Patients in Psychiatric Nursing Practical Training on Nursing College Students," Journal of Korean Academy Psychiatric Mental Health Nursing, Vol. 21, No. 1, pp. 79-88, 2012. https://doi.org/10.0000/jkapmhn.2012.21.1.79
  24. Jeffries, P. "Simulation in nursing education". New York: National League for Nursing, 2007
  25. P. Wallace, "Coaching Standardized Patients: For Use in the Assessment of Clinical Competence," New York: Springer. 2007.
  26. M. Aebersold, D. Tschannen. "Simulation in Nursing Practice: The Impact on Patient Care" OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 6. https://doi.org/10.3912/OJIN.Vol18No02Man06
  27. Y.M. Cho, S.L. Kang. "Effect of Simulation- Problem Based Learning Education on Self- Determined Motivation, Academic Self-Efficacy and Self-Regulated Learning in Nursing Students," Journal of Learner-Centered Curriculum and Instruction, Vol. 19, No. 11, pp. 25-41, 2019. https://doi.org/10.22251/jlcci.2019.19.11.25
  28. D.H. Seo, S.J. Kim. "The effect and development of a simulation learning module based on schizophrenic patients care of nursing students," Journal of Korean Academy of psychiatric and Mental Health Nursing, Vol. 29, No. 2, pp. 106-118, 2020. https://doi.org/10.12934/jkpmhn.2020.29.2.106
  29. W.H. Moon, M.J. Kim. "Psychiatric Nursing Simulation Practice Education Effect Using Standardized Patients," Journal of the Korea Convergence Society, Vol.13, No. 5, pp. 541-550, 2022. https://doi.org/10.15207/JKCS.2022.13.05.541
  30. M.J. Kim, K.M. Park, H.J. Oh. "Nursing Practice Simulation Program Application Effect Using Standardized Patients," The Journal of Learner-Centered Curriculum and Instruction, Vol. 22, No. 15, pp. 869-878, 2022. https://doi.org/10.22251/jlcci.2022.22.15.869