Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
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The Effects of Metacognition and Resilience on Clinical Reasoning Competence of Nursing Students Who Completed Simulation Education Linked to Problem-based Learning

문제중심학습 연계 시뮬레이션교육을 이수한 간호대학생의 메타인지, 회복탄력성이 임상추론능력에 미치는 영향

  • Kyoung-Hwa Baek (Division of Nursing, Gyeongbuk College of Health) ;
  • Jeong-Hwa Cho (Division of Nursing, Daejeon Institute of Science and Technology)
  • 백경화 (경북보건대학교 간호학과) ;
  • 조정화 (대전과학기술대학교 간호학과)
  • Received : 2023.08.09
  • Accepted : 2023.10.20
  • Published : 2023.10.28
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Abstract

This study is a descriptive research to examine the effects of meta-cognition and resilience on clinical reasoning ability of nursing students who have completed the simulation education integrated with problem based learning. The study subjects were senior nursing students who had experienced SIM-PBL education, and data was collected by using a structured questionnaire from September to December 2021. The collected data was analyzed employing descriptive statistics, correlation, and hierarchical regression analysis using the SPSS program. The results demonstrated that meta-cognition and resilience had a significant positive correlation with clinical reasoning ability. The chief factors influencing on the clinical reasoning ability of nursing students were as follows: confidence in participating in the SIM-PBL education, meta-cognition, and resilience. In addition, the three factors explained the clinical reasoning ability at a high level of 75%. The clinical reasoning ability of nursing students may be cultivated by applying internal reinforcers of self-confidence, meta-cognition, and resilience into a SIM-PBL simulation.

본 연구는 PBL-SIM 교육을 이수한 간호대학생의 메타인지와 회복탄력성이 임상추론능력에 미치는 영향을 살펴보기 위한 서술적 조사연구이다. PBL-SIM 교육을 경험한 간호학과 4학년 141명을 연구 대상으로 하였으며, 2021년 9월부터 12월까지 설문지를 적용하여 자료수집 하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 기술통계, 상관분석 및 위계적 회귀분석을 진행하였다. 연구 결과, 메타인지(r=.78, p<.001)와 회복탄력성(r=.81, p<.001)은 임상추론능력과 유의한 양의 상관관계를 보였다. 간호대학생의 임상추론능력에 영향을 주는 요인으로는 교육 참여의 자신감, 메타인지 및 회복탄력성이었으며, 이들은 임상추론능력을 75%의 높은 수준으로 설명하였다(F=32.74, p<.001). 간호대학생의 임상추론능력을 향상하기 위해서는 자신감, 메타인지 및 회복탄력성과 같은 내적 요인을 시뮬레이션 교육과정에 반영할 것을 제언한다.

Keywords

References

  1. 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. DOI : 10.17333/JKSSN.2020.8.2.51
  2. Korea Disease Control and Prevention Agency. (2022). Chronic disease status and issues [Internet]. Cheongju: Centers for Disease Control and Prevention. https://www.kdca.go.kr/gallery.es?mid=a20503020000&bid=0003
  3. F. P. Garcia-Fernandez et al. (2014). Effect of hospital case-manager nurses on the leveel of dependence, satisfaction and carefiver burden in patients with complex chronic disaease. Korea Society for Wellness Journal of Clinical Nursing, 23(19-20), 2814-2821. DOI : 10.1111/jocn.12543
  4. G. O. Noh. (2019). Effects of Self-efficacy in Communication and Flow on Competence in Communication of Nursing Students in Simulation-based Education. Journal of Korean Society for Simulation in Nursing, 7(2), 61-70. DOI : 10.17333/JKSSN.2019.7.2.61
  5. M. J. Park & D. W. 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, 26(1), 19-21. DOI : 10.14400/JDC.2018.16.8.221
  6. M. O. Kim & J. Y. Ha. (2020). Simulation-based education program on postpartum hemorrhage for nursing students. Korean Journal of Women Health Nursing, 16(8), 221-231. DOI : 10.4069/kjwhn.2020.03.04
  7. K. H. Baek, M. O. Cho & J. H. Cho. (2022). The effects of metacognition of nursing students on proactivity of problem solving in simulation integrated with problem-based learning: mediating effects of self-leadership. Journal of Industrial Convergence, 20(12), 203-211. DOI : 10.22678/JIC.2022.20.12.203
  8. M. R. Han. (2019). Effect of the Simulation-Based Adult Nursing Education on Resilience, Clinical Competence, and Role Transition of Nursing Students. Journal of the Korea Convergence Society, 11(12), 373-381. DOI : 10.21184/jkeia.2019.8.13.6.329
  9. S. M. Kwon & R. W. Kwon. (2023). Effects of Simulation Learning on Clinical Reasoning Competence, Clinical Competence, and Academic Self-efficacy of Nursing Students. Journal of Next-generation Convergence Technology Association, 7(2), 254-262. DOI : 10.33097/JNCTA.2023.07.02.254
  10. A. Lathrop, B. Wwinningha & L. VandeVusse. (2007). Simulation-based learning for midwives: background and pilot implementation. Journal of Midwifery and Women's Health, 52(5), 492-498. DOI : 10.1016/j.jmwh.2007.03.018
  11. G. J. Jo. (2022). Factors affecting anxiety of nursing students participating in simulation education. The Journal of Humanities and Social science, 13(6), 3783-3794. DOI : 10.22143/HSS21.13.6.262
  12. M. J. Lee, Y. M. Ahn, I. S. Cho & M. Sohn. (2014). Effectiveness of Simulation Integrated with Problem Based Learning on Clinical Competency and Self-efficacy in Nursing Students. Child Health Nursing Research, 20(2), 123-131. DOI : 10.4094/chnr.2014.20.2.123
  13. S. G. Chae, H. S. Kim, S. J. Kim, J. H. Yang & J. H. Iim. (2012). Effect of Simulation-Problem Based Learning Apply to Department of Occupational Therapy Students and Study of Comparing Education Effect. The Journal of Korean Society of Occupational Therapy, 20(1), 73-92.
  14. Alfaro-Lefevre, R. (2016). Critical Thinking, Clinical Reasoning, and Clinical Judgment:A Practical Approach (6th ed.). Philadelphia : Elsevier Health Sciences.
  15. H. K. Seo. (2019). Development and Effect of a Mobile Education Program for Nursing Students on High-Risk Infant. Journal of Korean Society for Simulation in Nursing, 7(2), 71-82. DOI : 10.17333/JKSSN.2019.7.2.71
  16. Y. S. Im. (2022). Effect of emergency simulation education using the Outcome-Present State-test (OPT) model on nursing students' clinical reasoning capability and self-efficacy-based basic life support. Journal of Healthcare Simulation, 6(1), 15-23. DOI : 10.22910/KOSSH.2022.6.1.3
  17. B. Simmons. (2010). Clinical reasoning: concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158. https://doi.org/10.1111/j.1365-2648.2010.05262.x
  18. D. H. Kim. (2014). Metacognition and Problem Solving Ability among Nursing Students in Korea. Global Health and Nursing, 4(1), 42-48.
  19. K. Downing, T. Kwong, S. W. Chan, T. F. Lam & W. K. Downing. (2009). Problem-based learning and the development of metacognition. Higher Education, 57(5), 609-621.
  20. C. W. H. Chan, F. W. K. Tang, K. M. Chow & C. L. Wong. (2021). Enhancing generic capabilities and metacognitive awareness of first-year nursing students using active learning strategy. BMC Nursing, 20(18), 1-8. DOI : 10.1186/s12912-021-00601-7
  21. S. Asadzandi, R. Mojtahedzadeh & A. Mohammadi. (2022). What are the factors that enhance metacognitive skills in nursing students? a systematic review. Iranian Journal of Nursing and Midwifery Research, 27(6), 475-484. DOI : 10.4103/ijnmr.ijnmr_247_21
  22. M. J. Garcia-Dia, J. M. DiNapoli, L. Garcia-Ona, R. Jakubowski & D. O'Flaherty. (2013). Concept analysis: resilience, Archives of psychiatric nursing, 27(6), 264-270. DOI : 10.1016/j.apnu.2013.07.003
  23. Y. S. Park & Y. H. Kwon. (2013). Ego Resilience, Problem Solving Process and Clinical Practice Competency in Nursing Students. Journal of Korean Academic Society of Nursing Education, 19(3), 341-350. DOI : 10.5977/jkasne.2013.19.3.341
  24. M. McAllister & J. McKinnon. (2008). The importance of teaching and learning resilience in the health disciplines: a critical review of the literature. Nurse Education Today, 29(4), 371- 379. DOI : 10.1016/j.nedt.2008.10.011
  25. M. S. Kim. (2019). Influence of metacognition and emotional intelligence on selfl-eadership in nursing students, The Journal of Korean Nursing Administration Academic Society, 25(2), 146- 155. DOI : 10.11111/jkana.2019.25.2.146
  26. G. Schraw & R. S. Dennison. (1994). Assessing metacognitive awareness. Contemporary Educational Psychology, 19(4), 460-475. https://doi.org/10.1006/ceps.1994.1033
  27. J. H. Shin & H. S. Choi. (2005). Metacognition; self-report test of metacognition; task-performance test of metacognition. Journal of Educational Psychology, 19(3), 615-631.
  28. Y. H. Yang, E. M. Kim, Y. M. Park & H. Y. Lee. (2015). Development of the resilience scale for korean nursing college students, Korean Journal of Adult Nursing, 27(3), 337-346. https://doi.org/10.7475/kjan.2015.27.3.337
  29. S. R. Liou et al. (2016). The development and psychometric testing of a theory- based instrument to evaluate nurses' perception of clinical reasoning competence. Journal of Advanced Nursing, 72(3), 707-717. https://doi.org/10.1111/jan.12831
  30. J. W. Joung & J. W. Han. (2017). Validity and Reliability of a Korean Version of Nurse Clinical Reasoning Competence Scale. Journal of the Korea Academia-Industrial Cooperation Society, 18(4), 304-310. DOI : 10.5762/KAIS.2017.18.4.304
  31. Y. W. Jung & H. Y. Min. (2019). Effects of team-based learning using concept mapping on critical thinking disposition and metacognition of nursing students. The Journal of Korean Academic Society of Nursing Education, 25(3), 277-288. DOI : 10.5977/jkasne.2019.25.3.277
  32. H. Y. Kim, M. S. Kim & H. C. Jung. (2020). Effect of smart PBL on meta-cognition, academic self-efficacy, and practice satisfaction in nursing students taking fundamental nursing skills and applying flipped learning. Journal of Korean Society for Simulation in Nursing, 8(1), 57-67. DOI : 10.17333/JKSSN.2020.8.1.57
  33. S. H. Shin, J. W. Lee, C. T. Kim, S. H. Shin, & M. S. Song. (2020). The effects of simulation-based hands-on training on nursing students' nunchi, problem-solving ability, and resilience. Journal of the Convergence on Culture Technology, 6(2), 397-407. DOI : 10.17703/JCCT.2020.6.2.39 
  34. E. J. Kim & S. J. Kang. (2016). Effects of the simulation on the ego resiliency, self-efficacy and satisfaction of major of the nursing students. Journal of the Korea Academia-Industrial cooperation Society, 17(1), 324-330. DOI : 10.5762/KAIS.2016.17.1.324
  35. K. E. Amsrud, A. Lyberg & E. Severinsson. (2019). Development of resilience in nursing students: A systematic qualitative review and thematic synthesis. Nurse Education in Practice, 41, 494-503. DOI : 10.1016/j.nepr.2019.102621
  36. J. Wosinski et al. (2018). Facilitating problem-based learning among undergraduate nursing students: A qualitative systematic review. Nurse Education Today, 60, 67-74. DOI : 10.1016/j.nedt.2017.08.015
  37. H. Y. Kang & S. K. Choi. (2022). Effects of a simulation-based integrated nursing practice education on the clinical reasoning competence, learning self-efficacy and educational satisfaction on nursing students. Journal of the Korea Entertainment Industry Association, 16(4), 11-17. DOI : 10.21184/jkeia.2022.6.16.4.193
  38. J. R. Han. (2020). The mediated effects of metacognition in the relationship between shared-leadership and resilience of the nursing students. Journal of Digital Convergence, 18 (10), 277-284. DOI : 10.14400/JDC.2020.18.10.277
  39. Y. J. Suh, J. Y. Bae & J. H. Lee. (2019). Factors related to the undergraduate nursing students' metacognition. Journal of the Korea Convergence Society, 10(11), 523-532. DOI : 10.15207/JKCS.2019.10.11.523
  40. M. J. Kang, J. H. Ko, & M. O. Na. (2019). Converged influencing factors on the clinical reasoning competency of senior grade nursing students. Journal of Convergence for Information Technology, 9(7), 57-66. DOI : 10.22156/CS4SMB.2019.9.7.057
  41. K. N. Kang. (2021). Development and effect of web-based video program related to abnormal behavior of mental disorders applying standardized patients. Journal of Korean Society for Simulation in Nursing, 9(2), 17-31. DOI : 10.17333/JKSSN.2021.9.2.17
  42. J. H. Ahn, & M. S. Kim. (2020). Influence of self-reflection and insight, and academic self-efficacy on clinical reasoning competence among nursing students. Journal of East-West Nursing Research, 26(2), 176-184. DOI : 10.14370/jewnr.2020.26.2.176
  43. Y. H. Kim. (2022). The influence of emotional intelligence and grit on clinical reasoning competence of graduated nursing students. Journal of Next-generation Convergence Technology Association, 6(10), 1883-1892. DOI : 10.33097/JNCTA.2022.06.10.1883