Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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Conceptual analysis of nursing students' clinical competency in simulation-based practical training

시뮬레이션 실습 교육에서 나타난 간호대학생의 임상수행능력에 대한 개념분석

  • Received : 2023.08.07
  • Accepted : 2023.10.27
  • Published : 2023.10.31
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Abstract

The purpose of this study was to clarify the attributes of the concept of clinical performance skills in simulation-based practical training and to organize them in order to establish theoretical foundations for clinical competence. The research method employed was the concept analysis process of Walker and Avant (2011). Papers related to clinical competence published between January 2000 and April 2023 were selected by searching various databases such as PubMed, CINAHL, Ovid-Medline, DBpia, KISS, and others. The attributes of clinical competence were found to be (1) the clinical competence of knowledge, judgment, and skills, (2) Adaptability to Changing Healthcare Environment (3) the ability to perform nursing roles appropriately in response to the demands of nursing subjects. This study is significant as a concept analysis study that recognizes the importance of nursing from a nursing perspective in a situation where research on clinical competence is active in simulation-based training. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them. nursing perspective in a situation where research on clinical competence is active. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them.

본 연구의 목적은 시뮬레이션 실습 교육에서 임상수행능력에 대한 명확한 개념의 속성을 규명하고 이를 조직화하여 임상수행능력에 대한 이론적 근거를 마련하기 위해 시도되었다. 연구 방법으로는 Walker And Avant의 개념분석 방법을 사용하였다. KISS, KMbase, DBpia, RISS, PubMed, CINAHL, Medline의 데이터베이스에서 보건의료인 교육을 위한 시뮬레이션 교육이 권고된 시점인 2000년부터 2023년 4월까지 보고된 논문을 수집하였다. 연구 결과 임상수행능력의 속성은 (1) 지식, 판단, 기술의 종합적인 능력, (2) 의료 환경 변화에 능숙히 대처하는 능력, (3) 간호 대상자의 요구에 적절하게 대응하여 간호 역할을 수행하는 능력이다. 본 연구는 시뮬레이션 실습 교육에서 임상수행능력에 대한 연구가 활발한 상황에서 간호학적 관점의 중요성을 인식하고, 개념분석을 한 연구로서 의의가 있다. 본 연구에서 나타난 시뮬레이션 실습 교육에서 임상수행능력 속성을 포함한 훈련 프로그램 및 도구를 개발하고 이를 활용하여 프로그램의 효과를 측정하는 것이 필요할 것으로 사료된다.

Keywords

References

  1. S. R. Lee, "After COVID-19, the evolution of the healthcare system and the blurring of boundaries", Future Horizon, Vol.-, No.47 pp. 10-15, (2020).
  2. Korean Accreditation Board of Nursing Education (KABONE), Handbook for nursing education accreditation evaluation in the first and second half of 2023 for Universities. 75-77, Korean Accreditation Board of Nursing Education, (2023).
  3. S. Y. Oh, H. S. Kim, "The effect of virtual simulation learning experience on self-directed learning ability, self-efficacy, and educational satisfaction of nursing students", Journal of Learner-Centered Curriculum and Instruction, Vol.21, No.24 pp. 547-557, (2021). https://doi.org/10.22251/jlcci.2021.21.24.547
  4. E. H. Lee, S. Y. Ryu, "Analysis of the virtual simulation practice and highfidelity simulation practice training experience of nursing students: a mixed methods study", Journal of Korean Academic Society of Nursing Education, Vol.27, No.3 pp. 227-239, (2021). https://doi.org/10.5977/jkasne.2021.27.3.227
  5. S. H. Kim, Y. S. Ham, "A meta-analysis of the effect of simulation based education -Korean nurses and nursing student", Journal of Korean Academic Society of Nursing Education, Vol.21, No.3 pp. 308-319, (2015). https://doi.org/10.5977/jkasne.2015.21.3.308
  6. H. S. Lee, M. J. Cho, L. H, Yoo, E. J. Choi, D. Y. Jung, "Nursing students' experiences of virtual and hybrid simulation in gerontological nursing: a mixed-methods study", Journal of Korean Gerontollogical Nursing, Vol.24, No.2 pp. 185-196, (2022).
  7. E. A. Ji, J. S. Kim, "Factor influencing new graduate nurses' turnover intention according to length of service", Journal of Korean Academy of Nursing Administration, Vol.24, No.1 pp. 51-60, (2018). https://doi.org/10.11111/jkana.2018.24.1.51
  8. Y. O. Kim, "Nursing students' needs for clinical nursing education", Journal of Korean Academy of Nursing, Vol.18, No.1 pp. 25-33, (2008). https://doi.org/10.5977/jkasne.2012.18.1.025
  9. G. J, Park, "Convergence study on the effects of core fundamental nursing skills education on clinical competence", Journal of Convergence for Information Technology, Vol.9, No.11 pp. 47-54, (2019). https://doi.org/10.14801/JAITC.2019.9.1.47
  10. S. J. Kang, E. Y, Jeon, "A study on the relationships among Korea collegiate essential skills assessment, self-efficacy, and clinical practice competency in nursing students", Journal of Vocational Education Training, Vol.18, No.3 pp. 151-178, (2015). https://doi.org/10.36907/krivet.2015.18.3.151
  11. Hsieh. Lee, J. Kao, C. Kuo, H. F. "Tseng, clinical nursing competence of RN-toBSN students in a nursing concept-based curriculum in Taiwan", Journal of Nursing Education, Vol.42, No.12 pp. 536-545, (2003). https://doi.org/10.3928/0148-4834-20031201-05
  12. M. S. Choi, A Study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students. Master's Thesis from Ewha Womans University, (2005).
  13. K. S. Jang, "A study on establishment of clinical career development model of nurses". Doctoral Dissertation from Yonsei University, (2000).
  14. M. l. Jeon, "Factors influencing professional self-concept among nursing student", Korean Journal of Health Service Management, Vol.7, No.4 pp. 119-129, (2013). https://doi.org/10.12811/kshsm.2013.7.4.119
  15. H. S. Park, J. Y. Han, "Factors influencing clinical competence in nursing students", Journal of Korean Academy of Fundamentals of Nursing. Vol.20, No.4 pp. 438-448. (2013). https://doi.org/10.7739/jkafn.2013.20.4.438
  16. H. O, Oh, "The effect of nursing students' clinical performance ability, clinical practice satisfaction on nursing professional self-concept", Journal of Korean Academy of Nursing, Vol. 1, No. 2 pp. 31-43, (2017).
  17. H. J. Park, S. H. Hong, J. A. Park, Effect of simulation-based education for critical patient care by applying team-based learning on problem solving ability, critical thinking, clinical judgement of nursing students", Journal of Learner-centered Curriculum and Instruction, Vol.19, No.5 pp. 329-346, (2019). https://doi.org/10.22251/jlcci.2019.19.5.329
  18. E. M. Kim, J. Y. Hong, E. K. Lee, Effects of clinical learning environment and professor trust on academic engagement in nursing students", Journal of the Korea Academia-Industrial Cooperation Society, Vol.19, No.5 pp. 357-365, (2018).
  19. J. Y. Lee, "Conceptual analysis of learner s flow in nursing simulation education", Journal of Learner-Centered Curriculum and Instruction, Vol.21, No.24 pp. 699-712, (2021). https://doi.org/10.22251/jlcci.2021.21.24.699
  20. H. Y. Kyung, H. L. Bang, Y. H. Lee, "Transition of simulation-based learning in nursing schools: a concept analysis", Journal of Korean Critical Care Nursing, Vol. 12, No.2 pp.50-60,(2019).
  21. J. Y. Kim, "A concept analysis of 'facilitator' in simulation nursing education", Journal of Korean Academic Society of Nursing Education, Vol.24, No.1 pp. 39-49, (2018). https://doi.org/10.5977/jkasne.2018.24.1.39
  22. S. J. Kang, J. A, Bea, "Psychological safety in nursing simulation education: a concept analysis", Journal of the Korea Contents Association, Vol.17, No.9 pp, 331-340, (2017).
  23. National Korean language Standard Dictionary [internet]. Seoul(KR): National institute of Korea language [updated 2019 Jun 24; cited 2023 May 12]. Available from:http://stdweb2.korean.go.kr/earch/searchView.do
  24. J. H. Lee, "Convergence between ego-resilience, major satisfaction and clinical competency of nursing students", Journal of the Korea Convergence Society, Vol.10, No.3 pp. 297-306, (2019). 
  25. J. H. Park, M. H. Lee, "Effects of a practical work-oriented education program on the ability of newly recruited nurses in execution of clinical competency, critical thinking and turnover rate", Journal of Digital Convergence, Vol.15, No.7 pp. 191-199, (2017).
  26. H. S. Choi, S. J. Park, B. H. Kang, "The effects of introductory clinical practice education program on self efficacy, self-confidence, clinical competency and program satisfaction in nursing students", Journal of Convergence of Culture, Technology and Science, Vol.7, No.10 pp. 345-352, (2017). https://doi.org/10.14257/AJMAHS.2017.10.56
  27. J. H. Song, M. W. Kim, "Study on clinical education for nursing in hospitals in Korea", Journal of Korean Academic Society of Nursing Education, Vol.19, No.2 pp. 251-264, (2013). https://doi.org/10.5977/jkasne.2013.19.2.251
  28. K. A. kang, S. H. Kim, S. J. Kim, M. N. Lee, "Content analysis of debriefing after simulation-based nursing education on respiratory distress syndrome in the neonatal intensive care unit", Child Health Nursing Research, Vol.24, No.2 pp. 208-219, (2018). https://doi.org/10.4094/chnr.2018.24.2.208
  29. J. H. Kim, I. H. Park, S. J. Sin, "Systematic review of Korean studies on simulation within nursing education", Journal of Korean Academic Society of Nursing Education, Vol.19, No.3 pp. 307-319, (2013). https://doi.org/10.5977/jkasne.2013.19.3.307
  30. C. Thomas, "Exploration into how simulation can effect new graduate transition", Clinical Simulation in Nursing, Vol.13, No.10 pp. 465-470, (2017). https://doi.org/10.1016/j.ecns.2017.05.013
  31. Y. H. Kim, "Effects of utilizing animation prior to fundamental nursing practice on learning motivation and self-directedness in student nurses", Korean Journal of Fundamentals of Nursing, Vol.17, No.2 pp. 240-248, (2010).
  32. H. Park, S. J. Sin, "The effects of videobased peer assisted learning in standardized patients simulation: pre and post operative care", Journal of Korean Academic Society of Adult Nursing, Vol.27, No.1 pp. 73-82, (2015). https://doi.org/10.7475/kjan.2015.27.1.73
  33. E. J. Kim, "The influencing factors on clinical competence in simulation-based education among nursing students", Journal of Learner-Centered Curriculum and Instruction, Vol.21, No.14 pp. 711-720, (2021). https://doi.org/10.22251/jlcci.2021.21.14.711
  34. J. Y. Lee, H. E, Cho, S. E, Moon, Y. J. Kim, S. Y. Kim, H. J. Kang, "Factors influencing dental hygienist's job performance", Journal of Korean society of Dental Hygiene, Vol.22, No.3 pp. 209-216. (2022).
  35. J. Y. Lee, J. H. Kim, J. H. Yum, S. M. Bea, H. J. Kim, "The attitude of work performance which affects on the work capability for clinical dental hygienist", Society for Convergence of Humanities, Social Science, Science and Technology, Vol. 6, No.1 pp. 153-164, (2016). https://doi.org/10.14257/AJMAHS.2016.01.30
  36. G. M. Kim, I. S. Kim, T. G. Nam, K. S. Kang, "A survey on the performance ability of cardiopulmonary resuscitation of physical therapists", Journal of the Korea Society of Computer and Information, Vol.24, No.12 pp. 151-155, (2019).
  37. H. H. Han, "A study of convergence on frequency of performance, self-confidence, performance assessment scores of core nursing skills of nursing students", Journal of Digital Convergence, Vol.14, No.8, pp. 355-362, (2016). https://doi.org/10.14400/JDC.2016.14.8.355
  38. J. M. Hong, "The effects of simulation on nursing students clinical competence, communication skills, and team efficacy", Journal of Convergence of Culture, Technology and Science, Vol.8, No.3 pp. 397-405, (2018).
  39. Y. E. Kim, H. Y. Kang, "Effects of a nursing cimulation learning module on clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient-care for nursing students", Journal of Korean Academy of Nursing, Vol.53, No.1 pp. 87-100, (2023). https://doi.org/10.4040/jkan.22130
  40. H. Y. Kim, H. R, Kim, "Effects of a colonoscopy based simulation education program on knowledge and clinical performance in nursing students", Korean Journal of Adult Nursing, Vol.27, No.2 pp. 135-145, (2015). https://doi.org/10.7475/kjan.2015.27.2.135
  41. C. Barrett, F. Myrick, "Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee", Journal of Advanced Nursing, Vol.27, No.2 pp. 364-71, (1998). https://doi.org/10.1046/j.1365-2648.1998.00511.x
  42. S. K. Lee, "The effect of simulation practice education on the clinical judgment, self-confidence and clinical performance ability in nursing student", Journal of the Korea Contents Association, Vol.17, No.11 pp. 577-587, (2017). https://doi.org/10.5392/JKCA.2017.17.11.577
  43. E. J. Go, E. J. Kim, "Effects of simulation-based education before clinical experience on knowledge, clinical practice anxiety, and clinical performance ability in nursing students", Journal of Korean Academic Society of Nursing Education, Vol.25, No.3 pp. 289-299, (2019). https://doi.org/10.5977/jkasne.2019.25.3.289
  44. B. Campbell, G. Mackay, "Continuing competence: an Ontario nursing regulatory program that supports nurses and employers", Nursing Administration Quarterly, Vol.25, No.2 pp. 22-30, (2001). https://doi.org/10.1097/00006216-200101000-00006
  45. L. O. Walker, K. C. Avant, Strategies for theory construction in nursing (5th ed.). Strategies for Theory Construction in Nursing, Boston: Prentice Hall; (2011)
  46. H. J. Jang, M. H. Mo, "Effects of nursing students' knowledge, awareness and moral sensitivity of standard precautions on performance of standard precautions", Journal of the Convergence on Culture Technology, Vol.7, No.4 pp. 441-448, (2021).
  47. H. J. Dong, M. S. Choi, "Influence of professional self-concept and selfleadership on clinical competence in nursing students", Journal of Korean Academy of Fundamentals of Nursing, Vol.23, No.4 pp. 373-382, (2016). https://doi.org/10.7739/jkafn.2016.23.4.373
  48. G. T. Leigh, "High-fidelity patient simulation and nursing students' selfefficacy: a review of the literature", International Journal of Nursing Education Scholarship, Vol.5, No.1 pp. 1-17, (2008),
  49. W.H. Lee, J. J. Kim, J. S. Yoo, H. J. Huh, K. S. Kim, S. M. Lim, "Development of a clinical competency measurement tool for student. Yonsei Nursing", Yonsei Nursing, Vol.13, No.1 pp.17-27, (1990).
  50. S. K. Chung, K. A. Kim, E. Y. Jeong, "The effects of simulation practicum using a standardized patient on nursing students' communication skills, problem-solving skills, critical thinking dispositions, and clinical competency", Journal of Korean Academy of Home Health Care Nursing, Vol.23, No.2 pp. 186-194, (2016).
  51. M. R. Eom, H. S. Kim, E. K. Kim, K. Y. Seong, "Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem solving ability", Journal of Korean Academy of Nursing, Vol.40, No.2 pp 151-160, (2010). https://doi.org/10.4040/jkan.2010.40.2.151
  52. M. K. Sim, S. H. Kim, K. H. Kim, "Effects of simulation-based neonatal nursing care education on communication competence, self-efficacy and clinical competency in nursing students", Journal of Digital Convergence, Vol.20, No.2 pp. 563-571, (2022).
  53. H. S. Kang, Y. S. Kang. H. H. Hong, "Comparative study on the clinical competence and nursing professionalism of clinical practice among nursing students", Journal of Korean Clinical Health Science, Vol.3, No.4, pp. 495-503, (2015). https://doi.org/10.15205/KSCHS.2015.3.4.495
  54. M. S. Hyun, M. S. Yoo, M. S. Song, J. Park, "Development of the nursing practice capacity scale for evaluating achievement of nursing education objectives", Journal of Korean Academic Society of Home Care Nursing, Vol.22, No.2 pp. 246-255, (2015).
  55. H. J. Jung, M. J. Chae, "Effect of simulation-based advanced cardiopulmonary life support education for nursing students hospitals", The Korean Society of Health Service Management. Vol.9, No.3 pp. 127-143, (2015). https://doi.org/10.12811/kshsm.2015.9.3.127
  56. H. Y. Cho, "The effect of Simulationbased learning scenario using standardized repiratory patients on learning satisfaction, clinical skill competency and self-efficacy in health-related department students", Journal of the Korea Academia-Industrial Cooperation Society, Vol.16, No.3 pp. 2100-2108, (2015). https://doi.org/10.5762/KAIS.2015.16.3.2100
  57. J. E. Moon, M. J. Chae, "Effect of a diabetic-hypoglycemia based simulation education program on clinical performance and learning satisfaction in nursing students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.6, No.9 pp. 417-427, (2016).  https://doi.org/10.14257/AJMAHS.2016.09.43