DOI QR코드

DOI QR Code

The Effects of Hybird simulation practice program for Nursing students using Complex Scenario

간호대학생을 위한 Hybrid 시뮬레이션 실습교육 프로그램의 효과: 복합 시나리오 적용

  • Moon-Ji Choi (College of Nursing, Kyungil University) ;
  • Kyeng-Jin Kim (College of Nursing, Kyungpook National University) ;
  • MinJi Kim (College of Nursing, Kyungil University)
  • Received : 2024.06.10
  • Accepted : 2024.08.20
  • Published : 2024.08.28

Abstract

The study attempted to examine the effects of hybrid simulation practice program on critical thinking disposition, self-efficacy, communication competency, and clinical competency of nursing students. The study was one group pre-test and post-test design. Data were collected between April 24 to May 5, 2023 from 35 nursing students. The collected data was analyzed using the SPSS 25.0 program, frequency analysis, mean, standard deviation, and paired t-test. Research results showed that nursing students' critical thinking disposition(t=7.01, p<.001), self-efficacy(t=2.17, p=.037), communication competency(t=2.70, p=.011), and clinical competency(t=6.60, p<.001) were improved after the simulation program. The hybrid simulation practice program is significant in that it applies various learning tools, including high-fidelity-low-fidelity-role play to strengthen the connection between nursing students' theory and practice.

연구는 Hybrid 시뮬레이션 실습교육 프로그램이 간호대학생의 비판적 사고 성향, 자기효능감, 의사소통능력 및 임상수행능력에 미치는 영향을 확인하기 위한 단일군 사전·사후 유사 실험 연구이다. 간호대학생 35명을 대상으로 2023년 4월 24일부터 5월 5일까지 수집된 자료는 SPSS 25.0 program을 이용하여 빈도분석, 평균, 표준편차, paired t-test로 분석하였다. 연구결과 시뮬레이션 프로그램 진행 후 간호대학생의 비판적 사고 성향(t=7.01, p<.001), 자기효능감(t=2.17, p=.037), 의사소통능력(t=2.70, p=.011), 임상수행능력(t=6.60, p<.001) 모두 통계적으로 유의하게 향상되었다. Hybrid 시뮬레이션 실습교육 프로그램은 고충실도-저충실도-역할극 등 다양한 학습 도구를 적용하여 간호대학생의 이론과 실습의 연계를 강화한다는 점에서 의의가 있다.

Keywords

References

  1. K. H. Kim, E. H. Hwang & S. J. Shin. (2017). Currenet Status and Future Direction of Interprofessional Education in Nursing Education. Korean medical Education Review, 19(1), 18-24. DOI: 10.17496/kmer.2017.19.1.18
  2. J. Y. Choi, K. S. Jang, S. H. Choi & M. S. Hong. (2008). Validity and Reliability of a Clinical performance Examination using Standardized Patients. Journal of Korean Academy of Nursing, 38(1), 83-91. DOI: 10.4040/jkan.2008.38.1.83
  3. K. L. Lewis, et al. (2017). The Association of Standardized patient Educators(ASPE) Standards of Best Practice(SOBP). Advances in Simulation, 2(1), 1-8. DOI: 10.1186/s41077-017-0043-4
  4. H. K. Park. (2012). Medical education using standardized patients. Hanyang medical Reviews, 32(1), 35-44. https://doi.org/10.7599/hmr.2012.32.1.35
  5. S. J. Lee, Y. M. Park & S. M Noh. (2013). The Effects of Simulation Training With Hybrid Model for Nursing Students on Nursing Performance Ability and Self Confidence. Korean Journal of Adult Nursing, 25(1), 170-182. DOI: 10.7475/kjan.2013.25.1.170
  6. S. H. Kim & Y. S. Ham. (2016). A Meta-analysis of the Effect of Simulation Based Education - Korean Nurses and Nursing Students -. The Journal of Korean Academic Society of Nursing Education, 21(3), 308-319. DOI: 10.5977/jkasne.2015.21.3.308
  7. H. Y. Kim & H. R. Kim. (2015). Effects of a Colonoscopy based Simulation Education Program on Knowledge and Clinical Performance in Nursing Students. Korean Journal of Adult Nursing, 27(2), 135-145. DOI: 10.7475/kjan.2015.27.2.135
  8. S. Park. (2022). The Convergence Effects of Mechanical Ventilation Simulation for Critical Care Nursing on the Critical Thinking Disposition, Clinical Competence, Communication Competence, and Educational Satisfaction of Nursing Students. The Journal of Social Convergence Studies, 6(2), 25-36. DOI: 10.37181/JSCS.2022.6.2.025
  9. K. S. Jang, B. N. Kim, S. H. Jeong,, Y. M. Kim & J. S. Kim. (2016). A Sutdy on Evaluation System for Nursing Bachelor Degree Program Outcomes: Focus on Improvement in Nursing Leadership Ability. Journal of Korean Academy of Nursing Administration, 22(5), 540-552. DOI: 10.11111/jkana.2016.22.5.540
  10. N. C. Facione, P. A. Facione & C. A. Sanchez. (1994). Critical thinking disposition as a measure of competent clinical judgement : The development of the California Critical Thinking Disposition Inventory. Journal of Nursing Education, 33(8), 345-350. DOI: 10.3928/0148-4834-19941001-05
  11. I. S. Kwon, et al. (2006). Development of a Critical Thinking Disposition Scale for Nursing Students. Journal of Korean Academy of Nursing, 36(6), 950-958. DOI: 10.4040/jkan.2006.36.6.950
  12. M. H. Adams, J. F. Whitlow, L. M. Stover & K. W. Johnson. (1996). Critical thinking as an educational outcome: an evaluation of current tools of measurement. Nurse Educator, 21(3), 23-32. DOI: 10.1097/00006223-199605000-00009
  13. A. Bandura. (1997). Self-efficacy: The exercise of control. New York: Freeman.
  14. N. S. Kim & Y. J. Ko. (2020). Relationship between Learning Self-efficacy, Learning Satisfaction, and Transfer Motivation among Nursing Students: Focused on Integrated Simulation Practicum. Journal of Korean Society for Simulation in Nursing, 8(2), 15-25. DOI: 10.17333/JKSSN.2020.8.2.15
  15. C. Barrett & F. Myrick. (1998). Job Satisfaction in Preceptorship and Its Effect on the Clinical Performance of the Preceptee. Journal of Advanced Nursing, 27(2), 364-371. DOI: 10.1046/j.1365-2648.1998.00511.x
  16. J. Hwang. (2023). Effects of Simulation-Based Practice Education on Learning Satisfaction, Immersion, and Self-Efficacy of Nursing Students. Journal of Curriculum and Teaching, 12(1), 1-8. DOI: 10.5430/jct.v12n1p275
  17. O. S. Lee, K. S. Lee & H. J. Gu. (2020). Influence of Perception of Importance of Communication, Self-esteem and Communication skill on Patient Safety attitude of Nursing student. Journal of Digital Convergence, 18(10), 307-314. DOI: 10.14400/JDC.2020.18.10.307
  18. S. H. Yang & S. H. Hong. (2017). Development and Effects of Simulation Practice Program about Family centered Delivery Care. Korean Journal of Women Health Nursing, 23(1), 52-61. DOI: 10.4069/kjwhn.2017.23.1.52
  19. S. J. Lee, Y. S. Roh, J. O. Kim, K. I. Jang, E. N. Ryoo & Y. M. Park. (2010). Comparison of Multi-Mode Simulation and SimManⓇ Simulation on Evaluation of Nursing Care for Patients with Dyspnea. The Journal of Korean Academic Society of Nursing Education, 16(1), 51-60. https://doi.org/10.5977/JKASNE.2010.16.1.051
  20. M. Sherer, J. E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs & R. W. Rogers. (1982). The self-efficacy scale: Construction and Validation. Psychological Report, 52, 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  21. A. S. Jung. A Study on the Relations a Health Promoting Behaviorsand Self-efficacy in General Hospital nurse. Master's thesis. Hanyang University, Seoul.
  22. H. M. Yang & S. Y. Hwang. (2016). Reliability and Validity of the Assessment Tool for Measuring Communication Skills in Nursing Simulation Education. Korean Journal of Adult Nursing, 28(1), 95-105. DOI: 10.7475/kjan.2016.28.1.95
  23. W. H. Lee, J. J. Kim, J. S. Yoo, H. K. Hur, K. S. Kim & S. M. Lim. Development of clinical performance measurement tools for nursing students. J Yonsei Coll Nurs, 13, 17-29.
  24. S. J. Park & E. S. Ji. (2018). A Structural Model on the Nursing Competencies of Nursing Simulation Learners. Journal of Korean Academy of Nursing, 46(5), 588-600. DOI: 10.4040/jkan.2018.48.5.588
  25. A. Sterner, R. Skold, & H. Andersson. (2023). Effects of blended simulation on nursing students' critical thinking skills: A quantitative study. SAGE Open Nursing, 9, 1-9. DOI: 10.1177/23779608231177566
  26. K. O. Park, & M. Yu. (2019). Effect of a situational module learning course on critical thinking disposition and metacognition in nursing students: a Quasi-experimental Study. The Journal of Korean Academic Society of Nursing Education, 25(2), 251-262. DOI : 10.5977/jkasne.2019.25.2.251
  27. J. M. Park, & J. H. Kim. (2021). Decision-Making Styles, Critical Thinking Disposition and Self-Leadership According to Personality Type in Nursing Students. Nursing and Innovation, 25(1), 37-46. DOI: 10.38083/JKNS.25.1.202102.037
  28. H. J. Lee, S. K. Chung, & M. J. Kim. (2013). The effects of healthcare major students' educational achievement on life competencies. Journal of the Korean Society of School Health, 26(2), 62-71.
  29. Korean Accreditation Board of Nursing Education. (2021). Handbook for college nursing education certification evaluation in the first half of 2021. Seoul.
  30. P. R. Jeffries, B. Rodgers, & K. Adamson. (2015). NLN Jeffries simulation theory: Brief narrative description. Nursing Education Perspectives, 36(5), 292-293.
  31. O. S. Lee. (2017). The effects of simulation-based practice on critical thinking disposition, communication skill, and clinical performance for nursing students. Journal of the Korea Academia-Industrial cooperation Society, 18(4), 93-100. https://doi.org/10.5762/KAIS.2017.18.4.93
  32. S. M. Chae, K. S. Bang, J. Yu, J. H. Lee, H. J. Kang, I. J. Hwang, ... & J. S. Park. (2015). Effects of simulation-based learning in the nursing care of children with asthma. The Journal of Korean Academic Society of Nursing Education, 21(3), 298-307. DOI: 10.5977/jkasne.2015.21.3.298
  33. A. J. Kleinheksel. (2014). Transformative learning through virtual patient simulations: predicting critical student reflections. Clinical Simulation in Nursing, 10(6), e301-e308. DOI: 10.1016/j.ecns.2014.02.001
  34. S. H. Kim, & Y. S. Ham. (2015). A Meta-analysis of the Effect of Simulation-Based Education - Korean Nurses and Nursing Students. The Journal of Korean Academic Society of Nursing Education, 21(3), 308-319. DOI: 10.5977/jkasne.2015.21.3.308
  35. M. O. Chae. (2015). Effects of a simulation-based program on self-directed learning ability, metacognition, and clinical competence in nursing students. Journal of the Korea Academia-Industrial, 16(10), 6832-6838. DOI: 10.5762/KAIS.2015.16.10.6832