• Title/Summary/Keyword: 술기수행 능력

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Effects of Simulation-based Training for Basic Life Support Utilizing Video-assisted Debriefing on Non-Technical and Technical Skills of Nursing Students (비디오 디브리핑을 이용한 기본소생술 시뮬레이션 교육이 간호학생의 비기술적 술기와 기술적 술기 수행능력에 미치는 효과)

  • Koh, Jin Hwa;Hur, Hea Kung
    • Korean Journal of Adult Nursing
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    • v.28 no.2
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    • pp.169-179
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    • 2016
  • Purpose: The purpose of this study was to investigate the effects of simulation-based training (SBT) for basic life support (BLS) utilizing video-assisted debriefing (VAD) about non-technical skills (NTSs) and technical skills (TSs). The goal of the proposed study is the evaluation of a teaching method about the correct application of cardiopulmonary resuscitation (CPR). Methods: The study design was a control group pre- and post-test non-synchronized experimental design. The sample included twelve teams of 36 nursing students. Both the experimental and the control groups received the SBT for BLS. Only the experimental groups received VAD where as the control groups had a verbal debriefing. Raters who used checklists for TSs and NTSs evaluated both groups. Data were analyzed by the SPSS 20.0 using Cronbach's ${\alpha}$, Intraclass Correlation Coefficient (ICC), Mann-Whitney U test and Willcoxon signed rank test. Results: The experimental groups scored higher than the control groups in both TSs (p=.004) and the NTSs (p=.008). Conclusion: The findings of this study suggest that NTSs are an important factor that lead CPR successfully, so VAD can be used as an efficient teaching-learning strategy in the SBT for BLS for nursing students and nurses.

Education Effect in Basic CPR for the Dental Hygiene Students (치위생과 학생을 대상으로 한 기본 심폐소생술 교육효과)

  • Park, Dae-Sung;Yun, Young-Hyun;Kim, Jung-Sool
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.381-386
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    • 2008
  • This study was to examine the knowledge, attitude, self-efficacy, and capability of skill for Dept. of Dental Hygiene students in performing basic skill of cardiopulmonary resuscitation as the following AHA's CPR 2005 Guide-Lines. And we hope to know the influence of those affect on the correctness of chest thrusts, the correctness of artificial respiration, and the correctness of skill performing. As a SPSS 14.0 program's analyzing results, we came to the following conclusions : 1. In the basic CPR's knowledge, the scores of knowledge rose from 5.93 before education to 12.46 after education. In attitude, the scores of attitude rose from 2.52 to 3.71 after education. In self-efficacy's scores, rose from 3.22 to 3.26 too, and all components have statistically significant differences(P < .05). 2. In performing CPR, the correctness of chest thrusts is 68.90%, artificial respiration is 19.00%. 3. Total average score of the capability of skill is 4.51. 4. Only self-efficacy affected the correctness of chest thrusts after education(P < .05). 5. Attitude after education affected both the correctness of artificial respiration and skill performing(P < .05).

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ACLS Simulation Examination between Korean and American Paramedic students (한국과 미국 응급구조 학생간에 전문심장구조술 시뮬레이션 시험)

  • Lee, Christopher C.;Kim, Tae-Min
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.3
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    • pp.71-76
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    • 2009
  • 서론(Introduction) : 의학 시뮬레이션(medical simulation)은 교육생 학습과정에서 내재된 위험이 환자에게 가해짐 없이 교육생이 실제적인 환자 상황을 경험할 수 있게 하고 여러 다양한 임상내용이 포함한 상황에 적용될 수 있다. 시뮬레이션 기술의 사용은 의학교육(medical education), 인증서(certification), 면허교부(Licensure)와 의료의 질 형성에 큰 잠재력을 가지고 있다. 복강경 수술, 내시경검사, 전문심장구조술, 응급기도관리와 외상소생을 포함한 다양한 임상시술의 수행에서 시뮬레이션이 교육생의 술기를 달성하고, 측정하고, 유지하는 유효성을 증명하였다 컴퓨터로 조절되는 시뮬레이터는 맥박, 혈압, 호흡, 대화가 가능하고, 중증질환 또는 외상환자의 치료에 필요한 같은 인명구조 시술을 수행할 수 있다. 의학 시뮬레이션은 의사, 간호사, 응급구조사와 응급 진료를 필요로 하는 환자를 치료하는 사람에게 필요하다. 최신 전문심장구조술 과정수업은 전통적인 강의와 제한된 팀 상호작용이 포함된 이틀 과정이다. 우리는 비 영어권 국제 응급구조학생의 전문심장구조술 술기능력을 알아보고, 그것을 미국 응급구조학생과 비교하고자 한다. 목적(Objective) : 이 연구의 목적은 다양한 전문심장구조술 증례 시나리오를 가진 의학 시뮬레이터를 이용하여 미국과 한국의 응급구조 학생의 능력을 비교하는 것이다. 시행 장소(Site Location) : 이 연구는 한국 제주도에 위치한 제주한라대학 스토니브룩 응급의료교육원에서 진행되었다. 학생들의 평가는 스토니브룩에 위치한 스토니브룩 대학 의료원의 한 명의 평가자(Dr. lee)에 의해 수행되었다. 방법(Methods) : 15명의 한국 응급구조학생들은 세 팀으로 무작위로 선정하였다. 5명이 한 팀이 되어 같은 증례의 시나리오를 받았다. 세 가지 시나리오는 : 첫째, 천식지속상태(Status asthmaticus), 둘째, 긴장기흉을 동반한 만성폐쇄성폐질환(COPD with tension penumothorax) 그리고 마지막으로 메가코드(megacode)를 가진 심정지 이다. 세 팀을 각각 그리고 기본인명구조술(BLS)과 전문심장구조술(ACLS)과정을 마친 미국 응급구조학생들과 비교하였다. 15명의 미국 응급구조학생들 또한 세 팀으로 무작위로 선정하였다. 이 응급구조 학생들은 플러싱병원 의료원 소속으로 그곳에서 이 연구에 참여할 뿐만 아니라 지속적인 의학교육(CME)이수를 받았다. 이들에게도 같은 세 가지 증례의 시나리오가 주어졌고 Dr lee는 총 여섯 팀을 평가하였다(한국 세 팀과 미국 세팀). 결과(Results) : 양 국가의 모든 15명의 학생이 의학시뮬레이터를 사용하여 전문심장구조술 메가코드시험을 포함한 시험에 모두 통과하였다. 비록 학생들을 무작위로 세 팀으로 나누었지만 한 팀이 이 모든 세 증례에서 다른 팀보다 뛰어났다. 제주한라대학 2번 팀은 더 나은 기도관리, 리듬인식과 임상술기를 가진 모든 중요한 활동을 얻기에서 우수했다. 그들은 핵심요구사항을 90% 이상 충족시겼다. 한국의 2번팀(G2K)은 메가코드에서 기도개방, 호흡평가, 순환징후 그리고 흉부압박수와 같은 신체검진 술기에서도 탁월했다. 게다가 다른 팀과 비교 시 리듬인식, 약물지식과 임상술기에서도 높은 점수를 받았으며 2번팀(G2K)이 6팀 중에 가장 뛰어나게 역활수행을 하였다. 결론(Conclusion) : 이 비교 연구에서 한국학생과 미국학생간에 전문심장구조술 메가코드 시험의 통과율에는 차이가 없었다. 그러나 미국학생은 세 팀 사이에 더 적은 변이로 더 일괄된 점수를 받았다. 한국학생들도 모든 세 가지 증례를 통과하였지만 이 세 팀은 미국학생 팀보다 점수에서 더 큰 변이를 보였다.

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Study for Improving military cardiopulmonary resuscitation quality and resuscitation training by combining feedback device and debriefing (피드백 장치와 디브리핑을 통한 군 심폐소생술의 질과 교육훈련 향상 연구)

  • Moon, Soo-Jae;Cho, Byung-Jun
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.235-236
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    • 2014
  • 군의 교육훈련간 디브리핑과 피드백 장치 활용을 통한 심폐소생술 교육방법을 적용하여 보다 효과적인 교육 방법을 확인하고 심폐소생술 수행 전 후 피로도를 검사하여 심폐소생술 술기가 숙달된 인원과 숙달되지 않은 인원의 피로도 차이를 분석함으로써 심폐소생술 교육프로그램의 기초자료를 제공하고자 한다. 현재 야전에서 응급처치교육을 받은 적이 없는 비 의무병인자로 전투병 생존법 교육 소집 대상자 중 참여 희망자 50명을 대상으로 하였다. 연구방법은 3가지 교육방법(디브리핑, 피드백장치, 디브리핑과 피드백장치 조합) 을 적용한 3개의 그룹에서 1,2,3차의 평가와 전체 디브리핑을 통해 심폐소생술 수행능력의 질적 향상에 미치는 영향과 동일 대상 중 희망자 20명에 한하여 심폐소생술 수행(5분) 전 후 혈중 젖산 농도 측정 및 주관적인 문답(1~10점)을 통해 심폐소생술 수행에 따른 피로도 실험을 진행하였다. 3가지 교육방법에 따른 심폐소생술수행능력 향상은 모든 그룹에서 유의하였으며(p<.001), 그룹별 심폐소생술 수행능력 향상효과의 차이는 디브리핑과 피드백장치를 조합하여 적용한 그룹에서 유의하게 높았다(p<.01). 심폐소생술 수행능력이 숙달되기 전 후의 피로도에 대해서는 본인이 느끼는 피로도는 유의한 차이는 없었으나 혈중 젖산농도에 따른 피로도는 유의한 차이로 전보다 후가 낮아졌다(p<.01).

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The Experience of Frist Nursing Meaning among Fundamental Nursing Skills (핵심기본간호술을 통한 첫 간호의미 경험)

  • Kim, Mi-Hwa;Lee, Ji-Hyun
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.1-6
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    • 2021
  • The purpose of this study to understand the meaning of nursing through core basic nursing for nursing students before clinical practice. Participants of this study were analyzed through interviews after taking the core basic nursing skills class for 3rd graders who are currently enrolled in the Department of Nursing at M University. Seventeen students were enrolled in a K-city university as a third-year student who first performed core basic nursing skills. As a result of the study, it was derived into 3 categories and 19 thematic collections. The three categories included 1. meaning of help, 2. overcoming fear, and 3. opportunity to acquire nursing skills. The conclusion was that the first core basic nursing skills before clinical practice was a time to learn the true meaning of nursing through mutual help The difficulties were overcome with repeated practice, and the acquisition of newly learned nursing skills appeared as an effective process to experience with confidence. Therefore, it can be used as a useful basic data for counseling and guidance on the adaptation of nursing students to clinical practice, and it is expected that it will be used as a useful data for successful practice application counseling.

The Effects of Simulation Education using Virtual Reality based Core Nursing Skills Training Program on Knowledge, Nursing Practice, Self-Confidence in Performance, Self-Efficacy, and Problem Solving Ability in Nursing Students (가상현실(Virtual Reality)을 활용한 핵심간호술 훈련이 지식, 수행, 수행자신감, 자기효능감, 문제해결능력에 미치는 효과)

  • Kyungmi Lee;Miran Jung;Soyeon Im;yungmi Ryu;Shinhong Min
    • Journal of Industrial Convergence
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    • v.22 no.5
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    • pp.97-105
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    • 2024
  • The purpose of this study was to investigate the effect of HMD-based virtual reality core nursing skills training on nursing students' knowledge, performance, self-confidence, self-efficacy, and problem-s olving ability. The study participants were 45 fourth-year nursing students from a university in A city. The participants were assigned to either the experimental group (n = 21) who received VR core nursing skills related to blood transfusion training or the control group (n = 24) who received traditional training using mannequins. After completing core nursing skill training, the experimental group and the control group performed simulations including blood transfusion. Data was collected from October 3 to October 28, 2022. The collected data were analyzed using descriptive statistics and t-tests. The results showed that after the intervention, the experimental group had significantly higher knowledge scores than the control group (t=-2.13, p=.039). The control group had significantly higher self-confidence in performance than the experimental group (t=2.63, p=.012). There were no significant differences in performance, self-efficacy, or problem-solving ability between the two groups. Therefore, VR-based core nursing skills training can be usefully utilized for nursing students to learn the knowledge and procedures before performing them in real life, and traditional core nursing skills training using mannequins can lead to an increase in nursing students' confidence in performing the skills.

Effects of Team-based Learning on Metacogniton, Academic achievement, Confidence in performance, Learning satisfaction (팀 기반 학습 적용이 메타인지 및 학업성취도, 기본간호술기 수행자신감, 학습만족도에 미치는 효과)

  • Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.15 no.11
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    • pp.361-374
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    • 2017
  • The purpose of this study is to investigate the effect of team-based learning on the practice of nursing practice and the effects of nursing students' meta-cognition, academic achievement, confidence in performance, self-confidence and learning satisfaction. The subjects of this study were 115 students who wanted to participate in the research in the second grade of Nursing Department of G region. The data collection period was from March 6 to June 5, 2017. The data were analyzed independence t-test and one-way ANOVA by using the SPSS 21.0 program and paired t-test for the effects of variables after the experiment, and Pearson's correlation coefficient for the correlation between the variables. The results showed that meta-cognition and the confidence in performance of team-based learning was not only increased but also statistically significant. Academic achievement was moderate, learning satisfaction was high, and meta-cognition was positively correlated with learning satisfaction. Therefore, based on the results of this study, it is necessary to activate the application of self-directed and active learning method in order to improve the nursing practice ability required in nursing field.

Effects of Self-evaluation using Smartphone Recording on Nursing Students' Competency in Nursing Skills, Satisfaction, and Learning Motivations: Focusing on Foley Catheterization (자율실습교육에서 스마트폰 동영상을 활용한 자가평가 학습법이 간호술기 수행능력, 자율실습만족도, 학습동기에 미치는 효과: 유치도뇨를 중심으로)

  • Chang, Eunhwa;Park, Soohyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.2
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    • pp.118-127
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    • 2017
  • Purpose: The purpose of this study was to identify effects of self-evaluation using smartphone recording on competency in nursing skills, satisfaction and learning motivations in nursing students'. The setting was the open laboratory hours. Methods: A quasi-experimental pre/post-test design was conducted in September 2015. The participants were 82 sophomore nursing students from one University. The experimental group did self-evaluation by watching recorded video clips of their performance. The control group did not have any self-evaluation. The primary outcomes were scores from the foley catheterization checklist, scores from a student satisfaction tool, and scores from a learning motivation tool. Data were analyzed using ${\chi}^2$ test, Fisher's exact test, independent t-test, and paired t-test. Results: There was a significant higher mean score in levels of satisfaction by students in the experimental group compared to the control group (t=2.26, p=.027). In addition, improvement in communication skills by the experimental group was significantly higher than improvement in the control group (t=3.96, p<.001). Conclusion: Findings show that self-evaluation using smartphone recordings has positive effects on increasing both communication skills and satisfaction with practice during open laboratory hours. These results indicate that, self-evaluation using smartphone recording is useful as a supplement to traditional open laboratory education.

Effects of an Intravenous Injection Case-based Clinical Performance Examination on Problem Solving Skill, Nursing Process Application, Nursing Skill and Learning Satisfaction (정맥주사간호를 위한 사례중심 임상수행능력평가 실습교육의 효과분석)

  • Kim, Young-Il;Park, Jeong-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.1
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    • pp.25-35
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effects of an intravenous injection case-based clinical performance examination for improvement of problem-solving skill, nursing process application, nursing skill, and learning satisfaction. Method: This study's design was a randomized control group design. A total 93 students (experimental group, 49 control group, 44) who were junior nursing students in South Korea were included in this study. Data were collected from August 12th to 19th, 2010 and analyzed using SPSS 18.0. Result: The mean score of problem solving skills, intravenous injection skill, and learning satisfaction were significantly higher in the experimental group than the control group. However, the mean score of nursing process application was not significantly different between the two groups. Conclusion: These results indicate that the case-based clinical performance examination is effective for problem solving skill, nursing skill, and learning satisfaction. Therefore, it is recommended to adapt such teaching methods with integrated nursing practice education for various clinical skills development.

The effects of online nursing education contents on self efficacy, knowledge, and performance of nursing skills (웹 기반 간호교육 콘텐츠가 간호수기술에 대한 자기효능감, 지식, 수행능력에 미치는 효과)

  • Nam, Hyea Sook;Son, Kyeong Ae;Kim, Su Hyun;Song, Yeoungsuk;Kwon, So-Hi;Oh, Eun Hee
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.6
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    • pp.1353-1360
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    • 2014
  • This study aimed to evaluate the effects of the nursing skills program, which offers online access to evidence-based skills and procedures. The nursing skills tested in this study was tracheostomy suctioning in the Mosby's Nursing Skills. The design of the study was a control group non-synchronized pre-posttest quasi-experimental research. The experimental group who utilized the Mosby's Nursing Skills had significantly higher level of knowledge and skills of trachosotmy suctioning, but not of self-efficacy. Online accessible nursing skills program was shown to be effective in improving nursing skills of students, and it is suggested to utilize the program in nursing practicum.