• 한국간호교육학회지
• /
• 제25권3호
• /
• pp.331-343
• /
• 2019

Purpose: This study focuses on investigating the effectiveness of simulation education on emergency management using a low-fidelity simulator as related to clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in new nurses. Methods: A pre-post test experimental design of nonequivalent control group was applied. Fifty-five new nurses were recruited, 28 nurses for the experimental group and 27 nurses for the control group. A simulation education for emergency management comprising knowledge lecture, team learning, skill education, team simulation, and debriefing was developed and implemented from Feb. 14 to 27, 2015. Data were analyzed with percentage, average, and standard deviation, chi-square, and t-test using SPSS. Results: The experimental group showed significantly higher knowledge (t=5.81, p<.001), clinical skill performance (t=10.08, p<.001), self-confidence (t=-6.24, p<.001), critical thinking disposition (t=2.42, p=.019), and learning satisfaction (t=4.21, p<.001) for emergency management compared with the control group who had traditional lecture education. Conclusion: The results indicate that a simulation education using a low-fidelity simulator is an efficient teaching method for new nurses to deepen their clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in learning emergency management.

• 의학교육논단
• /
• 제13권1호
• /
• pp.35-43
• /
• 2011

Purpose: Communication skills are considered as one of the essential requirements in medical education, and the training often involves exercising medical interviews with standardized patients(SP) or role play. This study investigated the helpfulness of the communication skills training programs for students' performance on the clinical performance examination (CPX). Methods: Fourth-year students who have taken one of two communication skills programs(exercising communication skills with SP or elective communication skill course with role play) completed a questionnaire on their evaluation of the helpfulness of communication skills programs immediately after finishing the CPX. Then, the programs were objectively assessed by comparing all fourth-year students' CPX scores between program participants and non-participants. Results: About 70% of participants answered that the programs were helpful to perform clinical clerkship and CPX. However, there was no difference in either the total CPX score or 2 categorical scores(integrated clinical encounter, communication and interpersonal skill) between program participants and non-participants. Conclusion: Although the students felt that the communication skills programs were helpful to their clinical activities, this study failed to find objective evidence of any effect of the programs on the CPX results. Communication skills training should be continued during clinical clerkship to maintain or enhance the skills, and it is necessary to introduce more effective methods for precise evaluation of students' communication skills.

• 성인간호학회지
• /
• 제22권2호
• /
• pp.221-228
• /
• 2010

Purpose: The purpose of this study is to identify the relationship among clinical competence of diabetic diet education on standardized patients, self-efficacy, communication skill, learning satisfaction, and professional values of nursing students. Methods: The present study was a descriptive research. The participants were 144 junior nursing students in a university. The clinical competence on diabetic diet education was assessed by trained evaluators when nursing students performed diabetic diet education using the standardized patients. The students' self-efficacy, communication skill, professional values, and learning satisfaction were measured by themselves using the questionnaires. Results: The clinical competence on diabetic diet education showed positive correlations with communication skill and learning satisfaction, while the competence was not correlated to self-efficacy and professional values. Conclusion: The results of this study suggest that clinical competence on diabetic diet education may be more related to communication skills and learning satisfaction than self-efficacy and professional values. Promoting communication skills and learning satisfaction using a standardized patient may increase nursing students' competence on diabetic diet education.

• 성인간호학회지
• /
• 제27권5호
• /
• pp.604-611
• /
• 2015

Purpose: Knowledge, clinical reasoning, and self-confidence are the basis for undergraduate education, and determine students' level of competence. The purpose of this study was to assess the effects of the addition of a one-time simulation experience to the didactic curriculum on nursing students' knowledge acquisition, clinical reasoning skill, and self-confidence. Methods: Using a quasi-experimental crossover design consisted of intervention and wait-list control groups. Participants were non-randomly assigned to the first intervention group (Group A, n=48) or the wait-list control group (Group B, n=46). Knowledge level was assessed through a multiple choice written test, and clinical reasoning skill was measured using a nursing process model-based rubric. Self-confidence was measured using a self-reported questionnaire. Results: Results indicated that students in the simulation group scored significantly higher on clinical reasoning skill and related knowledge than those in the didactic lecture group; no difference was found for self-confidence. Conclusion: Findings suggest that undergraduate nursing education requires a simulation-based curriculum for clinical reasoning development and knowledge acquisition.

• Perspectives in Nursing Science
• /
• 제9권2호
• /
• pp.136-145
• /
• 2012

Purpose: The purpose of this study was to verify the educational effectiveness of the Objective structured clinical examination (OSCE) module development activities on nursing students in the areas of performance skill, knowledge, self-directed learning readiness, and problem solving ability for medication skill. Methods: This study was a nonequivalent control group non-synchronized post-test design. The subjects (N=47), who agreed to participate in this study, were assigned to either the experimental (n=24) or control group (n=23). The experimental group was trained with OSCE module development activities for four days. The control group was trained with a traditional demonstration and practice class for the same amount of time as the experimental group. Medication performance skill and knowledge tests and surveys were done to measure self-directed learning readiness, and learning satisfaction after the experimental treatments. Results: The experimental group which participated in the OSCE module development activities showed significantly higher performance skill, self-directed learning readiness, and problem solving ability for skin test and insulin medication than that of the control group of traditional education. Conclusion: It is recommended to use the OSCE module development activities for nursing students in nursing education-learning in order to improve nursing skills.

• 한국융합학회논문지
• /
• 제9권11호
• /
• pp.479-489
• /
• 2018

본 연구는 임상 시나리오를 적용한 기본간호학실습 프로그램이 간호 대학생들의 자기효능감, 의사소통능력, 간호술기 능력에 미치는 영향을 분석하고자 하였다. 본 연구는 비동등성 대조군 전후 실험설계이며, 연구 대상자는 실험군 35명과 대조군 46명의 2학년 간호 대학생이었다. 임상 시나리오를 적용한 기본간호학실습 프로그램 적용 후 자기효능감, 의사소통능력, 간호 술기 능력의 결과를 평가하였다. 연구의 결과는 자기효능감은 실험군에서 증가하였으며, 통계적으로 유의하였다(t=2.06, p=.042). 의사소통능력은 실험군에서 향상되었지만, 통계적으로 유의하지 않았다(t=.28, p=.778). 간호 술기 능력은 대조군과 비교하여 실험군에서 약간 증가하였으며, 통계적으로 유의하였다(t=2.46 4, p=.016). 이에 임상 시나리오를 적용한 기본간호학실습은 학생들의 임상 상황의 이해를 돕고 간호 술기 능력 향상을 기대할 수 있겠다.

• 디지털융복합연구
• /
• 제15권7호
• /
• pp.271-284
• /
• 2017

본 연구는 융복합 기반 통합시뮬레이션실습 교육이 간호대학생의 임상의사결정능력, 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감에 미치는 효과를 확인하고자 수행되었다. 연구설계는 단일군 사전사후설계에 의한 실험연구로 연구대상은 C도 소재 일개 4년제 대학 간호학과 4학년 학생 64명이었으며 연구기간은 2016년 9월 5일부터 2016년 12월 6일까지였다. 연구결과 통합시뮬레이션실습 교육 운영 후 문제해결과정 (t=-3.052, p<.01), 임상수행능력(t=-4.279, p=.000), 핵심기본간호술 수행 자신감(t=-2.416, p<.05)의 점수가 사전에 비해 사후에 유의하게 증가하였다. 본 연구를 통하여 통합시뮬레이션실습 교육이 4학년 간호대학생의 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감의 임상실습 수행에 긍정적인 효과를 제공하므로 이를 지속적으로 적용하고 운영하는 교육과정이 필요할 것으로 생각된다. 과학적이고 분석적인 평가 도구와 프로그램의 개발이 필요하며 간호대학생의 학년별, 과목별 시뮬레이션실습과목의 통합을 과학적으로 분석하는 시스템이 필요하리라 생각된다.

• 한국응급구조학회지
• /
• 제3권1호
• /
• pp.55-64
• /
• 1999

This study was conducted to acquire the basic materials for effective field training to identify performance activities of emergency medical technology students. The method used in the study was a descriptive survey using a skill checklist. The subjects for the study were 43 emergency medical technology students who were 2nd grade in D college. The collected data were analyzed using the SPSS computer program, yielding frequencies and percentage. The results of study were as follows; 1. In 'emergency treatment skill', 26.6% of subjects are revealed as 'performed' in 'ambulance practice' and 22.1% of subjects are revealed as 'performed' in 'clinical practice'. 2. In 'airway management', 41.9% of subjects are revealed as 'performed' in 'ambulance practice' and 14.1% of subjects are revealed as 'performed' in 'clinical practice'. 3. In 'oxygen therapy', 52.8% of subjects are revealed as 'performed' in 'ambulance practice' and 35.6% of subjects are revealed as 'performed' in 'clinical practice'. 4. In 'ventilation skill', 17.8% of subjects are revealed as 'performed' in 'ambulance practice' and 10.7% of subjects are revealed as 'performed' in 'clinical practice'. 5. In 'vital sign check', 61.1% of subjects are revealed as 'performed' in 'ambulance practice' and 56.3% of subjects are revealed as 'performed' in 'clinical practice'. 6. In 'patient assessment', 40.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'. 7. In 'basic life support(CPR)', 1.7% of subjects are revealed as 'performed' in 'ambulance practice' and 11.9% of subjects are revealed as 'performed' in 'clinical practice'. 8. In 'airway obstruction', 6.4% of subjects are revealed as 'performed' in 'ambulance practice' and 1.1% of subjects are revealed as 'performed' in 'clinical practice'. 9. In 'electrical therapy', 0.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'.

• 한국산학기술학회논문지
• /
• 제15권10호
• /
• pp.6126-6133
• /
• 2014

본 연구는 시뮬레이션 기반 코어스킬 프로그램 교육을 보건계열 학생에게 적용한 후 임상지식, 문제해결과정, 자아존중감에 미치는 효과를 기존의 전통적 교육과 비교 검증하기 위해 시도된. 비동등성 대조군 전후설계를 적용한 유사실험연구이다. 대상자는 총 46명으로 J시에 소재한 D대학 응급구조과 2학년 학생이 참여하였다. 실험군 23명에게는 이론강의, 술기교육, 팀시뮬레이션과 디브리핑으로 구성된 시뮬레이션기반 코어스킬 프로그램을 교육하였고 대조군 23명에게는 이론강의와 술기교육만으로 이루어진 전통적 교육을 실시하였다. 2013년 5월부터 110분간 주 4회씩 총 12회로 실시되었으며 수집된 자료는 SPSS/Win 18.0을 이용하여 실수와 백분율, Chi-Square, t-test로 분석하였다. 본 연구 결과 시뮬레이션 기반 코어스킬 프로그램을 시행한 실험군에서 임상적지식, 문제해결과정, 자아존중감이 통계적으로 유의하게 높았다. 이상의 연구결과, 시뮬레이션기반 코어스킬 프로그램은 보건계열 대학생의 임상지식과 문제해결과정, 자아존중감 향상에 효과적인 교육프로그램으로 보건전문직으로서의 역량을 증진시키는데 기여함을 확인할 수 있었다.

• 대한간호학회지
• /
• 제47권6호
• /
• pp.842-853
• /
• 2017

Purpose: This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education. Methods: Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students' skill training, and evaluators' training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing. Results: ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups. Conclusion: This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.