• 한국간호교육학회지
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• 제27권3호
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• pp.227-239
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• 2021

Purpose: This study used an exploratory sequential approach (mixed methods) design to explore essential meaning through comparing and analyzing the experiences of nursing students in virtual simulation practice and high fidelity simulation practice education in parallel. Methods: The study participants were 20 nursing students, and data were collected through focus group meetings from July 17 to August 5, 2020, and via online quantitative data from November 10 to November 15, 2020. The qualitative data were analyzed using Giorgi's phenomenological method, and the quantitative data were analyzed using descriptive statistics, the Mann-Whitney U test, Kruskal-Wallis H test analysis of variance and Spearman's ρ correlation. Results: The comparison between the two simulation training experiences was shown in five contextual structures, as follows: (1) reflection of the clinical field, (2) thinking theorem vs. thinking expansion, (3) individual-centered learning vs. team-centered learning, (4) attitudes toward participating in practical training, (5) metacognition of personal competency as a prospective nurse, and (6) revisiting the method of practice training. There was a positive correlation between satisfaction with the practice and the clinical judgment ability of high fidelity simulation, which was statistically significant (r=.47, p=.036). Conclusion: Comparing the experiences between virtual simulation practice training and high fidelity simulation practice training, which has increased in demand due to the Coronavirus Disease-2019 pandemic, is meaningful as it provides practical data for introspection and reflection on in-campus clinical education.

• 재활간호학회지
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• 제17권2호
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• pp.90-96
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• 2014

Purpose: The purpose of this study was to determine the effects of simulation based training using a post-operating rehabilitation case on learning outcomes in nursing students. Methods: A quasi-experimental research design (one group pretest and posttest design) and a questionnaire for measuring learning outcomes were used in this study. The participants were 35 students in a college of nursing. Data were collected before the program and immediately after the program that applied simulation based training using a post-operating rehabilitation case consisted of 4th running and debriefing for 26 hours. With SAS 9.2 program, descriptive statistics and paired t-test were used to analyze the data. Results: There were statistically significant increases in necessity (p=.001) and performance of learning outcome (p<.001) of simulation based training using a post-operating rehabilitation case among students in a college of nursing. Conclusion: The findings of this study demonstrate that simulation based training using a post-operating rehabilitation case for nursing students may increase performance of learning outcomes on clinical reasoning and critical thinking.

• 기본간호학회지
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• 제18권3호
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• pp.392-400
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• 2011

Purpose: This study was done to provide fundamental data to develop a simulation application working practice module and to develop a strategy that would improve team efficacy of students, as well as interpersonal understanding, and proactivity in problem solving after using the team based learning simulation. Methods: The participants were students in fourth year in C University and they participated in the simulation learning for 8 weeks from October to December 2010. The variables of team efficacy, interpersonal understanding, and proactivity in problem solving were measured and data were analyzed using SPSS WIN 17.0 program. Results: After applying the team based simulation learning, students' team efficacy, interpersonal understanding, and proactivity in problem solving improved significantly. Conclusion: The results indicate that the simulation module in this study gave the students experience in providing available and safe nursing care under conditions similar to reality and also underlined the importance of team competency for student nurses in caring for patients.

• 한국간호교육학회지
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• 제20권2호
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• pp.203-211
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• 2014

Purpose: This study was conducted to compare the effects of simulation-based training on knowledge, self-efficacy and clinical performance, underwent before or after the clinical practice for the nursing students. Method: A comparison group design was established with pre-clinical practice group (n=34) and post-clinical practice group (n=34). Both groups participated in simulation-based training before or after the clinical practice at the recovery room. Chi-square test, t-test and paired t-test were performed to analyze the data. Results: Both groups showed significantly higher post-test scores in knowledge and self-efficacy than pre-test scores (p<.001). The group with simulation training performed before their clinical practice (pre-clinical practice group) showed significantly higher self-efficacy (p=.044) than the group with simulation training done after their clinical practice (post-clinical practice group). However, there was no significant difference in the knowledge (p=.922) and clinical performance (p=.887). Conclusion: These findings of the study suggest that simulation based training in pre-clinical practice is effective to enhance the self-efficacy and to improve knowledge and clinical performance of the nursing students.

• 의학교육논단
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• 제13권2호
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• pp.47-57
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• 2011

Purpose: This study was conducted to explore the current usage of high integration mannequin human patient simulators (hereafter HPS) in nursing education. Methods: Thirty-two faculty members in 11 nursing schools participated in this survey. the questionnaire consisted of some multiple-choice questions and open questions to collect data on the experience of faculty members with using HPS as well as quantitative information. Results: The faculty members who used HPS in their classes recognized the need to use simulation in nursing education. They identified the advantages of simulation education as promoting adaptation to the clinical environment(46.9%), promoting self-confidence(28.1%), promoting critical thinking(28.15), and making direct nursing skill practice available(28.1%). However, they considered the obstacles to the use of simulation in nursing education to be insufficient manpower(62.5%), insufficient time(40.6%), and difficulty in preparing a teaching strategy(34.4%). Conclusion: HPS is useful in nursing education, but systematic plans and policies regarding on its operation are needed to confirm its effectiveness. The results of this study generally provide a basic information for use of HPS in nursing education.

• 부모자녀건강학회지
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• 제16권1호
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• pp.37-44
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• 2013

Purpose: The purpose of this study is to analyze the effectiveness of maternity nursing education-knowledge, skills and attitude among the third year students who have completed maternity nursing, practice at the college, clinical practice and core skill practicum. Methods: This is the descriptive research to verify the effectiveness of simulation-based practice education for core skill of maternity nursing. Third year nursing students who have completed maternity nursing related theories and practice have been selected as population. Total of 202 surveys have been used for analysis. Data analysis is done by using SPSS/WIN 18.0. Results: Self-confidence of core skill in maternity nursing is experimental group 4.52 and control group 4.37 score (p<.05). Performance competence in childbirth care is experimental group 4.53 and control group 4.35 score (p<.05). The students who have maternity nursing related clinical practice and core skill practicum experience show high core skill evaluation score. Conclusion: Therefore, it is recommended that current maternity nursing core skill curriculum should be reviewed and improved, and the students should be provided variety of simulation techniques to gain essential knowledge and core nursing skills.

• 중환자간호학회지
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• 제8권2호
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• pp.23-32
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• 2015

Purpose: The purpose of this study was to analyze the effects of simulation-based training on nursing students' knowledge and ability to perform advanced cardiovascular life support. Methods: A nonequivalent control group non-synchronized design was used. The participants were, in total, 59 junior college nursing students (experimental group: 30, control group: 29). The data were analyzed with a ${\chi}^2$-test, independent t-tests, and analysis of covariance (ANCOVA) using IBM SPSS Statistics 23 program. Results: The experimental group ($80.8{\pm}8.4$), who received simulation-based advanced cardiovascular life support education, showed a higher level of knowledge of advanced cardiovascular life support than the control group ($75.0{\pm}9.9$), who received lecture-based education. In addition, the experimental group ($106.4{\pm}11.9$) showed a higher level of ability to perform advanced cardiovascular life support than the control group ($86.5{\pm}9.9$). Conclusion: Simulation-based advanced cardiovascular life support education was more effective for increasing the knowledge and performance ability of college students than lecture-based education. Therefore, simulation-based training should be used to improve the knowledge and ability of nursing students and should be applied with reinforced systematic education programs.

• 한국융합학회논문지
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• 제12권10호
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• pp.333-342
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• 2021

본 연구의 목적은 간호대학생에게 가상간호시뮬레이션을 적용한 정신간호실습 전·후 전이동기, 학습자기효능감의 차이를 비교하고 실습 후 실습만족도를 비롯한 전이동기, 학습자기효능감 간의 상관성을 확인하여 효과적인 정신간호실습 교육의 기초자료로 제공하기 위함이다. 본 연구는 2020년 10월 부터 12월 까지 진행되었으며 U시 소재 대학 3학년에 재학 중이고 가상간호시뮬레이션을 적용한 정신간호실습 교육을 받은 41명을 대상으로 하였다. 자료분석은 Paired t-test와 피어슨상관관계(Pearson's correlation coefficient)로 분석하였다. 연구결과, 가상간호시뮬레이션을 적용한 정신간호실습 후 실습 전에 비하여 전이동기는 유의하게 상승하였고 학습자기효능감은 상승하였으나 통계적으로 유의하지 않았다. 가상간호시뮬레이션을 활용한 정신간호실습 후 전이동기, 학습자기효능감, 실습만족도는 통계적으로 유의한 상관관계를 보였다. 이를 통해 가상간호시뮬레이션을 활용한 정신간호실습 교육은 부분적으로 효율적인 실습 전략임이 확인되었다.

• 한국간호교육학회지
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• 제25권3호
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• pp.289-299
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• 2019

Purpose: This study aimed to examine the effects of simulation-based education on nursing knowledge, anxiety, and clinical performance ability in nursing students before their first clinical practice. Methods: Third-year university students who had not yet entered their first clinical practice were recruited to participate in the study. Nineteen students formed the experimental group and participated in simulation-based education for 7 sessions. The 19 students in the control group were provided with clinical practice orientation in the form of traditional lectures. Outcome measures assessed nursing knowledge, clinical practice anxiety, and clinical performance ability. Data were collected before and immediately after the simulation-based education and after six weeks of clinical practice. Results: Nursing knowledge and clinical anxiety were not statistically significant between the groups. However, there was a significant improvement in the clinical performance abilities of the experimental group. Among the subcategories, the ability to apply the nursing process and the ability to educate and cooperate were shown to maintain significant differences from the control group by the end of the six weeks of clinical practice. Conclusion: The simulation prior to nursing students' first clinical practice could be useful to improve clinical performance ability. Nursing educators should consider building programs to reduce anxiety and improve performance ability through simulations.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8176-8186
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• 2015

본 연구는 간호 대학생에게 성인간호학 이론수업과 실습교육의 단절로 발생하는 문제점을 해결하기 위해 High-Fidelity 시뮬레이션 교육프로그램을 개발하여 적용함으로써 그 효과를 분석하고자 시행되었다. 분석방법은 성인간호학 이론수업의 학습목표에 따라 비뇨기계 대상자 간호에서 고칼륨혈증 대상자 간호를 위한 알고리즘, 평가체크리스트, 디브리핑을 포함한 시나리오를 개발하여 비동등성 대조군 전후설계(non-equivalent control group pre-test and post-test design)로 측정하였다. 분석결과 일반적 특성과 종속변수의 실험군과 대조군의 동질성이 확보되었다. 고칼륨혈증 대상자 시뮬레이션 교육프로그램이 간호대학생의 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식정도에 미치는 효과는 시뮬레이션 교육을 받은 실험군이 대조군 보다 유의하게 증가하였고, 통계적으로 유의한 차이가 있는 것으로 나타났다(t=-83.313, p<.001, t=-3.169, p=.003, t=-2.473, p=.017, t=-4.036, p<.001, t=-5.044, p<.001). 간호학생의 성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 프로그램은 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식을 높게 하는 것으로 나타났다. 이러한 시뮬레이션 실습교육 프로그램을 교육과정에 적용함으로써 효율적인 실습교육 방안을 제시하고 간호교육의 질 제고에 기여할 수 있을 것이다.