• 한국산학기술학회논문지
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• 제16권1호
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• pp.408-417
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• 2015

본 연구는 뇌졸중 대상자간호 시뮬레이션 교육을 적용한 실험군과 자율실습과 임상실습을 적용한 대조군간의 간호수행능력과 교육만족도의 차이를 검증하기 위한 연구이다. 비동등성 대조군 전. 후 유사실험 연구설계로 연구대상은 일 대학 간호대학 학생으로 연도별로 임의 배정된 실험군(2013년), 대조군(2014년) 각각 32명의 총 64명이었다. 실험군에게는 사전조사 후 뇌졸중 대상자간호 시뮬레이션 교육이 오리엔테이션 10분, 핵심기본간호술기 훈련 90분, 상황 자율실습 90분으로 진행되었고 이후 사후조사가 실시되었다. 대조군은 자율실습과 임상실습 적용 전후 조사가 실시되었다. 수집된 자료는 SPSS 21.0을 이용하여 측정변수에 대한 Kolomogorov-Smirnov 정규성 검정 후 비모수 통계인 Mann-Whitney U 분석을 실시하였다. 실험군과 대조군간의 실험전후 간호수행능력 차이를 분석한 결과 실험군이 대조군에 비해 간호수행능력의 하위 영역인 간호수행준비(z = -1.464, p = 0.143)를 제외한 문제인식(z = -2.715, p < .007), 사정(z = -2.861, p = .003), 중재(z = -3.075, p = .002), 태도(z = -3.520, p < .001)와 총점(z = -3.373, p < .001)에서 통계적으로 유의하게 높았다. 교육프로그램 만족도 총점은 5점 만점에 실험군이 4.83점으로 대조군의 4.58점 보다 통계적으로 유의하게 높았다(z = -3.245, p = .001). 문항별로는 교재와 자료(z = -2.377, p = .017), 동료에게 권유(z = -3.602, p < .001), 교육방법의 다양성과 효과(z = -2.281, p = .023), 지식(z = -2.513, p = .012), 간호수행능력 향상(z = -2.556, p = .011)에서 실험군이 대조군보다 통계적으로 유의하게 높았다. 본 연구결과를 바탕으로 뇌졸중 대상자간호 시뮬레이션 교육은 간호학생의 간호수행능력과 교육만족도에 유의한 중재임을 확인하였다. 간호교육과정에 본 연구에서 개발된 뇌졸중 대상자간호 시뮬레이션 교육을 확대 적용할 것을 제언하며, 추후 연구에서는 시뮬레이션 교육 프로그램을 이수한 신규간호사의 임상적응능력과 간호수행능력을 장기 추적 관찰할 것을 제언한다.

• 임상간호연구
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• 제26권1호
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• pp.47-58
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• 2020

Purpose: The aim of this study was to develop a simulation-based High Flow Nasal Cannula Oxygen Therapy training program based on NLN/ISF to identify the effect on knowledge, clinical performance, and educational satisfaction compared to a group who had traditional High Flow Nasal Cannula Oxygen Therapy training after applying it to clinical nurses. Methods: 31 experimental groups and 33 control groups were conducted from August 2019 to September 2019 for inexperienced nurses over 4 months to 5 years with no experience using high-flow oxygen therapy. Educational programs were developed in scenarios according to Airvo2 and Optiflow, such as facilitator, participant, educational condition, design, characteristics, and educational outcomes. The education application was conducted in advanced for knowledge and clinical performance ability after watching therapy video. Since then, a total of 90 minutes have been conducted for respiratory failure theory training, airvo2 and optiflow simulation training, and debriefing. After applying the education, the medical institution measured nurses' knowledge, clinical performance, and education satisfaction. Data were analyzed using descriptive statistics, with the SPSS/WIN 22.0 program. Results: Both knowledge and educational satisfaction were higher in the experimental group than in the control group (t=-14.09, p<.001), (t=-12.99, p<.001). The clinical performance for both use of Optiflow and Airvo2 were higher in the experimental group than in the control group (t=-11.39, p<.001), (t=-11.38, p<.001). Conclusion: Results showed that the simulation-based High Flow Nasal Cannula Oxygen Therapy training was effective with the experimental group having increased scores for every area of this study.

• 한국간호교육학회지
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• 제23권4호
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• pp.463-473
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• 2017

Purpose: The purposes of study was to evaluate the effect of debriefing using reflection questions and writing on the critical thinking disposition, self-efficacy, and clinical judgement ability in simulation of post-operative care of abdominal surgery. Methods: The research method was a nonequivalent control group no-synchronized design. The study period was from August 22 to 30, 2016. The subjects were comprised of 34 people in the experimental group and 36 in the control group. In a simulation session for post-operative care of abdominal surgery, the treatment of the experimental group was to debrief for 30 minutes using Lasater's reflection questions and writing. For the control group, a typical debriefing was conducted in the same environment. Results: Critical thinking disposition, self-efficacy, and clinical judgement were significantly higher in the experimental group than the control group. Conclusion: To enhance the critical thinking disposition, self-efficacy, and clinical judgement of nursing students in simulation, it is recommended to debrief using reflection questions and writing.

• 한국간호교육학회지
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• 제30권1호
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• pp.29-38
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• 2024

Purpose: This study aimed to investigate student nurses' satisfaction by type of clinical practicum and to determine predictors of clinical competence in pediatric nursing. Methods: A total of 189 Junior and Senior student nurses across seven colleges in the Busan Metropolitan City were enrolled in the study. The participants completed a structured questionnaire containing items about their learning satisfaction with different types of pediatric nursing practicums and their clinical competence. Data were analyzed using the mean, standard deviation, independent t-test, ANOVA, and multiple regression analysis. Results: Regarding satisfaction with each type of clinical practicum, the mean satisfaction score (out of 10) was 8.18±2.26 for on-site clinical rotations and 7.35±2.20 for alternative practicums. Among the different types of alternative practicum approaches, those with a satisfaction score of 7 or higher included fundamental nursing skills, watching videos, simulation etc., while those with a satisfaction score of less than 6 were virtual simulation and problem-based learning. The predictors of clinical competence in pediatric nursing were learning satisfaction with practice, school year, and alternative practicum, accounting for 35.0% of the variance in clinical competency. Conclusion: It would be helpful to combine on-site clinical rotations with alternative practicum approaches and to develop various alternative practice programs using simulation practice, virtual reality, immersive interactive systems, and standardized patients to enhance students' clinical competency.

• 임상간호연구
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• 제26권1호
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• pp.75-85
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• 2020

Purpose: The purpose of this study is to develop a nursing salary guideline for Korean hospitals. Methods: Literature review and a mobile survey were conducted regarding staff nurses' salary. Regression analysis and simulation model were applied to develop the nurses' salary guideline. Results: The United Kingdom, Australia, and Germany have standard salary guidelines which demonstrated the standard salary of nurses. These were determined mainly by nursing experience and expertise. The results of the mobile survey indicated that the maximum to minimum ratio of the salary was as high as 4.5 among staff nurses working in Korean hospitals. Two models (exponential and linear) for a standard nursing salary guideline were developed and the simulation results demonstrated an improved salary structure for staff nurses. Conclusion: This developed salary guideline for staff nurses is recommended to be applied in Korean hospitals which provide total nursing care services.

• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.541-549
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• 2019

본 연구의 목적은 플립러닝 기반 시뮬레이션 실습 교육이 간호대학생의 학습몰입, 학습자신감, 의사소통능력과 임상수행능력에 미치는 효과를 파악하고자 시도되었다. 본 연구는 단일군 사전-사후 실험연구이다. 자료수집은 4학년 간호대학생 65명이었다. 플립러닝 기반 시뮬레이션 실습교육은 2019년 3월 5일부터 4월 17일까지였다. 자료 분석은 SPSS WIN 21.0 프로그램을 이용하여 분석하였다. 연구결과는 다음과 같다. 플립러닝 기반 시뮬레이션 실습교육 후 학습몰입(t=-7.548, p<.001), 학습자신감(t=-9.163, p<.001), 의사소통능력(t=-6.506, p<.001)과 임상수행능력(t=-6.733, p<.001)은 유의하게 증가하였다. 플립러닝 기반 시뮬레이션 실습 후 임상수행능력과 학습몰입(r=.627, p<.001), 학습자신감(r=.513, p<.001) 의사소통 능력(r=.328, p<.008)은 양의 상관관계가 있는 것으로 나타났다. 학습몰입과 습자신감(r=.528, p<.001), 의사소통능력과 학습몰입(r= 332, p<.007)도 양이 상관관계가 보였다. 따라서 간호대학생을 위한 플립러닝 기반 시뮬레이션 실습교육은 효과적인 간호교육 방법이다.

• 문화기술의 융합
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• 제8권4호
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• pp.67-74
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• 2022

본 연구의 목적은 간호대학생을 대상으로 표준화 환자를 활용한 정신시뮬레이션 실습프로그램을 개발 및 적용하여 효과를 검증하기 위해 시도 되었다. 본 연구는 단일군 사전·사후설계 연구이며 자료수집은 J소재 일개 대학 간호학과 학생 186명에게 구조화된 설문지를 제공하였다. 수집된 자료는 SPSS/WIN 27.0 program을 활용하여 분석하였다. 연구 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육 프로그램은 대상자의 의사소통능력(t=-2.575, p=001), 학습자기효능감(t=-2.228, p=.026)과 문제해결능력(t=-2.298, p=.017)을 향상시키는데 효과가 있는 것으로 나타났다. 본 연구 결과 간호대학생의 현장 적응 능력을 향상하기 위해 실제 상황과 유사한 환경을 조성하고 필요한 자원을 활용한 다양한 사례를 적용한 시뮬레이션 실습 교육프로그램을 개발 및 적용할 필요가 있다.

• 한국응용과학기술학회지
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• 제39권2호
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• pp.182-192
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• 2022

본 연구는 가상 시뮬레이션기반 노인간호 실습교육 실시 후 간호대학생의 몰입경험과 학습역량이 학습만족도에 미치는 영향을 파악하기 위한 조사연구이다. 연구 대상자는 간호대학 학생 72명을 대상으로 하였고, 자료수집은 2021년 4월 2일부터 5월 7일까지 온라인 설문을 통해 수행하였다. 자료분석은 SPSS/WIN 24.0을 이용하여 기술통계, 상관관계 및 다중회귀분석을 사용하였다. 연구결과, 가상 시뮬레이션 교육 후 간호대학생의 학습만족도는 몰입경험(r=.656, p<.001), 학습역량(r=.672, p<.001)과 유의한 정적 상관관계를 보였다. 학습만족도에 가장 영향력이 있는 요인은 학습역량(𝛽=.459, p<.001), 몰입경험(𝛽=.413, p<.001)으로 나타났으며 모형의 설명력은 60.9%이었다. 그러므로 가상 시뮬레이션 교육 후 학습만족도를 향상시키기 위해서 실습에 대한 몰입을 촉진하고 개개인의 학습역량을 향상시킬 수 있는 방안들을 개발할 것을 제언한다.

• 간호행정학회지
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• 제20권2호
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• pp.227-236
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• 2014

Purpose: This study was designed to develop and evaluate the a web-based simulation program on patient rights education using integrated decision making model into values clarification for nurse students. Methods: The program was designed based on the Aless & Trollip model and Ford, Trygstad-Durland & Nelms's decision model. Focus groups interviews, surveys on learning needs for patient rights, and specialist interviews were used to develop for simulation scenarios and decision making modules. The simulation program was evaluated between May, 2011 and April, 2012 by 30 student nurses using an application of the web-based program evaluation tools by Chung. Results: Simulation content was composed of two scenarios on patient rights: the rights of patients with HIV and the rights of psychiatric patients. It was composed of two decision making modules which were established for value clarifications, behavioral objective formations, problems identifications, option generations, alternatives analysis, and decision evaluations. The simulation program was composed of screens for teacher and learner. The program was positively evaluated with a mean score of $3.14{\pm}0.33$. Conclusion: These study results make an important contribution to the application of educational simulation programs for nurse students' behavior and their decision making ability in protecting the patient rights.

• 성인간호학회지
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• 제26권1호
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• pp.1-10
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• 2014

Purpose: This study was conducted to test the impact of simulation-based education program for emergency airway management on self-efficacy and clinical performance ability. Methods: A quasi-experimental non-equivalent control group pre-post test design was used. A total of 60 nurses, 30 nurses assigned to the simulation-based education group and 30 nurses to a traditional lecture group. The treatment group received a lecture, small group workshop and team simulation whereas the comparison group received lectures. Results: The participants in the simulation-based education group reported significantly higher self-efficacy of emergency airway management compared to participants in the lecture only group (t=5.985, p<.001). The simulation-based education group showed significantly higher clinical performance ability of emergency airway management compared with the lecture group (t=5.532, p<.001). Conclusion: Simulation-based education was verified to be an effective teaching method to improve the self-efficacy, clinical performance skills of nurses in the learning of emergency airway management.