• 한국산학기술학회논문지
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• 제18권4호
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• pp.93-100
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• 2017

본 연구는 간호대학생의 핵심역량을 향상 시킬 수 있는 시뮬레이션 기반 실습교육을 개발 적용하여 비판적사고 성향, 의사소통 능력, 임상수행능력에 미치는 효과를 파악하기 위하여 시도되었다. 단일군 사전-사후설계의 실험 연구로 G도 소재 간호대학생 4학년 53명을 대상으로 자가보고식 설문지를 이용하여 2016년 6월10일 부터 8월19일 까지 자료를 수집하였다. 시뮬레이션 기반 실습 교육은 4개의 실습 모듈을 이용하여 6-8시간/일, 총 60시간 적용하였다. 수집된 자료는 SPSS WIN 18을 이용하여 빈도, paried t-test, Pearson's correlation coefficients으로 분석하였다. 연구결과 시뮬레이션 기반 실습 전 후 임상수행능력은 유의한 차이가 있는 것으로 나타났으나 비판적 사고성향과 의사소통 능력은 유의한 차이가 없는 것으로 나타났다. 시뮬레이션 실습 교육 후 임상수행능력은 비판적 사고성향(r=.628, p<.001), 의사소통(r=.716, p<.001)과 정의 상관관계가 있는 것으로 나타났다. 비판적 사고성향과 의사소통(r=.650, p<.001)도 정의 상관관계가 있는 것으로 나타났다. 추후 임상수행능력 향상을 위해 비판적 사고성향과 의사소통능력을 높일 수 있는 시뮬레이션 기반 실습 교육의 개발 및 효과를 검증할 수 있는 연구가 필요하다.

• 한국산학기술학회논문지
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• 제20권8호
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• pp.93-101
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• 2019

본 연구는 호흡기 감염병 시뮬레이션 교육이 간호대학생의 호흡기 감염병 관련 임상수행능력, 셀프리더십 및 비판적 사고에 미치는 효과 확인을 위한 비동등성 대조군 전후 설계연구이다. 연구대상은 실험군 30명, 대조군 30명이었다. 호흡기 감염병 시뮬레이션 교육은 5주 동안 수행되었으며, 시뮬레이션 교육 전후 호흡기 감염병 관련 임상수행능력, 셀프리더십 및 비판적 사고에 대한 설문조사를 시행하였다. 자료분석은 SPSS WIN Ver 21.0을 이용하여 Fisher's exact test, Independent t-test, Paired t-test를 수행하였다. 연구결과 호흡기 감염병 시뮬레이션 교육을 시행한 실험군이 대조군에 비해 임상수행능력, 셀프리더십 및 비판적 사고에 유의한 차이를 보였다. 이상의 연구결과를 종합해 볼 때 본 연구의 호흡기 감염병 시뮬레이션 교육은 간호대학생들의 호흡기 감염병 관련 임상수행능력, 셀프리더십 및 비판적 사고를 향상시키는 효과가 있었다. 그러므로 국내에서 시뮬레이션을 이용한 호흡기 감염병 교육의 성과 검증과 연구의 타당성을 높이기 위한 반복연구와 시뮬레이션 교육에 영향을 미치는 변수를 확인하는 연구를 제언한다.

• 문화기술의 융합
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• 제10권3호
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• pp.703-711
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• 2024

본 연구는 SBAR 기반 시뮬레이션실습이 간호대학생의 보고자신감, 의사소통능력, 간호역량 및 디브리핑 만족도에 미치는 효과를 검증하고자 시도되었다. 본 연구는 일지역의 일 대학 간호학과에 재학 중인 3학년 학생을 대상으로 시뮬레이션실습 교과목을 수강한 학생 46명을 대상으로 하였다. 자료는 시뮬레이션실습 전·후 자가 보고식 설문지를 이용하였으며, 2023년 10월 30일부터 12월 22일까지 수집하였으며, 단일군 전·후 실험설계연구이다. 자료분석은 SPSS/WIN version 26.0 프로그램을 사용하여 빈도분석, 기술통계, Shapiro-Wilk test, Paired t-test를 이용하여 분석하였다. 연구결과, 보고자심감은 교육 실시 전 평균 5.79±1.47점에서 교육 후 평균 7.13±1.56점이었고, 의사소통능력은 교육 전 평균 3.62±0.44점에서 교육 후 평균 4.34±0.67점이었으며, 간호역량은 교육전 평균 2.64±0.39점에서 교육 후 평균 3.26±0.51점이었고, 디브리핑 만족도는 교육 전 평균 3.57±0.51점에서 교육 후 평균 4.18±0.58점이었다. SBAR 기반 시뮬레이션실습 교육 전·후 보고자심감(t=2.84, p=.006), 의사소통능력(t=-3.28, p=.001), 간호역량(t=-8.16, p<.001), 디브리핑 만족도(t=2.72, p<.001)는 통계적으로 유의한 차이를 보였다. 본 연구결과를 토대로 간호대학생들에게 SBAR를 활용한 의사소통 교육은 저학년 교육과정부터 체계적으로 이루어지면서, 간호역량 향상을 위해 시뮬레이션 실습교육 뿐만 아니라 다양한 실습 상황에서도 SBAR 의사소통을 활용한 보고 교육 강화 및 확대가 필요할 것으로 생각된다.

• 성인간호학회지
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• 제22권4호
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• pp.375-383
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• 2010

Purpose: The purpose of this study was to examine if simulation training affects new graduate critical care nurses' knowledge, self-efficacy, and performance ability in emergency situations. Methods: Forty new graduate critical care nurses were randomly assigned to either an experimental or a control group. The experimental group had didactic with simulation. The control group received only didactic without simulation about emergency situations. The data were collected before and after the training interventions. An independent t-test used for difference among variables. Results: There were no significant demographic differences between the two groups or any differences on data collected knowledge, self-efficacy and performance ability. Following the training, there were significant performance ability scores (p<.001) among the nurses receiving didactic with simulation. There were no significant difference between the two groups relative to knowledge scores (p=.117), or the self-efficacy scores (p=.100). Conclusion: This study showed that simulation training for new graduate critical care nurses is useful to improve performance ability on emergency situations. Hence, providing simulation training to critical care nurses during an orientation period would improve quality of critical care nursing and help the new graduates nurse's adaptation.

• International Journal of Internet, Broadcasting and Communication
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• 제13권1호
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• pp.116-122
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• 2021

This study evaluated the effect of simulation training on cardiac arrest in hospitals for inactive nurses with 360 VR content, and attempted to prepare basic data for simulation training for inactiv nurses in the future. The design of this study is an experiment study before and after a single group. The study period was from October 13, 2020 to December 17, 2020. The subjects of the study were a total of 21 nurses who participated in the education program for inactive nurses. For simulation training for inactive nurses, Microsoft Powerpoint, hybrid simulation, high-fidelity simulation, and 360 VR content were applied for theories education and practical education. As a result of the study, the satisfaction level of the curriculum for the cardiac arrest situation in the hospital for inactive nurses was 4.78±0.36 points out of 5 points. Understanding of education was 4.71±0.46 points out of 5 points. Usefulness of education was 4.80±0.40 points out of 5 points. Confidence in airway maintenance before and after training, BLS review, manual defibrillator, emergency medication administration, airway maintenance, emergency situation simulation, and debriefing were all significant. According to the results of this study, simulation training of the situation of cardiac arrest in the hospitals for inactive nurses was effective. In future studies, it will be necessary to develope and verify specific teaching and learning methods by applying various cases of cardiac arrest situations in consideration of the type of hospitals.

• 성인간호학회지
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• 제25권5호
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• pp.494-503
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• 2013

Purpose: The purpose of this study was to examine the effects of a simulation-based educational program on anxiety and discomfort in patients with early stage of stomach cancer or stomach adenoma undergoing gastroendoscopic surgery. Methods: The study employed a non-equivalence control group and non-synchronized design to prevent diffusion of treatment. Data were collected from 110 patients (experimental group=55, control group=55) admitted to a department of gastroenterology to undergo gastroendoscopic surgery for early stage of stomach cancer or stomach adenoma. The program was conducted as a 30-minute simulation-based education including 12 processes which patients would experience. Outcome variables were state anxiety, objective discomfort, and subjective discomfort. Results: The scores of state anxiety in the experimental group significantly decreased over time compared to those in the control group. The scores of objective and subjective discomfort after surgery in the experimental group were significantly lower than those in the control group. Conclusion: The study findings suggested that the simulation-based educational program making a person feel sense of real experiences could reduce anxiety and discomfort in gastroendoscopic surgery patients.

• 한국응급구조학회지
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• 제20권3호
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• pp.21-35
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• 2016

Purpose: The purpose of the study was to investigate the continuous effect of advanced cardiovascular life support (ACLS) simulation education according to Felder-Silverman learning style. Methods: A self-reported questionnaire was completed by 94 students of emergency medical technology and nursing. There were 50 female students (53.2%) and 88 students (93.6%) had basic life support certification. The study instruments included knowledge, performance, and confidence. Data were analyzed using SPSS v. 20.0. Results: The learning style consisted of reflective type (51.1%), sensory type (76.6%), visual type (63.8%), and sequential type (64.9%). There was a significant difference in continuous effect on performance by learning type. Conclusion: It is necessary to identify the learning style of students before simulation education in order to maintain continuous effect of ACLS education.

• 대한간호학회지
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• 제45권5호
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• pp.723-732
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• 2015

Purpose: The purpose of this study was to develop a system dynamics model for adolescent obesity in Korea that could be used for obesity policy analysis. Methods: On the basis of the casual loop diagram, a model was developed by converting to stock and flow diagram. The Vensim DSS 5.0 program was used in the model development. We simulated method of moments to the calibration of this model with data from The Korea Youth Risk Behavior Web-based Survey 2005 to 2013. We ran the scenario simulation. Results: This model can be used to understand the current adolescent obesity rate, predict the future obesity rate, and be utilized as a tool for controlling the risk factors. The results of the model simulation match well with the data. It was identified that a proper model, able to predict obesity probability, was established. Conclusion: These results of stock and flow diagram modeling in adolescent obesity can be helpful in development of obesity by policy planners and other stakeholders to better anticipate the multiple effects of interventions in both the short and the long term. In the future we suggest the development of an expanded model based on this adolescent obesity model.

• 성인간호학회지
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• 제28권2호
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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.

• 간호행정학회지
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• 제12권2호
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• pp.287-294
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• 2006

Purpose: The purpose of this study was to identify the change of critical thinking disposition and problem solving process in students who experienced problem-based learning. Method: This research design was one group pre-post test design. Twenty-five nursing students who participated in ‘'Nursing Process' course with two PBL packages for a semester in 2004 were the subjects of this study. The data were analyzed by repeated measures of ANOVA, and content analysis. Result: The problem defining in problem solving process was improved significantly, but there was no significant difference in the critical thinking disposition. Conclusion: The results of this study suggest that PBL has a positive effect on nursing students' problem solving process, But for a more significant effect on a continuous base for critical thinking of nursing students, faculties should use web based and simulation-based education for self directed learning along with clinical situation-based scenarios.