• 제목/요약/키워드: Nursing Simulation

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The effects of a maternal nursing competency reinforcement program on nursing students' problem-solving ability, emotional intelligence, self-directed learning ability, and maternal nursing performance in Korea: a randomized controlled trial

  • Kim, Sun-Hee;Lee, Bo Gyeong
    • 여성건강간호학회지
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    • 제27권3호
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    • pp.230-242
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    • 2021
  • Purpose: The purpose of this study was to develop a maternal nursing competency reinforcement program for nursing students and assess the program's effectiveness in Korea. Methods: The maternal nursing competency reinforcement program was developed following the ADDIE model. This study employed an explanatory sequential mixed methods design that applied a non-blinded, randomized controlled trial with nursing students (28 experimental, 33 control) followed by open-ended interviews with a subset (n=7). Data were analyzed by both qualitative and quantitative analysis methods. Results: Repeated measures analysis of variance showed that significant differences according to group and time in maternal nursing performance; assessment of and intervention in postpartum uterine involution and vaginal discharge (F=24.04, p<.001), assessment of and intervention in amniotic membrane rupture (F=36.39, p<.001), assessment of and intervention in delivery process through vaginal examination (F=32.42, p<.001), and nursing care of patients undergoing induced labor (F=48.03, p<.001). Group and time improvements were also noted for problem-solving ability (F=9.73, p<.001) and emotional intelligence (F=4.32, p=.016). There were significant differences between groups in self-directed learning ability (F=13.09, p=.001), but not over time. The three main categories derived from content analysis include "learning with a colleague by simulation promotes self-reflection and learning," "improvement in maternal nursing knowledge and performance by learning various countermeasures," and "learning of emotionally supportive care, but being insufficient." Conclusion: The maternal nursing competency reinforcement program can be effectively utilized to improve maternal nursing performance, problem-solving ability, and emotional intelligence for nursing students.

학부과정의 시뮬레이션 학습이 신규간호사의 문제해결과정과 임상수행능력에 미친 영향 (The Impact of Simulation-based Learning in Undergraduate Courses on the Problem Solving and Clinical Competence for New Nurses)

  • 홍은정;김현영
    • 한국콘텐츠학회논문지
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    • 제16권10호
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    • pp.617-626
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    • 2016
  • 이 연구는 간호학과 학부 과정에서 경험한 시뮬레이션 학습이 신규간호사의 문제해결과정과 임상수행능력에 미친 영향을 파악하기 위한 서술적 조사연구이다. 연구 대상자는 학부과정에서 시뮬레이션 학습 경험이 1회 이상 있으며 임상 경력 12개월 미만의 신규간호사 202명이다. 연구를 통해 학부에서 경험한 시뮬레이션 학습의 횟수와 신규간호사의 문제해결과정 및 임상수행능력에 미친 영향 간에는 유의미한 상관관계가 없었으며, 시뮬레이션 학습의 설계와 문제해결과정 및 임상수행능력에 미친 영향 간에는 유의미한 양의 상관관계가 있는 것으로 나타났다. 연구 대상자들이 경험한 시뮬레이션 학습의 설계를 군집분석으로 유형화하여 문제해결과정 및 임상수행능력에 미친 영향의 차이를 분석한 결과에서도 유의미한 차이를 나타냈다. 이 연구를 통해 학습의 효과를 향상하기 위해서 시뮬레이션 학습의 설계가 중요하다는 점을 확인하였으며, 효과적인 운영을 위한 기초 자료로 활용할 수 있을 것으로 기대한다. 추후 학부 과정의 시뮬레이션 학습이 간호사의 임상 능력에 미치는 영향에 대하여 보다 면밀한 평가가 이루어질 필요가 있다.

학습성과기반 단계적 통합간호실습교육 매트릭스 개발 (The Development of the Integrated Nursing Practicum Education Matrix based on Learning Outcomes)

  • 이주희;이태화;이현경;김상희;배주연;한지희;이경은
    • 한국간호교육학회지
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    • 제21권4호
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    • pp.528-539
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    • 2015
  • Purpose: The purpose of this study was to develop an integrated nursing practicum education matrix based on the learning outcomes of each stage. Methods: In this Delphi technique study, 10 experts, consisting of six professors and four nurses, participated in the development of the matrix. The first step was an in-depth review for the composition of the questionnaire and the second step was the Delphi technique. The Delphi survey was conducted two times in order to complete the components of the matrix. The survey data was analyzed for statistical averages and standard deviations to decide the order of priority. Results: According to each stage (i.e. fundamental stage, competent stage, and proficient stage), the matrix was composed of education contents, methods, evaluation methods, and curriculum outcomes. Conclusion: The integrated nursing practicum education matrix of Y University was completed. The developed matrix will result in a reduction in the gap between nursing education and clinical practice and an improvement in nursing competency.

호흡기계 표준화 환자를 이용한 간호대 학생의 임상수행능력평가 타당도와 신뢰도 검증 (Validity and Reliability of a Clinical Performance Examination using Standardized Patients)

  • 최자윤;장금성;최순희;홍미순
    • 대한간호학회지
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    • 제38권1호
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    • pp.83-91
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    • 2008
  • Purpose: The purpose of this study was to test the validity of a modified clinical performance examination (CPX) for preclinical students in nursing. Method: 70 nursing students in their second semester of the junior year at C University participated in CPX. Scenarios and checklists were developed by our research team from September to October 2005. Six stations were organized. Evaluation included physical examination of a patient with lung cancer, education on usage of a metered dosage inhaler, and lobectomy postoperative care. Students were randomly assigned to a station. Result: There was a difference in the CPX scores according to stations. The agreement of scoring between trained faculty members and SPs was more than moderate (r=.647). The correlation between the CPX score and the average grade in the previous semester and between the CPX score and the average grade of a paper and pen test of the pulmonary system of adults was low (r=.276; r=.048). Conclusion: Traditional CPX is generally recommended, however, modified CPX is appropriate for preclinical students in the current Korean Nursing school setting if there are additional scoring systems to balance the testing level at each station.

보건교사의 재난간호역량에 미치는 영향요인 (The Factors Influencing on Disaster Nursing Competency of School Health Teachers)

  • 강유진;문미경
    • 한국학교ㆍ지역보건교육학회지
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    • 제24권4호
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    • pp.1-11
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    • 2023
  • Objectives: This study aims to identify influencing factors of disaster nursing competency among school health teachers. Methods: Data were collected from 110 school health teachers at the offfice of education in G province using a convenience sampling method. Data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients, and multiple regression analysis. Results: There was a significant difference in disaster nursing competency according to the general characteristics of the subjects in terms of clinical nurse work experience (t=3.40, p=.001) and disaster education experience (t=2.80, p=.006). Disaster perception and disaster nursing competency showed a significant positive correlation (r=.43, p<.001). In final analysis, disaster perception (𝛽=.35, p<.001), career as a nurse (𝛽=.23, p=.009), experience in disaster education (𝛽=.17, p=.048) was found to have a significant effect on disaster nursing competency. Conclusions: Based on the results of this study, disaster perception should be raised to improve the disaster nursing competency of school health teachers. Speicalized disaster nursing & health education based on their experience before appointing school health teachers and disaster response simulation training tailored to school field conditions should be regularly conducted.

의료기관 종별 간호사의 임상간호교육 참여 현황과 보수교육 요구 분석 (Analysis of Participation Status in Clinical Nursing Education and Needs for Continuing Education among Clinical Nurses according to Hospital Type)

  • 신수진;황은희;강영미;오현주
    • 동서간호학연구지
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    • 제26권2호
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    • pp.196-204
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    • 2020
  • Purpose: This study investigates the participation status in clinical nursing education and nurses' continuing education needs to develop educational programs. Methods: Participants were 227 nurses working in medical institutions where nursing students practiced, and the selection criteria were nurses with more than two years of clinical education experience; data were collected using structured questionnaires. Results: More than half of the clinical nurses had completed a preceptor training program for clinical nursing education, and the subjects mainly educated by nurses were new graduate nurses and nursing students. The obstacles to clinical nursing education were lack of compensation, lack of manpower, lack of patient nursing time, excessive workload, and lack of knowledge as educators. The educational methods preferred in continuing education were small-group workshops and online education. The desired educational topics in continuing education were current nursing practice standards, simulation nursing education, and the role of clinical nursing educators. Conclusion: Based on our results, it is necessary to understand the importance of clinical nursing education, which is essential for clinical nurses, to prepare a specific system for them and to develop and operate a systematic education program according to medical institutions' characteristics.

간호대학생의 시뮬레이션기반 교육 시 구조화된 디브리핑 유형이 학습성과에 미치는 효과 (Effect of Structured Debriefing on the Learning Outcomes of Nursing Students in Simulation-based Education)

  • 최소은;김현주
    • 한국정보통신학회논문지
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    • 제22권9호
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    • pp.1208-1213
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    • 2018
  • 시뮬레이션 교육 시 구조화된 디브리핑 유형이 간호대학생의 학습몰입, 비판적사고성향과 임상수행능력에 미치는 효과를 검증하고자 시도된 비동등성 대조군 사후 시차설계의 유사실험 연구이다. 연구대상자는 P 대학교 간호학과 4학년 학생으로, 실험군 22명, 비교군 24명, 대조군 20명으로 총 66명이었다. 실험군에게는 LCJR 질문을 이용한 구조화된 비디오 디브리핑, 비교군은 구조화된 구두 디브리핑, 대조군은 구조화된 그룹 토론 디브리핑을 실시하였다. 연구결과 학습몰입과 비판적사고성향 및 임상수행능력은 세 군간 유의한 차이가 없었으나 사전-사후 차이 검정시 모두 향상되었다. 또한 임상수행능력의 세부영역 중 계획과 중재는 실험군이 다른 두 군에 비해 유의하게 향상되었다. 이를 통해 LCJR의 임상판단 루브릭을 활용한 디브리핑은 시뮬레이션교육에 효과적이며 특히 비디오를 활용한 구조화된 디브리핑 유형은 임상수행능력을 높이는데 영향을 끼치는 것으로 나타났다.

시스템다이내믹스를 활용한 국내청소년 사이버불링피해 모델 개발 (Development of a Quantitative Model on Adolescent Cyberbullying Victims in Korea: A System Dynamics Approach)

  • 유미진;함은미
    • 대한간호학회지
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    • 제49권4호
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    • pp.398-410
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    • 2019
  • Purpose: This study used a system dynamics methodology to identify correlation and nonlinear feedback structures among factors affecting adolescent cyberbullying victims (CV) in Korea and to construct and verify a simulation model. Methods: Factors affecting CV were identified by reviewing a theoretical background in existing literature and referencing various statistical data. Related variables were identified through content validity verification by an expert group, after which a causal loop diagram (CLD) was constructed based on the variables. A stock-flow diagram (SFD) using Vensim Professional 7.3 was used to establish a CV model. Results: Based on the literature review and expert verification, 22 variables associated with CV were identified and the CLD was prepared. Next, a model was developed by converting the CLD to an SFD. The simulation results showed that the variables such as negative emotions, stress levels, high levels of conflict in schools, parental monitoring, and time spent using new media had the strongest effects on CV. The model's validity was verified using equation check, sensitivity analysis for timestep and simulation with 4 CV adolescent. Conclusion: The system dynamics model constructed in this study can be used to develop intervention strategies in schools that are focused on counseling that can prevent cyberbullying and assist in the victims' recovery by formulating a feedback structure and capturing the dynamic changes observed in CV. To prevent cyberbullying, it is necessary to develop more effective strategies such as prevention education, counseling and treatment that considers factors pertaining to the individual, family, school, and media.

일개 대학 시나리오 기반 성인간호학 시뮬레이션 실습 교육에서 PBL 적용 수업 모듈 개발 및 융합적 적용 경험 (Development of PBL Application Class Module and Convergence Application Experience in one university Scenario-based Adult Nursing Simulation Training)

  • 정영희
    • 미래기술융합논문지
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    • 제2권3호
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    • pp.33-41
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    • 2023
  • 본 연구는 문제 중심학습법(PBL, Problem Based Learning)을 적용한 성인간호학 시뮬레이션 실습 모듈 개발과 적용 경험 분석을 통해 수업의 질 향상의 근거로 활용하고자 하였다. 간호학과 68명 학생에 대해 PBL을 접목한 시뮬레이션 실습 모듈 적용 후 만족도, 타당도, 자아성찰지와 강의 평가 등의 양적 질적 자료를 분석하였다. 만족도는 5점 중 4.64점으로, '나는 이 수업을 다른 친구들에게 추천하고 싶다'가 가장 높게 나타났다. 수업 내용의 타당성 검토 항목에 대해 64.7%~100%로 타당하다고 답하였다. 질적 자료 분석으로부터, '생동감 있는 수업 환경과 관련된 몰입감 증대', '학습자의 능동적인 수업 참여로 체화된 지식과 술기의 성장', '팀 기반 문제해결 과정을 통한 상호협업 능력 향상', '상황적 위기 대처 과정을 통한 문제해결 능력 향상', '소규모 밀착 지도에 따른 개인의 이해력 향상'의 5개 주제 묶음으로 범주화 되었다. 수업의 질 향상을 위해 추후 지속적인 PBL 학습전략 개발 및 다양한 시나리오 개발이 요구된다.

What was the vSim for nursing practice experience?

  • Kim, Jungae
    • International Journal of Internet, Broadcasting and Communication
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    • 제12권3호
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    • pp.25-31
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    • 2020
  • The study is a phenomenological analysis of the video simulation clinical practice experience recently conducted on nursing students due to the outbreak of corona 19 worldwide. A total of eight students participated in the vSim class who understood the purpose of the study and wanted to participate voluntarily. The data collection conducted a total of three interviews until no new data was available, and the collection period was from June 22, 2020 to July 10, 2020. The collected data were analyzed with the Giorgi's Phenomenological Analysis Method. As a result of the study, three components and 13 semantic units were derived. vSim was difficult for students, but it was an interesting experience that made them feel like nurses, and it was an experience in which they were immersed in learning rather than face-to-face classes, and their skills improved.