• 기본간호학회지
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• 제24권1호
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• pp.39-50
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• 2017

Purpose: The purpose of this study was to identify the effects simulation-based education combined team-based learning (SBE combined TBL) compared to simulation-based education (SBE) on undergraduate nursing students. Methods: A non-equivalent control group design with pre-and posttest measures was used. The participants in the study were 181 students. The SBE combined TBL group consisted of 84 senior students in 2013, and the SBE group consisted of 97 seniors in 2014. Collected data were analyzed using chi-square, independent t-test and ANCOVA with the statistical package SPSS 22.0 for Windows. Results: There was a significant improvement in communication skills, nursing performance confidence, team efficacy, and team performance scores in the SBE combined TBL group compared to the SBE group (t=2.45, p=.015; F=4.30, p=.040; t=3.06, p=.003; t=8.77, p<.001). However, there was no statistically significant difference in self-directed learning between the groups. Conclusion: SBE combined TBL compared to SBE is an effective teaching and learning method to enhance various positive educational outcomes for nursing students. Therefore, we suggest that future studies investigate the development of an integrated course in which team-based learning is applied to theoretical sessions and simulation-based training.

• 기본간호학회지
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• 제24권1호
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• pp.51-59
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• 2017

Purpose: This was a cross-sectional descriptive study in which an exploration was done of how nursing students perceive debriefing and what they think are the most effective debriefing methods for simulation-based nursing education. Methods: A convenience sample of 296 sophomore, junior and senior nursing students from three universities and who had attended simulation classes participated in this study. Survey data garnered was analyzed using descriptive analysis and $x^2$ test. Results: A high majority of the participants (98.3%) saw debriefing as "learning from mistakes", while 62.8% considered it more important than simulations/scenarios. They also perceived debriefing to be effective when they analyzed their colleagues' and their own performances and received feedback. Sophomore students preferred writing a reflection paper as an effective debriefing method compared to junior and senior students. Conclusion: The study findings indicate that debriefing is an important component of simulation-based education and should be considered part of the teaching strategies with debriefing methods dependent on themes and scenarios and what is needed to achieve learning outcomes.

• 성인간호학회지
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• 제27권5호
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• pp.604-611
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• 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.

• 정보교육학회논문지
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• 제26권2호
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• pp.121-128
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• 2022

교육부에서 2021년 9월에 발표한 2022 개정 교육과정 총론 연구 결과에서는 기후·환경 교육이 소프트웨어 교육과 더불어 전면에 등장하는 등 환경 문제가 사회적으로 중요한 화두로 떠오르고 있다. 본 연구에서는 파이썬 몬테카를로 시뮬레이션을 적용하여 2022 개정 교육과정에서 강조하고 있는 환경교육과 소프트웨어교육을 융합한 고등학생 대상 프로그램을 개발하였다. 개발한 프로그램은 과학·환경·정보 교과 교육 전문가를 대상으로 프로그램의 타당성을 Lawshe의 내용타당도 비율(Content Validity Ratio: CVR)로 검증하였고, 검증 결과 프로그램은 개발 취지와 환경 및 정보 교과 성취기준에 적합한 것으로 나타났다.

• 융합정보논문지
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• 제10권10호
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• pp.100-108
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• 2020

본 연구의 목적은 간호대학생에게 가상 현실 시뮬레이션 교육과 교외 임상실습을 통합한 교육을 적용한 후의 자기효능감, 임상수행능력 및 비판적 사고 성향의 차이를 확인하여 효과적인 실습교육의 기초자료로 제공하기 위함이다. 본 연구는 2020년 6월 8일부터 7월 3일까지 G시 소재 대학 3학년에 재학 중이며, 가상 현실 시뮬레이션 교육과 교외 임상실습을 받은 경험이 없는 간호대학생 30명을 대상으로 하였다. 자료분석은 Paired t-test로 분석하였다. 연구결과, 가상 현실 시뮬레이션 교육과 교외 임상실습을 통합한 교육을 적용한 후 자기효능감, 임상수행능력 및 비판적 사고 성향정도가 교육 전보다 통계적으로 유의하게 높아진 것으로 나타났다. 본 연구에서 간호대학생의 가상 현실 시뮬레이션 교육과 교외 임상실습을 통합한 교육은 임상수행능력 향상과 더불어 비판적 사고 성향, 자기효능감을 향상시키는 것으로 확인되어 교외 임상실습 전 임상상황에 맞는 다양한 가상 현실 시뮬레이션 교육이 필요할 것으로 사료된다.

• 대한간호학회지
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• 제47권6호
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• pp.842-853
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• 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.

• 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.

• 디지털융복합연구
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• 제19권1호
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• pp.229-237
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• 2021

본 연구의 목적은 시뮬레이션 기반 흉관배액관리 간호교육이 간호학생의 시나리오 경험에 대한 반응, 학습에 대한 자신감 및 문제해결능력에 미치는 효과를 검증하는 것이다, 본 연구는 단일군 전후설계 실험 연구로 133명의 3학년 간호학생을 31개조로 시뮬레이션 교육 중재를 시행하였다. 연구결과, 시뮬레이션 실습교육 시행 전보다 시행 후에 시나리오 경험에 대한 반응은 긍정적인 결과로 나타났고, 학습에 대한 자신감 및 문제해결능력은 유의하게 향상된 것으로 나타났다. 이는 간호학 실습교육에 있어서 시뮬레이터를 이용한 시뮬레이션 교육이 효과적임을 보여주는 결과라고 할 수 있다. 본 연구는 현장중심의 실습교육 및 임상실무의 질을 향상시키는데 기여할 수 있을 것이다.

• 한국응급구조학회지
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• 제11권3호
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• pp.31-45
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• 2007

Purpose : The simulation-based training in this research consists of theory and practice. Before the training, target students took a test on the competence of basic life support. Based on the result, they were separated as the subject group and comparison group. The simulation-based training was offered to the subject group and the traditional training was given to the comparison group. As soon as the training was completed, a follow-up study was conducted. Methods : This research aimed to figure out the effect of the simulation-based training on the competence of basic life support of the students Emergency Medical Technology. To this end, the nonequivalent pretest-posttest-quasi-experimental design using a comparison group was conducted. Results : The first hypothesis was that 'The group who took the simulation-based training would show higher points in the knowledge of basic life support than the group who took the traditional training.' Among those who took prior theory education, the subject group showed $69.38{\pm}20.43$ points while the comparison group showed $76.25{\pm}21.33$ points(t = -0.658, p = 0.531). Among those who took prior theory education and training, the subject group showed $82.86{\pm}10.86$ points while the comparison group showed $79.33{\pm}15.45$ points(t = 0.705, p = 0.487). Since there were no significant statistical differences between the two groups, the first hypothesis didn't hold. It showed few differences between the two training methods. The second hypothesis was that 'The group who took the simulation-based training would show higher points in the basic life support skills than the group who took the traditional training.' Among those who took prior theory education, the subject group showed $65.75{\pm}7.66$ points while the comparison group showed $46.88{\pm}13.48$ points(t = -3.442, p = 0.004). Among those who took prior theory education and training, the subject group showed $79.50{\pm}11.40$ points while the comparison group showed $62.13{\pm}11.44$ points(t = 4.091, p = 0.000). Since there were significant statistical differences between the two groups, the second hypothesis held. It showed substantial differences between the two training methods. Conclusion : The group who took the simulation-based training showed more positive effects on the competence of basic life support than those who took the traditional training. Therefore, it is confirmed that the simulation-based training is a useful method to improve clinical work performance of the students Emergency Medical Technology.

• 한국간호교육학회지
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• 제29권4호
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• pp.339-351
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• 2023

Purpose: The purpose of this study is to identify the educational needs of virtual reality simulations that can be applied to novice nurses during the waiting period before starting work in a hospital. Methods: A convergent mixed methods was used. The survey data were collected from 230 novice nurses, and a focus group interview was conducted with 6 new nurses. The data were collected from November 2022 to January 2023. Descriptive statistics, a frequency analysis, independent t-test, and an Importance-Performance Analysis were performed using SPSS 24.0. Results: Appropriate topics for virtual reality simulation education were indicated to be medications and intravenous injections, which are high priority topics in quantitative and qualitative research. The novice nurses wanted group activity training three to four times a week for two weeks before beginning work in a hospital. They also wanted an immersive virtual reality system based on a real hospital environment. Conclusion: Based on the above results, this study provides basic data for the development of a virtual reality simulation education that can improve the adaptation of novice nurses to clinical practice. A strategy was suggested to utilize the waiting time before beginning work in a hospital as educational time.