• 대한간호학회지
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• 제51권4호
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• pp.465-477
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• 2021

Purpose: This study aimed to evaluate the effects of head monted display based home-visits virtual reality simulation (HVRS) program developed for undergraduate nursing students. Methods: A nonequivalent control group with a non-synchronized design was utilized and 84 participants (experimental group, 44; control group, 40) were recruited from August 31, 2020 to November 8, 2020 in Gwangju metropolitan city. The HVRS program consisted of scenarios of three nursing cases, hypertension, diabetes mellitus, and stroke. Data were analyzed SPSS version 25.0 for Windows. Results: At the completion of HVRS, significant differences were found between groups in knowledge of home-visits (t = 4.73, p < .001), self-confidence (t = 6.63, p < .001), self-efficacy (t = 3.13, p = .002), and clinical competency (t = 4.13, p < .001). No significant difference was shown between groups in nursing knowledge about strokes, a subcategory of knowledge pertaining to home visits. Conclusion: The HVRS program developed for undergraduate nursing students is effective in improving knowledge of home-visits, self-confidence, self-efficacy, and clinical competency for nursing students.

• 지역사회간호학회지
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• 제28권3호
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• pp.324-333
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• 2017

Purpose: The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training. Methods: The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training. Results: The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education. Conclusion: We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.

• 문화기술의 융합
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• 제9권4호
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• pp.259-268
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• 2023

본 연구의 목적은 간호대학생을 대상으로 표준화 환자를 활용한 정신시뮬레이션 실습교육 효과를 검증하기 위해 시도 되었다. 본 연구는 단일군 사전·사후설계 연구이며 자료수집은 J소재 일개 대학 간호학과 학생 95명에게 구조화된 설문지를 제공하였다. 수집된 자료는 SPSS/WIN 27.0 program을 활용하여 분석하였다. 연구 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육 프로그램은 대상자의 학습동기(t =-2.011, p =.046), 학습자기효능감(t =-2.225, p =.027)과 학습만족도(t =-3.428, p =.001), 전이동기(t =-2.628, p =.009)을 향상시키는데 효과가 있는 것으로 나타났다. 또한 자가 평가 내용을 텍스트 마이닝으로 분석한 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육과 관련된 단어는 상황, 경험, 연기, 의사소통, 시나리오, 정신간호 임상실습 등이 있으며, 만족도와 관련된 단어는 실제, 도움, 반응, 이해, 다양 등이 있었다. 본 연구 결과 실제 상황과 유사한 환경을 구현하였고 다양한 사례를 적용한 정신시뮬레이션 실습 교육프로그램은 간호대학생의 실습 교육의 효과가 있는 것으로 나타나 향후 현장 적응 능력을 향상할 수 있도록 적극 활용 할 필요가 있다고 본다.

• Journal of Trauma and Injury
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• 제32권1호
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• pp.8-16
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• 2019

Purpose: The Essential Surgical Procedures in Trauma (ESPIT) course was developed as a model to teach necessary surgical procedures to trauma physicians. Its goals are to improve knowledge, self-confidence, and technical competence. Methods: The ESPIT course consisted of five lectures and a porcine lab operative experience. The ESPIT course has been run seven times between February 2014 and April 2016. ESPIT participants completed a questionnaire to assess self-efficacy regarding essential surgical procedures in trauma before and immediately after taking the ESPIT course. Sixty-three participants who completed both pre- and post-course questionnaires on self-efficacy were enrolled in this study. Results: The overall post-ESPIT mean self-efficacy score was higher than the pre-ESPIT mean self-efficacy score ($8.3{\pm}1.30$ and $4.5{\pm}2.13$, respectively) (p<0.001). Self-efficacy was significantly improved after the ESPIT course in general surgeons (p<0.001), thoracic and cardiovascular surgeons (p<0.001), emergency medicine doctors, and others (neurosurgeons, orthopedic surgeons) (p<0.001). The differences in self-efficacy score according to career stage (<1 year, 1-3 years, 3-5 years, and >5 years) were also statistically significant (p<0.001). Conclusions: The data of the ESPIT participants indicated that they felt that the ESPIT course improved their self-efficacy with regard to essential surgical procedures in trauma. The ESPIT course may be an effective strategy for teaching surgical procedures, thus promoting better management of traumatic injuries.

• 한국간호교육학회지
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• 제30권2호
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• pp.113-123
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• 2024

Purpose: This study aimed to examine the mediating effect of learning immersion in clinical simulations on the relationship between nursing student learning motivation and achievement in clinical simulation. Methods: This study was conducted using a cross-sectional survey with 184 nursing students from two universities who participated in clinical simulation between September and December 2022. The participants completed a self-administered questionnaire, and the collected data were analyzed using independent an independent t-test, Mann-Whitney U-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis to identify the mediating effects of learning immersion on the relationship between nursing student learning motivation and achievement. Results: Among the subvariables of nursing student learning motivation, task value and self-efficacy for learning and performance had a significant effect on learning immersion (respectively, β=.36, p=.001; β=.31, p<.001) and learning achievement (respectively, β=.48, p<.001; β=.38, p<.001). With the input of learning motivation variables, the direct effect of learning immersion on learning achievement was significant (β=.20, p=.003), and the effects of learning motivation and task value and self-efficacy on learning achievement was reduced after controlling for learning immersion, which is a mediating variable (respectively, β=.41, p<.001; β=.32, p<.001). The bootstrapping test to confirm the mediating effect of learning immersion was also significant (task value 95% confidence interval [95% CI], 0.02~0.20; self-efficacy 95% CI, 0.01~0.12). Conclusion: The results of this study suggest that simulation educators should consider learners' motivation and immersion when organizing and operating clinical simulations.

• 중환자간호학회지
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• 제16권2호
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• pp.54-66
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• 2023

Purpose : Developing infection control capabilities during the COVID-19 pandemic was critical. This study aimed to develop a simulation program to control patients with COVID-19 in nursing students and examine the effects on COVID-19 knowledge, COVID-19 nursing intention, self-efficacy learning, and clinical performance. Methods : The study used nonequivalent control group pretest-posttest design. Sixty nursing students were recruited from two different colleges using purposive sampling. For the intervention group(n=30), the pretest was administered before the simulation program, involving six sessions of online lectures and simulation practices. Immediately, the posttest was conducted following the program. Results : COVID-19 knowledge (t=9.87, p <.001), COVID-19 nursing intention (t=4.45, p <.001), learning self-efficacy (t=6.49, p <.001), and clinical performance (t=6.77, p <.001) increased significantly after the program, revealing the positive effect of the COVID-19 infection control simulation program in nursing students. Conclusion : The results of the study and the curriculum may be used as practical evidence for COVID-19 infection control in nursing schools and medical institutions.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.396-408
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• 2014

본 연구는 치료적 관계형성 및 의사소통, 정신간호사정 교육을 위해 개발한 모의환자를 활용한 정신간호 시뮬레이션 교육프로그램이 자기주도적 학습, 학습 자기효능감 및 교육만족도에 미치는 효과를 검증하고자 시행하였다. 본 연구는 단일군 전후설계 실험연구로 119명의 간호학과 3학년을 대상으로 8시간의 시뮬레이션 교육 중재를 시행하였다. 그 결과 시행 전보다 시행 후에 자기주도적 학습, 학습 자기효능감이 유의하게 향상된 것으로 나타났으며, 이들 변수들은 교육만족도와 중간정도의 정적인 상관관계를 보였다. 이는 정신간호 실습교육에 있어서 모의환자를 이용한 시뮬레이션 교육이 효과적임을 보여주는 결과라 할 수 있다. 본 연구는 현장중심의 정신간호 실습교육 및 정신간호 임상실무의 질을 향상시키는데 기여할 수 있을 것이다.

• 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.

• 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.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.121-128
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• 2020

본 연구는 간호학과 4학년 학생을 대상으로 시뮬레이션에 기반한 한국형 전문소생술 교육을 실시하고 교육 후 한국형 전문소생술에 대한 지식, 자기효능감에 대한 효과를 확인하며 3개월 후 재측정을 통해 교육 효과의 지속성을 확인하고자 시도되었다. 연구 대상은 경기도에 소재한 일개 간호학과 4학년 41명이었다. 한국형 전문소생술 교육은 2018년 1월에 진행되었으며 자료수집을 위한 설문조사는 교육 한달 전, 교육 직후 시행되었으며 교육의 지속성을 확인하기 위해 3개월 후에 재시행하였다. 연구결과 시뮬레이션 기반 한국형 전문소생술에 대한 간호학생의 지식은 교육 전 8.56점, 교육 직후 16.34점으로 유의미하게 상승하였으며(p<.001), 3개월 후 13.36점으로 교육 직후에 비해 유의미하게 감소하였다(p<.001). 시뮬레이션 기반 한국형 전문소생술에 대한 간호학생의 자기효능감은 교육 전 2.37점, 교육 직후 4.07점으로 유의미하게 상승하였으며(p<.001), 3개월 후 3.40점으로 교육 직후에 비해 유의미하게 감소하였다(p<.001). 본 연구 결과를 통해 시뮬레이션 기반 한국형 전문소생술 교육이 간호학생의 지식과 자기효능감을 높일 수 있는 적절한 교수법이지만 교육 후 상승한 지식과 자기효능감을 유지하기 위해서는 교육 3개월 이후 재교육 방안이 모색되어야 한다는 것을 확인할 수 있다.