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Effects of Self-directed Practice through Writing Self-Reflective Journal on Basic Nursing Performance ability, Confidence in performance, Learning self-efficacy and Practice satisfaction

자아성찰 자율실습이 기본간호 수행능력 및 수행자신감, 학업적 자기효능감, 실습만족도에 미치는 효과

  • Received : 2017.08.11
  • Accepted : 2017.10.20
  • Published : 2017.10.28

Abstract

This study conducted non-equality control post-design similar experimental study in order to investigate the effect of self-directed practice through self-reflection by using videos on the basic nursing performance ability, confidence in performance, learning self-efficacy, and practice satisfaction. The experimental group was 57 students and the control group was 56 students in the Department of Nursing in G region. The data was collected from April 1, 2017 to June 14, 2017. For analyzing data, the SPSS 22.0 program was used and the homogeneity test was analyzed with ${\chi}^2$ test, t-test, and Fisher's exact test. Also, independent-test was used. According to the result, all of the experimental groups including the basic nursing performance ability, confidence in performance, learning self-efficacy(t=15.304, p<.001), and practice satisfaction(t=15.304, p<.001) were improved and showed significant differences compared to the control group. As a result, it is predicted that the practice method has a positive effect on participating in self-study and it contributes to active participation by increasing learning motivation of learners. Thus, it is suggested to be applied to various practical training to improve basic nursing skills.

본 연구는 동영상을 활용하여 자아성찰을 통한 자율실습 후 기본간호 수행능력 및 수행자신감, 학업적 자기효능감, 실습만족도에 미치는 효과를 규명하기 위해 비동등성 대조군사후설계 유사실험 연구를 수행하였다. 연구대상은 G지역 일개대학 간호학과 2학년을 대상으로 하였으며, 실험군 57명, 대조군 56명이었다. 자료수집은 2017년 4월1일부터 6월 14일까지였다. 자료는 SPSS 22.0 Program을 이용하여 동질성 검정은 ${\chi}^2$ test, t-test 및 Fisher's exact test로 분석하였고, 변수에 대한 집단 간의 사전동질성 검정은 Independent-test를 시행하였다. 연구결과 기본간호 수행능력 및 수행자신감, 학업적 자기효능감(t=15.304, p<.001), 실습만족도(t=15.304, p<.001) 모두 실험군이 대조군보다 점수가 향상되었을 뿐만 아니라 통계학적으로 유의한 차이를 보였다. 결론적으로 기본간호 자율실습 시 동영상을 촬영한 후 자아성찰을 통한 실습방법은 자율실습 참여에 긍정적인 효과를 초래하였을 뿐만 아니라 학습자들의 학습동기를 높여 적극적이고 능동적인 실습참여에 기여할 수 있을 것으로 예측된다. 따라서 본 연구결과를 토대로 기본간호 술기능력을 향상시키기 위해 보다 다양한 실습에 적용해볼 것을 제안한다.

Keywords

Acknowledgement

Supported by : 신한대학교

References

  1. S. N. Park, S. K. Lee, "Factors influencing basic nursing skill competency in nursing students", Journal of Korean Academy of Fundamentals of Nursing. Vol.15, No.1, pp.6-13, 2008.
  2. H. J. Paik, "Educational Evaluation of Compet-ency in Nursing Skills through Open Laboratory Self-directed Practice", Journal of Korean Academy of Fundamentals of Nursing, Vol.11, No.1, pp.13-20, 2004.
  3. S. S. Song, Y. J. Kim, "The Effect of Self-Evaluation Method Using Video Recording on Competency in Nursing Skills, Self-Directed Learning Ability, Problem Solving Ability, and Academic Self-Efficacy", Journal of Korean Academy of Fundamentals of Nursing, Vol.22, No.4, pp.416-423, 2015. https://doi.org/10.7739/jkafn.2015.22.4.416
  4. I. S. Ko, "Measurement of Competency through self study in basic nursing Lab. practice focused on cleansing enema", Journal of Korean Academy of Fundamentals of Nursing, Vol.6, No.3, pp.532-543, 1999.
  5. E. H. Chang, S. H. Park, "Effects of Self-Evaluation Using Video Recording Method on Nursing Students' Competency in Basic Nursing Skills, Satisfaction Levels, Learning Motivations during Open Laboratory Hours: focusing on Foley Catheterization", Journal of Korean Academy of Fundamentals of Nursing, Vol.24, No.2, pp.118-127, 2017. https://doi.org/10.7739/jkafn.2017.24.2.118
  6. S. H. Hong, Y. S. Kwon, "Nursing student's practice scores, confidence and satisfaction in fundamentals of nursing according to teaching method for self-directed practice", Keimyung Journal of Nursing Science. Vol.14, No.1, pp.1-10, 2010.
  7. M. G. Lee, J. S. Kim, P. W. Kim, "Practical education methodology(third)", Seoul, Kyoyoo-book, 2005.
  8. Y. H. Kim, "Learning Motivation and Self-Directedness Utilizing Animation Prior Learning of Fundamental Nursing Practice Education in Student Nurses", Journal of Korean Academy of Fundamentals of Nursing, Vol.17, No.2, pp.240-248, 2010.
  9. R. J. Evans, G. W. Donnelly, "A Model to Describe The Relationship Between Knowledge, Skill, and Judgement in Nursing Practice", Nursing Forum, Vol.41, No.4, pp.150-157, 2006.
  10. K. Stegers-Jager, M. J. Cohen-Schotanus, A. P. N. Themmen, "Motivation, Learning Strategies, Participation and Medical School Performance", Medical Education, Vol.46, pp.678-688, 2012. https://doi.org/10.1111/j.1365-2923.2012.04284.x
  11. M. Y. Jho, "Effects of Writing Reflective Journal on Meta-cognition and Problem Solving Ability in Nursing Students taking a Fundamental Nursing Skills Course Applying Blended Learning", Journal of Korean Academy of Fundamentals of Nursing. Vol.23, No.4, pp.430-439, 2016. https://doi.org/10.7739/jkafn.2016.23.4.430
  12. M. R. Um, I. W. Park, "The study of learner-related variables influencing to the effect of reflective journal writing on learning in e-portfolio", Education engineering research, Vol.27, No.1, pp.213-246, 2011.
  13. Y. H. Kim, "Learning Motivations, Academic Self-Efficacy, and Problem Solving Processes after Practice Education Evaluation", Journal of the Korea Academia-Industrial cooperation Society, Vol.15, No.10 pp.6176-6186, 2010. https://doi.org/10.5762/KAIS.2014.15.10.6176
  14. S. Y. Hwang, K. S. Jang, "Perception about problem-based learning in reflective journals among undergraduate nursing students", Journal of Korean Academy of Nursing, Vol.35, No.1, pp.65-76, 2005. https://doi.org/10.4040/jkan.2005.35.1.65
  15. I. A. Kang, E. S. Jung, "The reexamination of educational implications of reflective journal: Auniversity class case", Korean Journal of Educational Methodology Studies. Vol.21, No.2, pp.93-117, 2009.
  16. E. Y. Cheon, "The effects of video-aided peer feedback on enhancing nursing students' understanding of foley catheterization", Journal of Korean Academic Society of Nursing Education, Vol.19, No.1, pp.43-51, 2013. https://doi.org/10.5977/jkasne.2013.19.1.43
  17. S. G. Lee, Y. H. Shin, "Effects of Self-directed Feedback Practice using Smartphone Videos on Basic Nursing Skills, Confidence in Performance and Learning Satisfaction", Journal of Korean Academy of Fundamentals of Nursing, Vol.46 No.2, pp.283-292, 2016. https://doi.org/10.4040/jkan.2016.46.2.283
  18. E. J. Shin, "A study related to self-efficacy, satisfaction with practice and fundamentals of nursing practicum", Journal of Korean Academy of Fundamentals of Nursing, Vol.15, No.3, pp.380-386, 2008.
  19. K. R. Livsey, "Clinical Faculty Influences on Student Caring Self-Efficacy", International Journal for Human Caring, Vol.13, No.2, pp.53-59, 2009.
  20. Y. R. Park, "Knowledge, Attitude and Self-Confidence of Studenr Nurses Regarding Nosocomial Infection Control",Journal of Korean Academy of Fundamentals of Nursing, Vol.14, No.4, pp. 429-436, 2007.
  21. A. Y. Kim, I. Y.Park, "Construction and Validation of Academic Self-Efficacy scale", Korean Journal of Educational Research", Vol.39, No.1, pp.95-123, 2001.
  22. E. K. Lee, I. S. Kim, Y. M. Chae, H. S. Kim, "Development and evaluation of internet-based distance learning system for health science", Healthcare Informatics Research, Vol.5, No.3, pp.139-148, 1999.
  23. K. Y. Seong, "Effects of practice nursing education : using standardized patients on subcutaneous insulin injection", Unpublished master's thesis, Eulji University, 2008.
  24. S. S. Lee, M. K. Kwon, "Effects of Self-directed Fundamental Nursing Practice using Smartphone Videos on Self-efficacy, Practice Satisfaction, and Skill Competency", The Journal of Korean Academic Society of Nursing Education, Vol.22 No.3, pp.255-263, 2016. https://doi.org/10.5977/jkasne.2016.22.3.255
  25. K. McKenny, "Using an online video to teach nursing skills", Teaching and Learning in Nursing, Vol.6, No.4, pp.172-175, 2011. https://doi.org/10.1016/j.teln.2011.04.003
  26. A. L. Farquharson, A. C. Cresswell, J. D. Beard, P. Chan, "Randomized trial of the effect of video feedback on the acquisition of surgical skills", The British Journal of Surgery, Vol. 100, No.11, pp.1448-1453, 2013. https://doi.org/10.1002/bjs.9237
  27. H. H. Han, "A Study of Convergence on Frequency of Performance, Self-Confidence, Performance Assessment Scores of Core Nursing Skills of Nursing Students", Journal of Digital Convergence, Vol.14, No.8, pp.355-362, 2016. https://doi.org/10.14400/JDC.2016.14.8.355
  28. T. Bowden, A. Rowlands, M. Buckwell, S. Abbott, "Web-based video and feedback in the teaching of cardiopulmonary resuscitation", Nurse Education Today, Vol.32, No.4, pp.443-447, 2012. https://doi.org/10.1016/j.nedt.2011.04.003
  29. Eroz-TugB, "Reflective feedback sessions using video recordings", ELT Journal, Vol.67, No.2, pp.175-183, 2012. https://doi.org/10.1093/elt/ccs081
  30. M. A. Kim, "A Study of Teaching Effectiveness on Clinical Nursing Education", Journal of Korean Academy of Nursing, Vol.26, No.4, pp.946-962, 1996.
  31. E. J. Yeun, "Effectiveness of video-record method on fundamental nursing skill education: Focused on intramuscular injection practice", The Journal of Korean Academic Society of Nursing Education, Vol.5, No.1, pp.86-96, 1999.
  32. K. M. Lundberg, "Promoting self-confidence in clinical nursing students", Nurse Educator, Vol. 3, No.2, pp.86-89, 2008.
  33. M. S. Jung, Young-Sook Kwon, "The Effects of Convergence-Based Reeducation on Core Basic Nursing Skills on Nursing Students' Competence and Confidence", Journal of Digital Convergence, Vol.13, No.4, pp.295-302, 2015. https://doi.org/10.14400/JDC.2015.13.4.295
  34. A. M. Sally, M. L.Andrew, "Using on-line video clips to enhance self-efficacy toward dealing with difficult situations among nursing students", Nurse Education Today, Vol.26, No.3, pp.200-208, 2006. https://doi.org/10.1016/j.nedt.2005.09.024
  35. M. Y. Moon, "Effects of Convergence-based Integrated simulation Practice program on the Clinical decision making, Problem solving process, Clinical competence and Confidence of core fundamental nursing skill performance for Nursing Students, Journal of Digital Convergence, Vol.15, No.7, pp.271-284, 2017. https://doi.org/10.14400/JDC.2017.15.7.271
  36. K. R. Livsey, "Clinical Faculty Influences on Student Caring Self-Efficacy", International Journal for Human Caring, Vol.13, No.2, pp.53-59, 2009.
  37. H. S. Oh, "Influence of learning motivation, communication skill, academic self-efficacy on self-directed learning ability in nursing students", Journal of Digital Convergence, Vol.15, No.8, pp.311-321, 2017. https://doi.org/10.14400/JDC.2017.15.1.311
  38. S. Y. Lee, Y. Y. Kim, "The effects of self-efficacy and self-directed learning readiness to self-leadership of nursing students", Journal of Digital Convergence, Vol. 14, No. 3, pp. 309-318, 2016. https://doi.org/10.14400/JDC.2016.14.3.309
  39. H. S. Kim, H. R. Park, E. H Park. "Empowerment on Clinical Nursing Skills Core Program" Journal of Digital Convergence, Vol.12, No.12, pp.589-599, 2014. https://doi.org/10.14400/JDC.2014.12.12.589
  40. H.J. Ju, "The Effect of Nursing Students' Clinical Practice Stress, Performance Ability, Satisfaction, and Critical Thinking on Nursing Professional Self Concept", Journal of Digital Convergence, Vol.15, No.8, pp.213-224, 2017. https://doi.org/10.14400/JDC.2017.15.4.213