Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

Development of a Scenario and Evaluation for Simulation Learning of Care for Patients with Asthma in Emergency Units

SimMan 시뮬레이션 학습 시나리오의 개발 및 학습 수행 평가 - 응급실 내원 천식 환자사례를 중심으로 -

  • Ko, Il-Sun (College of Nursing, Researcher, Nursing Policy Research Institute, Yonsei University) ;
  • Kim, Hee-Soon (College of Nursing, Researcher, Nursing Policy Research Institute, Yonsei University) ;
  • Kim, In-Sook (College of Nursing, Researcher, Nursing Policy Research Institute, Yonsei University) ;
  • Kim, So-Sun (College of Nursing, Researcher, Nursing Policy Research Institute, Yonsei University) ;
  • Oh, Eui-Gum (College of Nursing, Researcher, Nursing Policy Research Institute, Yonsei University) ;
  • Kim, Eun-Jung (College of Nursing, Ulgi University) ;
  • Lee, Ju-Hee (College of Nursing, Researcher, Nursing Policy Research Institute, Yonsei University) ;
  • Kang, Se-Won (College of Nursing, Ajou University)
  • 고일선 (연세대학교 간호대학, 간호정책연구소) ;
  • 김희순 (연세대학교 간호대학, 간호정책연구소) ;
  • 김인숙 (연세대학교 간호대학, 간호정책연구소) ;
  • 김소선 (연세대학교 간호대학, 간호정책연구소) ;
  • 오의금 (연세대학교 간호대학, 간호정책연구소) ;
  • 김은정 (을지대학교 간호대학) ;
  • 이주희 (연세대학교 간호대학, 간호정책연구소) ;
  • 강세원 (아주대학교 간호대학, 한국연구재단)
  • Received : 2010.04.28
  • Accepted : 2010.07.24
  • Published : 2010.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop a scenario and evaluate students' performance in simulation learning of care for patients with asthma in emergency units. Methods: Meetings of experts were used to develop a scenario based on actual patients and textbook material. An evaluation protocol was developed to evaluate the simulation learning. The scenario was used in 2006 with six groups of 26 senior nursing students who participated voluntarily. Results: The scenario was developed according to the nursing process for 15 minutes of simulation learning. The nursing students were able to demonstrate their knowledge and skills. The results showed a need to improve problem solving ability. In the self-evaluation, the students reported that simulation learning helped them to integrate their knowledge to practice and recognize their weaknesses and strengths. However, the scores for self-confidence about patient care after the simulation learning were low (4.8/10). Conclusion: The scenario in this study gave the students the experience of providing qualified and secure nursing care under conditions similar to reality. Further development of a variety of scenarios for simulation learning is needed.

Keywords

References

  1. Alinier, G., Hunt, B., Gordon, R., & Harwood, C. (2006). Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education. Journal of Advanced Nursing, 54, 359-369. https://doi.org/10.1111/j.1365-2648.2006.03810.x
  2. Bremner, M. N., Aduddell, K., Bennett, D. N., & VanGeest, J. B. (2006). The use of human patient simulators: best practice with novice nursing students. Nurse Educator, 31, 170-174. https://doi.org/10.1097/00006223-200607000-00011
  3. Broussard, L., Myers, R., & Lemoine, J. (2009). Preparing pediatric nurses: the role of simulation-based learning. Issues in Comprehensive Pediatric Nursing, 32(1), 4-15. https://doi.org/10.1080/01460860802610178
  4. Brown, J. F. (2008). Applications of simulation technology in psychiatric mental health nursing education. Journal of Psychiatric and Mental Health Nursing, 15, 638-644. https://doi.org/10.1111/j.1365-2850.2008.001281.x
  5. Cheryl, L. B., Janice, T. C., & Diane, D. (2002). Handbook of signs & symptoms (2nd ed.). Philadelphia: Lippincott Williams & Wilkins.
  6. Cooper, J. B., & Taqueti, V. R. (2004). A brief history of the development of mannequin simulators for clinical education and training. Quality & Safety in Health Care, 13(1), Suppl1:i11-i18. https://doi.org/10.1136/qshc.2003.008680
  7. Corbridge, S. J., McLaughlin, R., Tiffen, J., Wade, L., Templin, R., & Corbridge, T. C. (2008). Using simulation to enhance knowledge and confidence. The Nurse Practitioner, 33, 12-13.
  8. Denis, D. H., Joanne, B., & Bonnie, L. M. (2003). Nurse's 3 minute clinical reference. Philadelphia: Lippincott williams & Wilkins.
  9. Dochterman, J. M., & Bulechek, G. M. (2003). Nursing Interventions Classification (NIC) (4th ed.). St. Louis, Missouri: Mosby.
  10. Durham, C. F., & Alden, K. R. (2008). Enhancing patient safety in nursing education through patient simulation. Retrieved May 20, 2010, from National Center for Biotechnology Information (NCBI), U.S. Web site http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=nursehb&part=ch51.
  11. Feingold, C. E., Calaluce, M., & Kallen, M. A. (2004). Computerized patient model and simulated clinical experiences: evaluation with baccalaureate nursing students. The Journal of Nursing Education, 43, 156-163.
  12. Fletcher, J. L. (1995). AANA journal course: update for nurse anesthetists-anesthesia simulation: a tool for learning and research. AANA Journal, 63(1), 61-67.
  13. Haigh, J. (2007). Expansive learning in the university setting: the case for simulated clinical experience. Nurse Education in Practice, 7, 95-102. https://doi.org/10.1016/j.nepr.2006.04.013
  14. Hodge, M., Martin, C. T., Tavernier, D., Perea-Ryan, M., & Alcala-Van Houten, L. (2008). Integrating simulation across the curriculum. Nurse Educator, 33, 210-214. https://doi.org/10.1097/01.NNE.0000312221.59837.38
  15. Kim, C. J., Ahn, Y. H., Kim, M. W., Jeong, Y. O., & Lee, J. H. (2006). Development of standards and criteria for accreditation of a baccalaureate nursing education program: Reflections on the unique characteristics of the nursing profession. Journal of Korean Academy of Nursing, 36, 1002-1011.
  16. Kim, Y. M., Oh, Y. M., Kim, H. J., Lee, W. J., Im, T. H., Chung, H. S., et al. (2007). Development and pilot applications of simulation-based comprehensive emergency airway management courses. Journal of Korean Society of Emergency Medicine, 18(1), 1-9.
  17. Korean Education Development Institute (1987). The study of program development for improvement of thinking ability. Seoul: Korean Education Development Institute.
  18. Larew, C., Lessans, S., Spunt, D., Foster, D., & Covington, B. G. (2006). Innovations in clinical simulation: Application of Benner's theory in an interactive patient care simulation. Nursing Education Perspectives, 27(1), 16-21.
  19. Lee, J. H., Kim, S. S., Yeo, K. S., Cho, S. J., & Kim, H. L. (2009). Experiences among undergraduate nursing students on high-fidelity simulation education: A focus group study. The Journal of Korean Academy Society of Nursing Education, 15, 183-193. https://doi.org/10.5977/JKASNE.2009.15.2.183
  20. Lee, S. O., Eom, M., & Lee, J. H. (2007). Use of simulation in nursing education. The Journal of Korean Academy Society of Nursing Education, 13(1), 90-94.
  21. Moorhead, S., Johnson, M., & Maas, M. L. (2004). Nursing Outcomes Classification (NOC) (3rd ed.). St. Louis: Mosby.
  22. Parr, M. B., & Sweeney, N. M. (2006). Use of human patient simulation in an undergraduate critical care course. Critical Care Nursing Quarterly, 29, 188-198.
  23. Rhodes, M. L., & Curran, C. (2005). Use of the human patient simulator to teach clinical judgment skills in a baccalaureate nursing program. Computers, Informatics, Nursing: CIN, 23, 256-262. https://doi.org/10.1097/00024665-200509000-00009
  24. Robertson, B. (2006). An obstetric simulation experience in an undergraduate nursing curriculum. Nurse Educator, 31, 74-78. https://doi.org/10.1097/00006223-200603000-00009
  25. Seropian, M. A., Brown, K., Gavilanes, J. S., & Driggers, B. (2004). Simulation: not just a manikin. The Journal of Nursing Education, 43, 164-169.
  26. Steadman, R. H., Coates, W. C., Huang, Y. M., Matevosian, R., Larmon, B. R., McCullough, L., et al. (2006). Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills. Critical Care Medicine, 34(1), 151-157. https://doi.org/10.1097/01.CCM.0000190619.42013.94
  27. Thompson, T. L., & Bonnel, W. B. (2008). Integration of high-fidelity patient simulation in an undergraduate pharmacology course. The Journal of Nursing Education, 47, 518-521. https://doi.org/10.3928/01484834-20081101-10
  28. Yang, J. J. (2008). Development and Evaluation of a simulation-based education course for nursing students. Journal of Korean Academy of Adult Nursing, 20, 548-560.
  29. Yoo, M. S. (2001). Development of standardized patient managed instruction for a fundamentals of nursing course. Unpublished doctoral dissertation, Yonsei University, Seoul.