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The Effect of Clinical Performance Improving by Application of Core Skill-TLP

Core Skill-TLP가 임상수행능력 향상에 미치는 효과

  • 황현숙 (제주한라대학교 물리치료과)
  • Received : 2012.04.30
  • Accepted : 2012.05.17
  • Published : 2012.05.31

Abstract

Purpose : The purpose of this study is to investigate the effect of clinical performance improved by the application of the Core-Skill TLP to students. Methods : The subject of the study were 48 students who are enrolled in the 2nd semester of the 3rd year in the department of physical therapy. In order to compare the difference in physical examination and intervention, clinical practice integration as well as interpersonal communication skills were measured before and after clinical performance experiments by using the questionnaire. Result : The results are as follows. There was an improvement after examination & intervention about mean 1.52(t=16.928, p=.000), in clinical practice integration 1.30(t=14.541, p=.000) and in interpersonal communication skills 0.86(t=9.510, p=.000). It shows the significant difference in statistics. Conclusion : According to these results, the Core-Skill TLP is proved as a good learning strategy and could be strongly recommended since it significantly improved physical examination & intervention, clinical practice integration and interpersonal communication skills.

Keywords

References

  1. 고금자, 김수진, 강희경. 일 대학 간호학생의 문제중심 학습전략이 교육만족도에 미치는 영향에 관한 연구. 한국간호교육학회지. 2010;16(1):33-42.
  2. 박훈기, 김동원, 김덕인 등. 의학과 4학년 종합평가로서의 객관적-구조적 임상능력평가(OSCE)의 경험. 한국의학교육학회지. 1998;10(1):43-56.
  3. 양진주. 간호학생을 위한 시뮬레이션 기반교육과정 개발 및 평가. 성인간호학회지. 2008;20(4):548-60.
  4. 유문숙, 유일영. 호흡기계 기본간호 수행능력 향상을 위한 OSCE 평가 방법의 효과. 대한간호학회지. 2003;33(2):228-35.
  5. 유문숙. 표준화 환자를 활용한 학습방법의 개발 및 효과분석. 연세대학교 박사학위논문, 서울. 2001a.
  6. 유문숙. 기본간호학 실습교육에 있어 표준화 환자를 이용한 학습방법의 효과. 한국간호교육학회지. 2001b;7(1):94-112.
  7. 유정현. 노인전문 간호사 대학원의 노인건강사정 교육 과정에서 표준화 환자의 활용 경험. 한양대학교 대학원. 석사학위 논문. 2010.
  8. 이병국. 우리나라 표준화 환자 프로그램 활용 현황과 개선방안: 관련 문헌고찰 및 현장 연구를 중심으로. 한국의학교육학회지. 2001;13(1):27-39.
  9. 이우숙, 조갑출, 양선희 등. 시뮬레이션 연계 문제중심학습이 간호학생의 간호기본역량에 미치는 효과. 기본간호학회지. 2009;16(1):64-72.
  10. 정재원, 김희숙, 박영숙. 시뮬레이션을 활용한 분만 간호 실습교육의 효과. 간호학의 지평. 2011;8(2):86-96.
  11. 조연순, 우재경. 문제중심학습(PBL)의 이론적 기초: 지식관과 교육적 가치. 교육학연구. 2003;41(3):571-600.
  12. 최희정. 문제중심 학습이 간호학생의 비판적 사고, 메타인지 및 문제해결과정에 미치는 영향. 대한간호학회지. 2004;34(5):712-21.
  13. 한미현. 학습자가 참여한 구조화된 객관적 임상시험(OSCE)모듈개발과 그 교육적 효과. 가톨릭대학교대학원. 박사학위논문. 2005.
  14. Alinier, G., Hunt, B., Gordon, R. et al. Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education. J Adv Nurs. 2006;54(3):359-69. https://doi.org/10.1111/j.1365-2648.2006.03810.x
  15. Barrows, H., & Abrahamson, S. The programmed patient: A technique for appraising student performance in clinical neurology. J Med Educ. 1964 Aug;39:802-5.
  16. Boursicot, K. A. M., Roberts, T., & Pell, G. Standard setting for clinical compatence at graduation from medical school: A comparison of passing scores across five medical schools. Adv Health Sci Educ. 2006;11(2):173-83. https://doi.org/10.1007/s10459-005-5291-8
  17. Brewester, L. P., Risucci, D. A., Joehl, R. J. et al. A. K. Comparison of resident self-assessments with trained faculty and standardized patient assessments of clinical and technical skills in a structured educational module. Am J Surg. 2008;195(1):1-4. https://doi.org/10.1016/j.amjsurg.2007.08.048
  18. Brown, B., & Robert, J. Testing the OSCE: A reliable measurement of clinical nursing skills. The Canadian Journal of Nursing Research. 1990;22(1):51-9.
  19. Cromwell, D. A., Priddis, D., & Hindle, D. Using simulation to educate hospital staff about casemix. Health care management science. 1998;1(2):87-93. https://doi.org/10.1023/A:1019038417585
  20. Foley, M. E., Nespoli, G., & Conde, E. Using standardized patients and standardized physicians to improve patient care quality. Journal of Continuing Education in Nursing. 1997;28(5):198-204.
  21. Guiton, G., Hodgson., C. S., Delandshere, G. et al. Communication skills in standadized-patient assessment of final-year medical students: A psychometric study. Adv Health Sci Educ. 2004;9:179-87. https://doi.org/10.1023/B:AHSE.0000038174.87790.7b
  22. Black, N. M. & Harden, R. M. Providing feedback to students on clinical skills by using the Objective Structured Clinical Examination. Med Educ. 1986;20(1):48-52. https://doi.org/10.1111/j.1365-2923.1986.tb01041.x
  23. Hilliegas, K. B., & Valentine, S. Development and evaluation of a summative clinical grading tool. J Nurs Educ. 1986;25(5):218-20.
  24. Hsu, Y. C. Evaluation theory in problem-based learning approach. Educational Resources Information Center-Microfiche Reports-ED. 1999;436128(1):199-206.
  25. Jeffries, P. R. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nurs Educ Perspect. 2005;26(2):96-103.
  26. Koh, G. C., Khoo, H. E., Wong, M. L. et al. The effects of problem-based learning during medical school on physician competency: A systematic review. CMAJ. 2008;178(1):34-41. https://doi.org/10.1503/cmaj.070565
  27. Kolb, S. E., & Shugart, E. B. Evaluation: Is simulation the answer?. J Nurs Educ. 1984;23(2):84-6.
  28. Morales-Mann, E. T., & Kaitell, C. A. Problembased learning in a new Canadian curriculum. J Adv Nurs. 2001;33(1):13-9. https://doi.org/10.1046/j.1365-2648.2001.01633.x
  29. Murray, C., Grant, M. J., Howarth, M. L. et al. The use of simulation as a teaching and learning approach to support practice learning. Nurse education in practice. 2008;8(1):5-8. https://doi.org/10.1016/j.nepr.2007.08.001
  30. Randolph, H. S., Wendy, C. C., Yue, M. H. et al. Simulation-based training is superior to problembased learning for the acquisition of clinical assessment and management skill. Crit Care Med. 2006;34(1):151-7. https://doi.org/10.1097/01.CCM.0000190619.42013.94
  31. Sloan, D. A., Donnelly, M. B., & Schwartz, R. W. The Use of the OSCE Evaluation & Instruction in Graduate Medical Education. J Surg Res. 1996;63(1):225-230. https://doi.org/10.1006/jsre.1996.0252
  32. Stillman, P. L., Regan, M. B., Philbin, M. & Haley, H. L. Results of a survey on the use of standardized patients to teach and evaluate clinical skills. Acad Med. 1990;65(5):288-92. https://doi.org/10.1097/00001888-199005000-00002
  33. Tiwari, A., Chan, S., Wong, E. et al. The effect of problem-based learning on students' approaches to learning in the context of clinical nursing education. Nurse Education Today. 2006;26(5):430-8. https://doi.org/10.1016/j.nedt.2005.12.001
  34. Yuan, H., Williams, B. A., & Fan, L. A systematic review of selected evidence on developing nursing students' critical thinking through problem-based learning. Nurse Education Today. 2008a;28(6):657-63. https://doi.org/10.1016/j.nedt.2007.12.006
  35. Yuan, H., Kunaviktikul, W., Klunklin, A. et al. Improvement of nursing student's critical thinking skills through problem-based in the People's Republic of china: A quasi-experimental study. Nursing and Health Sciences. 2008b;10(1):70-6. https://doi.org/10.1111/j.1442-2018.2007.00373.x