DOI QR코드

DOI QR Code

The Effects of Simulation Training With Hybrid Model for Nursing Students on Nursing Performance Ability and Self Confidence

하이브리드모델 활용 시뮬레이션 교육이 간호학생의 간호수행능력과 자신감에 미치는 효과

  • 이숙정 (중앙대학교 적십자간호대학) ;
  • 박영미 (안산대학교 간호학과) ;
  • 노상미 (중앙대학교 적십자간호대학)
  • Received : 2012.09.07
  • Accepted : 2013.04.23
  • Published : 2013.04.30

Abstract

Purpose: This study investigated the effectiveness of simulation training with a hybrid model of student nurses' performance ability and reported self confidence. Methods: A nonequivalent control group with pre-posttest was designed. Data collection was done during the first semester in 2012 at a college of nursing in Seoul. Nursing performance ability and reported self confidence related to taking care of patients with urinary problems were evaluated. The treatment group (n=96) received simulation training of a catheterization procedure with a hybrid model involving standardized patients and a mannequin. Nursing students in the comparison group (n=84) did not receive the simulation training but would receive it prior to their next clinical practicum's. Results: The treatment group showed a significantly higher performance ability and reported self confidence than that of the comparison group. The perceived helpfulness and contentment of the simulation training in experimental group was high. Conclusion: The findings of this study demonstrated that simulation with a hybrid model was effective in teaching skills prior to the clinical experience which suggests that skill development is not dependent on the actual clinical situation. Nurse educators should consider simulation training as a tool beyond that of clinical practicum.

Keywords

References

  1. Ackermann, A. D. (2009). Investigation of learning outcomes for the acquisition and retention of CPR knowledge and skills learned with the use of high-fidelity simulation. Clinical Simulation in Nursing, 5 (6), 213-222. http://dx.doi.org/10.1016/j.ecns.2009.05.002
  2. Asghar, A. (2010). Reciprocal peer coaching and its use as a formative assessment strategy for first-year students. Assessment & Evaluation in Higher Education, 35 (4), 403-417. http://dx.doi.org/10.1080/02602930902862834
  3. Blake, K. D., Gusella, J., Greaven, S., & Wakefield, S. (2006). The risks and benefits of being a young female adolescent standardized patient. Medical Education, 40 (1), 26-35. http://dx.doi.org/10.1111/j.1365-2929.2005.02343.x
  4. Cho, M. H., & Kwon, I. S. (2007). A study on the clinical practice experiences on nursing activities of nursing students. The Journal of Korean Academic Society of Nursing Education, 13 (2), 143-154.
  5. Choi, J. Y., Jang, K. S., Choi, S. H., & Hong, M. S. (2008). Validity and reliability of a clinical performance examination using standardized patients. The Journal of Korean Academy of Nursing, 38 (1), 83-91. https://doi.org/10.4040/jkan.2008.38.1.83
  6. Dreifuerst, K. T. (2009). The essentials of debriefing in simulation learning: A concept analysis. Nursing Education Perspectives, 30 (2), 109-114.
  7. Dreifuerst, K. T. (2012). Using debriefing for meaningful learning to foster development of clinical reasoning in simulation. The Journal of Nursing Education, 51 (6), 326-33. http://dx. doi.org/10.3928/01484834-20120409-02
  8. Eom, M. R., Kim, H. S., Kim, E. K., & Seong, K. (2010). Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem solving ability. The Journal of Korean Academy of Nursing, 40 (2), 151-160. http://dx.doi. org/10.4040/jkan.2010.40.2.151
  9. 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 (4), 156-163.
  10. Hyun, K. S., Kang, H. S., Kim, W. O., Park, S., Lee, J., & Sok, S. (2009). Development of a multimedia learning DM diet education program using standardized patients and analysis of its effects on clinical competency and learning satisfaction for nursing students. The Journal of Korean Academy of Nursing, 39 (2), 249-258. http://dx.doi.org/I:10.4040/jkan. 2009.39.2.249
  11. Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives 26 (2), 96-103.
  12. Jeong, Y. J. (2005). Analysis of undergraduate clinical education based on a standard of clinical nursing education: Focusing on adult nursing. Unpublished doctoral dissertation, Inje University, Busan.
  13. Kaddoura, M. A. (2010). New graduate nurses' perceptions of the effects of clinical simulation on their critical thinking, learning, and confidence. Journal of Continuing Education in Nursing, 41 (11), 506-16. http://dx.doi.org/10.3928/00220 124-20100701-02. Epub 2010 Jul 6
  14. Kaplan, B. G., Abraham, C., & Gary, R. (2012). Effects of participation vs. observation of a simulation experience on testing outcomes: Implications for logistical planning for a school of nursing. International Journal of Nursing Education Scholarship, 9 (1), article 14, http://dx.doi.org/0.1515/1548- 923X.2398
  15. Kim, H. M. (2009). The effect of the solution-focused communication training on the problem solving ability and interpersonal relationship of nursing students. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18 (4), 399-408.
  16. Kim, J. H., & Lee, Y. M. (2006). A study on the educational conditions of medical simulation using the simulator manikin. The Journal of the Korean Society of Emergency Medical Technology, 10 (2), 15-23.
  17. Kim, J. Y., & Choi, E. Y. (2008). Learning element recognition and academic achievement of nursing student receiving PBL with simulation education. The Journal of Korean Academic Society of Adult Nursing, 20 (5), 731-741.
  18. Kim, M. J. (2010). Symptom experience and health-related quality of life in adults with voiding dysfunction. Unpublished master's thesis, Yonsei University, Seoul.
  19. Kim, U. H., Kim, J. M., Kim, Y. H., Jeon, Y. S., Kim, M. E., Lee, N. K., et al. (2003). The prevalence of overactive bladder syndrome and urinary incontinence in young and middle aged women. The Journal of Korean Academic Society of Women's Health, 4 (1), 175-185.
  20. Kneebone, R., Bello, F., Nestel, D., Yadollahi, F., & Darzi, A. (2007). Training and assessment of procedural skills in context using an Integrated Procedural Performance Instrument (IPPI). Studies in Health Technology and Informatics, 125, 229-31.
  21. Lee, S. E. (2011). Evaluation of the Standardized Patients (SP) Managed instruction for a clinical maternity nursing course. The Journal of Korean Academic Society of Nursing Education, 17 (1), 14-24. https://doi.org/10.5977/JKASNE.2011.17.1.014
  22. Lee, S. J., Roh, Y. S., Kim, J. O., Jang, K. I., Ryoo, E. N., & Park, Y. M. (2010). Comparison of multi-mode simulation and simMan(R) simulation on evaluation of nursing care for patients with dyspnea. The Journal of Korean Academic Society of Nursing Education, 16 (1), 51-60. https://doi.org/10.5977/JKASNE.2010.16.1.051
  23. McGaghie, W. C., Issenberg, S. B., Petrusa, E. R., & Scalese, R. J. (2010). A critical review of simulation-based medical education research: 2003-2009. Medical Education, 44 (1), 50-63. http://dx.doi.org/10.1111/j.1365-2923.2009.03547.x
  24. Melville, J. L., Walker, E., Katon, W., Lentz, G., Miller, J., & Fenner, D. (2002). Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. American Journal of Obstetrics & Gynecology, 187 (1), 80-87. http://dx.doi.org/10.1067/mob.2002.124839
  25. Park, H. K. (2012). Medical education using standardized patients. Hanyang Medical Reviews, 32 (1), 35-44. https://doi.org/10.7599/hmr.2012.32.1.35
  26. Schlegel, C., Woermann, U., Shaha, M., Rethans, J. J., & van der Vleuten, C. (2012). Effects of a communication training on real practice performance: A role-play module versus a standardized patient module. The Journal of Nursing Education, 51 (1), 16-22. http://dx.doi.org/10.3928/01484834- 20111116-02. Epub 2011 Nov 16
  27. Seo, Y. M. (2012). Nursing students' needs for clinical nursing education. The Journal of Korean Academic Society of Nursing Education, 18 (1), 25-33. http://dx.doi.org/10.5977/ jkasne.2012.18.1.025
  28. Shin, K. A., & Lee, E. S. (2011). The effects of a communication training program on communication and interpersonal relationships of Nursing Students. The Journal of Korean Academic Society of Nursing Education, 17 (2), 149-158. https://doi.org/10.5977/JKASNE.2011.17.2.149
  29. Wotton, K., Davis, J., Button, D., & Kelton, M. (2010). Third-year undergraduate nursing students' perceptions of high-fidelity simulation. The Journal of Nursing Education, 49 (11), 632-639. http://dx.doi.org/10.3928/01484834-20100831-01. Epub 2010 Aug 31
  30. Yoo, M. S., & Yoo, I. Y. (2001). The effectiveness of standardized patient managed instruction for a fundamentals of nursing course. Journal of Nursing Query, 10 (1), 89-109.

Cited by

  1. Ego-Resilience and the Clinical Competence of Nursing Students vol.27, pp.2, 2013, https://doi.org/10.5932/JKPHN.2013.27.2.293
  2. Effects of Multi-mode Simulation Learning on Nursing Students' Critical Thinking Disposition, Problem Solving Process, and Clinical Competence vol.26, pp.1, 2014, https://doi.org/10.7475/kjan.2014.26.1.107
  3. Effects of a Colonoscopy based Simulation Education Program on Knowledge and Clinical Performance in Nursing Students vol.27, pp.2, 2015, https://doi.org/10.7475/kjan.2015.27.2.135
  4. Influence of Nursing Students’ Anxiety during Simulation Training on Personal Satisfaction of Simulation, Self-efficacy, Clinical Competence vol.23, pp.4, 2016, https://doi.org/10.7739/jkafn.2016.23.4.411
  5. Comparisons of Clinical Practicum Stress, Depression, and Self-Efficacy among Nursing Students: Focusing on Type D Personality and non-Type D Personality vol.26, pp.3, 2017, https://doi.org/10.12934/jkpmhn.2017.26.3.217
  6. The Effects of Video-based Peer assisted Learning in Standardized Patients Simulation: Pre and Post Operative Care vol.27, pp.1, 2015, https://doi.org/10.7475/kjan.2015.27.1.73
  7. Development and Effects of Simulation Program for Fall Management vol.23, pp.5, 2017, https://doi.org/10.11111/jkana.2017.23.5.548
  8. A Structural Model on the Nursing Competencies of Nursing Simulation Learners vol.48, pp.5, 2018, https://doi.org/10.4040/jkan.2018.48.5.588
  9. 고충실도 시뮬레이션 기반 교육이 간호학생의 임상수행능력과 간호수행 자신감에 미치는 효과: 체계적 문헌 고찰 vol.14, pp.10, 2013, https://doi.org/10.5392/jkca.2014.14.10.850
  10. 뇌졸중 대상자간호 시뮬레이션 교육이 간호학생의 수행능력과 만족도에 미치는 효과 vol.16, pp.1, 2015, https://doi.org/10.5762/kais.2015.16.1.408
  11. 간호학생의 학업적 자기효능감과 비판적 사고성향이 문제해결능력에 미치는 영향 vol.17, pp.9, 2013, https://doi.org/10.5762/kais.2016.17.9.589
  12. 표준화 환자를 적용한 시뮬레이션 수업이 간호대학생의 의사소통능력, 문제해결능력, 비판적 사고성향 및 임상수행능력에 미치는 효과 vol.23, pp.2, 2013, https://doi.org/10.22705/jkashcn.2016.23.2.186
  13. 영유아 응급처치 교육에서의 동영상 활용 사례기반학습의 효과 vol.17, pp.12, 2013, https://doi.org/10.5762/kais.2016.17.12.292
  14. 간호학생의 학습 자기효능감과 핵심기본간호술 수행자신감, 중요성 인식 및 전이동기의 관계 vol.17, pp.9, 2013, https://doi.org/10.5392/jkca.2017.17.09.661
  15. 핵심기본간호술 재교육이 간호대학생의 간호수행능력과 수행자신감 및 불안에 미치는 효과 vol.7, pp.5, 2013, https://doi.org/10.22156/cs4smb.2017.7.5.039
  16. 시뮬레이션 기반 실습교육이 간호대학생의 간호수행능력과 실습만족도에 미치는 효과 vol.7, pp.6, 2013, https://doi.org/10.22156/cs4smb.2017.7.6.001
  17. 간호 대학생의 임상 시나리오를 적용한 기본간호학실습 프로그램 효과에 대한 융합 연구 -자기효능감, 의사소통능력, 간호 술기 능력 중심으로- vol.9, pp.11, 2013, https://doi.org/10.15207/jkcs.2018.9.11.479
  18. Simulation scenarios in Korea according to the learning objectives of adult health nursing: A literature review vol.6, pp.1, 2019, https://doi.org/10.1080/2331186x.2019.1678795
  19. 저충실도 시뮬레이터를 활용한 신규간호사의 응급상황관리 시뮬레이션 교육의 효과 vol.25, pp.3, 2013, https://doi.org/10.5977/jkasne.2019.25.3.331
  20. The Effect of Simulation Nursing Education Using the Outcome-Present State-Test Model on Clinical Reasoning, the Problem-Solving Process, Self-Efficacy, and Clinical Competency in Korean Nursing Stude vol.9, pp.3, 2021, https://doi.org/10.3390/healthcare9030243
  21. 간호대학생의 Virtual 시뮬레이션 실습 및 High fidelity 시뮬레이션 실습교육 경험 분석: 혼합연구방법 적용 vol.27, pp.3, 2013, https://doi.org/10.5977/jkasne.2021.27.3.227
  22. 간호대학생의 비판적 사고성향, 심층적 학습접근방식, 학습자간 상호작용이 간호과정 자신감에 미치는 영향: 팀 기반 학습을 중심으로 vol.27, pp.3, 2013, https://doi.org/10.5977/jkasne.2021.27.3.251