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Development and Application of Integrated Nursing Practice Program preceded Role-play related to Clinical Communication Situation

임상적 의사소통상황 관련 역할극을 선행한 통합실습프로그램의 개발 및 적용

  • 강서영 (광주보건대학교, 간호학과) ;
  • 임유진 (광주보건대학교, 간호학과)
  • Received : 2014.03.28
  • Accepted : 2014.05.08
  • Published : 2014.05.31

Abstract

For this study, we developed and applied the integrated nursing practice program preceded role-play related to clinical communication situation to 115 nursing students and compared their communication ability, clinical competence and problem solving process scores between before and after the program. Integrated nursing practice program is composed of 6 role-play scenarios related to clinical communication situation, 3 role-play scenarios related to clinical situation and 3 core nursing skill practices. This program was conducted 4 hours a week for 8 weeks. Data were collected using self-report questionnaire before and after the program from March to June, 2013 and analyzed using descriptive analysis and t-test with SPSS/WIN 19.0. There were significant increase in communication ability, clinical competence and problem solving process scores after the program. These results indicate that this program is effective nursing practice education method. Therefore, this program would be used for other students.

본 연구는 일 대학 간호학생 115명을 대상으로 임상적 의사소통상황 관련 역할극을 선행한 통합실습프로그램을 개발 적용하고 적용 전과 후의 의사소통능력, 임상수행능력 및 문제해결과정 점수의 변화를 확인하고자 실시하였다. 통합실습 프로그램은 6개의 임상적 의사소통 상황 관련 시나리오를 활용한 역할극, 3개의 임상상황 관련 시나리오를 적용한 역할극, 3개의 핵심간호술기로 구성되었으며 매주 4시간씩 8주간 실시되었다. 자료수집기간은 2013년 3월부터 6월까지였으며 프로그램 전과 후에 자가보고식 설문지를 작성하게 하였다. 수집된 자료는 SPSS/WIN 19.0을 이용하여 기술통계와 t-test를 통해 분석하였다. 연구결과, 통합실습프로그램 적용 후에 의사소통능력, 임상수행능력 및 문제해결과정 점수가 모두 유의하게 증가한 것으로 나타났다. 이에 본 연구에서 개발한 통합실습프로그램은 간호실습 교육을 위한 효과적인 방법이라고 생각하며 적극 활용할 것을 제안한다.

Keywords

References

  1. S. A. Kim, J. H. Park, H. H. Lee, "The development and effects of a comprehensive communication course for nursing students", Journal of Korean Academy of Nursing, 34(3), pp412-420, 2004. https://doi.org/10.4040/jkan.2004.34.3.412
  2. Y. S. Park, S. B. Im, H. S. Kim, "The effects of reinforced self-understanding in nursing communication curriculum", Journal of Korean Academy Psychiatric Mental Nursing, 18(3), pp361-368, 2009.
  3. Y. H. Kim, Y. M. Kim, S. Y. Kang, " Implementation and evaluation of simulation based critical care nursing education used with Mircrosim$^{(R)}$", The Journal of Korean Academy Society of Nursing Education, 16(1), pp24-32, 2010. DOI: http://dx.doi.org/10.5977/JKASNE.2010.16.1.024
  4. M. S. Lee, S. W. Hahn, "Effect of simulation-based practice on clinical performance and problem solving process for nursing students", The Journal of Korean Academy Society of Nursing Education, 17(2), pp226-234, 2011. DOI: http://dx.doi.org/10.5977/JKASNE.2011.17.2.226
  5. J. J. Yang, "The effects of a simulation-based education on the knowledge and clinical competence for nursing students", The Journal of Korean Academy Society of Nursing Education, 18(1), pp14-24, 2012. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.1.014
  6. S. J. Choi, M. S. Kwon, S. H. Kim, H. M. Kim, Y. S. Jung, G. Y. Jo, "Effects of using standardized patients on nursing competence, communication skills, and learning satisfaction in health assessment", The Journal of Korean Academy Society of Nursing Education, 19(1), pp97-105, 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.1.97
  7. D. H. Kim, Y. J. Lee, M. S. Hwang, J. H. Park, H. S. Kim, H. G. Cha, "Effects of a simulation-based integrated clinical practice program(SICPP) on the problem solving precess, clinical competence and critical thinking in a nursing student", The Journal of Korean Academy Society of Nursing Education, 18(3), pp499-509, 2012. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.3.499
  8. B. Ustun, "Communication skills training as part of a problem based learning curriculum", Journal of Nursing Education, 45(10), pp421-424, 2006.
  9. N. Baghcheghi, H. R. Koohestani, K. Rezaei, "A comparison of the cooperative learning and traditional learning methods in theory classes on nursing students' communication skill with patients at clinical settings", Nurse Education Today, 31(8), pp877-882, 2011. DOI: http://dx.doi.org/10.1016/j.nedt.2011.01.006
  10. E. J. Song, "The effects of a communication training program on communication and interpersonal relationship for student nurses in clinical practice", Journal of Korean Academy of Fundamental Nursing, 13(3), pp467-473, 2006.
  11. K. A. Shin, E. S. Lee, "The effects of a communication training program on communication and interpersonal relationship of nursing students", The Journal of Korean Academy Society of Nursing Education, 17(2), pp149-158, 2011. https://doi.org/10.5977/JKASNE.2011.17.2.149
  12. J. Mould, H. White, R. Gallagher, "Evaluation of a critical care simulation series for undergraduate nursing students", Comtemporary Nurse, 38(1-2), pp180-190, 2011. https://doi.org/10.5172/conu.2011.38.1-2.180
  13. H. B. Yuan, B. A. Williams, J. B. Fang, "The contribution of high fidelity simulation to nursing students' confidence and competence: a systematic review", International Nursing Review, 59, pp26-33, 2012. DOI: http://dx.doi.org/10.1111/j.1466-7657.2011.00964.x
  14. L. Navran, "Communication and adjustment in marriage", Family Process, 6(2), pp173-184, 1967. DOI: http://dx.doi.org/10.1111/j.1545-5300.1967.00173.x
  15. E. Y. Choi, "The effects of a communication skills group on high school students' self-concept and communication ability", Unpublished master's thesis, Kosin University, 2004.
  16. B. H. Kim, S. Y. J. Kim, J. S. Lee, Y. R. Tak, H. S. Kim, E. S. Choi, K. R. Shin, K. S. Choi, G. B. Kim, G. J. Kim, S. W. Lee, K. S. Kim, S. J. Lee, Y. H. Kim, K. H. Lee, Y. S. Jeong, J. H. Song, J. H. Pak, "Clinical competency for directing of registered nurses' national examination. - focused on fundamental, medical-surgical, psychiatric, women's health, community, pediatric, and administrative nursing", Journal of Korean Academy of Nursing, 28(4), pp1075-1087, 1998. https://doi.org/10.4040/jkan.1998.28.4.1075
  17. J. J. Yang, M. Y. Park, "The Relationship of Clinical Competency and Self-directed Learning in Nursing Students", The Journal of Korean Academic Society of Nursing Education, 16(4), pp636-647, 2004.
  18. J. S. Lee, "The effects of process behaviors on problem solving performance on various tests", Doctoral dissertation, University of Chicago, 1978.
  19. O. H. Woo, "The effects of a PBL on the problem solving process of students by their meta-cognitive levels", Unpublished master's thesis, Korean National University of Education, 2000.
  20. K. S. Kesten, "Role-play using SBAR technique to improve observed communication skills in senior nursing students", The Journal of Nursing Education, 50(2), pp79-87, 2011. DOI: http://dx.doi.org/10.3928/01484834-20101230-02