Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
권호 표지
DOI QR코드

DOI QR Code

Critical Thinking Disposition, Problem Solving Process, and Simulation- Based Assessment of Clinical Competence of Nursing Students in Pediatric Nursing

간호대학생의 비판적 사고성향, 문제해결과정 정도 및 아동간호 시뮬레이션 기반 임상수행능력

  • Kim, Sunghee (Red Cross College of Nursing, Chung-Ang University) ;
  • Nam, Hyuna (Department of Nursing, Pyeongtaek University) ;
  • Kim, Miok (Department of Nursing, Namseoul University)
  • 김성희 (중앙대학교 적십자간호대학) ;
  • 남현아 (평택대학교 간호학과) ;
  • 김미옥 (남서울대학교 간호학과)
  • Received : 2014.07.08
  • Accepted : 2014.09.18
  • Published : 2014.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify the correlation of critical thinking disposition and problem solving process, and the simulation- based assessment of clinical competence based on a survey of college nursing students. Methods: In this descriptive correlation study, data for 214 nursing students were analyzed using t-test and Pearson correlation coefficients. Results: Critical thinking disposition, problem solving process, and simulation-based assessment of clinical competence averaged $3.76{\pm}0.46$ (out of 5), $3.67{\pm}0.47$ (5), and $1.51{\pm}0.17$ (2), respectively. A significant difference in scores for simulation-based assessment of clinical competence was found between the high-scoring group and low-scoring group in critical thinking disposition. A significant positive correlation was found between critical thinking disposition and nursing assessment, a sub-domain of clinical competence. Conclusion: The results suggest that success in simulation-based learning requires critical thinking disposition in the nursing students, and their critical thinking disposition plays a positive role in nursing assessment, which evaluates the patient's status in a complex situation. Simulation-based learning programs help assess the students' levels in their clinical judgement and performance, and identify their strengths and weaknesses so that the instructor can evaluate and improve the current teaching method.

목적 본 연구의 목적은 간호대학생의 비판적 사고성향과 문제해결과정 정도 및 시뮬레이션 기반 임상수행능력 평가 점수와의 상관관계를 파악하는 데에 있다. 방법 본 연구의 대상자는 일 간호대학 3학년 학생 214명으로 대상자의 비판적 사고성향과 문제해결과정 정도 및 시뮬레이션 기반 임상수행능력 평가 점수와의 관계를 파악하였다. 비판적 사고성향은 Yoon (2008)이 개발한 5점 척도의 도구를 사용하여 측정하였고, 문제해결과정 정도는 Lee 등(2008)가 개발한 5점 척도의 문제해결과정 측정도구, 시뮬레이션 기반 임상수행능력 평가는 연구자가 개발한 체크리스트를 사용하였다. 수집된 자료는 SPSS WIN 18.0 프로그램을 이용하여 기술통계, Pearson's correlation coefficients를 이용하여 분석하였다. 결과 간호대학생의 비판적 사고성향 정도는 $3.76{\pm}0.46$ (점수범위 1-5점), 문제해결과정 정도는 $3.67{\pm}0.47$ (점수범위 1-5점)으로 중간 이상의 점수를 보였다. 시뮬레이션 기반 임상수행능력 평가 점수는 비판적 사고 성향이 평균점수(3.67점) 이상으로 높은 간호대학생에게서 유의하게 높게 나타난 반면, 문제해결과정 정도와의 유의한 상관관계는 없는 것으로 조사되었다. 비판적 사고성향은 시뮬레이션 기반 임상수행능력 평가의 하부 영역 중 간호사정 영역에서 유의한 상관관계가 있는 것으로 나타났다. 결론 본 연구는 시뮬레이션 기반 학습은 간호학생들의 비판적 사고성향이 기반이 되어야 하며 비판적 사고 성향정도는 복합적인 상황에서 대상자의 상태를 파악하는 간호사정에서 긍정적 영향을 미친다는 근거를 제시하였다. 그러므로 간호대학생의 비판적 사고함양을 위한 지속적인 교육이 필요하다. 또한 시뮬레이션 기반 학습은 학습자의 이러한 강점과 약점을 고려하여 시뮬레이션 평가 전 단계에서 충분한 학습의 기회를 제공함으로써 질적으로 우수한 간호사에 대한 요구가 증대되는 현 시점에 효과적인 대응책이 될 수 있을 것이다.

Keywords

References

  1. Bland, A. J., Topping, A., & Wood, B. (2011). A concept analysis of simulation as a learning strategy in the education of undergraduate nursing students. Nurse Education Today, 31(7), 664-670. https://doi.org/10.1016/j.nedt.2010.10.013
  2. Bowles, K. (2000). The relationship of critical-thinking skills and the clinical judgement skills of baccalaureate nursing students. Journal of Nursing Education, 39(8), 373-376.
  3. Chaung, S. K. (2011). Critical thinking disposition, problem solving ability, and clinical competence in nursing students. Journal of Korean Academy Fundamental Nursing, 18(1), 71-78.
  4. Facione, P. A., & Facione, N. C. (1993). Test manual: The California Critical Thinking Skills Test. Millbrae, CA: The California Academic Press.
  5. Hay, A. D., Redmond, N. M., Costelloe, C., Montgomery, A. A., Fletcher, M., Hollinghurst, S., et al. (2009). Paracetamol and ibuprofen for the treatment of fever in children: The PITCH randomized controlled trial. Health Technology Assessment, 13(27), 1-163. http://dx.doi.org/10.1136/bmj.a1302
  6. Hicks, F. D., Coke, L., & Li, S. (2009). The effect of high-fidelity simulation on nursing students' knowledge and performance: A Pilot Study. National Council of State Boards of Nursing, 40, 1-27.
  7. Hur, H. K., Park, S., Shin, Y. H., Lim, Y. M., Kim, G., Kim, K. K., et al. (2013). Development and applicability evaluation of an emergent care management simulation practicum for nursing students. Journal of Korean Academy Society Nursing Education, 19(2), 228-240. https://doi.org/10.5977/jkasne.2013.19.2.228
  8. Hyland, J. R., & Hawkins, M. C. (2009). High-fidelity human simulation in nursing education: A review of literature and guide for implementation. Teaching and Learning in Nursing, 4(1), 14-21. https://doi.org/10.1016/j.teln.2008.07.004
  9. Jeffries, P. R. (2005). A framework for designing, implementing, and evaluation simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26, 96-103.
  10. Kim, M. S., Park, C., Kim, Y. J., Min, C. H., & Oh, H. S. (2002). A Study For Developing Critical Thinking Test (II): Construction of the Test. Korea Accreditation Board Of Nursing, 1-146.
  11. Kim, Y. H., & Jang, K. S. (2010). Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses. Journal of Korean Academy of Nursing, 41(2), 245-255. https://doi.org/10.4040/jkan.2011.41.2.245
  12. Ko, I. S., Kim, H. S., Kim, I. S., Kim, S. S., Oh, E. G., Kim, E. J., et al. (2010). Development of a scenario and evaluation for simulation learning of care for patients with asthma in emergency units. The Korean Journal of Fundamentals of Nursing, 17(3), 371-381.
  13. Kolb, S. E., & Shugart, E. B. (1984). Evaluation: Is simulation the answer? Journal of Nursing Education, 23(2), 84-86.
  14. Kwon, I. S., Lee, G. E., Kim, G. D., Kim, Y. H., Park, K. M., Park, H. S., et al. (2006). Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing, 36(6), 950-951.
  15. Larew, C., Lessans, S., Spunt, D., Foster, D., & Covington, B. (2006). Innovation in clinical simulation: Application of Benner's theory in an interactive patient care simulation. Nursing Education Perspectives, 27(1), 16-21.
  16. Lee, M. S., & Hahn, S. W. (2011). Effect of simulation-based practice on clinical performance and problem solving process for nursing students. Journal of Korean Academy Society Nursing Education, 17(2), 226-234. https://doi.org/10.5977/JKASNE.2011.17.2.226
  17. Lee, S. O., Eom, M. R., & Lee, J. H. (2007). Use of simulation in nursing education. The Journal of Korean Academic Society of Nursing Education, 13(1), 90-94.
  18. Lee, W. S., & Kim, M. O. (2011). Effects and adequacy of high-fidelity simulation-based teaching for obstetrical nursing. Journal of Korea Academy of Nursing, 41(4), 433-443. http://dx.doi.org/10.4040/jkan.2011.41.4.433
  19. Lee, W. S., Park, S. H., & Choi, E. Y. (2008). Development of a Korean Problem Solving Process Inventory for Adults. The Korean Journal of Fundamentals of Nursing, 15(4), 548-557.
  20. Martin, C. (2000). Theory of critical thinking of nursing. Nursing Education Perspectives, 23(5), 243-247.
  21. Seo, M. G. (2013). A study on class design of clinical critical thinking: Focusing on critical thinking skills for nursing education. Korean Journal of General Education, 7(5), 317-341.
  22. Shepherd, C. K., McCunnis, M., Brown, L., & Hair, M. (2010). Investigating the use of simulation as a teaching strategy. Nursing Standard, 24(35), 42-48.
  23. Shin, H. S., & Shin, K. K. (2010). Nursing students' experience on pediatric nursing simulation practice. Journal of East-West Nursing Research, 16(2), 147-155.
  24. Sullivan-Mann, J., Perron, C. A., & Fellner, A. N. (2009). The effects of simulation on nursing students' critical thinking scores: A quantitative study. Newborn and Infant Nursing Reviews, 9(2), 111-116. http://dx.doi.org/10.1053/j.nainr.2009.03.006
  25. Wilkinson, J. M. (2007). Nursing process and critical thinking (4th ed.). Pearson, NJ: Prentice Hall
  26. Yang, J. J. (2008). Development and evaluation of a simulation-based education course for nursing students. Journal of Korean Academy Adult Nursing, 20(4), 548-560.
  27. Yang, S. H., Lee, O., Lee, W. S., Yoon, J., Park, C. S., & Lee, S. J. (2009). Critical disposition and clinical competency in 3 nursing college with different education methods. Journal of Korean Academy Society Nursing Education, 15(2), 149-158. https://doi.org/10.5977/JKASNE.2009.15.2.149
  28. Yoo, E. Y. (2005). Medical simulation. Journal of the Korean Medical Association, 3, 267-276.
  29. Yoo, S. H., Oh. J. A., & Lee, Y. M. (2010). A study on the improvement of the curriculum of the department of nursing I - Understanding internal and external environment changes in nursing education. Health Science, 2, 62-73.
  30. Yoon, J. (2008). A study on the critical thinking disposition of nursing students - Focusing on a school applying integrated nursing curriculum. Journal of Academy Nursing Administration, 14(2), 159-166.

Cited by

  1. 임상판단 평가도구의 신뢰도 및 타당도 검증 vol.21, pp.2, 2015, https://doi.org/10.4094/chnr.2015.21.2.160
  2. 간호대학생의 자아존중감, 공감능력, 의사소통능력과 임상수행능력 간의 관계 vol.16, pp.11, 2015, https://doi.org/10.5762/kais.2015.16.11.7698
  3. 시뮬레이션학습에서 역할교대 경험이 간호대학생의 학습몰입, 셀프리더십 및 디브리핑 만족도에 미치는 효과 vol.18, pp.7, 2014, https://doi.org/10.5762/kais.2017.18.7.423
  4. 시뮬레이션 학습에서 간호학생의 문제해결력에 미치는 영향요인 vol.29, pp.4, 2014, https://doi.org/10.13000/jfmse.2017.29.4.1083
  5. 간호대학생의 임부간호교육에서 성찰일지를 이용한 팀 기반학습의 효과 vol.24, pp.4, 2014, https://doi.org/10.4069/kjwhn.2018.24.4.404
  6. 간호대학생의 비판적 사고성향, 문제해결능력, 좌절인내력이 대학생활 적응에 미치는 영향 vol.16, pp.8, 2014, https://doi.org/10.14400/jdc.2018.16.8.233
  7. Critical Thinking, Stress of Clinical Practice and Competence of Clinical Practice of the Nursing Students vol.30, pp.4, 2014, https://doi.org/10.13000/jfmse.2018.08.30.4.1223
  8. Levels of Nursing Students’ Core Skills Performance, Satisfaction, and Clinical Judgment According to Four Types of High-risk Neonatal Nursing Simulation during Three Phases vol.44, pp.2, 2014, https://doi.org/10.21032/jhis.2019.44.2.206
  9. 신생아집중치료실 간호사를 위한 시뮬레이션 기반 응급기도 관리 교육 프로그램 개발 및 효과 vol.25, pp.4, 2014, https://doi.org/10.4094/chnr.2019.25.4.518
  10. 시뮬레이션 기반 응급기도관리 교육 프로그램 개발 및 효과 vol.20, pp.11, 2019, https://doi.org/10.5762/kais.2019.20.11.282
  11. 시뮬레이션 실습을 경험한 간호대학생의 임상수행능력에 영향을 미치는 융합적 요인 vol.5, pp.2, 2014, https://doi.org/10.20465/kiots.2019.5.2.055
  12. 시뮬레이션 기반 실습 교육을 통한 간호학생의 간호전문직관 인식 경험: 포커스 그룹 인터뷰를 중심으로 vol.21, pp.2, 2020, https://doi.org/10.5762/kais.2020.21.2.268
  13. 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
  14. Mediating effects of self-directed learning on the relationship between critical thinking and problem-solving in student nurses attending online classes: A cross-sectional descriptive study vol.109, pp.None, 2022, https://doi.org/10.1016/j.nedt.2021.105227