디지털융복합연구 (Journal of Digital Convergence)

  • 제13권9호
  • /
  • Pages.377-386
  • /
  • 2015
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

분만간호에 대한 융복합 기반 시뮬레이션 실습 효과 및 요구도

The needs and effects of convergence-based simulation practice for obstetrical nursing

  • 투고 : 2015.07.03
  • 심사 : 2015.09.20
  • 발행 : 2015.09.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 분만간호에 대한 융복합 기반 시뮬레이션 실습의 효과 및 요구도를 파악하기 위해 실시하였다. 연구대상은 충남 소재 일개 대학 간호학과에 재학 중인 3학년 학생 47명을 대상으로 하였다. 자료수집은 2012년 2월 13일에서 25일까지 실시하였으며, 자가보고형 설문지를 이용하였다. 분만간호에 대한 융복합 기반 시뮬레이션 실습은 1일 8시간씩 총 2일 동안 4개 영역으로 나누어 실시하였다. 시뮬레이션 실습 후 분만간호에 대한 자기효능감(t=-14.74, p<.001) 및 임상술기능력(t=-17.51, p<.001)이 유의하게 증가하였으며, 실습만족도가 실습스트레스에 비해 높게 나타났다. 시뮬레이션 실습필요도는 10점 만점에 7.96점이었으며, 실습만족도가 높을수록 실습필요도가 높게 나타났고, 임상실습 전에 시뮬레이션 실습을 실시하는 것에 대한 요구도가 임상실습 후 시뮬레이션 실습을 실시하는 것에 비해 높게 나타났다. 따라서 분만간호에 대한 임상실습을 보완하는 방안으로 시뮬레이션 실습을 활용하는 것이 필요하며, 시뮬레이션 실습은 임상실습 전에 실시하고, 시뮬레이션 실습필요도에 대한 학생들의 인식을 증가시키기 위한 전략 수립이 필요하다고 할 수 있다.

The purpose of this study was to evaluate the needs and effects of convergence-based simulation practice for obstetrical nursing. The study participants were 47 junior nursing students of a university in Chungnam province. Data were collected by a self-administered questionnaire from February 13 to 25, 2012. Convergence-based simulation practice for obstetrical nursing was applied 8 hours in a day for 2 days and consisted of four sessions. Self-efficacy in obstetrical nursing (t=-14.74, p<.001) and nursing skills related to obstetrical nursing (t=-17.51, p<.001) showed significant increase in the posttest and practice satisfaction was higher than practice stress. The needs of simulation practice was 7.96 out of 10 point and higher as practice satisfaction was higher. The needs of simulation practice before clinical practice was higher than simulation practice after clinical practice. These results indicate that simulation practice for obstetrical nursing can be used as the alternative for clinical practice. In addition to simulation practice should be done before clinical practice and strategies to increase the nursing student's cognition for the need of simulation practice are also needed.

키워드

참고문헌

  1. C. J. Kim, Y. H. Ahn, M. W. Kim, Y. O. Jeong, J. H. Lee, 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, Vol. 36, No. 6, pp. 1002-1011, 2006. https://doi.org/10.4040/jkan.2006.36.6.1002
  2. J. J. Yang, Developement and evaluation of a simulation-based education course for nursing students, Korean Journal of Adult Nursing, Vol. 20, No. 4, pp. 548-560, 2008.
  3. S. O. Lee, M. R. Eom, J. H. Lee, Use of simulation in nursing education, The Journal of Korean Academic Society of Nursing Education, Vol. 13, No. 1, pp. 90-94, 2007.
  4. C. Larew, S. Lessans, D. Spunt, D. Foster, B. G. Covington, Innovations in clinical simulation: Application of Benner's theory in an interactive patient care simulation, Nursing Education Perspectives, Vol. 27, pp. 16-21, 2006.
  5. A. Reilly and C. Spratt, The perceptions of undergraduate student nurses of high-fidelity simulation-based learning: A case report from the University of Tasmania, Nursing Education Today, Vol. 27, No, 6, pp. 542-550, 2007. https://doi.org/10.1016/j.nedt.2006.08.015
  6. C. W. Chung, H. S. Kim, Y. S. Park, Effects of high-fidelity simulation-based education on maternity nursing, Perspectives in Nursing Science, Vol. 8, No. 2, pp. 86-96, 2011.
  7. J. H. Park, E. Jung, J. K. Ko, H. B. Yoo, Delivery training for undergraduate medical students using birth simulatior, Korean Journal of Obstetrics and Gynecology, Vol. 51, No. 9, pp. 950-956, 2008.
  8. S. J. Lee, Y. S. Roh, J. O. Kim, K. I. Jang, E. N. Ryoo, Y. M. Park, Comparison of multi-mode simulation and $SimMan^{(R)}$ simulation on evaluation of nursing care for patients with dyspnea, Journal of Korean Academic Society of Nursing Education, Vol. 16, pp. 51-60, 2010. https://doi.org/10.5977/JKASNE.2010.16.1.051
  9. P. Jeffries, Simulation in nursing education, New York: National league for nursing, 2007.
  10. S. J. Corbridge, R. McLaughlin, J. Tiffen, L. Wade, R. Templin, and T. C. Corbridge, Using simulation to enhance knowledge and confidence, The Nurse Practitioner, Vol. 33, No, 6, pp. 12-13, 2008.
  11. M. Hodge, C. T. Martin, D. Tavernier, M. Perea-Ryan, and L. AlcalaVan-Houten, Integrating simulation across the curriculum, Nurse Educator, Vol. 33, pp. 210-214, 2008. https://doi.org/10.1097/01.NNE.0000312221.59837.38
  12. B. Hofmann, Why simulation can be efficient: On the preconditions of efficient learning on complex technology based practice, BMC Medical Education, Vol. 9, No, 48, 2009.
  13. W. S. Lee, M. O. Kim, Effects and adequacy of high-fidelity simulation-based training for obstetrical nursing, Journal of Korean Academy of Nursing, Vol. 41, pp. 433-443, 2011. https://doi.org/10.4040/jkan.2011.41.4.433
  14. L. Baillie and J. Cruzio, Students' and facilitators' perceptions of simulation in practice learning, Nurse Education in Practice, Vol. 9, pp. 297-306, 2009. https://doi.org/10.1016/j.nepr.2008.08.007
  15. S. A. Kim, S. K. Lee, H. J. Chae, Effects of clinical practice and simulation-based practice for obstetrical nursing, Korean Journal of Women Health Nursing, Vol. 18, No. 3, pp. 180-189, 2012. https://doi.org/10.4069/kjwhn.2012.18.3.180
  16. J. H. Kim, I. H. Park, S. J. Shin, Systematic review of Korean studies on simulation within nursing education, The Journal of Korean Academic Society of Nursing Education, Vol. 19, No. 3, pp. 307-319, 2013. https://doi.org/10.5977/jkasne.2013.19.3.307
  17. Korean Society of Women Health Nursing, Learning objectives of maternity nursing, Seoul: Author, 2013.
  18. D. C. Jude, G. G. Gilbert, D. Magrane, Simulation training in the obstetrics and gynecology clerkship, American Journal of Obstetrics and Gynecology, Vol. 195, pp. 1489-1492, 2006. https://doi.org/10.1016/j.ajog.2006.05.003
  19. C. S. McCaughey, M. K. Traynor, The role of simulation in nurse education, Nurse Education Today, Vol. 30, No. 8, pp. 827-832, 2010. https://doi.org/10.1016/j.nedt.2010.03.005
  20. H. J. Chae, S. Kim, Effects of Maternal Role Practice Education on Becoming a Mother, Korean Journal of Women Health Nursing, Vol. 17, No. 1, pp. 52-63, 2011. https://doi.org/10.4069/kjwhn.2011.17.1.52
  21. I. S. Ko, H. S. Kim, I. S. Kim, S. S. Kim, E. G. Oh, E. J. Kim, et al., Development of a scenario and evaluation for simulation learning of care for patients with asthma in emergency units, Journal of Korean Academy of Fundamentals of Nursing, Vol. 17, No. 3, pp. 371-381, 2010.
  22. C. S. Shim, M. K. Park, J. H. Kim, Effects of simulation-based delivery education regarding to obstetric clinical practice before and after of nursing students, Journal of the Korean Society of the Maternal and Child Health, Vol. 18, No. 1, pp. 125-133, 2014. https://doi.org/10.21896/jksmch.2014.18.1.125
  23. H. R. Kim, E. Y. Choi, H. Y. Kang, S. M. Kim, The relationship among learning satisfaction, learning attitudes, self-efficacy and the nursing students' academic achievement after simulation-based education on emergency nursing care, The Journal of Korean Academic Society of Nursing Education, Vol. 17, No. 1, pp. 5-13, 2011. https://doi.org/10.5977/JKASNE.2011.17.1.005
  24. J. Y. Choi, Simulation based education as an educational strategy for nursing students, Chonnam Journal of Nursing Science, Vol. 15, No. 1, pp. 47-57, 2010.
  25. Y. M. Kim, N. M. Chun, E. H. Lee, I. S. Cho, S. H. Ahn, J. I. Kim, et al., Student experience and satisfaction with clinical nursing practice in women's health nursing, Korean Journal of Women Health Nursing, Vol. 17, No. 3, pp. 225-242, 2011. https://doi.org/10.4069/kjwhn.2011.17.3.225
  26. A. Weaver, High-fidelity patient simulation in nursing education: An integrative review, Nursing Education Perspectives, Vol. 32, No. 1, pp. 37-40, 2011. https://doi.org/10.5480/1536-5026-32.1.37
  27. K. Lasater, High-fidelity simulation and the development of clinical judgement: Student's experience, The Journal of Nursing Education, Vol. 46, pp. 269-276, 2007.
  28. J. H. Lee, S. S. Kim, K. S. Yeo, S. J. Cho, H. L. Kim, Experience among undergraduate nursing students on high-fidelity simulation education: A focus group study, Journal of Korean Academic Society of Nursing Education, Vol. 16, No. 2, pp. 183-193, 2009.
  29. G. Alinier, B. Hunt, R. Gordon, and C. Harwood, Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education, Journal of Advanced Nursing, Vol. 54, pp. 359-369, 2006. https://doi.org/10.1111/j.1365-2648.2006.03810.x
  30. K. C. Lim, Directions of simulation-based learning in nursing practice education: A systematic review, Journal of Korean Academic Society of Nursing Education, Vol. 17, No. 2, pp. 246-256, 2011. https://doi.org/10.5977/JKASNE.2011.17.2.246

피인용 문헌

  1. Experiences of Male Nursing Students in Simulation Training for Maternal and Child Nursing Care vol.13, pp.3, 2017, https://doi.org/10.1016/j.ecns.2016.11.003