DOI QR코드

DOI QR Code

간호학생의 약물용량계산능력과 정확도에 관한 융합적 연구

Convergence Study on Ability and Accuracy in Drug Dose Calculations of Nursing Students

  • 투고 : 2017.02.01
  • 심사 : 2017.03.20
  • 발행 : 2017.03.28

초록

본 연구는 간호학생의 약물용량계산에서의 취약점을 찾기 위해 학생들의 자기기입식 일반적 사항과 약물계산수업 전 자신감(이하, 자신감), 수업수행도(이하, 수행도) 및 약물용량계산 시험지를 SPSS 19.0 으로 분석하였다. 본 연구결과 약물계산능력을 나타내는 서술식 두 문제의 평균 정답률은 72%였고, 단순계산능력은 성별 간 차이가 없었으나 응용계산능력과 계산정확도는 남학생이 유의하게 높았고, 고등학교계열별 계산능력에는 차이가 없었다. 자신감과 수행도 및 수행도와 계산정확도 간 양의 상관관계가 있었고, 자신감의 수행도에 대한, 수행도의 계산정확도에 대한 설명력은 각각 4.2%와 3.2%였다. 1개 대학 간호학생 대상의 본 연구결과를 일반화할 수는 없으나, 반복적이고 지속적인 수학학습으로 수행도를 높이고 약물계산에 대한 자신감을 향상시킴으로써 계산정확도를 높여 투약오류예방을 위한 중재프로그램 개발 및 적용의 필요성을 제언한다.

This study is to find the weaknesses in drug dose calculations of nursing students by analyzing their general characteristics, confidence(C), performances in classes(PC) and exam sheets of drug dose calculations. The data were analyzed using SPSS 19.0. There was no significant difference between male and female students in simple calculation ability(SCA), but male students' mean scores were higher in applied calculation ability(ACA) and accuracy on calculation(AC). There were no significant differences in calculation abilities according to high school departments. And students were weak in questions which are needed ACA. The explanation rate of C on PC and PC on AC were 4.2% and 3.2% respectively, so there were weak positive effects from C to PC, and PC to AC. This study suggests that there is a need to develop and implement an intervention program according to students' abilities to increase AC, C, and PC by studying math on an ongoing basis. This study needs to be cautious in generalizing, because the data set was limited to nursing students from one university.

키워드

참고문헌

  1. C. A. Oh, H. S. Yoon, Perception and Experience of Medication Errors in Nurses with Less than One Year Job Experience, The Korean Journal of Fundamentals of Nursing, Vol. 14. No. 1, pp. 6-17, 2007.
  2. Y. E. Lee, "Medication Activity Frequency, Perceived Competency and Educational Needs among Nurses and Nursing Students", M.aster thesis, Graduate School of Advanced Practice Nursing, Eulji University, 2012.
  3. S. H. Ahn, "Analysis of Risk Factors for Patient Safety Management", The Journal of Korean Nursing Administration Academic Society, Vol. 2, No. 3, pp. 373-384, 2006.
  4. S. D. Cho, S. E. Heo, D. H. Moon, "A Convergence Study on the Hospital Nurse's Perception of Patient Safety Culture and Safety Nursing Activity", Journal of the Korea Convergence Society, Vol. 6, No. 7, pp. 125-136, 2016. https://doi: org/10.15207/JKCS.2016.7.1.125
  5. Miryang "Vaccination H1N1 flu to 10 people for 100 people" http://blog.daum.net/ankwan/15713386
  6. M. S. Kim, J. H. Park, "Development of a Drug Dosage Calculation Learning Smartphone Application", Journal of the Korea Academia-Industrial cooperation society, Vol. 14, No. 5, pp. 2251-2261, 2013. https://doi:org/10.5762/KAIS.2013. 14.5.2251
  7. K. Wright, "Student nurses' perceptions of how they learn drug calculation skills", Nurse Education Today, Vol. 32, No. 6, pp. 721-726, 2012. https://doi.org/10.1016/j.nedt.2011.09.014
  8. Y. M. Kim, S. Y. Kim, M. Y. Kim, J. H. Kim, S. K. Lee, M. K. Jang, "Patient Safety Program and Safety Culture", The Journal of Korean Nursing Administration, Vol. 16 No. 4, pp. 455-465, 2010. https://doi.org/10.11111/jkana.2010.16.4.455
  9. K. J. Park, "The experience of parenteral medication administration by undergraduate nursing students", Doctoral dissertation, Ewha Women's University, 2014.
  10. M. H. Kim, J. H. Park, M. S. Kim, "Predictors of Drug Calculation Competence of Nursing Students", Journal of Korean Biologic Nursing Science, Vol. 16 No. 3, pp. 174-182, 2012.
  11. H. S. Oh, "The Effects of Team-Based Learning on Outcome based Nursing Education", Journal of digital Convergence , Vol. 13, No. 9, pp. 409-418, 2015. https://doi: org/10.14400/JDC.2015.13.9.409
  12. Y. M. Son, B. S. Jung, "Convergence Development of Video and E-learning System for Education Disabled Students", Journal of the Korea Convergence Society, Vol. 6, No. 4, pp. 113-119, 2015. https://doi: org/10.15207/JKCS.2015.6.4.113
  13. M. S. Kim, J. S. Kim, W. C. Ha, "Predictors of Drug Dosage Calculation Error Risk in Newly Graduated Nurses", Journal of Korean Biologic Nursing Science, Vol. 16 No. 2, pp. 113-122, 2014. https://doi:org/10.7586/jkbns.2014.16.2.113
  14. E. Coyne, J. Needham, H. Rands, "Enhancing student nurses' medication calculation knowledge; Integrating theoretical knowledge into practice," Nurse Education Today, Vol. 33, No. 9, 1014-1019, 2013. https://doi:org/10.1016/j.nedt.2012.04.006
  15. M. K. Kim. "A comparison of career choice between male and female academic high school students", Master thesis, Ewha Women's University, 1994.
  16. O. N. Kwon, "The Assignment and Prospect in Mathematics education for Gender equality", Journal of the Korean Society of Mathematical Education Series E, Vol. 10, Jan. pp. 417-440, 2000.
  17. S. Andrew, Y. Salamonson, E. J. Halcomb, "Nursing students' confidence in medication calculations predicts math exam performance", Nurse Education Today, Vol. 29, pp. 217-223, 2009. https://doi:org/10.1016/j.nedt.2008.08.005
  18. M. S. Jung, Y. S. Kwon, "The Effects of Convergence-Based Reeducation on Core Basic Nursing Skills on Nursing Students' Competence and Confidence", Journal of digital Convergence , Vol. 13, No. 4, pp. 295-302, 2015. https://doi:org/10.14400/JDC.2015.13.4.295
  19. J. M. Kim, Y. S. Choi, "Effect of practice education using the simulator, critical thinking, problem solving ability and nursing process confidence of nursing students", Journal of digital Convergence , Vol. 13, No. 4, pp. 263-270, 2015. https://doi:org/10.14400/JDC.2015.13.4.263
  20. Y. S. Nam, Korean dictionary. Paju: Sungandang, 2005.
  21. H. S. Park, G. Y. Cho, D. H. Kim, S. H. Kim, M. S. Kim, "The Mediating Effect of Drug Calculation Confidence in the Relationship between Interest in Medication and Drug Calculation Competency", Journal of Korean Biologic Nursing Science, Vol. 15, No. 4, pp. 155-163, 2013. https://doi:org/10.7586/ jkbns.2013.15.4.155
  22. M. McMullan, R. Jones, S. Lea, "The effect of an interactivee-drug calculations package on nursing students' drug calculation ability and self-efficacy", International Journal of Medical Informatics, Vol. 80, No. 6, pp. 421-430, 2011. https://doi:org/10.1016/ j.ijmedinf.2010.10.021
  23. Y. W. Shin, "A study on the factors causing the gender difference in mathematics achievement : based on the PISA 2003 results", Master thesis, The Graduate School of Education Kyung Hee University, 2012.
  24. G. Y. Choi. "A study on the difference of SAT scores due to choice between humanity and science in academic high school", Journal of the Korean Data Analysis Society, Vol. 10. No. 2. pp. 757-767, 2008.
  25. K. Glaister, "The presence of mathematics and computer anxiety in nursing students and their effects on medication dosage calculations", Nurse Education Today, Vol. 27, No. 4, pp. 341-347, 2007. https://doi:org/10.1016/j.nedt.2006.05.015
  26. M. S. Kim, J. H. Park, K. Y. Park, "Development and effectiveness of a drug dosage calculation training program using cognitive loading theory based on smartphone application", Journal of Korean Academy of Nursing, Vol. 42, No. 5, pp. 689-699, 2012. https://doi:org/10.4040/jkan.2012.42.5.689
  27. K. H. Kwak, "Development and Application of Medication Error Preventive Simulation Education for Nursing Students", Ph.D. dissertation, Catholic University, 2013.
  28. C. G. Kim, M. K. Cho, S. M. Park, "A Study on Perceived Connectivity between Pharmacological Knowledge and Clinical Practice, and the Need for Pharmacology Education Contents in Undergraduate Courses among Clinical Nurses", Journal of Korean Biologic Nursing Science, Vol. 16, No. 1, pp. 41-51, 2014. https://doi:org/10.7586/jkbns.2014.16.1.41
  29. E. H. Park, H. R. Park, H. S. Kim, "Approaches to Convergence Curriculum for Healthcare-Affiliated Students with Clinical Competence Assessment Program", Journal of the Korea Convergence Society, Vol. 6, No. 3, pp. 76-86, 2015. https://doi:org/10.15207/JKCS.2015.6.3.079