Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Effects of Convergence-based Integrated simulation Practice program on the Clinical decision making, Problem solving process, Clinical competence and Confidence of core fundamental nursing skill performance for Nursing Students

융복합 기반 통합시뮬레이션실습 교육이 간호대학생의 임상의사결정능력, 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감에 미치는 효과

  • Received : 2017.05.30
  • Accepted : 2017.07.20
  • Published : 2017.07.28
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Abstract

This study was performed to examine that convergence-based integrated simulation practice program curriculum effects the clinical decision making, problem solving competence, clinical competence and confidence of core fundamental nursing skill performance for nursing students. After the convergence-based integrated simulation practice program, there were significant increased in problem solving process(t=-3.052, p<.01), clinical competence(t=-4.279, p=.000), and confidence of core fundamental nursing skill performance(t=-2.416, p<.05). The finding of this study verified that the integrated simulation practice program curriculum can be used for improvements of problem solving competence, clinical competence and confidence of core fundamental nursing skill performance for nursing students. It is necessary to develop a scientific analytical evaluation tool and program, and it would be necessary to have a system for scientifically analyzing the integration of simulation practical courses by nursing college students by grade level and subjects.

본 연구는 융복합 기반 통합시뮬레이션실습 교육이 간호대학생의 임상의사결정능력, 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감에 미치는 효과를 확인하고자 수행되었다. 연구설계는 단일군 사전사후설계에 의한 실험연구로 연구대상은 C도 소재 일개 4년제 대학 간호학과 4학년 학생 64명이었으며 연구기간은 2016년 9월 5일부터 2016년 12월 6일까지였다. 연구결과 통합시뮬레이션실습 교육 운영 후 문제해결과정 (t=-3.052, p<.01), 임상수행능력(t=-4.279, p=.000), 핵심기본간호술 수행 자신감(t=-2.416, p<.05)의 점수가 사전에 비해 사후에 유의하게 증가하였다. 본 연구를 통하여 통합시뮬레이션실습 교육이 4학년 간호대학생의 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감의 임상실습 수행에 긍정적인 효과를 제공하므로 이를 지속적으로 적용하고 운영하는 교육과정이 필요할 것으로 생각된다. 과학적이고 분석적인 평가 도구와 프로그램의 개발이 필요하며 간호대학생의 학년별, 과목별 시뮬레이션실습과목의 통합을 과학적으로 분석하는 시스템이 필요하리라 생각된다.

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References

  1. H.. R. Kim, E. Y. Choi, H. Y. Kang, S. M. Kim, "The relationship among learning satisfaction, learning attitude, self-efficacy and the nursing students' academic achievement after simulation-based education on emergency nursing care." 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
  2. C. S. Kyo, "Critical thinking disposition, problem solving ability, and clinical competence in nursing students." Journal of Korean Fundamentals of Nursing, Vol. 18, No. 1, pp. 71-78, 2011.
  3. Rye-Won. Ma, " Critical thinking disposition and problem solving ability of nursing students". Ph. D. dissertation, Ewha Womans University, 2009.
  4. J. H. Kim, K. J. Kwon, S. H. Lee, "Factors influencing problem solving abilities of nursing students." Journal of Digital Convergence, Vol. 15, No. 4, pp. 295-307, 2017. https://doi.org/10.14400/JDC.2017.15.4.295
  5. I. S. Kwon, " An analysis on clinical education of pediatric nursing." Child Health Nursing Research, Vol. 8, No. 3, pp. 344-356, 2002.
  6. M. H. Cho, I. S. Kwon, "A study on the clinical practice experiences on nursing activities of nursing students." Journal of Korean Academic Society of Nursing Education, Vol. 13, No. 2, pp. 143-154, 2007.
  7. Y. J. Kim, " A study on type of clinical experience of adaptation of new nursing staffs in a general hospital." Journal of Digital Convergence, Vol. 12, No. 4, pp. 443-454, 2014. https://doi.org/10.14400/JDC.2014.12.4.443
  8. 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
  9. A. J. Bland, A. Topping, B. Wood, "Concept analysis of simulation as a learning strategy in the education of undergraduate nursung students." Nurse Education Today, Vol. 31, No. 7, pp. 664-670, 2011. https://doi.org/10.1016/j.nedt.2010.10.013
  10. S. H. Lee, Y. L. Chun, K. M. Kim, H. J. Park, "Effects of integrated simulation (deliveryoperation- newborn care) practice program for nursing students." Journal of Learner-Centered Curriculum and Instruction, Vol. 15, No. 9, pp. 577-599, 2015.
  11. J. K. Ko, M. S. Chung, M. A. Choe, Y. I. Park, K. S. Bang, J, A. Kim, M. S. Yoo, H. Y. Jang, " Modeling of nursing competencies for competency-based curriculum development." Journal of Korean Academic Society of Nursing Education, Vol. 19, No. 1, pp. 87-96, 2013. https://doi.org/10.5977/jkasne.2013.19.1.87
  12. E. H. Choi, H. S. Byun, E. H. Kim, H. S. Keum, "The effect of a simulation-based integrated clinical practice program on problem-solving competence, critical thinking and clinical competence among nursing students." Crisisonomy, Vol.12, No.6, pp. 125-141, 2016.
  13. S. H. Kim, Y. S. Ham, "A meta-analysis of the effect of simulation based education - korean nurses and nursing students." Journal of Korean Academic Society of Nursing Education, Vol. 21, No. 3, pp. 308-319, 2015. https://doi.org/10.5977/jkasne.2015.21.3.308
  14. J. M. Kim, Y. S. Choi, " Effects 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
  15. Cohen, "Statistical power analysis for the behavioral science (2nd ed). Hillsdale, NJ: Erlbaum Press", 1988.
  16. H. S. Byun, K..H. Kwon, B. D. Suh, "Effect of a simulation-based education for advanced cardiovascular life support on knowledge, self-efficacy, clinical performance ability and problem solving process in nursing students." Journal of the Korea Entertainment Industry Association, Vol. 18, No. 4, pp. 261-273, 2014.
  17. H. M. Jenkins, "Improving clinical decision making in nursing." Journal of Nursing Education, Vol. 24, No. 6, pp. 242-243, 1985.
  18. M. K. Baek, "Relationship between level of autonomy and clincal decision-making in nursing scale of E.T nurse". Ph. D. dissertation, Yonsei University. 2005.
  19. W. S. Lee, S. H. Park, E. Y. Choi, "Development of a Korean Problem Solving Process Inventory for Adults." Journal of Korean Fundamentals of Nursing, Vol. 15, No. 4, pp. 548-557, 2008.
  20. Jong-Seung. Lee, "The effects of process behaviors on problem solving performance on various tests". Ph. D. dissertation, Chicago University, 1978.
  21. J. H. Park, O. H. Woo, " The effects of PBL(Problem-based learning) on problem solving process by learner's metacognitive level." Journal of Educational Technology, Vol. 15, No. 3, pp. 55-81, 2015.
  22. C. Barrett, F. Myrick, "Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee." Journal of Advanced Nursing, Vol. 27, No. 2, pp. 364-371, 1998. https://doi.org/10.1046/j.1365-2648.1998.00511.x
  23. W. H. Lee, J. J. Kim, H. K. Hur, K. S. Kim, S. M. Lim, "Research for development of clinical performance measurement tool of nursing college students", Yonsei University Nursing Journal, Vol. 13, pp. 17-29, 1991.
  24. M. S. Choi, " A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students". Ph. D. dissertation, Ewha Womans University, 2005.
  25. J. H. Yoo, "Factors influencing nursing students' flow experience and clinical competency in simulation-based education-based on Jeffries's simulation model". Ph. D. dissertation, Sungshin Womans University, 2016.
  26. Korean Accreditation Board of Nursing Education. 2013. Care competencies for nurses. http://www.kabon.or.kr/
  27. Y. H. Kim, "Nursing students' performance and confidence in basic nursing skills after the completion of clinical practice : focused on basic nursing skills of low performance". Ph. D. dissertation, Keimyung University, 2002.
  28. S. S.. Bang, "Relationship among essentials of fundamental nursing skills performance, stress from work and work capability of new clinical nurse". Ph. D. dissertation, Sahmyook University, 2014.
  29. K. I. Kim, G. S. Jeon, G. S. Chae, "NFC payment system model for security privacy and location information of user." Journal of Convergence Society for SMB, Vol. 5, No. 2, pp. 21-22, 2015.
  30. S. H. Bae, J. S. Shin, S. H. Chun, H. S. Chung, "A study on improving the privacy for personal information collected for statistical processing." , Journal of Convergence Society for SMB, Vol. 6, No. 2, pp. 25-30, 2016.
  31. J. M. Anderson, J. B. Warren, "Using simulation to enhance the acquisition and retention of clinical skills in neonatology." Seminars in Perinatology, Vol. 35, No. 2, pp. 59-67, 2011. https://doi.org/10.1053/j.semperi.2011.01.004
  32. H. K. Hur, H. O. Choi, J. S. Jung, H. W. Kang, G. Y. Kim, " Influence of simulation-based practice on emergency care for patients with dyspnea on learning outcomes in nursing students." Journal of Korean Critical Care Nursing, Vol. 5, No. 1, pp. 12-22, 2012.
  33. H. K. Hur, S. M. Park, Y. H. Shin, Y. M. Lim, G. Y. Kim, K. K. Kim, H. O. Choi, J. H. Choi, "Development and applicability evaluation of an emergent care management simulation practicum for nursing Students." Journal of Korean Academic Society of Nursing Education, Vol. 19, No. 1, pp. 228-240, 2013. https://doi.org/10.5977/jkasne.2013.19.2.228
  34. J. S. Jung, "Relationship of self-directedness and practice satisfaction to clinical practice in nursing students: the mediating effect of clinical competence." Journal of Korean Academic Society of Nursing Education, Vol. 18, No. 1, pp. 53-61, 2012. https://doi.org/10.5977/jkasne.2012.18.1.053
  35. H. Y. Kang, E. J. Kim, Y. J. Oh, "Development of a scenario and evaluation for simulation learning of care for patients with hyperkalemia of liver cirrhosis in emergency unit." Journal of Korean Contents Society, Vol. 13, No. 9, pp. 312-321, 2013.
  36. H. K. Kim, "Application effect of simulation education for clinical decision making enhancement of nursing students". Ph. D. dissertation, Chonnam National University, 2015.
  37. M. S. Yoo, J. H. Park, S. R. Lee, "The effects of case-based learning using video on clinical decision making and learning motivation in undergraduate nursing students." Journal of Korean Academy of Nursing, Vol. 40, No. 6, pp. 863-871, 2010. https://doi.org/10.4040/jkan.2010.40.6.863
  38. M. E. Jung, "The effects of case-based learning on clinical decision making and nursing performance in undergraduate nursing student". Ph. D. dissertation, Pusan National University, 2012
  39. C. A. Tanner, "Thinking like a nurse: a research-based model of clinical judgement in nursing", Journal of Nursing Education, Vol. 45, No. 6, pp. 204-211, 2006.
  40. I. J. Hwang, " Clinical decision making patterns of pediatric nurses", Journal of Korean parent Child Health, Vol. 15, No. 1, pp. 20-32, 2012.
  41. H. S. Shin, K. K. Shim, "Nursing student's experiences on pediatric nursing simulation practice." Journal of East-West Nursing Research, Vol. 16, No. 2, pp. 147-155, 2010.
  42. Y. J. Yi, " The causal relationships of the variable to decision-making of clinical nurses". Ph. D. dissertation, Hanyang University, 2001.
  43. B. Garrett, "Students nurse's perceptions of clinical making in the final year of adult nursing studies", Nurse Education in Practice, Vol. 5, No. 1, pp. 30-39, 2005. https://doi.org/10.1016/j.nepr.2004.03.003
  44. S. N. Park, M. S. Chu, Y. Y. Hwang, S. H. Kim, S. K. Lee, "Effects of integrated nursing practice simulation-based training on stress, interest in learning, and problem-solving ability of nursing students." Journal of Korean Fundamentals of Nursing, Vol. 22, No. 4, pp. 424-432, 2015. https://doi.org/10.7739/jkafn.2015.22.4.424
  45. S. K. Lee, S. H. Kim, S. N. Park, "Persistence of integrated nursing simulation program effectiveness." Journal of Korean Fundamentals of Nursing, Vol. 23, No. 3, pp. 283-291, 2016. https://doi.org/10.7739/jkafn.2016.23.3.283
  46. H. J. Chae, " The needs and effects of convergence-based simulation practice for obstetrical nursing." Journal of Digital Convergence, Vol. 13, No. 9, pp. 377-386, 2015. https://doi.org/10.14400/JDC.2015.13.9.377
  47. H. J. Kang, M. Y. Kim , H. J. Choe, " Effects of integrated nursing practicum by applying simulation-problem based learning on critical thinking disposition, nursing process competence, and self-confidence on core basic nursing skills." Journal of Learner-Centered Curriculum and Instruction, Vol. 16, No. 12, pp. 495-508, 2016.
  48. Y. H. Kim, S. Y. Hwang, A. Y. Lee, "Perceived confidence in practice of core basic nursing skills of new graduate nurses." Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 1, pp. 37-46, 2014. https://doi.org/10.5977/jkasne.2014.20.1.37
  49. M. S. Jung, Y. S. Kwon, "The effects of convergence-based reduction 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
  50. E. H. Park, H. R. Park, H. S. Kim. "Approaches to convergence curriculum for healthcare-affiliated students with clinical competence assessment program." Journal of Korea Convergence Society, Vol. 6, No. 3, pp. 79-86, 2015. https://doi.org/10.15207/JKCS.2015.6.3.079