DOI QR코드

DOI QR Code

동영상 촬영과 피드백을 이용한 실습교육이 보건의료전공 대학생의 술기수행능력에 미치는 효과: 메타분석

Effectiveness of Education Program Using Video Recording and Feedback on Skill Competency for Students of Majors in Health Care: A Meta-Analysis

  • 신윤희 (연세대학교 원주의과대학 간호학과) ;
  • 김선경 (국립목포대학교 간호학과) ;
  • 김현주 (한국교통대학교 간호학과)
  • Shin, Yun Hee (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Kim, Sun Kyung (Department of Nursing, Mokpo National University) ;
  • Kim, Hyunjoo (Department of Nursing, Korea National University of Transportation)
  • 투고 : 2018.02.14
  • 심사 : 2018.04.13
  • 발행 : 2018.05.31

초록

Purpose: A meta-analysis was conducted to evaluate effectiveness of education programs using video recording and feedback in the improvement of competency in clinical skills for health care majors. Methods: Six databases were searched and inclusion criteria were randomized controlled trials (RCTs) or non-randomized controlled trials (NRTs) reporting level of skill competency using numerical measurements. Data analysis and synthesis were performed using Comprehensive Meta-Analysis software and Revman program. Results: Of 1,568 records, 11 studies met inclusion criteria. Statistically significant effectiveness of education programs using video recording and feedback was identified. A low risk of bias was detected among both RCTs and NRTs. Meta-analysis showed that the intervention groups had more effective improvements in skill competency (standardized mean difference [SMD]: 0.74; 95% CI: 0.33~1.16). Results of subgroup analysis showed higher effects when interventions dealt with one skill, used self-reflection with expert feedback, and included instruction from instructor in the education programs. Conclusion: Findings suggest that schools for health care majors should actively adopt video and feedback based skill training allowing educators to design effective programs. Potential is higher for students to achieve higher competency when they train with one skill at a time, use of instruction and receive feedback from experts.

키워드

참고문헌

  1. Suwan N, Kasatpibal N, Sawasdisingha P. Effects of studentcentered teaching on knowledge, practice, and satisfaction of clean techniques among second year nursing students. Singapore Nursing Journal. 2013;40(4):30-37.
  2. Choi SH, So HS, Choi JY, Yoo SH, Yun SY, Kim MH, et al. Comparison of blended practicum combined E-learning between cooperative and individual learning on learning outcomes. The Journal of Korean Academic Society of Nursing Education. 2014;20(2):341-349. https://doi.org/10.5977/jkasne.2014.20.2.341
  3. McCutcheon K, Lohan M, Traynor M, Martin D. A systematic review evaluating the impact of online or blended learning vs. face-to-face learning of clinical skills in undergraduate nurse education. Journal of Advanced Nursing. 2015;71(2):255-270. https://doi.org/10.1111/jan.12509
  4. Song KA, Park HJ, Yeom HA, Lee JE, Joo GE, Kim HJ. The development and evaluation of a new educational program, introduction to clinical nursing, for third year nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(3):322-333. https://doi.org/10.7739/jkafn.2012.19.3.322
  5. Hyun KS, Kang HS, Kim WO, Park S, Lee J, Sok S. Development of a multimedia learning DM diet education program using standardized patients and analysis of its effects on clinical competency and learning satisfaction for nursing students. Journal of Korean Academy of Nursing. 2009;39(2):249-258. https://doi.org/10.4040/jkan.2009.39.2.249
  6. Kassie M. Using an online video to teach nursing skills. Teaching and Learning in Nursing. 2011;6(4):172-175. https://doi.org/10.1016/j.teln.2011.04.003
  7. Cardoso AF, Moreli L, Braga FT, Vasques CI, Santos CB, Carvalho EC. Effect of a video on developing skills in undergraduate nursing students for the management of totally implantable central venous access ports. Nurse Education Today. 2012;32(6):709-713. https://doi.org/10.1016/j.nedt.2011.09.012
  8. Cheon EY. The effects of video-aided peer feedback on enhancing nursing students' understanding of foley catheterization. The Journal of Korean Academic Society of Nursing Education. 2013;19(1):43-51. https://doi.org/10.5977/jkasne.2013.19.1.43
  9. Song SR, Kim YJ. Effect of a self-evaluation method using video recording on competency in nursing skills, self-directed learning ability, and academic self-efficacy. Journal of Korean Academy of Fundamentals Nursing. 2015;22(4):416-423. https://doi.org/10.7739/jkafn.2015.22.4.416
  10. Landes CA, Hoefer S, Schuebel F, Ballon A, Teiler A, Tran A, et al. Long-term prospective teaching effectivity of practical skills training and a first OSCE in cranio maxillofacial surgery for dental students. Journal of Cranio-Maxillofacial Surgery. 2014;42(5):e97-e104. https://doi.org/10.1016/j.jcms.2013.07.004
  11. Miller PA. Self assessment: The disconnect between research and rhetoric. Physiotherapy Canada. 2008;60(2):117-124. https://doi.org/10.3138/physio.60.2.117
  12. Kim MG, Lee HS. Effects of core basic nursing education using cellular phone video recordings on self-confidence in performance, achievement, and practice satisfaction. Journal of Korean Academy of Fundamentals of Nursing. 2017;24(2):128-137. https://doi.org/10.7739/jkafn.2017.24.2.128
  13. Sainsbury JE, Telgarsky B, Parotto M, Niazi A, Wong DT, Cooper RM. The effect of verbal and video feedback on learning direct laryngoscopy among novice laryngoscopists: A randomized pilot study. Canadian Journal of Anesthesia. 2017;64(3):252-259. https://doi.org/10.1007/s12630-016-0792-x
  14. Lee SG, Shin YH. Effects of self-directed feedback practice using smartphone videos on basic nursing skills, confidence in performance and learning satisfaction. Journal of Korean Academy of Nursing. 2016;46(2):283-292. https://doi.org/10.4040/jkan.2016.46.2.283
  15. Van de Ridder JMM, Stokking KM, McGaghie WC, Ten Cate OTJ. What is feedback in clinical education? Medical Education. 2008;42(2):189-197. https://doi.org/ 10.1111/j.1365-2923.2007.02973.x
  16. Mahmood T, Darzi A. The learning curve for a colonoscopy simulator in the absence of any feedback: No feedback, no learning. Surgical Endoscopy. 2004;18(8):1224-1230. https://doi.org/10.1007/s00464-003-9143-4.
  17. Mpotos N, De Wever B, Calle PA, Valcke MA, Peersman W, Monsieurs KG. Acquiring basic life support skills in a selflearning station: Video alone is not enough. European Journal of Emergency Medicine. 2013;20(5):315-321. https://doi.org/10.1097/MEJ.0b013e328358490a
  18. Backstein D, Agnidis Z, Sadhu R, MacRae H. Effectiveness of repeated video feedback in the acquisition of a surgical technical skill. Canadian Journal of Surgery. 2005;48(3):195-200.
  19. Watling C, Driessen E, van der Vleuten CPM, Vanstone M, Lingard L. Understanding responses to feedback: The potential and limitations of regulatory focus theory. Medical Education. 2012;46(6):593-603. https://doi.org/10.1111/j.1365-2923.2012.04209.x
  20. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. BMJ: British Medical Journal. 2009;339: b2535. https://doi.org/10.1136/bmj.b2535
  21. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Chichester, UK: Wiley-Blackwell;2011.
  22. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, et al. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul, Korea: National Evidence-based Healthcare Collaborating Agency; 2011.
  23. Korean Nurses Association. Status for Korean nursing educational institutions [Internet]. Seoul, Korea: Author; 2017 [cited 2017 September 8]. Available from: https://www.koreanurse.or.kr/resources/nurse_edu.php
  24. Korea Health Personnel Licensing Examination Institute. Passing rate of national examination by year [Internet]. Seoul, Korea: Author; 2017 [cited 2017 September 8]. Available from: http://www.kuksiwon.or.kr/Publicity/ExamStatistic.aspx?S iteGnb=5&SiteLnb=2
  25. Sun Y, Pan C, Li T, Gan TJ. Airway management education: simulation based training versus non-simulation based training: A systematic review and meta-analyses. BioMed Central Anesthesiology. 2017;17:1-7. https://doi.org/10.1186/s12871-017-0313-7
  26. Lee J, Oh PJ. Effects of the use of high-fidelity human simulation in nursing education: A meta-analysis. Journal of Nursing Education. 2015;54(9):501-507. https://doi.org/10.3928/01484834-20150814-04
  27. Mundell WC, Kennedy CC, Szostek JH, Cook DA. Simulation technology for resuscitation training: A systematic review and meta-analysis. Resuscitation. 2013;84(9):1174-1183. https://doi.org/10.1016/j.resuscitation.2013.04.016
  28. Hatala R, Cook DA, Zendejas B, Hamstra SJ, Brydges R. Feedback for simulation-based procedural skills training: A metaanalysis and critical narrative synthesis. Advanced in Health Sciences Education. 2014;19(2):251-272. https://doi.org/10.1007/s10459-013-9462-8
  29. Gardner AK, Jabbour IJ, Williams BH, Huerta S. Different goals, different pathways: The role of metacognition and task engagement in surgical skill acquisition. Journal of Surgical Education. 2016;73(1):61-65. https://doi.org/10.1016/j.jsurg.2015.08.007