한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제21권5호
  • /
  • Pages.141-149
  • /
  • 2020
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

간호학생을 대상으로 한 시뮬레이션 실습 효과에 대한 비판적 고찰

Critical Review of Simulation Training's Effects on Nursing Students

  • 최은희 (영남이공대학교 간호대학)
  • 투고 : 2020.02.24
  • 심사 : 2020.05.08
  • 발행 : 2020.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 간호학생을 대상으로 한 시뮬레이션 실습 중재 연구의 현황을 파악하고 효과를 분석하기 위함이다. 연구방법은 비판적 고찰을 사용하였으며, 고찰을 위한 자료는 RISS, KISS, NDSL, DBpia와 KRI에서 검색하였으며 주요 용어는 간호와 시뮬레이션이었다. 채택된 연구들은 방법론적으로 연구의 질을 분석하였으며, 이에 따라 서술연구, 단일그룹 사후 조사 연구를 제외하였으며, 결과적으로 234편의 연구가 분석에 채택되었다. 자료분석 결과, 우리나라에서 간호학생을 대상으로 한 시뮬레이션의 중재연구는 2008년부터 시작되었으며 단일그룹 사전-사후설계와 비동등성 대조군 사후설계는 석사학위와 박사학위 논문보다 저널에서 많이 나타났다. 관찰자와 간호학생에 의해 측정된 임상수행 능력은 비동등성 대조군 사전-사후 설계에서 가장 많이 연구된 종속변수이었으며 시뮬레이션과 관련된 간호학생 핵심역량은 전인간호제공을 위한 교양 및 전공지식의 통합적 간호술, 간호문제해결을 위한 비판적 사고능력, 대상자 건강개선을 위한 의사소통과 협력능력, 간호목표 달성을 위한 리더십 능력과 간호전문직발전을 위한 법적·윤리적 책임인식 능력으로 나타났다. 비동등성대조군 사전-사후설계에서는 다른 연구 설계보다 다양한 핵심역량들에 대한 효과를 확인하였다. 결론적으로 시뮬레이션 실습 교육은 임상수행능력 향상을 위한 효과적인 교수학습방법이나 비판적 사고나 문제해결능력은 추후 검증이 필요하다고 사료된다.

This study was undertaken to analyze the intervening effect of nursing simulation among nursing students. This was a critical review study, and data obtained were reviewed using various data bases, including RISS, KISS, NDSL, DBpia, and KRI. The terminologies entered in the data base were nursing and simulation. Selected studies were assessed for methodological quality; and narrative, descriptive or one group post-test studies were excluded from the analysis. Ed. Notes: Please review for accuracy. I have suggested the edit to the best of my understanding. Finally, 234 studies were included for investigation. Results included studies of nursing simulation intervention in Korea, commencing from 2008. One group pre-post test and two group post test were more designed in journals comparing to master thesis or doctoral dissertation. Clinical practice was the most frequently studied aspect by both the assessor and student in the two groups' pre-post test design. Nursing competences associated with dependent variables during simulation were integrated skills, critical thinking, communication, cooperation, professional recognition and leadership. The two groups pre-post design explored more varied competences as compared to other designs. Considering the results obtained, we conclude that simulation intervention is an effective teaching method for nursing students to help improve their clinical practice. However, further studies are required to assess the impact of critical thinking and problem solving.

키워드

참고문헌

  1. M. I. Centrell, S. I. Meyer, V. Mosack, "Effects of simulation on nursing student stress: An integrative review", Journal of Nursing Education, Vol.56, No.3, pp.139-144, 2016. DOI: http://doi.org/10.3928/01484834-20170222-04
  2. Y. H. Lee, H. Y. Ahn, "The effects of simulation education for new nurses on emergency management using low-fidelity simulator", The Journal of Korean Academic Society of Nursing Education, Vol.25, No.3, pp.331-343, 2019. DOI: http://doi.org/10.5977/jkasne.2019.25.3.331
  3. A. Tubaishat, L. I. Tawalbeth, "Effect of cardiac arrhythmia simulation on nursing students' knowledge acquisition and retention", Western Journal of Nursing Research, Vol.37, No.9, pp.1160-1174, 2015. DOI: http://doi.org/10.1177/0193945914545134
  4. Korean Accreditation Board of Nursing Education. Handbook of Korean Accreditation Board of Nursing Education [Internet]. Korean Accreditation Board of Nursing Education, [cited 2017 January 12], Available From: http://www.kabone.or.kr/HyAdmin/view.php?&bbs_id=kab01&page=6&doc_num=560 (accessed Nov. 20, 2019)
  5. E. H. Lee, Development of outcome-based rubric for evaluating performance in nursing simulation, PhD dissertation, Ajou University, Suwon, Korea, pp.119-122, 2015.
  6. R. J. Scalese, R. Hatala, The comprehensive textbook of healthcare simulation. p.135-160, Springer Publishers, 2013.
  7. International nursing association for clinical simulation and learning, Standards Committee. "INACSL standards of best practice: $simulation^{sm}$ simulation design", Clinical Simulation in Nursing, Vol.12, pp.5-12, 2016. DOI: http://doi.org/10.1016/j.ecns.2016.09.005
  8. J. M. Lee, H. S. So, Y. K. Kim, J. E. Kim, M. J. An, "The effects of high fidelity simulation-based education on clinical competence and confidence in nursing student: A systemic review", Journal of The Korea Contents Association, Vol.14, No.10, pp.850-861, 2014. DOI: http://dx.doi.org/10.5392/JKCA.2014.14.10.850
  9. J. H. Kim, I. H. Park, S. J. Shin, "Systemic review of Korean studies on simulation within nursing education", Vol.19, No.3, pp.307-319, 2013. DOI: http://doi.org/10.5977/jkasne.2013.19.3.307
  10. J. Lee, P. J. Oh, "Effects of the use of high-fidelity patient simulation in nursing education: A meta-analysis", The Journal of Korean Academic Society of Nursing Education, Vol.54, No.9, pp.501-507, 2015. DOI: http://doi.org/10.3928/01484834-20150814-04
  11. McMaster University. GRADE Online Learning Modules [Internet]. McMaster University, [cited 2019 January 01], Available From: https://cebgrade.mcmaster.ca/index.html (accessed Dec. 5, 2019)
  12. S. Y. Bang, Y. Eun, "The effect of debriefing using reflective questions and writing in simulation training-post operative care of abdominal surgery-", The Journal of Korean Academic Society of Nursing Education, Vol.23, No.4, pp.463-473, 2017. DOI: http://doi.org/10.5977/jkasne.2017.23.4.463
  13. M. S. Chu, Y. Y. Hwang, "Effects of web-based simulation and high-fidelity simulation of acute heart disease patient care", The Journal of Korean Academic Society of Nursing Education, Vol.23, No.1, pp.95-107, 2017. DOI: http://doi.org/10.5977/jkasne.2017.23.1.95
  14. J. Y. Kim, N. R. Heo, "Effect of a simulated education-based hypoglycemia scenario using a high-fidelity simulator on acquisition and retention of diabetes knowledge and academic self-efficacy in nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.23, No.3, pp.319-329, 2017. DOI: http://doi.org/10.5977/jkasne.2017.23.3.319
  15. 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Ⓡ simulation on evaluation of nursing care for patients with dyspnea", The Journal of Korean Academic Society of Nursing Education, Vol.16, No.1, pp.51-60. DOI: http://doi.org/10.5977/JKASNE.2010.16.1.051
  16. S. J. Park, "Design and application of nursing simulation goal-based scenario for nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.23, No.2, pp.224-235. DOI: http://doi.org/10.5977/jkasne.2017.23.2.224
  17. J. J. Yang, "The effects of simulation-based education on knowledge and clinical competence for nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.18, No.1, pp.14-24, 2012. DOI: http://doi.org/10.5977/jkasne.2012.18.1.014
  18. Korean Accreditation Board of Nursing Education. Core competency and program outcome [Internet]. Korean Accreditation Board of Nursing Education, [cited 2013 May 15], Available From: http://www.kabone.or.kr/HyAdmin/view.php?&bbs_id=kab01&page=13&doc_num=399 accessed Nov. 05, 2019)
  19. F. Faul, E. Erdffelder, A-G. Lang, A. Buchner, "G*power 3: A flexible statistical analysis program for the social, behavioral, and biomedical sciences", Vol.39, pp. 175-191, 2007. DOI: http://dx.doi.org/10.3758/BF03193146
  20. Y. L. Ham, Development and evaluation of a simulation educational program using a high-fidelity patient simulator for undergraduate nursing student, Yonsei University, Seoul, Korea, pp.127, 2009.
  21. J. J. Yang, "Development and evaluation of a simulation-based education course for nursing student", The Journal of Korea Academic Society of Adult Nursing, Vol.20, No.4, pp.548-560, 2008.
  22. J. Y. Kim, Development of a scenario of simulation and analysis of the effect of debriefing: focuse on case of cerebral hemorrhage patient, Master's thesis, Eulji University, Daejeon, Korea, pp.75, 2012.
  23. S. E. Choi, H. J. Kim, "Effect of structured debriefing on the learning outcomes of nursing students in simulation-based education", Journal of the Korea Institute of Information & Communication Engineering, Vol.22, No.9, pp.1208-1213, 2018. DOI: http://doi.org/10.6109/jkiice.2018.22.9.1208
  24. J. A. Park, J. Y. Hong, "The effect of simulation education on critical thinking disposition, problem solving process, communication skills, and clinical competence of nursing students", Journal of Learner-Centered and Instruction, Vol.17, No.19, pp.1208-1213, 2017. DOI: http://doi.org/10.22251/jlcci.2017.17.19.769
  25. 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. DOI: https://doi.org/10.14400/JDC.2015.13.4.263