DOI QR코드

DOI QR Code

Development and effects of a labor nursing education program using a high-fidelity simulator for nursing students

간호대학생 대상의 고충실도 시뮬레이터를 이용한 분만 간호 교육 프로그램의 개발 및 효과

  • Received : 2020.05.09
  • Accepted : 2020.09.18
  • Published : 2020.09.30

Abstract

Purpose: This study was conducted to investigate the effects of an education program using a high-fidelity simulator of labor and delivery on nursing knowledge, critical thinking, and clinical performance among nursing students who had not yet experienced clinical practicum. Methods: The development of a 5-week maternity nursing education programs using high-fidelity simulators included modules containing case-oriented scenarios, knowledge, and skills required for maternity care. A randomized controlled study was conducted to verify the effects of the developed program. Data were collected from October 21 to December 9, 2019. The experimental group (n=36) participated in a 5-week high-fidelity simulation program on care for the woman in labor, whereas the control group (n=36) received standard education as lecture and practice with delivery model. The collected data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the Chi-square test, Fisher exact test, and t-test. Results: For participants who received education using the high-fidelity simulation program, nursing knowledge (t=2.33, p=.011), critical thinking (t=3.73, p<.001), and clinical performance (t=2.53, p=.006) were significantly higher than in the control group. Conclusion: Even for students with no clinical experience, high-fidelity simulation-based nursing education was effective in improving nursing knowledge, critical thinking, and clinical performance among nursing students. Nurse educators will be able to use this high-fidelity simulator effectively, especially in situations where direct clinical practicum may not be feasible.

Keywords

References

  1. Oermann MH, De Gagne JC, Phillips BC. Teaching in nursing and role of the educator: the complete guide to best practice in teaching, evaluation, and curriculum development. 2nd ed. New York: Springer Publishing Company; 2017. p. 3-16.
  2. Song J, Kim M. Study on clinical education for nursing in hospitals in Korea. J Korean Acad Soc Nurs Educ. 2013;19(2):251-264. https://doi.org/10.5977/jkasne.2013.19.2.251
  3. Lee SO, Eom M, Lee JH. Use of simulation in nursing education. J Korean Acad Soc Nurs Educ. 2007;13(1):90-94.
  4. Kim Y, Chun N, Lee EH, Cho IS, Ahn S, Kim JI, et al. Student experience and satisfaction with clinical nursing practice in women's health nursing. Korean J Women Health Nurs. 2011;17(3):225-242. https://doi.org/10.4069/kjwhn.2011.17.3.225
  5. Statistics Korea. 2018 life tables for Korea [Internet]. Daejeon: Author; 2018 [cited 2018 Feb 28]. Available from: https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=366414
  6. Kim KA. Simulation-based labor education program on skill competence, knowledge, and satisfaction for education in nursing students [dissertation]. Seoul: The Catholic University of Korea; 2014. p. 2-3.
  7. Kim M, Ha J. Simulation-based education program on postpartum hemorrhage for nursing students. Korean J Women Health Nurs. 2020;26(1):19-27. https://doi.org/10.4069/kjwhn.2020.03.04
  8. Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nurs Educ Perspect. 2005;26(2):96-103.
  9. Kim SH, Ham YS. A meta-analysis of the effect of simulation based education-Korean nurses and nursing students. J Korean Acad Soc Nurs Educ. 2015;21(3):308-319. https://doi.org/10.5977/jkasne.2015.21.3.308
  10. Demirel G, Evcili F, Kaya N, Doganer A. The effect of episiotomy repair simulation on the anxiety and self-efficacy levels of midwifery students. J Midwifery Reprod Health. 2020;8(1):2050-2057. https://doi.org/10.22038/jmrh.2019.42024.1479
  11. Bligard KH, Lipsey KL, Young OM. Simulation training for operative vaginal delivery among obstetrics and gynecology residents: a systematic review. Obstet Gynecol. 2019;134 Suppl 1:16S-21S. https://doi.org/10.1097/AOG.0000000000003431
  12. Deering S. Using simulation technology to reduce maternal morbidity [Internet]. Cranbury, NJ: Contemporary OB/GYN; 2018 [cited 2018 Oct 22]. Available from: https://www.contemporaryobgyn.net/article/using-simulation-technology-improve-maternal-morbidity
  13. Song YA, Son YJ. Effects of simulation-based practice education for core skill of maternity nursing. Korean Parent Child Health J. 2013;16(1):37-44.
  14. Chung CW, Kim HS, Park YS. Effects of high-fidelity simulation-based education on maternity nursing. Perspect Nurs Sci. 2011;8(2):86-96.
  15. Kim A. Effects of maternity nursing simulation using high-fidelity patient simulator for undergraduate nursing students. J Korea Acad Industr Coop Soc. 2016;17(3):177-189. https://doi.org/10.5762/KAIS.2016.17.3.177
  16. Kim HJ, Lim JS, Choi SM, Park SH, Park SH, An SE, et al. Analysis of activities and services of delivery room nurses based on DACUM technique. J Korean Clin Nurs Res. 2015;21(3):319-334. https://doi.org/10.22650/JKCNR.2015.21.3.319
  17. Lee Y. Work experiences of delivery room nurses: a phenomenological study. Korean J Women Health Nurs. 2017;23(2):78-88. https://doi.org/10.4069/kjwhn.2017.23.2.78
  18. Kim M. Development of objectives in nursing clinical education based on the nursing core competencies. J Korean Acad Nurs. 2006;36(2):389-402. https://doi.org/10.4040/jkan.2006.36.2.389
  19. Lee CM, So HS, Kim Y, Kim JE. An M. The effects of high fidelity simulation-based education on clinical competence and confidence in nursing students: a systematic review. J Korea Contents Assoc. 2014;14(10):850-861. https://doi.org/10.5392/JKCA.2014.14.10.850
  20. Weaver A. High-fidelity patient simulation in nursing education: an integrative review. Nurs Educ Perspect. 2011;32(1):37-40. https://doi.org/10.5480/1536-5026-32.1.37
  21. Yoon J. Development of an instrument for the measurement of critical thinking disposition: in nursing [dissertation]. Seoul: The Catholic University of Korea; 2004. p. 69.
  22. Lee WH, Kim CJ, Yoo JS, Hur HK, Kim KS, Lim SM. Development of a clinical competency measurement tool for student. Yonsei Nurs. 1990;13(1):17-29.
  23. Choi MS. A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students [master's thesis]. Seoul: Ewha Womans University; 2010. 36 p.
  24. Korean Nurses Association. Nursing education learning objectives. Seoul: Korean Nurses Association; 2012.
  25. Kim HY. Maternity, newborn & women's health nursing. 4th ed. Seoul: Hyunmoonsa; 2018. p. 3-90.
  26. Durham CF, Alden KR. Enhancing patient safety in nursing education through patient simulation. Chapter 51. In: Hughes RG, editor. Patient safety and quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008.
  27. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behav ioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191. https://doi.org/10.3758/bf03193146
  28. Song YA. Effects of integrative simulation practice on nursing knowledge, critical thinking, problem-solving ability, and immersion in problem-based learning among nursing students. Korean J Women Health Nurs. 2020;26(1):61-71. https://doi.org/10.4069/kjwhn.2020.03.15.1
  29. Ackermann AD. Investigation of learning outcomes for the acquisition and retention of CPR knowledge and skills learned with the use of high-fidelity simulation. Clin Simul Nurs. 2009;5(6):e213.-e222. https://doi.org/10.1016/j.ecns.2009.05.002
  30. Kim SO, Pak SY. Effects of high-fidelity simulation-based training of nursing students according to their learning styles. J Korea Contents Assoc. 2013;13(11):1046-1057. 30.https://doi.org/10.5392/JKCA.2013.13.11.1046

Cited by

  1. Comparison of Learning Transfer Using Simulation Problem-Based Learning and Demonstration: An Application of Papanicolaou Smear Nursing Education vol.18, pp.4, 2020, https://doi.org/10.3390/ijerph18041765