DOI QR코드

DOI QR Code

Effects on Clinical Judgement after Domestic Simulation

국내 시뮬레이션 실습 후 임상해결력에 대한 효과

  • Seung-Ok Shin (Department of Nursing, Gwangju Health University)
  • 신승옥 (광주보건대학교 간호학과)
  • Received : 2021.11.21
  • Accepted : 2021.12.20
  • Published : 2021.12.31

Abstract

The purpose of this study is a systematic literature review to investigate the effect of clinical judgment after simulation practice in nursing students in Korea. The research subjects were papers published from 2011 to February 2021, and the Korean database, KmBase, Korea Research Information (KISS), and Science and Technology Information (NDSL) were searched. ','Nursing debriefing' was searched. Out of a total of 279 studies, the final 3 literatures were selected. All three studies were non-randomized quasi-experimental studies, and the quality of the literature was confirmed. As a result of the study, it was confirmed that the debriefing after the simulation-based class showed statistically significant results for clinical judgment. In order to see the effect of simulation-based education, it is necessary to design a systematic interventional study in the future, and it can be suggested that field practice and a comparative study of simulation are necessary.

본 연구의 목적은 국내 간호대학생의 시물레이션 실습 후 임상판단력의 효과를 알아보고자 한 체계적 문헌고찰 연구이다. 연구대상 문헌은 2011년부터 2021년 2월까지 출판된 논문으로 국내 데이터베이스인 한국의학논문베이스(KmBase), 한국학술정보(KISS), 과학기술정보(NDSL)를 검색하였고, 키워드로는 '간호 시뮬레이션', '간호 디브리핑'으로 검색하였다. 총 279편의 연구 중 최종 3편의 문헌이 선정 되었다. 3편 모두 비무작위 유사실험설계 연구이었고, 문헌의 질을 확인하였다. 연구결과 시물레이션 기반 수업 후 디브리핑시 임상판단력에 통계적으로 유의한 결과를 보이는 것으로 확인되었다. 시뮬레이션 기반 교육의 효과를 보기 위해서는 향후 체계적인 중재연구에 대한 연구설계가 필요하며 이를 통해 현장실습과 시뮬레이션 비교연구가 필요함을 제언해 볼 수 있다.

Keywords

Acknowledgement

본 논문은 2019년도 광주보건대학교 교내연구비의 지원을 받아 수행된 연구임(No. 2019036)

References

  1. S. K. Park, K. M. Cho, Y. K. Jwa, D. W. Kang DW & Y. J., 'Survey of nurses' activities. Final report. Cheongju: Korea Health Industry Development Institute; 2014' December. Report, 2014.
  2. E. Y. You, 'Medical simulation', Journal of the Korean Medical Association', vol.48, no.3, pp.267-76, 2005.
  3. E. Y. Suh., 'Development of a Conceptual Framework for Nursing Simulation Education Utilizing Human Patient Simulators and Standardized Patients', J Korean Acad Soc Nurs Education, vol.18, no.2, pp.206-219, 2012.
  4. Y. I. Han., 'Key Points: Simulation Training'. Seoul : Syemoonsa, 2011.
  5. M. J. Kim, I. H. Park & S. J. Shin., 'Effect of Debriefing Using Peer Feedback After Blood Transfusion Nursing Simulation Practice', Journal of Korea Society for Simulation in Nursing, vol.1 no.1, pp.67-79, 2013.
  6. Sawyer T, Eppich & Brett-Fleegler M., 'Grant V, Cheng A. More than one way to debrief: a critical review of healthcare simulation debriefing methods. Simulation in Healthcare. vol.11, no. 3, pp.209-217, 2016.
  7. M. Kim, 'A study on simulation-based nursing education status and debriefing operation' [master's thesis]. Seoul: Chung-Ang University, 2015.
  8. National Evidence-based Healthcare Collaborating Agency, 'Guidance for undertaking systematic reviews and meta-analyses for intervention'. Seoul: National Evidence-based Healthcare Collaborating Agency, 2011.
  9. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, 'Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement'. Systematic Reviews, vol.4, no.1, pp.1-9. 2015.
  10. Higgins JPT, Green S (editors). 'Cochrane handbook for systematic reviews of interventions version 5.1.0'. The Cochrane Collaboration, 2011.
  11. National Evidence-based Healthcare Collaborating Agency. 'Guidance for undertaking systematic reviews and meta-analyses for intervention'. Seoul: National Evidence-based Healthcare Collaborating Agency: 2011.
  12. S. Y. Kim, J. E. Park, H. J. Seo, H. S. Seo, H. J. Son, D. M et al., 'NECA's guidance for undertaking systematic reviews and meta-analyses for intervention'. Seoul: National Evidence-based Health Care Collaborating Agency, 2011.
  13. S. Y. Bang, Y. Eun., 'The Effect of Debriefing using Reflective Questions and Writing in Simulation Training - Post Operative Care of Abdominal Surgery', Journal of Korean Acad Soc Nurs Educ, vol.23, no.4, pp.463-473, 2017.
  14. K. I. J. Kyung & J. Y. Choi., 'Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of -Life care for Nursing Students: A Non-Randomized Controlled Trial', Journal of Korean Academy of Nursing, vol.47, no.6, pp.842-853, 2017.
  15. S. H. Lee & M. R. Miran., 'The Effects of Structured Debriefing Methods in Simulation Based Blood Transfusion Nursing Education', Journal of Learner-Centered Curriculum and Instruction, vol.19, no9, pp.1-21. 2019.
  16. H. J. Kim., 'The effects of suction care self video-based debriefing-assisted learning in the fundamentals of nursing practice', Journal of Korean Academic Society of Home Health Care Nursing, vol.22, no.1, pp.88-97, 2015.
  17. J. H. Koh & H. K. Hur., 'Effects of simulation-based training for basic life support utilizing video-assisted debriefing on non-technical and technical skills of nursing students'. Korean Journal of Adult Nursing, vol.28, no.2, pp.169-179, 2016.
  18. E. N. Ryoo & E. H. Ha. EH., 'The importance of debriefing in simulation based learning: Comparison between debriefing and no debriefing'. Computers, Informatics, Nursing, vol.33, no.12, pp.538-545, 2015.
  19. M. J. An, H. N. Hang, Dordunoo. Dzifa & Y. Y. Hwang., 'Development and Effects of a Simulation-Based Convergence Practicum Education Program for Nursing Seniors', Journal of Convergence for Information Technology, vol.9, no.10, pp.16-27, 2015.
  20. Linton, D. L., Pangle, W. M., Wyatt, K. H., Powell, K. N., & Sherwood, R. E., 'Identifying key futures of effective active learning: The effects of writing and peer discussion'. CBE Life Sciences Education, vol.13, no.3, pp.469-477, 2014.
  21. E.H. Ha & H. S. Song., 'The Effects of Structured Self-Debriefing Using on the Clinical Competency, Self-Efficacy, and Educational Satisfaction in Nursing Students after Simulation' Journal of Korean Acad Soc Nurs Educ, vol.21, no.4, pp.445-454, 2015.
  22. Boet, S., Bould, M. D., Sharma, B., Revees, S., Naik, V. N., Triby, E., et al., 'Within-team debriefing versus instructor-led debriefing for simulation-based education: A randomized controlled trial'. Annals of Surgery, vol.258, no.1, pp.53-58, 2013.
  23. Lavoie P, Pepin J, Boyer L., 'Reflective debriefing to promote novice nurses' clinical judgment after high-fidelity clinical simulation: A pilot test'. Dynamics, vol.24, no.4, pp.36-41, 2013.
  24. Y. Eun & S. Y. Bang., 'Effects of the Lasater's clinical rubric of debriefingin advanced cardiovascular life support training'. Journal of the Korea Contents Association, vol.16, no.4, pp.516-527, 2016.