DOI QR코드

DOI QR Code

표준화 환자를 활용한 정신시뮬레이션 실습프로그램 개발 및 효과

Development and Efficacy of Psychiatric Nursing Simulation Practical Training program Using Standardized Patients

  • 김남석 (제주한라대학교 간호학과) ;
  • 김수진 (제주한라대학교 간호학과) ;
  • 송지현 (제주한라대학교 간호학과)
  • 투고 : 2022.05.26
  • 심사 : 2022.07.02
  • 발행 : 2022.07.31

초록

본 연구의 목적은 간호대학생을 대상으로 표준화 환자를 활용한 정신시뮬레이션 실습프로그램을 개발 및 적용하여 효과를 검증하기 위해 시도 되었다. 본 연구는 단일군 사전·사후설계 연구이며 자료수집은 J소재 일개 대학 간호학과 학생 186명에게 구조화된 설문지를 제공하였다. 수집된 자료는 SPSS/WIN 27.0 program을 활용하여 분석하였다. 연구 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육 프로그램은 대상자의 의사소통능력(t=-2.575, p=001), 학습자기효능감(t=-2.228, p=.026)과 문제해결능력(t=-2.298, p=.017)을 향상시키는데 효과가 있는 것으로 나타났다. 본 연구 결과 간호대학생의 현장 적응 능력을 향상하기 위해 실제 상황과 유사한 환경을 조성하고 필요한 자원을 활용한 다양한 사례를 적용한 시뮬레이션 실습 교육프로그램을 개발 및 적용할 필요가 있다.

The purpose of this study was to develop and apply a mental simulation practice program using standardized patients for nursing students and to verify the effectiveness. This study is a single-group pre- and post-design study, and a structured questionnaire was provided to 186 nursing students at a university in J for data collection. The collected data were analyzed using SPSS/WIN 27.0 program. As a result of the study, the mental simulation practice education program using standardized patients showed the subjects' communication ability (t=-2.575, p=001), learner self-efficacy (t=-2.228, p=.026) and problem-solving ability (t=-2.298, p=.017) was found to be effective. As a result of this study, it is necessary to develop and apply a simulation practice education program that creates an environment similar to the actual situation and applies various cases using the necessary resources to improve the field adaptation ability of nursing students.

키워드

참고문헌

  1. Y.H. Shin, H.K. Hur, S.M. Park, H.Y. Song, G.Y. Kim, "Development of an Integrated Clinical Nursing Practice Course for Improvement of Nursing Competency among Nursing Students," The Journal of Korean Academic Society of Nursing Education, Vol. 13, No. 1, pp. 32-40, 2007.
  2. J.S. Han, H.C. Baek, A.S. Jeong, "The Effects of Psychiatric Nursing Simulation on Anxiety and Self-confidence about Clinical Placement of Nursing Students," Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 11, pp. 7812-7819, 2015. https://doi.org/10.5762/KAIS.2015.16.11.7812
  3. C.T. Martin, N. Chandra, "Mental health clinical simulation: therapeutic communication," Clinical Simulation in Nursing, Vol. 12, No. 6, pp. 209-213, 2016. https://doi.org/10.1016/j.ecns.2016.02.
  4. C.T. Martin, N. Chanda, "Mental Health Clinical Simulation: Therapeutic Communication," Clinical Simulation in Nursing, Vol. 12, No. 6, pp. 209-214, 2016. https://doi.org/10.1016/j.ecns.2016.02.007
  5. A.M. Brown, "Simulation in Undergrduate Mental Health Nursing Education: A literature Review," Clinical Simulation in Nursing, Vol. 11 No. 10, pp. 445-449, 2015.https://doi.org/10.1016/j.ecns.2015.08.003
  6. H.J. Kim, "The effects of Pre-briefing Team-based Learning in Standardized Patients Simulation," Journal of Digital Convergence, Vol. 18, No. 8, pp. 271-279, 2020. https://doi.org/10.14400/JDC.2020.18.8.271
  7. K.K. Shim, M.S. Son, E.S. Ji, "The Effectiveness of Child Nursing Simulation Using Standardized Patient on Nursing Student's Anxiety, Self-efficacy and Critical Thinking Disposition," Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 10, pp. 299-308, 2017. https://doi.org/10.5762/KAIS.2017.18.10.299
  8. E.E. Suh, "Development of a Conceptual Framework for Nursing Simulation Education Utilizing Human Patient Simulators and Standardized Patients," The Journal of Korean Academic Society of Nursing Education, Vol. 18, No. 2, pp. 206-219, 2012. https://doi.org/10.5977/JKASNE.2012.18.2.206
  9. S.Y. Park, Y.R. Kweon, "The effect of Using Standardized Patients in Psychiatric Nursing Practical Training for Nursing College Students," Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 21, No. 1, pp. 79-88, 2012. https://doi.org/10.12934/jkpmhn.2012.21.1.79
  10. E. Sidares, G. McKenzie, J. Noone, D. Markle, M. Frazier, M. Sullivan, "Making Simulation Come Alive: Standardized Patients in Undergraduate Nursing Education," Nursing Education Perspectives, Vol. 34, No. 6, pp. 421-425, 2013. https://doi.org/10.5480/1536-5026-34.6.421
  11. C.A. Ryan, N. Walshe, R. Gaffney, A. Shanks, L. Burgoyne, C.M. Wiskin, "Using Standardized Patients to assess Communication Skills in Medical and Nursing Students," BMC medical education, Vol. 10, pp. 1-8, 2010. https://doi.org/10.1186/1472-6920-10-24
  12. A.K. de Presno, A. Ogard-Repal, M. Fossum, "Simulations with Standardized Patients for Nursing Students in Preparation for Clinical Placements in Mental Health Care," Clinical Simulation in Nursing, Vol. 54, pp. 70-76, 2021. https://doi.org/10.1016/j.ecns.2021.01.009
  13. L.Garvey, G. Willetts, N. Sadoughi, M. Olasoji. "Undergraduate Nursing Student's Experience of Mental Health Simulation Post Clinical Pla cement: A Qualitative Study," International Journal of Mental Health Nursing, Vol. 30, No. 1, pp. 93-101, 2020. https://doi.org/10.1111/inm.12801
  14. G.H. Hur, "Construction and Validation of a Global Interpersonal Communication Competence Scale," Korean Journal of Journalism & Communication Studies, Vol. 47, No. 6, pp. 380-408, 2003.
  15. H. W. Ayres, "Factors Related to Motivation to Learn and Motivation to Transfer Learning in a Nursing Population," Dissertation's thesis, Raleigh: North Carolina state University. 2005.
  16. J.W. Park, O.H. Woo, "The Effects of PBL (Problem-BasedLearning) on Problem Solving Process by Learner's Metacognitive Level. Journal of Educational Technology, Vol. 15, No. 3, 55-77, 1999. https://doi.org/10.17232/KSET.15.3.55
  17. P. Wallace, "Coaching Standardized Patients: For Use in the Assessment of Clinical Competence," New York: Springer. 2007
  18. S.T. Lehr, B. Kaplan, "A Mental Health Simulation Experience for Baccalaureate Student Nurses," Clinical Simulation in Nursing, Vol. 9, No. 10, pp. 425-431, 2013. https://doi.org/10.1016/j.ecns.2012.12.003
  19. J. Doolen, M. Giddings, M. Johnson, G. Guizado de Nathan, L.O. Abadia, "An Evaluation of Mental Health Simulation with Standardize Patients," International Journal of Nursing Education Scholarship, Vol. 11, No. 1, pp. 55-62, 2014. https://doi.org/10.1515/ijnes-2013-0075.
  20. S.K. Chung, K.A. Kim, E.Y. Jeong, "The Effects of Simulation Practicum using a Standardized Patient on Nursing Students' Communication Skills, Problem-Solving Skills, Critical Thinking Dispositions, and Clinical Competency," The Journal of Korean Academic Society of Home Care Nursing, Vol. 23, No. 2, pp. 186-194, 2016. https://doi.org/10.22705/jkashcn.2016.23.2.186
  21. E. Ok, F.Y. Kutlu, E. Ates, "The Effect of Standardized Patient Simulation Prior to Mental Health Rotation on Nursing Students' Anxiety and Communication Skills," Issues in Mental Health Nursing, Vol. 41, No. 3, pp. 251-255, 2020. https://doi.org/10.1080/01612840.2019.1642427
  22. Y.K. Bak, T.K. Kim, "The Effect of Simulation-based Education Using a Standardized Patients for Schizophrenia Nursing care on Communication Self-Efficacy, Learning Self-Efficacy and Flow Experience in Nursing Students," Asia-pacific Journal of Multimedia services convergent with Art, Humanities and Sociology, Vol. 8, No. 6, pp. 437-447, 2018. https://doi.org/10.35873/ajmahs.2018.8.6.040
  23. S.O. Kim, H.S. Kim, "Effects of Psychiatric Nursing Practicum using Simulated Patients on Self-Directed Learning Readiness, Learning Self-Efficacy, Satisfaction of Learning," Journal of the korea contents association. Vol. 14, No. 2, pp. 396-408, 2014. https://doi.org/10.5392/JKCA.2014.14.02.396
  24. S. Kardong-Edgren, "Bandura's Self-Efficacy Theory...Something is Missing," Clinical Simulation in Nursing, Vol. 9, No. 9, e327-e328, 2013. https://doi.org/10.1016/j.ecns.2013.07.001
  25. H.J. Oh, M.J. Kim, K.M. Park, "The Impact of Nursing Students' Learning Satisfaction on Motivation to Transfer in the Practicum of Psychiatric Nursing Convergence Simulation Using Standardized Patients: Mediating Effect of Self-Efficacy in learning," Journal of the Korea Convergence Society, Vol. 11, No. 9, pp. 375-383, 2020. https://doi.org/10.15207/JKCS.2020.11.9.375
  26. M. Eom, H. Kim, E. Kim, K. Seong, "Effects of Teaching Method Using Standardized Patients on Nursing Nompetence in Subcutaneous Injection, Self-Directed Learning Readiness and Problem Solving Ability," Journal of Korean Academy of Nursing, Vol. 40, No. 2, pp. 151-160, 2010. https://doi.org/10.4040/jkan.2010.40.2.151
  27. W.F. Bond, L.M. Deitrick, D.C. Arnold, M. Kostenbader, G.G. Barr, S.R. Kimmel, et al, "Using Simulation to Instruct Emergency Medicine Residents in Cognition Forcing Strategies," Academic Medicine, Vol. 79, No. 5, pp. 438-446, 2004. https://doi.org/10.1097/00001888-200405000-00014