The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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A comparison study of Nursing Process Competence, Critical Thinking Disposition and Education Satisfaction between Clinical Practicum and School Practicum

임상실습과 교내실습 간의 간호과정 자신감, 비판적 사고 성향, 교육 만족도에 대한 비교 연구

  • Received : 2022.08.30
  • Accepted : 2022.09.09
  • Published : 2022.09.30
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Abstract

This study was conducted to confirm the differences in nursing process competence, critical thinking disposition, and education satisfaction between clinical practicum and school practicum in the prolonged COVID19 pandemic. As an inequality control post-hoc design study, 55 students who agreed to participate in the study among the third year of nursing college students who took adult nursing practice were targeted. Data were collected by classifying the students who participated in the school practicum into the experimental group(N=29) and the students who participated in the clinical practicum into the control group(N=26). The collected data were analyzed using SPSS/WIN 22.0 program. As a result of the study, there was no significant difference in nursing process competence and critical thinking disposition between the two groups. However, in the control group, overall satisfaction with education (t=-9.82, p=.040) and recommendations to other students (t=-1.88, p<.001) were found to be significantly higher. Although it was not possible to confirm the difference between the effects of clinical practicum and school practicum as a result of the study, the significance of the study could be found in that there was no difference. In line with the post-corona era, future research on the development of a practicum program consisting of various contents, teaching methods, and practice to achieve the goal of practicum and analysis of the effectiveness of the program is suggested.

본 연구는 장기화되고 있는 COVID19 팬데믹 상황에서 임상실습과 교내실습 교육 간 간호과정 자신감, 비판적 사고 성향, 교육 만족도에 대한 차이를 확인하기 위해 진행되었다. 비동등성 대조군 사후설계 연구로 성인간호학실습을 수강한 간호대학생 3학년 중 연구 참여에 동의한 55명을 대상으로 교내실습에 참여한 학생을 실험군(N=29), 임상실습에 참여한 학생을 대조군(N=26명)으로 분류하여 자료를 수집하였다. 수집된 자료는 SPSS/WIN 22.0 프로그램을 이용하여 분석하였다. 연구 결과 두 집단 간 간호과정 자신감과 비판적 사고 성향은 유의한 차이가 없었으나 대조군에서 교육 전반에 대한 만족도(t=-9.82, p=.040) 및 타 학생에게 추천(t=-1.88, p<.001)점수가 유의하게 높은 것으로 확인되었다. 비록 본 연구의 결과로 임상실습과 교내실습 효과의 차이를 확인할 수는 없었지만 차이가 보이지 않았다는 점에서 연구의 의의를 찾을 수 있겠다. 포스트 코로나 시대에 맞추어 실습교육 목표를 달성하기 위한 다양한 콘텐츠와 교수법, 실습으로 구성된 실습교육 프로그램의 개발과 프로그램의 효과분석에 대한 추후 연구를 제언한다.

Keywords

References

  1. N. Chenet al., "Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study," The lancet, vol. 395, no. 10223, pp. 507-513, 2020. https://doi.org/10.1016/s0140-6736(20)30211-7
  2. X. Duet al., "Omicron adopts a different strategy from Delta and other variants to adapt to host," Signal transduction and targeted therapy, vol. 7, no. 1, pp. 1-3, 2022. https://doi.org/10.1038/s41392-021-00710-4
  3. D.-H.-S. Kang and J.-H. Yang, "Clinical Practice Experience of Nursing Students During the COVID-19 Pandemic," (in Korean), Korean Journal of Adult Nursing, vol. 33, pp. 509-521, 2021. [Online]. Available: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE10619963. 10619963
  4. J.-H. Kim, H.-J. Kwon, E.-T. Park, H.-Y. Choi, and S.-M. Lee, "Nursing Workforce Supply & Demand : Review and Prospect in South Korea," Health Economy and Policy Studies, vol. 27, no. 4, pp. 27-49, 2021.
  5. S.-W. Kim, Y.-S. Shin, E.-W. Seo, J.-H. Lee, and D.-K. Hwang, "[Ministry of Health and Welfare] Research on measures for supply and demand for nursing manpower," National Library of Korea, 2017. [Online]. Available: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE09907629
  6. S.-A. Kim, S.-K. Lee, and H.-J. Chae, "Effects of Clinical Practice and Simulation-Based Practice for Obstetrical Nursing," (in Korean), Korean J Women Health Nurs, vol. 18, no. 3, pp. 180-189, 2012. [Online]. Available: http://www.riss.kr/link?id=A60280861. https://doi.org/10.4069/kjwhn.2012.18.3.180
  7. J.-H. Kim, I.-H. Park, and S. Shin, "Systematic review of Korean studies on simulation within nursing education," The Journal of Korean academic society of nursing education, vol. 19, no. 3, pp. 307-319, 2013. https://doi.org/10.5977/JKASNE.2013.19.3.307
  8. H.-S. Kang, Y.-Y. Kim, and H.-S. Lee, "Predictive factors influencing clinical competence in nursing students," Journal of the Korea Academia-Industrial cooperation Society, vol. 19, no. 3, pp. 389-398, 2018. https://doi.org/10.5762/KAIS.2018.19.3.389
  9. L. Jisu, H. Jueun, W. Miseon, and P. Soohyun, "Influence of Major Satisfaction and Clinical Learning Environment on Career Preparation Behavior of Nursing Students," (in Korean), Journal of the Korea Academia-Industrial cooperation Society, vol. 23, pp. 124-133, 2022, doi: 10.5762/KAIS.2022.23.2.124.
  10. C. W. Nibbelink and B. B. Brewer, "Decision- making in nursing practice: An integrative literature review," Journal of Clinical Nursing, vol. 27, no. 5-6, pp. 917-928, 2018. https://doi.org/10.1111/jocn.14151
  11. M. Fry and C. MacGregor, "Confidence and impact on clinical decision-making and behaviour in the emergency department," Australasian Emergency Nursing Journal, vol. 17, no. 3, pp. 91-97, 2014. https://doi.org/10.1016/j.aenj.2014.03.003
  12. E.-S. Do, "Factors Affecting the Clinical Performance of Nursing Students Participating in Alternative Clinical Practicum," (in Korean), Journal of the Korea Academia-Industrial cooperation Society, vol. 22, pp. 526-536, 2021, doi: 10.5762/KAIS.2021.22.12.526.
  13. H.-N. Choi and E.-S. Lee, "The influence of critical thinking disposition, deep approaches to learning and learner-to-learner interaction on nursing process confidence in nursing students, with a focus on team-based learning," (in Korean), The Journal of Korean Academic Society of Nursing Education, vol. 27, pp. 251- 260, 2021. [Online]. Available: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE10596023. 10596023
  14. C.-S. Park and Y.-J. Ko, "Relationship between Self-Directed Learning Ability, Critical Thinking Disposition and Nursing Process Confidence of Nursing Students," (in Korean), Journal of the Korea Academia-Industrial cooperation Society, vol. 20, pp. 68-75, 2019. [Online]. Available: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE09226641. https://doi.org/10.5762/KAIS.2019.20.7.68
  15. Z. C. Chan, "A systematic review of critical thinking in nursing education," Nurse education today, vol. 33, no. 3, pp. 236-240, 2013. https://doi.org/10.1016/j.nedt.2013.01.007
  16. Y.-K. Ha and Y.-H. Lee, "In COVID-19, Factors Affecting the Problem-solving Ability of Nursing Students Participating in Alternative Clinical Practicum," Journal of Learner-Centered Curriculum and Instruction, vol. 21, no. 2, pp. 989-1006, 2021. [Online]. Available: http://www.riss.kr/link?id=A107246782. 107246782
  17. I. J. Sistermans, "Integrating competency-based education with a case-based or problem-based learning approach in online health sciences," Asia Pacific Education Review, vol. 21, no. 4, pp. 683-696, 2020. https://doi.org/10.1007/s12564-020-09658-6
  18. M. Raurell-Torreda, J. Olivet-Pujol, A. Romero Collado, M. C. Malagon-Aguilera, J. Patino Maso, and A. Baltasar-Bague, "Case-based learning and simulation: Useful tools to enhance nurses'education? Nonrandomized controlled trial," Journal of Nursing Scholarship, vol. 47, no. 1, pp. 34-42, 2015. https://doi.org/10.1111/jnu.12113
  19. H. Kang, "Sample size determination and power analysis using the G* Power software," Journal of educational evaluation for health professions, vol. 18, 2021.
  20. H.-S. Kweon, "Development and Effects of Nursing Process Simulation Scenario", Depatment of Nursing, Graduate School, Kyungpook National University, Daegu, 2013.
  21. J. Yoon, "Development of an instrument for the measurement of critical thinking disposition," Master's Thesis, Catholic University, 2004.
  22. M.-H. Lim, "Effects of Problem-Based Learning on Teamwork Competency, Critical Thinking Disposition and Nursing Process Confidence in Nursing Students," Journal of Industrial Convergence, vol. 19, no. 2, pp. 73-80, 2021. https://doi.org/10.22678/JIC.2021.19.2.073
  23. J.-M. Kim and 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. https://doi.org/10.14400/JDC.2015.13.4.263
  24. M.-E. Jeong and H.-S. Park, "Effects of case-based learning on clinical decision making and nursing performance in undergraduate nursing students," Journal of Korean Academy of Fundamentals of Nursing, vol. 22, no. 3, pp. 308-317, 2015. https://doi.org/10.7739/jkafn.2015.22.3.308
  25. K.-H. Kwak, H.-M. Choi, and S.-W. Hwang, "The Development and Application of the Alternative Clinical Practicum Program for the Delivery Room and the Newborn Nursery in the Non-face-to-face Distance Education Environment," Korea Society of Nursing Research, vol. 5, no. 3, Korean Society of Nursing Research, pp. 49-61, 2021. https://doi.org/10.34089/jknr.2021.5.3.49
  26. S.-O. Lee, "A Comparative Study of Nursing Students' Hospital Practices and In-school Practical Education," Journal of Health and Beauty, vol. 15, no. 2, pp. 132-141, 2021. https://doi.org/10.35131/ishb.2021.15.2.132
  27. H.-S. Kim, E.-M. Kim, and D.-S. Lee, "A Study on the Experience of Nursing Student's Clinical Education in School Practice: Focused on Psychiatric Nursing Practice," (in Korean), Journal of the Korea Academia-Industrial cooperation Society, vol. 22, pp. 169-178, 2021. [Online]. Available: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE10531985. 10531985
  28. S.-E. Chung, "The Experiences of Transition to Non-face-to-face Lecture in Nursing Professors," The Journal of the Convergence on Culture Technology, vol. 8, no. 3, pp. 613-621, 2022, doi: http://dx.doi.org/10.17703/JCCT.2022.8.3.613.
  29. C. A. Leaver, J. M. Stanley, and T. G. Veenema, "Impact of the COVID-19 pandemic on the future of nursing education," Academic Medicine, vol. 97, no. 3, p. S82, 2022. https://doi.org/10.1097/ACM.0000000000004528