• 한국간호교육학회지
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• 제19권1호
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• pp.52-59
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• 2013

Purpose: This study was performed to identify in nursing students the effects of simulation practice for hemorrhagic patients. Methods: Subjects were sophomore nursing students in Daegu (n=133). A self describing performance questionnaire which included knowledge, skill and attitude towards bleeding patients was given. Consent was received from students. The data was analyzed by ANOVA with Scheffe's test and Mann-Whitney U test using the SPSS 12.0 Program. Result: Subjective and objective knowledge and skill showed significant improvement in the control group, especially in assessment, correct medication administration, explaination of NPO and preparing the crash cart for a cardiac arrest. Objective knowledge and skill was significantly higher in the control group although attitude was not. Conclusion: Simulation practice was an effective education method for improving knowledge, skill and attitude in nursing students.

• 성인간호학회지
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• 제25권5호
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• pp.574-584
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• 2013

Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

• 기본간호학회지
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• 제24권3호
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• pp.189-199
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• 2017

Purpose: This study was conducted to examine the level of agreement between a standardized patient (SP) and a faculty member in the evaluation of nursing students' assessment and communication skills. Methods: Participants were 51 third year nursing students in a simulation practice of 'nursing care for a patient admitted with chest pain'. Using a 30-item checklist and a 16-item communication tool, a SP and faculty member evaluated the students' assessment and communication skills during the simulation. Results: The average values for percent agreement and kappa statistic for nursing assessment between the two evaluators were 85.3% and .48 respectively. Twenty of thirty items evaluating assessment skill had above moderate agreement (${\geq}.41$) by kappa between the evaluators. Seven of sixteen items evaluating communication and interpersonal skills showed above fair agreement (${\geq}.40$) between the two evaluators, which was measured by intraclass correlation coefficient. Conclusion: The findings show that the evaluation of the SP was consistent with those of the faculty member to a moderate degree. Clear guidelines for evaluating criteria and optimal time and effort for SP training are necessary to increase the reliability of standardized patients as evaluators in simulation-based nursing education.

• 한국간호교육학회지
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• 제22권4호
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• pp.549-558
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• 2016

Purpose: The purpose of this study was to develop and validate a Nursing Competency Scale in Simulation (NCSS) for nursing students. Methods: A preliminary version of the NCSS of 14 items was derived from the literature. A panel of seven experts reviewed the preliminary version for content validation and developed 15 items scale. A convenient sample of 195 nursing students completed the survey and two evaluators measured the performances of nine teams in a simulation scenario with NCSS. The data were analyzed using exploratory factor analysis, descriptive statistics, independent t-test and Cronbach's alpha. Intraclass correlation coefficient (ICC) was used in order to estimate the degree of inter-rater reliability. Results: An exploratory factor analysis demonstrated that two factor structures of the NCSS explained 51.1% of the total variance. Two factors were named psychosocial skills and cognitive and psychomotor skills. The mean scores of NCSS between third and 4th grade were significantly different providing support for its known-group validity. Cronbach's alpha was .90 and ranged from .79 to .88. The overall ICC for inter-rater agreement was 0.89 (95% CI 0.03 to 0.98). Conclusion: This scale shows preliminary evidence for validity and reliability. It could be a useful instrument for measuring learning outcome in simulation for nursing students' clinical competency.

• 대한간호학회지
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• 제47권6호
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• pp.842-853
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• 2017

Purpose: This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education. Methods: Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students' skill training, and evaluators' training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing. Results: ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups. Conclusion: This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.

• 한국간호교육학회지
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• 제21권3호
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• pp.393-405
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• 2015

Purpose: This study was conducted to plan and apply simulation-based practice for raising the achievement of program outcomes (POs) in nursing students. Methods: Using convenience sampling, 95 nursing students participated in this descriptive study. A self-reported questionnaire was used to measure the achievement of POs (self-directed learning, problem-solving ability, critical thinking) and usefulness of curriculum in addition to observing tracheal suction skills using a checklist. Results: A scenario with a pneumonia patient was developed to observe tracheal suction skills during simulation-based practices. Self-directed learning, problem-solving ability, and critical thinking were then scored. The mean scores of performance skill, self-directed learning, problem-solving ability, critical thinking were $37.82{\pm}6.03$. $3.61{\pm}0.38$, $3.61{\pm}0.33$, and $3.73{\pm}0.32$, respectively. All students passed the simulation-based practice in terms of performance ability and met the required achievement level for the POs at this university. Students with good suction skills showed significant differences in problem identification (p=.044) and alternative development (p=.019), which are components of problem-solving ability, compared to students with only fair skills. Conclusion: These findings indicate that simulation-based practice related to an adult nursing respiratory course was useful for evaluating the achievement of POs in nursing students. Further study is needed to develop a universal method of outcome measurement.

• 디지털융복합연구
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• 제19권9호
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• pp.401-409
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• 2021

본 연구의 목적은 간호대학생의 가상현실 시뮬레이션 교육 전후의 간호과정 수행능력, 비판적사고성향과 자기효능감의 차이를 파악하여 효과적인 실습교육의 기초자료를 마련하고자 함이다. 2021년 2월부터 4월까지 간호대학생 31명에게 URL설문지를 이용하여 자료를 수집하였고, 수집된 자료는 SPSS 22.0으로 분석하였다. 연구결과, 가상현실 시뮬레이션 교육 후 간호대학생의 간호과정 수행능력(t=-3.776, p=.001), 비판적사고성향(t=-3.608, p=.001), 자기효능감(t=-3.580, p=.001)이 교육 전보다 유의하게 높아졌다. 또한 전공만족도, 임상실습만족도가 높은 집단과 임상실습만족도가 보통인 집단과 학업스트레스가 높은 집단에서도 가상현실 시뮬레이션 교육 후 간호과정 수행능력, 비판적사고성향, 자기효능감이 교육전보다 유의하게 높아졌다. 가상현실 시뮬레이션 교육이 간호대학생의 간호과정 수행능력 향상에 효과적임이 확인되었다. 따라서, 가상현실 시뮬레이션 교육이 간호과정 수행능력 향상을 위한 임상실습 전략으로 활용될 수 있으며, 이를 위해 다양한 시나리오 개발과 후속연구가 이루어져야 할 것이다.

• 디지털융복합연구
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• 제19권1호
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• pp.229-237
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• 2021

본 연구의 목적은 시뮬레이션 기반 흉관배액관리 간호교육이 간호학생의 시나리오 경험에 대한 반응, 학습에 대한 자신감 및 문제해결능력에 미치는 효과를 검증하는 것이다, 본 연구는 단일군 전후설계 실험 연구로 133명의 3학년 간호학생을 31개조로 시뮬레이션 교육 중재를 시행하였다. 연구결과, 시뮬레이션 실습교육 시행 전보다 시행 후에 시나리오 경험에 대한 반응은 긍정적인 결과로 나타났고, 학습에 대한 자신감 및 문제해결능력은 유의하게 향상된 것으로 나타났다. 이는 간호학 실습교육에 있어서 시뮬레이터를 이용한 시뮬레이션 교육이 효과적임을 보여주는 결과라고 할 수 있다. 본 연구는 현장중심의 실습교육 및 임상실무의 질을 향상시키는데 기여할 수 있을 것이다.

• 여성건강간호학회지
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• 제29권3호
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• pp.229-238
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• 2023

Purpose: This study analyzed the effects of virtual reality simulation-based problem-based learning on nursing students' critical thinking ability, problem-solving ability, and self-efficacy in the nursing care of women undergoing induction of labor. Methods: A nonequivalent control group pretest and posttest design was employed. The study participants included 52 nursing students (24 in the experimental group and 28 in the control group). The experimental group took a problem-based learning (PBL) class in the first week, and then engaged in self-directed learning using virtual reality simulation. In the second week, lectures about emergency nursing care for induction of labor and drug administration were given. The control group participated in PBL in the first week and lectures in the second week. The study was conducted from April 17 to May 19, 2023. Data were analyzed using the chi-square test, Fisher exact test, analysis of variance, and the independent t-test. Results: Before-and-after differences between the two groups were statistically significant in problem solving ability (t=-5.47, p<.001) and self-efficacy (t=-5.87, p<.001). Critical thinking ability did not show a statistically significant difference between the two groups. The score for satisfaction with the virtual reality simulation program was 3.64±5.88 out of 5 in the experimental group. Conclusion: PBL education using a virtual reality simulation was found to be an effective way of teaching. Although convenience sampling was used, PBL education using virtual reality can be used as an educational strategy to enhance nursing students' problem-solving ability and self-efficacy.

• 디지털융복합연구
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• 제13권9호
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• pp.377-386
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• 2015

본 연구는 분만간호에 대한 융복합 기반 시뮬레이션 실습의 효과 및 요구도를 파악하기 위해 실시하였다. 연구대상은 충남 소재 일개 대학 간호학과에 재학 중인 3학년 학생 47명을 대상으로 하였다. 자료수집은 2012년 2월 13일에서 25일까지 실시하였으며, 자가보고형 설문지를 이용하였다. 분만간호에 대한 융복합 기반 시뮬레이션 실습은 1일 8시간씩 총 2일 동안 4개 영역으로 나누어 실시하였다. 시뮬레이션 실습 후 분만간호에 대한 자기효능감(t=-14.74, p<.001) 및 임상술기능력(t=-17.51, p<.001)이 유의하게 증가하였으며, 실습만족도가 실습스트레스에 비해 높게 나타났다. 시뮬레이션 실습필요도는 10점 만점에 7.96점이었으며, 실습만족도가 높을수록 실습필요도가 높게 나타났고, 임상실습 전에 시뮬레이션 실습을 실시하는 것에 대한 요구도가 임상실습 후 시뮬레이션 실습을 실시하는 것에 비해 높게 나타났다. 따라서 분만간호에 대한 임상실습을 보완하는 방안으로 시뮬레이션 실습을 활용하는 것이 필요하며, 시뮬레이션 실습은 임상실습 전에 실시하고, 시뮬레이션 실습필요도에 대한 학생들의 인식을 증가시키기 위한 전략 수립이 필요하다고 할 수 있다.