• Title/Summary/Keyword: Nursing Simulation

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Effects of S-PBL in Fundamental Nursing Practicum among Nursing Students : Comparision Analysis of a Ordinary Least Square and a Quantile Regression for Critical Thinking Disposition (간호학생의 기본간호학실습 교과목에서 S-PBL의 효과 : 비판적 사고성향을 중심으로 최소자승법과 분위회귀분석의 비교분석)

  • Jun, Won Hee;Lee, Eunju
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.1036-1045
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    • 2013
  • The purpose of this study was to examine the effects of Simulation as a Problem-Based Learning (S-PBL) on critical thinking disposition, self-efficacy, and learning attitude and to compare an ordinary least square and a quantile regression method in impacting factors on critical thinking disposition. 143 students from six classes were randomly selected from a total of ten fundamental classes were assigned 66 in the control group and 77 in the experimental group. The results were that the experimental group received S-PBL and improved their critical thinking disposition and self-efficacy compared to the traditional learning method. In ordinary least square, affecting factors on critical thinking were the learning method and self-efficacy and these variables explained 41.0% in the critical thinking disposition. The results of the quantile regression method showed that affecting factors of critical thinking disposition were learning attitude of 0.1 quantile to 0.7 quantile and self-efficacy of all quantiles, and learning attitude of 0.4, 0.6, and 0.7 quantiles. Conclusion: The S-PBL is an effective method for nursing students who have low critical thinking disposition score to increase critical thinking disposition. And instructors can actively use S-PBL to enhance critical thinking disposition as well as self-efficacy in class.

Nurses' Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest (심정지 초기 5분간 일반간호사의 심폐소생술 수행 분석: 현장 시뮬레이션을 이용하여)

  • Kim, Eun-Jung;Lee, Kyeong-Ryong;Lee, Myung-Hyun;Kim, Ji-Young
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.361-368
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    • 2012
  • Purpose: The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital. Methods: A descriptive study was conducted with 35 teams of 3 to 4 registered nurses each in a university hospital located in Seoul. A mannequin simulator was used to enact simulated cardiac arrest. Assessment included critical actions, time elapsed to initiation of critical actions, quality of cardiac compression, and teamwork which comprised leadership behavior and communication among team members. Results: Among the 35 teams, 54% recognized apnea, 43% determined pulselessness. Eighty percent of the teams compressed at an average elapsed time of $108{\pm}75$ seconds with 35%, 36%, and 67% mean rates of correct compression depth, rate, and placement, respectively. Thirty-seven percent of the teams defibrillated at $224{\pm}67$ seconds. Leadership behavior and communication among team members were absent in 63% and 69% of the teams, respectively. Conclusion: The skills of the nurses in this study cannot be considered adequate in terms of appropriate and timely actions required for resuscitation. Future resuscitation education should focus on improving the quality of cardiopulmonary resuscitation including team performance targeting the first responders of cardiac arrest.

Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest (심정지 현장 시뮬레이션에서 일반 간호사의 비기술적 술기와 심폐소생술 수행 간의 관계)

  • Kim, Eun Jung;Lee, Kyeong Ryong
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.146-155
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    • 2015
  • Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

Convergence Analysis of the Factors Influencing Clinical Competency among Nursing Students Participated in Simulation-based Practice (시뮬레이션 실습을 경험한 간호대학생의 임상수행능력에 영향을 미치는 융합적 요인)

  • Yang, Seung Ae
    • Journal of Internet of Things and Convergence
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    • v.5 no.2
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    • pp.55-66
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    • 2019
  • Objectives: The purpose of the study was to identify the factors influencing the nursing students' Clinical Competency. Methods: A sample of convenience was 185 nursing students, and a questionnaire was used to measure their self-leadership, critical thinking disposition, self-directed learning ability, problem solving ability and clinical competency. Results: A significant positive correlation was found among clinical competency, self-leadership, critical thinking disposition, self-directed learning ability and problem solving ability. Grade of which the participant was in, interpersonal relationship, critical thinking disposition, problem solving ability, and self-directed learning ability were significant predictive variables of which accounted for 53% of the variance in clinical competency. Conclusions: The results from this study can be used to develop the programs for improving clinical competency.

The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants (산모의 심장소리가 미숙아의 체중, 생리적 반응 및 행동상태에 미치는 효과)

  • Yeum, Mi-Kyung;Ahn, Young-Mee;Seo, Hwa-Sook;Jun, Yong-Hoon
    • Child Health Nursing Research
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    • v.16 no.3
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    • pp.211-219
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    • 2010
  • Purpose: The study was done to measure the effects of maternal heart sound on body weight, physiologic reactions (heart rate [HR] and cortisol) and behavioral states of preterm infants. Methods: Thirty-five preterm infants were recruited from a neonatal intensive care unit at a university hospital. Institutional Review Board approval and informed consent were obtained. The infants were assigned to an experimental group (n=18) with an auditory stimulation for 7 days of life, a continuous delivery of maternal heart sound using MP3 attached inside the incubator, or to a control (n=17) without any auditory stimulation. The outcome variables, daily variations in weight, HR and behavioral states, and differences in cortisol were analyzed. Results: There were differences in variations of daily weights (F=3.431, p=.011) and in cortisol (t=3.184, p=.006) between groups, but no difference in variations of daily HR (F=0.331, p=.933) and behavioral states (F=1.842, p=.323). Conclusion: The findings support the safety of continuous maternal heart sound as no changes in HR and behavioral states occurred, and the efficacy as weight increased and cortisol decreased. This auditory simulation may lead to more efficient utilization of energy in preterm infants by consistently providing familiar sounds from intrauterine life and blocking noxious sounds from NICU environments.

Effectiveness of Multi Interventional Package on Selected Parameters of Metabolic Syndrome among Women - A Pilot Study

  • Elizabeth, Attonassary Jose;Aruna, Swaminathan;Mercy, Parayidathil Joseph
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.523-532
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    • 2020
  • Purpose: The purpose of the study was to compare the effectiveness of multi interventional package (MIP) and lifestyle interventions (LI) on physiological parameters of women with metabolic syndrome, to compare the effectiveness of MIP and LI on biochemical parameters of women with metabolic syndrome and to compare the effectiveness of MIP and LI on socio-psychological parameters of women with metabolic syndrome. Methods: A quasi experimental nonequivalent control group design with two experimental groups and one control group was used to collect data from 60 self-help group women. Samples were selected by multistage sampling. Reflexology foot massage, dietary modification, moderate intensity exercise and structured education were given to MIP group and dietary modification, moderate intensity exercise and structured education were given to LI group for 12 weeks. Control group received routine care. Demographic and clinical data sheets were used to collect basic information. Knowledge was assessed by a knowledge questionnaire. Physiological (weight, body mass index, waist circumference and blood pressure) and biochemical parameters (HDL, triglycerides and FBS) were assessed before and after the intervention. Results: The study found significant change in the physiological and biochemical parameters of metabolic syndrome as well as knowledge among the MIP group and LI group compared to the control group (p <.001). Conclusion: MIP and LI are effective in controlling the parameters of metabolic syndrome. Hence the guidance may be provided to women with metabolic syndrome for adopting necessary lifestyle changes as well as reflexology foot massage to control the physiological and biochemical parameters of metabolic syndrome.

Perception of Good Death, Knowledge and Perception of Hospice Palliative Care among The Nursing Graduates (간호학과 졸업예정자의 좋은 죽음에 대한 인식, 호스피스 완화의료 지식 및 인식)

  • Cho, Eun A
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.624-638
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    • 2018
  • The purpose of this study was to determine the perception of good death, knowledge and perception hospice palliative care among the nursing graduates. The subjects of this study were 241 nursing students in 4th grade in 8 universities nationwide. The results showed that the perception of good death was positively correlated with perception of hospice palliative care and knowledge of hospice palliative care with perception of hospice palliative care. The perception of good death was 3.28 points. Knowledge of hospice palliative care was 9.24 points. Perception of hospice palliative care was 4.07 points. Based on the results of this study, it is necessary to improve the curriculum to improve knowledge and perception of good death and hospice palliative care, and to develop various teaching methods and programs such as role play, simulation, and discussion.

Factors Influencing in the Infection Control Performance of COVID-19 in Nurses (간호사의 COVID-19에 대한 감염관리 수행도에 영향을 미치는 요인)

  • Lee, Mi-Hyang;Kim, Min Young;Go, Young Jin;Kim, Doo Ree;Lim, Hyo Nam;Lee, Kyung Hwa;Yang, Sun-Yi
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.253-261
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    • 2021
  • This study was conducted to investigate the factors influencing in the infection control performance of coronavirus infection disease-19 in registered nurse. Data were collected using descriptive structured questionnaires to examine the factors of influencing in the infection control performance. General characteristics, knowledge of infection control, anxiety, fatigue, and coronavirus infection-19 (COVID-19) respiratory infection management performance were identified from structured questionnaire. Data were analyzed using independent t-test, ANOVA, correlation analysis, and multiple regression analysis were performed using the IBM SPSS 21.0 program. Anxiety and respiratory infection management performance was a negative correlation. Multiple regression analysis indicated anxiety was predicted component of performance of coronavirus infection-19 respiratory infection management. The results indicate a need to decrease degree of anxiety by developing educational programs to improve nurses' ability to manage coronavirus infection-19 respiratory infections. In addition, it is necessary to consider applying a role-play or simulation education method so that registered nurse can take care of patients with emerging infectious diseases in advance.

Simulation of Mobile Robot Navigation based on Multi-Sensor Data Fusion by Probabilistic Model

  • Jin, Tae-seok
    • Journal of the Korean Society of Industry Convergence
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    • v.21 no.4
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    • pp.167-174
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    • 2018
  • Presently, the exploration of an unknown environment is an important task for the development of mobile robots and mobile robots are navigated by means of a number of methods, using navigating systems such as the sonar-sensing system or the visual-sensing system. To fully utilize the strengths of both the sonar and visual sensing systems, In mobile robotics, multi-sensor data fusion(MSDF) became useful method for navigation and collision avoiding. Moreover, their applicability for map building and navigation has exploited in recent years. In this paper, as the preliminary step for developing a multi-purpose autonomous carrier mobile robot to transport trolleys or heavy goods and serve as robotic nursing assistant in hospital wards. The aim of this paper is to present the use of multi-sensor data fusion such as ultrasonic sensor, IR sensor for mobile robot to navigate, and presents an experimental mobile robot designed to operate autonomously within indoor environments. Simulation results with a mobile robot will demonstrate the effectiveness of the discussed methods.

Relationships between Metacognition, Problem Solving Process, and Debriefing Experience in Simulation as Problem-based Learning (S-PBL) (시뮬레이션 기반 문제중심학습에서 메타인지, 문제해결과정, 디브리핑 경험과의 관계)

  • Choi, Eun Jin
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.459-469
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    • 2016
  • The purpose of this study was to identify relationships between metacogintion, problem solving process, and debriefing experience in S-PBL. Study participants were 102 nursing students who took the integrated S-PBL class in their last semester. Data were collected using a self-reported questionnaire and analyzed into descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. The highest subscale of debriefing experience was 'appropriate facilitator guidance' 3.78 (out of 5). Problem solving process and metacognition were positively correlated (r=0.704, p<.001). Metacognition was positively correlated with debriefing experience(r=0.197, p<.05), especially area of 'learning and making connections'(r=0.235, p<.05) whereas, there was no significant correlation between problem solving process and debriefing experience. Multiple regression (enter method) showed that gender and metacognition explained 51.2% of problem solving process. This study offers a rationale on simulation debriefing and further studies are needed to support effects of experiences of debriefing and factors on problem solving process and debriefing in nursing simulation.