• 한국간호교육학회지
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• 제30권2호
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• pp.113-123
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• 2024

Purpose: This study aimed to examine the mediating effect of learning immersion in clinical simulations on the relationship between nursing student learning motivation and achievement in clinical simulation. Methods: This study was conducted using a cross-sectional survey with 184 nursing students from two universities who participated in clinical simulation between September and December 2022. The participants completed a self-administered questionnaire, and the collected data were analyzed using independent an independent t-test, Mann-Whitney U-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis to identify the mediating effects of learning immersion on the relationship between nursing student learning motivation and achievement. Results: Among the subvariables of nursing student learning motivation, task value and self-efficacy for learning and performance had a significant effect on learning immersion (respectively, β=.36, p=.001; β=.31, p<.001) and learning achievement (respectively, β=.48, p<.001; β=.38, p<.001). With the input of learning motivation variables, the direct effect of learning immersion on learning achievement was significant (β=.20, p=.003), and the effects of learning motivation and task value and self-efficacy on learning achievement was reduced after controlling for learning immersion, which is a mediating variable (respectively, β=.41, p<.001; β=.32, p<.001). The bootstrapping test to confirm the mediating effect of learning immersion was also significant (task value 95% confidence interval [95% CI], 0.02~0.20; self-efficacy 95% CI, 0.01~0.12). Conclusion: The results of this study suggest that simulation educators should consider learners' motivation and immersion when organizing and operating clinical simulations.

• 한국간호교육학회지
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• 제26권2호
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• pp.198-207
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• 2020

Purpose: The purpose of this study was to explore the meaning of nursing students' experiences in virtual simulation practice. Methods: The participants were six nursing students who have experience in a virtual simulation. Data were collected from August to September 2019 through a focus group interview. Giorgi's phenomenological method was used for analysis. Results: The study results revealed 3 constituents and 6 sub-constituents that are essential for nursing student's experiences in a virtual simulation. The three constituents were: "Chaos in the virtual reality", "The process of adjusting to chaos", and "Becoming an independent nurse in a safe virtual reality". Conclusion: Based on the results of this study, the following suggestions are made. Results suggest the development of virtual simulations in Korean, the use of simulations as a group activity first, and the use of simulation between lecture and practice or in the regular curriculum. The results of the study can be used as primary data for providing virtual simulation in nursing education.

• 문화기술의 융합
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• 제4권1호
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• pp.119-128
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• 2018

본 연구는 간호대학생 4학년의 심정지 시뮬레이션 실습 경험을 알아보기 위한 질적연구이다. 참여자는 심정지 시뮬레이션 실습교육에 참여한 간호대학생 4학년 50명을 대상으로 하였다 연구기간은 2017년 12월 4일부터 12월 16일까지 진행하였다. 대상자의 심정지 시뮬레이션 실습경험을 탐구하기 위해 실습을 하고 난 후 자신의 경험을 서술식으로 자유롭게 작성하도록 한 성찰일지를 Braun과 Clarke의 주제 분석방법으로 분석하였다. 연구 결과 간호대학생의 심정지 시뮬레이션 실습 경험은 '시뮬레이션 수업유형에 대한 기대감', '아쉬움이 밀려옴', '미리 겪어보는 심정지 상황', '팀 상호작용의 중요성 인식', '적극적 대처', '간호학생에서 간호사로 역할이 확장됨'으로 나타났다. 결론적으로 간호대학생의 심정지 시뮬레이션 실습 경험을 이해하는 것은 심정지 시뮬레이션 실습교육을 효과적으로 운영하는데 필요한 기초자료로 활용될 수 있을 것이다.

• 기본간호학회지
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• 제18권3호
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• pp.392-400
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• 2011

Purpose: This study was done to provide fundamental data to develop a simulation application working practice module and to develop a strategy that would improve team efficacy of students, as well as interpersonal understanding, and proactivity in problem solving after using the team based learning simulation. Methods: The participants were students in fourth year in C University and they participated in the simulation learning for 8 weeks from October to December 2010. The variables of team efficacy, interpersonal understanding, and proactivity in problem solving were measured and data were analyzed using SPSS WIN 17.0 program. Results: After applying the team based simulation learning, students' team efficacy, interpersonal understanding, and proactivity in problem solving improved significantly. Conclusion: The results indicate that the simulation module in this study gave the students experience in providing available and safe nursing care under conditions similar to reality and also underlined the importance of team competency for student nurses in caring for patients.

• 중환자간호학회지
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• 제16권2호
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• pp.42-53
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• 2023

Purpose : This retrospective mixed-methods study aimed to explore key considerations for designing effective simulated education in nursing, focusing specifically on the recognition and response to deteriorating patients. Methods : Quantitative and qualitative data were analyzed to assess the clinical judgment and performance of the nursing students. Descriptive statistics were used to analyze quantitative data related to prior knowledge, simulation satisfaction, clinical judgment, and nursing performance during deteriorating patient simulations. Qualitative content analysis was conducted for the reflective journal entries of the participants. Results : Quantitative analysis showed that most participants demonstrated a "being skillful" level of clinical judgment (33.1%) in effective response. At the beginner level, clinical judgment varied across effective noticing(39.7-82.8%), effective interpretating(77.6-82.8%), effective responding(3.4-86.2%), and effective reflecting(90.0-95.4%). Nursing performance in assessing patient respiration or SpO2 after request from a physician ranged from 46.6-48.3%. Qualitative analysis indicated that 48.5% of the participants anticipated a deteriorating condition and initiated appropriate actions, while 70% noticed patient unresponsiveness for the first time. Conclusion : To design an effective simulation program for identifying and addressing deteriorating patient care, a framework for observation and interpretation is essential, along with regular simulated training. It is important to design and assess simulation programs and to conduct thorough interviews with nursing students to gain insight into their clinical decision-making.

• 한국엔터테인먼트산업학회논문지
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• 제14권5호
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• pp.255-266
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• 2020

본 연구는 간호대학생을 대상으로 환자안전 관련 교육프로그램의 종류와 구성 내용을 알아보기 위해 체계적 문헌고찰을 실시하였다. PRISMA를 사용하여 체계적으로 연구를 수행하였으며, 연구대상은 간호대학생, 중재방법은 환자안전교육, 결과는 도구를 사용하여 측정한 결과의 수치화된 보고 또는 서술적 보고, 연구유형은 무작위실험설계, 유사실험설계, 단일군 연구설계, 설문조사, 질적연구를 포함하여 수행하였다. Medline, Embases, CINAHL, DBpia, Riss, KISS를 통해 논문을 검색하였다. 검색 결과 총 2,468편의 논문이 검색되었으며, PICO에 따라 자료를 추출한 결과 총 9편의 논문이 분석에 사용되었다. 간호대학생의 환자안전교육의 특성을 교육 방법과 기간, 결과변수 및 측정도구에 따라 분류하였다. 그 결과 환자안전교육은 다양한 주제로 이루어졌으며, 강의식, 임상실습, 실험실, 그리고 시뮬레이션 등을 통해 교육되고 있었다. 교육 기간 또한 다양하였다. 결과변수는 지식, 태도, 기술 여부를 주로 확인하였는데, 이를 측정한 도구는 다양하였다. 간호대학생을 대상으로 환자안전교육은 국내외에서 다양한 주제, 방법, 기간을 통해 이루어지고 있었으므로, 환자안전 역량을 갖춘 간호인력을 배출하기 위해 교육기관과 실무기관에서 일관되고 통합적인 환자안전교육 확립을 위한 지속적인 연구가 필요하다.