• 한국산학기술학회논문지
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• 제18권4호
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• pp.93-100
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• 2017

본 연구는 간호대학생의 핵심역량을 향상 시킬 수 있는 시뮬레이션 기반 실습교육을 개발 적용하여 비판적사고 성향, 의사소통 능력, 임상수행능력에 미치는 효과를 파악하기 위하여 시도되었다. 단일군 사전-사후설계의 실험 연구로 G도 소재 간호대학생 4학년 53명을 대상으로 자가보고식 설문지를 이용하여 2016년 6월10일 부터 8월19일 까지 자료를 수집하였다. 시뮬레이션 기반 실습 교육은 4개의 실습 모듈을 이용하여 6-8시간/일, 총 60시간 적용하였다. 수집된 자료는 SPSS WIN 18을 이용하여 빈도, paried t-test, Pearson's correlation coefficients으로 분석하였다. 연구결과 시뮬레이션 기반 실습 전 후 임상수행능력은 유의한 차이가 있는 것으로 나타났으나 비판적 사고성향과 의사소통 능력은 유의한 차이가 없는 것으로 나타났다. 시뮬레이션 실습 교육 후 임상수행능력은 비판적 사고성향(r=.628, p<.001), 의사소통(r=.716, p<.001)과 정의 상관관계가 있는 것으로 나타났다. 비판적 사고성향과 의사소통(r=.650, p<.001)도 정의 상관관계가 있는 것으로 나타났다. 추후 임상수행능력 향상을 위해 비판적 사고성향과 의사소통능력을 높일 수 있는 시뮬레이션 기반 실습 교육의 개발 및 효과를 검증할 수 있는 연구가 필요하다.

• 문화기술의 융합
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• 제10권2호
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• pp.215-224
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• 2024

본 연구는 국내 간호대학생의 신생아 시뮬레이션 실습교육 관련 연구동향을 살펴보기 위한 서술적 조사연구이다. 문헌수집은 국내 6개 전자 데이터베이스에서 ('신생아 시뮬레이션')과 ('간호학생' OR '간호대학생' OR '학생간호사')로 조합하여 검색한 결과 총 17편을 선정하였다. 연구결과는 2011년~2015년 7편으로 시작하여 2016년~2020년 5편과 2021년~2023년 5편으로 다소 감소하는 것으로 나타났다. 연구설계는 양적연구 총 16편(94%)으로 중재연구 15편(88%), 서술적 조사연구 1편(6%)이고, 혼합연구는 1편(6%)이었다. 시뮬레이션 주요 사례 주제는 고위험 신생아 간호 9편(52%), 호흡곤란증후군 중환아 간호 3편(18%), 신생아 간호 3편(18%) 정상 신생아 간호 1편(6%), 신생아 응급 기도 간호 1편(6%)으로 나타났다. 주요 결과 변수 및 적용효과는 임상수행능력 5편(19.2%)이 가장 많았고 그 다음 순으로 실습만족도 3편(11.5%)이었고 적용 효과가 있는 것으로 나타났다. 결론적으로 간호대학생의 신생아 시뮬레이션 실습교육의 확대, 반복연구, 질적연구 등 다양한 연구방법이 요구된다.

• 융합정보논문지
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• 제10권10호
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• pp.100-108
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• 2020

본 연구의 목적은 간호대학생에게 가상 현실 시뮬레이션 교육과 교외 임상실습을 통합한 교육을 적용한 후의 자기효능감, 임상수행능력 및 비판적 사고 성향의 차이를 확인하여 효과적인 실습교육의 기초자료로 제공하기 위함이다. 본 연구는 2020년 6월 8일부터 7월 3일까지 G시 소재 대학 3학년에 재학 중이며, 가상 현실 시뮬레이션 교육과 교외 임상실습을 받은 경험이 없는 간호대학생 30명을 대상으로 하였다. 자료분석은 Paired t-test로 분석하였다. 연구결과, 가상 현실 시뮬레이션 교육과 교외 임상실습을 통합한 교육을 적용한 후 자기효능감, 임상수행능력 및 비판적 사고 성향정도가 교육 전보다 통계적으로 유의하게 높아진 것으로 나타났다. 본 연구에서 간호대학생의 가상 현실 시뮬레이션 교육과 교외 임상실습을 통합한 교육은 임상수행능력 향상과 더불어 비판적 사고 성향, 자기효능감을 향상시키는 것으로 확인되어 교외 임상실습 전 임상상황에 맞는 다양한 가상 현실 시뮬레이션 교육이 필요할 것으로 사료된다.

• 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.

• 한국학교보건학회지
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• 제35권3호
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• pp.104-112
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• 2022

Purpose: The study aimed to examine the effects of disaster nursing simulation training on attitudes toward disaster management, disaster preparedness, learning self-efficacy and nursing practice satisfaction in nursing college students. Methods: The study is based on a one-group pretest-posttest design. A total of 95 nursing students were recruited from a nursing college. Disaster nursing simulation training for fire and earthquake situations were provided for 8 hours in one day. Results: There were significant differences in nursing students' attitudes toward disaster management (t=2.20, p=.030), disaster preparedness (t=7.88, p<.001), learning self-efficacy (t=3.69, p<.001), and nursing practice satisfaction (t=5.28, p<.001). Conclusion: Based on our findings, it is necessary to implement disaster nursing simulation training to improve disaster nursing competency of college students.

• International Journal of Advanced Culture Technology
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• 제9권4호
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• pp.169-179
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• 2021

This study was conducted to develop and apply clinical nursing practice training simulation program using Standardized Patient for Nursing Students focused on infectious respiratory disease. This study is descriptive methodological study. Through prior consideration of documents and educational task of infectious respiratory disease was conducted with interview of clinical specialists of infection control managers. Development of educational task for infectious respiratory disease for Nursing Students went through the content validity. Finally, 10 educational tasks are developed 'knowledge of respiratory infections disease', 'hand washing', 'put on mask', 'lead to put on mask to patients and caregiver', 'intravenous injection via 3way', 'surgical aseptic technique', 'sterilization medical instrument', 'management of contaminated linen', 'infected personnel management manual'. The infectious respiratory disease simulation program was developed based on the ADDIE model and proceeded to 4 steps of analysis, design, development, implementation. The infection control education program included lectures (20 min), skill training (20 min), simulation using standardized patient (20 min), and debriefing (40 min), The collected data were analyzed by descriptive statistics with SPSS program for version 23.0. The results of this study confirmed that the clinical nursing practice training simulation program using standardized patients was effective in infectious respiratory disease of the nursing college students in knowledge of infectious respiratory disease and clinical nursing performance. we found this practical training program for nursing college students to improve knowledge and clinical competency of infection control. we expected that this developed program could be applied to practical training for various infectious control.

• 여성건강간호학회지
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• 제26권1호
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• pp.61-71
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• 2020

Purpose: This study was conducted to investigate the effects of problem-based learning-integrative simulation practice (PBL-ISP) on nursing knowledge, critical thinking, problem-solving ability, and immersion among nursing students. Methods: The study used a nonequivalent control group post-test design. A PBL-ISP educational program was provided to the experimental group, and hands-on practice using a high-fidelity simulator (HFS) was administered to the control group. There were 42 subjects in the experimental group and 40 in the control group. Data were collected during the fall semester of 2019. Using SPSS for Windows version 23.0, data were analyzed in terms of frequency, percentage, mean, standard deviation, the chi-square test, t-test, and Pearson correlation coefficients. Results: Significant differences between the experimental and control groups were found in nursing knowledge (t=3.67, p<.001), critical thinking (t=3.40, p=.001), problem-solving ability (t=3.52, p=.001) and immersion (t=4.44, p<.001). Conclusion: PBL-ISP was more effective in improving nursing knowledge, critical thinking, problem-solving ability, and immersion than was hands-on practice using an HFS.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.44-55
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• 2019

본 연구는 간호사를 대상으로 초기 심정지 5분 간 수행능력, 자신감 향상을 위해 전통적 시뮬레이션 교육 방법과 Rapid Cycle Deliberate Practice(RCDP) 시뮬레이션 교육 방법을 받은 전·후 변화를 확인하고 두 그룹 간의 수행 능력, 자신감, 만족도를 비교 하고자 시도되었으며 연구 대상자는 서울 소재 병원의 간호사로 그룹 1은 62명으로 RCDP 시뮬레이션 방법을 그룹 2는 60명으로 전통적 시뮬레이션 교육 방법으로 총 122명의 간호사에게 전문 소생술 교육을 진행 하였다. 2019년 3월 18일부터 29일 까지 자료 수집을 하였으며 자료 분석은 SPSS Version 23.0 프로그램으로 서술적 통계, Fisher's exact test, t-test, Wilcoxon sign rank test, Mann-Whitney U-test를 활용하여 분석하였다. 연구 결과 RCDP와 전통적 시뮬레이션 교육의 두 그룹 간에는 수행 능력의 일부 항목(z=-2.02, p=0.044 / z=-2.42, p=0.015 / z=-3.03, p=0.002)은 유의한 차이를 보였으나 수행 자신감(z=0.388, p=0.699)과 만족도(t=.72, p=0.476)에서 두 그룹간의 차이는 없었다. 본 연구는 전통적 시뮬레이션 교육 방법과 RCDP 시뮬레이션 교육 방법 모두 간호사의 전문 소생술 수행 능력 및 자신감을 높이는데 효과적인 교육 방법임을 확인하였다. 따라서 간호사 대상 전문 소생술 교육시 교육 대상 및 내용에 따라 적절한 시뮬레이션 방법을 적용하고 다양한 분야에 RCDP 시뮬레이션 교육 방법을 활용하여 효과성을 확인 해 볼 것을 제언한다.

• 한국응급구조학회지
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• 제16권3호
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• pp.63-75
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• 2012

Purpose : This study was attempted to explore the paramedic student's experience on simulation education. Methods : Data were collected through in-depth interviews from 15 paramedic students. The study was analyzed by phenomenological method, specifically Colaizzi's method. From the protocol, significant statements were organized into formulated meanings. Results : The formulated meanings were identified 35 themes, 12 theme clusters, and 6 categories. The 6 categories include burden of demonstration, role experience as a paramedic, confidence in field treatment, sense of disjunction caused by difference from real situation, realization and learning by oneself, and sense of stability from hypothetical situation. Conclusion : This study suggested that, even though some negative perceptions were observed, simulation education will fit as a replacement for the field practice of paramedic's students given that more field-like practice environment and repetitive simulation education are present.

• 한국산업융합학회 논문집
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• 제22권6호
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• pp.721-727
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• 2019

The purpose of this study is to investigate the relationship between clinical judgment and nursing performance based on myocardial infarction simulation applied to nursing students. Method: 39 fourth grade nursing students participated in this explanatory study with sampling of accommodations. The Lasater Clinical Judgment Rubric has been used in self-reported clinical trials and satisfaction with judging practices. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficient using SPSS WIN 19. Results: Scenarios with myocardial infarction were scored by self-reported clinical judgment. Total mean score of clinical judgment and total mean value of clinical judgment is 4.17 ± 0.80. Correlation Between Variables After Simulation Practice is highly significant for providing positive clinical judgment and satisfaction with nursing performance. Conclusion: The simulation-based practice associated with adult nursing in myocardial infarction was useful for clinical judgment and nursing performance satisfaction, which improved the core basic skills of nursing students.