The Outcome-Present State-test (OPT) 모델을 활용한 응급상황 시뮬레이션 교육이 간호대학생의 임상적 추론역량과 응급상황대응 자기효능감에 미치는 효과
Effect of emergency simulation education using the Outcome-Present State-test (OPT) model on nursing students' clinical reasoning capability and self-efficacy-based basic life support
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Background: This study aimed to evaluate the effect of emergency simulation education, including clinical reasoning activities based on the OPT model, on clinical reasoning competency and emergency response self-efficacy among nursing students. Methods: Data were collected from September 8 to December 1, 2021. Data from 110 nursing students (48 in the control group and 62 in the experimental group) were analyzed using SPSS/WIN 23.0. Results: The clinical reasoning capability of the experimental group was 3.90±0.53. This was higher than that of the control group (3.62±0.54), and there was a significant difference between the two groups (t=-2.69, p=.008). However, there was no significant difference in the level of self-efficacy based on basic life support between them (t=1.47, p=.143). Conclusions: Emergency simulation education, including clinical reasoning activities based on the OPT model, was effective in enhancing clinical reasoning capabilities. Therefore, the inclusion of clinical reasoning activities based on the OPT model in simulation training may be useful in increasing the clinical reasoning capability of nursing students.
Abstract
Background: This study aimed to evaluate the effect of emergency simulation education, including clinical reasoning activities based on the OPT model, on clinical reasoning competency and emergency response self-efficacy among nursing students. Methods: Data were collected from September 8 to December 1, 2021. Data from 110 nursing students (48 in the control group and 62 in the experimental group) were analyzed using SPSS/WIN 23.0. Results: The clinical reasoning capability of the experimental group was 3.90±0.53. This was higher than that of the control group (3.62±0.54), and there was a significant difference between the two groups (t=-2.69, p=.008). However, there was no significant difference in the level of self-efficacy based on basic life support between them (t=1.47, p=.143). Conclusion: Emergency simulation education, including clinical reasoning activities based on the OPT model, was effective in enhancing clinical reasoning capabilities. Therefore, the inclusion of clinical reasoning activities based on the OPT model in simulation training may be useful in increasing the clinical reasoning capability of nursing students.
참고문헌 (33)
- 김정아, "신규간호사의 핵심역량", 임상간호연구, 23(1), pp.40~53 (2017), 병원간호사회[DOI]
- "University Handbook for Nursing Education Certification Evaluation in 2022"[URL]
- 이동숙, "간호교육에서의 비판적 사고, 임상적 추론, 임상적 판단 개념의 고찰", 한국간호교육학회지, 25(3), pp.378~387 (2019), 한국간호교육학회[DOI]
- Joyce Victor-Chmil, "Critical Thinking Versus Clinical Reasoning Versus Clinical Judgment", Nurse Educator, 38(1), pp.34~36 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Hege Mari Johnsen, "Registered nurses' clinical reasoning in home healthcare clinical practice: A think-aloud study with protocol analysis", Nurse Education Today, 40, pp.95~100 (2016), Elsevier BV[DOI]
- Cooper, N., "ABC of Clinical reasoning" (2017), John Wiley & Sons
- Kuiper R, "The Essentials of Clinical Reasoning For Nurses: Using the Outcome Present State Test Model for Reflective Practice" (2017), Sigma Theta Tau International
- Barbara Simmons, "Clinical reasoning: concept analysis", Journal of Advanced Nursing, 66(5), pp.1151~1158 (2010), Wiley[DOI]
- Daniel J. Pesut, "OPT: Transformation of nursing process for contemporary practice", Nursing Outlook, 46(1), pp.29~36 (1998), Elsevier BV[DOI]
- R Kuiper, "Promoting the Self-Regulation of Clinical Reasoning Skills in Nursing Students", The Open Nursing Journal, 3, pp.76~85 (2009), Bentham Science Publishers Ltd[DOI]
- Robin Bartlett, "Evaluation of the Outcome-Present State Test Model as a Way to Teach Clinical Reasoning", Journal of Nursing Education, 47(8), pp.337~344 (2008), SLACK, Inc[DOI]
- Donald D. Kautz, "Using NANDA, NIC, and NOC (NNN) Language for Clinical Reasoning With the Outcome-Present State-Test (OPT) Model", International Journal of Nursing Terminologies and Classifications, 17(3), pp.129~138 (2006), Wiley[DOI]
- Seo, YH, "Development and Effect of Simulation Nursing Education Program using the Outcome-Present State-Test (OPT) Model", pp.2016
- Susan M Carr, "A framework for understanding clinical reasoning in community nursing", Journal of Clinical Nursing, 13(7), pp.850~857 (2004), Wiley[DOI]
- 허혜경, "간호학생을 위한 시뮬레이션기반 임상추론 교육의 효과 및 설계특성과 교육상황 인식 평가", 한국콘텐츠학회 논문지, 15(3), pp.206~218 (2015), 한국콘텐츠학회[DOI]
- 이주희, "시뮬레이션을 적용한 임상추론 교과목의 적용효과: 일 대학의 예를 중심으로", 성인간호학회지, 23(1), pp.1~9 (2011), 한국성인간호학회
- 허혜경, "시뮬레이션기반 임상추론 실습교육 프로그램이 간호학생의간호역량에 미치는 효과", 성인간호학회지, 25(5), pp.574~584 (2013), 한국성인간호학회
- 김미영, "시뮬레이션 프리브리핑 사전학습이 간호대생의 시뮬레이션 교육 만족도에 미치는 영향", 한국간호시뮬레이션학회지, 6(2), pp.27~34 (2018), 한국간호시뮬레이션학회[DOI]
- 임경춘, "간호학생의 학습성과 달성과 연계된 시뮬레이션 실습 설계와 운영", 한국간호교육학회지, 21(3), pp.393~405 (2015), 한국간호교육학회[DOI]
- 박수진, "간호시뮬레이션 학습자의 간호역량에 관한 구조모형", Journal of Korean Academy of Nursing, 48(5), pp.588~600 (2018), 한국간호과학회
- 강희, "시뮬레이션 교육이 간호학생의 임상추론역량과 임상수행능력 및 교육만족도에 미치는 효과", 한국산학기술학회논문지, 21(8), pp.107~114 (2020), 한국산학기술학회[DOI]
- William F. Bond, "Using Simulation to Instruct Emergency Medicine Residents in Cognitive Forcing Strategies", Academic Medicine, 79(5), pp.438~446 (2004), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 김해란, "시뮬레이션기반 응급간호교육을 받은 간호학생의 학업성취도와 자기효능감, 학습태도 및 수업만족도의 관계", 한국간호교육학회지, 17(1), pp.5~13 (2011), 한국간호교육학회
- 최화영, "팀 디브리핑 기반 응급시뮬레이션 교육의 효과", 보건정보통계학회지, 45(2), pp.216~222 (2020), 한국보건정보통계학회[DOI]
- 임규연, "집단탐구(Group Investigation) 협동학습에서 학업적 자기효능감, 협력적 자기효능감, 학업 성과의 관계", 교육의 이론과 실천, 16(2), pp.19~36 (2011), 한독교육학회
- 박선남, "간호대학생을 위한 시뮬레이션 기반의 아동간호 인수인계에 관한동영상 실습교육과 시뮬레이션 실습교육의 효과", Child Health Nursing Research, 24(1), pp.27~36 (2018), 한국아동간호학회[DOI]
- Faul F, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behav Res Methods, 41(4), pp.1149~1160 (2009)
- Liou SR, "The development and psychometric testing of a theory-based instrument to evaluate nurses’ perception of clinical reasoning competence", J Adv nurs, 72(3), pp.707~717 (2016)[DOI]
- 정재원, "한국어판 간호사 임상적 추론 역량 척도의 타당도와 신뢰도", 한국산학기술학회논문지, 18(4), pp.304~310 (2017), 한국산학기술학회[DOI]
- Schlessel JS, "CPR knowledge, self efficacy, and anticipated as functions of infant", child CPR training, 1995, pp.25(5), 618~623
- Zeiss AM, "Self-efficacy as a mediater of caregiver coping : Development and Testing of an assessment model", Journal of clinical geropsychology, 5(30), pp.221~230 (1999)
- Kyunghee Kang, "Evaluation of a Self-efficacy-based Basic Life Support Program for High-risk Patients' Family Caregivers", Journal of Korean Academy of Nursing, 35(6), pp.1081~1090 (2005), Korean Society of Nursing Science[DOI]
- RuthAnne Kuiper, "Debriefing with the OPT Model of Clinical Reasoning during High Fidelity Patient Simulation", International Journal of Nursing Education Scholarship, 5(1), pp.1~14 (2008), Walter de Gruyter GmbH[DOI]
