Effects of Simulation-based Mastery Learning of Blood Transfusion for Nursing Students
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Purpose: Simulation-based education combined with mastery learning is more effective than simulation-based education alone. This study aimed to evaluate its effectiveness with regard to both technical and non-technical skills of simulation-based mastery learning (SBML) in blood transfusion training among undergraduate nursing students. Method: A nonequivalent control group pretest-posttest design was used. Fifty-one second-year students at a college of nursing in W city, South Korea, who had not started clinical practice were selected by convenience sampling and allocated to either the experimental or control group using the zigzag method. SBML program was consisted of a diagnostic test, repeated learning and formative assessments for non-passers. All outcome variables were measured before and after completion of the program. Results: The experimental group showed significantly increased performance scores of blood transfusion as compared to the control group (z=29.50, p<.001), with better outcomes in number of students achieving minimum passing score (χ2 =20.07, p<.001), self-confidence (F=17.68, p<.001), and communication skills (z=166.00, p=.003). Conclusion: This program was effective for undergraduate students to better improvement in performance, self-confidence, and communication skills, which can ensure greater safety in the transfusion. The results suggest that SBML ensures skill acquisition for clinical practice through improved performances in both technical and non-technical skills.
Abstract
Purpose: Simulation-based education combined with mastery learning is more effective than simulation-based education alone. This study aimed to evaluate its effectiveness with regard to both technical and non-technical skills of simulation-based mastery learning (SBML) in blood transfusion training among undergraduate nursing students. Method: A nonequivalent control group pretest-posttest design was used. Fifty-one second-year students at a college of nursing in W city, South Korea, who had not started clinical practice were selected by convenience sampling and allocated to either the experimental or control group using the zigzag method. SBML program was consisted of a diagnostic test, repeated learning and formative assessments for non-passers. All outcome variables were measured before and after completion of the program. Results: The experimental group showed significantly increased performance scores of blood transfusion as compared to the control group (z=29.50, p<.001), with better outcomes in number of students achieving minimum passing score (χ2 =20.07, p<.001), self-confidence (F=17.68, p<.001), and communication skills (z=166.00, p=.003). Conclusion: This program was effective for undergraduate students to better improvement in performance, self-confidence, and communication skills, which can ensure greater safety in the transfusion. The results suggest that SBML ensures skill acquisition for clinical practice through improved performances in both technical and non-technical skills.
참고문헌 (31)
- Bandura, A., "Analysis of self-efficacy theory of behavioral change", Cognitive Therapy and Research, 1(4), pp.287~310 (1977)[DOI]
- Barsuk, J. H., "Mastery learning of temporary hemodialysis catheter insertion by nephrology fellows using simulation technology and deliberate practice", American Journal of Kidney Diseases, 54(1), pp.70~76 (2009)[DOI]
- Barsuk, J. H., "Simulation-based education with mastery learning improves residents' lumbar puncture skills", Neurology, 79(2), pp.132~137 (2012)[DOI]
- Barsuk, J. H., "Simulation-based mastery learning improves central Line maintenance skills of ICU nurses", Journal of Nursing Administration, 45(10), pp.511~517 (2015)[DOI]
- Cason, M. L., "Cooperative learning using simulation to achieve mastery of nasogastric tube insertion", Journal of Nursing Education, 54(3), pp.S47~S51 (2015)[DOI]
- Cohen, E. R., "Making July safer : simulation-based mastery learning during intern boot camp", Academic Medicine, 88(2), pp.233~239 (2013)[DOI]
- Cook, D. A., "Mastery learning for health professionals using technology-enhanced simulation : A systematic review and meta-analysis", Academic Medicine, 88(8), pp.1178~1186 (2013)[DOI]
- Cusimano, M. D., "Standard setting in medical education", Academic Medicine, 71(10 Suppl), pp.S112~S120 (1996)[DOI]
- Dawson, S., "Perspectives on performance assessment in medical simulation", The Surgeon, 9, pp.S21~S22 (2011)[DOI]
- Dorri, S., "The effect of mastery learning model for suction and oxygen therapy skills in nursing students", Research in Medical Education, 9(4), pp.19~10 (2018)[DOI]
- Eyikara, E., "Effect of simulation on the ability of first year nursing students to learn vital signs", Nurse Education Today, 60, pp.101~106 (2018)[DOI]
- Gonzalez, L., "Deliberate practice for mastery learning in nursing", Clinical Simulation in Nursing, 13(1), pp.10~14 (2017)[DOI]
- Griswold-Theodorson, S., "Beyond the simulation laboratory : A realist synthesis review of clinical outcomes of simulation-based mastery learning", Academic Medicine, 90(11), pp.1553~1560 (2015)[DOI]
- Hijji, B., "Knowledge of blood transfusion among nurses", Journal of Clinical Nursing, 22(17-18), pp.2536~2550 (2013)[DOI]
- Hogg, G., "The use of simulated learning to promote safe blood transfusion practice", Nurse Education in Practice, 6(4), pp.214~223 (2006)[DOI]
- 주가을, "표준화환자 시뮬레이션 실습교육이 간호학생의 수혈 간호수행능력, 의사소통능력, 자기효능감과 비판적 사고능력에 미치는 효과", 기본간호학회지, 22(1), pp.49~58 (2015), 기본간호학회[DOI]
- Koh, I. S., "Simulation training scenarios for achievement of learning outcome" (2014), Korean Nurses Association
- "Core basic nursing skill items for evaluation" (2017)[URL]
- McGaghie, W. C., "Learning Theory Foundations of Simulation-Based Mastery Learning", Simulation in healthcare: Journal of the Society for Simulation in Healthcare, 13(3S Suppl 1), pp.S15~S20 (2018)[DOI]
- McGaghie, W. C., "A critical review of simulation-based mastery learning with translational outcomes", Medical Education, 48(4), pp.375~385 (2014)[DOI]
- Mole, L. J., "Evaluation of a teaching pack designed for nursing students to acquire the essential knowledge for competent practice in blood transfusion administration", Nurse Education in Practice, 7(4), pp.228~237 (2007)[DOI]
- Nowroozi, H. M., "The effect of teaching uning a blend of collaborative and mastery of learning models, on learning of vital signs : An experiment on nursing and operation room students of Mashhad University of Medical Sciences", Iranian Journal of Medical Education, 11(5), pp.544~553 (2011)
- 박소미, "간호수기 완전학습 프로그램 개발 및 평가", Journal of Korean Academy of Nursing, 47(4), pp.526~539 (2017), 한국간호과학회
- Polit, D. F., "Is the CVI an acceptable indicator of content validity? Appraisal and recommendations", Research in Nursing & Health, 30(4), pp.459~467 (2007)[DOI]
- Sajadi, S. A., "Effectiveness and challenges of mastery learning in nursing education : A systematic review", International Journal of Medical Reviews, 2(4), pp.309~316 (2015)
- Shamsi, A., "The Role of mastery learning in clinical education: A systematic review", Strides in Development of Medical Education, 15(1), pp.e64075~ (2019)[DOI]
- Solvik, E., "Training nursing skills : A quantitative study of nursing students' experiences before and after clinical practice", Nursing Research and Practice, 2018, pp.8984028~ (2018)[DOI]
- Stainsby, D., "Adverse outcomes of blood transfusion in children : analysis of UK reports to the serious hazards of transfusion scheme 1996-2005", British Journal of Haematology, 141(1), pp.73~79 (2008)[DOI]
- Sutton Roberts, D., "Implementation of mastery learning in nursing education", Journal of Nursing Education, 52(4), pp.234~237 (2013)[DOI]
- Wayne, D. B., "Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice", Journal of General Internal Medicine, 21(3), pp.251~ (2006)[DOI]
- Yoo, M. S., "The effectiveness of standardized patients as a teaching method for nursing fundamentals", Journal of Nursing Education, 42(10), pp.444~448 (2003)[DOI]