응급외상 환자 시뮬레이션 적용 효과
Implementation effects of emergency trauma patient simulation
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Purpose: The purpose of this study was to explore EMT-paramedic students' experience of simulation education and analyze the confidence before and after education, learning attitude and course evaluation. Method: Research survey was conducted on 38 EMT-paramedic students during November,2011 and EMT-paramedic students' experience of simulation education was analyzed after applying head, spinal, and chest injury scenario. The confidence before and after education,learning attitude and course evaluation in gender were analyzed by Mann-Whitny U test and the difference of confidence before and after education was analyzed by Wilcoxon signed rank test and learning attitude & course evaluation were analyzed by evaluating frequency,percentage, mean, standard deviation by using SPSS WIN 17.0 program. Results:1. Students experienced various advantages such as increasing interest and self-reflection on learning, critical thinking ability, and EMT-paramedic-role experience and recognition of importance of teamwork. Students also pointed out disadvantages such as gap between real situation and simulation, limit of time and equipments, and burden of demonstration. 2. The confidence between before and after education, learning attitude and course evaluation in gender were not significant different statistically. 3. Confidence mean score elevated from 5.53(before education) to 5.87(after educa‐tion),but the difference in their confidence did not show significant difference statistically. 4. Total mean score in learning attitude after simulation education was 3.70 out of 5.00,which is considerably very high. 5. Total mean score in course evaluation was 3.89 with score of 3.83 in evaluation in learning environment and 3.99 in evaluation of debriefing. Conclusion: The finding of this study demonstrate that the simulation education can provide a safe and repetitive practice environment, improve problem-solving ability and critical thinking, and increase the confidence in prehospital emergency care; therefore,simulation may be the new effective EMT-paramedic education strategy.
Abstract
Purpose: The purpose of this study was to explore EMT-paramedic students' experience of simulation education and analyze the confidence before and after education, learning attitude and course evaluation. Method: Research survey was conducted on 38 EMT-paramedic students during November,2011 and EMT-paramedic students' experience of simulation education was analyzed after applying head, spinal, and chest injury scenario. The confidence before and after education,learning attitude and course evaluation in gender were analyzed by Mann-Whitny U test and the difference of confidence before and after education was analyzed by Wilcoxon signed rank test and learning attitude & course evaluation were analyzed by evaluating frequency,percentage, mean, standard deviation by using SPSS WIN 17.0 program. Results:1. Students experienced various advantages such as increasing interest and self-reflection on learning, critical thinking ability, and EMT-paramedic-role experience and recognition of importance of teamwork. Students also pointed out disadvantages such as gap between real situation and simulation, limit of time and equipments, and burden of demonstration. 2. The confidence between before and after education, learning attitude and course evaluation in gender were not significant different statistically. 3. Confidence mean score elevated from 5.53(before education) to 5.87(after educa‐tion),but the difference in their confidence did not show significant difference statistically. 4. Total mean score in learning attitude after simulation education was 3.70 out of 5.00,which is considerably very high. 5. Total mean score in course evaluation was 3.89 with score of 3.83 in evaluation in learning environment and 3.99 in evaluation of debriefing. Conclusion: The finding of this study demonstrate that the simulation education can provide a safe and repetitive practice environment, improve problem-solving ability and critical thinking, and increase the confidence in prehospital emergency care; therefore,simulation may be the new effective EMT-paramedic education strategy.
참고문헌 (23)
- "2009년 사망원인통계 결과"[URL]
- 대한응급의학회, "전문손상응급처치학 2판" (2010), 대학서림
- 권혜란, "응급구조과 학생 현장실습의 실제와 개선방안 연구", 한국응급구조학회지, 6(1), pp.15~26 (2002), 사단법인 한국응급구조학회
- 고봉연, "응급구조과 학생의 현장실습 수행활동 조사 연구", 한국응급구조학회지, 3(1), pp.55~64 (1999), 사단법인 한국응급구조학회
- Ganley, B. J., "Academic safety during nersing simulation: perceptions of nursing students and faculty", Clinical Simulation in Nursing, 6, pp.1~9 (2010)
- Abdo A., "Student Satisfaction with Simulation Experiences", Clinical Simulation in Nursing Education, 2, pp.13~16 (2006)
- Feingold C. K, "Computerized patient model and simulated clinical experience: evaluation with baccalaureate nursing students", The Journal of nursing education, 43, pp.156~163 (2004)
- 고일선, "SimMan 시뮬레이션 학습 시나리오의 개발 및 학습 수행 평가 - 응급실 내원 천식 환자사례를 중심으로", 기본간호학회지, 17(3), pp.371~381 (2010), 기본간호학회
- 박민정, "의학교육과정에서 PBL 수업의 적용 효과 연구 : 수업후기와 자기평가 및 수업과정 평가지를 중심으로", 교육과정연구, 28(2), pp.225~253 (2010), 한국교육과정학회
- 정승은, "간호대학생의 시뮬레이션을 활용한 교육경험", 질적연구, 11(1), pp.50~59 (2010)
- 이주희, "일 대학 간호대학생의 시뮬레이션 교육 경험 분석", 한국간호교육학회지, 15(2), pp.183~193 (2009), 한국간호교육학회
- Swenty, C. F., "The Evaluation of Simulation in a Baccalaureate Nursing Program", Clinical Simulation in Nursing, 2, pp.1~7 (2010)
- Lasater, K, "High fidelity simulation and the development of clinical judgement: students' experiences", J Nurs Edus, 46(6), pp.269~276 (2007)
- Baxter P., "Simulated experiences: Nursing students share their perspectives", Nurse Education Today, 29(8), pp.859~866 (2009)
- Debra A. J, "Nursing Faculty Perceptions of Obstacles to Utilizing Manikin-based Simulations and Proposed Solutions", Clinical Simulation in Nursing, 5, pp.9~16 (2009)
- Howard, V. M., "Integration of Simulation Across the Undergraduate Curriculum: Student and Faculty Perspectives", Clinical Simulation in Nursing, 7, pp.1~10 (2011)
- 김지희, "응급구조사 교육 분야에서 의료 시뮬레이션의 활용 방안 모색", 한국화재소방학회 논문지, 21(3), pp.104~112 (2007), 한국화재소방학회
- 유은영, "의료시뮬레이션", 대한의사협회지, 48(3), pp.267~276 (2005)
- Zulkosky, K. D, "Simulation Use in the Classroom: Impact on Knowledge Acquisition, Satisfaction, and Self-Confidence", Clinical Simulation in Nursing, 6, pp.1~9 (2010)
- Kathleen A, "Associate degree nursing students' perceptions of learning using a high-fidelity human patient simulator", Teaching and Learning in Nursing, 2, pp.46~52 (2007)
- Rhodes, M., "Use of the human patient simulator to teach clinical judgement skills in a baccaureate nursing program.Computers", Informatics Nursing, 23(5), pp.256~264 (2005)
- 김해란, "시뮬레이션기반 응급간호교육을 받은 간호학생의 학업성취도와 자기효능감, 학습태도 및 수업만족도의 관계", 한국간호교육학회지, 17(1), pp.5~13 (2011), 한국간호교육학회
- 이선옥, "시뮬레이션 교육의 간호학 적용", 한국간호교육학회지, 13(1), pp.90~94 (2007), 한국간호교육학회