간호초심자의 표준화 환자를 활용한 시뮬레이션 실습교육의 효과
Effects of Simulation-based Practice Using a Standardized Patient on Novice Nursing Students
2
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to clarify the effects of simulation-based practice using a standardized patient on nursing students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance. Methods: We adopted a one-group pretest–posttest experimental design. We examined changes in the students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance before and after simulation-based practice and after clinical practicum. Results: The scores for problem-solving capacity increased from 159.28 before simulation-based practice to 263.02 after it and 161.99 after clinical practicum, but there was no statistical significance(p=.775, p=.339). The scores for self-efficacy for therapeutic communications rose with statistical significance from 120.78 before simulation-based practice to 126.30 after it (p= .017), but fell to 120.52 after clinical practicum. The scores for confidence in clinical performance increased with statistical significance from 54.98 before simulation-based practice to 59.42 after it (p=.008) and 58.50 after clinical practicum (p<.001). Conclusion: We confirmed that simulation-based practice with a standardized patient offers students hands-on experience of a clinical situation and, thereby, enhances their problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance.
Abstract
Purpose: This study aimed to clarify the effects of simulation-based practice using a standardized patient on nursing students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance. Methods: We adopted a one-group pretest–posttest experimental design. We examined changes in the students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance before and after simulation-based practice and after clinical practicum. Results: The scores for problem-solving capacity increased from 159.28 before simulation-based practice to 263.02 after it and 161.99 after clinical practicum, but there was no statistical significance(p=.775, p=.339). The scores for self-efficacy for therapeutic communications rose with statistical significance from 120.78 before simulation-based practice to 126.30 after it (p= .017), but fell to 120.52 after clinical practicum. The scores for confidence in clinical performance increased with statistical significance from 54.98 before simulation-based practice to 59.42 after it (p=.008) and 58.50 after clinical practicum (p<.001). Conclusion: We confirmed that simulation-based practice with a standardized patient offers students hands-on experience of a clinical situation and, thereby, enhances their problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance.
참고문헌 (28)
- Benner, P, "Educating nurses. a call for radical transformation" (2010), Jossey-Bass
- Brenner, P, "From novice to expert : excellence and power in clinical nursing practice", American Journal of Nursing, 84(12), pp.1479~ (1984)
- 조인영, "간호대학생의 자기주도성, 간호활동경험 및 임상실습만족도간의 관계", 한국산학기술학회논문지, 15(6), pp.3635~3647 (2014), 한국산학기술학회[DOI]
- 조미혜, "간호학생의 임상실습 중 간호활동 경험 정도", 한국간호교육학회지, 13(2), pp.143~154 (2007), 한국간호교육학회
- 최은영, "간호학생의 비판적 사고성향과 핵심능력", 기본간호학회지, 14(4), pp.412~419 (2007), 기본간호학회
- 최은희, "표준화환자 및 고충실도환자모형 시뮬레이터를 활용한 시뮬레이션교육이 간호대학생의 문제해결능력 및 임상수행능력에 미치는 효과비교", 예술인문사회 융합 멀티미디어 논문지, 5(2), pp.29~36 (2015), 사단법인 인문사회과학기술융합학회[DOI]
- Cordeau, M. A, "The lived experience of clinical simulation of novice nursing students", International Journal for Human Caring, 14(2), pp.9~15 (2010)
- 도경진, "표준화 환자를 활용한 정신간호실습교육의 학습 성과 효과", 한국웰니스학회지, 10(4), pp.159~170 (2015), 한국웰니스학회
- 엄미란, "표준화환자를 활용한 실습교육이 피하주사 간호수행능력, 자기주도학습 준비도 및 문제해결능력에 미치는 효과", Journal of Korean Academy of Nursing, 40(2), pp.151~160 (2010), 한국간호과학회
- 현경선, "표준화 환자를 활용한 간호학생의 당뇨식이교육 수행능력과 자기효능, 의사소통, 학습만족도 및 간호전문직관의 상관관계", 성인간호학회지, 22(2), pp.221~228 (2010), 한국성인간호학회
- 주가을, "표준화환자 시뮬레이션 실습교육이 간호학생의 수혈 간호수행능력, 의사소통능력, 자기효능감과 비판적 사고능력에 미치는 효과", 기본간호학회지, 22(1), pp.49~58 (2015), 기본간호학회[DOI]
- 김덕희, "시뮬레이션 기반 통합실습 프로그램이 일 대학 간호학생의 문제해결과정과 간호수행능력 및 비판적 사고에 미치는 효과", 한국간호교육학회지, 18(3), pp.499~509 (2012), 한국간호교육학회[DOI]
- Kim, J. S, "Clinical practice experiences of nursing students", Qualitative Research, 10(1), pp.63~76 (2009)
- Korean Educational Developmental Institute, "A study on the developmental of life-skills: communication, problem solving, and self-directed learning" (2003), Korean Educational Developmental Institute
- Larew, C, "Innovations in clinical simulation : application of Benner's theory in an interactive patients care simulation", Nursing Education Perspectives, 27(1), pp.16~21 (2006)
- Lee, E. L, "Development of outcome-based rubric for evaluating performance in nursing simulation", doctoral, pp.2015
- "National health statistics national health and nutrition survey" (2016)[URL]
- Moon, M. S, "Nursing student’s initial clinical experience", The Journal of Korean Academic Society of Nursing Education, 4(1), pp.15~47 (1998)
- 남경아, "학제간 의사소통을 포함한 시뮬레이션 교육이 간호대학생의 의사소통 자신감, 의사소통 행위, 기술적 술기 수행에 미치는 효과", 한국간호교육학회지, 23(4), pp.409~418 (2017), 한국간호교육학회[DOI]
- Park, H. J, "Counseling self-efficacy and empathy ability of psychiatric nurses", doctorial, pp.2012
- 박인희, "표준화 환자 시뮬레이션 실습교육에서 동영상을 활용한 동료학습의 효과: 수술 전후 간호를 중심으로", 성인간호학회지, 27(1), pp.73~82 (2015), 한국성인간호학회[DOI]
- 박영례, "시뮬레이션교육프로그램이 간호대학생의 임상실습수행에 미치는 효과", Journal of The Korean Data Analysis Society, 17(3), pp.1711~1724 (2015), 한국자료분석학회
- Phrampus, P. E, "The comprehensive textbook of healthcare simulation", pp.73~84 (2013), Springer
- 심가가, "표준화환자를 활용한 아동간호 시뮬레이션이 간호학생의 불안, 자기효능감 및 비판적사고 성향에 미치는 효과", 한국산학기술학회논문지, 18(10), pp.299~308 (2017), 한국산학기술학회[DOI]
- Shin, U. J, "The risk factors of hypoglycemia for the patients with diabetes", Health & Nursing, 26(1), pp.39~49 (2014)
- Sohng, K, "Clinical performance evaluation of one to one interaction simulation program using standardized patient simulation for nursing students", Journal of Healthcare Simulation, 2(1), pp.29~36 (2013)
- Song, I. H, "Developments and effects of simulationbased education program for hyperglycemia patient emergency nursing care", master’s, pp.2015
- 유효빈, "통합 환자 시뮬레이터를 활용한 훈련에 대한 체계적 고찰", Korean Journal of Medical Education, 22(4), pp.257~268 (2010), 한국의학교육학회
