[논문]간호시뮬레이션 학습자의 간호역량에 관한 구조모형

박수진; 지은선

doi:10.4040/jkan.2018.48.5.588

간호시뮬레이션 학습자의 간호역량에 관한 구조모형
A Structural Model on the Nursing Competencies of Nursing Simulation Learners 원문보기 논문타임라인

Journal of Korean academy of nursing = 대한간호학회지, v.48 no.5, 2018년, pp.588 - 600

박수진 (안동과학대학교 간호학과) , 지은선 (건국대학교 글로컬캠퍼스 간호학과)

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to test a model of nursing competencies of nursing simulation learners. The conceptual model was based on the theory of Jeffries's simulaton theory. Methods: Data collection was conducted in October 2017 for 310 students from two nursing universities in Kyungbuk area for 20 days. Data analysis methods were covariance structure analysis using SPSS 21.0 and AMOS 22.0 statistical programs. Results: The hypothetical model was a good fit for the data. The model fit indices were comparative fit index=.97, normed fit index=.94, Tucker-Lewis Index=.97, root mean square error of approximation=.44, and standardized root mean square residual=.04. Teacher factors were directly related to simulation design characteristics, and it was confirmed that the curriculum, classroom operation and teaching method of the instructors were important factors. Learner factors were found to have a direct effect on nursing competence, self-confidence, and clinical performance that belong to nursing capacity. In particular, the results of this study indicate that the simulation design characteristics have a partial mediating effect on learner factors and clinical performance, and a complete mediating effect on learner factors and clinical judgment ability. Conclusion: In order to improve the learner's clinical performance and clinical judgment ability, it is necessary to conduct practical training through nursing simulation besides preparing the learner and the educator.

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질의응답

핵심어	질문	논문에서 추출한 답변
	간호교육이 목표로 두어야 할 점은?	간호는 실무수행능력이 무엇보다 중요하므로 간호교육은 단순히 전공지식을 갖추는데 그치지 않고 간호사로서의 실무역량을 갖춘 졸업생을 배출하는데 목표를 두어야 한다[1]. 이에 간호대학생이 효율적인 팀 구성원으로서 유능하게 활동할 수 있도록 간호역량을 배양할 수 있는 방향으로 간호교육이 변화되어야 한다[2].
	직접간호를 수행할 기회가 매우 부족하게 되면서 대안으로 이루어지는 교육은?	그러나 실무수행능력을 강화할 수 있는 임상현장은 환자의 안전과 권리보장 등이 강조되고 질적 간호에 대한 요구가 부가되면서 직접간호를 수행할 기회가 매우 부족하게 되었다[3]. 이에 대한 대안으로 직접간호 수행의 기회를 높이고 간호대학생의 간호역량을 향상시키기 위해 다양한 간호 상황을 재현하는 시뮬레이션 교육이 이루어지고 있다. 이를 통해 환자를 대상으로 직접간호를 수행할 수 있는 실습이 필수적인 간호 학문에서는 실습환경의 제한점을 보완하며 학생들의 임상판단능력과 간호수행능력을 강화할 수 있고, 학습자의 역량을 증진시킬 수 있다[4].
	간호에서 실무수행능력을 강화할 수 있는 임상현장에 존재하는 문제는?	이에 간호대학생이 효율적인 팀 구성원으로서 유능하게 활동할 수 있도록 간호역량을 배양할 수 있는 방향으로 간호교육이 변화되어야 한다[2]. 그러나 실무수행능력을 강화할 수 있는 임상현장은 환자의 안전과 권리보장 등이 강조되고 질적 간호에 대한 요구가 부가되면서 직접간호를 수행할 기회가 매우 부족하게 되었다[3]. 이에 대한 대안으로 직접간호 수행의 기회를 높이고 간호대학생의 간호역량을 향상시키기 위해 다양한 간호 상황을 재현하는 시뮬레이션 교육이 이루어지고 있다.

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