[논문]한국 간호교육에서의 시뮬레이션: 통합적 고찰

장애리; 김자숙; 김수현

doi:10.5762/kais.2020.21.4.525

한국 간호교육에서의 시뮬레이션: 통합적 고찰
Simulation in Nursing Education in South Korea: An Integrative Review 원문보기

한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, v.21 no.4, 2020년, pp.525 - 537

장애리 (전남대학교 간호대학) , 김자숙 (동강대학교 간호학과) , 김수현 (남부대학교 간호학과)

초록
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본 연구 목적은 향후 시뮬레이션 기반 운영 과정에 대한 과학적 근거를 제공하기 위해 연구 결과를 종합적으로 검토함으로써 Jeffries 이론적 프레임 워크를 기반으로 한국의 간호 교육에서 시뮬레이션 기반 운영 프로세스의 현재 상태와 특성을 확인하는 것이다. 본 연구는 2017년 11월까지 "시뮬레이션"과"간호"라는 용어를 사용하여 한국 교육연구 정보원, 국립 도서관, 한국학 정보원 서비스 시스템, 국립 디지털 과학 도서관, 한국 과학 기술 정보원, KOREAMED, 한국 의료 데이터베이스 등 8개의 데이터베이스에서 한국어로 출간된 연구들을 검색했다 연구결과 16개의 연구가 확인, 검토 및 평가되었다. 문헌은 연구의 일반적인 특성, 운영 방법, 교수학습방법, 참여자 특성, 결과변수 및 이론적 틀이라는 주제로 분류되었습니다. 본 연구에서 분석한 한국의 간호 교육 시뮬레이션 과정은 NLN Jeffries 시뮬레이션 이론적기틀에서 제안된 주요 개념을 완전히 반영하지는 않았다. 추후 시뮬레이션 프로그램 개발자는 시뮬레이션 효율성을 향상시키기 위해 필수 구성 요소를 확인하고 다양한 전략을 고려하여 통합해야 할 것이다.

Abstract ▼ AI-Helper

This study aimed to determine the current state and characteristics of simulation-based operating processes in nursing education based on the Jeffries theoretical framework in South Korea by taking an integrated look at study findings in order to provide a scientific basis for future simulation-based operating processes. We searched eight databases, including the Korea Education and Research Information Service, National Library, Korean Studies Information Service System, National Digital Science Library, Korea Institute of Science and Technology Information, KOREAMED, and Korean Medical Database, using terms "simulation" and "nursing" as keywords in November 2017 in the Korean language. Sixteen studies were identified, reviewed, and appraised in this integrative review. The literature was categorized into these themes: general study characteristics, operation method, teaching and learning methods, subject characteristics, outcome variables, and theoretical framework. The simulation processes in nursing education in South Korea that were analyzed in this study did not fully reflect the main concepts suggested in the NLN Jeffries simulation framework. Thus, simulation program developers need to consider and incorporate a variety of strategies, based on the identification of essential components, to improve simulation effectiveness.

주제어

표/그림 (4)

그림 Fig. 1. Flow chart showing the study selection process during the literature review.
표 Table 1. Simulation-based nursing education in South Korea
표 Table 2. Components based on the Jeffries theoretical framework (N=16 studies)
표 Table 3. General characteristics of participants in the selected studies (N=16 studies)

AI 본문요약
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제안 방법

The third step, data evaluation, is the process of evaluating selected papers through the second step. The researchers assessed the suitability of the research topic, the quality of the methodology, and the value of the research results using quality assessment tools appropriate for each study design. The two researchers examined the 16 studies in this review to determine the level of evidence following the parameters set by Fineout-Overholt et al.
The studies were then evaluated using Jeffries simulation theory as the standard, and each was examined for their inclusion of any major concepts mentioned therein(Table 2). When considering simulation experiences, nine studied programs [14,16,18,19,22-27] that incorporated simulation in orientation and self-training in environments of trust, and eight [14,15,18,20, 22,24,26,27] were experiential, making use of role play.
Therefore, this study aims to present findings of an integrative literature review related to a simulation method that incorporates the Jeffries simulation framework[5], through a systematic review of studies related to simulation in Korea. The specific purposes of the study are to analysis the simulation operation, theoretical frameworks and components based on the Jeffries theoretical framework in selected studies.
Finally, because we only analyzed and integrated results from studies based on the Jeffries simulation theory and framework, we did not compare or analyze any other learning theories or study methods. This study conducted systematic data retrieval but could not perform meta-analysis because of heterogeneity of study design.
This study was conducted to check the current state and characteristics of simulation-based operating processes in nursing education based on the Jeffries theoretical framework in South Korea by taking an integrated look at study findings to provide a scientific basis for future simulation-based operating processes. We found the following: First, there are ongoing efforts to improve the effectiveness of simulation-based nursing education, as reflected in the variety of operating processes studied.

대상 데이터

12 of those papers were published in an academic journal, and four were released as dissertations [14,23,24,27]. Regarding the study designs, the control group design was the most prevalent, and the research participants were either juniors and seniors. Lastly, 7 of the 16 papers had no more than 60 participants[17,19,22-24,27,29].

이론/모형

1%) programs were not based on any theoretical framework[6]. In the studies had a theoretical framework, the most widely used was found to be the Jeffries simulation framework, developed by the National League for Nursing (NLN) from the United States[7]. Based on the thorough synthesis of the literature and discussion among simulation researchers and leaders, the NLN Jefferies simulation framework is now referred to as the NLN Jeffires Simulation Theory with a few minor changes within the conceptual illustration [5].
Therefore, this study aims to present findings of an integrative literature review related to a simulation method that incorporates the Jeffries simulation framework[5], through a systematic review of studies related to simulation in Korea. The specific purposes of the study are to analysis the simulation operation, theoretical frameworks and components based on the Jeffries theoretical framework in selected studies.
This study is a literature review using the integrated literature review method suggested by Whittemore and Knafl [12], to present findings of an integrative literature review related to a simulation method that incorporates the Jeffries simulation framework[5]. The integrated review process presented by Whittemore and Knafl [12] consists of five stages.
This study provides a basis for developing simulation-based education methods from an integral review of simulation processes in nursing education in Korea using the Jeffries simulation theory. However, because we only analyzed studies on simulation in nursing education, the scope was narrow, limiting the generalizability of the results.

참고문헌 (36)

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