[논문]통합시뮬레이션 실습 교육이 간호대학생의 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과

김미정; 나은하

doi:10.17703/jcct.2024.10.3.683

[국내논문] 통합시뮬레이션 실습 교육이 간호대학생의 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과
Effect of Integrated-Simulation Practice Education on Nursing Students' Communication Ability, Learning Confidence, Clinical Reasoning Competence, and Clinical Performance

Journal of the convergence on culture technology : JCCT = 문화기술의 융합, v.10 no.3, 2024년, pp.683 - 692

김미정 (광주대학교 간호학과) , 나은하 (광주대학교 간호학과)

초록
AI-Helper

본 연구는 간호대학생의 통합시뮬레이션 실습 교육이 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과를 파악하고자 시도된 단일군 사전·사후 유사실험연구이다. 연구대상은 G광역시에 소재한 일개 대학의 4학년 간호대학생 41명으로 2023년 9월부터 11월까지 9주간 운영되었다. 수집된 자료는 SPSS 23.0을 이용하여 기술통계, paired t-test, Pearson's correlation coefficient로 분석하였으며 연구결과는 다음과 같다. 첫째, 시뮬레이션 실습 교육 후 학습자신감(t=-2.21, p=.033), 임상추론역량(t=-2.97, p=.005), 임상수행능력(t=-2.84, p=.007)은 유의미한 효과가 있는 것으로 나타났으나 의사소통능력은 유의미한 차이를 나타내지 않았다(t=-.224, p=.824). 둘째, 간호대학생의 시뮬레이션 수업 후 임상수행능력은 의사소통능력(r=.650, p<.001), 학습자신감(r=.440, p<.001), 임상추론역량(r=.824, p<.001)와 정적 상관관계가 있는 것으로 나타났다. 본 연구결과를 바탕으로 간호대학생의 통합시뮬레이션 실습 교육은 간호대학생의 학습자신감과 임상추론역량, 임상수행능력 향상에 효과적인 교육방법이며 간호대학생의 임상수행능력을 높이기 위해서는 다양한 시나리오를 통한 시뮬레이션 실습 운영이 필요하다.

Abstract ▼ AI-Helper

This study aimed to examine the effects of integrated simulation practice education for nursing college students on their communication skills, self-efficacy in learning, clinical reasoning ability, and clinical performance through a pre-post quasi-experimental design with a single group. The participants were 41 fourth-year nursing college students from a university located in G City, and the intervention took place from September to November 2023 over a period of nine weeks. The collected data were analyzed using SPSS 23.0, and the research findings are as follows. First, after simulation practice education, significant effects were observed in self-efficacy in learning (t=-2.21, p=.033), clinical reasoning ability (t=-2.97, p=.005), and clinical performance (t=-2.84, p=.007), but no significant difference was found in communication skills (t=-.224, p=.824). Second, after simulation classes for nursing students, clinical performance showed significant positive correlations with communication skills (r=.650, p<.001), self-efficacy in learning (r=.440, p<.001), and clinical reasoning ability (r=.824, p<.001). Based on these results, integrated simulation practice education for nursing students appears to be an effective educational method for enhancing their self-efficacy in learning, clinical reasoning ability, and clinical performance. To improve nursing students' clinical performance, it is necessary to operate simulation practices with various scenarios.

주제어

표/그림 (4)

그림 그림 1. 통합시뮬레이션 실습 교육 프로그램 효과의 연구 과정 Figure 1. Research process on the effectiveness of integrated-simulation training programs
표 표 1. 대상자의 일반적 특성 Table 1. General Characteristics of Subjects (N=41)
표 표 2. 통합시뮬레이션 실습 교육 전·후의 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력의 차이 Table 2. Difference variables according Communication ability, Learning confidence, Clinical reasoning competence and Clinical performance (N=41)
표 표 3. 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력간의 상관관계 Table 3. Correlation between Communication ability, Learning confidence, Clinical reasoning competence and Clinical performance

참고문헌 (38)

M.H. Oremann, J.D. Gagne, and B.C. Philips,？"Teaching in nursing and role of educator,"？NY: Springer Publishing Company.
E.J. Park, J.S. Ok, and C.S. Park, "Educational？goals and objectives of nursing education？programs: Topic modeling," The Journal of？Korean Academic Society of Nursing？Education, Vol, 28, no, 4, pp. 400-410, October, 2022. DOI : 10.5977/jkasne.2022.28.4.400

원문보기 상세보기
Korean Accreditation Board of Nursing？Education. http://www.kabone.or.kr/kabon02/index.php
K.C. Lim, "Planning and applying？simulation-based practice for the achievement？of program outcomes in nursing students,"？Journal Korean Academic Society Nursing？Education, Vol, 21, No, 3, pp. 393-405, August, 2016. DOI : 10.5977/jkasnw.2015.3.393
H.G. Son, Y.S. Kim, S.H. Kwon, and K.S.？Jeong, "The effects of Simulation-based？practice program on self-efficacy, critical？thinbking disposition, and problem solving？process of the nursing students," Korean？Academy on Communication in Healthcare, Vol, 13, No, 1, pp.63-69, 2018. DOI : 10.15715/kjhcom.2018.13.1.63
H.Y. Kang, and S.K. Choi, "Effects of？simulation-based integrated nursing practice？education on the clinical reasoning competence,？learning self-efficacy and educational satisfaction？on nursing students," Journal of the Korea？Entertainment Industry Association, Vol, 16, No, 4, pp. 193-201, June, 2022. DOI : 10.21184/jkeia.2022.6.16.4.193

상세보기
M.R. Han, "Effect of simulation-based adult？nursing education on resilience, clinical？competence, and role transition of nursing？students," Journal of the Korea Entertainment？Industry Association, Vol, 13, No, 6, pp. 329-339,？August, 2022. DOI : 10.21184/jkeia.2019.8.13.6.329

상세보기
G.O. Noh, "Effects self-efficacy in？communication and flow on competence in？communication of nursing students in？simulation-based education," Journal of Korean？Society for Simulation in Nursing, Vol, 7, No, 2,？pp. 61-70, December, 2019. DOI : 10.17333/JKSSN.2019.7.2.61

상세보기
S.M. Kwon, and R.W. Kwon. "Effects of？simulation learning on clinical reasoning？competence, clinical competence, and academic？self-efficacy of nursing students," Journal of？Next-generation convergence technology？association, Vol, 7, No, 2, pp. 2454-262, 2023. DOI ; 10.33097/JNCTA.2023.07.02.254

상세보기
H.Y. Cho, and K.A. Kang, "Nursing students'？perception of injustice in clinical practice,"？Journal of Korean Academy of Nursing？Administration, Vol, 29, No, 4, pp. 433-445,？September, 2023. DOI : 10.11111/jkana.2023.29.4.433

상세보기
M.Y. Moon, "Effects of convergence-based？integrated simulation practice program on the？clinical decision making, program silving process,？clinical competence and confidence of core？fundamental nursing skill performance for？nursing students" Journal of digital？convergence, Vol, 17, No, 7, pp. 271-284, July, 2017. DOI : 10.14400/JDC.2017.15.7.271

원문보기 상세보기
D.L. Center, and T.H. Adams, "Developing？confidence decrease guessing and increase？competency," The Journal of Education in Nursing,？Vol, 44, No, 9, pp. 389-390, 2013. DOI : 10.3928/00220124-20130823-35

상세보기
S.J. Park, "Effect of simulation-based？communication education on the problem-solving？process, communication self-efficacy and？communication ability of nursing college？students," Journal of Korean Society for？Simulation in Nursing, Vol, 10, No, 1, pp. 31-42,？June, 2022. DOI : 10.17333/JKSSN.2022.10.1.31

상세보기
G.S. Kang, and Y.K. Kim, "Development and？application of integrated-simulation practice？program using standardized patients : caring for？alcoholism with diabetes mellitus in the？community," Journal of the Korean？Academia-Industrial cooperation Society, Vol,？17, No, 8, pp. 662-672, 2016. DOI : 10.5762/KAIS.2016.17.8.662

원문보기 상세보기
O.S. Lee, "The effects of simulation-based？practice on critical thinking disposition,？communication skill, and clinical performance for？nursing students," Journal of the Korea？Academia-Industrial cooperation Society, Vol,？18, No, 4, 93-100, 2017. DOI : 10.5762/KAIS.2017.18.4.93

원문보기 상세보기
J.M. Park, and S.E. Jun, "The effects of？simulation-based education on the communication and clinical judgment of nursing？students and nurses: A systematic review and？meta-analysis," The Korean Academic Society of？Nursing Education, Vol, 29, No, 3, 203-224,？August, 2023. DOI : 10.5977/jkasne.2023.29.3.203

원문보기 상세보기
B. Simmons, "Clinical reasoning: concept？analysis," Journal of Advanced Nursing, Vol, 66,？No, 5, pp. 1151-11558, December, 2010. DOI : 10.1111/j.1365-2648.2010.05262x
H. Kang, and H.Y. Kang, "The effects of？simulation-based education on the clinical？reasoning competence, clinical competence, and？eduactional satisfaction," Journal of the Korea？Academia-Industrial cooperation Society, Vol, 21, No, 8, pp. 107-114, 2020. DOI : 10.5762/KAIS.2020.21.8.107

원문보기 상세보기
M. Manojlovich, and B. DeCicco, "Healthy work？environments, nurse-physician communication,？and patients' outcomes," Challenges in the？Critical Care Workplace, Vol, 16, No, 6, pp. 536-543.
C.B. Evan, and D.K. Mixon, "The evaluation of？undergraduate nursing students' knowledge of？post-op pain management after participation in？simulation," Pain Management Nursing, Vol, 16, No, 6, pp. 930-937, 2015. DOI : 10.1016/j.pmn.2015.07.006

상세보기
K.J. Park, "Achievement experience of nursing？students through simulation practicum," The？Journal of the Convergence on Culture？Technology, Vol, 9, No, 6, pp. 721-728, 2023. DOI : 10.17703/JCCT.2023.9.6.721

원문보기 상세보기
K.R. Kang, S.H. Lee, D.H. Kim, and K.Y. Park,？"Effects of simulation-based learning on stress,？problem solving ability, self-efficacy, and？resilience of college nursing students,"？International Journal of Advanced Culture？Technology, Vol, 10, No, 4, pp. 8-12, 2022. DOI : 10.17703/IJACT.2022.10.4.8

원문보기 상세보기
S.O. Shin, "The relationship between teamwork？competence, perceived interaction of nursing？students with simulation classes," Journal of the？Korea Entertainment Industry Association, Vol, 13, No, 8, pp. 611-617, December, 2019. DOI :10.21184/jkeia.2019.12.13.8.611

상세보기
R.B. Rubin, M.M. Mzrtin, S.S. Bruning, and D.E.？Power, "Interpersonal communication competence:？Scale development and test of a self-efficacy？model," Paper presental at the meeting of the？Communication Association, Atlanta, GA, 1991.
G.H. Hur, "Construction and validation of a？globel interpersonal communication competence？Scale," Korean Journal of Journalism &？Communication Studies, Vol, 47, No, 6, pp. 380-408, 2003.
J.H. Yoo, "Factors influencing nursing students'？flow experience and clinical competency in？simulation-based education-based on Jeffries's？simulation model," Unpublished master's thesis,？Sungshin University, Seoul. 2016
P.R. Jeffries, and M.A. Rizzolo, "Summary？report, project title: Designing and implementing？models for the innovative use of simulation to？teach nursing care of ill adults and chidren: A？national, multi-site, multi-method study."？Multi-site, Multi-Method Study Project？Sponsors National League for Nursing and？Laerdal Medi. 2006. DOI : 10.1016/j.ecns.2018.09.001
S.R. Liou, H.C. Liu, H.M. Tsai, Y.H. Tasi, Y.C.？LIN, C.H. Chang, and C.Y. Cheng, "The？development and psychometric testing of a？theory-based instrument to evaluate nurse'？perception of clinical reasoning competence,"？Journal of Advanced Nursing, Vol, 72, No, 3, pp. 707-717, 20156 DOI : 10.1111/jan.12831

상세보기
J.W. Joung, and J.W. Han, "Validity and？reliability of a korean version of nursing？clinical reasoning competence scale," Journal of？the Korean Academia-Industrial cooperation？Society, Vol, 18, No, 4, pp. 304-310, 2017. DOI : 10.5762/KAIS.2017.18.4.304.

원문보기 상세보기
U.H. Lee, J.S. Kim, H.G. Yu, H.G. Ha, and G.S.？Kim, "Development of clinical practice？performance measurement tools for nursing？students," Korean Journal of Nursing Query, Vol, 13, pp. 17-27, 1991.
S.J. Park, and S.J. Eun, "A structural model on？the nursing competencies of nursing simulation？learners," Journal of Korean Academy of？Nursing, Vol, 48, No, 5, pp. 588-600, October, 2018. DOI : 10.4040/jkan.2018.48.5.588

원문보기 상세보기
E.J. Kim, and K.A. Nam, "Development and？preliminary testing of the nursing competency？scale in simulation for nursing students," The？Korean Academic Society of Nursing Education,？Vol, 22, No, 4, 549-558, November, 2016. DOI : 10.5977/jkasne.2016.22.4.549

원문보기 상세보기
J.S. Kim, E.S. Lim, and Y.H. Lee, "Effect of？evidence-base nursing simulation education？program on learning experience and anxiety,"？Journal of Korean Society for Simulation in？Nursing, Vol, 10, No, 2, pp. 65-78, December, 2022. DOI : 10.17333/JKSSN.2022.10.2.65

상세보기
Y. Botma, "Nursing student's perceptions on？how immersive simulation promotes？theory-practice integration," International？Journal of Africa Nursing Science, Vol, 1, pp. 1-5, 2014. DOI : 10.1016/j.ijans.2014.04.001

상세보기
M.H. Kim, "A study on the meaning of death？observed by nursing college students," The？Journal of the Convergence on Culture？Technology, Vol, 9, No, 3, pp. 49-56, 2023. DOI : 10.17703/JCCT.2023.9.3.49

원문보기 상세보기
C.A. Tanner, "Thinking like a nurse: A？research-based model of clinical judgement in？nursing," Journal of Nursing Education, Vol, 45, No, 6, pp. 204-211, 2006.
J.H. Hwang, "The effect of transient tachypnea？newborn care simulation learning on nursing？students' critical thinking disposition, clinical？performance ability, and self-confidence,"？International Journal of Advanced Culture？Technology, Vol, 11, No, 4, pp. 154-162, 2023. DOI : 10.17703/IJACT.2022.11.4.154

원문보기 상세보기
C.H. Shim, "Study on the effect of flip？learning-based simulation education on the？learning flow, learning confidence, communication？skills, and clinical competence of nursing？students," Journal of the Korea Entertainment？Industry Association, Vol, 13, No, 8, pp. 541-549,？December, 2019. DOI : 10.21184/jkeia.2019.12.13.8.541？

상세보기

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