DOI QR코드

DOI QR Code

Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses

시뮬레이션기반 심폐응급간호교육이 신규간호사의 지식, 임상수행능력 및 문제해결과정에 미치는 효과

  • Kim, Yun-Hee (Department of Nursing, Dong Shin University) ;
  • Jang, Keum-Seong (College of Nursing, Chonnam National University.Chonnam Research Institute of Nursing Science)
  • 김윤희 (동신대학교 간호학과) ;
  • 장금성 (전남대학교 간호대학.전남대학교 간호과학연구소)
  • Received : 2010.09.11
  • Accepted : 2011.04.15
  • Published : 2011.04.30

Abstract

Purpose: This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses. Methods: An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability and t-test with the SPSS program. Results: The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138). Conclusion: The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.

Keywords

References

  1. Ackermann, A. D., Kenny, G., & Walker, C. (2007). Simulator programs for new nurses' orientation. Journal for Nurses in Staff Development, 23, 136-139. https://doi.org/10.1097/01.NND.0000277183.32582.43
  2. Alinier, G., Hunt, W. B., & Gordon, R. (2004). Determining the value of simulation in nurse education: Study design and initial results. Nurse Education in Practice, 4, 200-207. https://doi.org/10.1016/S1471-5953(03)00066-0
  3. American Heart Association. (2006a). Advanced cardiovascular life support. Dallas, TX: American Heart Association.
  4. American Heart Association. (2006b). Basic life support for healthcare providers. Dallas, TX: American Heart Association.
  5. Back, C. Y. (2006). Effects of advanced cardiac life support simulation-based training on nurses' competence in critical care setting. Unpublished master's thesis, Yonsei University, Seoul.
  6. Bond, W. F., & Spillane, L. (2002). The use of simulation for emergency medicine resident assessment. Academic Emergency Medicine, 9, 1295-1298. https://doi.org/10.1197/aemj.9.11.1295
  7. Brannam, J. D., White, A., & Bezanson, J. L. (2008). Simulator effects on cognitive skills and confidence levels. Journal of Nursing Education, 47, 495-500. https://doi.org/10.3928/01484834-20081101-01
  8. Bremner, M. N., Aduddell, K., Bennett, D. N., & VanGeest, J. B. (2006). The use of human patient simulators best practices with novice nursing students. Nurse Educator, 31, 170-174. https://doi.org/10.1097/00006223-200607000-00011
  9. Chen, P. T., Cheng, H. W., Yen, C. R., Yin, I. W., Huang, Y. C., Wang, C. C., et al. (2008). Instructor-based real-time multimedia medical simulation to update concepts of difficult airway management for experienced airway practitioners. Journal of Chinese Medical Association, 71, 174-179. https://doi.org/10.1016/S1726-4901(08)70100-X
  10. Crofts, J. F., Draycott, T. J., Winter, C., Hunt, L. P., & Akande, V. A. (2007). Change in knowledge of midwives and obstericians following obsteric emergency training: A randomized controlled trial of local hospital, simulation centre and teamwork training. BJOG: An International Journal of Obstetrics and Gynaecology, 114, 1534-1541. https://doi.org/10.1111/j.1471-0528.2007.01493.x
  11. Hoyt, P. (2007). An international approach to problem solving for better health nursing TM(PSBHN). International Nursing Review, 34, 712-721.
  12. Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26, 96-103.
  13. Kang, L. W., & Lee, E. J. (2001). A Study on new nurse's job analysis for improvement of efficiently nursing educational curriculum. Journal of Gachon, 29, 59-73.
  14. Kim, N. Y. (2005). The effects of web-based evidence-based nursing job education on the job knowledge, performance and motivation. Doctoral dissertation, Chonnam National University, Gwangju.
  15. Kim, Y. M., Oh, Y. M., Kim, H. J., Lee, W. J., Im, T. H., Chung, H. S., et al. (2007). Development and pilot applications of simulation-based comprehensive emergency airway management courses. Journal of The Korean Society of Emergency Medicine, 18, 1-9.
  16. Ko, C. H. (2007). The effect of simulation-based training on the competence of basic life support of the students emergency medical technology. The Journal of the Korean Society of Emergency Medical Technology, 11(3), 31-45.
  17. Lee, J. S. (1978). The effects of process behaviors on problem solving performance on various test. Doctoral dissertation, University of Chicago, Chicago, USA.
  18. Lim, N. Y., Yun, S. N., Kim, J. E., Lee, Y. S., Jung, Y. Y., & Song J. H. (2003). Frequency and importance of nurse's job in new graduate nurses working in musculoskeletal ward. Journal of Muscle and Joint Health, 13, 108-118.
  19. McCausland, L. L., Curran, C. C., & Cataldi, P. (2004). Use of human simulator for undergraduate nurse education. International Journal of Nursing Education Scholarship, 1, 1-17.
  20. Medley, C. F., & Horne, C. (2005). Using simulation technology for undergraduate nursing education. Journal of Nursing Education, 44, 31-34.
  21. Nephring, W. N., & Lashley, F. R. (2004). Human patient simulators in nursing education. Nursing Education Perspectives, 25, 244-248.
  22. Oh, S. H., Jang, K. S., & Choi, J. Y. (2009). Protocol development of cardiopulmonary resuscitation nursing tasks targeting patients with ventricular fibrillation generation. The Journal of Korean Nursing Administration Academic Society, 15, 203-215.
  23. Park, J. W., & Woo, O. K. (1999). The effect of PBL (problem-based learning) on problem solving process by learner's metacognitive level. Journal of Educational Technology, 15(3), 55-81.
  24. Ragsdale, M. A., & Mueller, J. (2005). Plan, do, study, act model to improve an orientation program. Journal of Nursing Care Quality, 20, 268-272. https://doi.org/10.1097/00001786-200507000-00013
  25. Silvestri, L. A. (2002). Saunders Q & A Review for NCLEX-RN. Philadelphia, PA: W. B. Saunders Company.
  26. Steinwachs, B. (1992). How to facilitate a debriefing. Simulation Gaming, 23, 186-195. https://doi.org/10.1177/1046878192232006
  27. Turcato, N., Robertson, C., & Covert, K. (2008). Simulation-based education: What's in it for nurse anesthesia educators? Journal of the American Association of Nurse Anesthetists, 76, 257-262.
  28. Wayne, D. B., Butter, J., Viva, J., Fudala, M. J., Lindquist, L. A., Feinglass, J., et al. (2004). Simulation-based training of internal medicine residents in advanced cardiac life support protocols: A randomized trial. Teaching and Learning Medicine, 17, 210-216.
  29. Yang, J. J. (2008). Development and evaluation of a simulation-based education course for nursing students. Journal of Korean Academy Adult Nursing, 20, 584-560.

Cited by

  1. 심정지 초기 5분간 일반간호사의 심폐소생술 수행 분석: 현장 시뮬레이션을 이용하여 vol.42, pp.3, 2011, https://doi.org/10.4040/jkan.2012.42.3.361
  2. 시뮬레이터와 표준화 환자를 이용한 간호 시뮬레이션 교육의 이론적 기틀 개발 vol.18, pp.2, 2011, https://doi.org/10.5977/jkasne.2012.18.2.206
  3. 간호학 임상실습 입문 교육과정(Introduction to Clinical Nursing) 개발과 교육 효과 vol.19, pp.3, 2011, https://doi.org/10.7739/jkafn.2012.19.3.322
  4. 분만 간호에 대한 시뮬레이션 실습교육과 병원 분만실 실습교육의 효과 vol.18, pp.3, 2011, https://doi.org/10.4069/kjwhn.2012.18.3.180
  5. 시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발을 위한 요구도 조사 vol.18, pp.4, 2012, https://doi.org/10.4094/jkachn.2012.18.4.170
  6. 시뮬레이션 학습을 위한 호흡곤란증후군 환아 시나리오 개발 및 학습 수행 평가 vol.19, pp.1, 2011, https://doi.org/10.4094/chnr.2013.19.1.1
  7. 출혈환자 간호 시뮬레이션 실습에 따른 간호학생의 학업성취 vol.19, pp.1, 2011, https://doi.org/10.5977/jkasne.2013.19.1.52
  8. 신규간호사의 삶의 경험 vol.19, pp.2, 2011, https://doi.org/10.11111/jkana.2013.19.2.227
  9. 간호학생을 위한 응급상황관리 시뮬레이션 실습 교과목 개발 및 적합성 평가 vol.19, pp.2, 2011, https://doi.org/10.5977/jkasne.2013.19.2.228
  10. 시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발 및 효과 vol.43, pp.4, 2013, https://doi.org/10.4040/jkan.2013.43.4.468
  11. 시뮬레이션을 활용한 한국간호교육 연구에 대한 체계적 고찰 vol.19, pp.3, 2013, https://doi.org/10.5977/jkasne.2013.19.3.307
  12. 시뮬레이션기반 전문심장소생술교육이 간호학생의 지식, 수행능력에 미치는 효과 vol.14, pp.11, 2011, https://doi.org/10.5762/kais.2013.14.11.5819
  13. Effect of Simulation on Knowledge of Advanced Cardiac Life Support, Knowledge Retention, and Confidence of Nursing Students in Jordan vol.53, pp.1, 2011, https://doi.org/10.3928/01484834-20131218-01
  14. 시뮬레이션 기반 응급기도관리 교육이 간호사의 자기효능감, 임상수행능력에 미치는 효과 vol.26, pp.1, 2014, https://doi.org/10.7475/kjan.2014.26.1.1
  15. Effects of Multi-mode Simulation Learning on Nursing Students' Critical Thinking Disposition, Problem Solving Process, and Clinical Competence vol.26, pp.1, 2011, https://doi.org/10.7475/kjan.2014.26.1.107
  16. 시뮬레이션을 활용한 급성 흉통환자간호 실습교육의 효과 vol.15, pp.3, 2011, https://doi.org/10.5762/kais.2014.15.3.1515
  17. 기초임상실습프로그램이 간호대학생의 학습동기, 비판적사고 및 임상수행능력 자신감에 미치는 효과 vol.15, pp.4, 2011, https://doi.org/10.5762/kais.2014.15.4.2276
  18. 간호대학생의 비판적 사고성향, 문제해결과정 정도 및 아동간호 시뮬레이션 기반 임상수행능력 vol.20, pp.4, 2014, https://doi.org/10.4094/chnr.2014.20.4.294
  19. 문제중심학습을 적용한 시뮬레이션 실습이 간호학생의 문제해결과정, 임상수행자신감과 간호수행능력에 미치는 효과 vol.20, pp.4, 2011, https://doi.org/10.4069/kjwhn.2014.20.4.246
  20. 응급환자의 수술 후 관리를 위한 시뮬레이션기반 교육프로그램의 효과 vol.18, pp.3, 2014, https://doi.org/10.14408/kjems.2014.18.3.091
  21. 시뮬레이션 학습단계에 따른 간호학생의 문제해결능력 비교연구 -응급실 내원 호흡곤란 환자사례를 중심으로 vol.15, pp.1, 2011, https://doi.org/10.5392/jkca.2015.15.01.495
  22. 표준화 환자 시뮬레이션 실습교육에서 동영상을 활용한 동료학습의 효과: 수술 전후 간호를 중심으로 vol.27, pp.1, 2011, https://doi.org/10.7475/kjan.2015.27.1.73
  23. 중환자실과 응급실 초보간호사를 위한 맞춤형 시뮬레이션 학습프로그램 개발 및 효과 vol.21, pp.1, 2011, https://doi.org/10.5977/jkasne.2015.21.1.95
  24. 간호학생을 대상으로 한 시뮬레이션기반 전문심장소생술 교육의 효과 vol.9, pp.3, 2011, https://doi.org/10.12811/kshsm.2015.9.3.127
  25. 간호학생을 대상으로 한 통합(모성-아동) 시뮬레이션 프로그램 개발 및 효과 vol.21, pp.4, 2015, https://doi.org/10.4094/chnr.2015.21.4.293
  26. 성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 교육의 효과 vol.16, pp.12, 2011, https://doi.org/10.5762/kais.2015.16.12.8176
  27. 간호사의 의료기관인증제 인식, 감염관리 인지도 및 수행도 vol.22, pp.2, 2016, https://doi.org/10.11111/jkana.2016.22.2.167
  28. 고충실도 시뮬레이터를 활용한 모성간호 시뮬레이션 교육의 효과 vol.17, pp.3, 2011, https://doi.org/10.5762/kais.2016.17.3.177
  29. 시뮬레이션을 활용한 외상환자 실습교육이 응급구조학과 학생들의 지식과 만족도 및 문제해결에 미치는 효과 vol.17, pp.4, 2011, https://doi.org/10.5762/kais.2016.17.4.710
  30. Effects of Blended Cardiopulmonary Resuscitation and Defibrillation E-learning on Nursing Students’ Self-efficacy, Problem Solving, and Psychomotor Skills vol.34, pp.6, 2016, https://doi.org/10.1097/cin.0000000000000227
  31. 종합병원 간호사의 정보자원이용, 문제해결능력, 간호정보활용역량의 관계 vol.14, pp.7, 2011, https://doi.org/10.14400/jdc.2016.14.7.289
  32. 심정지 시뮬레이션 교육이 간호학생의 지식, 자신감, 비판적 사고성향 및 임상수행능력에 미치는 효과 vol.28, pp.4, 2016, https://doi.org/10.7475/kjan.2016.28.4.447
  33. 통합적 간호시뮬레이션 실습교육 효과의 지속성 vol.23, pp.3, 2011, https://doi.org/10.7739/jkafn.2016.23.3.283
  34. 가족 중심 분만 시뮬레이션 실습 프로그램 개발 및 적용효과 vol.23, pp.1, 2017, https://doi.org/10.4069/kjwhn.2017.23.1.52
  35. 간호사의 간호정보역량, 문제해결능력 및 업무수행능력 vol.23, pp.2, 2011, https://doi.org/10.5977/jkasne.2017.23.2.146
  36. 임상실습 전 동료멘토링 학습을 적용한 OSCE 프로그램이 간호학생의 핵심기본간호술 수행자신감과 비판적 사고성향에 미치는 효과 vol.15, pp.7, 2011, https://doi.org/10.14400/jdc.2017.15.7.285
  37. 시뮬레이션학습에서 역할교대 경험이 간호대학생의 학습몰입, 셀프리더십 및 디브리핑 만족도에 미치는 효과 vol.18, pp.7, 2011, https://doi.org/10.5762/kais.2017.18.7.423
  38. 핵심기본간호술 재교육이 간호대학생의 간호수행능력과 수행자신감 및 불안에 미치는 효과 vol.7, pp.5, 2011, https://doi.org/10.22156/cs4smb.2017.7.5.039
  39. 시뮬레이션 기반 심정지 응급간호교육에서 팀 디브리핑의 효과 vol.29, pp.6, 2011, https://doi.org/10.7475/kjan.2017.29.6.667
  40. 간호대학생들을 위한 시뮬레이션 교육프로그램 개발 및 적용효과 vol.16, pp.2, 2018, https://doi.org/10.14400/jdc.2018.16.2.203
  41. 건강신념모델 기반 임상간호사의 감염관리 수행도 영향요인 vol.9, pp.3, 2011, https://doi.org/10.15207/jkcs.2018.9.3.121
  42. 팀기반 학습을 적용한 분만간호 시뮬레이션 실습교육이 간호대학생의 간호지식, 자기효능감과 임상수행능력에 미치는 효과 vol.24, pp.2, 2011, https://doi.org/10.4069/kjwhn.2018.24.2.150
  43. Psikiyatride ve İletişim Eğitiminde Simüle Hasta Uygulamaları vol.10, pp.3, 2018, https://doi.org/10.18863/pgy.364112
  44. 응급구조학과 학생들의 호흡보조요법 경험, 지식이 수행자신감에 미치는 영향요인 vol.22, pp.2, 2011, https://doi.org/10.14408/kjems.2018.22.2.067
  45. 간호대학생의 당뇨환자 시뮬레이션기반 간호교육의 효과 vol.35, pp.3, 2011, https://doi.org/10.12925/jkocs.2018.35.3.836
  46. 시뮬레이션 기반 연합프로그램이 보건계열 대학생의 자기효능감, 사회적 문제해결 및 대학생활 적응에 미치는 효과 vol.16, pp.10, 2011, https://doi.org/10.14400/jdc.2018.16.10.301
  47. 간호시뮬레이션 학습자의 간호역량에 관한 구조모형 vol.48, pp.5, 2018, https://doi.org/10.4040/jkan.2018.48.5.588
  48. Simulation scenarios in Korea according to the learning objectives of adult health nursing: A literature review vol.6, pp.1, 2019, https://doi.org/10.1080/2331186x.2019.1678795
  49. The Effect of Simulation-Based Training on Nursing Students’ Communication Skill, Self-Efficacy and Clinical Competence for Nursing Practice vol.9, pp.8, 2019, https://doi.org/10.4236/ojn.2019.98064
  50. 저충실도 시뮬레이터를 활용한 신규간호사의 응급상황관리 시뮬레이션 교육의 효과 vol.25, pp.3, 2011, https://doi.org/10.5977/jkasne.2019.25.3.331
  51. 신규간호사의 응급간호 역량 강화를 위한 중요도 - 실행도 분석 vol.26, pp.3, 2019, https://doi.org/10.7739/jkafn.2019.26.3.155
  52. A meta-analysis for comparing effective teaching in clinical education vol.41, pp.10, 2011, https://doi.org/10.1080/0142159x.2019.1623386
  53. 신생아집중치료실 간호사를 위한 시뮬레이션 기반 응급기도 관리 교육 프로그램 개발 및 효과 vol.25, pp.4, 2011, https://doi.org/10.4094/chnr.2019.25.4.518
  54. Rapid Cycle Deliberate Practice 전문 소생술 시뮬레이션 교육이 간호사의 수행 능력, 자신감과 만족도에 미치는 효과 vol.20, pp.11, 2011, https://doi.org/10.5762/kais.2019.20.11.44
  55. 직소모형(Jigsaw)을 응용한 협동학습이 간호대학생의 의사소통능력, 문제해결능력, 비판적 사고성향, 자기주도적 학습능력 및 협동심에 미치는 효과 vol.25, pp.4, 2019, https://doi.org/10.5977/jkasne.2019.25.4.508
  56. 시뮬레이션기반 고유량산소요법 교육 프로그램이 임상간호사의 지식, 임상수행능력 및 교육만족도에 미치는 효과 vol.26, pp.1, 2020, https://doi.org/10.22650/jkcnr.2020.26.1.47
  57. 시뮬레이션 교육이 간호학생의 임상추론역량과 임상수행능력 및 교육만족도에 미치는 효과 vol.21, pp.8, 2011, https://doi.org/10.5762/kais.2020.21.8.107
  58. The Relationship between Self-Directed Learning and Problem-Solving Ability: The Mediating Role of Academic Self-Efficacy and Self-Regulated Learning among Nursing Students vol.18, pp.4, 2011, https://doi.org/10.3390/ijerph18041738
  59. Correlation between Sedation Knowledge, Clinical Decision Making and Nursing Competence in Sedation Practice among ICU Nurses vol.33, pp.1, 2011, https://doi.org/10.13000/jfmse.2021.2.33.1.204
  60. The Effect of a Non-Invasive Positive Pressure Ventilation Simulation Program on General Ward Nurses’ Knowledge and Self-Efficacy vol.18, pp.6, 2021, https://doi.org/10.3390/ijerph18062877
  61. An Exploratory Study to Develop a Virtual Reality Based Simulation Training Program for Hypovolemic Shock Nursing Care: A Qualitative Study Using Focus Group Interview vol.9, pp.4, 2011, https://doi.org/10.3390/healthcare9040417
  62. 중소병원 대상 다제내성균 감염관리 시뮬레이션 프로그램 개발 및 적용 vol.19, pp.4, 2021, https://doi.org/10.14400/jdc.2021.19.4.159
  63. Infection Control Education Programs for Nursing Students: A Systematic Review vol.28, pp.2, 2011, https://doi.org/10.7739/jkafn.2021.28.2.237
  64. Effects of case-based confusion assessment methods for intensive care unit training on delirium knowledge and delirium assessment accuracy of intensive care units: A quasi-experimental study vol.103, pp.None, 2011, https://doi.org/10.1016/j.nedt.2021.104954
  65. The Effect of Simulation Method on Nursing Students’ Burn Patient Care Planning: A Randomized Controlled Trial vol.42, pp.5, 2011, https://doi.org/10.1093/jbcr/irab018