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Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students

호흡곤란 응급관리에 대한 시뮬레이션기반 교육이 간호학생의 지식과 수행자신감에 미치는 효과

  • Hur, Hea-Kung (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Park, So-Mi (Department of Nursing, Wonju College of Medicine, Yonsei University)
  • 허혜경 (연세대학교 원주의과대학 간호학과) ;
  • 박소미 (연세대학교 원주의과대학 간호학과)
  • Received : 2011.12.01
  • Accepted : 2012.04.13
  • Published : 2012.04.30

Abstract

Purpose: The purpose of this study was to identify the effects on knowledge and performance confidence of nursing students in the emergency care of patients with dyspnea after simulation education using a human simulator. Method: The research design was a nonequivalent control group pretest-posttest design. For the experimental group the human simulator was used to provide simulation. Also included were base learning with audio-visual material, explanations about simulation, using SimMan for human simulation, and debriefing. Pre and post-tests were conducted to compare differences in knowledge and performance confidence. Result: The (t=3.83, p<.000) than the control group. For the experimental group, the differences in pretest-posttest scores for knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the experimental group had significantly higher scores for knowledge (t=3.03, p=.004) and performance confidence (t=3.83, p<.001knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the control group. Conclusion: The results of this study indicate that for student nurses, knowledge and performance confidence in emergency care of patients with dyspnea improve with human simulator simulation education. Further study is suggested to develop other scenarios for emergency care and identify the effects of critical thinking and satisfaction when using human simulator simulation education.

Keywords

References

  1. 강혜원, 허혜경(2010). 간호사를 위한 호흡곤란 응급관리 시뮬레이션 시나리오 개발. 중환자간호학회지, 3(2), 59-74.
  2. 고일선, 김희순, 김인숙, 김소선, 오의금, 김은정, 이주희, 강세원(2010). SimMan 시뮬레이션 학습 시나리오의 개발 및 학습 수행 평가. 기본간호학회지, 17(3), 371-381.
  3. 김윤희, 장금성(2011). 시뮬레이션기반 심폐응급간호교육이 신규간호사의 지식, 임상수행능력 및 문제해결과정에 미치는 효과. 대한간호학회지, 41(2), 245-255.
  4. 백지윤(2008). 시뮬레이션교육이 간호사의 전문심장소생술 수행능력에 미치는 효과. 중환자간호학회지, 1(1), 59-71.
  5. 이명선, 한숙원(2011). 시뮬레이션을 활용한 실습교육이 간호학생의 간호수행능력과 문제해결 과정에 미치는 효과. 한국간호교육학회지, 17(2), 226-234.
  6. 이선옥, 엄미란, 이주희 (2007). 시뮬레이션 교육의 간호학 적용. 한국간호교육학회지, 13(1), 90-94.
  7. 이숙정, 노영숙, 김주옥, 장기인, 류언나, 박영미(2010). 호흡곤란환자 간호의 실습교육평가에서Multi-mode와 SimMan 시뮬레이션 활용 비교. 한국간호교육학회지, 16(1), 51-60.
  8. 이우숙, 조갑출, 양선희, 노영숙, 이규영(2009). 시뮬레이션 연계 문제중심학습이 간호학생의 간호기본역량에 미치는 효과. 기본간호학회지, 16(1), 64-72.
  9. 이은옥, 임난영, 박현애, 이인숙, 김종임, 배정이, 이선미 (2009). 간호연구와 통계분석. 서울:수문사.
  10. 이주희, 김소선, 여기선, 조수진, 김현래(2009). 일 대학 간호대학생의 시뮬레이션 교육 경험 분석. 한국간호교육학회지, 15(2), 183-193.
  11. 이주희, 최모나(2011). 시뮬레이션을 적용한 임상추록 교과목의 적용효과: 일 대학의 예를 중심으로. 성인간호학회지, 23(1), 1-9.
  12. 임경춘(2011). 간호학 실습교육에서 시뮬레이션기반학습의 방향고찰. 한국간호교육학회지, 17(2), 246-256.
  13. 장선주, 권은옥, 권영옥, 권희경(2010). 시뮬레이션 교육이 중환자실 신규간호사의 응급상황 관련 지식과 자기효능감 및 수행능력에 미치는 효과. 성인간호학회지, 22(4), 375-383.
  14. Bland, A. J., Topping, A. & Wood, B. (2011). A concept analysis of simulation as a learning strategy in the education of undergraduate nursing students. Nurse Eduction Today, 31(7), 664-670. https://doi.org/10.1016/j.nedt.2010.10.013
  15. Bond, W. F. & Spillane, L. (2002). The use of simulation for emergency medicine resident assessment. Academy Emergency Medicine, 9, 1295-1298. https://doi.org/10.1197/aemj.9.11.1295
  16. Brannan, J. D. & Bezanson, J. L. (2008). Simulator effects on cognitive skills and confidence level. Journal of Nursing Education, 47(11), 495-500. https://doi.org/10.3928/01484834-20081101-01
  17. Cant, R. P., & Cooper, S. J. (2009). Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing, 66(1), 3-15.
  18. Durham, C. F. & Alden, K. R. (2008). Enhancing patient safety in nursing education through patient simulation. In R.G. Hughes (Ed.). Patient safety and quality : An evidence-based handbook for nurses. Rockville: Agency for Health Research and Quality.
  19. Kim, H. S., Hwang, S. Y., Oh, E. G. & Lee, J. E. (2006). Development and evaluation of a PBL-based continuing education for clinical nurses: A pilot study. Journal of Korean Academy of Nursing, 36(8), 1308-1314. https://doi.org/10.4040/jkan.2006.36.8.1308
  20. Jeffries,, P. R. & Rizzolo, M. A. (2006). Designing and implementing models for the innovative use of simulation to teach nursing care of ill adults and children: A national, multi-site, multi-method study. NY: National League for Nursing.
  21. Lapkin, S. Fernandez, R., Levett-Jones, T. & Bellchambers, H. (2010). The effectiveness of nursing human patient simulation manikins in the teaching of clinical reasoning skills to undergraduate nursing students: a systematic review. JBI Library of Systematic Review, 8(16), 661-694.
  22. Lasater, K. (2007). High fidelity simulation and the developemtn of clinical judgement: students' experiences. Journal Nursing Education, 46(6), 269-275.
  23. Liaschenko, J. & Peter, E. (2004). Nursing ethics and conceptualizations of nursing: Profession, practice and work. Journal of Advanced Nursing, 46(5), 488-495. https://doi.org/10.1111/j.1365-2648.2004.03011.x
  24. Schneider Sarver P. A. & Senczakowicz, E. A. (2010). Development of simulation scenarios for an adolescent patient with diabetic ketoacidosis. Journal of Nursing Education, 49(10), 578-586. https://doi.org/10.3928/01484834-20100630-07
  25. Smith, S. J. & Roehrs, C. J. (2009). High fidelity simulation: Factors correlated with nursing student satisfaction and self confidence. Nursing Education Perspective, 30(2), 74-78.
  26. Waxman, K. T. (2010). The development of evidence-based clinical simulation scenarios: Guidelines for nurse educators. Journal of Nursing Education, 49(1), 29-35. https://doi.org/10.3928/01484834-20090916-07

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