DOI QR코드

DOI QR Code

Effect of Simulation-based Core Skill Program (SCSP) on clinical knowledge, problem solving process and self-esteem in Health-related department students

시뮬레이션 기반 코어스킬 프로그램(SCSP)이 보건계열 대학생의 임상지식, 문제해결과정, 자아존중감에 미치는 효과

  • Cho, Hye-Young (Department of Emergency Medical Service, Daewon University)
  • 조혜영 (대원대학교 응급구조학과)
  • Received : 2014.08.07
  • Accepted : 2014.10.10
  • Published : 2014.10.31

Abstract

This study examined the effects of a simulation-based core skill program regarding emergency care on the knowledge, problem solving process and self-esteem of health related department students. A quasi-experimental non-equivalent control group pre-post test design was used. A total of 46 students, 23 students for the experimental group and 23 students for the control group, were enrolled in this study. The simulation-based core skill program included lectures, skill training, team-based practice, simulation and debriefing. This was implemented in the experimental group for 3 weeks in May, 2013. The data was analyzed using the frequency, ratio, Chi-square, and t-test by the SPSS/Win 18.0. The experimental group, who had a simulation-based core skill program, showed significantly higher clinical knowledge, problem solving process and self-esteem compared to the control group who had a traditional education. A clinical simulation-based core skill program was verified to be an effective teaching method to improve on the clinical knowledge, problem solving process and self-esteem of health-related department students.

본 연구는 시뮬레이션 기반 코어스킬 프로그램 교육을 보건계열 학생에게 적용한 후 임상지식, 문제해결과정, 자아존중감에 미치는 효과를 기존의 전통적 교육과 비교 검증하기 위해 시도된. 비동등성 대조군 전후설계를 적용한 유사실험연구이다. 대상자는 총 46명으로 J시에 소재한 D대학 응급구조과 2학년 학생이 참여하였다. 실험군 23명에게는 이론강의, 술기교육, 팀시뮬레이션과 디브리핑으로 구성된 시뮬레이션기반 코어스킬 프로그램을 교육하였고 대조군 23명에게는 이론강의와 술기교육만으로 이루어진 전통적 교육을 실시하였다. 2013년 5월부터 110분간 주 4회씩 총 12회로 실시되었으며 수집된 자료는 SPSS/Win 18.0을 이용하여 실수와 백분율, Chi-Square, t-test로 분석하였다. 본 연구 결과 시뮬레이션 기반 코어스킬 프로그램을 시행한 실험군에서 임상적지식, 문제해결과정, 자아존중감이 통계적으로 유의하게 높았다. 이상의 연구결과, 시뮬레이션기반 코어스킬 프로그램은 보건계열 대학생의 임상지식과 문제해결과정, 자아존중감 향상에 효과적인 교육프로그램으로 보건전문직으로서의 역량을 증진시키는데 기여함을 확인할 수 있었다.

Keywords

References

  1. Tiwari, A., Lai, P., So, M., & Yuen, K. A comparison of the effects of problem-based learning and lecturing on the development of students'critical thingking, Medical Education, 40, pp. 547-554, 2006. DOI: http://dx.doi.org/10.1111/j.1365-2929.2006.02481.x
  2. Kaakinen, J., & Arwood, E. Systematic Review of Nursing Simulation literature for Use of Learning Theory, International Journal of Nursing Education Scholarship, 6(1), pp. 1-20, 2009. DOI: http://dx.doi.org/10.2202/1548-923X.1688
  3. Baek, M. R. Implementation Effects of Emergency Truma patient simulation, The Korean Journal of Emergency Medical Services, 15(2), pp. 43-54, 2011.
  4. Bremner, M. N., Aduddell, K., Bennett, D. N., & VanGeest, J. B., The Use of Human Patient Simulators Best Practices with Novice Nursing Students. Nurse Educator, 31(4), pp. 170-174, 2006. DOI: http://dx.doi.org/10.1097/00006223-200607000-00011
  5. Yang, B. S. A study on the adaption proess of nursing students to problem based learning, Jorunal of korean Academy of Nursing, 36, pp. 25-36, 2006. https://doi.org/10.4040/jkan.2006.36.1.25
  6. Liaw, S. Y., Chen, F. G., Klainin, P., Brammer, J., O'Brien, A., Samarasekera, D.D. Developing clinical competency In crisis event management: an integrated simulation problem-based learning activity, Advanced in Health science Education, 15, pp. 403-413, 2010. https://doi.org/10.1007/s10459-009-9208-9
  7. Park, S. H. The effects of program for the improvement of college students Critical thinking ability, Unpublished master's thesis, sookmyung womens Univ, Seoul, 1999.
  8. Ragsdale, M. A., & Mueller, J. Plan, Do, Study, Act Model to Improve an Orientation Program, Journal of Nursing Care Quality, 20(3), pp. 268-272, 2005. DOI: http://dx.doi.org/10.1097/00001786-200507000-00013
  9. McCausland, L. L., Curran, C. C., & Cataldi, P. Use of HumanSimluator for Undergraduate Nurse Education, International Journal of Nursing Education Scholarship, 1(1), pp. 1-17, 2004. DOI: http://dx.doi.org/10.2202/1548-923X.1035
  10. Turcato, N., Robertson, C., & Covert, K. Simulation- Based Education: What's in it for Nurse Anesthesia Educators?, AANA Journal, 76(4), pp. 257-262, 2008.
  11. Ackermann, A. D., Kenny, G., & Walker, C. Simulator Programs for New Nurses Orientation, Journal for Nurses in Staff Development, 23(3), pp. 136-139, 2007. DOI: http://dx.doi.org/10.1097/01.NND.0000277183.32582.43
  12. Yang, J. J., Delelopement and Evaluation of a Simulation-based Edication course for Nursing Student, The journal of Korean Academic Sosciety of Adult Nursing, 20(4), pp. 548-560, 2008.
  13. Cho, H. Y. The effect of SIM-PBL education on critical thinking disposition and Self-efficacy in paramedic student, The Korean society of emergency medical service, 17(3), pp. 61-71, 2013. https://doi.org/10.14408/KJEMS.2013.17.3.061
  14. Steinwachs, B. How to facilitate a debriefing. Simulation Gaming, 23, pp. 186-195. 1992. DOI: http://dx.doi.org/10.1177/1046878192232006
  15. Lee, J. S. The effects of process behaviors on problem solvingperformance on various tests, Doctoral dissertation, University of Chicago, 1978.
  16. Woo, O..H. The effect of PBL(Problem-Based Learning) on the Problem Sloving Process of Students by Their Meta-cognitive Levels, Unpublished master's thesis, Korea National University of Education, chung-Buk, 2000.
  17. Rosenberg, M. Society and the adolescent self-image. Princeton, NJ; Princeton University Press, 1965.
  18. Jon, B .J. Self-esteem: A test of its measurability, Yonsei Nochong, 11(1), pp. 107-129, 1974.
  19. Yuan, H., Williams, B. A., & Fan, L. A. Systematic review of selected evidence on developing nursing students' critical thinking through problem-based learning, Nurse Education Today, 28, pp. 657-663, 2008. DOI: http://dx.doi.org/10.1016/j.nedt.2007.12.006
  20. Walton, H. J., & Mathews, M. B. Essentials of problem-based learning Medical Education, 23(6), pp. 542-556, 1989. DOI: http://dx.doi.org/10.1111/j.1365-2923.1989.tb01581.x
  21. Kim, K. H.., & Kim, K .D. The relationship between Critical Thinking Disposition and Self-Efficacy of College Nursing Students, J korean Acad Soc Nurs Edu, 13(2), pp. 229-236, 2007.
  22. Issenberg, S. B., Mcgaghie, W. C., Pertusa, E. R., Gordon, D. L., & Scales, R.J. Features and uses of high-fidelity medical simulation that ead to effective learning: a BEME systematic review, Medical Teacher, 27(1), pp. 10-28, 2006. DOI: http://dx.doi.org/10.1080/01421590500046924
  23. Bond, W. F., & Spillane, L. The Use of Simulation for Emergency Medicine Resident Assessment. Academic Emergency Medicine, 9(11), pp. 1295-1298, 2002. DOI: http://dx.doi.org/10.1197/aemj.9.11.1295
  24. Murray, C., Grant, M. J., Howarth, M. L., & Leigh, J. The Use of Simulation as a Teaching and Learning Approach to support Practice Learning, Nurse Education in Practice, 8, pp. 5-8, 2008. DOI: http://dx.doi.org/10.1016/j.nepr.2007.08.001
  25. Pacsi, A. L. Human Simulators in Nursing Education. Journal of the New York State Nurses Association, 39(2), pp. 8-11, 2009.
  26. Kim, Y. H. Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process Among New Nurses, Unpublished master's hesis, Chonnam National University, kawang-ju, 2010.
  27. Brannam, J. D., White, A., & Bezanson, L. Simulator Effects on Cognitive Skills and Confidence Levels., Journal of Nursing Education, 47(11), pp. 495-500, 2008. DOI: http://dx.doi.org/10.3928/01484834-20081101-01
  28. Moule, P., & Gilchrist, M., An evaluation of a basic life support- 81 -CD-ROM. Health nformatics Journal, 7(1), pp. 29-36, 2001. https://doi.org/10.1177/146045820100700106
  29. Corbridge, S., McLaughin, R., Tiffen, J., Wade, L., Templin, R., & Corbridge,T. C.. Using Simulation to enhance Knowledge and confidence .Nurse Practitioner, 33(6), pp. 12-13, 2008.
  30. Han, K. S., & Kim, G.. M.. Comparison to self-esteem, family adaptation, health promotion behaviors, and symptoms of stress between nursing and other major university women students, Journal of Korean Academy of Psychiatry Mental Health Nursing, 16(1), pp. 78-84, 2007.

Cited by

  1. The effect of Simulation-based learning scenario using standardized repiratory patients on learning satisfaction, clinical skill competency and self-efficacy in Health-related department students vol.16, pp.3, 2015, https://doi.org/10.5762/KAIS.2015.16.3.2100