Effects of the Role Play-Based Practice Education on Nursing Students

간호대학생의 역할극 기반 실습교육 적용 효과

  • Kim, Su Ol (Graduate School of Nursing, Ewha Women University) ;
  • Kim, So Myeong (Department of Nursing, Yeungnam University College)
  • 김수올 (이화여자대학교 일반대학원 간호학과) ;
  • 김소명 (영남이공대학교 간호대학 간호학과)
  • Received : 2015.08.28
  • Accepted : 2015.10.19
  • Published : 2015.10.31

Abstract

This study was conducted to identify the effects of a role play-based education for nursing students on critical thinking disposition, problem solving ability, and self-directed learning ability. The program consisted of three scenarios which includes admission care, high fever care of patient, and urination difficulty care of patient. The research design was an one-group pretest-posttest design. In this study, a descriptive survey design was used with convenience sample of 181 nursing students. Data were analyzed using descriptive statistics, independent t-test via SPSS WIN 21.0. There were significant difference critical thinking disposition (t=-5.292, p<.001), problem solving ability (t=-5.447, p<.001), self-directed learning ability (t=-4.521, p<.001). Therefore, it is necessary to introduce the new teaching strategies in nursing education, strategies that will improve critical thinking disposition, problem solving ability, and self-directed learning ability.

본 연구는 역할극 기반 실습교육이 간호대학생의 비판적 사고능력, 자기주도 학습능력, 문제해결능력에 미치는 영향을 파악함으로써 실습 교육에 효과적인 새로운 교수법을 제시하며, 간호교육과정 개발에 기초자료를 제공하기 위해 시도되었다. 역할극 기반 실습교육은 입원환자, 고열환자, 배뇨장애 환자 간호의 사례로 구성되어 있으며, 간호대학생의 비판적 사고능력, 자기주도 학습능력, 문제해결능력을 향상시킬 수 있도록 개발하였다. 본 연구는 단일군 사전 사후 실험연구로 181명의 자료를 SPSS 21.0 프로그램을 이용하여 분석하였다. 자료는 기술통계, t-test로 분석하였다. 본 연구 결과 역할극 기반 실습교육은 비판적 사고능력(t=-5.292, p<.001), 자기주도 학습능력(t=-4.521, p<.001), 문제해결능력(t=-5.447, p<.001)을 유의하게 향상 시켰다. 본 연구결과 역할극을 활용한 실습 교육은 간호대학생의 비판적 사고능력, 자기 주도적 학습 능력과 문제해결능력을 향상시키는데 효과가 있는 것으로 나타났으므로 실습 교육에서 역할극을 적극적으로 활용할 필요가 있다.

Keywords

References

  1. Chan, Z. C. (2012). Role-playing in the problem-based learning class, Nurse Education in Practice, 12(1), 21-27. https://doi.org/10.1016/j.nepr.2011.04.008
  2. Chaung, S. K. (2011). Critical thinking disposition, problem solving ability and clinical competence in nursing students, Journal of Korean Academy of Fundamentals of Nursing, 18(1), 71-78. (in Korean).
  3. Cho, I. Y. (2015). The relationship of communication skill, communication self-efficacy and communication related educational needs, Journal of the Korea Academia-Industrial cooperation Society, 16(4), 2593-2601. (in Korean). https://doi.org/10.5762/KAIS.2015.16.4.2593
  4. Cooper, E. E., Prion, S. K., Pauly-O'Neill, S. J. (2015). Comparison of student experience with critical events during simulation and acute care hospital rotations, Nurse Educator , 40(1), 31-35. https://doi.org/10.1097/NNE.0000000000000075
  5. Crofts, J. F., Ellis, D., Winter, C., Donald, P., Hunt, L. P., Draycott, T. J. (2008). Patient-actor perception of care: A comparison of obstetric emergency training using manikins and patient actors, Quality and Safety in Health Care, 17, 20-24. https://doi.org/10.1136/qshc.2006.021873
  6. Durham, C. F., Alden, K. R. (2008). Enhancing patient safety in nursing education through patient simulation, Retrieved May 20, 2010, from National Center for Biotechnology Information (NCBI), U.S.
  7. Feng, R. C., Chen, M. J., Chen, M. C., Pai, Y. C. (2010). Critical thinking competence and disposition of clinical nurses in a medical center, The Journal of Nursing Research, 18, 77-87. https://doi.org/10.1097/JNR.0b013e3181dda6f6
  8. Hwang, E. H., Shin, S, J. (2014). Multiple intelligences and critical thinking disposition in nursing students, Journal of Korean Academic Fundamentals of Nursing, 21(4), 433-445. (in Korean). https://doi.org/10.7739/jkafn.2014.21.4.433
  9. International Council of Nurses (2012). Closing the gap: From evidence to action [Internet]. Switzerland: International Council of Nurses; 2012 [cited 2015 April 20], Available from: http://www.icn.ch/images/stories/documents/publications/ind/indkit2012.pdf.
  10. Joo, G. E., Sohng, K. Y., Kim, H. J. (2015). Effects of a standardized patient simulation program for nursing students on nursing competence, communication skill, self-efficacy and critical thinking ability for blood transfusion, Journal Korean Academy Fundamentals Nursing, 22(1), 49-58. (in Korean). https://doi.org/10.7739/jkafn.2015.22.1.49
  11. Jung, J. S. (2012). Relationship of self-directedness and practice satisfaction to clinical practice in nursing students: The mediating effect of clinical competence, The Journal of Korean Academic Society of Nursing Education, 18(1), 53-61. (in Korean). https://doi.org/10.5977/jkasne.2012.18.1.053
  12. Kang, M. O. (2009). The effects of facilitative communication skill training using role play on prejudice and intention of interaction with the mentally-disabled among nursing students, Korean Journal of Psychodrama, 12(2), 23-39. (in Korean). https://doi.org/10.17962/kjp.2009.12.2.003
  13. Kang, M. O. (2013). The effect of counseling challenges coping training using role play on counseling challenges self-efficacy and social distance toward the mentally-ill among nursing students, Korean Journal of Psychodrama, 16(2), 137-151. (in Korean). https://doi.org/10.17962/kjp.2013.16.2.009
  14. Kang, S. Y., Lim, Y. J. (2014). Development and application of integrated nursing practice program preceded role-play related to clinical communication situation, Journal of the Korea Academia-Industrial Cooperation Society, 13(1), 147-155. (in Korean).
  15. Kang, M. J., Piao, M. H., Park, C. S. (2014). The effects of students' interaction on self-directed learning and learner satisfaction in PBL class - A social network analysis, Journal of the Korean Data Analysis Society, 16(5), 2807-1818. (in Korean).
  16. Kim, Y. M. (2012). Factors influencing problem solving abilities of freshmen nursing students, Journal of Korean Academy of Nursing Administration, 16, 190-197. (in Korean).
  17. Kim, J. Y., Choi, E. Y. (2008). Learning element recognition and academic achievement of nursing student receiving PBL with simulation education, Korean Journal of Adult Nursing, 20(5), 731-742. (in Korean).
  18. Kim, Y. H., Lee, Y. M. (2012). Relationship of learning motivation, self-directed learning ability and problem solving process of nursing students after practice evaluation of fundamentals of nursing course using role play, Journal of the Korea Academia-Industrial Cooperation Society, 13(1), 147-155. (in Korean). https://doi.org/10.5762/KAIS.2012.13.1.147
  19. Kim, D. H., Park, J. Y., Lee, N. Y. (2012). Factors influencing problem solving ability among nursing students, Journal of the Korean Data Analysis Society, 14(3), 1551-1563. (in Korean).
  20. Kim, J. H., Park, I. H., Shin, S. J. (2013). Systematic review of korean studies on simulation within nursing education, The Journal of Korean Academic Society of Nursing Education, 19(3), 307-319. (in Korean). https://doi.org/10.5977/jkasne.2013.19.3.307
  21. Lathrop, A., Winningham, B., VandeVusse, L. (2007). Simulation-based learning for midwives: Background and pilot implementation, Journal of Midwifery & Women's Health, 52(5), 492-498. https://doi.org/10.1016/j.jmwh.2007.03.018
  22. Lee, S. J., Chang, Y. K., Lee, H. N., Park, K. Y. (2003). A study on the development of life-skills: communication, problem solving, and self-directed learning, Korean Education Development Institute, Seoul. (in Korean).
  23. Lee, M. S., Hahn, S. W. (2011). Effect of simulation-based practice on clinical performance and problem solving process for nursing students, Journal of Korean Academic Society Nursing Education, 17(2), 226-234. (in Korean). https://doi.org/10.5977/JKASNE.2011.17.2.226
  24. Lee, H. J., Kim, M. J., Chung, S. K. (2012). The relationship between critical thinking disposition and lifelong core competency of college students, Journal of the Korean Data Analysis Society, 14,(3), 1535-1549. (in Korean).
  25. Levett-Jones, T. L. (2005). Self-directed learning: Implications and limitations for undergraduate nursing education, Nurse Education Today, 25(5), 363-368. https://doi.org/10.1016/j.nedt.2005.03.003
  26. Michaelsen, L. K., Parmelee, D. X., McMahon, K., Levine, R. E. (2007). Team based learning for health professions education. Sterling, USA: Stylus Publishing, LLC.
  27. O'Shea, E. (2003). Self-directed learning in nurse education: a review of the literature, Journal of Advanced Nursing, 43(1), 62-70. https://doi.org/10.1046/j.1365-2648.2003.02673.x
  28. Park, E. Y. (2013). Effects of family nursing practicum using role play on emotional intelligence, communication ability, and family nursing performance of nursing students, Journal of Korean Academic Society of Nursing Education, 19(4), 656-662. (in Korean). https://doi.org/10.5977/jkasne.2013.19.4.656
  29. Park, Y. R., Park, S. H., Park, M. J. (2015). Effects of simulation education program on clinical practicum in nursing students, Journal of the Korean Data Analysis Society, 17(3), 1711-1724. (in Korean).
  30. Parmelee, D. X., Michaelsen, L. K. (2010). Twelve tips for doing effective team basedlearning, Medical Teather, 32(2), 118-122.
  31. Patterson, C., Grooks, D., Lunyk-Child, D. (2002). A new perspective on competencies for self-directed learning, Journal of Nursing Education, 41(1), 25-31.
  32. Profetto-McGrath, J. (2005). Critical thinking and evidence-based practice, Journal of Professional Nursing, 21, 364-371. https://doi.org/10.1016/j.profnurs.2005.10.002
  33. Reams, S., Bashford, C. (2011). Interdisciplinary role play: Nursing and theater students advance skills in communication, Delta Kappa Gamma Bulletin, 77(4), 42-48.
  34. Riley-Doucet, C. (2008). A self-directed learning tool for nurses who precept student nurses, Journal for Nurses Staff Development, 24(2), 7-14. https://doi.org/10.1097/01.NND.0000300874.28610.a7
  35. Shepherd, C. K., McCunnis, M., Brown, L., Hair, M. (2010). Investigating the use of simulation as a teaching strategy, Nursing Standard, 24(35), 42-48. https://doi.org/10.7748/ns2010.05.24.35.42.c7751
  36. Sim, M. J., Oh, H. S. (2012). Influence of self efficacy, learning motivation and self-directed learning on problem-solvingability in nursing students, Journal of the Korea Contents Association, 12(6), 328-337. (in Korean). https://doi.org/10.5392/JKCA.2012.12.06.328
  37. Song, K. A., Park, H. J., Yeom, H. A., Lee, J. E., Joo, G. E., Kim, H. J. (2012). The development and evaluation of a new educational program, introduction to clinical nursing, for third year nursing students, Journal of Korean Academy of Fundamentals of Nursing, 19(3), 322-333. (in Korean). https://doi.org/10.7739/jkafn.2012.19.3.322
  38. Weaver, A. (2011). High-fidelity patient simulation in nursing education: an integrative review, Nursing Education Perspectives, 32(1), 37-40. https://doi.org/10.5480/1536-5026-32.1.37