DOI QR코드

DOI QR Code

Effect of a Simulated Education-based Hypoglycemia Scenario Using a High-fidelity Simulator on Acquisition and Retention of Diabetes Knowledge and Academic Self-efficacy in Nursing Students

고성능 인체 환자 모형을 활용한 저혈당 시나리오 기반의 시뮬레이션 교육이 간호대학생의 당뇨병 지식과 학업적 자기효능감 습득과 지속성에 미치는 효과

  • Kim, Jiyoung (Department of Nursing, Dongeui University) ;
  • Heo, Narae (Department of Nursing, Hansei University)
  • Received : 2017.05.06
  • Accepted : 2017.08.08
  • Published : 2017.08.31

Abstract

Purpose: This study evaluated the acquisition and retention effects on diabetes knowledge and academic self-efficacy of patient simulation-based hypoglycemia scenario using a high-fidelity simulator. Methods: A nonequivalent control group pretest/posttest repeated measures quasi-experimental design determined if nursing simulation using a high-fidelity simulator helps students acquire and retain diabetes knowledge and academic self-efficacy. A total of 101 nursing students from two universities participated in this study, comprising the experimental and control groups. The experimental group (n=52) at a university in S city comprised participants in an adult nursing class, nursing practicum, and simulation education. The control group (n=49) at a university in C city participated in an adult nursing class and nursing practicum without simulation education. Results: The experimental group had statistically significant group-time interaction effects on diabetes knowledge (p=.044) and self-confidence (p<.001) of academic self-efficacy compared to the control group. Conclusion: The results indicated that the patient simulation-based hypoglycemia scenario using a high-fidelity simulator applied to nursing education is useful in encouraging nursing students to engage in strategies with acquisition and retention effects, enhancing their diabetes knowledge and self-confidence of academic self-efficacy. Therefore, educators should use simulation programs effectively with nursing classes and practicum to enhance the effects of nursing competencies.

Keywords

References

  1. Aqel, A. A., & Ahmad, M. M. (2014). High-fidelity simulation effects on CPR knowledge, skills, acquisition, and retention in nursing students. Worldviews on Evidence-Based Nursing, 11(6), 394-400. https://doi.org/10.1111/wvn.12063
  2. Bandura, A. (1997). Self-efficacy: The exercise of control. NY: Freeman & Company.
  3. Choi, D. (2014). Clinical competence according to experiences on the essential of fundamental nursing skills in nursing students. The Journal of Korean Academic Society of Nursing Education, 20(2), 184-191. https://doi.org/10.5977/jkasne.2014.20.2.184
  4. Evans, C. B., & Mixon, D. K. (2015). The evaluation of undergraduate nursing students' knowledge of post-op pain management after participation in simulation. Pain Management Nursing, 16(6), 930-937. https://doi.org/10.1016/j.pmn.2015.07.006
  5. Han, A., Cho, D. S., & Won. J. (2014). A study on learning experiences and self-confidence of core nursing skills in nursing practicum among final year nursing students. Journal of Korean Academy of Fundamentals of Nursing, 21(2), 162-173. https://doi.org/10.7739/jkafn.2014.21.2.162
  6. Hernandez-Padilla, J. M., Suthers, F., Granero-Molina, J., & Fernandez-Sola, C. (2015). Effects of two retraining strategies on nursing students' acquisition and retention of BLS/AED skills: A cluster randomized trial. Resuscitation, 93, 27-34. https://doi.org/10.1016/j.resuscitation.2015.05.008
  7. Heo, N., Jeon, H. J., Kim, J., & Kang, Y. H. (2014). Learning experiences of undergraduate nursing students in team based high-fidelity simulation. Journal of Korea Society for Simulation in Nursing, 2(1), 21-33.
  8. Hur, H. K., & Park, S. M. (2012). Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students. The Journal of Korean Academic Society of Nursing Education, 18(1), 111-119. https://doi.org/10.5977/jkasne.2012.18.1.111
  9. Jung, J. S., & Hur, H. K. (2013). Effectiveness and retention of repeated simulation-based basic life support training for nursing students. Journal of Korean Critical Care Nursing, 6(2), 24-36.
  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 of Korean Academy of Fundamentals of Nursing, 22(1), 49-58. https://doi.org/10.7739/jkafn.2015.22.1.49
  11. Kameg, K. M., Englert, N. C., Howard, V. M., & Perozzi, K. J. (2013). Fusion of psychiatric and medical high fidelity patient simulation scenarios: Effect on nursing student knowledge, retention of knowledge, and perception. Issues in Mental Health Nursing, 34(12), 892-900. https://doi.org/10.3109/01612840.2013.854543
  12. Kim, A. Y., & Park, I. Y. (2001). Construction and validation of academic self-efficacy scale. The Journal of Education Research, 39(1), 95-123.
  13. Kim, J., & Heo, N. (2014). Hypoglycemia scenario for simulation-based nursing education using a high-fidelity simulator. Journal of Healthcare Simulation, 3(2), 56-60.
  14. Kim, J., & Heo, N. (2015). Learner's debriefing experience on team-based nursing simulation. Journal of Korean Society for Simulation in Nursing, 3(2), 35-44.
  15. Kim, J., & Heo, N. (2017). Academic self-efficacy and clinical nursing competence of nursing students. Journal of Learner -Centered Curriculum and Instruction, 17(2), 611-623.
  16. Kim, J., Heo, N., Jeon, H. J., & Jung, D. (2015). Effects of simulation education on the communication competence, academic self-efficacy, and attitude about the elderly for nursing students: A learning approach based on an elderly-with-cognition-disorder scenario. The Journal of Korean Academic Society of Nursing Education, 21(1), 54-64. https://doi.org/10.5977/jkasne.2015.21.1.54
  17. Kim, H. W., & Suh, E. Y. (2012). Nursing students' immersion experiences in a comprehensive simulation scenario using high-fidelity human patient simulator among nursing students: A phenomenological study. Journal of Military Nursing, 30(1), 89-99.
  18. Kim, S. H., Kim, S. H., & Shim, C. S. (2007). The effect and retention of CPR training in nursing students. Journal of the Korean Society of Emergency Medicine, 18(6), 496-502.
  19. Korean Accreditation Board of Nursing Education. (2017, March). Manual for accreditation of baccalaureate 2017. Retrieved April 19, 2017, from http://kabone.or.kr/HyAdmin/view.php?bbs_id=kab01&doc_num=560
  20. Kwon, M. S. (2010). The effects and retention of the AHA's BLS training on knowledge and skills of nursing college students. The Journal of Korean Academic Society of Nursing Education, 16(2), 222-228. https://doi.org/10.5977/JKASNE.2010.16.2.222
  21. Lee, S. K., Kim, S. H., & Park, S. N. (2016). Persistence of integrated nursing simulation program effectiveness. Journal of Korean Academy of Fundamentals of Nursing, 23(3), 283-291. https://doi.org/10.7739/jkafn.2016.23.3.283
  22. Nelissen, E., Ersdal, H., Mduma, E., Evjen-Olsen. B., Broerse. J., van Roosmalen, J., et al. (2015). Helping mothers survive bleeding after birth: Retention of knowledge, skills, and confidence nine months after obstetric simulation-based training. BMC Pregnancy and Childbirth, 15(1), 190. https://doi.org/10.1186/s12884-015-0612-2
  23. Nickerson, M., & Pollard. M. (2010). Mrs. Chase and her descendants: A historical view of simulation. Creative Nursing, 16(3), 101-105. https://doi.org/10.1891/1078-4535.16.3.101
  24. Shim, W. S., Hong, S. B., Choi, Y. S., Choi, Y. J., Ahn, S. H., Min, K. Y., et al. (2006). Development of two parallel diabetes knowledge tests. Diabetes and Metabolism Journal, 30(6), 476-86.
  25. Smith, K. K., Gilcreast, D., & Pierce, K. (2008). Evaluation of staff's retention of ACLS and BLS skills. Resuscitation, 78(1), 59-65. https://doi.org/10.1016/j.resuscitation.2008.02.007
  26. Smith, N., Prybylo, S., & Conner-Kerr, T. (2012). Using simulation and patient role play to teach electrocardiographic rhythms to physical therapy students. Cardiopulmonary Physical Therapy Journal, 23(1), 36-42.
  27. Tawalbeh, L. I., & Ahmad, M. M. (2014). The effect of cardiac education on knowledge and adherence to healthy lifestyle. Clinical Nursing Research, 23(3), 245-258. https://doi.org/10.1177/1054773813486476
  28. Tubaishat, A., & Tawalbeh, L. I. (2015). Effect of cardiac arrhythmia simulation on nursing students' knowledge acquisition and retention. Western Journal of Nursing Research, 37(9), 1160-1174. https://doi.org/10.1177/0193945914545134
  29. Yang, J. J. (2012). The effects of a simulation-based education on the knowledge and clinical competence for nursing students. The Journal of Korean Academic Society of Nursing Education, 18(1), 14-24. https://doi.org/10.5977/jkasne.2012.18.1.014
  30. Zulkosky, K. D. (2012). Simulation use in the classroom: Impact on knowledge acquisition, satisfaction, and self-confidence. Clinical Simulation in Nursing, 8(1), e25-e33. https://doi.org/10.1016/j.ecns.2010.06.003

Cited by

  1. 간호대학생 대상 시뮬레이션 기반 융합실습교육프로그램 개발 및 효과 vol.9, pp.10, 2019, https://doi.org/10.22156/cs4smb.2019.9.10.016
  2. 간호학생을 대상으로 한 시뮬레이션 실습 효과에 대한 비판적 고찰 vol.21, pp.5, 2017, https://doi.org/10.5762/kais.2020.21.5.141
  3. Effects of Simulation Practicum Using Flipped Learning for Korean Nursing Students vol.17, pp.18, 2017, https://doi.org/10.3390/ijerph17186829
  4. A Development of an Acupoints Education Table using 3D Technology and Augmented Reality vol.38, pp.4, 2017, https://doi.org/10.14406/acu.2021.036