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The Effects of Repeated Cardiopulmonary Resuscitation Training using Smart Learning on Nursing Students' Knowledge, Self-efficacy, Clinical Competency.

스마트 러닝을 활용한 심폐소생술 재교육이 간호대학생의 심폐소생술 지식, 자기효능감, 수행능력에 미치는 영향

  • Received : 2017.11.14
  • Accepted : 2018.02.02
  • Published : 2018.02.28

Abstract

This study was conducted to identify the effects of repeated cardiopulmonary resuscitation (CPR) training using smart learning on nursing students' knowledge, self-efficacy, and clinical competency. A quasi-experimental nonequivalent control group, pretest-posttest design was used. The subjects of the study were 102 nursing college students who had received CPR training for 6 months. The CPR training was divided into smart learning, lecture education, and practical education. Data were collected from November to December, 2016 and analyzed by descriptive statistics, ${\chi}^2$-test, t-test and one way ANOVA using the SPSS/WIN 21.0 program. The scores of cardiopulmonary resuscitation knowledge were higher in the lecture education group than the practical education group and the smart learning group. Scheffe's post hoc test revealed a statistically significant difference among groups (F=8.23, p=<.001). The self-efficacy of the practical education group was higher than that of the lecture education group and smart learning group, but this difference was not significant (F=2.46, p=.091). The clinical competency of the practical education group and smart learning group were higher than that of the lecture education group. Scheffe's post hoc test revealed that the value of clinical competency differed significantly among groups (F=59.90, p=<.001). Overall, the results showed that effective education differs based on nursing students' knowledge, self-efficacy, ad clinical competency. Combination training would be required for more effective repeated cardiopulmonary resuscitation training.

본 연구는 스마트 러닝을 활용한 심폐소생술 재교육이 간호대학생의 지식, 자기효능감, 수행능력에 미치는 효과를 확인하기 위한 연구이다. 비동등성 대조군 사전사후 유사실험설계를 사용하였다. 연구의 참여자는 심폐소생술 교육을 받은지 6개월이 지난 간호대학생으로 총 102명이었다. 심폐소생술 재교육을 스마트 러닝, 강의식 교육, 실습교육으로 나누어 실시하였다. 자료수집 기간은 2016년 11월부터 12월이었다. 수집된 자료는 SPSS 21.0을 이용하여 실수와 백분율, 평균과 표준편차, ${\chi}^2$-test, t-test, one way ANOVA로 분석하였다. 심폐소생술 재교육 후 지식은 강의식 교육이 스마트 러닝과 실습 교육보다 높았고, scheffe의 사후검정결과도 통계적으로 유의하게 나타났다(F=8.23, p=<.001). 자기효능감은 실습교육이 스마트 러닝과 강의식 교육보다 높았지만 통계적으로 유의하지 않았다(F=2.46, p=.091). 수행능력은 실습교육이 가장 높았으며, 스마트 러닝과 강의식 교육 순으로 나타났으며, scheffe의 사후검정결과도 통계적으로 유의한 차이가 있었다(F=59.90, p=<.001). 이상의 연구결과를 통해 볼 때, 간호학생의 지식, 자기효능감, 수행능력에 대한 효과적인 교육방법이 다르다는 것을 보여준다. 더욱 효과적인 심폐소생술 재교육을 위해서는 복합적인 교육이 되어야 할 것이다.

Keywords

References

  1. S. O. Hwang, K. S. Lim, Cardiopulmonary resuscitation and advanced cardiovascular life support. seoul: Koonja, 2011.
  2. S. S. Kim, B. J. Kim, "Outcome of in-hospital cardiopulmonary resuscitation according to the in-hospital utstein style in a general hospital", Clinical Nursing Research, vol. 11, no. 2. pp. 177-192, 2006. https://doi.org/10.1177/1744987106065579
  3. H. Marzooq, J. Lyneham, "Cardiopulmonary resuscitation knowledge among nurses working in Bahrain", International Journal of Nursing Practice, vol. 15 no. 4. pp. 94-302, 2009. DOI: https://doi.org/10.1111/j.1440-172x.2009.01752.x
  4. R. Swor, I. Khan, R. Domeier, L. Honeycutt, K. Chu, S. Compton, "CPR training and CPR performance do CPR trained bystanders perform CPR?" Academic Emergency Medicine, vol. 13, no. 6. pp. 596-601, 2006. DOI: http://dx.doi.org/10.1197/j.aem.2005.12.021
  5. J. S. Jung, H. K. Hur, "Effectiveness and retention of repeated simulation-based basic life support training for nursing students", Journal of Korean Critical Care Nursing, vol. 6, no. 2. pp. 24-36, 2013.
  6. Korean Association of CardioPulmonary Resuscitation. Basic Life Support Training Site, Available from http://www.kacpr.org/about/ts_list.html?code=10 (accessed July, 20, 2017).
  7. J. S. Hong, R. Ahn, S. H. Kim, W. Y. Kim, S. O.Kim, E. S. Hong, "Retention of CPR skills by nursing students received training in AHA BLS course for healthcare providers", Journal of the Korean Society of Emergency Medicine, vol. 20, no. 6. pp. 609-614, 2009.
  8. J. H. Oh, I. S. Lee, O. S. Kim, "A study on th continuity of the nursing students' knowledge, attitude, and self-efficacy about basic life support(BLS) training", Journal of the Korean Society for Wellness, vol. 10 no. 2. pp. 201-209, 2015.
  9. C. W. Ahn, Y. T. Cho, J. H. Oh, Y. T. Song, T. H. Lim, H. G. Kang, J. C. Lee, "Evaluation of smartphone applications for cardiopulmonary resuscitation training in south korea", BioMed Research International, vol. 9, no. 7. pp. 1-8, 2016. DOI: http://dx.doi.org/10.1155/2016/6418710
  10. H. S. Kim, E. Y. Choi, "Continuity of BLS training effects in nursing students", Journal of Korean Academic Society of Nursing Education, vol. 18, no. 1. pp. 102-110, 2012. DOI: https://doi.org/10.5977/jkasne.2012.18.1.102
  11. S. J. Kim, "Effects of Lecture-Centered Law-Related Education and Teen court on High School Students' Legal Consciousness" Journal of Human Rights & Law-related Education Researches, vol. 1, no. 1. pp. 1-24, 2008.
  12. S. M. Kim, E. J. Lee, "The effects of CPR clinical training on CPR performance and self efficacy in nursing students" Journal of the Korea Academia-Industrial Cooperation Society, vol. 12, no. 12. pp. 5759-5765, 2011. DOI: https://doi.org/10.5762/kais.2011.12.12.5759
  13. S. H. Oh, J. J. Sun, S. H. Kim, "The effects of CPR clinical training in nursing students's knowledge and practical ability", Journal of Korean Academy of Public Health Nursing, vol. 23 no. 2. pp. 153-161. 2009.
  14. Y. J. Sa, "Influence of motion graphic factors of smart learning to child studying attitude and preference", Unpublished master's thesis, Hongik University, Seoul, 2014.
  15. S. K. Lee, M. H. Kwon, "A study on the awareness of elementary school teachers and students about the smart education and its improvement plan", Korea Regional Communication Research Association, vol. 14 no. 2. pp. 258-294, 2014. DOI: https://doi.org/10.14696/jcs.2014.06.14.2.258
  16. Korean Association of CardioPulmonary Resuscitation, "Guideline of public cardiopulmonary resuscitation 2011", Seoul: Korean Association of Cardiopulmonary Resuscitation, 2011.
  17. Korean Association of CardioPulmonary Resuscitation, "Guideline of public cardiopulmonary resuscitation 2015", Seoul: Korean Association of Cardiopulmonary Resuscitation, 2015.
  18. S. M Park, "The effectiveness of competency and retention in cardiopulmonary resuscitation through self-directed learning", Unpublished doctoral dissertation, Kyungpook National University, Daegu, 2006.
  19. S. H. Park, G. J. Jo, "Comparison study on the educational effects of cardiopulmonary resuscitation application using smart-phone among university students - Focused on animation CPR and modified pocket CPR", Journal of the Korea Academia-Industrial Cooperation Society, vol. 16, no. 1. pp. 480-489, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.1.480
  20. S. I. Oh, S. S. Han, "A Study on the Sustainable Effects of Reeducation on Cardiopulmonary Resuscitation on Nurses' Knowledge and Skills", Journal of Korean Academy of Nursing, vol. 38, no. 3. pp. 383-392, 2008. DOI: https://doi.org/10.4040/jkan.2008.38.3.383
  21. Y. S. Park, Y. M. Kim, W. J. Lee, H. J. Kim, Y. B. Kim, W. J. Jeong, S. H. Kim, Y. H. Kim, "How knowledge-only reinforcement can impact time-related changes in basic life support (BLS) skills of medical students on clinical clerkship", Journal of the Korean Society of Emergency Medicine, vol. 17, no. 1. pp. 45-50, 2006.
  22. M. Y. Pyo, J. Y. Kim, J. O. Sohn, E. S. Lee, H. S. Kim, K. O. Kim, H. J. Park, M. J. Kim, G. H. An, J. R. Yang, "The effects of an advanced cardiac life support training via smartphone's application on nurses' knowledge and learning satisfaction", Journal of Korean Clinical Nursing Research, vol. 18, no. 2. pp. 228-238, 2012. https://doi.org/10.22650/JKCNR.2012.18.2.228
  23. Y. H. Kim, K. S. Jang, "Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses", Journal of Korean Academy of Nursing, vol. 41, no. 2. pp. 245-255, 2011. DOI: https://doi.org/10.4040/jkan.2011.41.2.245
  24. S. O. Lim, "The Development and effectiveness of web-based cardio-pulmonary resuscitation program", Unpublished master's thesis, Eulji University, Daejeon, 2009.
  25. F. Semeraro, F. Tammaro, G. Imbriaco, F. Taggi, E. L. Cerchiari, "Chest compression quality in healthcare professionals, Resuscitation, vol. 81, no. 2. pp. 453-457, 2010. DOI: https://doi.org/10.1016/j.resuscitation.2010.09.207
  26. Y. S. Jang, "The effect of hands-on instruction on children's self-efficacy level in the practical arts subject", [master thesis], DaeGu: DaeGu National University of Education, 2002.
  27. J. M. Park, "The effectiveness of competency and retention in cardiopulmonary resuscitation through self-directed learning" [dissertation], Seoul: Kyungpook National University, 2006.
  28. J. Y. An, "Comparison Study on the Effects of VSI(Video self-instruction) and basic CPR (Cardiopulmonary Resuscitation) education" [master thesis], KongJu: KongJu National University, 2009.
  29. Y. H. Kwon, M. J. Choi, M. Y. Kim, Y. S. Park, J. H. Lim, "The effect of repetitive cardiopulmonary resuscitation(CPR) assessment on the CPR performance of non-medic soldiers", The Journal of Military Nursing Research, vol. 32 no. 1. pp. 80-91, 2014.
  30. S. S. Park, H. S. Baek, J. Y. An, "Educational effects of traditional classroom instruction and video self-instruction (VSI) for cardiopulmonary resuscitation(CPR) in boy's high school students", The Journal of Korean Society for Agricultural Medicine and Community Health, vol. 36, no. 1. pp. 13-24, 2011. DOI: https://doi.org/10.5393/jamch.2011.36.1.013
  31. E. L. Einspruch, B.Lynch, T. P. Aufderheide, G. Nichol, L. Becker, "Retention of CPR skills learned in a traditional AHA heartsaver course versus 30-min video self-training: A controlled randomized study", Resuscitation, vol. 74, no. 3. pp. 476-486, 2007. DOI: https://doi.org/10.1016/j.resuscitation.2007.01.030
  32. G. K. Wanner, A. Osborne, C. H. Greene, "Brief compression-only cardiopulmonary resuscitation training video and simulation with homemade mannequin improves CPR skills", BioMed Central Emergency Medicine, vol. 16, no. 1. pp. 45, 2016. DOI: https://doi.org/10.1186/s12873-016-0110-5
  33. G. R. Byun, J. E. Park, H. S. Hong, "The effects of video programs of cardiopulmonary cerebral resuscitation education", Journal of Korean Biological Nursing Science, vol. 17, no. 1. pp. 19-27, 2016. DOI: https://doi.org/10.7586/jkbns.2015.17.1.19