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Effects of integrative simulation practice on nursing knowledge, critical thinking, problem-solving ability, and immersion in problem-based learning among nursing students

문제중심학습 통합 시뮬레이션교육이 간호대학생의 간호지식, 비판적 사고성향, 문제 해결 능력 및 수업 몰입도에 미치는 효과

  • Received : 2020.02.17
  • Accepted : 2020.03.15
  • Published : 2020.03.31

Abstract

Purpose: This study was conducted to investigate the effects of problem-based learning-integrative simulation practice (PBL-ISP) on nursing knowledge, critical thinking, problem-solving ability, and immersion among nursing students. Methods: The study used a nonequivalent control group post-test design. A PBL-ISP educational program was provided to the experimental group, and hands-on practice using a high-fidelity simulator (HFS) was administered to the control group. There were 42 subjects in the experimental group and 40 in the control group. Data were collected during the fall semester of 2019. Using SPSS for Windows version 23.0, data were analyzed in terms of frequency, percentage, mean, standard deviation, the chi-square test, t-test, and Pearson correlation coefficients. Results: Significant differences between the experimental and control groups were found in nursing knowledge (t=3.67, p<.001), critical thinking (t=3.40, p=.001), problem-solving ability (t=3.52, p=.001) and immersion (t=4.44, p<.001). Conclusion: PBL-ISP was more effective in improving nursing knowledge, critical thinking, problem-solving ability, and immersion than was hands-on practice using an HFS.

Keywords

References

  1. Thomas RE. Problem-based learning: measurable outcomes. Med Educ. 1997;31(5):320-329. https://doi.org/10.1046/j.1365-2923.1997.00671.x
  2. Cannon C, Schell K. Problem-based learning: preparing nurses for practice. In: Duch B, Groh S, Allen D, editors. The power of problem-based learning. Sterling, VI: Stylus Publishing, LLC; 2001. p. 165-178.
  3. Kang IA. PBL theory and practice. Yongin: Moonumsa; 2003. p. 53-59.
  4. Ma RW, Lee EJ, Kim HO, Jee YJ. Study on the simulation-based education using the self-directed learning. Asia-pacific J Multimed Serv Converg Art Humanit Sociol. 2017;7(6):277-285.
  5. Kim MO, Lee AY, Nam HA. Effects on nursing students' learning flow, critical Judgement, and problem-solving ability in simulation training: focused on obstetrical nursing case. J Learner-Cent Curric Instr. 2017;17(24):521-534.
  6. Eom MR, Kim HS, Kim EK, Seong KY. Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem-solving ability. J Korean Acad Nurs. 2010;40(2):151-160. https://doi.org/10.4040/jkan.2010.40.2.151
  7. Yoo MS, Yoo IY, Park YO, Son YJ. Comparison of student's clinical competency in different instructional methods for fundamentals of nursing practicum. J Korean Acad Nurs. 2002;32(3):327-335. https://doi.org/10.4040/jkan.2002.32.3.327
  8. Kneebone R. Evaluating clinical simulations for learning procedural skills: a theory-based approach. Acad Med. 2005;80(6):549-553. https://doi.org/10.1097/00001888-200506000-00006
  9. Ackermann AD, Kenny G, Walker C. Simulator programs for new nurses' orientation: a retention strategy. J Nurses Staff Dev. 2007;23(3):136-139. https://doi.org/10.1097/01.NND.0000277183.32582.43
  10. Turcato N, Roberson C, Covert K. Simulation-based education: what's in it for nurse anesthesia educators? AANA J. 2008;76(4):257-262.
  11. Song YA. Effect of simulation-based practice by applying problem based learning on problem solving process, self-confidence in clinical performance and nursing competence. Korean J Women Health Nurs. 2014;20(4):246-254. https://doi.org/10.4069/kjwhn.2014.20.4.246
  12. Kim HJ, Chun IH. The effect of problem-based learning and simulation practice convergence education for nursing students. J Korea Converg Soc. 2018;9(7):355-364. https://doi.org/10.15207/JKCS.2018.9.7.355
  13. Park MJ, Choi D. The effect of simulation integrated with problem based learning on system thinking, learning flow, proactivity in problem solving and performance ability for medication in nursing students. J Digit Converg. 2018;16(8):221-231. https://doi.org/10.14400/JDC.2018.16.8.221
  14. Cho OH, Hwang KH. The effect of education based on simulation with problem-based learning on nursing students' learning motivation, learning strategy, and academic achievement. J Korea Contents Assoc. 2017;16(7):640-650. https://doi.org/10.5392/JKCA.2016.16.07.640
  15. Kim JS, Kim YH. The effects of simulation practice education applying problem-based learning on problem solving ability, critical thinking and learning satisfaction of nursing students. J Korea Contents Assoc. 2016;16(12):203-212. https://doi.org/10.5392/JKCA.2016.16.12.203
  16. Kim JI, Kang H, Park S, Ahn S. Current status of women's health nursing practicum and direction. Korean J Women Health Nurs. 2014;20(2):173-183. https://doi.org/10.4069/kjwhn.2014.20.2.173
  17. Lee WS, Kim M. Effects and adequacy of high-fidelity simulation-based training for obstetrical nursing. J Korean Acad Nurs. 2011;41(4):433-443. https://doi.org/10.4040/jkan.2011.41.4.433
  18. Ellis D, Crofts JF, Hunt LP, Read M, Fox R, James M. Hospital, simulation center, and teamwork training for eclampsia management: a randomized controlled trial. Obstet Gynecol. 2008;111(3):723-731. https://doi.org/10.1097/AOG.0b013e3181637a82
  19. Ryoo EN, Ha EH, Cho JY. Comparison of learning effects using high-fidelity and multi-mode simulation: an application of emergency care for a patient with cardiac arrest. J Korean Acad Nurs. 2013;43(2):185-193. https://doi.org/10.4040/jkan.2013.43.2.185
  20. Gates MG, Parr MB, Hughen JE. Enhancing nursing knowledge using high-fidelity simulation. J Nurs Educ. 2012;51(1):9-15. https://doi.org/10.3928/01484834-20111116-01
  21. Crea KA. Practice skill development through the use of human patient simulation. Am J Pharm Educ. 2011;75(9):188. https://doi.org/10.5688/ajpe759188
  22. Yoon J. Development of an instrument for the measurement of critical thinking disposition: in nursing [dissertation]. Seoul: The Catholic University of Korea; 2004. 69 p.
  23. Lee SJ, Jang YG, Lee HN, Park GY. A study on the development of life-skills: communication, problem solving, and self-directed learning. Seoul: Korean Educational Development Institute; 2003 Dec. 139-141. Report No.: RR2003-15-03.
  24. Shin NM, Kim KS, Kim KY. An empirical study on the cyber-class flow model. Korean J Educ Res. 2005;43(4):247-276.
  25. Hwang EH, Kim KH. Differences in critical thinking disposition and life-skills of nursing students: comparison of high school tracks. J Korean Soc Wellness. 2016;11(1):59-68. https://doi.org/10.21097/ksw.2016.02.11.1.59
  26. Song YA. Comparison of learning satisfaction, critical thinking disposition, learning attitude and motivation between PBL and SBL groups. J Korean Acad Soc Nurs Educ. 2008;14(1):55-62. https://doi.org/10.5977/JKASNE.2008.14.1.055
  27. Kim SH, Park IS. Effects of simulation practice by applying problem based learning on the critical thinking disposition, problem-solving process and self-confidence of nursing process in nursing students. J Korea Soc Simul Nurs. 2015;3(2):1-11.
  28. Choi E, Kwag Y. Nursing students' problem solving, and clinical competence between standard patient and high fidelity simulator simulation. Asia-pacific J Multimed Serv Converg Art Humanit Sociol. 2015;5(2):29-36.
  29. Joo YJ, Kim JY, Choi HR. Investigating the structural relationship among self-regulated learning, learning flow, satisfaction and learning persistence in corporate e-Learning. J Educ Technol. 2009;25(4):101-124. https://doi.org/10.17232/KSET.25.4.101

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