DOI QR코드

DOI QR Code

Effects of Simulation-based Neonatal Nursing Care Education on Communication Competence, Self-efficacy and Clinical Competency in Nursing Students

시뮬레이션 기반 신생아간호 교육이 간호대학생의 의사소통능력, 자기효능감, 임상수행능력에 미치는 영향

  • Received : 2021.11.26
  • Accepted : 2022.02.20
  • Published : 2022.02.28

Abstract

This study aimed to examine the effects of simulation-based neonatal nursing care education on the communication competence, self-efficacy, clinical competency. A one-group pre-and post test design was used. A total of 122 students participate. Data was collected from May 3 to June 4, 2021, using self-report questionnaires only for students who understood the purpose of the study and gave written consent to participate. For the simulation-based neonatal nursing care education, a total of three steps of preparation for scenario implementation, scenario implementation, and debriefing were applied in groups of 3-4 people of 4.5 hours. As a result of this study, it was found that the simulation-based neonatal nursing care education had statistically significant improvement in communication competence, self-efficacy, clinical competency. Through the results of this study, it was confirmed that simulation-based education in the nursing care of children can be an effective teaching-learning method that can supplement the observation-oriented clinical practice of child nursing for nursing students.

본 연구는 시뮬레이션 기반 신생아간호 교육을 개발·적용하여 의사소통능력, 자기효능감, 임상수행능력에 미치는 효과를 확인하기 위해 시도되었다. 단일군 사전사후의 실험연구로 D시 소재 일 간호대학생 3학년 122명을 대상으로 하였다. 자료수집은 2021년 5월 3일부터 6월 4일까지 연구의 목적을 이해하고 참여에 서면동의 한 학생에 한해 자가보고식 설문지를 사용하여 자료를 수집하였다. 시뮬레이션 기반 신생아간호 교육은 3-4명을 한 그룹으로 하여 시나리오 구현을 위한 준비, 시나리오 구현, 디브리핑의 총 3단계의 4.5시간을 적용하였다. 연구결과 시뮬레이션 기반 신생아간호 교육 전·후 의사소통능력, 자기효능감, 임상수행능력은 유의한 차이가 있는 것으로 나타났다. 본 연구결과를 통해 아동간호학 분야에서 시뮬레이션 기반 교육은 관찰 위주인 아동간호 임상실습을 보완할 수 있는 효과적인 교수학습방법이 될 수 있음이 확인되었다.

Keywords

References

  1. S. H. Lee, Y. L. Chun, K. M. Kim & H. J. Park. (2015). Effects of integrated simulation (delivery-operation-newborn care) practice program for nursing students. Journal of Learner-Centered Curriculum and Instruction, 15(9), 577-599.
  2. S. J. Park & E. S. Ji. (2016). Clinical competence according to experience on the neonatal nursing care in nursing students and educational needs of the nursing simulation. Journal of Learner-Centered Curriculum and Instruction, 16(7), 97-112.
  3. E. J. Cho. (2014). Effects of four team-based high-risk neonatal nursing simulation methods comprising peer turnover on baccalaureate nursing students' perceived outcomes, clinical judgement, core skills performance, and satisfaction. Journal of Health Information and Statistics, 39(2), 13-31.
  4. S. Y. Yoo. (2015). An analytical study of simulation education research in Korean nursing: focused on the validity of simulation implementation process. Journal of Military Nursing Research, 33(1), 116-133. DOI: https://doi.org/10.31148/kjmnr.2015.33.1.116
  5. J. B. Cooper & V. R. Taqueti. (2004). A brief history of the development of mannequin simulators for clinical education and training. Quality and Safety in Health Care, 13(suppl 1), i11-i18. DOI: https://doi.org/10.1136/qhc.13.suppl_1.i11
  6. D. A. Cook et al, (2011). Technology-enhanced simulation for health professions education: A systematic review and meta-analysis. Journal of the American Medical Association, 306(9), 978-988. DOI : https://doi.org/10.1001/jama.2011.1234
  7. M. K. Kim, S. H. Kim & W. S. Lee. (2019). Effects of a virtual reality simulation and a blended simulation of care for pediatric patient with asthma. Child Health Nursing Research, 25(4), 496-506. DOI: https://doi.org/10.4094/chnr.2019.25.4.496
  8. S. H. Lee. (2019). Trend analysis of research in the journal of Korean society for simulation in nursing over a 6-year period(2013-2018). Journal of Korean Society for Simulation in Nursing, 7(2), 1-9. DOI : https://doi.org/10.17333/JKSSN.2019.7.2.1
  9. S. H. Kim & Y. S. Ham. (2015), A meta-analysis of the effect of simulation based education - Korean nurses and nursing Students -. The Journal of Korean Academic Society of Nursing Education, 21(3), 308-319. DOI : https://doi.org/10.5977/jkasne.2015.21.3.308
  10. J. H. Kim, I. H. Park & S. J. Shin. (2013). Systematic review of Korean studies on simulation within nursing education. Journal of Korean Academic Society of Nursing Education, 19(3), 307-319. DOI : https://doi.org/10.5977/jkasne.2013.19.3.307
  11. S. J. Park & E. S. Ji. (2016). Clinical competence according to experiences on the neonatal nursing care in nursing students and educational needs of the nursing simulation. Journal of Learner-Centered Curriculum and Instruction, 16(7), 97-112.
  12. H. S. Shin, Y. N. Lee & D. H. Rim. (2015). Evaluation of algorithm-based simulation scenario for emergency measures with high-risk newborns presenting with apnea. Child Health Nursing Reseach, 21(2), 98-106. DOI : https://doi.org/10.4094/chnr.2015.21.2.98
  13. K. A. Kang, S. H. Kim, S. J. Kim & M. N. Lee (2018). Content analysis of debriefing after simulation-based nursing education on respiratory distress syndrome in the neonatal intensive care unit. Child Health Nursing Research, 24(2), 208-219. DOI : https://doi.org/10.4094/chnr.2018.24.2.208
  14. S. G. Kim. (2015). Effects of a simulation-based high-risk neonatal care education on learning satisfaction, class participation, learning motivation and clinical competency in nursing students. Journal of the Korea Academia- Industrial Cooperation Society, 16(10), 6807-6815. DOI : https://doi.org/10.5762/kais.2015.16.10.6807
  15. R. B. Rubin. (1990). Communication competence. In G.M.Phillips & J.T. Wood(Eds.), Speech Communication: Essays to Communication the 75th anniversary of the Speech Communication Association, Carbondale: Southern Illinois university Press. 94-129.
  16. K. H. Hur. (2003). Construction and validation of a global interpersonal communication competence scale. Korean Society For Journalism And Communication Studies, 47(6), 380-408.
  17. M. J. Lee. (2013). The effectiveness of the simulation integrated with problem based learning on nursing students' clinical competency, self-efficacy and problem solving process. Master's Thesis. Inha University, Inchon.
  18. W. H. Lee, C. J. Kim, J. S. Yoo, H. K. Hur, K.S. Kim & S. M. Lim. (1990). Development of clinical competency measurement tool for student. Journal of Nursing Science, 13, 17-29.
  19. R. M. Fanning & D. M. Gaba. (2007). The role of debriefing in simulation-based learning. Journal of the Society for Simulation in Healthcare, 2(2), 115-125. DOI : https://doi.org/10.1097/SIH.0b013e3180315539
  20. C. S. Park, E. A. Choi & M. K. Kim. (2019). The Effects of Convergence Simulation Education Applying Problem Solving Process, Communication and Learning Satisfaction of Nursing. Journal of Digital Convergence, 17(9), 241-247. DOI : https://doi.org/10.14400/JDC.2019.17.9.241
  21. J. Y. Kim, N. R. Heo, H. J. Jeon & D. Y. Jeong. (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. DOI : https://doi.org/10.5977/jkasne.2015.21.1.54
  22. J. A. Park, & J. Y. Hong. (2017). The effect of simulation education on critical thinking disposition, problem solving process, communication skills, and clinical competence of nursing students. Journal of Learner-Centered Curriculum and Instruction, 17(19), 769-786. DOI : https://doi.org/10.22251/jlcci.2017.17.19.769
  23. O. S. Lee. (2017). The effects of simulation-based practice on critical thinking disposition, communication skill, and clinical performance for nursing students. Journal of the Korea Academia-Industrial cooperation Society, 18(4), 93-100. DOI : https://doi.org/10.5762/KAIS.2017.18.4.93
  24. S. M. Chae et al. (2015). Effects of Simulation-Based Learning in the Nursing Care of Children with Asthma, The Journal of Korean Academic Society of Nursing Education, 21(3), 298-307. https://doi.org/10.5977/JKASNE.2015.21.3.298
  25. H. Y. Min. (2019). The effect of simulation-based learning in the nursing care of children with fever on critical thinking disposition, communication confidence and nursing performance confidence. Journal of Korean Society for Simulation in Nursing, 7(1), 57-68. DOI : https://doi.org/10.17333/JKSSN.2019.7.1.57
  26. A. S. Kim & S. J. Park. (2017). Nursing environment job stress, and turnover intention of pediatric ward nurses. Journal of the Korea Contents Association, 17(7), 124-132. https://doi.org/10.5392/JKCA.2017.17.07.124
  27. J. H. Kim, I. H. Park & S. J. Shin. (2013). Systematic Review of Korean Studies on Simulation within Nursing Education, The Journal of Korean Academic Society of Nursing Education, 19(3), 307-319. DOI : https://doi.org/10.5977/jkasne.2013.19.3.307
  28. S. G. Kim(2015), Effects of a simulation-based high-risk neonatal care education on learning satisfaction, class participation, learning motivation and clinical competency in nursing students, Journal of the Korea Academia-Industrial, 16(10), 6807-6815. DOI : https://doi.org/10.5762/kais.2015.16.10.6807
  29. S. H. Kim, H. A. Nam & M. O. Kim. (2014). Critical thinking disposition, problem solving process, and simulation-based assessment of clinical competence of nursing students in pediatric nursing. Child Health Nursing Research, 20(4), 294-303. https://doi.org/10.4094/chnr.2014.20.4.294
  30. H. G. Son, Y. S. Kim, S. H. Kwon & K. S. Jeong. (2018). The effect of simulation-based practice program on self-efficacy, critical thinking disposition, and problem solving process of the nursing students. Korean Journal of Health Communication,. 13(1), 63-69. DOI : https://doi.org/10.15715/kjhcom.2018.13.1.63
  31. E. Y. Oh & Y. S. Choi. (2018). Effect of the Simulation-based Cooperation Program on Self-efficacy, Social problem-solving ability, and College life adjustment of Health College Students. Journal of Digital Convergence, 16(10), 301-311. DOI : https://doi.org/10.14400/JDC.2018.16.10.301
  32. M. J. Lee, Y. M. Ahn, I, S. Cho & M. Sohn. (2014). Effectiveness of simulation integrated with problem based learning on clinical competency and self-efficacy in nursing students. Child Health Nursing Research, 20(2), 123-131. DOI : https://doi.org/10.4094/chnr.2014.20.2.123
  33. R. P. Cant & S. J. Cooper. (2009). Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing, 66(1), 3-15. https://doi.org/10.1111/j.1365-2648.2009.05240.x
  34. K. Lasater. (2007). High fidelity simulation and the development of clinical judgement: students' experiences. Journal of Nursing Education, 46(6), 269-275. https://doi.org/10.3928/01484834-20070601-06