문제중심학습을 연계한 시뮬레이션실습교육에서 간호대학생의 임상추론, 임상수행능력, 문제해결 적극성에 미치는 효과
Effects of Education Based on Simulation with Problem-based Learning on Clinical Judgement, Clinical Competency, and Problem Solving of Nursing Students
신은선(광주대학교 간호학과); 박미마(남부대학교 간호학과)
9권 2호, 1~5쪽
초록
본 연구는 병원현장과 유사한 상황을 재현한 고충실도 시뮬레이터를 활용하여 간호대학생의 전문적인 지식을 바탕으로 시나리오 상황을 문제중심학습 연계 시뮬레이션실습교육을 적용한 후 간호대학생의 임상추론역량, 임상수행능력, 문제해결 적극성에 미치는 효과를 검증한 단일군 유사실험연구이다. 연구대상은 G시에 소재한 간호대학생으로 4학년에 재학 중인 단일군 50명이다. 수집된 자료는 SPSS WIN 26 program을 이용하여 분석하였다. 간호대학생의 임상추론역량, 임상수행능력, 문제해결 적극성은 평균과 표준편차를 구하였으며, 대상자의 문제중심학습 연계의 시뮬레이션 전·후 임상추론역량, 임상수행능력, 문제해결 적극성에 대한 차이는 대응표본 t-검정(paired t-test)으로 분석하였다. 연구결과 임상추론역량의 문제중심학습 연계 시뮬레이션실습 전 3.46± .43점에서 3.86± .68점으로 향상되었다(t=-2.99, p= .01). 임상수행능력은 문제중심학습 연계 시뮬레이션 실습전 3.59± .44점에서 문제중심학습 연계 시뮬레이션실습 후 4.08± .73점으로 증가하였다(t=-3.11, p= .01). 문제중심학습 연계 시뮬레이션실습 후 각 변수의 상관관계를 살펴 본 결과, 임상추론역량점수와 임상수행능력점수(r= .93, p< .01), 임상추론역량점수과 문제해결 적극성점수(r= .74, p< .01)로 유의한 정 상관관계를 보였으며, 임상수행능력점수와 문제해결적극성은 유의한 정 상관관계를 나타냈다(r= .75, p< .01). 간호대학생의 임상상황에서의 간호문제를 해결하기 위한 임상추론, 임상수행능력 증진을 위한 교수자들은 문제중심학습 연계 시뮬레이션교육을 교육과정에 적용하는 것을 고려할 필요가 있다.
Abstract
This study used a high-fidelity simulator that reproduces situations similar to hospital settings and applied simulation training linked to problem-based learning to scenario situations based on the professional knowledge of nursing students. After that, nursing students' clinical judgement, clinical competency, and This is a single-group quasi-experimental study that verified the effect on problem-solving. The subjects of the study were a single group of 50 grade 4 nursing students located in G city. Data collection was analyzed using the SPSS WIN 26 program. The general characteristics of the subjects were calculated as frequencies and percentages. The average and standard deviation of nursing students' clinical judgement, clinical competency, and problem-solving were calculated, and the differences in clinical judgement, clinical competency, and problem-solving before and after the simulation in connection with the subjects' problem-oriented learning were Analysis was performed using paired t-test. As a result of the study, clinical judgement improved 3.46± .43 before the simulation practice linked to problem-based learning to 3.86± .68 points (t=-2.99, p= .01). clinical competency increased from 3.59± .44 points before the problem-centered learning-linked simulation practice to 4.08± .73 points after the problem-centered learning-linked simulation practice (t=-3.11, p= .01). problem-solving was 3.50± .39 points. As a result of examining the correlation between each variable after the problem-centered learning-linked simulation practice, the clinical judgement score and clinical competency (r=.93, p< .01), the clinical judgement score and problem-solving score (r= .74, p< .01), and the clinical performance score and problem-solving showed a significant positive correlation (r= .75, p< .01). In order to improve nursing students' clinical reasoning and clinical performance abilities to solve nursing problems in clinical situations, instructors need to consider applying problem-centered learning-linked simulation education to the curriculum.
- 발행기관:
- 한국비즈니스학회
- 분류:
- 과학기술학