간호학생을 위한 응급상황관리 시뮬레이션 실습 교과목 개발 및 적합성 평가 = Development and Applicability Evaluation of an Emergent Care Management Simulation Practicum for Nursing Students

다국어 초록 (Multilingual Abstract)

Purpose: This study was to evaluate the applicability of an emergent care management simulation practicum which is for enhancing nursing students' emergent care management competency based on the Nursing Education Simulation Model.
Methods: One group pre-post experimental design was conducted for evaluation of the applicability of the simulation practicum. A convenient sample of 60 senior nursing students was participated. The simulation practicum was provided for 26 hours per student at the end of the first semester of senior year. Educational practices in simulation scale, simulation design scale and learning outcomes were measured. Higher positive correlations between variables represent applicability. Descriptive analysis, paired t-test and Pearsoncorrelation coefficient were used for data analyses.
Results: Among contractual components of nursing education simulation model, educational practices in simulation and simulation design (r=.80, p<.010), learning outcomes (r=.71-.28, p<.050), simulation design and learning outcomes (r=.72-.30, p<.050) were significantly correlated. Critical thinking (t=-3.63, p<.050) and problem solving competence (t=-2.55, p<.050) were significantly increased by this simulation practicum. It represents the applicability of an emergent care management simulation practicum.
Conclusion: This emergent care management simulation practicum was appropriate to enhance the nursing students’emergent care management coping competency.

국문 초록 (Abstract)

본 연구는 Jeffries (2005)의 간호교육 시뮬레이션 모델에 근거하여 간호학생 대상 응급상황관리 시뮬레이션 교과목을 개 발하고, 실습과목으로 적용 후 교수-학습전략으로서의 적합성을 평가한 연구이다. 교수-학습 전략으로서 적합성 평가 시시뮬레이션 실습의 교육상황 특성, 설계특성과 교육성과 변수들 간의 유의한 양적 상관관계가 나타났으며, 특히 실습 후간호학생의 비판적 사고와 문제해결능력에서 성과가 높게 나타나 응급상황에서의 간호역량을 향상시킬 있는 적합한 교수-학습 전략으로 확인되었다.
과거보다 복잡해진 임상현장에서 양질의 간호를 요구하는환자를 만족시키고 의료팀간의 원만한 인간관계를 할 수 있는 간호학생을 교육하기 위해서는 지식, 기술 및 태도가 통합된 교육과정 운영이 필수적이다. 그러므로 본 연구에서 임상실습 여건의 제한으로 인해 전공 임상실습에서 부족할 수 있는 핵심 간호술 수행과 임상추론 능력을 향상시키기 위한 실습 교과목으로서 4학년 1학기를 마친 후에 응급상황관리 시뮬레이션 실습 교과목으로 적합함을 확인하였다.

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