본 연구는 간호대학생이 임상실습 이전에 치료적 의사소통을 안전한 환경에서 반복 학습할 수 있도록 ChatGPT 기반 가상 내담자와 온라인 협업 학습도구를 결합한 교육 프로그램을 개발하고 그 타당 성을 검증하고자 하였다. 프로그램은 문헌고찰, 설계, 개발, 실행의 네 단계로 구성되었으며, 설계 단계에서 는 공감지도와 퍼소나와 같은 서비스디자인 기법을 적용하여 대상자 이해를 구조화하였다. 개발 단계에서 는 영화 뷰티풀 마인드에 기반한 조현병 사례를 ChatGPT 가상 내담자로 구현하였고, Padlet을 활용하여 공감지도를 공유하였으며 Mentimeter를 통해 성찰 활동을 지원하였다. 실행 단계에서는 총 6명의 전문가 가 11문항으로 구성된 내용타당도 지표(CVI)를 사용하여 프로그램을 평가하였다. 그 결과, 목표·내용·전략 관련 대부분의 문항은 I-CVI 1.00을 기록하였고, 전체 S-CVI/Ave는 0.98로 기준치인 0.90을 충족하였다. 다만 일부 Mentimeter 성찰 문항은 I-CVI 0.83으로 상대적으로 낮게 평가되어 개선의 필요성이 제기되었 다. 본 프로그램은 기존 모의실습의 한계를 보완하여 치료적 의사소통을 안전하게 반복 학습할 수 있는 환 경을 제공하며, AI 기반 가상 내담자와 디지털 협업 도구의 결합이 학습자의 참여와 성찰을 촉진할 수 있 음을 보여준다. 향후 연구에서는 다양한 정신건강 사례로의 확장, 학습자 효과 검증, 비언어적 의사소통 훈 련과 도구 활용성 개선이 요구된다.

The purpose of this study was to develop a therapeutic communication education program that integrates a ChatGPT-based virtual client with online collaborative learning tools (such as Padlet and Mentimeter). The program was designed to provide nursing students with opportunities to practice therapeutic communication repeatedly in a safe learning environment prior to clinical practice and to evaluate the validity of its content. This educational development study consisted of four phases: A literature review, design, development, and implementation. The design phase applied service-design techniques such as empathy maps and personas to structure client understanding. In the development phase, a schizophrenia case based on A Beautiful Mind was created as a ChatGPT simulation, integrated with Padlet for empathy-map sharing and Mentimeter for reflective activities. In the implementation phase, six experts assessed content validity indices (CVIs) using an 11-item CVI tool. The literature review confirmed the anticipated key challenges in psychiatric nursing practice, such as students’ anxiety in therapeutic interactions, the limitations of conventional teaching?learning methods, and the potential of AI and online collaborative tools. In the design phase, service-design techniques were applied to construct empathy maps and persona profiles, while Padlet and Mentimeter were incorporated as teaching?learning strategies to strengthen reflection and collaboration. In the development phase, a schizophrenia case scenario based on the novel and acclaimed screenplay, A Beautiful Mind, was created and integrated into a ChatGPT virtual client simulation, with Padlet used for empathy-map sharing and Mentimeter for reflective activities. In the expert evaluation phase, six experts assessed the program; most items were evaluated on objectives, content, and strategies that achieved an I-CVI of 1.00, while the overall S-CVI/Ave was 0.98, exceeding the 0.90 criterion. Some Mentimeter reflection questions received relatively lower scores (I-CVI 0.83), indicating the need for refinement. The program provides a safe and repeatable environment for practicing therapeutic communication prior to clinical training, complementing the limitations of traditional simulation education. Future studies should expand the program to diverse mental health cases, empirically test its effectiveness, and enhance nonverbal communication training while similarly improving digital tool usability.

요 약
Abstract
1. 서 론
2. 연구방법
    2.1. 연구 설계
    2.2. 프로그램 개발 과정
3. 결과 및 고찰
    3.1. 문헌고찰 단계
    3.2 설계 단계
    3.3 개발 단계
    3.4 내용 타당도 검증
    3.5 고찰
4. 결 론
References

• 류의정(동신대학교 한의과대학 간호학과, 조교수) | Eui Jeong Ryu (Department of Nursing, College of Oriental Medicine, Dongshin University)
• 류현수(전남대학교 간호학과, 시간강사) | Hyunsoo Ryu (Department of Nursing, Chonnam National University) Corresponding author