Purpose: Simulation-based education combined with mastery learning is more effective than simulation-based education alone. This study aimed to evaluate its effectiveness with regard to both technical and non-technical skills of simulation-based mastery learning (SBML) in blood transfusion training among undergraduate nursing students. Method: A nonequivalent control group pretest-posttest design was used. Fifty-one second-year students at a college of nursing in W city, South Korea, who had not started clinical practice were selected by convenience sampling and allocated to either the experimental or control group using the zigzag method. SBML program was consisted of a diagnostic test, repeated learning and formative assessments for non-passers. All outcome variables were measured before and after completion of the program. Results: The experimental group showed significantly increased performance scores of blood transfusion as compared to the control group (z=29.50, p＜.001), with better outcomes in number of students achieving minimum passing score (χ2 =20.07, p＜.001), self-confidence (F=17.68, p＜.001), and communication skills (z=166.00, p=.003). Conclusion: This program was effective for undergraduate students to better improvement in performance, self-confidence, and communication skills, which can ensure greater safety in the transfusion. The results suggest that SBML ensures skill acquisition for clinical practice through improved performances in both technical and non-technical skills.

Purpose: The study was undertaken to evaluate the reliability and validity of hypoglycemia clinical judgment rubric which developed for investigation nursing student’s clinical judgement competency on hypoglycemia simulation practice. Methods: The study was a methodological study with 59 nursing students from Y University participating. Fifty video files were used to analyze nursing student’s clinical judgment competency. Rubric was consisted with 11 questions having 4 phases (beginning, developing, accomplished, and exemplary) and composed with 4 sub-categories (noticing, interpreting, responding and evaluation/reflecting). Results: The value of inter-rater reliability was r=.92 (p<.001) and Kendall tau b=.79 (p<.001). The value of intra-rater reliability was r=.92 (p<.001) and r=.99 (p<.001). Cronbach's α was .93 as internal consistency reliability. Construct validity by factor analysis, 3 factors were extracted and it explained 80.9% of the variance in clinical judgment competency. The value of competency of hypoglycemia clinical judgment was 2.47 (±.42). Conclusion: The hypoglycemia clinical judgment rubric can be used for assessing clinical judgment competency on simulation practice. Also, it can be applied for evaluation a clinical judgment as a nursing program outcome of nursing students.

The purpose of this study was to investigate the effect of ‘knowledge of results’ on wrist proprioceptive training in three persons with poststroke hemiplegia who had no unilateral spatial neglect on MVPT and had adequate cognition on MMSE-K. A single subject design with multiple baseline across individuals was employed. Each subject participated daily in the 10-15 minutes' wrist proprioceptive training for the affected wrist with ‘knowledge of results’ which informed the subjects of their wrist position verbally or visually as feedback. The proprioception was measured as average frequency and percentage of the correct responses on the wrist proprioceptive test in the affected side using apparatus of researcher’s own design and SoloSystem. The measurements were repeated three times; baseline, immediately, and 30 minutes after the training. The results were as follow: 1.　During the baseline period, the number of average correct responses in three subjects were: S1 7.20(36.00%), S2 7.25(36.25%), and S3 10.58(52.92%) respectively. 2.　Immediately after the training, the number of average correct responses in three subjects were: S1 14.07(69.67%), S2 12.83(64.17%), and S3 15.63 (78.13%) respectively. 3. Thirty minutes after the training, the number of average correct responses in three subjects were: S1 15.53(77.67%), S2 14.25(71.25%), S3 6.38(81.88%) respectively. 4. All the three subjects showed more correct responses in wrist proprioceptive tests at wrist flexion 60°and extension 60°during both the baseline and the training period. They also showed the highest improvement of correct response at neutral wrist position. These results indicated that ‘knowledge of results’ had positive effects on improving and maintaining the wrist proprioception of affected wrists in persons with poststroke hemiplegia. Effect of such improvement on the functional aspect of stroke-affected upper extremity remains to be evaluated in the later study.

본 연구에서는 FIT-Choice Scale이라는 측정도구를 활용하여 유아교사들의 교직선택요인을 분석하고 교직헌신과의 관계를 검증하였다. 2018년 11월 1일부터 2주간 동안 서울과 경기도 일원의 유아교육기관에서 근무하고 있는 현직 유아교사 578명을 상대로 설문조사를 하여 자료를 분석한 결과, 교직헌신에 유의한 영향력이 확인된 요인은 16개 요인 중 ‘자신의 교수능력에 대한 확신’, ‘아동과 함께 함’, ‘아동의 미래형성에 기여’, ‘교직의 내재적 가치 추구’, ‘교사의 사회적 지위인식’, ‘교직선택에 대한 사회적 권유’, ‘교직의 전문성인식’, ‘교사의 급여수준 인식’, ‘교직의 직무요구인식’ 등 9개 요인이었다. 유아교사들이 교직선택할 때 중요시하는 요인들의 우선순위는 교직헌신에 대한 영향력 순위와는 차이가 있었다. 교직헌신에 대한 영향력은 크지만 교사들이 교직 선택시 중요시하지 않은 요인들과 그 반대의 요인들에 대하여 전략적 개입이 이루어진다면 유아교사들의 교직헌신도를 높일 수 있는 방안의 모색이 가능할 것으로 기대된다.