본 연구는 선교사의 심리적 탈진 예방을 위한 새로운 접근 방식인 ‘자기성찰 디브리핑(Debriefing) 모델’의 제안에 초점을 두었다. 기존 의 디브리핑 모델의 외상 경험 이후의 정서 안정화에 초점을 둔 것과 달리 문제 상황 이전에 적응적 대처 전략을 세울 수 있는 예방 모델이다. 선교사의 과거 경험과 현재의 갈등 상황 간 상호 연관성을 강조하며 “미해결 정서”를 인지 및 감각적으로 이해하고 부적응적인 스키마와 대처 전략에 대한 교육을 통해 심리적 탈진을 예방하고 인지적인 변화를 촉진하는 것에 중점을 두고 있다. 이 모델은 기존 디브리핑 모델의 장점을 토대로 심리도식치료와 신경언어프로그래밍(NLP) 이론을 접 목하여 7개의 단계로 구성되었다. 각 단계는 안전지대 형성 단계, 현재 갈등 상황 파악 단계, 과거 미해결 정서 파악 단계, 해석과 통찰 단계, 교육과 인지전략 단계, 긍정적 자원 강화 단계, 그리고 전망 단계로 구성되며, 각각의 단계에서 활용 가능한 접근 방식을 제시한다. 본 연구는 선교사의 심리적 탈진 예방과 이 분야의 디브리핑 실천을 발전시키는 데 기여할 수 있다.

Purpose: The purpose of this study was to identify the effects of learner-directed debriefing based on the clinical judgement model (LDCJM) on nursing students’ critical thinking disposition, selfdirected learning, problem-solving ability, and debriefing experience after simulation. Method: This study used a quasi-experimental design with 38 sophomore nursing students from one university. They were divided into an experimental group (n=20) and a control group (n=18). Collected data were analyzed by the Chi-square, the Mann-Whitney U-test, and the Wilcoxon signed-rank test using the WIN SPSS 22.0 program. Results: The experimental group that had participated in the LDCJM indicated significantly higher self-directed learning (U=23.50, p<.001), problem-solving ability (U=94.50 p=.011), and debriefing experience (U=87.00, p=.006) when compared to the control group. Conclusion: The results indicate that LDCJM is an effective learning strategy to improve self-directed learning, problem-solving ability, and debriefing experience. Further study is needed to identify the effects of various debriefing skills.

Purpose: Debriefing is very important in simulation-based education. The purpose of this study was to identify the effects of structured team debriefing on clinical performance, self-confidence in nursing activities, and the satisfaction of nursing students, using mind mapping. Method: A non-equivalent control group post-test design was conducted. The participants in the study were 83 nursing students. The experimental group consisted of 42 seniors in 2018, and the control group consisted of 41 seniors in 2019. Data were collected through a self-administered questionnaire and an observed performance checklist. The collected data were analyzed using chi-square and independent t-tests with the statistical software package IBM SPSS/WIN 25.0. Results: There were significant differences in clinical performance (t=7.64, p<.001), self-confidence in nursing activities (t=4.93, p<.001), and learner’ satisfaction (t=2.94, p=.004) between the experimental and the control groups. Conclusion: These results indicate that simulation-based nursing education applying structured team debriefing using mind mapping was effective in improving nursing students' clinical performance, self-confidence in nursing activities, and satisfaction. Thus, there is a need to develop and apply a range of clinical scenarios and debriefing strategies in simulation-based nursing education. Technical and non-technical skills of nursing students also need to be evaluated in simulation-based nursing education using various debriefing methods.

본 연구의 목적은 간호대학생을 대상으로 시뮬레이션교육의 디브리핑과 직업기초능력과의 관계를 규명하고, 직업기초능력 향상에 필요한 기초자료를 제시하고자 시도되었다. 연구대상자는 J도에 소재하는 K 대학의 간호학 전공 4학년 학생 203명이었다. 연구결과, 시뮬레이션교육 디브리핑은 직업기초능력과 정적인 상관관계이었으며, 직업기초능력에 영향을 미치는 디브리핑은 ‘토론유도’가 유의미한 영향을 미치는 것으로 나타났다. 연구결과를 바탕으로 직업기초능력을 강화하기 위해 시뮬레이션교육의 토론활동을 향상시킬 수 있는 프로그램이 필요하다.

Purpose: This research involved a review of studies that examined the effectiveness of simulation-based nursing for clinical nurses in Korea. Methods: This is a methodological study for the identification of the simulation based educational interventions applied to nurses. Existing literature on simulation-based nursing education was searched using KISS, RISS, and Google Scholar electronic data bases and the keywords were “simulation,” “nurse,” “debriefing,” and “effect.” A total of 6 studies were included in the analysis. Results: Identified studies were conducted between 2010 and January 2017. All of the studies were randomized controlled trials(RCT). Scenario subjects were “communication skill,” and “emergency care.” Information about debriefing was largely absent from the studies. Conclusion: The findings suggest that activation of simulation–based nurse education is required. This study proposed that choice of measurement variables considering objectivity is needed.

Purpose: The purpose of this study was to investigate the effect of simulation training using video debriefing on the self-efficacy, problem solving ability, and learning satisfaction of nursing students. Method: The study design was control group pre-and post-test non-synchronized experimental design. The sample included two teams of 138 nursing students. The experimental group provided feedback after the simulation was run, and then the team was debriefed through the video recorded video in the debriefing room, and the control group performed the oral debriefing. This study was conducted from November 10, 2015 to December 10, 2015, using descriptive statistics, χ²-test and t-test. Results: The scores of the self-efficacy, problem- solving process performance, and learning satisfaction were higher than those of the group who received the video debriefing (experimental group) than those who received the oral debriefing training (control group). Conclusion: It has been found that debriefing using video in the simulation training has a positive effect on self-efficacy, ability to perform problem solving process and improvement of learning satisfaction, so it can be utilized as an effective teaching and learning strategy and also helps strengthen nursing capacity.

Purpose: The purpose of this study was to explore learner's debriefing experience in team-based nursing simulation. Methods: Participants were 8 students in undergraduate nursing program at a university in Korea. All students were place in setting of team-based nursing simulation. Data were collected October 2015 to December 2015, through in-depth interviews and analyzed using Colizzi phenomenological method. Result: Three essential themes were extract as follows 1) learner’s reflection on their teambased practicum in simulation education 2) negative feeling of being engaged in debriefing through recorded video-sharing 3) request to run debriefing for development of simulation education. Conclusion: As the results of showed, debriefing of nursing simulation was important to improve nursing competency. However, the debriefing of simulation education need to consider negative feelings. These results through students’ data debrifing would help develop nursing simulation, specially debriefing in the simulation education process.

Purpose: The purpose of this study was to compare the effectiveness of debriefing with video and oral debriefing alone by undergraduate nursing students in the nursing educational simulation setting. Methods: Nursing students participating in experiment were 168. Data was collected for each group after the simulation including debriefing. Result: Experimental group who experienced simulation debriefing with video and control group had differences in clinical practice items according to characteristics. Experimental group who experienced simulation debriefing with video had significantly higher debriefing satisfaction than control group who didn't experience that. Conclusion: This study found that simulation debriefing with video was effective educational method to promote debriefing satisfaction. It is needed to find the relation between clinical practice and debriefing satisfaction.

Purpose: The aim of this study was to identify instructor’s experience on debriefing of nursing simulation education Methods: The participants were nine instructors in simulation-based nursing education. Data were collected from May, 2015 to June, 2015, through in-depth interviews and were analyzed on the basis of Colaizzi’s phenomenological methodology. Results: Three essential themes were extracts that were as follows 1) Instructors’ reflection on their teaching of debriefing in education 2) Determining the effects of debriefing in the simulation-based nursing education 3) Devoting one’s efforts for successful debriefing Conclusion: Debriefing is built on instructors’ reflection of how the debriefing process can be applied in simulation-based nursing education; this process can provide a practical understanding of nursing students, educational contents, and educational environments. Successful debriefing for enhanced nursing competency requires instructors’ effects to identify and deal with educational problems by reflecting on their teaching experience.

Purpose: The purpose of this study was to investigate the effect of debriefing learning using peer feedback after blood transfusion nursing simulation practice. Methods: This study is a mixed method research to investigate the effect of debriefing using peer feedback on learning. The subjects of this study were third-year nursing students, and 23 of them were allocated to the control group and 19 to the experimental group. The experimental treatment was performed for about three hours, and the debriefing using peer feedback was not performed with the control group. The effect of the debriefing was measured in terms of the knowledge, attitude, and confidence in the performance with regard to blood transfusion nursing. The qualitative data about cognitive learning experience during the debriefing were analyzed. The quantitative data were analyzed by a t-test, a x² test, and a paired t-test by using IBM Statistics SPSS 19.0 software. Results: The results showed that the knowledge was significantly increased in both the control group and the experimental group (paired t=-6.411, p<.001; paired t=-5.759, p<.001), that the attitude toward the blood transfusion nursing was not significantly changed in both groups (paired t=-0.639, p=.530; paired t=-0.631, p=.536), and that the confidence in the performance was significantly increased in both groups (paired t=-5.124, p<.001; paired t=-4.747, p<.001). The qualitative data analysis of the cognitive learning experience during the debriefing showed that the content was divided into four subjects: “My errors are clearly seen as I reflect on myself,” “I can understand how to say and perform,” “I could make the knowledge my own by reviewing what I have done,” and “I could have see the big picture of nursing skills.” Conclusion:. The results of this study showed that the debriefing using peer feedback after the simulation had the learning effects of repeated learning and experiential learning of specific nursing skill, indicating that it is a useful education tool in nursing education.