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.

Purpose: The purpose of this study was to analyze trends in articles published in the Journal of Korean Society for Simulation in Nursing (KSSN) and to provide future directions for improvement. Method: The study analyzed data collected from 57 research articles published in KSSN between 2013 and 2018. A descriptive analysis was conducted with a focus on frequency and percentage for quantitative data. Results: The proportion of articles on quantitative research was 80.7%, while the proportion of articles on qualitative research was 15.8%. The majority of the quantitative research was focused on experimental study (47.4%). The prevailing data collection settings were school (75.4%), and for the data analysis, descriptive statistics (71.9%), t-test (50.1%), ANOVA (19.3%) and chi-square test (17.5%). The analysis results based on the simulation education research showed that the most frequently used scenario topics were delivery care and postpartum hemorrhage. The most frequently used variables measured were clinical performance (43.8%), problem-solving process (31.3%), self-confidence (31.3%), and self-efficacy (28.1%). Conclusion: Especially in the case of simulation nursing, there is a need to encourage research into utilizing a variety of research methodologies and simulations.

본 연구는 간호 대학생이 느끼는 간호사 이미지와 전공만족도가 간호전문직관에 미치는 영향을 분석하여 간호 대학생이 긍정적인 간호전문직관을 형성할 수 있도록 교육과정편성과 비교과활동의 활성화를 위한 기초자료를 제시하고자 시행하였다. 연구 대상자는 서울과 충청권 거주 대학생으로 2019년 5 월 30일부터 6월 4일까지로 총 184부의 자료를 t-test, ANOVA, Pearson’s Correlation Coefficient, Multiple regression analysis로 최종 분석하였다. 연구결과는 성격, 간호학 선택 동기, 간호직의 미래전망, 간호사 이미지 및 전공만족도를 예측변수로 간호전문직관을 설명하는 선형회귀모형은 통계적으로 유의하 였고(F=43.637, p<.001), 회귀모형의 설명력은 간호전문직관 총 변화량의 63.6%를 설명하고 있다. 따라서 본 연구는 간호 대학생의 간호전문직관을 증가시키기 위해서 긍정적 자아상을 통한 긍정적 이미지를 창출 하고 학습 만족도를 높이기 위한 교육프로그램 개발의 기초자료로 활용할 수 있을 것이다.

본 연구의 목적은 요양병원 간호제공자의 좋은 죽음인식, 영적안녕, 노인간호수행 정도를 파악 하고 노인간호수행에 미치는 영향요인을 파악하기 위함이다. 연구대상은 D광역시, S시, C도에 위치한 요양병원 5곳의 간호제공자 176명을 대상으로 구조화된 설문지를 이용하여 자료 수집하였다. 수집된 자료는 SPSS 22.0을 이용하여 평균, 표준편차, t-test, ANOVA, Pearson correlation, 다중회귀분석을 통해 분석하였다. 연구결과 좋은 죽음인식은 평균점수 4점 만점에 3.15점, 영적안녕은 6점 만점에 4.11점, 노인간호수행 정도는 5점 만점에 4.15점으로 나타났다. 노인간호수행과 좋은 죽음인식(r=0.19, p=.011), 영적안녕 (r=0.23, p=.002)과의 관계는 정적 상관관계가 있었다. 노인간호수행에 영향을 미치는 요인으로 좋은 죽음 인식(β=.18, p=.015) 영적안녕(β=.18, p=.013)순 이었다. 본 연구결과를 바탕으로 요양병원 간호제공자의 노인간호수행 향상을 위하여 좋은 죽음인식, 영적안녕을 고려한 중재프로그램 개발이 필요하다.

본 연구는 간호 대학생을 대상으로 시나리오를 통한 건강사정 실습교육이 의사소통 능력, 비판적 사고 성향 및 학업성취에 미치는 효과를 보기 위한 비동등성 대조군 사전-사후 설계의 유사실험 연구이다. C북도 G군 소재 J대학교와 G도 P시 소재 P대학교에서 건강사정 교과목을 수강하는 간호학과 2학년 학생을 대상으로 실험군 35명, 대조군 34명에게 각각 시나리오를 통한 실습교육과 전통적 실습교육 수행 전ㆍ후로 자료를 수집하였다. 연구결과, 시나리오를 통한 건강사정 실습교육을 받은 실험군이 전통적 실습 교육을 받은 대조군보다 의사소통 능력(t=2,797, p=.007), 비판적 사고 성향(t=2,406, p=.019), 정보수집능력(t=2,977, p=.004), 문제인식능력(t=3.584, p=.001)이 통계적으로 유의미하게 높아졌다. 그러므로 간호 학생들의 의사소통 능력, 비판적 사고 성향, 정보수집능력 및 문제인식능력 향상을 위해 건강사정 수업 시 시나리오를 통한 실습교육프로그램을 활용할 수 있을 것으로 생각된다.

본 연구의 목적은 시뮬레이션기반 실습교육이 간호대학생들의 고용가능성, 진로탐색행동 및 진로결정 자기효능감에 미치는 효과를 확인하고자 시도되었다. 비동등성 대조군 전후설계를 적용한 유사실험 설계로 J지역 소재 3학년 학생을 편의표집하여 총 120명의 간호대학생들로, 실험군 60명, 대조군 60명이 연구에 참여하였다. 실험군은 6주간 실험에 참여하였다. 연구결과, 시뮬레이션기반 실습교육은 간호대학생의 고용가능성(t=-2.31, p=.023), 진로탐색행동(t=-3.05, p=.003)을 유의하게 증가시켰으나, 진로결정자 기효능감(t=-.87, p=.387)은 통계적으로 유의한 차이가 없었다. 결론적으로 시뮬레이션기반 실습교육은 간호대학생들의 교육에 유용하므로 강화해야 할 것이다.

This study aimed to investigate the effects of voice recording as a speaking assignment on Korean EFL nursing students’ speaking confidence and perceptions of speaking assignment. The participants of the study were 22 nursing students who took college English course and were divided into two groups. One was an experimental group performing voice recording assignment for speaking practice during 5 weeks and the other was a control group that did not receive treatment by the researcher. Speaking confidence questionnaire and in-depth interview were used to collect the data in this study. The result of this study showed that there was some statistically significant achievement of the participants’ speaking confidence after speaking assignment of voice recording performed by them. In addition, the participants had positive reaction to the experience of the assignment. This suggests that voice recording assignment encourages students to have their speaking confidence and helps them to overcome speaking difficulties in EFL environment.

본 연구는 간호학생의 연구수행능력을 파악하고, 간호연구 교과의 교육효과를 확인하여 연구역량을 증진시킬 수 있는 교육과정 개발과 비교과활동을 통해 연구수행능력을 향상시킬 수 있는 프로그램을 개발하는데 기여하고자 하였다. 연구의 대상은 일 대학의 간호학과 3학년 학생 161명이었다. 일반적 특성 에 따른 비판적 사고성향, 문제해결능력 및 간호연구 학습성과는 t-test와 ANOVA를 시행하였으며, 간호 연구 학습성과 관련요인은 Linear regression을 시행하였다. 연구결과 간호연구 교과는 문제해결능력과 비판적 사고성향의 하위요소 중 지적열정, 체계성, 지적공정성을 향상시켰고, 연구계획서 평가와 비판적 사고 성향 중 객관성과 관련이 있는 것으로 나타났다. 본 연구의 결과를 토대로 간호연구수행능력을 향상시키기 위해 연구계획서 작성을 적극적으로 활용할 필요가 있으며, 연구의 전체적인 수행과정을 경험할 수 있는 다양한 교육프로그램 및 교수학습방법을 적용한 운영이 필요하다.

Purpose: This study aimed to examine the effects of simulation-based learning on the critical thinking disposition, communication confidence, and performance confidence in nursing care for children with fever. Method: A one-group pre- and post-test design was used. A total of 59 nursing students participated. Results: The results of this study showed that the effectiveness of simulation-based learning showed statistically significant improvement in critical thinking disposition, communication confidence and performance confidence. Conclusion: The findings indicate that simulation-based learning in the nursing care of children with fever may be an effective teaching-learning method for nursing students.

Purpose: This study was conducted to explore Virtual Reality (VR) utilization strategies in scenario-based nursing simulation training. Method: This was an integrative review for the identification of scenario-based VR simulation training applied to nursing undergraduates. The existing literature was searched in electronic databases using RISS, PubMed, and Pro-Quest and the key words were “Scenario based,” “Simulation,” “Virtual reality,” “Virtual training,” and “Nursing.” Finally, five studies were analyzed. Results: All the studies were conducted from 2016 to 2019. One RCT, two quasi-experimental studies, and two mixed method studies were identified. The topics of the scenarios were all different; acute myocardial infarction, management of respiratory system disease with hypoxia, postoperative nursing with appendicitis, teamwork and communication in outpatient and emergency situations, and disaster situation training . The outcome variables that were significant statistically were performance, self-confidence, and learning satisfaction. Conclusion: The findings suggest that virtual simulation in nursing education can potentially improve knowledge, performance, and learning confidence and can increase satisfaction with learning experience among nursing undergraduates. Multidisciplinary cooperation and investment are needed to develop diverse content applying VR in nursing simulation education. The review of the side effects also needs to be performed.

Purpose: The purpose of this study is to investigate the effect of simulation-based disaster nursing education programs on nursing college students’ disaster nursing knowledge, attitude toward disasters, and basic disaster nursing implementation abilities. Method: This study is similar to an experimental study that applied before-and-after designs for test groups and control groups. It was configured focusing on “earthquakes,” “fires,” “infectious diseases,” and “hospital disaster preparation.” Our simulation-based disaster nursing education program was configured to improve nursing students’ abilities to immediately respond to problems through the integration of nursing courses. Results: The test group that received the simulation-based disaster nursing education program showed a statistically significant increase in disaster nursing knowledge, attitude toward disasters, and basic disaster nursing implementation abilities, compared to the control group. Conclusion: Through the results of this study, simulation-based disaster nursing education programs were found to be effective in improving disaster nursing implementation abilities. Therefore, efforts should be made so that simulation-based disaster nursing educational courses take root to improve the disaster preparedness abilities of college students majoring in nursing.

Purpose: The purpose of this study is to provide basic data for developing strategies to improve the learning effect of simulation by analyzing the reflective journaling after the simulation based learning on the nursing of patients with upper gastrointestinal (UGI) bleeding. Method: From September 19–29, 2016, we conducted a simulation of UGI bleeding patient nursing with fourth-year students in the nursing department of University B in City A, and analyzed the data using content analysis. Results: In this study, reflective journaling can be an effective educational method to strengthen nursing competence, such as the self-reflection of nursing students, evidence-based nursing practice, teamwork, and communication ability. Conclusion: Reflective journaling after practice in simulation-based education is an important process in training critical thinking, situational judgment, and reflection of nursing practice content, and needs to be extended to both on-campus practice and clinical practice.

Purpose: The aim of this study was to examine the effect of prebriefing in the nursing process using video simulations on nurses’ critical thinking, simulation immersion, simulation confidence, clinical performance, and simulation satisfaction. Method: This study was a comparative survey between lectures and adoption of the nursing process with video in pre-briefing. The participants were 128 nursing students who had completed the Korean advanced life support program. Data were analyzed using χ2-test, independent t-test, and paired t-test using the SPSS 22.0 program. Results: Pre-briefing with Chmil’s concept, including theory, nursing process, and outcome, increased the clinical performance (t=2.03, p =.044) and critical thinking (t=2.48, p =.015) in this study. But there was no difference in simulation immersion, simulation confidence, or clinical satisfaction. Conclusion: The results indicate that simulation using Chmil’s concept was an effective educational method to increase critical thinking and clinical performance.

Purpose: Compassionate act is important factors for staff-nurse to be able for them to work within friendly organizational culture at a hospital setting. The purpose of this study was to investigate the usefulness of the collective compassion process for human resources management in hospital. Collective compassion process was consisted of collectively noticing, collectively feeling, and collectively responding. Collective compassion process can decrease personal suffering at work settings. Compassion process have 3 dimensions-personal, organizational culture, and institutional. Methods: 22 staff nurses and 5 nurse managers were participated in the study. Data were collected with in-depth personal interviews. Collected data were analyzed with content analysis. Results: Staff nurse felt absence of compassion processes of 3 dimensions (personal, organizational culture, and institutional) when they were in suffering. However nurse managers asserted that hospital organization has the compassion processes of 3 dimensions for staff nurses. Absence of compassionate act in the nursing field was one of reasons that they quit their job. Conclusion: The result of this study provided one of the empirical evidences of the importance of compassion process in nursing organizations. Thus we recommend developing an intervention program to increase compassionate act for reducing nurse's suffering.

본 연구는 간호대학생의 내현적 자기애가 간호전문직관에 미치는 영향에서 지각된 사회적 지지와 대인관계능력의 매개효과를 검증하기 위해 시도하였다. 이를 위해 J소재 3개 대학교의 간호대학생 375 명을 대상으로 편의표집하였다. 연구결과, 첫째, 간호대학생의 내현적 자기애, 간호전문직관, 지각된 사회 적 지지, 대인관계능력 간의 인과모형의 적합도가 양호한 것으로 나타나 변인간의 인과관계를 타당하게 예측하였다. 둘째, 간호대학생의 내현적 자기애는 대인관계능력과 지각된 사회적 지지에 직접적으로 영향을 미치는 것으로 나타났고, 이는 통계적으로 유의하였다. 셋째, 대인관계능력은 내현적 자기애와 간호전문직 관과의 관계에서 매개효과를 나타냈다. 넷째, 간호대학생의 대인관계능력은 지각된 사회적 지지와 간호전 문직관에 직접적으로 영향을 미쳤다. 연구결과를 토대로 간호대학생의 간호전문직관을 강화하기 위해 대인 관계능력을 향상시킬 수 있는 중재프로그램 개발이 필요하다.

본 연구는 간호학생의 구강건강에 관해 알아보고자 시행되었고, 207명을 대상으로 자가 보고식 설문을 진행하였다. 연구결과 지난 1년간 치과를 방문한 학생은 64.3% 였고, 치과 방문 이유는 정기검진이 25.9%, 충치치료가 23.5%이었다. 치과를 방문하지 않는 이유는 ‘덜 중요해서’가 12.6%로 가장 많았고, ‘치과 가기가 두려워서’가 10.6%로 나타났다. 하루동안 평균 잇솔질 횟수는 3.1회 이었으며 잇솔질 시간은 2~3분이 56.0%를 차지했다. 그러나 치과 방문 의도에 관한 질문에는 ‘치료 받을 때만’이 51.7%고 가장 많았고, ‘통증이 있을 때만’도 10.1%나 되었다. 구강교육을 받을 용의에 대해서는 54.6%가 ‘그렇다’고 응답하였고, 구강교육 희망내용으로는 ‘미백’이 34.5%로 가장 많았고, ‘구취예방’이 19.2% 이었다. 구강건강정보 획득 경로로는 ‘인터넷’이 42.0%로 가장 많았고, ‘가족이나 친구’가 25.6%로 나타났다. 구강건강신념 중 감수성은 2.47점, 심각성은 2.00점, 유익성은 4.03점으로 나타났다. 치과치료가 필요했지만 치료를 받지 않은 학생에 비해 치료받은 학생에서 구강건강신념이 높게 나타났고(p<.001), 충치가 없는 학생에 비해 충치가 있는 학생에서 구강건강신념이 높게 나타났다(p<.001). 충치 개수와 감수성(r=.330, p=.002), 심각성(r=.25, p=.019)은 유의한 상관관계가 있었다. 본 연구 결과를 토대로 간호대학생의 구강건강을 위한 효과적인 프로그램 개발에 활용할 필요가 있다고 사료된다.

본 연구는 간호학생의 간호수행능력 관련요인을 파악하여 간호수행능력 증진을 위한 학부과정의 교육 방안을 마련하는데 기여하고자 하였다. 연구대상은 일 대학 간호학과의 4학년 학생 227명이었다. 대상자의 일반적 특성, 비판적 사고성향, 핵심기본간호술 성취도에 따른 간호수행능력은 independent t-test, pearson’s correlation coefficient를 실시하였고, 간호수행능력에 영향을 미치는 요인을 확인하기 위해 Linear regression을 시행하였다. 연구결과, 간호학생의 간호수행능력에는 비판적 사고성향의 지적공정성과 핵심기본간호술 난이도 중 및 하의 성취도가 영향을 미치는 것으로 나타났고, 모두 점수가 높을수록 간호수행능력이 높은 것으로 나타났다. 본 연구의 결과를 토대로 간호학생의 지적공정성과 핵심기본간호술 성취도를 높이는 한편 난이도 상의 성취도를 높이는 교육프로그램의 마련이 필요하다.

본 연구는 간호대학생의 학업탄력성, 내현적자기애, 대인관계능력 및 자기효능감의 구조적 관계 및 이들의 경로를 밝히고자 하였다. 이를 위해 J소재 3개 대학교의 간호대학생 460명을 대상으로 편의표집 하였다. 연구결과, 첫째, 간호대학생의 학업탄력성, 내현적자기애, 대인관계능력 및 자기효능감 간의 인과 모형의 적합도가 양호한 것으로 나타나 변인간의 인과관계를 타당하게 예측하였다. 둘째, 간호대학생의 내 현적자기애, 대인관계능력 및 자기효능감은 학업탄력성에 직접적으로 영향을 미치는 것으로 나타났고, 이는 통계적으로 유의하였다. 셋째, 간호대학생의 대인관계능력과 자기효능감은 내현적자기애와 학업탄력성 간의 관계에서 매개효과이지만 경쟁효과인 억제효과로 나타났고, 자기효능감은 대인관계능력과 학업탄력 성간의 관계를 매개하는 것으로 나타났다. 연구결과를 토대로 간호대학생의 학업탄력성과 관련 요인을 고려한 효율적인 교육프로그램 개발의 필요성을 제언하였다.

Purpose: The purpose of this study was to provide basic data to interview programs for assisting male college students adjust to clinical practice by understanding the meaning of stress in such a practice. Method: Individual in-depth interviews using open-ended questions were conducted with students. Data were collected in August 2018, and analyzed using Colaizzi’s phenomenological method. Results: The categories of practical experiences in the interview programs for mediating gender conflicts in male nursing students were clearly recognized as, “experiencing limits of practice on female patients,” “a sense of burden representing practical students,” and “forcing of manhood.” The essential themes of participants' experiences in simulation programs included: “Prejudice and unfairness in having a female-related job,” “Women’s hospital practice is limited,”-“Attention is focused on themsince they are ‘minorities’,” “Uncomfortable interpersonal relations in clinical practice,” “The patience of a discriminative perception that physical labor should be mobilized, requiring forceful leadership,” “Live in a way that society prefers.” Conclusion: This study attempted to understand the meaning and nature of experiencing stress among male college students in clinical practice by applying Colaizzi’s method of analysis in phenomenology nursing research. In order to assist participants understand women's mainstream clinical practice, preparing separate programs is important.

Purpose: The purpose of this research was to explore same-age-tutoring experiences for fundamental nursing practice in peer learners. Method: Content analysis was performed on the collected data. Participants were 14 nursing students. Data were collected from September 19, 2018 to November 2, 2018. Results: Three theme clusters were extracted as follows: 1) autonomous learning environment 2) meeting learning needs 3) motivation to learn. Conclusion: The results can contribute to understanding peer learners’ same-age-tutoring education experiences. Further, they can provide foundational data for establishing same-age tutoring education strategies to improve nursing skills and knowledge, helping nursing students adapt to clinical practice.