본 연구는 코로나 19시기 간호대학생의 대면 비대면 학생상담 경험을 확인하기 위해 수행되었 다. 2022년 12월부터 2023년 4월까지 경기도 소재 S 여자대학교 학생 10명을 대상으로 인터뷰를 통해 데 이터를 수집하였다. 기록된 모든 자료는 귀납적 내용분석 방법으로 분석하였다. 연구결과는 ‘상담의 촉진’ 요인, ‘상담의 비촉진 요인’ 2개의 주제, 4개의 범주, 8개의 하위범주가 도출되었다. 첫 번째 주제의 범주는 ‘새로운 상담 방법의 적응’, ‘MZ 세대로서의 편리성 추구’, 두 번째 주제의 범주는 ‘상담에 대한 거부감’, ‘상호관계에 대한 갈망과 괴리’로 도출되었다. 본 연구를 통해 간호대학생들을 위해서 학생상담이 필수적이 며, 가장 적합하고 유용한 상담법이 무엇인지 이해하는 데 도움이 되었다. 또한, 본 연구는 성별, 전공에 따 른 연구 참여들 간의 대면 비대면 상담에 대한 비교 연구의 기반을 마련하는데 중요한 근거자료를 제공하 다. 더 나아가 간호대학생을 위한 학생상담 프로그램을 개발하고 그 효과를 확인하는 연구를 제언한다.
본 연구는 DML(Debriefing for Meaning Learning[이하 DML])를 적용한 응급 시뮬레이션 실 습이 간호대학생의 비판적 사고능력, 문제해결 능력, 의사소통 능력에 미치는 효과를 확인하고자 시도되었 다. 연구는 비동등성 대조군 전후 실험설계의 유사실험연구로, D 시에 소재한 간호대학생 중 중재군 38명, 대조군 35명, 총 73명을 대상으로 하였다. 연구결과, 비판적 사고능력(t=-3.144, p=.002), 문제해결 능력 (t=-3.248, p=.002), 의사소통 능력(t=-4.051, p<.001)은 실험군이 대조군에 비해 유의하게 향상된 것으로 나타났다. 본 연구를 통해 DML은 간호대학생의 비판적사고, 문제해결능력, 의사소통능력을 향상시키는 방 법임을 확인하였다.
Purpose: This study investigated the effects of major satisfaction, academic self-efficacy, and clinical practice stress on college student burnout among nursing students. Methods: Data were collected from October 2019 to January 2020. The data were collected from third and fourth-grade nursing students enrolled at different universities in Seoul, Gyeonggi-do, Chungcheong-do, and Gangwon-do. A total of 270 questionnaires were used for data analysis. Multiple regression analysis was performed to analyze the factors affecting college student burnout. Results: The major satisfaction total score was 65.25(±12.64). The academic selfefficacy total score was 86.56(±13.39). The total clinical practice stress score was 72.93(±11.88). The total score for burnout among college students was 53.73(±14.75). The explanatory power of major satisfaction, academic self-efficacy, and clinical practice stress for college student burnout was 51.3%. Conclusion: It is necessary to develop and apply an educational program to improve major satisfaction and academic self-efficacy, and lower clinical practice stress to reduce college student burnout among nursing students. Thus, education should be actively applied using simulations.
본 연구는 PETTLEP 모델 기반 심상훈련을 기본간호학실습 교육에 적용하여 핵심기본간호술 수행자신감 및 수행능력, 자율실습 참여도에 미치는 효과를 규명하기 위한 비동등성 대조군 전후 유사실험연구 이다. 연구대상은 K도 소재 U대학교 간호학과 2학년 재학생 중 연구목적을 이해하고 연구참여에 자발적으로 동의한 74명을 무작위로 실험군과 대조군에 배정하여 자료 수집하였다. 수집된 자료는 SPSS Statistics 23.0 프로그램을 이용하여 대상자의 일반적 특성은 빈도와 백분율, 정규성검정은 왜도와 첨도를 이용하였으며, 실험처치의 효과측정을 위한 종속변수 검정은 paired t-test로 분석하였다. 연구결과 PETTLEP 모델 기반 심 상훈련은 핵심기본간호술 수행자신감(t=4.18, p<.001), 핵심기본간호술 수행능력(지식(t=2.241, p=.032), 간호술기(t=8.402, p<.001)), 자율실습 참여도(t=6.822, p<.001)에 통계적으로 유의한 차이가 있었다. 본 연구 결과를 토대로 PETTLEP 모델 기반 심상훈련은 기본간호학실습 교육에 적용 가능한 교수학습방법이 될 수 있음을 확인하였다. 따라서, 핵심기본간호술 중 난이도가 높은 항목의 수행능력 향상을 위해 PETTLEP 모델 기반 심상훈련을 활용할 수 있을 것으로 기대된다.
Purpose: The purpose of this study was to identify trends in disaster nursing education and conduct a systematic review of the characteristics of simulation-based disaster education programs for nursing students. Method: In May 2020, 12 electronic databases were used to conduct a literature search using Korean and English keywords. Simulation, disaster, nursing, and education were among the search keywords. Fourteen studies were selected. The risk of bias assessment tool for non-randomized studies was used to assess study quality. Results: A total of 14 non-randomized studies were selected. Simulation was mainly conducted using high-fidelity simulators and virtual reality simulations. Disaster scenarios included situations such as a bus crash, earthquake, tornado, and toxic chemical exposure in mass casualty incident nursing or disaster drills. There were differences in the methods of simulation interventions, and we found that disaster related nursing competencies such as disaster knowledge, disaster preparedness, disaster performance, confidence, self-efficacy, and ethical reasoning improved in nursing students after the intervention. Conclusion: Disaster nursing education aims to improve nursing students’ disaster competencies. Future research should examine significant risk of bias control for confounding variables, attrition bias, and outcome evaluation.
Purpose: The purpose of this study was to examine the impact of a problem-based simulation
education program on nursing student’s academic achievement, academic efficacy, and clinical
performance skills. Methods: This study examined a group of nursing students using the
pretest-posttest test design. Second year pediatric nursing students studying the practical
subject Integrated Simulation at S University in K region were asked to complete a
self-administered questionnaire before and after using a problem-based simulation education
program. In addition to using SPSS/WIN 21.0 for descriptive analysis, the data was analyzed
using independent t-test, repeated measures ANOVA and Pearson- correlation. Results: After
completing the simulation education program, participants showed statistically higher academic
achievement (t = -5.795, p < .001) and clinical performance skills (t = -3.835, p = <.001)
than before. However, there was no significant difference in academic efficacy score(t=-.217,
p=.829). Conclusion: The results from this study indicate that lessons with various methods
and content should be developed to –evaluate both theoretical knowledge and clinical
performance skills. In addition, there is a need to develop a standard evaluation.
Purpose: This study was conducted to evaluate outcome-based delivery care with simulation in nursing student.
Methods: One group pre-post design was utilized. 155 participants consisting of nursing students was recruited. The data were collected from august 25 to december 5, 2015. Five hours thirty minutes of outcome-based delivery care with simulations was operated.
Results: The item showing the lowest mean score was ‘verbal communication’, the highest mean score was ‘core basic nursing skills’.
Conclusion: The findings suggest that it would be useful to use the outcome-based delivery care with simulation in nursing students.
Purpose: This study was to develop a clinical competence scale to assess competence of nursing students in neonatal core nursing management after delivery in the simulation-based clinical situations.
Methods: The assessment items developed with 14 items of 3 point scale. An expert panel of 4 professor and 1 nurse reviewed the scale for content validity by using the CVI(Content Validity Index). Following the establishment of content validity, 14 items of the checklist were developed. The simulation-based neonatal core nursing education that consisted of four sessions for 6 hours lecture and practice was provided to 26 small groups.
Result: The total mean score of clinical competence in neonatal core nursing care was 20.04. Items with the highest mean score was 1.87 with 'apply clean gloves'. Items with lowest mean score was 1.15 with 'perform the body temperature management to the neonatal'. Reliability of between two evaluation using Cronbach's alpha was .86.
Conclusion: This results show neonatal core nursing care assessment tool developed this study had reliability and validity. Further studies are needed to determine property of tool in neonatal core nursing care assessment tool.
Purpose: This study was to develop a clinical competence scale to assess competence of nursing students in postpartum bleeding care in the simulation-based clinical situations.
Methods: The assessment items developed with 12 items of 3 point scale. An expert panel of 3 maternity professor reviewed the scale for content validity by using the CVI(Content Validity Index). Following the establishment of content validity, 12 items of the checklist were developed. The simulation-based postpartum hemorrhage nursing education that consisted of four sessions for 6 hours lecture and practice was provided to 32 small groups.
Result: The total mean score of clinical competence in postpartum hemorrhage care was 17.34. Items with the highest mean score was 1.88 with ‘introduce myself to the patient'. Items with lowest mean score was 0.19 with 'assess the general conditions'. Reliability of between two evaluation using Cronbach's alpha was .86.
Conclusion: This results show postpartum hemorrhage access tool developed this study had reliability and validity. Further studies are needed to determine property of tool in postpartum hemorrhage access tool.
이 연구는 간호대학생의 대인관계에 대한 어려움과 내재된 갈등 상황을 깊이 있게 이해하는데 그 목적이 있다. 이를 위해 대인관계 갈등을 경험했던 간호학과 학생 12명을 대상으로 2019년 7월부터 9월까지 내러티브 탐구절차를 수행하였다. 본 연구에서 간호 대학생들의 대인관계 갈등은 주로 학업 성적과 관련된 상황이 중심이었으며, 각종 이해 관계가 맞물린 학우들이 대상이었다. 또한 자아 중심의 ‘포커싱적 태도’가 특징으로 드러났다. 이러한 역기능적 대상관계가 중심이 되어 도출된 세부내용은 ‘대인 관계의 중심은 나’, ‘목적적인 관계’, ‘학업성취와 경제적 문제가 우선’, ‘온라인 관계에서 안정감을 느낌’, ‘이질적인 것에 배타적’, ‘남녀 간 경계와 애정문제’, ‘연대감 부족’이었다. 이 연구를 통해 간호대학생들은 새로운 관계맺음을 경험해 볼 수 있는 내러티브 과정을 경험하고, 긍정적 대인관계를 설계할 수 있는 기회를 맞이하였다. 더불어 연구자 또한 그들의 어려움을 이해하고 공감하여 학생들과 한층 가까워지는 경험의 장을 마련하였다. 추후 간호대학 생들에게 특화된 대인관계 중재를 통해 그 효과를 검증할 수 있는 연구가 후속되기를 제언하는 바이다.