Purpose: This study aimed to perform an integrated literature review to identify evidence for developing a problem-based learning (PBL) method based on a simulation education program for nursing students. Methods: In May 2022, 10 electronic databases were used to conduct a literature search using the keywords simulation, PBL, nursing, and education in Korean and English. Finally, 21 studies were selected. Results: There were more single-type simulation studies than studies using a hybrid model that combined two simulation types. Most simulation studies were for a single domain of adult nursing rather than for various integrated domains. Four studies (19%) applied a theory during debriefing, but most did not conduct a systematically structured debriefing. All studies selected attitude and competency as the outcome variables to study the effects of the intervention. Two variables (attitude and competency) or three variables (knowledge [or skill], attitude, and competency) were typically selected, and their effects were measured. Conclusion: PBL based on simulation education can be effective in improving nursing practice competency in nursing students. Future studies ought to develop interprofessional education programs based on PBL simulations through multidisciplinary cooperation.

본 연구는 뷰티산업 현장 실무 전문가를 양성하기 위한 피부미용 이론 및 실기 수업을 통해 문 제중심학습(PBL) 수업 개발 및 적용하고자 한다. 학습자들에게 피부미용 현장에서 일어나는 실제적인 문제 를 제시하고, 그 문제를 해결하기 위해 학습자들 상호간에 공동으로 문제를 해결하는 방안을 강구하고자 한다. 학습자들에게 문제중심학습(PBL)을 적용한 피부미용 수업을 진행하고, 수강 후 그 효과에 대해 분석 한다. 본 연구 결과로 현장 실제의 문제를 제시함으로써 학습자들이 실제 전문가들이 하는 일을 이해할 수 있었고, 주어진 문제에 대한 다양한 해결방법을 도출할 수 있다는 부분을 알게 되었다고 하여 문제해결 능 력 신장을 기대 해 볼 수 있었다. 이와 같은 결과는 문제 탐구와 문제를 해결하기 위한 문제중심학습(PBL) 수업 과정은 학습자의 문제해결능력 향상에 긍정적으로 작용하고 있음을 시사하고 있다.

본 연구는 대학의 피부미용 전공교육에서 문제중심학습(PBL) 적용에 따른 학습효과를 알아보 고, 피부미용 교육경쟁력을 강화할 수 있는 교수·학습방법 개발을 위한 기초자료 제공을 목적으로 하였다. 이에 본 연구는 H대학교에 개설된 피부미용 전공 교과목인 “동양요법” 수강 학생 15명을 대상으로 PBL 수업을 적용하여 실증적 교육효과 분석을 실시하였다. 그 결과 PBL 수업을 참여한 후 학습자들의 문제해 결 능력과 협력적 자기효능감의 평균값이 상승하여 유의미한 차이를 보였으며, 이에 따라 PBL 교수학습법 의 효과성이 확인되어 피부미용 교육 현장에서 학습자들의 문제해결 능력과 협력적 자기효능감 상승을 위 한 효과적인 교수학습법으로 제안하는 바이다.

Purpose: This study developed an educational program for structured discussion-based learning, problem-based learning (PBL), and simulation for nursing students. Its effects on learning attitude, problem-solving process, and clinical competence were then analyzed. Methods: This study used a one-group pretest–posttest experimental method among 135 fourth-year nursing students taking the simulation course at a university in D city. We operated the PBL by applying the structured discussion method and simulation education based on four modules covering major diseases among adults. The data collected before and after the program were analyzed using descriptive statistics and paired t-tests. Results: The program significantly improved nursing students’ learning attitude, problem-solving process, and clinical competence. Conclusions: We verified the effects of the simulation education program for structured discussion-based learning and PBL. Further studies are needed to develop and apply simulation educational programs utilizing various devices that can improve learners’ participation and professors’ operational protocols by systematically combining them with different teaching/learning methods.

Universities have recently introduced problem-based learning (PBL) to various subjects to enhance problem-solving skills (including self-directed learning and small-group learning) required in industry. The PBL module was applied to the personal production process in a draping class. A study was based on a questionnaire after conducting two PBL modules with a group of students. Each PBL module included ‘design analysis’, ‘presentation of flat sketch and draping plan’, ‘discussion of the plan’, ‘evaluation of the draping result and correcting the problem’, and ‘final evaluation of the completed project’. Results showed that satisfaction with the PBL method and its activities was higher than satisfaction with existing teaching methods. In particular, among the various components, the ‘design analysis’ and ‘the presentation step of flat sketch and draping plan’ stages were more helpful to students compared to small-group discussion. Moreover, the effects of PBL were observed through student reflection essays, in which students suggested that PBL was very effective in enhancing problem-solving through self-directed and small-group learning. Despite the overall satisfaction with PBL, students expressed some minor difficulties associated with awkwardness with a novel learning method, lack of diverse perspectives among each group, and poor communication skills. Therefore, the study shows that PBL is highly likely to be useful to students when they are solving pattern drafting problems and making samples through self-directed learning and small-group learning.

Purpose: This study examines the effects of clinical nursing simulation education program based on problem-based learning (S-PBL) on clinical reasoning, confidence in handover reports, confidence in nursing performance, and simulation effectiveness in nursing students. Method: We used a one-group pretest-posttest design. The participants were 4th-year university nursing students who had taken a core clinical nursing practice, and 90 students participated in the S-PBL program. Data were collected before and after the S-PBL program and analyzed using descriptive statistics and paired t-tests. Results: The S-PBL program significantly increased clinical reasoning, confidence in handover reports, and confidence in nursing performance. More than 90% of students were satisfied with the education program and the simulation education effectiveness was 2.54 on a 3-point Likert scale. Conclusion: The S-PBL program could be useful in clinical nursing education for nursing students seeking to become clinical nurses. It is necessary to develop various S-PBL programs and apply them to the curriculum.

Purpose: This study is examined the effects of simulation practice education with problem-based learning methods on nursing students' learning attitudes, learning satisfaction, critical thinking disposition, and problem-solving ability. Method: A quasi-experiment single group pretest-posttest design was adopted. Simulation education was conducted by utilizing problem-based learning methods to teach the following topics to nursing students enrolled in 4th grade in S city: respiratory, circulatory, and nervous system. The experiment was conducted for 12 weeks, from September to December, 2019. Paired t-test and Pearson product-moment correlation coefficient were used to analyze the collected data. Results: Learning attitude and problem-solving ability showed significant differences in the experiment. Among the sub-areas of problem-solving ability, there were significant differences in the following: problem recognition (p<.001), information gathering (p<.001), confident thinking disposition (p<.001), acceptance to carry out an adventure (p<.001), evaluation (p=.027), and feedback (p<.001). In addition, learning attitude showed significant positive correlations with learning satisfaction, critical thinking disposition, and problem-solving ability. Conclusion: The findings of this study suggest that, it is necessary to develop a variety of iterative studies and simulation scenarios to confirm the effectiveness of simulation training.

본 연구는 문제중심학습(PBL) 수업을 2018년 2학기 ‘간호과정과 비판적사고’ 교과목에 적용한 후, 비판적 사고성향, 문제해결능력과 전문직 자아개념에 대한 효과를 규명하기 위하여 단일군 전⦁후 설계를 활용한 원시실험 연구이다. G도에 소재한 간호대학생 59명을 대상으로 자가보고식 설문을 실시하였다. 문제중심학습(PBL) 수업은 전통식 강의 8주, 문제중심학습(PBL) 수업 4주로 진행하였다. 자료분석은 SPSS/WIN 23.0 프로그램을 이용하였으며 일반적 특성은 빈도와 백분율, 두군 간에 차이는 평균, 표준편차, Paired t-test를 시행하였다. 연구결과, 간호대학생의 비판적 사고성향은 문제중심학습(PBL) 수업 전 (3.41±.40)보다 수업 후(3.71±.36)에 유의하게 증가하였다(t=4.39, p<.001). 문제해결능력은 문제중심학습(PBL) 수업 전(3.36±.38)보다 수업 후(3.70±.59)에 유의하게 증가하였다(t=3.97, p<.001). 전문직 자아 개념은 문제중심학습(PBL) 수업 전(2.92±.28)보다 수업 후(3.22±.50)에 유의하게 증가하였다(t=4.84, p<.001). 따라서 문제중심학습(PBL)을 간호교육에 더욱 확대하여 적용한다면 간호대학생이 갖추어야 할 핵심역량을 높이는데 효과적일 것이라고 사료된다.

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.

본 연구는 학생들의 능동적이고 협력적인 학습활동과 이에 따른 학습 성과를 높이기 위한 문제기반학습(PBL)을 ‘실습선 수업’ 에 맞게 재설계하고 운영한 과정을 제시하였다. 그리고 그 효과로 학생들의 수업참여, 학업적 자기조절 및 학업적 자기효능감의 변화와 수업전반의 만족도를 확인하였다. 그 결과 첫째, 수업참여에 대한 수업 전·후의 차이에서 학습활동, 수업확장, 수업참여 전체의 평균 점수가 높게 나타났다. 둘째, 학업적 자기조절에 대한 수업 전·후의 차이에서 ‘평가’를 제외한 모든 하위요인에서 사후의 평균 점수가 높게 나타났다. 셋째, 학업적 자기효능감에서는 ‘과제 선호도’에서만 유의미한 차이를 보였다. 마지막으로 학생들의 수업전반에 대한 만족도 역시 높은 것으로 나타났다. 교수자 역시 문제기반학습(PBL)을 활용한 실습선 수업을 설계 및 운영하면서 학생 개인의 특성을 파악할 수 있었고, 학생과의 상호작용이 높아짐을 확인할 수 있었다. 이러한 연구결과에 근거하여 문제기반학습 수업의 운영에서 드러난 한계점 및 교육적 함의에 대해 논의하며 덧붙여 실습선 수업의 성공적인 문제기반학습 설계 및 운영에 대하여 제안 하였다.

이 연구는 타 교과에서의 문제중심학습법을 이론적으로 탐색하여 한문과에서의 문제중심학습법 이론화를 모색하고, 중학교 한문과에서의 문제중심학습 실천 사례를 소개함으로써, 한문과에서의 문제중심학습법을 일반화할 수 있는 방안을 제공하고자 한다. 이 연구는 중등학교 한문과 수업에서 문제중심학습법을 활용할 수 있는 방안을 찾는다는 점에서 의의가 있다. 한문과 교육과정에 제시된 성취 기준을 달성하기 위한 교수･학습 방법이 현장에서 다양하게 시도되고 있지만, 명확한 이론으로 정립하기에는 충분하지 못한 실정이다. 이 연구에서는 문제중심학습법에 대한 타 교과의 연구 성과를 바탕으로 ‘한문과에서의 문제중심학습법’이라는 이론적 틀을 마련하고자 고심하였다. 그래서 한문과에 맞게 구안한 교수･학습 방법을 수업에 적용하고, 결과를 소개하였다. 이는 예비 한문교사들이나 현장 교사들에게 일정 수준의 의의가 있다. 연구 결과, 학습자들은 한문과 문제중심학습법 수업을 통해 자기주도적 학습능력과 문제해결능력을 기를 수 있었다. 또한 그룹별 활동을 통해 의사소통 능력과 공동체 역량을 함양할 수 있었다. 이러한 결과는 2015 개정 한문과 교육과정에서 강조하고 있는 핵심역량과 밀접한 관계가 있으므로, 한문과 수업에서 문제중심학습법을 활용한 사례가 다양해지기를 기대한다. 아울러 문제중심학습법을 한문과에 적용하기 위해서는 한문과에 적합한 문제 상황 개발이 중요하므로, 이 논문을 통해 문제중심학습법에 맞는 다양한 문제가 현장 교사에 의해 개발되고 학계에 소개되길 기대한다.

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.