본 연구는 온라인 플랫폼을 활용한 건강사정 학습 프로그램이 간호 대학생의 문제해결과정, 비 판적 사고 성향, 수업참여도 및 수업몰입도에 미치는 효과를 알아보기 위한 단일집단 사전사후설계 (one-group pretest-posttest design)를 적용한 원시실험연구(pre-experimental research)이다. 연구 대상자 는 C북도 G군 소재 J대학교 건강사정 및 실습 교과목을 수강하는 간호학과 2학년 학생 52명을 대상으로 온라인 플랫폼을 활용한 건강사정 학습 프로그램 참여 전‧후 자료를 수집하였다. 분석한 결과, 문제해결과 정(t=-2.569, p=.013), 비판적 사고 성향(t=-5.363, p<.001), 수업참여도(t=-4.429, p<.001), 수업몰입도 (t=-3.747, p<.001)가 프로그램 참여 전‧후 통계적으로 유의하게 향상된 것으로 나타났다. 따라서 건강사정 수업 시 간호 대학생들의 문제해결과정, 비판적 사고 성향, 수업참여도, 수업몰입도 향상을 위해서 온라인 플랫폼을 활용한 학습 프로그램을 활용할 수 있을 것으로 사료된다.

본 연구는 간호대학생의 문제해결능력, 자기주도 학습능력, 비판적 사고성향 간의 관련성을 파 악하고 문제해결능력에 대한 영향요인을 확인하기 위한 서술적 조사연구이다. 연구대상자는 G도와 C도에 소재하는 2개 대학 간호대학생 226명이었고 구조화된 설문지를 이용하여 조사하였다. 수집된 자료는 기술 통계, t-test, ANOVA, Pearson's 상관관계 분석 및 다중회귀분석을 이용하여 분석하였다. 간호대학생의 문 제해결능력의 영향요인을 확인하기 위해 다중회귀분석 결과, 비판적 사고성향(β= .490, p< .001)과 자기 주도 학습능력(β= .355, p< .001)이 영향요인으로 나타났다. 회귀모형의 적합도에 대한 F 통계량은 183.523(p< .001)으로 유의하였고, 설명력은 61.9%인 것으로 나타났다. 따라서 간호대학생의 문제해결능 력 향상을 위해서는 비판적 사고성향과 자기주도 학습능력이 향상될 수 있도록 다양한 교수학습방법을 접 목해야 할 것이다. 본 연구는 간호대학생의 문제해결능력을 향상시키기 위한 교육프로그램을 개발하는데 기초자료로 유용하게 활용될 것이다.

Purpose: This study examined the effects of simulation-based education for high-risk maternity on evaluating problem-solving process, self-leadership, critical thinking disposition, and selfefficacy of nursing students. Method: This study was a one-group pretest-postest test design with 81 junior nursing students as participants. Data were collected from September 4 to December 11, 2019, after students completed their simulation practice class. Students completed a survey on their problem-solving process, self-leadership, critical thinking disposition, and self-efficacy at the beginning and end of the class. Data were analyzed using descriptive statistics, paired t-test, and Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Results: Students’ problem-solving process (t=-7.06, p<.001), self-leadership (t=-3.08, p=.003), critical thinking disposition (t=-2.12, p=.037), and self-efficacy (t=-6.01, p<.001) showed significant improvement after the simulation-based education for high-risk maternity. There was a positive relation between problem-solving process and self-leadership (r=.52, p<.001), critical thinking disposition (r=.39, p<.001), and self-efficacy (r=.53, p<.001). Conclusion: There is a need to supplement the limitations of clinical practice education by providing a simulation-based education environment similar to a hospital since the experience of clinical practice alone is not sufficient to improve students' knowledge and skills. Results of this study may be used as a basic data for efficiently performing simulation-based education on high-risk maternity.

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 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.

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.

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.

Purpose: This study was tried to identify the effects of simulation practice education on the clinical competence, critical thinking disposition and self-confidence of nursing process in new graduated nurses. Methods: This study was one group pre-post test design, participants are 50 new graduated nurses with less than 3 month of working experience. The simulation practice education applied the first semester of the third grade, over 15 weeks with 1 credit per 2 hours per week by two instructors with four scenarios. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Result: There was a significant difference simulation practice education on the clinical competence and critical thinking disposition in the new graduated nurses. There was a correlation between clinical competence and critical thinking disposition. Conclusion: New nurses' capacity can be strengthened by applying simulation practice education that improve the clinical performance by enhance the critical thinking Disposition.

Purpose: This study was tried to identify the effects of problem-based learning integrated with simulation education on the critical thinking disposition, problem-solving process and self-confidence of nursing process in nursing students. Methods: This study was one group pre-post test design, participants are 47 senior nursing students. We developed the simulation practice by applying problem based learning taking 2 hours per session, once per week for 15 weeks. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 18.0 program. Result: There was a significant difference simulation practice by applying problem based learning on the critical thinking disposition, problem-solving process and self-confidence of nursing process of nursing students. There was a correlation between each other variables. Conclusion: Therefore, suggest that the repeated studies to verify the effects of simulation practice by applying problem based learning.