간호학생을 대상으로 한 시뮬레이션기반 전문심장소생술 교육의 효과

Jung, Hyo-Ju;Chae, Min-Jeong

  • 투고 : 2015.05.01
  • 심사 : 2015.09.09
  • 발행 : 2015.09.30


Objectives : This study is a quasi-experiment with a pre-post design and a nonequivalent control group performed from May 1 to June 2, 2013 to verify the effects of a simulation based education program on nursing students' self-confidence, and clinical performance ability. Methods : The subjects of the study were a total of 60 students in their fourth year of a nursing program at a university located in G city and they were assigned to an experimental group of 30 students and a control group of 30 students by convenience sampling. Results : After being offered education, self-confidence, and clinical performance ability were significantly more improved than before in each group. In the comparison of the two groups, the self-confidence (t=3.00, p=.004) and clinical performance ability(t=3.14, p=.003) of the experiment group were significantly higher than those of the control group. Conclusions : The results indicated that instructional methods using a simulation-based emergency care program should be adopted maximize the effects of advanced cardiopulmonary life support education.


Simulation;Cardiopulmonary Resuscitation;Self-Confidence;Clinical Performance Ability


  1. American Heart Association(2011), Advanced Cardiovascular Life Support: Provider Manual, American Heart Association, pp.151-157.
  2. J.M. O'Donnell, D.L. Rodgers, W.W. Lee, D.P. Edelson, J. Haag, M.F. Hamilton, T. Hoadley, A. McCullough, R. Meeks(2008), Structured and Supported Debriefing Using the GAS Model. Presented at 2nd Annual WISER Symposium for Nursing Simulation, pp.1-38.
  3. J.S. Hyun(2012), Effects of Simulation-Based ACLS Education on Self-confidence Performance of ACLS among Nursing Officers, Journal of Militry Nursing Research, Vol.30(1);100-111.
  4. N.1. Fisher, L.A. Eisen, J.V. Bayya, A. Dulu, P.S. Bernstein, I.R. Merkatz, D. Goffman(2011), Improved Performance of Maternal-Fetal Medicine Staff after Maternal Cardiac Arrest Simulation-Based Training, Am J Obstet Gynecol, Vol.205(3);239.e1-5.
  5. C.J. Gordon, T. Buckley(2009), The Effect of High-Fidelity Simulation Training on Medical-Surgical Graduate Nurses' Perceived Ability to Respond to Patient Clinical Emergencies, Journal of Continuing Education in Nursing, Vol.40(11);491-498.
  6. H.K. Hur, S.M. Park(2012), Effects of Simulation Based Education for Emergency Care of Patients with Dyspnea on Knowledge and Performance Confidence of Nursing Students, The Journal of Korean Academic Society of Nursing Education, Vol.18(1);111-119.
  7. C.S. Kim(2012), Development and Effect of High Fidelity Patient Simulation Education Program for Nursing Students, Unpublished Doctor's thesis, The Catholic University, pp.1-36.
  8. K.W. Butler, D.E. Veltre, D.S. Brady(2009), Implementation of Active Learning Pedagogy Comparing Low-Fidelity Simulation versus High-Fidelity Simulation in Pediatric Nursing Education, Clinical Simulation in Nursing, Vol.5(4);129-136.
  9. C.H. Ko(2007), The Effect of Simulation-Based Training on the Competence of Basic Life Support of the Students Emergency Medical Technology, The Journal of the Korean Society of Emergency Medical Technology, Vol.11(3);31-45.
  10. S.B. Issenberg, W.C. Mcgaghie, I.R. Hart, J.W. Mayer, E.R. Petrusa, J.M. Felner, R.A. Waugh, D.D. Brown, R.R. Safford, I.H. Gessner, D.L. Gordon, G.A. Ewy(2006), Simulation Technology for Healthcare Professional Skills Training and Assessment, The Journal of the American Medical Association, Vol.282(9);861-866.
  11. S.O. Hwang, G.S. Lim(2011), Cardiopulmonary Resuscitation and Advanced Cardiovascular Life Support, Koonja, pp.15-25.
  12. R. Kim, M.J. Chae(2015), Effects of Cardiopulmonary Resuscitation Education Using a PC Skill-Reporting System on the Knowledge, Self-Efficacy and Skill Performance Ability of Nursing Students, The Korean Society of Health Service Management, Vol.9(1);133-144.
  13. H.S. Kim, E.Y. Choi(2012), Continuity of BLS Training Effects in Nursing Students, The Journal of Korean Society of Nursing Education, Vol.18(1);102-110.
  14. T.A. Hoadley(2009), Learning Advanced Cardiac Life Support : A Comparison Study of the Effects of Low and High Fidelity Simulation, Nursing Education Perspectives, Vol.30(2);91-95.
  15. J.J. Yang(2008), Development and Evaluation of a Simulation-Based Education Course for Nursing Students, Journal of Korean Academy of Adult Nursing, Vol.20(4);548-560.
  16. R. Hamilton(2005), Nurses' Knowledge and Skill Retention Following Cardiopulmonary Resuscitation Training: A Review of the Literature, Journal of Advanced Nursing, Vol.51(3);288-297.
  17. paper.html
  18. Korean Association of Cardiopulmonary Resuscitation(2011), Korean CPR Guideline, pp.3-4.
  19. Y.H. Kim, K.S. Jang(2011), Effect of a Simulation-Based Education on Cardiopulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses, Journal of Korean Academy of Nursing, Vol.41(2);245-255.
  20. H.S. Byun, K.H. Kwon, B.D. Suh(2014), Effect of a Simulation-based Education for Advanced Cardiovascular Life Support on Knowledge, Self-Efficacy, Clinical Performance Ability and Problem Solving Process in Nursing Students, Journal of the Korea Entertainment Industry Association(JKEIA), Vol8(4);2601-273.
  21. S.J. Chang, E.O. Kwon, Y.O. Kwon, H.K. Kwon(2010), The Effects of Simulation Training for Graduate Critical Care Nurses on Knowledge, Self-Efficacy, and Performance Ability of Emergency Situations at Intensive Care Unit, Journal of Korean Academy of Adult Nursing, Vol.22(4);375-383.
  22. E.O. Kwon, M.Y. Shim, E.H. Choi, S.H. Lim, K.M. Han, E.J. Lee, S.J. Chang, M.M. Lee(2012), The Effects of an Advanced Cardiac Life Support Simulation Training Based on the Mastery Learning Model, Journal of Korean Clinical Nursing Research, Vol.18(1);126-135.
  23. D.B. Wayne, J. Butter, J. Viva, M.J. Fudala, L.A. Lindquist, J. Feinglass, L.D. Wade, W.C. McGaghie(2005), Simulation-based Training of Internal Medicine Residents in Advanced Cardiac Life Support Protocols: A Randomized Trial. Teaching and Learning Medicine, Vol.17(3);210-216.
  24. S.Y. Yu(2013), Development and Effects of Simulation-Based Education Program for Newborn Emergency Care, Journal of Korean academy of nursing, Vol.43(4);468-477.
  25. J. Cohen(1988), Statistical Power Analysis for Behavioral Science, Academic Press, p.384