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Effects of Simulation-Based Training on the Clinical Competence and Confidence of Nursing Students in Intravenous Injection Performance and the Satisfaction of Clients

시뮬레이션 기반 정맥주사 교육이 간호학생의 임상수행능력과 수행자신감 및 대상자 만족도에 미치는 효과

  • Received : 2012.05.14
  • Accepted : 2012.06.07
  • Published : 2012.06.30

Abstract

Purpose: This study was conducted to examine the effect of simulation-based training on the clinical competence and confidence of nursing students in intravenous injection performance and the satisfaction of clients. Methods: This study employed a randomized control posttest non-synchronized design. The participants were 90 second-year nursing students(31 multimedia group, 28 IV model group, 31 IV computerized systems group) of S-University in Seoul, Korea. Each group was given 30 minutes for five trial injections, then the students performed intravenous injections on the back of hands of the clients, and the results were measured. Results: There were significant differences in competence of clinical performance among the three groups showed no significant differences in confidence before and after intravenous injections. While there was no significant difference in the satisfaction of clients among the three groups, there were significant differences in the satisfaction of clients resulting from the success or failure of intravenous injections(p=<.001). Conclusion: This study shows that simulation-base training contributes to the enhancement of competence and confidence of nursing students in clinical performance. It would be helpful to use various simulation-based training media as another choice of education in different fields.

본 연구의 목적은 시뮬레이션 기반 정맥주사 교육의 효과를 시뮬레이션 매체별로 비교 분석하고 대상자 만족도를 평가함으로써 시뮬레이션 기반 교육이 간호학생의 임상실무수행능력과 수행 자신감을 향상시킴과 동시에 대상자 만족도를 높이는데 도움이 되는 교육 방법임을 검증하는 것이다. 본 연구에서는 간호학과 2학년생 90명을 무작위로 동영상군에 31명, 모형군에 28명, 컴퓨터시스템군에 31명을 배정하였다. 동영상군은 기본간호학회에서 개발한 교육용비디오를, 모형군은 정맥주사모형을, 컴퓨터시스템군은 컴퓨터로 작동되는 정맥주사용 교육프로그램을 이용하여 1회 교육과 5회 실습을 실시한 후 대상자들끼리 짝을 이루어 손등 부위에 정맥주사를 시행하였다. 간호학생의 임상수행능력을 정맥주사 성공률로 분석한 결과, 동영상군 16.1%, 모형군 64.3%, 컴퓨터시스템군 38.7%가 성공한 것으로 나타났으며 세 군간에 유의한 차이가 있었다. 수행 자신감은 정맥 주사 전, 후 모두 세 군간에 유의한 차이가 없었으나 정맥주사 성공여부에 따른 차이를 비교한 결과, 정맥 주사 전, 후에 모두 유의한 차이가 있었다. 대상자 만족도는 세 군간에는 유의한 차이가 없었으나 정맥주사 성공여부에 따라서는 유의한 차이가 있었다. 이상의 연구결과에서 정맥주사 기술은 동영상과 컴퓨터시스템보다 모형을 이용한 시뮬레이션 기반 교육이 간호학생의 임상실무 능력을 향상시키는데 기여한 것으로 나타났으며 정맥주사에 성공한 학생이 성공하지 못한 학생보다 수행 자신감이 더 높은 것으로 나타났다. 그러나 이는 한 가지 간호 기술과 관련된 결과로 추후 다양한 간호기술에 적합한 시뮬레이션 교육매체를 평가하는 연구가 필요하다.

Keywords

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Cited by

  1. Comparison of Training Effectiveness for IV Injections: Intravenous (IV) Arm Model versus Computer Simulator vol.21, pp.3, 2014, https://doi.org/10.7739/jkafn.2014.21.3.302
  2. Effects of Open Laboratory Self-directed Practice on Knowledge, Self-confidence, Skill Competency, and Satisfaction of Intravenous Infusion vol.22, pp.1, 2016, https://doi.org/10.5977/jkasne.2016.22.1.63