DOI QR코드

DOI QR Code

Development and Evaluation of a Web-based Simulation Program on Patient Rights Education using Integrated Decision Making Model for Nurse Students

가치통합 의사결정모델을 이용한 간호학생 대상 웹기반 환자권리교육 시뮬레이션 프로그램 개발 및 평가

  • Kim, Ki-Kyong (Department of Nursing, Wonju College of Medicine, Yonsei University)
  • 김기경 (연세대학교 원주의과대학 간호학과)
  • Received : 2014.02.03
  • Accepted : 2014.03.18
  • Published : 2014.03.31

Abstract

Purpose: This study was designed to develop and evaluate the a web-based simulation program on patient rights education using integrated decision making model into values clarification for nurse students. Methods: The program was designed based on the Aless & Trollip model and Ford, Trygstad-Durland & Nelms's decision model. Focus groups interviews, surveys on learning needs for patient rights, and specialist interviews were used to develop for simulation scenarios and decision making modules. The simulation program was evaluated between May, 2011 and April, 2012 by 30 student nurses using an application of the web-based program evaluation tools by Chung. Results: Simulation content was composed of two scenarios on patient rights: the rights of patients with HIV and the rights of psychiatric patients. It was composed of two decision making modules which were established for value clarifications, behavioral objective formations, problems identifications, option generations, alternatives analysis, and decision evaluations. The simulation program was composed of screens for teacher and learner. The program was positively evaluated with a mean score of $3.14{\pm}0.33$. Conclusion: These study results make an important contribution to the application of educational simulation programs for nurse students' behavior and their decision making ability in protecting the patient rights.

Keywords

References

  1. Annas GJ. The rights of patients: The authoritative ACLU guide to the rights of patients. 3rd ed. Carbondale, IL: Southern Illinois University; 2004. p. 42-43.
  2. Dochterman JM, Bulechek GM. Nursing interventions classification (NIC). 4th ed. St. Louis, MO: Mosby; 2004. p. 541.
  3. Bernzweig EP. The nurse's liability for malpractice: A programed course. 6th ed. St. Louis, MO: Mosby; 1996. p. 400-401.
  4. Korean Nurses Association (KNA). The report of development on nursing standards. Seoul: KNA; 2003.
  5. Korean Nurses Association (KNA). Korea ethical code of nursing. Seoul: KNA; 2013.
  6. Smith-Pittman MH, Richardson JT, Lin CJ. An exploration of content on legal aspects of practice in nursing programs. The Journal of Nursing Education. 1999;38(9):400-406.
  7. Williams PC, Winslade W. Educating medical-students about law and the legal-system. Academic Medicine. 1995;70(9):777-786. http://dx.doi.org/10.1097/00001888-199509000-00013
  8. Park J-H, Kim Y-S, Kim W-O. The present status and future directions of nursing ethics education. Korean Journal of Medical Ethics. 2009;12(3):251-260.
  9. Korean Academy of Nursing Administration. Learning goals of nursing administration [Internet]. Seoul: Korean Academy of Nursing Administration. 2012 [cited 2012 November 30]. Available from: http://society.kisti.re.kr/board/download.php?tid=1&did=112118&order=1.
  10. Kim K-K. Problem design and evaluation for nursing students' problem-based learning in the protection of patients' rights. Korean Journal of Medical Ethics Education. 2007;10(1):49-60.
  11. Kim KK. Development of a web-based education program for nurses working in nursing homes on human rights of older adults. Journal of Korean Academy of Nursing. 2010;40(4): 463-472. http://dx.doi.org/10.4040/jkan.2010.40.4.463
  12. Welch RA. Making decisions and solving problems. In: Yoder-Wise PS, editor. Leading and managing in nursing. 5th ed. St. Louis, MO: Elsevier Mosby; 2011. p. 99.
  13. Ford JAG, Trygstad LN, Nelms BC. Applied decision making for nurses. St. Louis, MO Mosby; 1979.
  14. Park K-H. The role of simulation as a scaffold for decision making, ability, and the strategies of simulation programming. Theory and Research in Citizenship Education. 1999;28:201-220.
  15. Cho YS, Yu HK. Developing a school career counseling program using computer simulation for building career developmental competences of middle school students. The Journal of Vocational Education Research. 2009;28(2):19-52.
  16. Alessi SM, Trollip SR. Multimedia for learning: Methods and development. 3rd ed. Boston: Allyn and Bacon; 2001.
  17. Oh IK. Human rights education process incorporating experiential learning theory and web-based instruction. Korean society for Learning and performance. 2005;7(1):75-93.
  18. Chung HJ. Development and effectiveness of hemodialysis nursing education program using web-based learning system [master's thesis]. Seoul: Yonsei University; 2000.
  19. Meier BM, Yamin AE. Right to health litigation and HIV/AIDS policy. The Journal of Law, Medicine & Ethics. 2011;39 Suppl 1:81-84. http://dx.doi.org/10.1111/j.1748-720X.2011.00573.x
  20. Eleftheriadis P. A right to health care. The Journal of Law, Medicine & Ethics. 2012;40(2):268-285. http://dx.doi.org/10.1111/j.1748-720X.2012.00663.x
  21. Bae H-A, Lee S-B, Jang H-Y. Resolving conflicts between informed consent and patients' privacy in medical emergencies. Korean Journal of Medical Ethics Education. 2007;10(1):73-82.
  22. McGowan C. Patients' confidentiality. Critical Care Nurse. 2012;32(5):61-65. http://dx.doi.org/10.4037/Ccn2012135
  23. Wynaden D, Orb A. Impact of patient confidentiality on carers of people who have a mental disorder. International Journal of Mental Health Nursing. 2005;14(3):166-171. http://dx.doi.org/10.1111/j.1440-0979.2005.00377.x
  24. National Human Rights Commission of the Republic of Korea. HIV decision case [Internet]. Seoul: National Human Rights Commission of the Republic of Korea. 2011 [cited 2012 June 10]. Available from: http://www.humanrights.go.kr/search/XSearch.jsp
  25. Simms C. The HIV/AIDS crisis and the right to health. International Journal of Clinical Practice. 2011;65(3):233-236. http://dx.doi.org/10.1111/j.1742-1241.2010.02601.x
  26. Montgomery J. Health care law. 2nd ed. New York: Oxford University; 2003.
  27. Lee S-M. An experimental analysis of cognitive and emotional components of a human-right education program [dissertation]. Seoul: Seoul National University; 2000.
  28. Kim K-K. Development of a web-based diagnostic evaluation program for prevention of nurse malpractice liability. Journal of Korean Academy of Nursing Administration. 2011;17(1): 33-43. http://dx.doi.org/10.11111/jkana.2011.17.1.33
  29. Lee JH, Kim S-S, Yeo K, Cho SJ, Kim HL. Experiences among undergraduate nursing students on high-fidelity simulation education: A focus group study. The Journal of Korean Academic Society of Nursing Education. 2009;15(2):183-193. https://doi.org/10.5977/JKASNE.2009.15.2.183
  30. Barton K, Maharg P. E-simulations in the wild: Interdisciplinary research, design and implementation. In: Gibson D, Aldrich C, Prensky M, editors. Games and simulations: A new approach in education? Hershey, PA: Information Science; 2007. p. 115-148.

Cited by

  1. Difficulties and practices regarding information provision among Korean and Italian nurses vol.64, pp.4, 2017, https://doi.org/10.1111/inr.12374
  2. Effects of Case-based Learning on the Problem Solving Ability, Intrinsic Motivation, and Course Satisfaction of Nursing Students. vol.27, pp.1, 2014, https://doi.org/10.17927/tkjems.2015.27.1.21
  3. Factors Affecting the Academic Achievement of Nursing College Students in a Flipped Learning Simulation Practice vol.18, pp.11, 2014, https://doi.org/10.3390/ijerph18115970
  4. The effects of the Start-Up NurseS program on nursing students using management strategy simulation vol.105, pp.None, 2014, https://doi.org/10.1016/j.nedt.2021.105020