Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Development and Effects of Problem-Based Learning Based on Simulation Practice Program for Nursing Students: Mixed Methods Research

간호학생의 문제중심학습 기반 시뮬레이션 실습 프로그램 개발 및 효과: 혼합연구방법

  • 이정은 (제주한라대학교 간호학과) ;
  • 임연길 (제주한라대학교 간호학과) ;
  • 오윤희 (제주한라대학교 간호학과)
  • Received : 2021.11.10
  • Accepted : 2022.02.20
  • Published : 2022.02.28
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Abstract

This study aimed to develop simulation practice program with PBL (S-PBL) for nursing students and evaluate the effect of the program on their problem solving ability, clinical performance competency, learning satisfaction and confidence. The participants were nursing students who applied for simulation practice courses at an university in J province. The study was a mixed-method design using a nonequivalent one group pretest-posttest design (n=91) and focus group interview (n=12). Quantitative data were analyzed using SPSS 23.0 program and qualitative data thematic analysis. Quantitative data showed S-PBL was effective in improving clinical performance competency, learning satisfaction and confidence of the participants, but not in improving problem solving ability. As a result of the qualitative study, four themes and eight sub-themes were derived, and the themes were "Learn integrated nursing care based on priority", "Experience team cooperation through communication," "Learn vividly critical care" and "Improved nursing competency". The S-PBL could be effective in practical education for nursing students. In further study, it is necessary to develop various simulation practice programs based on PBL through a mixed-method design and apply them to nursing curriculum.

본 연구는 간호학생 대상으로 문제중심학습 기반의 시뮬레이션 실습 프로그램을 개발하고 효과를 검증하기 위한 혼합연구이다. 자료수집은 2021년 4월 19일부터 6월 11일까지 J도 소재 일개 대학 간호학과 학생 91명의 구조화된 설문지와 12명의 초점집단면담을 실시하였고 수집된 자료는 SPSS 23.0과 주제분석을 활용하여 분석하였다. 양적연구결과, 문제중심학습 기반의 시뮬레이션 실습 프로그램은 대상자의 임상수행능력(t=2.78, 𝜌=.006), 학습만족도(t=2.41, 𝜌=.017)와 자신감(t=2.81, 𝜌=.005)을 향상시키는 데 효과가 있었으나, 문제해결능력 향상에는 효과가 없는 것으로 나타났다. 질적연구 결과, 4개의 중심주제와 8개의 하위주제가 도출되었으며, 도출된 중심주제는 '우선순위에 근거한 통합적인 간호를 학습함', '의사소통을 통한 팀 상호협동을 경험함', '중환자간호를 선명하게 학습함', 그리고 '간호역량이 향상됨'이었다. 본 연구는 혼합연구방법을 통하여 문제중심학습 기반의 시뮬레이션 실습 효과를 검증하였다는데 의의가 있으며 간호학생 대상으로 근거 기반의 시뮬레이션 실습 교육 프로그램을 개발하는데 기초적인 자료로 제공되어 실습교육 현장에서 다양하게 활용될 수 있기를 기대한다.

Keywords

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