The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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A Comparison study of Nursing process competency, Critical thinking disposition and SBAR technique knowledge between Clinical practice and Alternative clinical practicum

임상실습과 임상실습대체 교내실습 간의 간호과정 수행능력, 비판적사고성향, SBAR 기술지식에 대한 비교 연구

  • 이외선 (경남도립거창대학 간호학과) ;
  • 임정혜 (창신대학교 간호학과)
  • Received : 2023.10.03
  • Accepted : 2023.11.03
  • Published : 2023.11.30
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Abstract

The purpose of this study is to understand the difference in nursing process competence, critical thinking disposition, and SBAR technique knowledge of nursing students according to practical methods. The subjects of the study were 20 students who participated in clinical practice and 18 students who participated in alternative clinical practicum. The collected data were analyzed by t-test, Mann-Whitney U-test, and Kruskal Wallis test. As a result of the study, there was no significant difference between nursing students' nursing process competence, critical thinking disposition, SBAR utilization ability, and perception of use depending on clinical practice and alternative clinical practicum. In clinical practice, nursing process competence and SBAR technical knowledge were significantly higher when college life satisfaction was high. In in-school practice, which is an alternative clinical practicum, critical thinking disposition and SBAR technical knowledge were high when nursing major satisfaction was high, and critical thinking disposition was high when grade were high. In preparation for future pandemic situations, a systematic clinical alternative practicum education plan should be prepared to improve nursing process competence, critical thinking tendency, and SBAR technique knowledge.

본 연구는 임상실습과 임상실습대체 교내실습 간의 간호대학생의 간호과정수행능력, 비판적사고성향, SBAR 기술지식의 차이를 비교하기 위해 시도되었다. 임상실습에 참여한 간호학과 3학년 학생 20명, 임상실습대체 교내실습에 참여한 학생 18명을 대상으로 자료를 수집하였다. 수집된 자료는 빈도와 백분율, 평균과 표준편차를 구하였고, t-test, ANOVA, 비모수 검정인 Mann-Whitney U-test, Kruskal Wallis test로 분석하였다. 연구결과 임상실습과 임상실습대체 교내실습 교육에 따른 간호대학생의 간호과정수행능력, 비판적사고성향, SBAR 기술지식 간에는 유의한 차이가 없었다. 임상실습에서 대학생활만족도가 높은 경우에 간호과정 수행능력과 SBAR 기술지식이 유의하게 높았고, 임상실습대체 교내실습에서는 간호학 만족도가 높은 경우에 비판적사고성향과 SBAR 기술지식이 높았고, 학점이 높을 때 비판적사고성향이 높았다. 향후 팬데믹 상황에 대비하여 간호과정 수행능력과 비판적사고성향 및 SBAR 기술지식 능력을 향상시킬 수 있는 체계화된 임상실습대체 실습교육 방안이 마련되어져야 할 것이다.

Keywords

References

  1. G.O. Park, and Y.S. Kim, "Stress of clinical practice, self-concept, mental health of nursing students," Journal of the Korean Data Analysis Society, Vol. 15, No. 4B, pp. 2149-2163, 2013. 
  2. D. Chan, "Development of the clinical learning environment inventory: Using of the theoretical framework of learning environment studies to assess nursing students' perception of the hospital as a learning environment," The Journal of nursing education, Vol. 41, No. 2, pp. 69-75, 2002. https://doi.org/10.3928/0148-4834-20020201-06 
  3. J.H. Lim, "The Effect of Virtual Reality Simulation Education on Nursing Process Competency," Journal of Digital Convergence, Vol. 19, No. 9, pp. 401-409, 2021. https://doi.org/10.14400/JDC.2021.19.9.401 
  4. H.S. Kang, Y.Y. Kim, and H.S. Lee, "Predictive factors influencing clinical competence in nursing students," Journal of the Korea Academia Industrial cooperation Society, Vol. 19, No. 3, pp. 389-398,  https://doi.org/10.5762/KAIS.2018.19.3.389
  5. J.S. Lee, J.E. Hong, M.S. Weon, and S.H. Park, "Influence of major satisfaction and clinical learning environment on career preparation behavior of nursing students," Journal of the Korea Academia-Industrial cooperation Society, Vol. 23, No. 2, pp. 124-133, 2022. https://doi: 10.5762/KAIS.2022.23.2.124 
  6. R. Watson, A. Stimpson, A. Topping, and D. Porock, "Clinical competence assessment in nursing: a systematic review of the literature," Journal of Advanced Nursing, Vol. 39, No. 5, pp. 421-31, 2002. https://doi.org/10.1046/j.1365-26 48.2002.02307.x 
  7. C. Barrett, & F. Myrick, "Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee," Journal of Advanced Nursing, Vol. 27, No. 2, pp. 364-371, 1988. https://doi.org/10.1046/j.1365-2648.1998.00511.x 
  8. S.H. Yang, and I.O. Sim, "Relationship between problem solving ability, critical thinking disposition, creativity, self efficacy and nursing process competence of nursing students," The Journal of the Korea Contents Association, Vol. 16, No. 5, pp. 612-622, 2016. http://dx.doi.org/10. 5392/JKCA.2016.16.05.612  https://doi.org/10.5392/JKCA.2016.16.05.612
  9. H.J. Lee, "Effects of problem based learning using mind map on nursing process of nursing student," Korean J Health Communication, Vol. 12, No. 1, pp. 119-126. 2017. http://dx.doi.org/10.15715/kjhcom.2017.12.1.119 
  10. J.J. Woo, "A comparison study of nursing process competence, critical thinking disposition and education satisfaction between clinical practicum and school practicum," The Journal of the Convergence on Culture Technology (JCCT), Vol. 8, No. 5, pp. 445-451, 2022. http://dx.doi.org/10.17703/JCCT.2022.8.5.445 
  11. K.A. Shin, and B.H. Cho, "Professional self-concept, critical thinking disposition and clinical competence in nursing students," The Journal of Fundamentals of Nursing, Vol. 19, No. 1, pp. 46-56, 2012. https://dx.doi.org/10.7739/j kafn.2012.19.1.046 
  12. C.A. Tanner, "Critical thinking revisited: paradoxes and emerging perspectives," The Journal of Nursing Education, Vol. 35, No. 1, pp. 3-4, 1996. https://doi.org/10.3928/0148-4834-19960101-03 
  13. H.S. Kim, "Effects of the nursing process education program on critical thinking dispositions of the nursing students," Journal of the Korean Data Analysis Society, Vol. 17, No. 1, pp. 561-574, 2015. UCI : G704-0 930.2015.17.1.02 
  14. Accreditation Board of Nursing Education, "The first half year of 2019 nursing education accreditation manual for nursing school," 2023. Available from: Korean Accreditation Board of Nursing Education. http://www.kabone.or.kr/reference/refRoom.do 
  15. S.Y. Jung, "The structural model of clinical performance ability for nursing students," Journal of The Korean Data Analysis Society, Vol. 15, No. 6, pp. 3333-3352, 2013. 
  16. Y.O. Jeoung, Y.I. Bak, J.W. Lee, S.C. Park, J.K. Jin, H.Y. Lee, S.H. Kang, et al., "Effects of an education program for effective nursing intershift handoff communication on nurses' intershift performance, self-efficacy, and interrelationship stress among clinical nurses: A pilot study", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 25, No. 3, pp. 176-186, 2016. https://doi.org/10.12934/jkpmhn.2016.25.3.176 
  17. Y.S. Lee, and Y. Eun, "The effect of the flipped learning on self-efficacy, critical thinking disposition, and communication competence of nursing students," The Journal of Korean Academic Society of Nursing Education, Vol. 22, No. 4, pp. 567-576, 2016. https://dx.doi.org/10.5977/jkasne.2016.22.4.567 
  18. M.S. Hyun, H.J. Cho, and M.A. Lee, "Effect of SBAR-collaborative communication program on the nurses' communication skills and the collaboration between nurses and doctors," Journal of Korean Academy of Nursing Administration, Vol. 22, No. 5, pp. 518-530, 2016. https://doi.org/10.11111/jkana.2016.22.5.518 
  19. J. Dunsford, "Structured communication: improving patient safety with SBAR," Nursing for Womens Health, Vol. 13, No. 5, pp. 384-390, 2009. https://doi.org/10.1111/j.1751-486x.2009.01456.x 
  20. Y.G. Noh, and I.S. Lee, "Effect of stepwise communication education program using SBAR among nursing students: Focusing on scenarios and nursing case-based role playing," The Journal of Korean Academic Society of Nursing Education, Vol. 24, No. 2, pp. 115-126, 2018. https://doi.org/10.5977/jkasne.2018.24.2.115 
  21. K.Y. Kim, and E.J. Lee, "The relationship among critical thinking disposition, nursing process competency and evidence-based practice competency in nurses working in hospitals," Journal of the Korean Data & Information Science Society, Vol. 27, No. 2, pp. 451-461, 2016. http://dx.doi.org/10.7465/jkdi.2016.27.2.451 
  22. J. Yoon, "A Study on the critical thinking disposition of nursing students-focusing on a school applying integrated nursing curriculum," Korean Academy of Nursing Administration, Vol. 14, No. 2, pp. 159-166, 2008. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE06641474 
  23. W. Wang, Z. Liang, A. Blazeck, and B. Greene, "Improving Chinese nursing students' communication skills by utilizing video-stimulated recall and role-play case scenarios to introduce them to the SBAR technique," Nurse Education Today, Vol. 35, No. 7, pp. 881-887, 2015. https://doi.org/10.1016/j.nedt.2015.02.010 
  24. J.Y. Kim, "Effect of online practice education and clinical practice education on nursing process performance and practice satisfaction of nursing students in the COVID-19," Journal of Learner-Centered Curriculum and Instruction, Vol. 22, No. 19, pp. 373-383, 2022. https://doi.org/10.22251/jlcci.2022.22.19.373 
  25. K.H. Kwak, H.M. Choi, and S.W. Hwang, "The development and application of the alternative clinical practicum program for the delivery room and the newborn nursery in the non-face-to-face distance education environment," Korea Society of Nursing Research, Vol. 5, No. 3, pp. 49-61, 2021. http://doi.org/10.34089/jknr.2021.5.3.49 
  26. H.H. Cho, K.H. Nam, J.S. Park, H.E. Jeong, and Y.J. Jung, "The effect of simulation training applying SBAR for nursing students on communication clarity, self-confidence in communication, and clinical decision-making ability," Journal of the Korea Academia-Industrial cooperation Society, Vol. 21, No. 7, pp. 73-81, 2020. https://doi.org/10.5762/KAIS.2020.21.7.73 
  27. O.S. Lee, and N.Y. Goo, "The relationship among knowledge of the SBAR, attitudes towards SBAR and critical thinking disposition for nursing students", Journal of Digital Convergence, Vol. 17, No. 9, pp. 213-220, 2019. https://doi.org/10.14400/JDC.2019.17.9.213 
  28. G.J. Na, and E.H. Na, "The effect of communication competence and interpersonal relationship abilities on the degree of campus life satisfaction: Major selection in department nursing and health science collage student," Journal of Learner-Centered Curriculum and Instruction, Vol. 19, No. 9, pp. 205-221, 2019. http://dx.doi.org/10.22251/jlcci.2019.19.9.205 
  29. M.Y. Kim, E.H. Kang, and E.K. Byun, "Influencing of stress in clinical practice, emotional intelligence, communication skill on satisfaction on clinical practice," Journal of the Korean Data Analysis Society, Vol. 19, No. 3, pp. 1699-1710, 2017.  https://doi.org/10.37727/jkdas.2017.19.3.1699
  30. I.S. Kim, Y.K. Jang, S.H. Park, and S.H. Song, "Critical thinking disposition, stress of clinical practice and clinical competence of nursing students," J Korean Acad Soc Nurs Edu, Vol. 17, No. 3, pp. 337-345, 2011.  https://doi.org/10.5977/JKASNE.2011.17.3.337
  31. H.S. Kim, G. Park, and H. Kang, "The relationship among satisfaction of major, critical thinking disposition and nurse image for nursing students," The Journal of the Convergence on Culture Technology (JCCT), Vol. 5, No. 2, pp. 263-270, 2019. http://dx.doi.org/10.17703/JCCT.2019.5.2.263 
  32. Y.S. Kim, and E.J. Oh, "Relationship among emotional intelligence, critical thinking and major satisfaction in nursing students," Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, No. 7, pp. 103-111, 2016. http://dx.doi.org/10.5762/KAIS.2016.17.7.103