Purpose: This study developed a simulation-based education program to strengthen prospective nurses’ competency in preventing nursing negligence, based on an analysis of criminal court cases involving nurses’ professional negligence, and tested the hypothesis that, after the education, the experimental group would score higher than the control group in legal knowledge, intention to engage in lawful nursing practice, and critical thinking disposition. Methods: The program was developed using the ADDIE model and incorporated the Five Fundamental Principles for Nursing Negligence Prevention (5F)—failure to implement accident prevention measures, failure to monitor patients, failure to comply with practice standards, failure to properly use medical devices, and failure to report—derived from criminal court cases from 2000 to 2020. A total of 46 prospective nurses were randomly assigned to an experimental group (n=23) or a control group (n=23) using a pretest-posttest design. The intervention consisted of theoretical instruction and standardized patient-based simulation practice. Results: After the intervention, the experimental group scored significantly higher than the control group in legal knowledge (19.78 vs. 10.74, p<.001), intention to engage in lawful nursing practice (47.35 vs. 46.09, p=.005), and critical thinking disposition (108.00 vs. 104.91, p=.032), supporting all three hypotheses. Conclusion: This study suggests that standardized patient simulation education based on criminal court cases may be a useful educational strategy for improving prospective nurses’ legal knowledge, intention to engage in lawful nursing practice, and critical thinking disposition.
한국어
본 연구는 간호사 업무상과실치사상 판례 분석을 기반으로 예비간호사의 간호과실예방역량 강화를 위한 시뮬레이션 기반 교육 프로그램을 개발하고, 교육 후 실험군이 대조군보다 법지식, 법실천의지, 비판적 사고성향 점수가 높을 것이라는 가설을 검증하였다. 프로그램은 ADDIE 모형을 기반으로 개발하였으며, 2000~2020년 간호사 업무상과실치사상 형사판례에서 도출한 간호과실예방 기본원칙 5F(사고방지조치·환자감시관찰·실무표준준수·의료기기사용·보고 실패)를 핵심 교육내용으로 반영하였다. 예비간호사 46명을 실험군(23명)·대조군(23명)에 무작위 배정한 사전사후설계를 적용하였고, 중재는 이론교육과 표준화환자 시뮬레이션 실습으로 구성하였다. 중재 후 실험군은 대조군보다 법지식(19.78점 vs 10.74점, p<.001), 법실천의지(47.35점 vs 46.09점, p=.005), 비판적 사고성향(108.00점 vs 104.91점, p=.032)이 유의하게 높아, 가설이 모두 지지되었다. 이는 형사판례 기반 표준화환자 시뮬레이션 교육이 법지식·법실천의지·비판적 사고성향 향상에 유용한 교육전략이 될 수 있음을 시사한다.
목차
요약 Abstract Ⅰ. 서론 1.1 연구의 필요성 1.2 연구 목적 Ⅱ. 연구방법 2.1 연구설계 2.2 연구 대상 및 표본 수 산출 2.3 교육프로그램 개발 및 구성 2.4 연구도구 2.5 자료수집 및 윤리적 고려 2.6 자료분석 방법 Ⅲ. 연구 결과 3.1 실험군과 대조군의 일반적 특성 및 동질성 검증 3.2 교육 후 법지식 점수의 집단 간 차이 분석 3.3 교육 후 법실천의지 점수의 집단 간 차이 분석 3.4 교육 후 비판적 사고성향 점수의 집단 간 차이 분석 Ⅳ. 논의 Ⅴ. 결론 및 제언 REFERENCES
Ever since next generation convergence technology became one of the most important industries in the nation, computing professionals have encountered a growing number of challenges. Along with scholars and colleagues in related fields, they have gathered in avariety of forums and meetings over the last few decades to share their knowledge, experiences and the outcome of their research. These exchanges have led to the founding of the International Next-generation Convergence technology (INCA) on December 1, 2015. INCA was registered as an incorporated association under the Ministry of Information and Communications. The main purpose of the organization is to improve our society by achieving the highest capability possible in next generation convergence technology.
간행물
간행물명
차세대융합기술학회논문지 [The Journal of Next-generation Convergence Technology Association]