Earticle

본 연구는 문제중심학습과 시뮬레이션 실습 융합교육이 간호대학생의 간호지식, 자신감, 비판적 사고성향 및 문제해결능력에 미치는 효과를 파악하고자 시도되었다. 연구 대상자는 S지역 S대학교 4학년 간호상황실습2 교과목을 수강한 45명의 학생으로 자료는 자가 보고식 설문지를 이용하여 시뮬레이션 실습 전ㆍ후에 수집하였다. 문제중심학습과 시뮬레이션 실습 융합교육은 1주차에 2시간씩 3주차에 걸쳐 진행되었고, 융합교육 후에 간호지식, 자신감, 비판적 사고성향 및 문제해결능력 점수가 향상되었다. 간호지식, 자신감 및 비판적 사고성향은 문제해결능력과 양(+)의 상관관계가 나타나 문제중심학습과 시뮬레이션 실습 융합교육의 효과가 있음을 검증하였다. 따라서 다양한 주제의 문제중심학습과 시뮬레이션 실습을 융합한 교육 프로그램이 개발되고 활용되어야 한다.

The purpose of this study is to investigate the effect of simulation practice combining problem-based learning on nursing knowledge, self-confidence, critical thinking tendency and problem solving ability. The subjects of this study were 45 students who took two courses of nursing situation practice in the fourth grade of S university in S area. Data were collected before and after the simulation exercise using the self-report questionnaire. The problem-based learning and the simulation practice convergence training were conducted for three weeks with two hours per week, and the post- integration nursing knowledge, self-confidence, critical thinking disposition, and problem solving ability scores were improved. Nursing knowledge, self-confidence, and critical thinking tendency were positively correlated with problem solving ability and proved the effectiveness of problem-based learning and simulation training. Therefore, education programs combining problem-based learning and simulation training on various topics should be developed and utilized.

Purpose: Since the COVID-19 pandemic, virtual simulation practice has been increasingly activated as an alternative to clinical practice in nursing colleges. This study aimed to provide basic data by confirming changes in self-efficacy and nursing knowledge in the virtual simulations of nursing students, and identifying virtual presence, virtual patient learning system evaluation (VPLSE), and practical satisfaction. Methods: This was a single-group pre-post quasi-experimental study. The subjects were 28 third-grade nursing students. Results: Self-efficacy and nursing knowledge increased significantly (p<.001). Virtual presence had a significant positive correlation with VPLSE) (p=.002) and practice satisfaction (p=.011). There was also a significant positive correlation between virtual simulation learning evaluation and practice satisfaction (p<.001). Conclusion: Based on these results, virtual simulation practice can be used with clinical practice as an educational method to improve nursing students' self-efficacy and nursing knowledge in nursing education. Virtual presence was confirmed as a significant variable to improve practice satisfaction and VPLSE. It is necessary to develop a virtual simulation program that can improve virtual presence through collaboration with virtual reality technology experts.

Purpose: This study analyzed nursing students’ guided reflective journals following simulation-based practice using standardized patients for the initial care of older adults experiencing falls. It aimed to provide a deeper understanding of how changes in students’ thinking occurred through the learning experience and to describe their levels of reflection. Methods: An eight-hour simulation-based education program was implemented during a geriatric clinical practicum. The program consisted of orientation, pre-learning activities, simulation practice, and a wrap-up session. Reflective journals from 53 third-year nursing students were analyzed using qualitative content analysis. Results: Fifty-three third-year nursing students participated and submitted reflective journals. Three categories emerged from the analysis: “preparing for simulation-based practice,” which involved students setting care plans and employing observation; (2) “experiencing patient fall management through simulation-based practice,” where students actively engaged in realistic fall management scenarios; and (3) “critical reflection after simulation-based practice,” encompassing students’ acquisition of new insights and their personal growth. In the first category, students prepared for patient encounters by developing care plans and conducting observations. The second category highlighted realistic fall management scenarios utilizing standardized patients. The third category focused on personal growth through critical reflection. In the 53 reflective journals (185,021 words), level 3 reflections accounted for 31.6% of the content, while level 5, the highest reflection level, comprised only 8.6%. Conclusion: Post-simulation reflective journaling stimulated critical thinking and self-assessment, enabling nursing students to analyze and reflect deeply on clinical practices. This process reinforced their knowledge base and behavioral foundations essential for clinical practice.

이 연구는 시뮬레이션 기반 통합실습교육 프로그램이 간호대학생의 문제해결능력, 비판적 사고와 임 상수행능력에 미치는 효과를 파악하였다. 이 연구는 비동등성 대조군 전후설계의 유사 실험 연구이다. 우리는 3시간씩, 주 1회 14주 과정의 시뮬레이션 기반 통합실습교육 프로그램을 개발하였다. 자료는 프로그램 시작 시점과 프로그램 종료 시점에 수집하였다. 실험군에 86명, 대조군에 107명으로 총 193명 의 간호 대학생이 참여하였다. 수집된 자료는 SPSS/WIN 21.0 프로그램을 이용하여 t-test, paired t-test로 분석하였다. 문제해결능력과 임상수행능력은 프로그램 중재 후 대조군에 비해 실험군에서 유의하게 향상되었다. 비판적 사고는 유의한 차이가 없었다. 시뮬레이션 기반 통합실습교육 프로그램은 문제해 결능력과 임상수행능력 향상을 위한 교육 및 학습 전략으로 이용될 수 있을 것이다.

This study examined the effects of a simulation-based integrated clinical practice program on problem- solving competence, critical thinking and clinical competence among nursing students in Korea. This research used a nonequivalent control group pretest-posttest design. We developed a simulation-based integrated clinical practice program taking 3 hours per session, once per week for 14 weeks. 193 undergraduate nursing students participated in the study including 86 in the experimental group and 107 in the control group. Data were analyzed by SPSS 21.0 for t-test and paired t-test. While problem-solving competency and clinical competence were significantly improved in the experimental group, no difference was found in critical thinking. Simulation-based integrated clinical practice program could be utilized as a learning strategy for improving problem-solving and clinical competency of nursing students.

본 연구의 목적은 코로나 팬데믹 시기에 웹기반 시뮬레이션 실습을 포함한 임상 실습 경험의 의미를 파악하는 것이다. 웹기반 시뮬레이션 실습과 임상 실습 경험을 포커스그룹 인터뷰를 통하여 자료를 수집하고 내용분석 방법에 따라 분석하였다. 포커스 그룹에 의한 심충 면담내용을 분석한 결과, 2개의 구성요소와 7개의 주제 묶음, 18개의 주제로 나타났다. 첫 번째 구성요소로, 임상 실습은 4개의 주제 묶음으로 ‘팬데믹 상황에서의 불안한 실습의 출발’, ’다양한 사례에 의한 직접 경험‘, 미래 간호사로서 준비하는 훈련 기회’, ‘ 수행의 부담감 및 제한적 경험’이었다. 두 번째 구성요소인 웹기반 시뮬레이션 실습은 3개 의 주제 묶음으로 ‘미완성의 간호실습’, ‘가상공간에서의 임상 간호에 대한 간접경험’, ‘통합 실습 모델의 요구’로 분류되었다. 간호교육과정에서 임상 실습은 매우 중요한 부분이나 학생들이 실제로 현장에서 수행할 수 있는 간호는 매우 제한적이다. 따라서 관찰 위주의 임상 실습의 단점을 보완하고, 실습 교육의 질적 수준을 높이기 위하여, 웹기반 시뮬레이션 실습을 포함한 혼합 실습 모델 등을 고려할 필요가 있다.

The purpose of this study is to understand the meaning of clinical practice experience, including web-based simulation practice, in the context of the corona pandemic era. As for the research method, data were collected through a focus group interview on the experience of web-based simulation practice and subsequent clinical practice and analyzed by content analysis method. The contents of the two interview groups were analyzed, and the results were divided into 2 components, 7 topic groups, and 18 topics. The first component, the clinical practice, was divided into four topic groups: 'The anxious start of practice in a pandemic situation', 'Direct experience through various cases', 'Training opportunities to prepare as a future nurse', and 'The burden of performance and limited experience'. The second component, the web-based simulation practice, was divided into three topic groups: 'Unfinished nursing practice', 'Indirect experience of clinical nursing in virtual space', and 'Requirement of an integrated practice model'. Clinical practice is a very important part of the nursing education curriculum. However, the nursing that students can perform in the field is very limited. Therefore, to supplement the shortcomings of observation-oriented clinical practice and to increase the quality of practical education, it is necessary to consider a hybrid education model including web-based simulation practice.

This descriptive correlational study examined the relationship between transition shock and clinical practice adaptation among nursing students, and tested the moderating effect of simulation-based practice experience. Participants were 179 fourth-year nursing students from a university located in J city, and were divided into a pre-simulation group that experienced clinical practice before simulation-based education and a post-simulation group that experienced clinical practice after simulation-based education. Data were collected using a structured online questionnaire and analyzed with SPSS PROCESS Macro (Model 1) to test moderating effects. Higher levels of transition shock were associated with lower levels of clinical practice adaptation. Students with simulation-based practice experience reported significantly lower transition shock and higher clinical practice adaptation than those without such experience. Simulation-based practice experience significantly moderated the relationship between transition shock and clinical practice adaptation, although the increase in explained variance was small. Simple slope analysis showed that, for students with simulation-based practice experience, the negative impact of transition shock on clinical practice adaptation was mitigated compared to those without such experience. These findings suggest that simulation-based practice experience may serve as an effective educational strategy to support nursing students’ adaptation during initial clinical practice. The development of structured simulation programs and replication studies in diverse settings are warranted.

本研究旨在探究护理专业学生实习转换冲击与临床实习适应度之间的关联,并验证模 拟实习经历在此过程中的调节作用,为此开展了一项描述性相关性研究;研究对象为J市某大 学护理专业179名四年级在校生,根据是否接受过模拟实习教育,将其分为两组, 前半组为未 接受过模拟实习教育的临床实习组,后半组为接受过模拟实习教育的临床实习组;研究数据 通过结构化在线问卷收集,采用SPSS PROCESS宏程序(模型1)进行分析以验证调节效应. 研究结果显示 : 护理专业学生实习转换冲击程度越高,其临床实习适应能力越低;而有模拟 实习经验的组别,其实习转换冲击水平显著低于无经验组,临床实习适应能力则显著更高;此 外,模拟实习经历在统计学上显著调节了实习转换冲击与临床实习适应度之间的关系,但其解 释力提升幅度有限;简单斜率分析结果显示,即使面临同等程度的实习转换冲击,有模拟实习 经历的学生相比无该经历的学生,其临床实习适应度的下降幅度会有所缓解; 这些研究结果表明,模拟实训是帮助护理专业学生适应临床实习初期的有效教学策略;未来 需要系统化开发模拟实训的内容与质量,并开展持续性研究;

본 연구는 시뮬레이션 학습에 플립러닝을 적용하여 졸업학년 간호대학생의 실습몰입, 학업자기효능감 및 임상수행 능력에 대한 효과를 검증하기 위하여 시행한 연구이다. 일개 대학의 간호학과 4학년 학생 48명을 연구 대상으로 하였으며, 실습 교육은 2024년 9월부터 12월까지 16주간 진행하였다. 교육 전후로 수집된 자료는 SPSS 22.0 프로그램을 사용하여 분 석을 진행하였다. 연구 결과, 실습 교육 후에 실습몰입(t=-8.280, p=<.001)과 학업자기효능감(t=-2.036, p=.043), 임상수행 능력(t=-6.487, p=<.001)이 유의미하게 향상된 것으로 나타났다. 이러한 결과는 플립러닝 기반 시뮬레이션 실습 교육이 졸업 학년 간호대학생의 실습몰입과 학업자기효능감을 높여 임상수행능력을 향상시키는 효율적인 교육방법임을 확인하였으며, 이 를 바탕으로 다양한 교육과정에 확대하여 적용해 볼 것을 기대한다.

This study aimed to evaluate the effects of applying flipped learning in a simulation-based course on practice immersion, academic self-efficacy, and clinical performance among senior nursing students. A total of 48 fourth-year nursing students from a university participated in the study. The simulation training was conducted over a 16-week period, from September to December 2024. Data were collected before and after the training and analyzed using SPSS version 22.0. The results showed significant improvements in practice immersion (t= -8.280, p< .001), academic self-efficacy (t= -2.036, p= .043), and clinical performance (t= -6.487, p< .001) following the intervention. These results confirm that flipped learning-based simulation practice education is an effective instructional method for enhancing practice immersion and academic self-efficacy, thereby improving clinical performance ability in graduating nursing students. Based on these findings, it is expected that this approach can be expanded and applied to various educational curricula.

본 연구는 표준화 환자를 활용한 정신간호 시뮬레이션 실습의 교육 효과를 확인하기 위해 D광역시 소재 대학 간호학과에 재학중인 3학년을 대상으로 2021년 9월부터 11월까지 자료 수집하여 진행되었다. 자료 분석은 SPSS/WIN 22.0 프로그램을 이용하여 일반적 특성과 의사소통능력, 문제해결능력, 학습자기효능감, 학습만족도에 대한 시뮬레이션수업 전·후 결과를 비교 검증하였다. 연구 결과 교육 후 의사소통능력(t=-3.199, p=.004)과 학습 만족도(t=-3.342, p=.003)는 유의하게 상승 되었다. 그러나 문제해결능력(t=-1.875, p=.072)과 학습자기효능감 (t=-1.432, p=.164)은 전·후 결과값에 변화가 있었으나 통계적으로 유의하지 않았다. 따라서 간호대학생의 의사 소통능력과 학습만족도 증진을 위해 표준화 환자를 적용한 교육이 지속적으로 운영될 필요가 있다.

This study was conducted by collecting data from September to November 2021 for third-year students enrolled in the Department of Nursing at a university located in D city in order to confirm the educational effect of psychiatric nursing simulation practice using standardized patients. For data analysis, using the SPSS/WIN 22.0 program, the results before and after the simulation class on general characteristics, communication ability, problem-solving ability, learning self-efficacy, and learning satisfaction were compared and verified. As a result of the study, communication ability (t=-3.199, p=.004) and learning satisfaction (t=-3.342, p=.003) significantly increased after education. However, problem-solving ability (t=-1.875, p=.072) and learning self-efficacy (t=-1.432, p=.164) were not statistically significant. Therefore, it is necessary to continuously operate education applying standardized patients to improve the communication ability and learning satisfaction of nursing students.

Purpose: This study is examined the effects of simulation practice education with problem-based learning methods on nursing students' learning attitudes, learning satisfaction, critical thinking disposition, and problem-solving ability. Method: A quasi-experiment single group pretest-posttest design was adopted. Simulation education was conducted by utilizing problem-based learning methods to teach the following topics to nursing students enrolled in 4th grade in S city: respiratory, circulatory, and nervous system. The experiment was conducted for 12 weeks, from September to December, 2019. Paired t-test and Pearson product-moment correlation coefficient were used to analyze the collected data. Results: Learning attitude and problem-solving ability showed significant differences in the experiment. Among the sub-areas of problem-solving ability, there were significant differences in the following: problem recognition (p<.001), information gathering (p<.001), confident thinking disposition (p<.001), acceptance to carry out an adventure (p<.001), evaluation (p=.027), and feedback (p<.001). In addition, learning attitude showed significant positive correlations with learning satisfaction, critical thinking disposition, and problem-solving ability. Conclusion: The findings of this study suggest that, it is necessary to develop a variety of iterative studies and simulation scenarios to confirm the effectiveness of simulation training.

Purpose: This study was tried to identify the effects of simulation practice education on the clinical competence, critical thinking disposition and self-confidence of nursing process in new graduated nurses. Methods: This study was one group pre-post test design, participants are 50 new graduated nurses with less than 3 month of working experience. The simulation practice education applied the first semester of the third grade, over 15 weeks with 1 credit per 2 hours per week by two instructors with four scenarios. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Result: There was a significant difference simulation practice education on the clinical competence and critical thinking disposition in the new graduated nurses. There was a correlation between clinical competence and critical thinking disposition. Conclusion: New nurses' capacity can be strengthened by applying simulation practice education that improve the clinical performance by enhance the critical thinking Disposition.

Purpose: The purpose of this study was to develop a model for handoff education for nursing students based on simulation using video and to identify educational effects of a simulated situation in pediatric care units. Methods: Data were collected from May 1 to 30, 2016. Participants were 84 senior nursing students in Seoul (video group: 43, simulation group: 41). Both groups were given a lecture and pre-briefing on handoff education. The simulation group had nursing practice on resolving health issues for respiratory distress using a high-fidelity baby simulator. The video group watched a video recording of a scenario based simulation, and used a summarized handoff situation to practice patient handoff to another student. Results: There was no significant difference between the two groups for handoff self-confidence, problem solving ability, handoff competence (self-assessment of students), or learning satisfaction. Self-confidence increased significantly in both groups. Handoff competency evaluated by the instructor was higher in the video group compared to the simulation group (t=2.33, p=.022). Conclusion: Nursing student education for handoff practice utilizing a video in the pediatric unit was more cost effective. Therefore, it could be a useful educational method for students in learning patient handoff practices and helpful for related research.

연구는 Hybrid 시뮬레이션 실습교육 프로그램이 간호대학생의 비판적 사고 성향, 자기효능감, 의사소통능력 및 임 상수행능력에 미치는 영향을 확인하기 위한 단일군 사전·사후 유사 실험 연구이다. 간호대학생 35명을 대상으로 2023년 4월 24일부터 5월 5일까지 수집된 자료는 SPSS 25.0 program을 이용하여 빈도분석, 평균, 표준편차, paired t-test로 분석하였 다. 연구결과 시뮬레이션 프로그램 진행 후 간호대학생의 비판적 사고 성향(t=7.01, p<.001), 자기효능감(t=2.17, p=.037), 의사소통능력(t=2.70, p=.011), 임상수행능력(t=6.60, p<.001) 모두 통계적으로 유의하게 향상되었다. Hybrid 시뮬레이션 실습교육 프로그램은 고충실도-저충실도-역할극 등 다양한 학습 도구를 적용하여 간호대학생의 이론과 실습의 연계를 강화 한다는 점에서 의의가 있다.

The study attempted to examine the effects of hybrid simulation practice program on critical thinking disposition, self-efficacy, communication competency, and clinical competency of nursing students. The study was one group pre-test and post-test design. Data were collected between April 24 to May 5, 2023 from 35 nursing students. The collected data was analyzed using the SPSS 25.0 program, frequency analysis, mean, standard deviation, and paired t-test. Research results showed that nursing students' critical thinking disposition(t=7.01, p<.001), self-efficacy(t=2.17, p=.037), communication competency(t=2.70, p=.011), and clinical competency(t=6.60, p<.001) were improved after the simulation program. The hybrid simulation practice program is significant in that it applies various learning tools, including high-fidelity-low-fidelity-role play to strengthen the connection between nursing students' theory and practice.

본 연구는 간호대학생을 대상으로 시뮬레이션 실습과 동영상 시청교육을 받은 경험에 관한 의미와 본질적인 구조를 파악하기 위해 시도된 질적 연구이다. 대상자는 이론적표본추출을 통해 6명을 선정하여 동전 던지기를 통해 3명 씩 2팀으로 나눠 포커스그룹 면담을 진행하였다. 수집된 자료는 현상학적 방법 중 Colaizzi의 방법을 적용해 분석하였 다. 연구결과 시뮬레이션실습은 3개의 범주(간호의 임상을 미리 경험해봄, 시뮬레이션 실습의 이로움, 시뮬레이션 실습 의 한계)와 14개의 주제로 도출되었다. 동영상 시청교육은 3개의 범주(교육의 편리성, 교육효과 증대, 지식 전달의 부족) 와 6개의 주제로 도출되었다. 결론적으로 시뮬레이션실습과 동영상 시청교육을 효과적으로 간호교육과정에 적용하기 위해서는 본 연구에서 도출된 결과를 반영하여 운영하기를 제언한다.

This study is a qualitative research attempted to understand meaning and essential structure of experience of nursing students who received simulation training and video watching education. The collected data were analyzed using the Colaizzi method among the phenomenological methods. The results of the study showed that the simulation practice was divided into three categories (experience of clinical nursing in advance, benefit of simulation exercise, limitation of simulation exercise) and 14 themes. Video watching education was derived from three categories (convenience of education, increase of educational effect, lack of knowledge transfer) and 6 themes. In conclusion, it is suggested that the simulation training and the video watching education should be reflected the results of this study in order to apply to the nursing curriculum effectively.

본 연구는 융복합 기반 통합시뮬레이션실습 교육이 간호대학생의 임상의사결정능력, 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감에 미치는 효과를 확인하고자 수행되었다. 연구설계는 단일군 사전사후설계에 의한 실험연구로 연구대상은 C도 소재 일개 4년제 대학 간호학과 4학년 학생 64명이었으며 연구기간은 2016년 9월 5일부터 2016년 12월 6일까지였다. 연구결과 통합시뮬레이션실습 교육 운영 후 문제해결과정 (t=-3.052, p<.01), 임상수행능력 (t=-4.279, p=.000), 핵심기본간호술 수행 자신감(t=-2.416, p<.05)의 점수가 사전에 비해 사후에 유의하게 증가하였다. 본 연구를 통하여 통합시뮬레이션실습 교육이 4학년 간호대학생의 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감의 임상실습 수행에 긍정적인 효과를 제공하므로 이를 지속적으로 적용하고 운영하는 교육과정이 필요할 것으로 생각된다. 과학적이고 분석적인 평가 도구와 프로그램의 개발이 필요하며 간호대학생의 학년별, 과목별 시뮬레이션실습과목의 통합을 과학적으로 분석하는 시스템이 필요하리라 생각된다.

This study was performed to examine that convergence-based integrated simulation practice program curriculum effects the clinical decision making, problem solving competence, clinical competence and confidence of core fundamental nursing skill performance for nursing students. After the convergence-based integrated simulation practice program, there were significant increased in problem solving process(t=-3.052, p<.01), clinical competence(t=-4.279, p=.000), and confidence of core fundamental nursing skill performance(t=-2.416, p<.05). The finding of this study verified that the integrated simulation practice program curriculum can be used for improvements of problem solving competence, clinical competence and confidence of core fundamental nursing skill performance for nursing students. It is necessary to develop a scientific analytical evaluation tool and program, and it would be necessary to have a system for scientifically analyzing the integration of simulation practical courses by nursing college students by grade level and subjects.

본 연구는 분만간호에 대한 융복합 기반 시뮬레이션 실습의 효과 및 요구도를 파악하기 위해 실시하였다. 연구대상은 충남 소재 일개 대학 간호학과에 재학 중인 3학년 학생 47명을 대상으로 하였다. 자료수집은 2012년 2 월 13일에서 25일까지 실시하였으며, 자가보고형 설문지를 이용하였다. 분만간호에 대한 융복합 기반 시뮬레이션 실 습은 1일 8시간씩 총 2일 동안 4개 영역으로 나누어 실시하였다. 시뮬레이션 실습 후 분만간호에 대한 자기효능감 (t=-14.74, p<.001) 및 임상술기능력(t=-17.51, p<.001)이 유의하게 증가하였으며, 실습만족도가 실습스트레스에 비해 높게 나타났다. 시뮬레이션 실습필요도는 10점 만점에 7.96점이었으며, 실습만족도가 높을수록 실습필요도가 높게 나 타났고, 임상실습 전에 시뮬레이션 실습을 실시하는 것에 대한 요구도가 임상실습 후 시뮬레이션 실습을 실시하는 것에 비해 높게 나타났다. 따라서 분만간호에 대한 임상실습을 보완하는 방안으로 시뮬레이션 실습을 활용하는 것이 필요하며, 시뮬레이션 실습은 임상실습 전에 실시하고, 시뮬레이션 실습필요도에 대한 학생들의 인식을 증가시키기 위한 전략 수립이 필요하다고 할 수 있다.

The purpose of this study was to evaluate the needs and effects of convergence-based simulation practice for obstetrical nursing. The study participants were 47 junior nursing students of a university in Chungnam province. Data were collected by a self-administered questionnaire from February 13 to 25, 2012. Convergence-based simulation practice for obstetrical nursing was applied 8 hours in a day for 2 days and consisted of four sessions. Self-efficacy in obstetrical nursing (t=-14.74, p<.001) and nursing skills related to obstetrical nursing (t=-17.51, p<.001) showed significant increase in the posttest and practice satisfaction was higher than practice stress. The needs of simulation practice was 7.96 out of 10 point and higher as practice satisfaction was higher. The needs of simulation practice before clinical practice was higher than simulation practice after clinical practice. These results indicate that simulation practice for obstetrical nursing can be used as the alternative for clinical practice. In addition to simulation practice should be done before clinical practice and strategies to increase the nursing student’s cognition for the need of simulation practice are also needed.

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. 양적연구 결과, 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 나 타났다. 질적연구 결과, 4개의 중심주제와 8개의 하위주제가 도출되었으며, 도출된 중심주제는 ‘우선순위에 근거한 통 합적인 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 실습교 육 현장에서 다양하게 활용될 수 있기를 기대한다.

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.

Purpose: This study aimed to explore the effects of immersion, satisfaction, and confidence in nursing competence after simulation practice. Methods: A descriptive survey was administered to 138 senior nursing students. Data were analyzed using descriptive statistics, Pearson’s correlation, stepwise multiple regression, and Cronbach’s alpha coefficient using SPSS/WIN 27.0. Results: Immersion, satisfaction, confidence, and nursing competence scored 85% of the overall scores. Nursing competence was positively correlated with immersion, confidence, and satisfaction. Only immersion had a significant effect on nursing competence, explaining 55.8% of variance. Conclusion: The level of immersion must be increased to enhance nursing competence in simulation. Further studies are needed to examine the effects of immersion on nursing competencies.

본 연구는 실무경험이 부족한 경영학 과목 수강생을 대상으로 실제적인 기업경영의 이해 도모를 위해 개발된 ‘비즈니스 시뮬레이션’ 과목의 개발 절차, 내용, 참여형 학습방식 등을 통해 교육성과로 이어지는 과정을 소개하였다. 개발된 비즈니스 시뮬레이션 과목은 기업경영의 다양한 내·외부 환경과 이슈를 현실에 맞게 반영하여 모의경영 형태의 실습 프로그램으로 개발·설계되었다. 즉, 수강생 각자가 가상으로 설립한 회사 의 CEO가 되어 다양한 경영활동을 수행하는 비즈니스 시뮬레이션 실습을 주요 활동으로 구성하여 수강생들이 적극적으로 참여할수 있도록 하였다. 경영자로서 기업경영을 하는데 있어 필요한 상황 판단 및 의사결정력 강화를 위한 구체적인 실습을 위해 합리적 의사결정을 위한 논리적 접 근, 인과관계 등에 관한 학습, 자금흐름의 프로세스 이해, 매회 실습 종료 후 나의 회사와 경쟁회사의 경영실적(시장점유율, 영업이익률, 자기자 본) 분석을 통해, 성과를 분석하고 차기경영에서 성과를 제고하기 위한 경영전략 수립활동을 주 내용으로 하였다. 이러한 참여형 교수법에 기반한(시뮬레이션, 팀별 실습, 개인별 실습, 공유, 프리젠테이션, 피드백, 심층토론, 창의적 의사결정 및 방법론 등) 교육을 통해 학습자들은 기업경영을 이해하고, 궁극적으로 비즈니스 역량 배양으로 이어져 실질적인 ‘이론과 실무의 접목’을 꾀할수 있었다. 본 연구는 경영학 과목 수강생들에게 재무/회계, 마케팅, 경영전략, 인사/조직, 리더십, 커뮤니케이션 등 경영 전반에 대한 통합적이고 융합적인 지 식의 접목을 통해 ‘통섭의 장’을 추구할 수 있는 학습법 및 대안을 제시하였다는 점에서 의의가 있다.

In this research, Business Simulation training program which was developed in 2014 with the purpose of enhancing the participation of learners and maximizing the learning efficacy to real managerial situations was introduced.While explaining the developing process, detailed contents, educational performance of the program, I have derived the implications for management education in the current business administration training field based upon its evaluation. This program focuses on various participatory techniques which comprise the basic theory of Strategic decision making and special account of fund control, discussion cases, diagnosis of learners' current level, and also by having chances to review the managerial behaviour of subjects through simulating and debriefing sessions, it attempts to develop the capability of the participants in the real business situations. This participatory training method leads subjects not only to understand what management is, but to improve their management skills. This research suggests the practical ways to complement the weakness in the management education field in Korea.

본 연구의 목적은 시뮬레이션기반 실습과 임상실습이 간호대학생의 비판적사고와 간호과정자신감의 미치는 효 과를 확인하고자 수행되었다. 본 연구는 D대학교 간호학과 4학년 103명(대조군 51명, 실험군 52명)을 대상으로 비동등 성 전·후 설계를 이용한 유사실험연구이다. 수집된 자료는 SPSS 23.0 프로그램을 이용하여 분석하였으며, 주요 연구결 과는 다음과 같다. 시뮬레이션기반 실습을 경험한 학생이 임상실습을 경험한 학생에 비해 비판적사고성향(t=-3.28, p =.001)은 유의한 향상을 보였다. 간호과정자신감(t=-1.78, p =.079)은 유의한 차이는 없었으나 실제적용, 협업 일관 성, 간호일관성에서 유의하게 높게 나타났다. 결과적으로 일부 유의한 차이는 없었으나 시뮬레이션기반 실습이 간호대 학생의 비판적사고성향 및 간호과정자신감을 향상시키는 것으로 확인되어 임상실습과 더불어 자유로운 시뮬레이션 실 습환경에서의 반복 연습과 표준화환자를 활용한 시뮬레이션기반 실습 연구가 필요할 것으로 생각된다.

The purpose of this study was to determine the effects of simulation-based practice and clinical practice on nursing students’ critical thinking disposition and nursing process confidence. This study is a quasi-experimental design using the non-equivalent control group pretest-posttest only design, targeting 103, 4th grade(51=control group, 52=experimental group) in the Department of Nursing at D University. The collected data were analyzed using the SPSS/WIN 23.0 program, and the main research results are as follows. Students who experienced simulation-based practice showed significant improvement in critical thinking tendencies(t=-3.28, p=.001) compared to those who experienced clinical practice. There was no significant difference in nursing process confidence (t=-1.78, p=.079), but it was significantly higher in actual application, collaborative contsistency, and nursing contsistency. As a result, There were no significant difference in some, but it was contfirmed that simulation-based practice improved the critical thinking disposition and nursing process confidence in of nursing students. In addition to clinical practice, it is considered necessary to study simulation-based practice using repetitive practice and standardized patients in a free simulation practice environment.

Purpose: The purpose of the study is to confirm the effect of ACLS program using simulations and understanding self-efficacy, practice satisfaction, learning attitude, and interest in ACLS after theory classes and simulation-based practice. Methods: A non-equivalent simulation-based practice post test design was used. The participants were 28 paramedic students. The students participated in simulation- based practice for 3 weeks and conventional instruction class for 12 weeks. Results: The students showed higher level of self-efficacy(p =.043), practice satisfaction(p <.001) and learning attitude(p =.003) compared to the conventional lecture students. Conclusion: Level of self-efficacy after simulation-based practice for ACLS was higher than that of self-efficacy after conventional instruction classes. Level of practice satisfaction was also higher. Academic achievement after simulation-based practice was higher than that in conventional instruction classes.