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시뮬레이션기반 실습 시 간호학생의 간호사정 및 의사소통 기술에 대한 표준화 환자와 교수자 간의 평가 일치도

 Comparison of Standardized Patient and Faculty Agreement in Evaluating Nursing Students’ Assessment and Communication Skills

기본간호학회지 2017년 24권 3호 p.189 ~ 199
KMID : 0388320170240030189
김영주 ( Kim Young-Ju ) - 성신여자대학교 간호대학

Abstract

Purpose: This study was conducted to examine the level of agreement between a standardized patient (SP) and a faculty member in the evaluation of nursing students’assessment and communication skills.

Methods: Participants were 51 third year nursing students in a simulation practice of ‘nursing care for a patient admitted with chest pain’. Using a 30-item checklist and a 16-item communication tool, a SP and faculty member evaluated the students’ assessment and communication skills during the simulation.

Results: The average values for percent agreement and kappa statistic for nursing assessment between the two evaluators were 85.3% and .48 respectively. Twenty of thirty items evaluating assessment skill had above moderate agreement (≥.41) by kappa between the evaluators. Seven of sixteen items evaluating communication and interpersonal skills showed above fair agreement (≥.40) between the two evaluators, which was measured by intraclass correlation coefficient.

Conclusion: The findings show that the evaluation of the SP was consistent with those of the faculty member to a moderate degree. Clear guidelines for evaluating criteria and optimal time and effort for SP training are necessary to increase the reliability of standardized patients as evaluators in simulation-based nursing education.
KeyWords
환자시뮬레이션, 의사소통, 간호교육, 관찰자간 변이
Patient simulation, Communication, Nursing education, Inter-observer variation
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학술진흥재단(KCI) KoreaMed