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고위험 신생아 무호흡 응급관리 시뮬레이션 시나리오 평가

 Evaluation of Algorithm-Based Simulation Scenario for Emergency Measures with High-Risk Newborns Presenting with Apnea

아동간호학회지 2015년 21권 2호 p.98 ~ 106
KMID : 0606120150210020098
신현숙 ( Shin Hyun-Sook ) - 경희대학교 간호과학대학

이유나 ( Lee Yu-Nah ) - 경희대학교 간호과학대학
임다해 ( Rim Da-Hae ) - 경희대학교 간호과학대학

Abstract

Purpose: This study was done to develop and evaluate an algorithm-based simulation scenario for emergency measures for high-risk newborns presenting with apnea.

Methods: A one shot case study design was used to evaluate the algorithm-based simulation scenario. Effects of the developed simulation scenario were evaluated using the Simulation Effectiveness Tool (SET) and the Lasater Clinical Judgement Rubric (LCJR). From March to November 137 senior nursing students completed the simulation using this scenario.

Results: The eight-frame simulation scenario was developed based on the Neonatal Resuscitation Program (NRP) and the nursing clinical judgment process. After use of the scenario, overall scores for SET and LCJR were 21.0 out of 26.0 and 32.4 out of 44.0 respectively. There were no significant differences in scores according to general characteristics. Positive correlation coefficients were identified among overall and subcategories of SET and LCJR. In addition, students
provided positive feedback on the simulation experience.

Conclusion: Considering that nursing students have limited access to high-risk newborns during their clinical experience and that newborns presenting apnea are common in the neonatal intensive care unit, the simulation scenario developed in this study is expected to provide nursing students with more opportunities to practice emergency measures for high-risk
newborns.
KeyWords

Nursing simulation, Nursing education, Neonatal resuscitation, Pediatric nursing
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학술진흥재단(KCI) KoreaMed