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Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses

Journal of Korean Academy of Nursing 2011³â 41±Ç 2È£ p.245 ~ 255
KMID : 0806120110410020245
±èÀ±Èñ ( Kim Yun-Hee ) - µ¿½Å´ëÇб³ °£È£Çаú

Àå±Ý¼º ( Jang Keum-Seong ) - Àü³²´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses.

Methods: An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher¡¯s exact probability and t-test with the SPSS program.

Results: The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138).

Conclusion: The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.
KeyWords

Patient simulation, Knowledge, Clinical competency, Problem solving, Nurses
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