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Effects of a Simulation Practicum using Standardized Patients on Communication Skills, Critical Thinking Disposition and Clinical Competency in Nursing Students: Diabetic Car

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KMID : 0869520180240020091
±èº¸¿µ ( Kim Bo-Young ) - °æ»ó´ëÇб³ °£È£´ëÇÐ

ÀÌÀº¼÷ ( Lee Eun-Sook ) - °æ³²°úÇбâ¼ú´ëÇб³ °£È£Çаú

Abstract

º» ¿¬±¸´Â SP¸¦ È°¿ëÇÑ ´ç´¢º´ °£È£ ½Ã¹Ä·¹ÀÌ¼Ç ½Ç½À±³À°ÀÌ °£È£´ëÇлýÀÇ ÀÇ»ç¼ÒÅë´É·Â, ºñÆÇÀû »ç°í·Â ¹× ÀÓ»ó¼öÇà´É·Â¿¡ ¹ÌÄ¡´Â È¿°ú¸¦ ±Ô¸íÇϱâ À§ÇÑ ´ÜÀϱº »çÀü »çÈļ³°è ½ÇÇ迬±¸ÀÌ´Ù. º» ¿¬±¸ ´ë»óÀÚ´Â ÀÏ ´ëÇб³ °£È£ÇаúÀÇ ½Ã¹Ä·¹À̼ǽǽÀ ÇÁ·Î±×·¥¿¡ Âü¿©ÇÑ 4Çгâ Çлý 45¸íÀ̾ú°í, SP ½Ã¹Ä·¹ÀÌ¼Ç ½Ç½ÀÀº 11-12¸í¾¿ ¸ÅÁÖ 4½Ã°£¾¿ ÃÑ 4ÁÖ¿¡ °ÉÃÄ 2°³ÀÇ ½Ã³ª¸®¿À·Î ÁøÇàµÇ¾ú´Ù. ÀÚ·á´Â SPSS 21.0 ÇÁ·Î±×·¥À» È°¿ëÇÏ¿© ±â¼úÅë°è¿Í t-test·Î ºÐ¼®ÇÏ¿´´Ù. º» ¿¬±¸°á°ú SP ½Ã¹Ä·¹ÀÌ¼Ç ½Ç½À±³À°Àº °£È£´ëÇлýÀÇ ÀÇ»ç¼ÒÅë´É·Â°ú ÀÓ»ó¼öÇà´É·ÂÀ» Çâ»ó½ÃÄ×À¸³ª ºñÆÇÀû »ç°í¼ºÇâ¿¡¼­´Â À¯ÀÇÇÑ Â÷ÀÌ°¡ ¾ø¾ú´Ù. °á·ÐÀûÀ¸·Î SP¸¦ È°¿ëÇÑ ½Ã¹Ä·¹ÀÌ¼Ç ½Ç½À±³À°Àº °£È£´ëÇлýÀÇ ÀÇ»ç¼ÒÅë´É·Â°ú ÀÓ»ó¼öÇà´É·ÂÀ» Çâ»ó½ÃÅ°´Âµ¥ È¿°úÀûÀÎ ±³À°¹æ¹ýÀÓÀ» È®ÀÎÇÏ¿´´Ù. ¶ÇÇÑ ºñÆÇÀû »ç°í¼ºÇâÀ» Çâ»ó½ÃÅ°±â À§Çؼ­´Â ´Ù¾çÇÑ »óȲÀÇ ½Ã³ª¸®¿À¸¦ Àû¿ëÇÑ ÅëÇÕ ½Ã¹Ä·¹ÀÌ¼Ç ÇÁ·Î±×·¥À» °³¹ßÇÏ¿© Áö¼ÓÀûÀ¸·Î ½ÃÇàÇÏ°í Àå±âÀûÀ¸·Î ±× È¿°ú¸¦ Á¶»çÇÒ ÇÊ¿ä°¡ ÀÖ´Ù.

Purpose: This study was conducted to identify the effects of a simulation practicum using standardized patients on nursing student¡¯s communication skills, critical thinking disposition and clinical competency.

Methods: A one group pretest-posttest design was used. The participants consisted of 45 fourth year nursing students at G university. This study developed 2 scenarios for patients with diabetes mellitus and the simulation was conducted for an average of approximately 14 hours. Data were analyzed with descriptive analysis, t-tests and Cronbach¡¯s ¥á using SPSS 21.0 program.

Results: Communication skills, clinical competency and self-confidence for diabetic care were statistically improved; however, critical thinking disposition was not improved compared to that of pretest.

Conclusion: Simulation practicum using standardized patients may be effective in enhancing communication skills, clinical competency and self?confidence for diabetic care among nursing students. In addition, standardized patients simulation program to promote the critical thinking needs to be developed and further research related to standardized patients simulation is in need.
KeyWords
½Ã¹Ä·¹À̼Ç, ÀÇ»ç¼ÒÅë, »ç°í, ÀÓ»ó¼öÇà
Patient Simulation, Communication, Thinking, Clinical Competence
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ÇмúÁøÈïÀç´Ü(KCI)