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장경순 ( Jang Kyung-Soon ) - Yeungnam University Hospital Department of Nursing
류경희 ( Ryu Kyeong-Hee ) - Yeungnam University Hospital Department of Nursing
강현모 ( Kang Hyeon-Mo ) - Yeungnam University Hospital Department of Nursing
강인화 ( Kang In-Hwa ) - Yeungnam University Hospital Department of Nursing
권정희 ( Kwon Jeong-Hui ) - Yeungnam University Hospital Department of Nursing
이경미 ( Lee Gyeong-Mi ) - Yeungnam University Hospital Department of Nursing
남윤정 ( Nam Yun-Jung ) - Yeungnam University Hospital Department of Nursing
서미혜 ( Seo Mi-Hye ) - Yeungnam University Hospital Department of Nursing
김지연 ( Kim Ji-Yeon ) - Yeungnam University Hospital Department of Nursing
정지윤 ( Jung Ji-Yun ) - Yeungnam University Hospital Department of Nursing
김현지 ( Kim Hyun-Ji ) - Yeungnam University Hospital Department of Nursing
배혜민 ( Bae Hye-Min ) - Yeungnam University Hospital Department of Nursing
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Abstract
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목적: 본 연구는 NLN/JSF를 기반으로 시뮬레이션기반 고유량산소요법 교육프로그램을 개발하여 임상간호사에게 적용 후 강의식 고유량산소요법 교육을 받은 군과 비교하여 지식 및 임상수행능력, 교육만족도에 미치는 효과 파악을 위해 진행하였다.
방법: 고유량산소요법을 사용한 경험이 없는 4개월 이상 5년 이하 경력간호사를 대상으로 실험군 31명과 대조군 33명을 2019년 8월 1일 부터 2019년 9월 30일까지 진행하였다. 교육프로그램은 교수자, 학습자, 교육상황, 설계특성 및 교육성과로 시뮬레이션 시나리오를 개발하였다. 교육적용은 고유량산소요법 동영상 시청 후 지식, 임상수행능력 사전평가를 시행하였다. 이후 호흡부전 이론교육, Airvo2와 Optiflow 시뮬레이션 교육, 디프리핑으로 총 90분 진행하였다. 적용 후 간호사의 지식, 임상수행능력 및 교육만족도를 측정하였다. 수집된 자료는 SPSS WIN 22.0 통계 프로그램을 이용하여 빈도와 백분율, Cronbach’s α coefficient, Chi-square test, Fisher’s exact test independent t-test로 분석하였다.
결과: 지식과 교육만족도는 실험군이 대조군 보다 점수가 높고 통계적으로 유의한 차이가 있었다(t=14.09, p<.001), (t=-12.99, p<.001), Optiflow와 Airvo2 사용 임상수행능력은 시뮬레이션기반 실험군이 대조군 보다 점수가 높고 통계적으로 유의한 차이가 있었다(t=-11.39, p<.001), (t=-11.38, p<.001).
결론: 이상의 결과를 통해 시뮬레이션기반 고유량산소요법 교육프로그램이 임상간호사의 지식, 임상수행능력, 교육만족도를 향상시키는 것으로 검정되었다.
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Purpose: The aim of this study was to develop a simulation-based High Flow Nasal Cannula Oxygen Therapy training program based on NLN/ISF to identify the effect on knowledge, clinical performance, and educational satisfaction compared to a group who had traditional High Flow Nasal Cannula Oxygen Therapy training after applying it to clinical nurses.
Methods: 31 experimental groups and 33 control groups were conducted from August 2019 to September 2019 for inexperienced nurses over 4 months to 5 years with no experience using high-flow oxygen therapy. Educational programs were developed in scenarios according to Airvo2 and Optiflow, such as facilitator, participant, educational condition, design, characteristics, and educational outcomes. The education application was conducted in advanced for knowledge and clinical performance ability after watching therapy video. Since then, a total of 90 minutes have been conducted for respiratory failure theory training, airvo2 and optiflow simulation training, and debriefing. After applying the education, the medical institution measured nurses’ knowledge, clinical performance, and education satisfaction. Data were analyzed using descriptive statistics, with the SPSS/WIN 22.0 program.
Results: Both knowledge and educational satisfaction were higher in the experimental group than in the control group (t=-14.09, p<.001), (t=-12.99, p<.001). The clinical performance for both use of Optiflow and Airvo2 were higher in the experimental group than in the control group (t=-11.39, p<.001), (t=-11.38, p<.001) .
Conclusion: Results showed that the simulation-based High Flow Nasal Cannula Oxygen Therapy training was effective with the experimental group having increased scores for every area of this study.
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KeyWords
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시뮬레이션, 고유량산소요법, 지식, 임상수행능력, 교육만족도
Simulation, High Flow Nasal Cannula, Knowledge, Clinical Performance, Educational Satisfaction
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원문 및 링크아웃 정보
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등재저널 정보
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