고위험 임산부 간호의 시뮬레이션 실습교육과 임상실습 교육에서의 간호지식, 임상수행능력, 실습만족도 및 자신감의 효과 비교 연구

A comparative study on the effects of Nursing knowledge, Clinical performance competence, Practice satisfaction, and Confidence in Simulation practice and Clinical practice for nursing high risk pregnant women

목적 본 연구는 고위험 임산부 간호에 대한 시뮬레이션 실습교육과 임상실습 교육에서의 간호지식, 임상수행능력, 실습만족도 및 자신감의 효과를 비교하기 위하여 시도되었다. 방법 비동등성 대조군 사후설계로 실험군은 ‘고위험 임산부 간호중재’ 시뮬레이션 실습교육을, 대조군은 ‘고위험 임산부 간호’의 임상실습이 적용되었다. 자료수집은 2022년 3월 22일에서 6월 5일까지로 실험군 52명, 대조군 44명을 SPSS 25.0 프로그램을 이용하여 분석하였다. 대상자의 일반적 특성은 빈도, 백분율, 평균, 표준편차로, 동질성 검증은 Chi-squared test로, 실험군과 대조군의 효과 검정은 independent t-test로 하였다. 결과 간호지식(t=-0.472, p=.638)과 임상수행능력(t=1.104, p=.273)은 시뮬레이션 실습군과 임상실습군에서 통계적으로 유의한 차이를 보이지 않았으나 실습만족도(t=2.375, p=.020)와 자신감(t=2.700, p=.008)은 시뮬레이션 실습군에서 통계적으로 유의한 결과를 보였다. 결론 고위험 임산부 간호에 대한 시뮬레이션 실습교육은 간호학생들의 임상실습교육을 보완하거나 대체할 수 있는 효과적인 교수학습전략이다.

Objectives This study was attempted to compare the effects of nursing knowledge, clinical performance competence, practice satisfaction, and confidence in simulation practice education and clinical practice education for nursing high risk pregnant women. Methods A non-equivalent control group post-hoc design was conducted. For the experimental group, simulation training for ‘high-risk pregnant nursing intervention’ was applied, and for the control group, clinical practice for ‘nursing for high-risk pregnant women’ was applied. Data collection was conducted from March 22 to June 5, 2022, and 52 people in the experimental group and 44 people in the control group were analyzed using the SPSS 25.0 program. The general characteristics of the subjects were frequency, percentage, mean, and standard deviation, the homogeneity was verified by the Chi-sqiare test, and the effects of the experimental and control groups were tested by the independent t-test. Results Nursing knowledge (t=-0.472, p=.638) and clinical performance (t=1.104, p=.273) did not show a statistically significant difference between the simulation and clinical practice groups. However, practical satisfaction (t=2.375, p=.020) and confidence (t=2.700, p=.008) showed statistically significant results in the simulation practice group. Conclusions Simulation practice for nursing high-risk pregnant women is an effective teaching and learning strategy that can supplement or replace nursing students' clinical practice.