PEARLS 적용 디브리핑 성찰일지에 대한 내용분석: 미숙아 대상자 간호를 중심으로

Content Analysis of Debriefing Reflection Journals Applying the PEARLS Method: Focusing on Nursing Care for Premature Infants

Purpose : This study aims to analyze the reflection journals of nursing students using the PEARLS (Promoting Excellence and Reflective Learning in Simulation) debriefing method during simulation practice and to verify the learning effects of debriefing through these journals. Methods : This descriptive study analyzed the content of reflection journals written by 60 fourth-year nursing students who participated in a simulation practice on nursing care for premature infants. Data collection occurred from June 10 to June 13, 2024. The reflection journals, structured into four stages — response, description, analysis, and application/summary — were analyzed to gain insight into the students' experiences with the PEARLS debriefing method. Results : The response stage revealed five categories of experiences related to the simulation practice. The description stage was divided into four categories of awareness of the overall scenario, three categories of priority planning, and four categories of nursing interventions. The analysis stage was categorized into three groups: confident performances, underperformances, and five other related categories. Finally, the application/summary stage highlighted five categories of learning outcomes derived from the simulation. Conclusion : Writing reflection journals using the PEARLS debriefing method during simulation practice fosters reflective learning. It holds educational significance by encouraging students to reassess their actions and decision-making processes, thereby gaining a deeper understanding of clinical situations.