졸업학년 간호학생의 학습성과 달성과 연계된 실습교육방법에 따른 효과 비교

Comparison of Practical Teaching Method for the Achievement of Program Outcomes in Senior Nursing Students

본 연구는 간호학과 4학년을 대상으로 학습성과 달성을 위한 핵심기본간호술과 시뮬레이션 실습교육의 효과를 비교하는데 목적이 있다. 연구 참여자는 K시 소재 간호학과 4학년에 재학 중인 학생으로 핵심기본간호술 실습군 93명, 시뮬레이션 실습군 85명이었다. 핵심기본간호술과 시뮬레이션 실습교육은 주 2시간, 총 16주 수업으로 진행하였다. 자료분석은 SPSS 23.0 프로그램을 이용하여 동질성검증은 빈도분석과 chi-square test를, 주요변수의 차이는 Shapiro-Wilk test로 정규성 검정 후, t-test를 이용하여 분석하였다. 연구 결과, 비판적 사고성향은 핵심기본간호술과 시뮬레이션 실습 교육군에서 통계적으로 유의한 차이가 있었고(t=-2.06, p=.041), 셀프리더십과 임상수행능력은 통계적으로 유의한 차이가 없는 것으로 나타났다. 또한 비판적 자기성향이 높을수록 셀프리더십(r=.38, p<.001)과 임상수행능력(r=.25, p=.001)은 증가하고 셀프리더십이 높을수록 임상수행능력(r=.62, p<.001)이 증가되는 것으로 나타났다. 본 연구결과를 바탕으로 간호학실습교육에서 학생들의 비판적 사고성향과 셀프리더십을 높일 수 있는 교육프로그램의 개발 및 활용을 제언한다.

The purpose of this study was for evaluating the effectiveness of practical education for program outcomes throughout comparing of how core basic nursing skills and simulation-based practice among the 4th nursing students. The participants were divided in two groups who were studying in the college where was located in K city as the 4th year students. The core basic nursing skills practice group were 93 students and the simulation-based practice were 85 students. The class lessons were done two hours a week, total 16 weeks in the both groups and for the group of the core basic nursing skills practice. Data were analyzed using the SPSS 23.0 program. The homogeneity test was used for frequency analysis and the chi-square test, and the difference between the main variables was analyzed using the Shapiro-Wilk test and t-test. The study result that level of critical thinking was statistically significant difference among the two groups(t=-2.06, p=.041). However, it shows that a person who has high critical thinking increases self-leadership(r=.38, p<.001) and clinical competence(r=.25, p=.001) and a person who is high self-leadership increases its clinical competence(r=.62, p<.001). Based on this study, we suggest that to develop and be used the practical educations in nursing science for increasing students critical thinking.