earticle

영어

This study aimed to examine the effects of integrated simulation practice education for nursing college students on their communication skills, self-efficacy in learning, clinical reasoning ability, and clinical performance through a pre-post quasi-experimental design with a single group. The participants were 41 fourth-year nursing college students from a university located in G City, and the intervention took place from September to November 2023 over a period of nine weeks. The collected data were analyzed using SPSS 23.0, and the research findings are as follows. First, after simulation practice education, significant effects were observed in self-efficacy in learning (t=-2.21, p=.033), clinical reasoning ability (t=-2.97, p=.005), and clinical performance (t=-2.84, p=.007), but no significant difference was found in communication skills (t=-.224, p=.824). Second, after simulation classes for nursing students, clinical performance showed significant positive correlations with communication skills (r=.650, p<.001), self-efficacy in learning (r=.440, p<.001), and clinical reasoning ability (r=.824, p<.001). Based on these results, integrated simulation practice education for nursing students appears to be an effective educational method for enhancing their self-efficacy in learning, clinical reasoning ability, and clinical performance. To improve nursing students' clinical performance, it is necessary to operate simulation practices with various scenarios.

한국어

본 연구는 간호대학생의 통합시뮬레이션 실습 교육이 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과를 파악하고자 시도된 단일군 사전·사후 유사실험연구이다. 연구대상은 G광역시에 소재한 일개 대학의 4 학년 간호대학생 41명으로 2023년 9월부터 11월까지 9주간 운영되었다. 수집된 자료는 SPSS 23.0을 이용하여 기술 통계, paired t-test, Pearson’s correlation coefficient로 분석하였으며 연구결과는 다음과 같다. 첫째, 시뮬레이션 실 습 교육 후 학습자신감(t=-2.21, p=.033), 임상추론역량(t=-2.97, p=.005), 임상수행능력(t=-2.84, p=.007)은 유의미한 효과가 있는 것으로 나타났으나 의사소통능력은 유의미한 차이를 나타내지 않았다(t=-.224, p=.824). 둘째, 간호대학 생의 시뮬레이션 수업 후 임상수행능력은 의사소통능력(r=.650, p<.001), 학습자신감(r=.440, p<.001), 임상추론역량 (r=.824, p<.001)와 정적 상관관계가 있는 것으로 나타났다. 본 연구결과를 바탕으로 간호대학생의 통합시뮬레이션 실 습 교육은 간호대학생의 학습자신감과 임상추론역량, 임상수행능력 향상에 효과적인 교육방법이며 간호대학생의 임상 수행능력을 높이기 위해서는 다양한 시나리오를 통한 시뮬레이션 실습 운영이 필요하다.