표준화 환자를 활용한 시뮬레이션 학습시나리오 개발 및 적용

Abstract

Purpose: This study was to develop the simulation-based learning scenario using standardized neurologic patients, and to evaluate the effect of it. Method: This study was a pre-post test design with a single group. Study participants were recruited from fourth-year nursing students at a university. The scenario consists of objectives, fidelity, problem solving, student support and debriefing, focusing on nursing assessment with neurological observations. Following the development of scenario, a pre- and post-test was conducted to research problem solving ability and clinical performance ability before and after applying the simulation-based scenario using standardized patients to learning. In addition, a post-test was conducted to survey the learning satisfaction. The data were analyzed using the SPSS/WIN 18.0 program. Result: This study has developed the case scenario for a patient with spontaneous intracerebral hemorrhage. In the result of the simulation-based learning using standardized neurologic patients, problem solving ability and clinical performance ability showed statistically meaningful increase, and the satisfaction score after learning was high. Conclusion: The simulation-based learning scenario using standardized neurologic patients, which was developed in this study, had improved problem solving ability, clinical performance ability, and learning satisfaction. Through this study, the nursing student will grow up to be a professional nurse by learning the nursing assessment including consciousness assessment. Also, the simulation-based learning scenario using standardized patient should be developed in the various fields.