간호대학생을 위한 신종감염병 간호시뮬레이션 학습모듈 개발 및 효과

Abstract

Purpose: The purpose of this research was to develop and examine the effects of nursing simulation learning module based on emerging infectious diseases(EID) on clinical reasoning of EID nursing care, clinical performance, confidence in practice, and anxiety for nursing students. Method: Non-equivalent control group pretest and posttest design was used. Participants were 3rd year nursing students who did not have simulation classes at a university in G city. A total of participants was 47 and consisted of 23 experimental group and 24 control group. This study was performed based on Jeffries(2005)'s simulation model, and simulation learning module of EID focused on coronavirus disease-2019(COVID-19) case also developed based on the model. Nursing simulation learning module of EID consisted of briefing, simulation practice, and debriefing stage. In briefing stage, clinical skills practice using demonstration videos, self-learning using handouts, and simulation orientation were performed. Simulation practice stage consisted of simulation practice of a scenario based on COVID-19 case in Korea. In debriefing stage, debriefing was done by using structured questions based on Lasater’s(2007) clinical judgment rubric tool. The effects of nursing simulation learning module of EID were measured by clinical reasoning of EID nursing care, clinical performance, confidence in practice and anxiety. Data were analyzed with descriptive analysis, χ2-test, Fisher' exact test, t-test, Wilcoxon signed-rank test, and Mann-Whitney U test. Result: The level of clinical reasoning of EID nursing care, clinical performance, and confidence in practice of the experimental group were significantly higher than that of the control group(p=.038, p<.001, p=.013). The level of anxiety of EID nursing care was significantly lower than that of the control group(p=.011). Conclusion: As the result of this study, nursing simulation learning module of EID was more effective than traditional method in terms of improving students’ clinical reasoning for EID nursing care, clinical performance, confidence in practice, and reducing their anxiety. Therefore, nursing simulation learning module of EID is expected to be useful for educational and clinical environment as effective teaching and learning strategies to empower the competency of nursing and to contribute to nursing education and clinical changes.