낙상 환자 관리 시뮬레이션 교육 프로그램 개발 및 평가

Purpose: This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses. Methods: The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who...

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Published inKanho Haengjŏng Hakhoe chi = The journal of Korean Nursing Administration Academic Society Vol. 23; no. 5; pp. 548 - 557
Main Authors 유미(Yu, Mi), 김종경(Jong Kyung), 김세영(Kim, Se Young), 조성현(Cho, Sung Hyun), 김명자(Kim, Myung Ja), 서문경애(Seomun, GyeongAe)
Format Journal Article
LanguageKorean
Published 한국간호행정학회 2017
간호행정학회
Subjects
Online AccessGet full text
ISSN1225-9330
2288-4955
DOI10.11111/jkana.2017.23.5.548

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Abstract Purpose: This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses. Methods: The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who were in 4th year of nursing at one College of Nursing. Results: When comparing knowledge of falls before and after the simulation program, it was found that knowledge increased by 4.90 (from 24.60 pre-test to 29.50 post-test). For clinical performance of fall management, the score for assessment was 10.17 out of 16, for intervention 5.97 out of 10, and for evaluation 7.33 out of 8. The average score for reporting a fall to the doctor was 19.87 out of 30 based on SBAR. Prior to the implementation of the simulation program, the confidence of reporting to the physician was less than 5 in all four areas, but self-confidence improved by more than 6 points in all four areas after the program was implemented. Conclusion: Findings indicate that results of fall management simulation practice can contribute to nursing students' knowledge of falls, as well as to nursing interventions and post-treatment following a patient fall.
AbstractList 본 연구는 간호관리학실습에서 낙상환자관리 주제의 시뮬레이션 시나리오를 개발하고 이를 적용 한 후 그 효과를 평가하고자 시도되었다. 연구설계는 시뮬레이션 시나리오를 개발한 방법론적 연구와 낙상환자 관리와 의사보고 상황을 적용한 후 효과를 검증하기 위한 단일군 전후 실험설계를 적용한 유사실험연구이다. 연구의 대상은 일 개 지역의 간호대학에 재학 중인 4학년 학생으로 연구에 동의한 30명을 대상으로 하였다. 연구과정은 시나리오 개발단계, 시뮬레이션 프로그램의 내용타당도 검증 단계, 시뮬레이션 프로그램 적용단계로 구성하여 진행하였다. 연구결과 시뮬레이션 프로그램 시행 전후 낙상관련 지식을 비교하면 35점 만점 중 시행 전에는 24.60, 시행 후에는 29.50으로 4.90 증가하였다. 낙상관리 임상수행 능력 중 사정영역은 16점 만점 중에 평균 10.17, 중재영역은 10점 만점 중 5.97, 평가영역은 8점 만점 중 7.33이었다. SBAR에 근거한 의사에게 낙상발생 보고 점수는 총점 30점 만점 중에서 평균 19.87점이었다. 시뮬레이션 프로그램 시행 전에는 4개 영역 모두에서 의사보고의 자신감이 5점 미만으로 나타났으나, 프로그램 시행 후에 4개 영역 모두에서 6점 이상으로 자신감이 향상되었다. 본 연구결과 낙상관리 시뮬레이션 실습 결과는 간호학생들의 낙상관련 지식 뿐 아니라 환자 낙상 시 간호중재 및 사후처리에 도움이 될 것으로 판단되며, 간호관리학 실습의 내실을 기하고 역동적인 교과목 운영에 기여할 수 있을 것이다. Purpose: This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses. Method: The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who were in 4th year of nursing at one College of Nursing. Results: When comparing knowledge of falls before and after the simulation program, it was found that knowledge increased by 4.90 (from 24.60 pre-test to 29.50 post-test). For clinical performance of fall management, the score for assessment was 10.17 out of 16, for intervention 5.97 out of 10, and for evaluation 7.33 out of 8. The average score for reporting a fall to the doctor was 19.87 out of 30 based on SBAR. Prior to the implementation of the simulation program, the confidence of reporting to the physician was less than 5 in all four areas, but self-confidence improved by more than 6 points in all four areas after the program was implemented. Conclusion: Findings indicate that results of fall management simulation practice can contribute to nursing students' knowledge of falls, as well as to nursing interventions and post-treatment following a patient fall. KCI Citation Count: 3
Purpose: This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses. Methods: The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who were in 4th year of nursing at one College of Nursing. Results: When comparing knowledge of falls before and after the simulation program, it was found that knowledge increased by 4.90 (from 24.60 pre-test to 29.50 post-test). For clinical performance of fall management, the score for assessment was 10.17 out of 16, for intervention 5.97 out of 10, and for evaluation 7.33 out of 8. The average score for reporting a fall to the doctor was 19.87 out of 30 based on SBAR. Prior to the implementation of the simulation program, the confidence of reporting to the physician was less than 5 in all four areas, but self-confidence improved by more than 6 points in all four areas after the program was implemented. Conclusion: Findings indicate that results of fall management simulation practice can contribute to nursing students' knowledge of falls, as well as to nursing interventions and post-treatment following a patient fall.
Author 조성현(Cho, Sung Hyun)
김세영(Kim, Se Young)
유미(Yu, Mi)
김명자(Kim, Myung Ja)
김종경(Jong Kyung)
서문경애(Seomun, GyeongAe)
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DocumentTitleAlternate Development and Effects of Simulation Program for Fall Management
DocumentTitle_FL Development and Effects of Simulation Program for Fall Management
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Issue 5
Keywords Patient care management
Self report
환자간호관리
Nursing students
간호학생
보고
Accidental falls
Simulation training
낙상사고
시뮬레이션 훈련
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Snippet Purpose: This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with...
본 연구는 간호관리학실습에서 낙상환자관리 주제의 시뮬레이션 시나리오를 개발하고 이를 적용 한 후 그 효과를 평가하고자 시도되었다. 연구설계는 시뮬레이션...
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Title 낙상 환자 관리 시뮬레이션 교육 프로그램 개발 및 평가
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