Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Open Laboratory Self-directed Practice on Knowledge, Self-confidence, and Skill Competency of Intramuscular Injection

실습실 개방 자율실습이 간호학생의 근육주사법에 대한 지식, 자신감 및 수행능력에 미치는 효과

  • Yun, So-Young (Graduate School, College of Nursing, Chonnam National University) ;
  • Choi, Soon-Hee (College of Nursing, Chonnam National University)
  • 윤소영 (전남대학교 대학원 간호학과) ;
  • 최순희 (전남대학교 간호대학)
  • Received : 2016.02.22
  • Accepted : 2016.05.12
  • Published : 2016.05.31
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Abstract

This study examined the effects of open laboratory self-directed practice on knowledge, self-confidence, and skill competency of intramuscular injection in nursing students. This was a quasi-experimental study using a non-equivalent control group pre-posttest design, and the participants were 32 students comprising an experimental group and 30 students comprising a control group. The experimental group was allowed to perform an open laboratory self-directed practice and traditional practice, and the control group performed traditional practice only. The score of knowledge of the control group was significantly higher than that of the experimental group (F=3.59, p=.019), and those of the self-confidence (F=2.26, p=.016) and skill competency (F=9.08, p<.001) of the experimental group were significantly higher than those of the control group. Open laboratory self-directed practice was effective in improving the nursing students' self-confidence and skill competency. Therefore, students should be encouraged to actively participate in open laboratory self-directed practice and the effective strategies should be developed.

본 연구는 실습실 개방 자율실습이 간호학생의 근육주사법에 대한 지식, 자신감 및 수행능력에 대해 미치는 효과를 확인하기 위해 실시되었다. 연구 설계는 비동등성 대조군 사전 사후 설계를 이용한 유사실험 연구로 G광역시 소재 일 간호대학의 기본간호학실습 과목을 수강하는 2학년 학생을 대상으로 하였으며 실험군 32명, 대조군 30명으로 총 62명이었다. 지식과 자신감은 설문지를 이용하였고 수행능력은 체크리스트를 사용하여 측정하였으며 사전, 사후 동일하게 측정하였다. 실험군은 전통적 학습과 실습실 개방 자율실습을 하였고 대조군은 전통적 학습만을 실시하였으며 수집된 자료는 SPSS 19.0 program 을 이용하여 paired t-test, t-test, ANCOVA로 분석하였다. 연구 결과 대조군의 지식(F=3.59, p=.019)이 실험군보다 유의하게 높게 나타났고, 실험군의 자신감(F=2.26, p=.016)과 수행능력(F=9.08, p<.001)이 대조군보다 유의하게 더 높게 나타났다. 따라서 실습실 개방 자율실습이 근육주사 간호술기에 대한 자신감 및 수행능력을 높이는 효과적인 방법으로 확인되었다. 앞으로 간호학생이 자율실습에 적극적으로 참여할 수 있고 실습실 개방 자율실습을 효과적으로 운영하는 방안이 마련되어야 할 것이다.

Keywords

References

  1. Gaberson K. B., Oermann M. H. Clinical Teaching Strategies for Nursing. p.19-30, Springer publishing company, 2007.
  2. J. I. Kim, K. Kim, H. J. Paik, K. Y. Sohng, M. R. Eom, et al, "A study on the present status of practicum of fundamentals of nursing and test for competency of nursing skills", The Korean Journal of Fundamentals of Nursing, Vol.17, No.3, pp.362-370, 2010.
  3. Y. S. Song, "A correlation study on self-efficacy, disposition to critical thinking and nursing competency of new nurses", The Korean Journal of Fundamentals of Nursing, Vol.16, No.1, pp.56-63, 2009.
  4. M. S. Yoo, "A study for the improvement of a fundermental nursing practice course", The Korean Journal of Fundamentals of Nursing, Vol.7, No.1, pp.60-70, 2000.
  5. Y. S. Byeon, "The present status and future direction of practicum of fundamentals of nursing in baccalaureate nursing programs", The Journal of Korean Academic Society of Nursing Education, Vol.11, No.2, pp.169-176, 2005.
  6. Y. H. Kim, "Evaluation of Practice Education Using Checklists in Fundamentals of Nursing - Focused on measuring blood pressure on the upper arm and sterilized gloving(open method)", The Korean Journal of Fundamentals of Nursing, Vol.12, No.3, pp.298-306, 2005.
  7. H. J. Paik, "Educational evaluation of competency in nursing skills through open laboratory self-directed practice", The Korean Journal of Fundamentals of Nursing, Vol.11, No.1, pp.13-20, 2004.
  8. Korean Accreditation Board of Nursing. Accreditation Manual with interpretive guidelines for four-year nursing programs, Retrieved May, 15, 2012, from http://kabon.or.kr/kabon02/120120319133351.pdf
  9. S. H. Hong, Y. S. Kwon, "Nursing student's practice scores, confidence and satisfaction in fundamentals of nursing according to teaching method for self-directed practice", Keimyung Journal of Nursing Science, Vol.14, No.1, pp.1-10, 2010.
  10. S. Y. Kim, W. K. Kim, "An investigation into learner autonomy in relation to practical English skills", English Language Teaching, Vol.17, No.3, 107-129, 2005.
  11. B. S. Kwon, "Effects of blended learning-based problem-based learning on problem-solving performance and satisfaction", Unpublished mater's thesis. Daegu National University of Education, Daegu, 2010.
  12. M. R. Song, E. M. Kim, S. J. Yu, "Analysis on the competency of nursing students' basic nursing skills", The Journal of the Korea Contents Association, Vol.12, No.6, pp.390-401, 2012. DOI: http://dx.doi.org/10.5392/JKCA.2012.12.06.390
  13. TL. Levett-Jones, "Self-directed learning: implications and limitations for undergraduate nursing education", Nurse Education Today, Vol.25, No.5, pp.363-368, 2005. DOI: http://dx.doi.org/10.1016/j.nedt.2005.03.003
  14. S. N. Park, S. K. Lee, "Factors influencing basic nursing skill competency in nursing students", The Korean Journal of Fundamentals of Nursing, Vol.15, No.1, pp.6-13, 2008.
  15. J. S. Park, M. J. Choi, S. Y. Jang, "The effects of preclinical clinical performance examination on nursing students' confidence in nursing skills and critical thinking competence", The Journal of Korean Academic Society of Nursing Education, Vol.21, No.1, pp.75-85, 2015. DOI: http://dx.doi.org/10.5977/jkasne.2015.21.1.75
  16. Y. H. Kim, S. Y. Hwang, A. Y. Lee, "Perceived confidence in practice of core basic nursing skills of new graduate nurses", The Journal of Korean Academic Society of Nursing Education, Vol.20, No.1, pp.37-46, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2015.21.1.75
  17. Cohen J. Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hilsdale, NJ: Erlbaum, 1988.
  18. Kim H. S., Sim I. O., Jung S. H., Kim Y. J., Park J. H., et al. Fundamentals of nursing skills. p.251-255, Hyunmoonsa, 2011.
  19. S. A. Engum, P. Jeffries, L. Fisher, "Intravenous catheter training system: Computer-based education versus traditional learning methods", The American Journal of Surgery, Vol.186, No.1, pp.67-74, 2003. DOI: http://dx.doi.org/10.1016/S0002-9610(03)00109-0
  20. Korean Accreditation Board of Nursing. Accreditation of nursing education: core basic nursing skills, 2011.
  21. J. S. Won, H. S. Kang, K. S. Kim, W. O. Kim, K. S. Kang, et al, "Effectiveness of Medication video as educational instruments in education of fundamental nursing skills", The Korean Journal of Fundamentals of Nursing, Vol.5, No.1, pp.81-93, 1998.
  22. M. R. Nam, "Effectiveness of web-based learning in basic nursing practice education: focusing on asepsis technique practice", The Korean Journal of Fundamentals of Nursing, Vol.12, No.3, pp.290-297, 2005.
  23. H. S. Nam, K. A. Son, S. H. Kim, Y. Song, S. H. Kwon, et al, "The effects of online nursing education contents on self efficacy, knowledge, and performance of nursing skills", Journal of the Korean Data & Information Science Society, Vol.25, No.6, pp.1353-1360, 2014. DOI: http://dx.doi.org/10.7465/jkdi.2014.25.6.1353
  24. S. H. Lee, "Effectiveness of web based learning program on self efficacy, knowledge, and competence in measurement of blood pressure", The Korean Journal of Fundamentals of Nursing, Vol.19, No.1, pp.66-73, 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.1.066
  25. Y. S. Kwon, T. H. Kim, "A study on performance and self-confidence of basic nursing skills of nursing students in clinical setting", Keimyung Journal of Nursing Science, Vol.6, No.1, pp.79-90, 2002.
  26. Y. S. Kwon, C. J. Park, Y. H. Kim, "Basic nursing skills of low performance and confidence", Keimyung Journal of Nursing Science, Vol.7, No.1, pp.65-77, 2003.
  27. F. Pajares, Overview of social cognitive theory and of self-efficacy, 2002. Retrieved May, 11, 2012, from http://www.uky.edu/-eushe2/Pajares/eff.html
  28. P. Perry, "Concept analysis: confidence/self-confidence", Nursing Forum, Vol.46, No.4, pp.218-230, 2011. DOI: http://dx.doi.org/10.1111/j.1744-6198.2011.00230.x
  29. S. H. Lee, "Effectiveness of web based learning K. A. White, "Self-Confidence: A Concept Analysis", Nursing Forum, Vol.44, No.2, pp.103-114, 2009. DOI: http://dx.doi.org/10.1111/j.1744-6198.2009.00133.x
  30. G. A. DeBourgh, "Psychomotor skills acquisition of novice learners: a case for contextual learning", Nurse Educator, Vol.36, No.4, pp.144-149, 2011. DOI: http://dx.doi.org/10.1097/NNE.0b013e31821fdab1
  31. W. F. Bond, R. L. Lammers, L. L. Spillane, R. Smith-Coggins, R. Fernandez, et al, "The use of simulation in emergency medicine: a research agenda", Academic Emergency Medicine, Vol.14, No.4, pp.353-363, 2007. DOI: http://dx.doi.org/10.1111/j.1553-2712.2007.tb02021.x
  32. K. K. Smith, D. Gilcreast, K. Pierce, "Evaluation of staff's retention of ACLS and BLS skills", Resuscitation, Vol.78, No.1, pp.59-65, 2008. DOI: http://dx.doi.org/10.1016/j.resuscitation.2008.02.007