시뮬레이션을 응용한 심폐소생술 훈련의 반복이 피교육자의 교육에 대한 만족도에 미치는 영향

변경조,이현정,김해규,송봉재,김재연,염석란 대한마취통증의학회 2011 Anesthesia and pain medicine Vol.6 No.2

Background: Simulation-based training is becoming more widespread in clinical education because of the increased technology of patient simulators in conjunction with their increased use by many medical centers. Simulation-based training enhances the learning,clinical skills and judgment of the trainees. However, the effect of repetition of simulation-based training has not yet been evaluated. The purpose of this presentation will be to examine whether the number of experiences could have an influence on the interest of the trainee. Methods: Simulation-based training was designed as an introductory course for new interns and residents. The training course was divided into three sessions: Airway management training, cardiac massage training and advance cardiac life support mega code training. All the trainees were divided into the new interns and residents group. The two group’s performances during conducting the three sessions were monitored by video equipment. All the trainees were debriefed and given a post intervention survey to assess their satisfaction with the simulation-based training. Results: A total of 110 trainees completed the survey. On a four point scale, the students rated their stimulation of interest, the usefulness of the knowledge that they learned and if they enjoyed the simulation. There were no significant differences in the effectiveness of the three sessions of simulation-based training among the groups. Conclusions: Simulation is a powerful tool to get trainees excited about applying the skills they learned in the classroom. Most trainees in both groups agreed that the exercises were a great experience helpful and exciting. We postulate that the repetition of simulation-based training will not decrease the effectiveness of the training. (Anesth Pain Med 2011; 6: 195∼201)

시뮬레이션 교육이 응급구조과 학생의 기본소생술 수행능력에 미치는 영향

고종현,Ko, Chong-Hyeon 한국응급구조학회 2007 한국응급구조학회지 Vol.11 No.3

Purpose : The simulation-based training in this research consists of theory and practice. Before the training, target students took a test on the competence of basic life support. Based on the result, they were separated as the subject group and comparison group. The simulation-based training was offered to the subject group and the traditional training was given to the comparison group. As soon as the training was completed, a follow-up study was conducted. Methods : This research aimed to figure out the effect of the simulation-based training on the competence of basic life support of the students Emergency Medical Technology. To this end, the nonequivalent pretest-posttest-quasi-experimental design using a comparison group was conducted. Results : The first hypothesis was that 'The group who took the simulation-based training would show higher points in the knowledge of basic life support than the group who took the traditional training.' Among those who took prior theory education, the subject group showed $69.38{\pm}20.43$ points while the comparison group showed $76.25{\pm}21.33$ points(t = -0.658, p = 0.531). Among those who took prior theory education and training, the subject group showed $82.86{\pm}10.86$ points while the comparison group showed $79.33{\pm}15.45$ points(t = 0.705, p = 0.487). Since there were no significant statistical differences between the two groups, the first hypothesis didn't hold. It showed few differences between the two training methods. The second hypothesis was that 'The group who took the simulation-based training would show higher points in the basic life support skills than the group who took the traditional training.' Among those who took prior theory education, the subject group showed $65.75{\pm}7.66$ points while the comparison group showed $46.88{\pm}13.48$ points(t = -3.442, p = 0.004). Among those who took prior theory education and training, the subject group showed $79.50{\pm}11.40$ points while the comparison group showed $62.13{\pm}11.44$ points(t = 4.091, p = 0.000). Since there were significant statistical differences between the two groups, the second hypothesis held. It showed substantial differences between the two training methods. Conclusion : The group who took the simulation-based training showed more positive effects on the competence of basic life support than those who took the traditional training. Therefore, it is confirmed that the simulation-based training is a useful method to improve clinical work performance of the students Emergency Medical Technology.

간호대학생의 근거기반 실무교육을 연계한 시뮬레이션 실습의 효과

박미라,제남주,여형남 한국간호시뮬레이션학회 2019 한국간호시뮬레이션학회지 Vol.7 No.2

Purpose: This study was conducted to provide simulation training on evidence-based practical training and to examine its effects. Method: Data were collected from 83 students at C University, between October 1, 2018 and December 31, 2018. This training was conducted over a 5-week period. Data were analyzed using descriptive statistics, the Friedman test, the Wilcoxon signed-rank test, and Repeated Measure ANOVA, all after the normality test. Results: There was a significant difference between the two groups in evidence-based practice beliefs, competence, nursing profession perspective, critical thinking tendencies, and problem-solving ability (p<.001). More specifically, there was a greater improvement in evidence-based practice knowledge, critical thinking tendency, and problem-solving ability than in the existing simulation exercise. Conclusion: Being effective in enhancing the ability to provide evidence-based practice beliefs, competencies, nursing profession perspectives, and, especially in evidence-based practice knowledge, critical thinking tendencies, and problem-solving skills, it is necessary to link evidence-based education and existing simulation training.

지역사회 간호영역에서의 방문간호 시뮬레이션 실습교육의 효과

김윤정,박정하 한국간호시뮬레이션학회 2016 한국간호시뮬레이션학회지 Vol.4 No.2

Purpose: The purpose of this study was to identify effect of visiting nursing simulationbased training for community nursing. Methods: Participants for this study were 56 nursing college students in Busan. Data were collected and measured for the general characteristics, students’ responses regarding simulation experience, students’ self-assessment, self-confidence, and problem solving ability. Results: In nursing college students, the scenario experience in community - based nursing simulation training was the most lacking communication area with the subject, so it was necessary to supplement it. The experience of the visiting nursing simulation scenario showed satisfactory results in all areas. The confidence of the nursing college students after learning the simulation training was 7.6 points out of ten. As a result of comparing the degree of problem solving ability before and after the simulation training, the degree of problem solving ability of the nursing college students after the training was increased compared to before the simulation training. Conclusion: Simulation training before clinical practice contributes to improvement of nursing assessment, performance, confidence and problem solving ability. Through simulation training, students will be able to provide qualitative nursing care and coping with problems from an integrated perspective.

COVID-19시기의 예비간호사 training을 위한 학생주도 팀기반 문제중심학습 시뮬레이션 수업 효과검증

김하나,심미옥,이지산 한국시뮬레이션학회 2023 한국시뮬레이션학회 논문지 Vol.32 No.4

This study aimed to develop SSTPBL (Student-led Simulation with Team and Problem-Based Learning), whichcombines TBL and PBL with a student-led method to strengthen knowledge application, nursing diagnosis ability, and collaboration ability among the core competencies of nurses. Then, SSTPBL was applied to nursing students, and the results were assessed. The data was collected from September 15, 2022, to December 21, 2022, with structured questionnaires and focus group interviews with 51 fourth-year nursing students at a university in A City. The collected data were analyzed using SPSS version 25.0 and topic analysis. As a results, it was effective in simulation experience satisfaction(t=3.51, p<.01), vSim experience satisfaction(t=3.50, p<.01), preparation as a prospective nurse(t=3.73, p<.01), learning self-efficacy(t=3.87, p<.01), collaborative self-efficacy (t=4.30, p<.01), problem-solving ability(t=5.26, p<.01), educational satisfaction(t=3.54, p<.01), digital health equity(t=2.18, p<.05). Through the qualitative data’s topic analysis, six main topics were derived. The main topics were ‘similar to clinical practice’, ‘difficulty in immersion’, ‘learning through others’, ‘learning through self-reflection’, ‘improving confidence through new experiences’ and ‘new teaching methods’. Based on the results of this study, it is expected that SSTPBL can be used in various ways as a new training method for prospective nurses in the face of growing clinical practice restrictions after the pandemic. 본 연구는 간호대학생을 대상으로 학생주도 팀기반 문제중심학습 시뮬레이션 (SSTPBL) 수업을 개발하고 그 효과를 검증하기 위한 혼합연구이다. 자료수집은 2022년 9월 15일부터 2022년 10월 20일까지 A시 소재 일개 대학 간호학과 4학년 학생 51명에게 설문조사 및 4명을 대상으로 포커스 그룹 인터뷰를 진행하였다. 수집된 자료는 SPSS version 25.0과 주제분석을 활용하여 분석하였다. 양적연구 결과, 시뮬레이션 경험 만족도(t=3.51, p<.01), vSim 경험 만족도(t=3.50, p<.01), 예비 간호사로서의 준비 정도(t=3.73, p<.01), 학습 자기효능감(t=3.87, p<.01), 협력적 자기효능감(t=4.30, p<.01), 문제해결 능력(t=5.26, p<.01), 교육 만족도(t=3.54, p<.01), 디지털 헬스 형평성(t=2.18, p<.05)을 향상시키는 데 효과가 있었다. 질적연구에서 도출된 6개 주제는 ‘임상실습과 유사함’, ‘몰입에 어려움’, ‘타인을 통해 배워감’, ‘자기반성을 통한 배움’, ‘새로운 경험을 통한 자신감 향상’, ‘새로운 수업방식’이었다. 본 연구결과를 바탕으로 팬데믹 이후 임상실습 제한이 커지고 있는 상황에서 학생주도 팀기반 문제중심학습 시뮬레이션 (SSTPBL) 수업이 예비간호사들의 새로운 훈련 방법으로 다양하게 활용될 수 있을 것으로 기대한다.

Automated Assessment System for Train Simulators

Schmitz, Marcus,Maag, Christian The Korean Society for Railway 2009 International Journal of Railway Vol.2 No.2

Numerous train operating companies provide training by means of driving simulators. A detailed analysis in the course of the rail research project 2TRAIN has shown that the simulation technology, the purposes of training and the overall concept of simulator-based training are rather diverse (Schmitz & Maag, 2008). A joint factor however are weak assessment capabilities and the fact that the simulator training is often not embedded into the overall competence management. This fact hinders an optimal use of the simulators. Therefore, 2TRAIN aims at the development of enhanced training and assessment tools. Taking into account that several simulators are already in use, the focus lays on the extension of existing simulation technology instead of developing entirely new systems. This extension comprises (1) a common data simulation interface (CDSI), (2) a rule-based expert system (ExSys), (3) a virtual instructor (VI), and (4) an _assessment database (AssDB). The foundation of this technical development is an assessment concept (PERMA concept) that is based on performance markers. The first part of the paper presents this assessment concept and a process model for the two major steps of driver performance assessment, i.e. (1) the specification of exercise and assessment and (2) the assessment algorithm and execution of the assessment. The second part describes the rationale and the functionalities of the simulator add-on tools. Finally, recommendations for further technical improvement and appropriate usage are given. based on the results of a pilot study.

Automated Assessment System for Train Simulators

Marcus Schmitz,Christian Maag 한국철도학회 2009 International Journal of Railway Vol.2 No.2

Simulator-based training method in gastrointestinal endoscopy training and currently available simulators

Yuri Kim,Jeong Hoon Lee,Gin Hyug Lee,Ga Hee Kim,Gunn Huh,Seung Wook Hong,Hwoon-Yong Jung 대한소화기내시경학회 2023 Clinical Endoscopy Vol.56 No.1

The apprenticeship-based training method (ABTM) is highly effective for gastrointestinal (GI) endoscopic training. However, the conventionalABTM has significant issues. Although many supplementary training methods (TMs) have been developed and utilized, theycannot entirely replace the ABTM, which remains the major TM strategy. Currently, new TM construction is crucial and necessary dueto financial constraints, difficulty of obtaining sufficient training time due to patient safety-related regulations, and catastrophic damagecaused by disasters such as the coronavirus disease 2019 pandemic. The simulator-based TM (SBTM) is widely accepted as an alternativeto the ABTM, owing to the SBTM’s advantages. Since the 1960s, many GI endoscopy training simulators have been developedand numerous studies have been published on their effectiveness. While previous studies have focused on the simulator’s validity, thisreview focused on the accessibility of simulators that were introduced by the end of 2021. Although the current SBTM is effective in GIendoscopic education, extensive improvements are needed to replace the ABTM. Incorporating simulator-incorporated TMs into animproved ABTM is an attempt to overcome the incompleteness of the current SBTM. Until a new simulator is developed to replace theABTM, it is desirable to operate a simulator-integrated and well-coordinated TM that is suitable for each country and institution.

시뮬레이션 기반 간호실습교육 후 간호대학생의 역량이 근거기반실무 역량에 미치는 영향

정수연 한국간호시뮬레이션학회 2024 한국간호시뮬레이션학회지 Vol.12 No.1

Purpose: This study examined the influence of nursing students’ competencies in assessment, communication, clinical judgment, and patient safety on evidence-based practice (EBP) competency through simulation training. Methods: Data were collected from in December 11 in 2023 to January 30 in 2024, using a self-report questionnaire. The final participants were 230 nursing students in two universities. Multiple regression, t-test, ANOVA were used for data analysis. Results: The competencies of nursing students who participated in simulation training significantly influenced their EBP competency. The most influential factor on nursing students’ competency of EBP was Clinical Judgment, followed by Communication. Assessment and Patient safety competencies did not have a statistically significant impact on EBP competency. Conclusion: It is crucial for nurses to implement EBP to provide high-quality nursing and advance nursing as a science. However, since EBP competency is difficult to acquire in a short period, education on EBP is necessary from nursing school. Simulation training is considered an effective means to enhance nursing students' competency in EBP. Our study suggests incorporating elements that strengthen competencies in clinical judgment and communication when establishing a simulation- based training program to enhance the EBP competency of nursing students.

기본소생술 시뮬레이션 교육이 간호대학생의 지식과 수기에 미치는 효과

권말숙(Kwon, Mal-Suk) 한국산학기술학회 2009 한국산학기술학회논문지 Vol.10 No.12

본 연구는 기본소생술 시뮬레이션 교육이 간호대학생의 지식과 수기에 미치는 효과를 검증하기 위해 시도된 비동등성 대조군 전후 유사 실험 연구이다. 연구대상은 D시에 소재한 D대학 간호과에 재학 중인 2학년으로 실험군 16명, 대조군 17명으로 구성하였으며 실험군은 시뮬레이션 교육을 제공받은 군이며, 대조군은 전통적인 교육을 제공 받은 군이다. 자료수집기간은 2009년 8월 24일부터 9월 1일까지였다. 자료 분석은 SPSS/PC 12.0 win을 사용하여 실 수와 백분율, 평균과 표준편차, Fisher's exact, independent t-test, paired t-test, ANCOVA를 이용하였다. 연구결과는 다음과 같다. 첫째, 시뮬레이션 교육을 받은 실험군과 전통적 교육을 받은 대조군의 기본소생술 지식점수는 유의한 차 이가 없었다(F=.568, p=.573). 둘째, 시뮬레이션 교육을 받은 실험군은 전통적 교육을 받은 대조군보다 기본소생술 수 기점수가 유의하게 높았다(F=19.407, p=.000). 이상의 결과를 볼 때, 기본소생술 시뮬레이션 교육은 간호대학생의 기 본소생술 수행능력 향상에 긍정적인 효과가 있음을 확인할 수 있었다. 따라서 간호학 교수들은 본 연구에서 활용된 효율적인 시뮬레이션 교육을 간호대학생의 기본소생술 수행능력 향상에 적극 활용할 것을 제언하는 바이다. This study, nonequivalent control group pretest-posttest design was to identify the effects of simulation-based training for basic life support on the knowledge and skills of the nursing college students. The subject were 16 participants in the experimental group who trained with simulation-based and 17 participants in the control group who trained with traditional education methods among second grade of D college in D city. Data was collected from 24th August to 1st September 2009. The data were analyzed with Fisher's exact, independent t-test, paired t-test and ANCOVA using SPSS/PC 12.0 win. The results were as followed. Firstly, BLS knowledge of the experimental group weren't significantly different with the control group(F=.568, p=.573), Secondly, BLS skills of the experimental group were significantly different with the control group(F=19.407, p=.000). These findings suggest that simulation-based training for basic life support improved the competence on basic life support of nursing college students. Therefore, the result suggested that nursing department professor applicate simulation-based training to improve nursing college student's ability to perform basic life support.