가치통합 의사결정모델을 이용한 간호학생 대상 웹기반 환자권리교육 시뮬레이션 프로그램 개발 및 평가 = Development and evaluation of a web-based simulation program on patient rights education using integrated decision making model for nurse students

국문 초록 (Abstract)

본 연구는 간호학생 대상 웹기반 환자권리교육 시뮬레이션 프로그램을 개발하기 위한 방법론적 연구로서, Aless와 Trollip의 시뮬레이션 설계모델에 따라 프로그램을 개발하고 Ford 등의 의사결정과정 모델에 따라 프로그램 내용을 구성하였다. 간호사대상 포커스 그룹 면담과 간호학생 및 간호사 대상 교육요구도 조사, 전문가 면담을 통하여 본 시뮬레이션 사례와 모듈을 2011년 5월-2012년 4월에 개발하였다. 본 프로그램은 건강권과 사생활권에 관한 2개의 사례와 이에 따른 의사결정 모듈로 구성되었으며, 의사결정과정은 가치의 명료화 및 서열화, 행동목표 개발, 목표달성의 위협요인 분석, 문제해결 방안 탐색, 대안의 분석, 대안의 선택, 의사결정과정의 평가로 구성하였다. 간호학생 30명의 Chung의 웹기반 평가도구에 의한 평가결과 프로그램 만족도는 3.14±0.33로 긍정적으로 나타났다. 본 연구는 간호학생 대상 환자권리교육 프로그램으로서 향후 환자권리 친화적 활동의 증가 및 의사결정능력 향상이라는 교육적 효과를 기대할 수 있다.

다국어 초록 (Multilingual Abstract)

Purpose: This study was designed to develop and evaluate the a web-based simulation program on patient rights education using integrated decision making model into values clarification for nurse students. Methods: The program was designed based on the Aless & Trollip model and Ford, Trygstad-Durland & Nelms's decision model. Focus groups interviews, surveys on learning needs for patient rights, and specialist interviews were used to develop for simulation scenarios and decision making modules. The simulation program was evaluated between May, 2011 and April, 2012 by 30 student nurses using an application of the web-based program evaluation tools by Chung. Results: Simulation content was composed of two scenarios on patient rights: the rights of patients with HIV and the rights of psychiatric patients. It was composed of two decision making modules which were established for value clarifications, behavioral objective formations, problems identifications, option generations, alternatives analysis, and decision evaluations. The simulation program was composed of screens for teacher and learner. The program was positively evaluated with a mean score of 3.14 (SD=0.33). Conclusion: These study results make an important contribution to the application of educational simulation programs for nurse students' behavior and their decision making ability in protecting the patient rights.

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