Turkiye Klinikleri Journal of Nursing Sciences

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Hemşirelik Öğrencilerinin Derin Solunum ve Öksürme Egzersizi Eğitiminde Standardize Hasta Kullanımının Beceri, Memnuniyet ve Öz Güvene Etkisi: Yarı-Deneysel Bir Çalışma
The Effect of Standardized Patient Use on Skills, Satisfaction and Self-Confidence in Deep Breathing and Coughing Exercise Training of Nursing Students: A Semi-experimental Study
Arife ŞANLIALP ZEYREKa, Özlem FİDANa, Sümeyye ARSLANa
aPamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü Hemşirelik Esasları ABD, Denizli, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(4):888-96
doi: 10.5336/nurses.2021-81487
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, hemşirelik öğrencilerinin derin solunum ve öksürme egzersizi eğitiminde standardize hasta kullanımının beceri, memnuniyet ve öz güven üzerine etkisini belirlemek amacıyla yarı deneysel bir çalışma olarak yapılmıştır. Gereç ve Yöntemler: Araştırma Pamukkale Üniversitesi'nin Sağlık Bilimleri Fakültesinde eğitim gören hemşirelik 2. sınıf öğrencileri (170) ile yapılmıştır. Araştırmaya dâhil edilme kriterlerine uyan öğrenciler kontrol (n=78) ve girişim (n=79) gruplarına randomizasyonla atanmıştır. Derin solunum ve öksürme egzersizleri, girişim grubuna standardize hasta ile kontrol grubuna ise geleneksel yöntemle eğitim verilmiştir. Laboratuvar uygulamaları bittikten sonra her 2 gruptaki öğrencilerin yaptığı uygulama basamakları, araştırmacılar dışındaki gözlemciler tarafından gözlemlenerek değerlendirilmiştir. Veriler 'Öğrenci Tanılama Formu', 'Derin Solunum ve Öksürme Egzersizi Uygulama Beceri Değerlendirme Formu' ve 'Derin Solunum ve Öksürme Egzersizi Uygulama Eğitimi Öğrenci Öz Güven ve Memnuniyet Anketi' toplanmıştır. Veriler SPSS paket programı kullanılarak ortalama±standart sapma, sayı (yüzde), İki Ortalama Arasındaki Farkın Önemlilik Testi, Mann-Whitney U testi, Pearson ki-kare testiyle analiz edilmiştir. Bulgular: Araştırmaya katılan öğrencilerin %86'sı kadın, %74'ü Anadolu lisesi mezunudur. Gruplar arasında sosyodemografik özellikleri bakımından istatistiksel olarak fark bulunmamıştır. Girişim grubunda uygulama beceri puan ortalaması 68±15,4; kontrol grubunda 69±13,37'dir. Gruplar arasında uygulama beceri puan ortalaması ve memnuniyet puanları arasında anlamlı fark bulunmamıştır. Kontrol grubunun öz güven puanı girişim grubundan anlamlı olarak yüksek bulunmuştur. Sonuç: Derin solunum ve öksürük egzersizi eğitiminde standardize hasta ile simülasyonun geleneksel yöntemle yapılan eğitimden, öğrencilerin beceri puanlarında ve memnuniyet düzeyinde fark yaratmadığı bulunmuştur. Kontrol grubundaki öğrencilerin, aşina oldukları geleneksel yöntemin öz güven düzeyini olumlu yönde etkilediği düşünülmektedir. Konuyla ilgili farklı eğitim yöntemlerinin etkinliğinin değerlendirilmesi önerilmektedir.

Anahtar Kelimeler: Eğitim; hemşirelik; simülasyon; standardize hasta
ABSTRACT
 Objective: This study was conducted as a quasi-experimental study to determine the effect of standardized patient use on skills, satisfaction and self-esteem in nursing students' training in deep breathing and coughing exercises. Material and Methods: The research was conducted with the second year nursing students (170) studying at the Faculty of Health Sciences of a university in the Aegean region. Students who met the inclusion criteria were randomly assigned to the control (n=78) and study (n=79) groups. Deep breathing and coughing exercises were given to the study group with the standard patient, and the control group with the traditional method. After the laboratory applications were completed, the application steps of the students in both groups were observed and evaluated by observers other than researchers. The data were collected from 'Student Identification Form', 'Deep Breathing and Coughing Exercise Application Skill Assessment Form' and 'Deep Breathing and Coughing Exercise Practice Training Student Self-Confidence and Satisfaction Questionnaire'. The data were analyzed using mean±standard deviation, number (percentage), the Significance Test of the Difference Between Two Means, Mann-Whitney U test, and Pearson Chi-Square test using the SPSS package program. Results: 86% of the students participating in the study are women and 74% are graduates of Anatolian High School. There was no statistically significant difference between the groups in terms of socio-demographic characteristics. The average application skill score in the study group was 68±15.4; 69±13.37 in the control group. There was no significant difference between the application skill average and satisfaction scores between the groups. Self-confidence score of the control group was found to be significantly higher than the study group. Conclusion: It was found that the standard patient and simulation in deep breathing and cough exercise training did not make a difference in the skill scores and satisfaction level of the students compared to the traditional method. It is thought that the traditional method familiar to the students in the control group positively affected their self-confidence level. It is recommended to evaluate the effectiveness of different training methods on the subject.

Keywords: Education; nursing; simulation; standardized patient
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