Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
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
REFERENCES:
  1. Bulut H. Ameliyat Öncesi Esnası ve Sonrası Hemşirelik Bakımı. Atabek Aştı T, Karadağ A, editör. Hemşirelik Esasları Bilgiden Uygulamaya: Kavramlar-İlkeler- Beceriler. İstanbul: Akademi Kitabevi; 2019. p.601-5.
  2. Kennedy HL. Preoperative nursing management. In: Smeltzer SC, Bare BG, Hinkle JL, Cheever KH, eds. Brunner and Suddarth's Textbook of Medical-Surgical Nursing. 12th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2010. p. 425-41. [Link] 
  3. Tuzer H, Yılmazer T. Hemşirelik öğrencilerine verilen standart hasta eğitiminin ameliyat sonrası bakım yönetimine etkisi [The effect of standard patient education given to nursing students on post-operative care management]. Turkiye Klinikleri J Nurs Sci. 2020; 12(3):366-70. [Crossref] 
  4. Mete S, Uysal N. Hemşirelik mesleksel beceri laboratuarındaki psikomotor beceri eğitiminin öğrenci ve eğiticiler tarafından değerlen dirilmesi [Evaluation of psychomotor skill training at the nursing professional skill laboratory by students and instructors]. Hemar-G. 2010;2(12):28-38.
  5. Morgan R. Using clinical skills laboratories to promote theory-practice integration during first practice placement: an Irish perspective. J Clin Nurs. 2006;15(2):155-61. [Crossref]  [PubMed] 
  6. Robinson BK, Dearmon V. Evidence-based nursing education: effective use of instructional design and simulated learning environments to enhance knowledge transfer in undergraduate nursing students. J Prof Nurs. 2013;29(4):203-9. [Crossref]  [PubMed] 
  7. Ravert P. An integrative review of computer-based simulation in the education process. Comput Inform Nurs. 2002;20(5):203-8. [Crossref]  [PubMed] 
  8. Uslu Y, Karabacak Ü. Simülasyonun Müfredata Entegrasyonu. Karabacak Ü, Uğur E, editör. Sağlık Bilimlerinde Simülasyon Kavramdan Uygulamaya. 1. Baskı. İstanbul: Nobel Tıp Kitabevi; 2019. p.57-110. [Link] 
  9. Becker KL, Rose LE, Berg JB, Park H, Shatzer JH. The teaching effectiveness of stan dardized patients. J Nurs Educ. 2006;45(4): 103-11. [Crossref]  [PubMed] 
  10. Cant RP, Cooper SJ. Simulation-based learning in nurse education: systematic review. J Adv Nurs. 2010;66(1):3-15. [Crossref]  [PubMed] 
  11. Kucukkelepce GE, Dinc L, Elcin M. Effects of using standardized patients on nursing students' moral skills. Nurs Ethics. 2020;27(7): 1587-602. [Crossref]  [PubMed] 
  12. Sarmasoglu S, Dinç L, Elçin M. Using standardized patients in nursing education: effects on students' psychomotor skill development. Nurse Educ. 2016;41(2):E1-5. [Crossref]  [PubMed] 
  13. Yavuz M. Ameliyat Öncesi Bakım. Karadakovan A, Aslan F, editör. Dahili ve Cerrahi Hastalıklarda Bakım. Adana: Nobel Yayınevi; 2020;(5) p.243-99.
  14. Perioperative Nursing. Berman A, Snyder S, Frandsen G, editor. Kozier and Erb's Fundamentals of Nursing. Concepts, Process and Practice. 10th ed. New Jersey: Pearson Education Inc; 2016. p.865-74. [Link] 
  15. Potter PA, Perry AG, Stockert P, Hall A, eds. Fundamentals of Nursing. 8th ed. St Louis Missouri, NY: Elsevier; 2013. [Link] 
  16. Yeşilyurt S, Çapraz C. Ölçek geliştirme çalışmalarında kullanılan kapsam geçerliği için bir yol haritası [A roadmap for scope validity used in scale development studies]. Erzincan Üniversitesi Eğitim Fakültesi Derg. EUJEF. 2018;20(1):251-64. [Crossref] 
  17. Shilkofski NA, Abdullah J. Clinical Simulation Gone Global: The Use of Simulation in International Settings. Jeffries PR, editor. Clinical Simulations in Nursing Education: Advenced Concepts, Trends and Opportuties. Philadelphia: Wolters Kluwer Health; 2014. p.266. [Link] 
  18. Suk Joung L, Young Mi P, Sang MN. The effects of simulation training with hybrid model for nursing students on nursing performance ability and self confidence. Korean J Adult Nurs. 2013;25(2):170-82. [Crossref] 
  19. Nassif J, Sleiman AK, Nassar AH, Naamani S, Sharara-Chami R. Hybrid simulation in teaching clinical breast examination to medical students. J Cancer Educ. 2019;34(1):194-200. [Crossref]  [PubMed] 
  20. Webster D. Using standardized patients to teach therapeutic communication in psychiatric nursing. Clin Simul Nurs. 2014;10(2):e81-e86. [Crossref] 
  21. Tuzer H, Dinc L, Elcin M. The effects of using high-fidelity simulators and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students. Nurse Educ Today. 2016;45:120-5. [Crossref]  [PubMed] 
  22. Terzioğlu F, Yücel Ç, Koç G, Şimşek Ş, Yaşar BN, Şahan FU, et al. A new strategy in nursing education: From hybrid simulation to clinical practice. Nurse Educ Today. 2016;39:104-8. [Crossref]  [PubMed] 
  23. Sezer H, Orgun F. Effectiveness of standardized patient on patient education skills of nursing students-a pilot study. J Pak Med Assoc. 2019;69(12):1848-54. [PubMed] 
  24. Mert Karadas M, Terzioglu F. The impact of the using high-fidelity simulation and standardized patients to management of postpartum hemorrhage in undergraduate nursing students: A randomized controlled study in Turkey. Health Care Women Int. 2019;40(5):597-612. [Crossref]  [PubMed] 
  25. Yangın HB, Kırca N. Antalya Sağlık Yüksekokulu hemşirelik öğrencilerinin memnuniyet düzeyleri ve etkileyen faktörler [Satisfaction levels of Antalya School of Health nursing students and influencing factors]. GÜSBD. 2013;2(1):78-94. [Crossref] 
  26. Giesbrecht EM, Wener PF, Pereira GM. A mixed methods study of student perceptions of using standardized patients for learning and evaluation. Adv Med Educ Pract. 2014;5:241-55. [Crossref]  [PubMed]  [PMC] 
  27. Labaf A, Jamali K, Jalili M, Baradaran HR, Eizadi P. Effect of repetitive feedback on residents' communication skills improvement. Acta Med Iran. 2014;52(7):557-61. [PubMed] 
  28. Friederichs H, Weissenstein A, Ligges S, Möller D, Becker JC, Marschall B. Combining simulated patients and simulators: pilot study of hybrid simulation in teaching cardiac auscultation. Adv Physiol Educ. 2014;38(4):343-7. [Crossref]  [PubMed] 
  29. Tosterud R, Hedelin B, Hall-Lord ML. Nursing students' perceptions of high- and low-fidelity simulation used as learning methods. Nurse Educ Pract. 2013;13(4):262-70. [Crossref]  [PubMed] 
  30. Andrea J, Kotowski P. Using standardized patients in an undergraduate nursing health assessment class. Clin Simul Nurs. 2017; 13(7):309-13. [Crossref] 
  31. Swanson EA, Nicholson AC, Boese TA, Cram E, Stineman AM, Tew K. Comparison of selected teaching strategies incorporating simulation and student outcomes. Clin Simul Nurs. 2011;7(3):81-90. [Crossref] 
  32. Luctkar-Flude M, Wilson-Keates B, Larocque M. Evaluating high-fidelity human simulators and standardized patients in an undergraduate nursing health assessment course. Nurse Educ Today. 2012;32(4):448-52. [Crossref]  [PubMed] 
  33. Johnson KV, Scott AL, Franks L. Impact of standardized patients on first semester nursing students self-confidence, satisfaction, and communication in a simulated clinical case. SAGE Open Nurs. 2020;6:237796082093 0153. [Crossref]  [PubMed]  [PMC] 
  34. Slater LZ, Bryant KD, Ng V. Nursing student perceptions of standardized patient use in health assessment. Clin Simul Nurs. 2016; 12(9):368-76. [Crossref] 
  35. İlaslan N, Demiray A. Hemşirelik eğitiminde kullanılan iki farklı öğretim yöntemi: Standardize hasta uygulamasına nasıl yansıyor? [Two different teaching methods using in nursing education: How does reflected on standardized patient practice?] Turkiye Klinikleri J Nurs Sci. 2020;12(4):552-64. [Crossref] 

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