Standardize Hasta Uygulamasının Birinci Sınıf Hemşirelik Öğrencilerinin Öz Etkililik-Yeterlik ve İlk Klinik Deneyim Sırasındaki Stres Düzeylerine Etkisi
Öz
Amaç: Çalışma; standardize hasta uygulamasının ilk klinik deneyimini yaşayan birinci sınıf hemşirelik öğrencilerinin öz etkililik-yeterlik ve ilk klinik deneyim sırasındaki stres düzeylerine olan etkisini incelemek amacı ile gerçekleştirilmiştir.
Gereç ve yöntem: Araştırma; birinci sınıfta olan ve Hemşirelik Esasları Dersi’ne kayıtlı 119 hemşirelik öğrencisi (deney grubu:60, kontrol grubu:59) ile gerçekleştirilmiştir. Deney grubunda bulunan öğrenciler klinik uygulama öncesinde ders kapsamında düşük gerçeklik düzeyine sahip mankenler ile gerçekleştirdikleri beceri uygulamalarına ek olarak kan basıncı ölçme ve subkutan enjeksiyon uygulama becerilerini standardize hasta uygulaması ile gerçekleştirmiştir. Kontrol grubunda bulunan öğrenciler ise sadece ders kapsamındaki laboratuvar uygulamaları ile klinik uygulamaya hazırlanmıştır. Veriler “Kişisel Bilgi Formu”, “Öz-Etkililik-Yeterlik Ölçeği” ve “Klinik Stres Anketi” kullanılarak ilk klinik uygulama gününün sonunda toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, independent samples t testi ve ANOVA testi kullanılmıştır.
Bulgular: Her iki gruptaki öğrencilerin tanımlayıcı özellikleri benzer olup, gruplar arasında anlamlı farklılık bulunmamaktadır. Klinik stres ve öz etkililik-yeterlik düzeylerine yönelik karşılaştırmalarda, klinik stresin tehdit skalası ve zarar skalası alt boyutu toplam puanları açısından gruplar arasında anlamlı farklılığın olduğu ve her iki alt boyutta da kontrol grubu öğrencilerinin daha yüksek klinik strese sahip olduğu belirlenmiştir. Grupların öz etkililik-yeterlik düzeyleri arasında ise anlamlı bir farklılık görülmemiştir. Ayrıca hemşirelik bölümünü seçme durumunun deney grubunda öz etkililik-yeterlik puanları üzerinde, kontrol grubunda ise klinik stres puanları üzerinde etkili olduğu saptanmıştır.
Sonuç: Klinik uygulama öncesinde gerçekleştirilen standardize hasta uygulaması, öğrencilerin ilk klinik deneyim sırasındaki stres düzeylerinin azaltılmasında etkilidir.
Anahtar Kelimeler
hemşirelik öğrencileri klinik stres öz etkililik yeterlik simülasyon standardize hasta
Destekleyen Kurum
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Proje Numarası
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Teşekkür
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Kaynakça
- Abdal M, Alavi NM, Adib-Hajbaghery M (2015) Clinical self-efficacy in senior nursing students: A mixed-methods study. Nurs Midwifery Stud 4(3):e29143. doi: 10.17795/nmsjournal29143
- Bandura A (1982) Self-efficacy mechanism in human agency. American Phychologist 37(2):122-147.
- Barrows HS (1993) An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic Medicine 68:443-453.
- Bhatia M, Stewart AE, Wallace A, Kumar A, Malhotra A (2021) Evaluation of an In-Situ Neonatal Resuscitation Simulation Program using the New World Kirkpatrick Model. Clin Simul Nurs 50:27-37. https://doi.org/10.1016/j.ecns.2020.09.006 Dearmon V, Graves RJ, Hayden S, Mulekar MS, Lawrence SM, Jones L, Smith KK, Farmer JE (2013) Effectiveness of simulation-based orientation of baccalaureate nursing students preparing for their first clinical experience. J Nurs Educ 52(1):29-38. doi:10.3928/01484834-20121212-02
- Durmaz A, Elem E, Unutkan A, Keskin N (2017) Simülasyonun normal doğum becerilerine ve öz-yeterlilik düzeylerine etkisi. J Curr Res Health Secto 7(2):41-52. doi: 10.26579/jocrehes_7.2.4
- Durmaz Edeer A, Sarıkaya A (2015) Hemşirelik eğitiminde simülasyon kullanımı ve simülasyon tipleri. Hemşirelikte Eğitim ve Araştırma Dergisi 12(2):121-125. doi:10.5222/HEAD.2015.121
- Gale J, Ooms A, Grant R, Paget K, Marks-Maran D (2016) Student nurse selection and predictability of academic success: The Multiple Mini Interview project. Nurse Educ Today 40:123-127. https://doi.org/10.1016/j.nedt.2016.01.031
- Gözüm S, Aksayan S (1999) Öz-etkililik-yeterlik ölçeği'nin türkçe formunun güvenilirlik ve geçerliliği. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2(1):21-34. https://dergipark.org.tr/en/download/article-file/29103
- Hayden LJ, Jeong SY, Norton CA (2016) An analysis of factors affecting mature age students’ academic success in undergraduate nursing programs: A critical literature review. Int J Nurs Educ Scholarsh 13(1):127-138. doi 10.1515/ijnes-2015-0086
- Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Kalyani MN (2016) The challenges of nursing students in the clinical learning environment: A qualitative study. The Scientific World Journal 1-7. https://doi.org/10.1155/2016/1846178
- Karabacak U, Unver V, Ugur E, Kocatepe V, Ocaktan N, Ateş E, Uslu Y (2019) Examining the effect of simulation based learning on self-efficacy and performance of first-year nursing students. Nurse Education in Practice 36:139-143. https://doi.org/10.1016/j.nepr.2019.03.012
- Karagözoğlu Ş, Özden D, Tok Yıldız F (2013) Entegre program hemşirelik öğrencilerinin klinik stres düzeyi ve etkileyen faktörler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 16(2):89-95. https://dergipark.org.tr/en/download/article-file/29612
- Ko E, Kim HY (2014) Effects of multi-mode simulation learning on nursing students' critical thinking disposition, problem solving process, and clinical competence. Korean Journal of Adult Nursing 26(1):107-116. http://dx.doi.org/10.7475/kjan.2014.26.1.107
- Korkmaz AÇ, İpekçi NN (2015) Hemşirelik eğitiminde güdülenme: öğrencilerin içsel ve dışsal güdülenme kaynakları. Sağlık ve Hemşirelik Yönetimi Dergisi 3(2):121-131. doi:10.5222/SHYD.2015.121
- Lavoie P, Clarke SP (2017) Simulation in nursing education. Nursing Management 48(2):16-17. doi: 10.1097/01.NUMA.0000511924.21011.1b
- Levett-Jones T, Pitt V, Courtney-Pratt H, Harbrow G, Rossiter R (2015) What are the primary concerns of nursing students as they prepare for and contemplate their first clinical placement experience? Nurse Education in Practice 15(4):304-309. https://doi.org/10.1016/j.nepr.2015.03.012
- Lin HH (2016) Effectiveness of simulation-based learning on student nurses' self-efficacy and performance while learning fundamental nursing skills. Technology and Health Care 24(1):369-375. doi: 10.3233/THC-151094
- Lubbers J, Rossman C (2016) The effects of pediatric community simulation experience on the self-confidence and satisfaction of baccalaureate nursing students: A quasi-experimental study. Nurse Educ Today 39:93-98. https://doi.org/10.1016/j.nedt.2016.01.013
- MacLean S, Kelly M, Geddes F, Della P (2017) Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse Educ Today 48:90-98. https://doi.org/10.1016/j.nedt.2016.09.018
- McIntosh CE, Thomas CM, Wilczynski S, McIntosh DE (2018) Increasing nursing students’ knowledge of autism spectrum disorder by using a standardized patient. Nurs Educ Perspect 39(1):32-34. doi: 10.1097/01.NEP.0000000000000179
- Ok E, Kutlu FY, Ates E (2020) The effect of standardized patient simulation prior to mental health rotation on nursing students’ anxiety and communication skills. Issues Ment Health Nurs 41(3):251-255. https://doi.org/10.1080/01612840.2019.1642427
- Rafati F, Nouhi E, Sabzehvari S, Dehghan-Nayyeri N (2017) Iranian nursing students' experience of stressors in their first clinical experience. J Prof Nurs 33(3):250-257. https://doi.org/10.1016/j.profnurs.2016.09.003
- Reljić NM, Pajnkihar M, Fekonja Z (2019) Self-reflection during first clinical practice: The experiences of nursing students. Nurse Educ Today 72:61-66. https://doi.org/10.1016/j.nedt.2018.10.019
- Şendir M, Acaroglu R (2008) Reliability and validity of Turkish version of clinical stress questionnaire. Nurse Educ Today 28(6): 737-743. https://doi.org/10.1016/j.nedt.2007.11.008
- Tan K, Chong MC, Subramaniam P, Li Ping W (2018) The effectiveness of outcome based education on the competencies of nursing students: A systematic review. Nurse Educ Today 64:180-189. https://doi.org/10.1016/j.nedt.2017.12.030
- Verkuyl M, Lapum JL, Hughes M, McCulloch T, Liu L, Mastrilli P, Romaniuk D, Betts L (2018) Virtual gaming simulation: Exploring self-debriefing, virtual debriefing, and in-person debriefing. Clin Simul Nurs 20:7-14. https://doi.org/10.1016/j.ecns.2018.04.006
- Yiğitbaş Ç, Yetkin A (2003) Sağlık yüksekokulu öğrencilerinin öz-etkililik-yeterlik düzeyinin değerlendirilmesi. C.Ü. Hemşirelik Yüksekokulu Dergisi 7(1):6-13. http://eskidergi.cumhuriyet.edu.tr/makale/617.pdf
- Yoo JH, Kim YJ (2018) Factors influencing nursing students' flow experience during simulation-based learning. Clin Simul Nurs 24:1-8. https://doi.org/10.1016/j.ecns.2018.09.001
- Zengin N, Pınar R, Cil Akinci A, Yıldız H (2013) Psychometric properties of the self-efficacy for clinical evaluation scale in Turkish nursing students. J Clin Nurs 23(7-8):976-984. doi: 10.1111/jocn.12257
- Zulkosky K (2009) Self‐efficacy: A concept analysis. Nurs Forum 44(2):93-102.
The Effect of Standardized Patient Practice on Junior Nursing Students' Self-Efficacy and Stress Level During First Clinical Experience
Öz
Aim: The aim of study was to investigate the effects of standardized patient practice on self-efficacy and stress levels of junior nursing students who experienced the first clinical experience.
Material and method: The study was carried out with 119 junior nursing students (experimental group:60, control group:59) who enrolled in Fundamentals of Nursing Course. The experimental group students performed the blood pressure measurement and applying subcutaneous injection with the standardized patient practice in addition to laboratory applications performed within the course. The control group students were prepared for clinical practice with the laboratory applications only. The data were collected at the end of the clinical practice’s first day by using “Personal Information Form”, ”Self-Efficacy Scale” and “Clinical Stress Questionnaire”. Descriptive statistics, independent samples t test and ANOVA test were used to analyze the data.
Results: There is no significant difference between the groups in terms of descriptive characteristics. There was a significant difference between the groups in terms of the total scores of the clinical stress threat sub-dimension and the damage sub-dimension, and it was determined that the control group students had higher clinical stress in both sub-dimensions. No significant difference was found between the self-efficacy-competence levels of groups. It was found that the selection of nursing department had an effect on self-efficacy scores in the experimental group and clinical stress scores in the control group.
Conclusion: Standardized patient simulation performed before clinical practice is effective in reducing the stress level of the students during the first clinical experience.
Anahtar Kelimeler
nursing students Clinical stress Self-efficacy simulation standardized patient
Proje Numarası
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Kaynakça
- Abdal M, Alavi NM, Adib-Hajbaghery M (2015) Clinical self-efficacy in senior nursing students: A mixed-methods study. Nurs Midwifery Stud 4(3):e29143. doi: 10.17795/nmsjournal29143
- Bandura A (1982) Self-efficacy mechanism in human agency. American Phychologist 37(2):122-147.
- Barrows HS (1993) An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic Medicine 68:443-453.
- Bhatia M, Stewart AE, Wallace A, Kumar A, Malhotra A (2021) Evaluation of an In-Situ Neonatal Resuscitation Simulation Program using the New World Kirkpatrick Model. Clin Simul Nurs 50:27-37. https://doi.org/10.1016/j.ecns.2020.09.006 Dearmon V, Graves RJ, Hayden S, Mulekar MS, Lawrence SM, Jones L, Smith KK, Farmer JE (2013) Effectiveness of simulation-based orientation of baccalaureate nursing students preparing for their first clinical experience. J Nurs Educ 52(1):29-38. doi:10.3928/01484834-20121212-02
- Durmaz A, Elem E, Unutkan A, Keskin N (2017) Simülasyonun normal doğum becerilerine ve öz-yeterlilik düzeylerine etkisi. J Curr Res Health Secto 7(2):41-52. doi: 10.26579/jocrehes_7.2.4
- Durmaz Edeer A, Sarıkaya A (2015) Hemşirelik eğitiminde simülasyon kullanımı ve simülasyon tipleri. Hemşirelikte Eğitim ve Araştırma Dergisi 12(2):121-125. doi:10.5222/HEAD.2015.121
- Gale J, Ooms A, Grant R, Paget K, Marks-Maran D (2016) Student nurse selection and predictability of academic success: The Multiple Mini Interview project. Nurse Educ Today 40:123-127. https://doi.org/10.1016/j.nedt.2016.01.031
- Gözüm S, Aksayan S (1999) Öz-etkililik-yeterlik ölçeği'nin türkçe formunun güvenilirlik ve geçerliliği. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2(1):21-34. https://dergipark.org.tr/en/download/article-file/29103
- Hayden LJ, Jeong SY, Norton CA (2016) An analysis of factors affecting mature age students’ academic success in undergraduate nursing programs: A critical literature review. Int J Nurs Educ Scholarsh 13(1):127-138. doi 10.1515/ijnes-2015-0086
- Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Kalyani MN (2016) The challenges of nursing students in the clinical learning environment: A qualitative study. The Scientific World Journal 1-7. https://doi.org/10.1155/2016/1846178
- Karabacak U, Unver V, Ugur E, Kocatepe V, Ocaktan N, Ateş E, Uslu Y (2019) Examining the effect of simulation based learning on self-efficacy and performance of first-year nursing students. Nurse Education in Practice 36:139-143. https://doi.org/10.1016/j.nepr.2019.03.012
- Karagözoğlu Ş, Özden D, Tok Yıldız F (2013) Entegre program hemşirelik öğrencilerinin klinik stres düzeyi ve etkileyen faktörler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 16(2):89-95. https://dergipark.org.tr/en/download/article-file/29612
- Ko E, Kim HY (2014) Effects of multi-mode simulation learning on nursing students' critical thinking disposition, problem solving process, and clinical competence. Korean Journal of Adult Nursing 26(1):107-116. http://dx.doi.org/10.7475/kjan.2014.26.1.107
- Korkmaz AÇ, İpekçi NN (2015) Hemşirelik eğitiminde güdülenme: öğrencilerin içsel ve dışsal güdülenme kaynakları. Sağlık ve Hemşirelik Yönetimi Dergisi 3(2):121-131. doi:10.5222/SHYD.2015.121
- Lavoie P, Clarke SP (2017) Simulation in nursing education. Nursing Management 48(2):16-17. doi: 10.1097/01.NUMA.0000511924.21011.1b
- Levett-Jones T, Pitt V, Courtney-Pratt H, Harbrow G, Rossiter R (2015) What are the primary concerns of nursing students as they prepare for and contemplate their first clinical placement experience? Nurse Education in Practice 15(4):304-309. https://doi.org/10.1016/j.nepr.2015.03.012
- Lin HH (2016) Effectiveness of simulation-based learning on student nurses' self-efficacy and performance while learning fundamental nursing skills. Technology and Health Care 24(1):369-375. doi: 10.3233/THC-151094
- Lubbers J, Rossman C (2016) The effects of pediatric community simulation experience on the self-confidence and satisfaction of baccalaureate nursing students: A quasi-experimental study. Nurse Educ Today 39:93-98. https://doi.org/10.1016/j.nedt.2016.01.013
- MacLean S, Kelly M, Geddes F, Della P (2017) Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse Educ Today 48:90-98. https://doi.org/10.1016/j.nedt.2016.09.018
- McIntosh CE, Thomas CM, Wilczynski S, McIntosh DE (2018) Increasing nursing students’ knowledge of autism spectrum disorder by using a standardized patient. Nurs Educ Perspect 39(1):32-34. doi: 10.1097/01.NEP.0000000000000179
- Ok E, Kutlu FY, Ates E (2020) The effect of standardized patient simulation prior to mental health rotation on nursing students’ anxiety and communication skills. Issues Ment Health Nurs 41(3):251-255. https://doi.org/10.1080/01612840.2019.1642427
- Rafati F, Nouhi E, Sabzehvari S, Dehghan-Nayyeri N (2017) Iranian nursing students' experience of stressors in their first clinical experience. J Prof Nurs 33(3):250-257. https://doi.org/10.1016/j.profnurs.2016.09.003
- Reljić NM, Pajnkihar M, Fekonja Z (2019) Self-reflection during first clinical practice: The experiences of nursing students. Nurse Educ Today 72:61-66. https://doi.org/10.1016/j.nedt.2018.10.019
- Şendir M, Acaroglu R (2008) Reliability and validity of Turkish version of clinical stress questionnaire. Nurse Educ Today 28(6): 737-743. https://doi.org/10.1016/j.nedt.2007.11.008
- Tan K, Chong MC, Subramaniam P, Li Ping W (2018) The effectiveness of outcome based education on the competencies of nursing students: A systematic review. Nurse Educ Today 64:180-189. https://doi.org/10.1016/j.nedt.2017.12.030
- Verkuyl M, Lapum JL, Hughes M, McCulloch T, Liu L, Mastrilli P, Romaniuk D, Betts L (2018) Virtual gaming simulation: Exploring self-debriefing, virtual debriefing, and in-person debriefing. Clin Simul Nurs 20:7-14. https://doi.org/10.1016/j.ecns.2018.04.006
- Yiğitbaş Ç, Yetkin A (2003) Sağlık yüksekokulu öğrencilerinin öz-etkililik-yeterlik düzeyinin değerlendirilmesi. C.Ü. Hemşirelik Yüksekokulu Dergisi 7(1):6-13. http://eskidergi.cumhuriyet.edu.tr/makale/617.pdf
- Yoo JH, Kim YJ (2018) Factors influencing nursing students' flow experience during simulation-based learning. Clin Simul Nurs 24:1-8. https://doi.org/10.1016/j.ecns.2018.09.001
- Zengin N, Pınar R, Cil Akinci A, Yıldız H (2013) Psychometric properties of the self-efficacy for clinical evaluation scale in Turkish nursing students. J Clin Nurs 23(7-8):976-984. doi: 10.1111/jocn.12257
- Zulkosky K (2009) Self‐efficacy: A concept analysis. Nurs Forum 44(2):93-102.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 30 Ağustos 2021 |
| Yayımlandığı Sayı | Yıl 2021 |
