DOI QR코드

DOI QR Code

The Development and Evaluation of a New Educational Program, Introduction to Clinical Nursing, for Third Year Nursing Students

간호학 임상실습 입문 교육과정(Introduction to Clinical Nursing) 개발과 교육 효과

  • Song, Kyung-Ae (The Catholic University of Korea, College of Nursing) ;
  • Park, Hyun-Jung (Jones Hopkins University, College of Nursing) ;
  • Yeom, Hye-A (The Catholic University of Korea, College of Nursing) ;
  • Lee, Jong-Eun (The Catholic University of Korea, College of Nursing) ;
  • Joo, Ga-Eul (Kyung-In Women's College) ;
  • Kim, Hee-Ju (The Catholic University of Korea, College of Nursing)
  • Received : 2012.05.24
  • Accepted : 2012.08.08
  • Published : 2012.08.31

Abstract

Purpose: The purpose of this study was to evaluate the effects of a newly developed Introduction to Clinical Nursing (ICN) program on critical thinking skills, communication competence, self-efficacy, and clinical performance self-confidence in nursing students in their third year. Methods: One group pre-test and post-test design was used with three data collection time points (pre-test, post-test1 and post-test2). Participants were 74 third year nursing students approaching their first clinical practicum. The new program included (a) simulated clinical encounters regarding situations of assessing hospitalized patents and caring for patients with oxygenation needs, (b) objective structured clinical examination of skills, (c) lectures, and (e) field trips. Data were analyzed using paired t-tests. Results: After the ICN course, critical thinking skills(significant only between pretest and post-test2), communication competence, and clinical performance self-confidence improved significantly (p<.05). There was no improvement in the self-efficacy total score but there was significant improvement in the subscale, self-regulatory efficacy. Conclusions: The study results indicate that the ICN course may be effective in increasing critical thinking skills, communication competence, and clinical performance self-confidence in nursing students. However, the effect size was very small and modifications of this program should be considered to develop more cost-effective educational programs.

Keywords

References

  1. Chen, P. T., Cheng, H. W., Yen, C. R., Yin, I. W., Huang, Y. C., Wang, C. C., et al. (2008). Instructor-based real-time multimedia medical simulation to update concepts of difficult airway management for experienced airway practitioners. Journal of the Chinese Medical Association, 71, 174-179. https://doi.org/10.1016/S1726-4901(08)70100-X
  2. Cho, M. H., & Kwon, I. S. (2007). A study on the clinical practice experiences on nursing activities of nursing students. The Journal of Korean Academic Society of Nursing Education, 13, 143-154.
  3. Distler, J. W. (2007). Critical thinking and clinical competence: Results of the implementation of student-centered teaching strategies in an advanced practice nurse curriculum. Nurse Education in Practice, 7, 53-59. https://doi.org/10.1016/j.nepr.2006.08.003
  4. Eom, M. R., Kim, H. S., Kim, E. K., & Seong, K. Y. (2010). Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem solving ability. Journal of Korean Academy of Nursing, 40, 151-160. https://doi.org/10.4040/jkan.2010.40.2.151
  5. Forrest, S. (2004). Learning & teaching: The reciprocal link. Journal of Continuing Education in Nursing, 35, 74-79.
  6. Han, M. H., Han, S. S., & Eom, M. R. (2005). Development of OSCE module and running the examination by nursing students. The Journal of Korean Academic Society of Nursing Education, 11, 107-116.
  7. Harkreader, H., Hogan, M. A., & Thobaben, M. (2007). Fundamentals of nursing(3rd ed.). St. Louis, Missouri: Saunders.
  8. Hur, K. H. (2003). Construction and validation of a global interpersonal communication competence scale. Korean Journal of Journalism & Communication Studies, 47(6), 380-408.
  9. Kim, A. Y., & Cha, J, E. (1996). Self-efficacy and measurement. Winter Conference Proceedings of Korean Society for Industrial and Organizational Psychology, 51-64.
  10. Kim, A. Y. (1997). A study on the academic failure-tolerance and its correlates. TheKorean Journal of Educational Psychology, 11(2), 1-19.
  11. Kim, J. I., Kim, K., Paik, H., Sohng, K. Y., Eom, M., Oh, S. Y., et al. (2010). Study on the present status of practicum fundamentals of nursing and test for competency of nursing skills. Journal of Korean Academy of Fundamentals of Nursing, 17(3), 362-370.
  12. Kim, Y. H., & Jang, K. S. (2011). Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses. Journal of Korean Academy of Nursing, 41, 245-255. https://doi.org/10.4040/jkan.2011.41.2.245
  13. Kleehammer, K., Hart, A. L., & Keck, J. F. (1990). Nursing students' perceptions of anxiety-producing situations in the clinical setting. Journal of Nursing Education, 29(4), 183-187.
  14. Korean Accreditation Board of Nursing. (2011). Core fundamental nursing skills. Seoul: Accreditation Manual with Interpretive Guidelines for Four-Year Nursing Programs.
  15. Lee, S. O., Eom, M., & Lee, J. H. (2007). Use of simulation in nursing education. The Journal of Korean Academic Society of Nursing Education, 13, 90-94.
  16. Medley, C. F., & Horne, C. (2005). Using simulation technology for undergraduate nursing education. Journal of Nursing Education, 44, 31-34.
  17. Park, M. Y. (2001). Nursing students' stress and anger experience in the clinical setting. The Journal of Korean Academic Society of Nursing Education, 7, 7-21.
  18. Waldner, M. H., & Olson, J. K. (2007). Taking the patient to the classroom: applying theoretical frameworks to simulation in nursing education. Retrieved May 15, 2012, from International Journal of Nursing Education Scholarship web site:, http://www.bepress.com/ijnes/vol4/iss1/art18.
  19. Yoo, M. S. (2000). A study for the improvement of a fundamental nursing practice course. Journal of Korean Academy of Fundamentals of Nursing, 7, 60-70.
  20. Yoo, M. S. (2001). The effectiveness of standardized patient managed instruction for a fundamental nursing course. The Journal of Korean Academic Society of Nursing Education, 7, 94-112.
  21. Yoo, M. S., & Yoo, L. Y. (2001). The effectiveness of standardized patient managed instruction for a fundamentals of nursing course. Journal of Nursing Query, 10(1), 89-109.
  22. Yoo, M. S., Park, J. H., & Lee, S. R. (2010). The effects of case-based learning using video on clinical decision making and learning motivation in undergraduate nursing students. Journal of Korean Academy of Nursing, 40, 863-871. https://doi.org/10.4040/jkan.2010.40.6.863
  23. Yoon, J. (2004). Development of an instrument for the measurement of critical thinking disposition: In nursing. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul.

Cited by

  1. Effects of Intensive Clinical Training for Nursing Students in Nursing Practice on their Clinical Competence, State Anxiety, and Clinical Practice Stress vol.23, pp.4, 2016, https://doi.org/10.7739/jkafn.2016.23.4.419
  2. Effects of a Standardized Patient Simulation Program for Nursing Students on Nursing Competence, Communication Skill, Self-efficacy and Critical Thinking Ability for Blood Transfusion* vol.22, pp.1, 2015, https://doi.org/10.7739/jkafn.2015.22.1.49
  3. A Preliminary Study on the Standardization of Fundamental Nursing Practice Education* vol.21, pp.4, 2014, https://doi.org/10.7739/jkafn.2014.21.4.446
  4. Role of Self-Directed Learning in Communication Competence and Self-Efficacy vol.54, pp.10, 2015, https://doi.org/10.3928/01484834-20150916-03
  5. Effects of Basic Clinical Practice Program in Academic Motivation, Critical Thinking and Clinical Nursing Competence of Nursing Students vol.15, pp.4, 2014, https://doi.org/10.5762/KAIS.2014.15.4.2276
  6. Effectiveness of Education Program Using Video Recording and Feedback on Skill Competency for Students of Majors in Health Care: A Meta-Analysis vol.25, pp.2, 2018, https://doi.org/10.7739/jkafn.2018.25.2.120
  7. Effects of a Neonatal Nursing Practice Program on Students’ Stress, Self-efficacy, and Confidence vol.24, pp.3, 2018, https://doi.org/10.4094/chnr.2018.24.3.319
  8. Reliability and Validity of the Clinical Competency Scale for Nursing Students vol.29, pp.2, 2018, https://doi.org/10.12799/jkachn.2018.29.2.220
  9. 간호학생의 학습 자기효능감과 핵심기본간호술 수행자신감, 중요성 인식 및 전이동기의 관계 vol.17, pp.9, 2012, https://doi.org/10.5392/jkca.2017.17.09.661
  10. 간호대학생의 임상실습 시기별 핵심기본간호술 수행자신감의 변화양상 vol.16, pp.9, 2012, https://doi.org/10.14400/jdc.2018.16.9.329
  11. 간호대학생의 임상입문실습 경험 vol.21, pp.2, 2012, https://doi.org/10.5762/kais.2020.21.2.74
  12. 온라인 수업에 참여한 간호대학생의 딴짓에 영향을 미치는 요인 vol.11, pp.9, 2012, https://doi.org/10.15207/jkcs.2020.11.9.433