Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on Changes of Confidence in Core Basic Nursing Skill by Each Period of Clinical Practicum of Nursing Students

간호대학생의 임상실습 시기별 핵심기본간호술 수행자신감의 변화양상

  • Received : 2018.08.13
  • Accepted : 2018.09.20
  • Published : 2018.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this longitudinal study was to investigate confidence in core basic nursing skill each period of clinical practicum and discover the changes, depending on characteristics of periods. The data was collected for 94 nursing students attending a university located in J-do from Mar. 9 to Dec. 16 2016 for 4 times in total. For data analysis, the frequency analysis, descriptive statistics and paired t-test were used. The research findings showed that confidence in core basic nursing skill by each period of clinical practicum was lowest before clinical practicum in general but gradually increased depending on lapse of time and experience of clinical practicum. However, it decreased in all items after having first clinical practicum in the $2^{nd}$ semester, compared to after first clinical practicum in the $1^{st}$ semester. In addition, the difference of confidence in core basic nursing skill between clinical practicum periods was higher after the first clinical practicum in the $1^{st}$ semester and after clinical practicum at the end of school year, compared to before clinical practicum and after the first clinical practicum in the $2^{nd}$ semester respectively. Therefore, this study suggested that it's necessary to have efficient and systematic clinical practicum education strategy, reflecting the characteristics of periods in clinical practicum in order to improve the confidence in core basic nursing skill of nursing students.

본 연구는 간호대학생의 핵심기본간호술 수행자신감을 임상실습 시기별로 조사하여 시기적 특성에 따른 변화양상을 파악하고자 시도된 종단연구이다. 자료수집은 2016년 3월 9일부터 12월 16일까지 J도 소재 간호대학생 94명을 대상으로 총 4회에 걸쳐 조사하였다. 자료분석은 빈도분석, 기술통계, paired t-test를 사용하였다. 연구결과 임상실습 시기별 핵심기본 간호술 수행자신감은 대체적으로 임상실습 전이 가장 낮고 시간의 경과 및 임상실습경험 정도에 따라 점차 상승하는 양상이었으나, 2학기 첫 실습 후에는 모든 항목에서 1학기 첫 실습 후보다 오히려 하락하는 양상을 보였다. 또한 임상실습 시기간 핵심기본간호술 수행자신감 차이는 1학기 첫 실습 후는 임상실습 전보다 높았고, 학년 말 실습 후는 2학기 첫 실습 후보다 높았다. 본 연구 결과 간호대학생의 핵심기본간호술 수행자신감을 향상시키기 위해서는 임상실습의 시기적 특성을 반영한 효율적이고 체계적인 임상실습 교육전략이 필요함을 알 수 있었다.

Keywords

References

  1. S. G. Lee & Y. H. Shin. (2016). Effects of Self-directed Feedback Practice using Smartphone Videos on Basic Nursing Skills, Confidence in Performance and Learning Satisfaction. Journal of Korean Academy of Nursing, 46(2), 283-292. https://doi.org/10.4040/jkan.2016.46.2.283
  2. S. H. Kim, J. Y. Choi & Y. R. Kweon. (2017). Correlations among Learning Self-efficacy, Confidence in Performance, Perception of Importance and Transfer Intention for Core Basic Nursing Skill in Nursing Students at a Nursing University. Korea Contents Society, 17(9), 661-671. http://doi.org/10.5392/JKCA2017.17.09.661
  3. H. Edwards, S. Smith. M. Courtney, K. Finlayson. & H. Chapman. (2004). The impact of clinical placement location on nursing students' competence and preparedness for practice. Nurse Education Today, 24(4), 248-255. https://doi.org/10.1016/j.nedt.2004.01.003
  4. Korean Accreditation Board of Nursing Education. (2017). 2017 first half nursing education certification evaluation college manual. Seoul: KABNE.
  5. Y. S. Kim. (2016). Experiences on Block System Class in Nursing Students. Korea Academy Industrial Cooperation Society, 17(6), 629-641. https://doi.org/10.5762/kais.2016.17.6.629
  6. H. H. Han. (2016). A Study of Convergence on Frequency of Performance, Self-Confidence, Performance Assessment Scores of Core Nursing Skills of Nursing Students, Journal of Digital Convergence, 14(8), 355-362. https://doi.org/10.14400/jdc.2016.14.8.355
  7. Y. I. Han. (2015). A Concept Analysis of Self Confidence in New Nurse. Journal of Psychology and Behavior, 7(2), 43-56.
  8. N. Y. IM & J. H. Song. (2007). Delphi Study on Introduction of Practical Skills Test in National Examination for Nursing Licensure. Korean journal of fundamentals of nursing, 14(2), 157-165.
  9. K. A. Song. (2011). Current and Future Tasks of Basic Nursing Practice in Clinical Field. Seoul: Journal of Korean Academic Society of Nursing.
  10. S. Kelly & N. Courts. (2006). The professional self-concept of new graduate nurses. Nurse Education in Practice, 7(5), 332-337. https://doi.org/10.1016/j.nepr.2006.10.004
  11. I. S. Kown & Y. M Seo. (2012). Nursing students' needs for clinical nursing education. Journal of Korean Academic Society of Nursing Education, 18(1), 25-33. https://doi.org/10.5977/jkasne.2012.18.1.025
  12. M. H. Cho & I. S. Kwon.(2007). A study on the clinical practice experiences on nursing activities of nursing students. Journal of Academic Society of Nursing Education, 18(2), 143-154.
  13. S. N. Park & S. K. LEE. (2008). Factors Influencing Basic Nursing Skill Competency in Nursing Students. Journal of Korean Academy of Fundamentals of Nursing, 15(1), 6-13.
  14. I. S. Lee & C. S. Park. (2015). Factors influencing confidence in performance competence of core basic nursing skills by nursing students. Journal of Korean Academy of Fundamentals of Nursing, 22(3), 297-307. https://doi.org/10.7739/jkafn.2015.22.3.297
  15. A. K. Han, D. S. Cho & J. S. Won. (2014). A Study on Learning Experiences and Self-Confidence of Core Nursing Skills in Nursing Practicum among Final Year Nursing Students. Journal of Korean Academy of Fundamentals of Nursing, 21(2), 162-173. https://doi.org/10.7739/jkafn.2014.21.2.162
  16. D. Choi. (2014). Clinical Competence according to Experiences on the Essential of Fundamental Nursing Skills in Nursing Students. Journal of Korean Academic Society of Nursing Education, 20(2), 184-191. https://doi.org/10.5977/jkasne.2014.20.2.184
  17. Y. J. Chae & Y. M. Ha. (2016). Effectiveness of Education Program for Core Fundamental Nursing Skills using Recording Video with Smartphone and Formative Feedback. Journal of Digital Convergence, 14(6), 285-294. https://doi.org/10.14400/jdc.2016.14.6.285
  18. P. M. Dillon. (2002). The cognitive, competence and confidence development of baccalaureate nursing students over an academic year with clinical experience. Doctoral dissertation. Widener University, Pennsylvania.
  19. S. O. Kim & B. H. Kang. (2016). The Influence of Nursing Students' Learning Experience, Recognition of Importance and Learning Self-efficacy for Core Fundamental Nursing Skills on their Self-confidence. Journal of the Korea Academia-Industrial cooperation Society, 17(8), 172-182. https://doi.org/10.5762/kais.2016.17.8.172
  20. L. Jensen. (1990). Guidelines for the application of ARIMA model in time series. Research in Nursing & Health, 13, 429-435. https://doi.org/10.1002/nur.4770130611
  21. H. S. Oh & Y. R. Kim. (1995). Methodology corner; The usefulness of time-series analysis in clinical research and its theoretical background. Journal of nursing query, 4(1), 211-225.
  22. Y. H. Kim, S. Y. Hwang & A. Y. Lee. (2014). Perceived confidence in practice of core basic nursing skills of new graduate nurses. Journal of Korean academic society of nursing education, 20(1), 37-46. https://doi.org/10.5977/jkasne.2014.20.1.37
  23. J. H. Yang. (2012). Korean nursing students' experiences of their first clinical practice. Journal of Nursing Education and Practice, 3(3). https://doi.org/10.5430/jnep.v3n3p128
  24. E. J. Shin. (2008). A Study Related to Self-Efficacy, Satisfaction with Practice and Fundamentals of Nursing Practicum. Korean journal of fundamentals of nursing, 15(3), 380-386.
  25. H. J. Dong & M. S. Choi. (2016). Influence of Professional Self-concept and Self-leadership on Clinical Competence in Nursing Students. Journal of Korean Academy of Fundamentals of Nursing, 23(4), 373-382. https://doi.org/10.7739/jkafn.2016.23.4.373
  26. H. J. Park & I. S. Jang. (2010). Stress, depression, coping styles and satisfaction of clinical practice in nursing students. Journal of Korean Academic Society of Nursing Education, 16(1), 14-23. https://doi.org/10.5977/jkasne.2010.16.1.014
  27. J. H. Yang, K. Y. Park, M. J. Kim & Y. Y. Yang. (2012). Factors Influencing the Confidence on Performance of Core Fundamental Nursing Skills among Nursing Students. Journal of the Korean Data Analysis Society, 14(5), 2611-2622.
  28. K. Kleehammer, A. Hart & J Keck. (1990). Nursing students' perceptions of anxiety-producing situations in the clinical setting. Journal of Nursing Education, 29(4), 183-187.
  29. K. A. Song, H. J. Park, H. A. Yeom, J. E. Lee, G. E. Joo & H. J. Kim. (2012). The Development and Evaluation of a New Educational Program, Introduction to Clinical Nursing, for Third Year Nursing Students. Journal of Korean Academy of Fundamentals of Nursing, 19(3), 322-333. https://doi.org/10.7739/jkafn.2012.19.3.322