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http://dx.doi.org/10.7739/jkafn.2012.19.3.322

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

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)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.19, no.3, 2012 , pp. 322-333 More about this Journal
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
Critical thinking skill; Communication competence; Self-efficacy; Clinical performance confidence;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 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.   과학기술학회마을   DOI   ScienceOn
2 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.
3 Korean Accreditation Board of Nursing. (2011). Core fundamental nursing skills. Seoul: Accreditation Manual with Interpretive Guidelines for Four-Year Nursing Programs.
4 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.   DOI   ScienceOn
5 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.   과학기술학회마을
6 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.   과학기술학회마을
7 Medley, C. F., & Horne, C. (2005). Using simulation technology for undergraduate nursing education. Journal of Nursing Education, 44, 31-34.
8 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.
9 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.
10 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.
11 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.
12 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.
13 Harkreader, H., Hogan, M. A., & Thobaben, M. (2007). Fundamentals of nursing(3rd ed.). St. Louis, Missouri: Saunders.
14 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.   과학기술학회마을   DOI   ScienceOn
15 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.
16 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.
17 Hur, K. H. (2003). Construction and validation of a global interpersonal communication competence scale. Korean Journal of Journalism & Communication Studies, 47(6), 380-408.
18 Kim, A. Y., & Cha, J, E. (1996). Self-efficacy and measurement. Winter Conference Proceedings of Korean Society for Industrial and Organizational Psychology, 51-64.
19 Kim, A. Y. (1997). A study on the academic failure-tolerance and its correlates. TheKorean Journal of Educational Psychology, 11(2), 1-19.
20 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.   과학기술학회마을
21 Forrest, S. (2004). Learning & teaching: The reciprocal link. Journal of Continuing Education in Nursing, 35, 74-79.
22 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.   DOI   ScienceOn
23 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.   과학기술학회마을   DOI   ScienceOn