• 한국콘텐츠학회논문지
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• 제18권11호
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• pp.393-405
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• 2018

문제중심학습(PBL)은 간호 임상실습 시 간호 지식, 기술과 태도를 통합하는 학습자 중심의 교육이다. 본 연구는 간호학 교과과정 가운데 학령전기 아동 성장발달의 PBL 모듈을 적용하기 위한 사전 연구이다. 이에 본 양적연구는 PBL 모듈을 Dick과 Carye의 프로그램 개발 과정(계획, 개발, 적용, 평가 단계)에 따라 개발하였고 2학년 간호대학생을 대상으로 구조화된 설문지를 활용하여 그 효과를 평가하였다. PBL 모듈은 각 팀 당 4-5명의 학생이 약 40분 정도 참여하였다. 수집된 자료는 기술통계, t-test, 내용분석을 하였다. 그 결과 간호대학생의 메타인지 수준이 유의하게 증가하였고, 팀 효능감은 모듈 참여 전후로 유의한 차이가 없었으며, 사후 학습만족도가 높은 수준으로 나타났다. 간호대학생은 PBL 모듈 참여 후 학령전기 아동성장발달에 관한 지식 및 문제해결능력을 습득하였고 PBL 참여 시 팀워크에 대해 만족한다고 응답하였다. 따라서 본 연구 결과는 간호 교과과정 내 PBL 모듈의 적용을 고려하기 위한 근거 자료를 제공하였다.

• 한국간호교육학회지
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• 제1권1호
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• pp.5-16
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• 1995

Nurse educators are being encouraged to intergrated the role of faculty practice into the role expectations of the education institutes. Schools of nursing are faced with challenge of the faculty who wishes to adopt facilitating practical role. Also directors of nursing department in hospitals point out the lack of competences for nursing care of new graduated nurse. This survey study was conducted to clarify the factors that faculty who engages on practice in the clinical teaching are to facilitate or inhibit. In this study, 55 head nurses of university hospital and 30 professors of nursing school were assigned to complete the questionnaire. Results of this study are as follows : 1) Head nurse : The most actively participated nursing activities in student's clinical teaching are medication, injection, vital sign checking and bed making. The problems of clinical leaching are lack of direct care of Professors, overloaded work of head nurses, passive learning attitudes of nursing students and less priority about clinical teaching of academic administrator's perception. 2) Nursing professor Facilitators of faculty practices are negative perception about clinical practice of both nursing professor and academic administrator. Inhibitors of faculty practice are negligence of the clinical teaching, lack of the practicing capability and lack of administration system on practical education by head of the school. There, following strategies are suggested for facilitating faculty practice : 1. Faculty practice focused on clinical teaching must be emphasized for academic administration. 2. Nurse educators must keep continuing clinical practice in their specific area. 3. Collaboration between school of nursing and hospital promotes effectiveness of the clinical practice for nursing students.

• 기본간호학회지
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• 제23권2호
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• pp.126-135
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• 2016

Purpose: This study was done to identify the influence of clinical learning environment and attitude toward physician-nurse collaboration on professionalism in nursing students. Method: The sample consisted of 317 nursing students. Data were collected from October 10 to December 20, 2014 and were analyzed using t-test, ANOVA, Pearson correlation and multiple linear regression with IBM SPSS statistics version 19. Results: The mean score for clinical learning environment was 3.15 out of 5. The mean score on the Jefferson scale attitude toward physician-nurse collaboration (JSAPNC) was 3.31 out of 4. The mean score for professionalism was 3.70 out of 5. The predictors of professionalism were major satisfaction, 'care vs cure' for the JSAPNC and 'patient relationship', 'student satisfaction' for clinical learning environment. Conclusions: Based on these results, educational programs to improve attitude toward physician-nurse collaboration and clinical learning environment should be developed.

• 한국간호교육학회지
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• 제23권1호
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• pp.118-130
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• 2017

Purpose: The purpose of this study was to identify the relationship between the satisfaction with clinical practice and clinical performance ability by types of self-directed learning ability of nursing students. Methods: This was a triangular study that was conducted to understand clinical performance ability. The subjects were 260 junior and senior students from a university in P city. The data were collected from April 22 to December 30, 2015. Data were collected by Q-card, Q-block an assessment tool, a structured self-reporting survey and a questionnaire. Results: We classified the self-directed learning abilities into four types: Type 1: a self-reflective person; Type 2: a person who prepares for the future; Type 3: a person with a sense of responsibility and obligation; and Type 4: an enthusiastic learner. We found that clinical performance ability was higher for Type 4 than Type 3. We found that clinical performance satisfaction with clinical practice was also higher for the Type 4 individual than a Type 3 person. Conclusion: To improve students' clinical performance ability, we need plans and support to lead students toward becoming an 'enthusiastic learner' type of person with self-directed learning ability. It is necessary to increase students' satisfaction with clinical practice.

• 한국산학기술학회논문지
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• 제19권9호
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• pp.130-138
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• 2018

본 연구는 간호 학생을 대상으로 아동 간호학 실습 교육의 시뮬레이션 상황에서 일어나는 임상적 판단과정을 파악하고자 한다. 이를 위해 LCJR을 적용한 기술적 서술 연구(descriptive study)로 진행되었다. S시에 소재한 2개의 대학의 간호대학생을 대상으로 2013년 9월부터 2014년 12월 까지 모의 환자를 포함한 발열 시나리오와 무호흡 시나리오를 사용하여 시뮬레이션이 진행되었다. 본 연구 결과 간호 대학생의 임상판단 점수는 남학생 30.50(${\pm}2.77$)점, 여학생29.32(${\pm}2.67$)점이었으며, 무호흡 시나리오 임상판단 점수($31.20{\pm}2.84$)가 발열 시나리오 점수($28.71{\pm}2.63$)보다 높았고, 학습자의 자가평가(.911)와 교수자의 평가(.921)에서 반응(responding)영역이 유의한 상관관계가 있는 것으로 나타났다. 교수자와 학습자의 자가 평가 간 비교에서는 해석(interpreting)영역과 반영(reflecting)영역이 유의하게 나타났다. 본 연구는 간호 대학생의 임상 판단력을 높일 수 있는 실습과정을 수정 및 개발하는데 있어 기초 자료가 될 수 있다. 이 후 시뮬레이션 프로그램 내에 디브리핑 동안에 학생들의 간호 수행과 판단을 토론할 수 있는 경험을 제공하는 것이 필요하다.

• 한국간호교육학회지
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• 제25권1호
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• pp.69-82
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• 2019

Purpose: The purpose of the study is to understand the experiences of career exploration among nursing students during their clinical practice and to develop a theoretical framework for the career exploration process. Methods: From February 2 to 28, 2015, data were collected through focus group interviews from 24 participating fourth-year nursing students. The data were analyzed using grounded theory. Results: The central phenomenon of 'confusion between the ideal and the reality of nursing' occurred in contexts for various reasons of choosing one's major, nurses in the ideal, a vague fear of the field, arduous nursing assignments in the field, and severe adversity in the nursing field. Nursing students tried to deal with their confusion by using interaction strategies such as pursuing the intrinsic value of nursing, finding role models, trying to project oneself, and preparing for adapting to reality. The career exploration process in clinical practice was a voyage to discover the authentic nurse of the pre-registration nurse. Conclusion: This result shows that nursing students were to gain confidence in their career choices by finding the value of nursing and interacting with patients. Therefore, opportunities for learning experiences about interaction with patients and various positive experiences in clinical practice should be provided for nursing students.

• 한국간호교육학회지
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• 제28권1호
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• pp.57-69
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• 2022

Purpose: This study was performed to explore and describe the overall clinical practice adaptation experiences among nursing students during the COVID-19 pandemic. Methods: This qualitative study applied the grounded theory method by Corbin and Strauss. Data were collected from May to August 2021 through individual in-depth interviews with 14 nursing students from three universities in B metropolitan city. Results: From open coding, 20 sub-categories and 10 categories were identified. Analysis revealed that the core category was the process of "keeping the place of learning while adhering to the restrictions of the era of pandemic" and that it consisted of four phases: confusion, withdrawal, adjustment, and growth. Through this process, participants utilized various action/interactional strategies such as "shifting to positive thinking," "building a shield to protect oneself," and "focusing on learning." The consequences of these strategies were "adapting to the reality of the infectious disease situation" and "strengthening a foothold to grow as a future nurse." Conclusion: An in-depth understanding of nursing students' experiences of adapting to clinical practice during the COVID-19 pandemic will guide nursing educators to promote effective teaching strategies to better support nursing students in a time of infectious disease crisis.

• 한국간호교육학회지
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• 제24권3호
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• pp.300-310
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• 2018

Purpose: This study was conducted to investigate the differences of the Code of Ethics, level of application of the Code of Ethics and consciousness of biomedical ethics of nurses about clinical practice experience, ethical values and biomedical ethics education experience of nursing students. Methods: A descriptive research design, t-test and one-way ANOVA were used. The data were collected 1st June to 31st August 2016 from two large cities. The participants were 246 nursing students with a mean age of 22.57 years. Among them, 209 (84.6%) were female, 94 (38.2%) had clinical practice experience, 155 (63.0%) listed their ethical value as different depending on the situation, and 127 (51.6%) had biomedical ethics education experience. Results: The scores were: awareness of the Code of Ethics of Nurses $4.29{\pm}0.60$; application of the Code of Ethics of Nurses $4.24{\pm}0.6$4; and consciousness of biomedical ethics $2.91{\pm}0.19$. There were significant differences in application of the Code of Ethics of Nurses (t=-1.97, p=.050); consciousness of biomedical ethics (t=-2.25, p=.025) related to clinical practice experience; and consciousness of biomedical ethics related to biomedical education experience (t=2.67, p=.007). Conclusion: Clinical practice and biomedical ethics education experience contributed to enhance the level of application of the Code of Ethics of Nurses and consciousness of biomedical ethics of nursing students.

• 한국간호교육학회지
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• 제5권1호
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• pp.58-71
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• 1999

Nursing process is an essential part for nursing practice. Nursing faculty members must focus on the clinical application for students and try to identify the possible problems that students might face in the fields. The purpose of this study is to examine the actual condition of nursing process education in curricula and to investigate the response of students in clinical experience of nursing process. From 462 students in the 6 associate programs(ADN) and the 6 baccalaureate programs (BSN) data was collected by questionnaire. The results were as followed. 1. Seven programs (58.3%) opened the nursing process in mainly sophomore (BSN) or freshman(ADN). If not opened, the nursing process was taught at the major subjects(espcially fundamental nursing or adult nursing). 2. All Students responded they we supposed to use nursing process in preparing the case report. The majority(94.6%) used NANDA lists for nursing diagnosis and 55.7% of subjects consulted the Korean terms by KNA when translating. The tutors for nursing process in clinical settings were the professor in charge of the subject (68.6) or clinical instructors (48.1%) , assistants(34%). 3. The problems in clinical application that students experienced consisted of 17 items and the mean was 2.27. The biggest problem was 'the lack of the model for RN of applying the nursing process in clinical settings'(2.97). Next the big problem was 'the lack of the competency for implementing the established nursing plans'(2.69). All items were significantly different according to the level of educational programs(ADN or BSN). ADN students had more problems in applying the each step of nursing process and BSN students perceived the NANDA as a guidance of nursing diagnosis and the inconsistency of advices from several instructors or practicum to be mere problematic. 4. The mean of merits after application of nursing process was relatively fair (2.82). The best merit was 'they can identify nursing problems more exactly'(3.07). The second high merit was 'they can study the rational of nursing action' (3.03). BSN than ADN and the subjects of second year than of one year in clinical experience perceived the use of nursing process to be better. Based on this results we need to enforce the application of nursing diagnosis in the class. The use of sample cases can be the efficient method. Students can identify the possible health problems for patient from the cases in imaginary world and discuss them each other. Also we can use the discussion session after practice every other day or as needed. All this is on the good interaction between tutor and student. We must consider to have enough time for student to seize the essence of the nursing process.

• 대한간호
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• 제35권4호
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• pp.51-56
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• 1996

This research was an attempt to restructure the curriculum of pediatric clinical education on the base of the analysis of the pediatric clnical experience of nursing students acquired according to the traditional hospital-based pediatric clinical education and the evaluation of its results. As the focus of health care changes, pediatric clinical education the future necessitates changes in the traditional clinical experince at all levels. The traditional concentration of clinical experience within an acute care setting must be restructured to include the expanding future roles of the nurse and the changes in the health care structure. In order to meet the need for restructuring, it is inevitably necessary to adopt an organizational design for pediatric clinical experience that is not all traditional. The additional experiences and variety of settings will enhance the quality of pediatric clinical experience. And as a matter of course this organizational change will enhance the student learning experience by giving them the opportunity to observe normal growth and development, preventive health care measures, and the role of the nurse outside the acute care setting. As the nursing's focus changes to meet the challenges of the future the faculty must apply themselves to these changes to prepare students for the future. Students must be ready to fill the many roles that nurses will hold in the future.