• 동서간호학연구지
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• 제24권1호
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• pp.36-43
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• 2018

Purpose: The purpose of this study was to identify the effect of the clinical learning environment on nursing students' powerlessness and self-efficacy related to clinical practice. Methods: Participants were 149 nursing students from a university who had completed their clinical practicum in B city. Data were collected using self-report questionnaires and analyzed using t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: The mean score of the clinical learning environment was 2.99 out of 5 points, the powerlessness related to the clinical practice, 2.96 out of 5 points, and the self-efficacy related to clinical practice, 73.69 out of 100 points, respectively. The regression analysis showed that the clinical learning environment explained 11% of the powerlessness related to clinical practice and 3% of the self-efficacy related to clinical practice in the nursing students after controlling for the general characteristics. Conclusions: The result of this study indicated that it is necessary to improve the clinical learning environment for decreasing the feeling of powerlessness and increasing the self-efficiency related to clinical practice among the nursing students.

• 한국간호교육학회지
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• 제20권2호
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• pp.203-211
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• 2014

Purpose: This study was conducted to compare the effects of simulation-based training on knowledge, self-efficacy and clinical performance, underwent before or after the clinical practice for the nursing students. Method: A comparison group design was established with pre-clinical practice group (n=34) and post-clinical practice group (n=34). Both groups participated in simulation-based training before or after the clinical practice at the recovery room. Chi-square test, t-test and paired t-test were performed to analyze the data. Results: Both groups showed significantly higher post-test scores in knowledge and self-efficacy than pre-test scores (p<.001). The group with simulation training performed before their clinical practice (pre-clinical practice group) showed significantly higher self-efficacy (p=.044) than the group with simulation training done after their clinical practice (post-clinical practice group). However, there was no significant difference in the knowledge (p=.922) and clinical performance (p=.887). Conclusion: These findings of the study suggest that simulation based training in pre-clinical practice is effective to enhance the self-efficacy and to improve knowledge and clinical performance of the nursing students.

• 한국간호교육학회지
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• 제9권2호
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• pp.310-319
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• 2003

The purpose of this study was to determine what effect reflection on clinical practice experience had students as learners and care providers. Qualitative research method was used to study a group of four-year undergraduate nursing course. Content analysis was done using the classification method of Carper's four patterns of knowing. Results of the study indicated that the use of the reflective process of clinical debriefing and journaling was impact on the aspect of nursing science, moral component of knowledge in nursing, personal knowing in nursing and the art of nursing. Especially, students moved from a passive to a more active mode of learning. The most significant finding was that over time, reflective processes resulted in the emergence of the client as the central focus of care. It was suggested that reflection was an important learning tool in professional education and that the skills required for reflection need to be developed in professional courses.

• 한국간호교육학회지
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• 제17권3호
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• pp.337-345
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• 2011

Purpose: This study was done to identify the relationship among Critical Thinking Disposition (CTD), stress of clinical practice and clinical competence in Korean nursing students. Methods: Participants were 407 baccalaureate nursing students (3rd and 4th grades) in Korea. Variables included CTD, stress of clinical practice, clinical competence, and demographic variables. Data was analyzed by frequencies, t-test, ANOVA, Pearson's correlation and multiple regression. Results: Clinical competence positively correlated with CTD, but negatively correlated with stress of clinical practice. The regression model explained 25.6% of clinical competence. The significant predictors of clinical competence were intellectual eagerness, intellectual fairness in CTD, conflict with patients, and clinical environment in stress of clinical practice. Conclusions: CTD and stress of clinical practice contribute to nursing student's clinical competence. Therefore, efforts to encourage nursing student's CTD, increase stress management skills, especially in conflict with patients, and build a supportive clinical environment should be made to strengthen clinical competence.

• 간호행정학회지
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• 제21권4호
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• pp.417-425
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• 2015

Purpose: The purpose of this study was to identify factors in the clinical learning environment that affect clinical practice stress and anxiety in nursing students. Methods: Participants were 210 senior nursing students from two universities who had completed their clinical experience. Data were collected from self-report questionnaires and analyzed using t-test, ANOVA, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 Program. Results: The mean scores for the clinical learning environment, the clinical practice stress, and anxiety were $3.16{\pm}0.68$, $2.98{\pm}0.66$, and $43.74{\pm}10.18$ points, respectively. The regression analysis showed that the clinical learning environment contributed to 13% of the stress and 20% of the anxiety in the nursing students with the conditions controlled for general characteristics, department satisfaction and social support. Conclusion: The results of this study suggest that the clinical learning environment should be carefully assessed to reduce nursing students' stress and anxiety from clinical practice. Therefore, collaboration between nursing universities and teaching hospitals is necessary to optimize clinical learning environment.

• 기본간호학회지
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• 제18권3호
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• pp.365-372
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• 2011

Purpose: The purpose of this study was to examine the effects of the teaching effectiveness and clinical learning environment on the clinical practice competency in nursing students. Method: Undergraduate nursing students (268) enrolled in one of 4 universities in 2 cities completed a survey questionnaire. Collected data were analyzed using descriptive statistics, Pearson's correlation coefficient and multiple regression with the SPSS/Win 11.0 program. Results: The mean score for teaching effectiveness was 3.09 (${\pm}.53$) on a 5-point scale, for clinical learning environment, 3.09 (${\pm}.50$) on a 5-point scale, and for clinical practice competency, 3.94 (${\pm}.52$) on a 6-point scale. Significant positive correlations were found between teaching effectiveness and clinical learning environment, and clinical practice competency. The regression model explained 8.8% of clinical practice competency. Teaching effectiveness and clinical learning environment were significant predictors of clinical practice competency. Conclusion: The findings of the study suggest that teaching effectiveness and clinical learning environment be considered when developing strategies to increase clinical practice competency in nursing students.

• 한국응용과학기술학회지
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• 제40권3호
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• pp.560-569
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• 2023

본 연구는 간호대학생의 그릿, 긍정적 정서, 팀워크 및 임상실습 만족도의 정도를 파악하고, 임상실습 만족도에 영향을 주는 요인을 확인하기 위해 시행된 서술적 조사연구이다. 대상자는 U시와 G시 소재 2개 대학 간호학과 4학년으로 하였다. 자료는 SPSS 21.0 프로그램으로 기술통계, t-test, ANOVA, Pearson 상관계수, multiple regression 분석을 하였다. 연구결과, 임상실습 만족도는 그릿, 긍정적 정서, 팀워크와 양의 상관관계가 있었다. 팀워크는 그릿, 긍정적 정서와 양의 상관관계를 보였고, 긍정적 정서는 그릿과 양의 상관관계를 나타냈다. 임상실습 만족도에 영향을 미치는 요인은 팀워크와 긍정적 정서였으며 설명력은 43.6%였다. 따라서 간호대학생의 임상실습 만족도를 향상시키기 위한 전략으로 팀워크와 긍정적 정서를 향상시킬 수 있는 교육 프로그램 개발과 방안 모색이 필요하다.

• 한국간호교육학회지
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• 제19권2호
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• pp.251-264
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• 2013

Purpose: The purpose of this study was to ascertain the current state of clinical nursing education at hospitals. Methods: Questionnaires were sent out to 236 hospitals which have over 300 beds. Out of these, 116 hospitals responded, and the collected data was analyzed by mean, frequency, t-test, and ANOVA test. Results: These hospitals have teaching agreements with 4.2 nursing colleges and clinical education lasts 8 months. Clinical education status regarding hospital characteristics, between a university hospital, non-university hospitals, among advanced general hospitals, general hospitals, and special hospitals showed statistical differences in colleges per hospital and nurses' degree. 37.9% of cases have no internal regulation for nursing education, and in 68.1% of cases, students' practice was limited to simple nursing care. The current primary guide for student's practice was head nurse (61.25%), and the course professor took charge of mainly the conference. The difficulties as an educational hospital are increases in work load, difficulties in teaching, excessive number of students, simultaneous practical training, complaints from patients, lack in training manpower, and stress. Conclusion: This study determined that the big hospitals are heavily burdened by nursing education and that it will be necessary to establish standards for educational hospitals to ensure higher quality education.

• 한국간호교육학회지
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• 제25권1호
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• pp.48-57
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• 2019

Purpose: This study aimed to explore and understand nursing students' nunchi experiences in clinical practice. Methods: Participants were nursing students in the third and fourth years who had clinical experience. A total of 20 nursing students were divided into three focus groups based on their grade levels and gender. Data were collected from December 2017 to March 2018 through focus group interviews and were analyzed via Colaizzi's phenomenological methodology. Results: The study results consisted of 5 theme clusters, 11 themes, and 24 subthemes. These clusters were: confusion about ambiguous behavioral standards, effort in following social norms, concern about getting hurt, physical and psychological exhaustion, and forming social attitudes. Conclusion: These results show that nunchi has positive and negative effects on the clinical practice of nursing students. We need to improve the causes of nunchi, which can have a negative impact on clinical practice.

• 산업융합연구
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• 제20권2호
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• pp.61-70
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• 2022

본 연구는 COVID-19 pandemic으로 간호대학생의 정신간호학 임상실습이 제한되면서 블랜디드 러닝을 기반으로 한 정신간호학실습 프로그램을 개발하고 의사소통 능력, 협력적 자기효능감 및 학습전이동기에 미치는 효과를 확인하기 위한 연구이다. 연구는 2021년 10월 18일부터 2021년 12월 11일까지 간호대학생 64명이 참여하였으며 온라인 구글설문지를 이용하여 실습 전과 실습 후에 설문지를 완성하였다. 수집된 자료는 SPSS 25.0 프로그램을 이용하여 기술적 통계, paired t-test로 분석하였다. 연구결과, 대상자는 블렌디드 러닝을 기반으로 한 정신간호학실습프로그램 전에 비해 후에 의사소통 능력, 협력적 자기효능감과 학습전이동기가 유의미하게 상승되었다. 본 연구결과를 통하여 블렌디드 러닝을 기반으로 한 정신간호학실습프로그램의 효과를 확인할 수 있었다. 추후 포스트 코로나 상황에서도 임상현장실습을 대체하여 적용할 수 있는 정신간호학실습교육의 실행성과 후속연구의 근거자료로 활용될 수 있을 것이다.