• Title/Summary/Keyword: 임상간호실무 연구

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The Effect of Advanced Clinical Practicum on Clinical Competence for Nursing Student (종합선택실습이 간호대학생의 임상실무수행능력에 미치는 영향)

  • Kim, Jisoo;Kim, Young-Sook;Kim, Hye Soon;Jo, Hyun Sook;Lee, Eun-Ja;Lee, Yeo Jin;Kim, Yunmi;Park, Kwang-Hi
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.381-382
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    • 2011
  • 본 연구는 4주간의 종합선택실습이 간호대학생의 임상수행 능력 변화에 미치는 영향을 파악하기 위한 것으로 4주간의 종합선택실습을 이수한 4학년 간호 대학생 128을 대상으로 하였고 임상실무수행능력 평가도구를 이용하여 실무능력변화를 측정하였다. 연구 결과 종합선택실습 전의 임상실무능력이 70.4점에서 실습 후에는 124.8점으로 증가(p<.001)되었고 직접간호활동과 간접간호활동의 모든 하위 영역에서 실습 후의 임상실무수행능력이 유의하게 증가되었다. 또한 상위 성적 30% 학생의 종합선택실습 후의 임상실무수행능력이 중간 40%의 학생에 비해 더 유의하게 증가한 것으로 나타났다(p=.047).

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Effects of a Simulation-based Training on Nursing Students' Knowledge, Confidence, Clinical Competence and Clinical Competence to Advanced Cardiovascular Life Support (시뮬레이션 기반 교육이 간호대학생의 전문심폐소생술 지식, 수행에 대한 자신감, 비판적 사고성향, 임상실무능력에 미치는 효과)

  • Park, Dahye;Kim, Hyun-Jung
    • Journal of Convergence for Information Technology
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    • v.9 no.1
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    • pp.61-67
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    • 2019
  • The aim of this paper was to test the effects of simulation-based learning on knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support of nursing student. This study used one group, pre-post test design. The participants of this research were 35 senior nursing students who underwent training in the medical-surgical nursing education. Data were collected by utilizing the questionnaire in two separate occasions: before and after the simulation-based training. As a result of this paper, the improvements of the knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support were statistically significant. In conclusion, the simulation-based education has a positive effect on nursing students in the area of knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support.

Effects of a practical work-oriented education program on the ability of newly recruited nurses in execution of clinical competency, critical thinking and turnover rate (실무중심 교육프로그램이 신규 간호사의 임상수행능력, 비판적 사고와 이직율에 미치는 영향)

  • Park, Jung Hee;Lee, Mi Hyang
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.191-199
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    • 2017
  • This study aims to confirm the effects of the practical work-oriented educational program applied to the nursing students prior to the commencement of their employment on the ability of the newly recruited nurses in execution of clinical competency, critical thinking and turnover rates. It is a single-group pre-post design and non-equivalent control group design. As for the results of the research, nurses who participated in the practical work-oriented educational program prior to employment displayed an increase in their ability to execute clinical competency and critical thinking capabilities along with the reduction in their turnover rate within 1month after their employment. The results indicate that practical work-oriented educational program form the stage of nursing school years prior to employment at hospital in important and the practical work-oriented educational program attempted as a new means of management of human resources for new nurses can be used as a beneficial program at the time of the development of education programs at the hospitals ans nursing schools.

Bridging the Gap Between Research, Practice and Theory in Nursing (간호학에 있어서 연구, 실무와 이론과의 교량)

  • Ketefian, Shake
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.303-312
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    • 1994
  • 이 논문은 건강관리와 간호에 있어서 현재 발전하고있는 경향과 맥락내에서 연구, 실무 및 이론 사이의 상관관계에 관하여 논하였다. 연구-실무-이른의 삼위일체의 연결고리를 위한 접근의 다양성에 대하여 기술하였다. 교육, 협력활동, 파트너쉽, 협동임명과 교수임상근무, 실무에 있어서 이른 적용의 문제점 또한 언급하였다. 이론과 연구를 풍부하게 하기 위한 방법과 연구에 기초한 지식을 실무에 적용하기 전 실무환경에 적절하게 사용될 수 있게 부가된 검증이 필요하다. 또한 실무환경에 지식을 적용, 평가, 반복함으로써 체계적이고 계획된 변화노력이 이루어져야 한다. 세계화와 국제화의 시각 및 모든 사람에게 국경을 초월하여 건강관리를 증진시키기 위하여 협력적인 연구활동이 특별히 요청된다.

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Review on the Theory of Nursing Client Advocacy and Its Applications in Child Healthcare (간호대상자옹호이론의 발전전망과 아동간호에의 적용방안)

  • Cho, Kap-Chul
    • Child Health Nursing Research
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    • v.19 no.3
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    • pp.149-158
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    • 2013
  • Since 1990, descriptive studies about the concept of client advocacy have been published in the health journals. However, empirical studies of the concept are still lacking. There are not enough bases to apply the concept of client advocacy in nursing practice. The purpose of this paper is to encourage empirical research about client advocacy by clarification of the concept and to discusses application of the theory in child healthcare. The literature was reviewed that empirical studies on client advocacy conducted after the year 2000. The changing trends in the client advocacy concept was examined; it was changed from the philosophical concept to nursing action and changed from individual advocacy to collective advocacy, with the rise of the self advocacy concept. The research trends on client advocacy evolves from descriptive study to quasi-experimental study and instrument development study, with diversification and expansion of research methods, advocates, clients and settings. The advocacy role of the nurse in child healthcare is significant due to the child's lack of self determination ability. In ill child care, the application of individual advocacy is potent, while in healthy child care, collective advocacy, policy advocacy, and social advocacy is effective.

Role Expectations and Cooperation of Staff Nurses and Clinical Research Nurses who take care of Clinical Research Patientser (임상연구환자를 돌보는 병동간호사와 임상연구간호사의 역할기대와 협력 인식)

  • Lee, Hye-Young;Kim, Sanghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.420-430
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    • 2021
  • This was an investigative study to identify the role expectations for clinical research related tasks that ward nurses can participate in and the awareness of cooperation between ward nurses and clinical research nurses (CRNs) and the obstacles for the same. The subjects were 66 ward nurses and 65 CRNs. The data were analyzed using descriptive statistics, the two-sample t-test, and the 𝑥2 test on SAS 9.3. As a result of this study, 4.56±0.41 ward nurses and 3.83±0.60 CRNs were found to have high role expectations of each other and statistically significant role expectations for ward nurses (p<.001). Significant differences were seen in the five categories of cooperation recognition between the two groups. Among the factors for cooperative disabilities, excessive work and lack of awareness of clinical research were ranked high. High role expectation becomes an element of role conflict. To organize the role of ward nurses and clinical research nurses in the new clinical research nursing work, procedures, establishing of effective practices, and the proper operation of an official system are expected to be necessary. To promote cooperation between the two groups, a culture of mutual trust and cooperation should be formed to enable each group to think of the other as partners and to recognize their expertise.

Development of Evidence-Based Nursing Practice Guideline for Prevention of Ventilator-Associated Pneumonia (인공호흡기 관련 폐렴의 예방을 위한 근거기반 간호실무지침 개발)

  • Kim, Hwa-Young;Ryu, Seang
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.630-644
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    • 2021
  • This study was conducted to develop evidence-based nursing practice guideline for the prevention of VAP. This is a methodological study to develop guideline and verify the effectiveness according to the hybrid method of the NECA. Topics and key questions were derived through literature review and interviews, and recommendations were converged and developed through guidelines review and SR and meta-analysis. This was verified through the RAND and evaluated through AGREEII. The clinical feasibility of the nursing practice guideline, consisting of 44 recommendations in 9 categories, was evaluated by 122 ICU nurses. Conclusively this evidence-based nursing practice guideline for the prevention of VAP was confirmed methodological quality and content validity and was suitable for our nursing practice environment.

Factors Influencing Nursing Practices of Physical Restraints Use by nursing students (간호대학생의 신체적 억제대 사용 관련 간호실무 예측 요인)

  • Ha, Sun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.529-537
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    • 2021
  • Although the use of physical restraints is controversial, it is still commonly used in hospitalized patients to prevent patient accidents in clinical practice. It is, therefore, necessary to evaluate the knowledge, attitude, perception, and nursing practices related to the use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 144 nursing students at two Universities. Descriptive statistics, including t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression, were applied to analyze the data collected. Our results reveal that the mean knowledge score of nursing students regarding the use of physical restraints was 11.55±2.81, the mean attitude score was 60.01±7.24, the mean perception score was 59.97±10.68, and the mean nursing practice score was 38.04±4.15. Significant positive correlations were observed between nursing practice and knowledge, attitude, and perception. Multiple regression analysis showed that the factors significantly related to nursing practice and the use of physical restraints were perception (β=.23, p=.005) and attitude (β=.21, p=.009), having a total explained variance of 13.0%. The findings from this study suggest that perception is the strongest predictor of the use of physical restraints in nursing practice. Thus, it is necessary to develop and apply an evidence-based educational intervention program to ensure that nursing students correctly understand the need for physical restraints and later use them appropriately in clinical practice.

Issues in clinical evaluation tools to measure and evaluate nursing student clinical performance (간호학생의 임상실습평가와 측정에 관한 도구의 신뢰도와 타당도)

  • Kim, Hea-Sook
    • Journal of Korean Academy of Nursing
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    • v.22 no.1
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    • pp.42-48
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    • 1992
  • 이 연구는 현존해 있는 다양한 임상평가도구의 신뢰도와 타당도에 관한 분석 서술 연구이다. Rines(1974)에 의하면 평가는 학습경험을 통하여 목적을 달성하는 지의 여부를 측정하는 것이라고 하였고 평가의 목적은 교육증진을 도모하며, 목표를 설정하고, 학생의 학습진행과정을 사정하여 학생들을 위한 프로그램을 사정, 개발시키는데 있다고 피력 하였다. 간호교육에는 실무교육이 많은 비중을 차지하고 있다. 또한 많은 간호교육자들은 실습평가에 있어 많은 어려움을 경첩하고 있다. 이러한 난해한 실습평가도구를 개발하기 위하여 선행된 우선순위로써 현존해 있는 다양한 평가도구의 신뢰도와 타당도를 평가하는 것이 의의 있는 일이라 사료된다. 이 논문은 실습평가도구의 신뢰도와 타당도에 관심을 가진 임상지도교수나 간호교육자들을 대상으로 한 서술적 연구이다. 우선 간호교육평가에 있어서의 문제점을 분석하고 평가도구에 대한 전문가(Authority)의 의견을 피력한 다음 저자의 의견을 서술하였다. 결론적으로 현재까지 개발된 완전한 임상실습평가의 방법은 없다. 그러므로 현존해 있는 평가방법을 서술평가하고 문제점을 지적하므로써 질적인 평가도구개발에 도움을 줄 수 있다. 앞으로 간호교육자들이 각 문제점들을 보완하여 교육목적을 달성시킬 수 있는 효율적인 평가도구를 개발하는 것이 급선무이다.

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Development of Education Courseware for Clinical Care Classification System based PC and Smartphone (PC와 스마트 폰 기반 임상간호분류체계 교육 코스웨어 개발)

  • Hong, Hae-Sook;Lee, In-Keun;Cho, Hune;Kim, Hwa-Sun
    • Journal of Internet Computing and Services
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    • v.12 no.3
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    • pp.49-56
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    • 2011
  • It is urgently needed to develop programs supporting lifelong education for nurses and students of nursing, which are not restricted by time or space and use personal computers or smartphone. The purpose of this study is to develop CCC(Clinical Care Classification) System into a education program and provides guideline to support clinical tasks for students of nursing. Comparing the search times of the book guideline and the web guideline developed, this study found that it was over 3.5 times faster. And its error rate was over four times lower. This result shows that it can provide accurate intervention for patients since it approaches to intervention and evaluation guideline fast and precisely in the actual tasks of nursing.