• Title/Summary/Keyword: 임상간호실무 연구

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Effects of Nursing Practice Environment and Positive Psychological Capital in Clinical Nurses on Turnover Intention (임상간호사의 간호근무환경과 긍정심리자본이 이직의도에 미치는 효과)

  • Jung, Mi-Ra;Jeong, Eun
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.277-285
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    • 2018
  • The purpose of this study was to examine influences on turnover intention in the clinical nurses. The data were collected from 193 nurses working in the three general hospital located Y city. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. The result of the stepwise multiple regression indicates the nursing practice environment, positive psychological capital and clinical career predict 41.8% (F=7.35, p<.001) of turnover intention. Therefore, it is necessary to develop changing the nursing practice environment and positive psychological capital strategy program for decrease turnover intention in clinical nurses.

Nurses′ Research Activities and Barriers of Research Utilization (임상 간호사들의 연구 관련 활동 실태 및 연구결과 활용의 장애 요인)

  • 오의금;오현주;이윤정
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.838-848
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    • 2004
  • Purpose: This study was to describe nurses' research activities, perceptions and performances of evidence-based practice and barriers to the use of research evidence in nursing practice in Korea. Method: A cross-sectional survey design was used. A questionnaire, except for Barriers Scale, was developed for the study. Data was collected from a convenient sample of 437 registered nurses working at research and education oriented university hospitals. Result: Nurses' research-related activities were relatively low compared to previous studies. Also perceptions and performances of evidence based nursing practice were low. Preferred informational resources for clinical decision making were identified as ward manuals/clinical guidelines, manager/senior nurses, and literature/research. The major barriers to research utilization were a lack of implication for practice along with inadequate facilitation to implement research evidence and difficulty understanding research written in English. Priorities of barriers factor were Administrator, Communication, Adopter, and Research. Conclusion: The findings provide directions for future training, education, and managerial policy to achieve successful evidence based nursing practice.

Convergence Influence of Clinical Nurses' Resilience to the Job Stress, Turnover intention and Vitality (임상간호사의 직무스트레스, 이직의도 및 생동성이 리질리언스(Resilience)에 미치는 융복합적 요인)

  • Jung, Mi-Ra;Jeong, Eun
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.305-314
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    • 2017
  • The purpose of this study was to examine relationships among resilience and job Stress, turnover intention and vitality in general hospital nurses and to provide the basic data for the development of resilience intervention programs. The data were collected from 140 nurses working in the four general hospital located S and Y city using self-reported questionnaires and February 1 2017 to February 17 2017. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS 20.0 program. Resilience was found to be in a significant positive correlation with job stress, turnover intention and vitality. The result of the multiple regression indicates that work pattern and vitality predict 31%(F=10.01, p<.001) of resilience. Therefore it is necessary to develop convergence program to strengthen the resilience of clinical nurses'.

Factors Influencing Clinical Competence in General Hospital Nurses (종합병원 간호사의 임상수행능력 영향요인)

  • Kim, Mi-Jung;Kim, Moon-Ok
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.668-678
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    • 2021
  • This study aimed to identify the factors influencing the clinical competence of nurses, using a descriptive correlational study design. Data were collected through questionnaires administered to 170 nurses working in a general hospital in Gwangju city and Jeollanam-do province from March 24 to May 27, 2021. There were significant differences in clinical competence according to age, marital status, and educational level. Clinical competence was significantly correlated with nursing professionalism (r=.600, p<.001), critical-thinking disposition (r=.568, p<.001), communication skills (r=.658, p<.001), and nursing practice environment (r=.353, p<.001). Factors influencing clinical competence were communication skills, nursing professionalism, critical-thinking disposition, and age, which explained 54.0% of the total variance. It is necessary to develop educational programs to improve the communication skills, nursing professionalism, and critical-thinking disposition of nurses. Additionally, Institutional and national measures are needed so that nurses can continue to work in hospitals.

Model Patient Safety Management Activities for Nursing Students with Clinical Experience (임상실습 경험이 있는 간호대학생의 환자안전 관리 활동 구조모형)

  • Jae-Woo Oh
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.121-135
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    • 2024
  • This study is a structural equation modeling study that describes patient safety incident management activities for nursing students with clinical practice experience and uses Ajzen's theory of planned behavior and safety culture climate-safety behavior model as conceptual bases, proposes a hypothetical model of nursing students' patient safety incident management activities based on the literature review, and verifies the appropriateness of the model and hypotheses through the collected data. Data were collected from 251 nursing students with clinical practice experience using a structured questionnaire. The results of this study confirmed that the model is appropriate and that patient safety management attitude, patient safety culture, and safety motivation are predictors of nursing students' patient safety management activities. Therefore, in order to improve patient safety management activities, it is necessary to provide effective patient safety incident management education programs for nursing students so that nursing students can perform correct patient safety management behaviors from the clinical practice site to the clinical practice site after graduation, and it is necessary to explore how to continuously lead such education programs to the practice site.

Evidence-Based Nursing Practice Guideline: Ostomy Care (근거기반 임상실무지침: 장루간호)

  • Lee, Yun Jin;Park, Hyun Suk;Kim, Min Kyung;Seo, Hui Won;Lee, Mi Ju;Won, Eun Ae;Jo, Gha Na
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.154-163
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    • 2020
  • Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

Factors Affecting Disaster Nursing Core Competencies in Clinical Nurses (임상간호사의 재난간호 핵심수행능력 영향요인)

  • Cho, Jin-Young
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.93-101
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    • 2019
  • The aim of this research is to examine demand of disaster nursing education and core competencies of clinical nurses, and identify elements affecting their core competencies. The data analysis found that there was difference in demand of disaster nursing education(p=.036) depending on disaster experiences, and that there were differences in core competencies depending on age(p=.013), department(p=.007), experiences of disaster nursing education(p<.001), and consciousness of disaster preparedness(p<.001). In addition, it was identified that consciousness of disaster preparedness(p=.003) and experiences of disaster nursing education(p<.001) are the elements affecting core competencies in disaster nursing. It is expected that the findings of this research will be used as basic resources to improve the ability to quickly respond to disaster, and to explore development of education programs on clinical practices.

Development of Nursing Activity Cost Calculation Program Using Time-Driven Activity-Based Costing (TD-ABC) (병동 간호활동 원가계산 프로그램 개발 :시간동인 활동기준원가계산 기반으로)

  • Lim, Ji Young;Kang, Sung Bae;Lee, Hyun Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.480-494
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    • 2018
  • The purpose of this study is to develop a nursing activity cost calculation program based on Lee's doctoral dissertation using TD-ABC. The developed program has been supplemented with data storage, print out, and graph conversion functions to expand the application possibility. The development of the program consisted of three steps: program requirements analysis, program design and development, and program validation. This program was designed not only to do the cost calculation, but also to compare the cost-effectiveness and cost consumption trends. Consequently, this program is meaningful in that the nursing manager can obtain the cost information necessary for nursing unit management and extend the utilization so that the cost management strategy can be established based on the cost information. Therefore, we propose that the cost-management capacity of clinical nurses should be strengthened and the nursing performance measurement research should be expanded by applying it to various actual clinical nursing management settings. It is suggested that this program should be used as a training medium to strengthen nurse cost management capacity by combining nursing management curriculum at undergraduate level.

Development of case-based learning and co-teaching clinical practice education model for pre-service nurses (예비간호사를 위한 사례기반학습 및 코티칭 임상실습 교육모형 개발)

  • Hyunjeong Kim;Heekyoung Hyoung;Hyunwoo Kim;Seryeong Kim
    • Journal of Christian Education in Korea
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    • v.72
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    • pp.245-271
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    • 2022
  • The purpose of this study is to develop a nursing clinical practice education model that applies case-based learning and co-teaching to nursing students, and to secure the validity of the developed model. To verify the validity of the nursing clinical practice education model, it was applied to the subject of 'Health Response and Nursing VI (Perception/ Cognition) Practice' in the 2nd semester of 2021 at J University in Jeonju, and the instructor's response to the model was evaluated. Surveys and focus group interviews were conducted on confidence in clinical practice and teaching and learning models. After deriving the case-based learning stage and co-teaching elements through a review of precedent literature and case studies, an initial model was devised after expert review, and the devised model was reviewed for internal validity by nursing education experts, and then modified and supplemented. As a result of the learner response evaluation conducted after applying the model to the clinical practice subject for external validation verification, the confidence in clinical performance was 4.22 points and the satisfaction with the teaching-learning model was 4.68 points. Summarizing the results of the focus group interview, the importance of prior learning and the learning of selected cases based on actual cases, learning terminology and professional knowledge, eliminated fear of the practice field, felt familiar, and learned various cases. He said that he was able to think critically through the time to organize the knowledge learned in the practice field. In addition, through co-teaching, it was found that field leaders and advisors taught the theoretical and practical aspects at the same time through examples, thereby experiencing practical education closer to practice. It is expected that the nursing clinical practice education model developed through this study, applying case-based learning and co-teaching, will be an effective teaching and learning model that can reduce the gap between theory and practice and improve the clinical performance of nursing students.

Development of Korean Nurse Residency Program for Tertiary Hospitals (국내 상급종합병원 신규간호사의 실무적응지원 프로그램 개발)

  • Kwon, In Gak;Cho, Yong Ae;Kim, Kyeong Sug;Kim, Mi Soon;Cho, Myung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.149-164
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    • 2021
  • Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses' transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses' education, preceptor supporting strategies, evaluation standards for new nurse's education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses' transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed.