• Title/Summary/Keyword: 임상수행력

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The Effects of Critical Thinking Disposition, Clinical Performance Ability and Self-Concept of Nursing Profession in Nursing Students on Self Leadership (간호대학생의 비판적 사고성향, 임상수행능력, 간호전문직 자아개념이 셀프리더십에 미치는 영향)

  • Je, Nam Joo;Bang, Sul Yeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.825-835
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    • 2018
  • This study is a descriptive research to examine the relationship between critical thinking disposition, clinical performance ability, and self-concept of nursing profession according to degree of self-leadership among nursing college students. The data were collected from 165 nursing students in 3rd & 4th grade using self-report questionnaire and analyzed by t-test, ANOVA, Pearson's correlation coefficient, and Multiple Regression. Self-leadership according to general characteristics showed significant differences according to grade, academic achievement, motivation, and major satisfaction. Self-leadership was found to have a positive correlation with critical thinking disposition, clinical performance ability, and self-concept of nursing professional. Analysis of the effects of general characteristics affecting sief-leadership, critical thinking disposition, nursing proFessional selF-concept and clinical performance on selF-leadership showed that they were explained by 49.9%, critical thinking disposition was the most important factor. This suggests that nursing students' self-leadership can be improved effectively by promoting critical thinking disposition. Also in reality, there are many difficulties such as the problems in the system of the majors, but it is necessary to operate a continuous education program to strengthen the self-leadership for the nursing college students by seeking various methods.

Factors Influencing Turnover Intention in Clinical Nurses: Affective Events, Affect, and Job Satisfaction (임상간호사의 이직의도에 영향을 미치는 요인: 정서사건, 정서, 직무만족)

  • Lee, Yoonjeong;Kim, Hyunli
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.291-300
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    • 2019
  • This research was conducted to investigate the influence of affective events, affect, and job satisfaction on clinical nurse's turnover intention and to provide guidelines for interventions and strategies to decrease turnover intention. The participants consisted of 296 nurses recruited from three general hospitals in South Korea. Data was collected by a structured self-report questionnaire, and were analyzed using SPSS Statistics 24.0 and AMOS 24.0. The final path model was a good fit for the data based on the model fit indices. In the path analysis, positive events, negative events, positive affect, negative affect, and job satisfaction had statistically significant effects on turnover intention, explaining 37.0% of the variance. This research provided evidence identifying factors influencing turnover intention in clinical nurses. Therefore, findings from this research can be used to design appropriate strategies to decrease the clinical nurse's turnover intention.

The Effect of Perception of Importance, Problem Solving Process and Self Confidence in the Performance of Core Nursing Skills of Nursing Students (일 대학 간호대학생의 핵심기본간호술에 대한 중요성 인식, 문제해결과정이 수행자신감에 미치는 영향)

  • Kim, Yo-Na;Kim, Jung-Yee;Bae, En-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.379-387
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    • 2020
  • This exploratory study evaluated various factors influencing the level of nursing self-confidence in the performance of core nursing skills among nursing students. This study surveyed 131 senior nursing students in U city with a structured self-report questionnaire analyzed by SPSS 23.0 software. The average perception scores for importance, problem-solving process, and self-confidence in the performance of core nursing skills were 4.73, 3.57, and 3.90, respectively. The most significant factors affecting self-confidence in the performance of core nursing skills included problem-solving process (β=.33, p=.001) and nursing satisfaction (β=.27, p=.019). These variables explained 15% of the total variance in self-confidence in the performance of core nursing skills. Based on the results of this study, it is necessary to perform research in order to improve the self-confidence of performing core basic nursing skills among nursing students, and the department of nursing defines students' problems by suggesting changes in the practice environment and various nursing situations to improve interpersonal skills. Therefore, it is necessary to develop a curriculum that can be solved and a program to increase nursing satisfaction.

Effects of critical thinking disposition, stress of clinical practice and self-confidence in performance of core nursing skill on nursing student's adapting to clinical practice (간호대학생의 비판적 사고성향, 임상실습 스트레스 및 핵심기본간호술 자신감이 임상실습 적응에 미치는 영향)

  • Jang, Young-Mi;Park, YeonHee
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.77-86
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    • 2020
  • This study is a descriptive research study to grasp the critical thinking tendency, clinical practice stress, core basic nursing confidence, and degree of adaptation to clinical practice in nursing students. From June to July 2019, 207 students in the fourth year of nursing college were surveyed through their own questionnaire. Collected data were analyzed by t-test, ANOVA and multiple regression analysis using SPSS/WIN v24.0. The negative correlation between clinical practice stress and critical thinking tendency(r=-.18, p=.010). The core self-confidence practice self-confidence showed a positive correlation with critical thinking tendency(r=.25, p<.001), and a negative correlation with clinical practice stress(r=-.17, p=.017). Adaptation to clinical practice showed a positive correlation with clinical practice stress(r=.44, p<.001), and the factor influencing clinical practice adaptation was stress(β=.40) (F=18.34, p<.001), and the explanatory power was about 23.1%. As mentioned above, stress brings a positive change to clinical practice, so it is necessary to identify stress factors received from clinical practice of nursing college students and reflect them in curriculum development.

Development of a Scenario and Evaluation for Simulation Learning of Care for Patients with Hyperkalemia of Liver Cirrhosis in Emergency Unit (간호시뮬레이션 학습시나리오의 개발 및 평가 -응급실 내원 간경화증 환자사례를 중심으로-)

  • Kang, Hee-Young;Kim, Eun-Jung;Oh, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.312-321
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    • 2013
  • The purpose of this study was to develop a scenario suited for our clinical situations and evaluate the application possibility by evaluating students' problem solving ability and learning satisfaction in simulation learning. This study consisted of contents which could be applied for varied situations such as complications and symptoms related to liver cirrhosis, looking into hyperkalemia symptoms of patients with liver cirrhosis in emergency unit. The stage of developing scenario was organized in the order of setting simulation learning objectives and situations of scenario, making algorithm, writing checklists of clinical performance appraisal, and debriefing. The scenario was constructed with monitor setting(actions), patient/mannequin(actions), expected interventions(events), and cues in chronological order, according to the scenario progression outline of Jeffries (2007). The scenario was used in 2011, consisting of 4-5 people per group of 53 senior nursing students who registered for 'clinical performance appraisal' course. The problem solving ability improved from a score of 4.05 before simulation learning to a score of 4.30 after simulation learning (t=-3.97, p<.001). The score for learning satisfaction after the simulation learning was high (4.09/5). Considering that simulation learning encouraged students to be the main body of class, this learning method can be the effective way of nursing education.

Analysis of the debris flow occurrence according to soil moisture conetnt in eaach soil layer based on predicted rainfall (예측 강우 기반의 토층별 토양수분 함량에 따른 토석류 발생 예측 분석)

  • Kim, Namgyun;Lee, Se On;Kim, Man-il
    • Proceedings of the Korea Water Resources Association Conference
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    • 2022.05a
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    • pp.278-278
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    • 2022
  • 2020년 집중호우로 인하여 우리나라 전국에 걸쳐 약 2,000여 곳의 산사태, 토석류가 발생하였고 약 1,217ha의 피해 면적이 발생하였다. 피해지역의 특히 생활권 중심의 사면과 계류의 관리 필요성이 높아지고 있다. 산림청 산사태정보시스템에서는 토양함수지수가 80% 도달 시 주의보, 100% 도달 시 경보를 발령하는 대국민 서비스를 제공하고 있다. 본 연구에서는 토층의 깊이에 따른 함수비 분포에 따라 토석류의 발생 가능성에 대한 분석을 수행하고자 하였으며, 토양함수는 기상 수치모델에 의한 예측 강우 자료를 활용하였다. 예측 강우 모델은 토석류가 주로 발생하는 여름철 집중호우 시기인 남서풍을 고려하여 도메인을 구성하였고 산림의 증발산 및 토양수분 모의 정확도 향상을 위해 임상도와 토지피복도를 사용하여 보정하였다. 토층내 토양수분의 함량은 토질에 따라 그 특성이 다르기 때문에 토질과 관련한 주제를 이용하여 토양정보를 활용하였다. 내부마찰각, 점착력, 단위중량, 밀도, 지질도, 지형경사, 표고, 유효토심에 대한 정보를 구축하여, 예측강우에 따라 토층의 수분 함량을 추정하여 붕괴 발생 가능성을 분석하였다. 2006년 평창지역에서 발생한 토석류에 대하여 수행하였으며 토층의 심도는 0.5~1m 범위의 분포에 대하여 체적함수에 따른 실제 토석류 발생에 대한 검증을 수행하였다.

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Influence of Positive Psychological Capital and Death Awareness on Terminal Care Performance of Hematooncology Unit Nurses (혈액종양내과 병동간호사의 긍정심리자본과 죽음인식이 임종간호 수행에 미치는 영향)

  • Jung, Seo Yeon;Kim, Jeong Hye
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.77-86
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    • 2019
  • Purpose: The purpose of this study was to confirm the influence of hematoonchology unit nurses' positive psychological capital and death awareness on their terminal care performance. Methods: This descriptive study data were collected from self-reported questionnaire filled by 127 oncology nurses at a tertiary hospital in Seoul, Korea. The variables were positive psychological capital, death awareness, and terminal care performance. Data were analyzed using SPSS version 22.0 software. Results: The participants scored $3.93{\pm}0.83$ on positive psychological capital, $3.68{\pm}0.99$ on death awareness and $2.86{\pm}0.65$ on terminal care performance. The three variables were positively correlated. The factors affecting the nurses' terminal care performance were hope and resilience in the subcategory of positive psychological capital and experience of death of family members, relatives or friends within the past year; The explanatory power was 32.1%. Conclusion: It is necessary to develop educational programs to foster hope, resilience, etc. in hematooncology unit nurses to improve their quality of terminal care performance.

Convergence study to predict length of stay in premature infants using machine learning (머신러닝을 이용한 미숙아의 재원일수 예측 융복합 연구)

  • Kim, Cheok-Hwan;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.271-282
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    • 2021
  • This study was conducted to develop a model for predicting the length of stay for premature infants through machine learning. For the development of this model, 6,149 cases of premature infants discharged from the hospital from 2011 to 2016 of the discharge injury in-depth survey data collected by the Korea Centers for Disease Control and Prevention were used. The neural network model of the initial hospitalization was superior to other models with an explanatory power (R2) of 0.75. In the model added by converting the clinical diagnosis to CCS(Clinical class ification software), the explanatory power (R2) of the cubist model was 0.81, which was superior to the random forest, gradient boost, neural network, and penalty regression models. In this study, using national data, a model for predicting the length of stay for premature infants was presented through machine learning and its applicability was confirmed. However, due to the lack of clinical information and parental information, additional research is needed to improve future performance.

Development and Evaluation of a Simulation-based Education Course for Nursing Students (간호학생을 위한 시뮬레이션 기반교육과정 개발 및 평가)

  • Yang, Jin-Ju
    • Korean Journal of Adult Nursing
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    • v.20 no.4
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    • pp.548-560
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    • 2008
  • Purpose: This study was conducted to develop a simulation-based education course and to evaluate the results after the application for second year nursing students. Methods: This study was a non-equivalent control pre-post design. Based on the clinical situation scenarios about patients with COPD and MI, a total of two simulation-based learning modules was developed. Pretest and posttest was conducted to evaluate the difference in critical thinking disposition, problem solving, and clinical competence between two groups of 102 students for the experimental group, 2007 and 90 students for the control group, 2006. The experimental group conducted a clinical performance evaluation in the final test, on December 10, 2007. Results: In the experimental group, knowledge related to learning objectives was significantly increased and core intervention was performed almost exactly, but the same result was not observed in domains of analysis of laboratory test, and nursing education for patients. Self-evaluated clinical competence and problem solving level were significantly more improved in the experimental group than control group, but critical thinking disposition level wasn't. Conclusion: In conclusion, a simulation-based education course needs to utilize self-directed learning module like computer-based learning through web contents and MicroSim and video productions for improving nursing students' critical thinking.

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Influence of Humanistic Knowledge and Occupational Stress on Professional Quailty of Life of Clinical Nurses (임상간호사의 인문학적 소양과 직무 스트레스가 전문직 삶의 질에 미치는 영향)

  • Park, Seon-Ja;Kim, Jee-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.348-360
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    • 2019
  • This study examined the influence of humanistic knowledge and occupational stress on the professional quality of life of clinical nurses. The data from 217 survey questionnaires collected from three general hospitals located in a metropolitan area from Jun 3 to 14, 2019 were used. The data were analyzed using a t-test, ANOVA, Scheffè test, Pearson's Correlation Coefficient, and Stepwise multiple regression with SPSS Statistics 23.0 program. The findings revealed a positive correlation between compassion satisfaction and humanistic knowledge and a negative correlation with Burnout. Burnout had a negative correlation with humanistic knowledge and a positive correlation with occupational stress and secondary traumatic stress. Secondary traumatic stress showed a positive correlation with occupational stress. Burnout, satisfaction for nursing, and working period were significant variables of the compassion satisfaction with an explanatory power of 48.5%. Compassion satisfaction, secondary traumatic stress, satisfaction for nursing, marriage, and occupational stress were significant variables of burnout with an explanatory power of 68.8%. Burnout and income were significant variables of secondary traumatic stress with an explanatory power of 21.9%. Burnout was found to be a significant variable of not only compassion satisfaction, but also compassion satisfaction. Therefore, efforts are needed to make efforts to prevent burnout.