• The Journal of the Korea Contents Association
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• v.11 no.1
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• pp.284-293
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• 2011

This study was conducted to investigate factors contributing to clinical competence for nurses. A descriptive correlational study design was used. Participants were 163 nurses from a general hospital. Data were collected using self-administerd questionnaire. There were significant differences in clinical competence according to scholarship, department type, preceptor experience, future plan, continuing education participation. The clinical competence had significant correlations with the clinical experience, critical thinking disposition and clinical decision making. Factors influencing clinical competence were critical thinking disposition, department type, and clinical experience, which explained about 50.3% of total variance. we suggest that continuing education program to enhance critical thinking disposition warranted for development of clinical competence for nurses.

• Journal of Korean Critical Care Nursing
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• v.15 no.2
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• pp.27-38
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• 2022

Purpose : The purpose of this study was to identify the mediating effect of role clarity in the relationship between clinical decision-making abilities and job stress among advanced practice nurses at tertiary hospitals. Methods : The participants were 137 advanced practice nurses. The assessment tools were clinical decision-making in nursing scale, role ambiguity scale, and Korean occupational stress scale (KOSS-26). Data were analyzed with the SPSS/24.0 program and mediation analysis was performed according to the Baron and Kenny methods. Results : There were significant relationships between clinical decision-making abilities and job stress (r=-.33, p<.001), and role clarity and job stress (r=-.29, p=.001). Role clarity showed partial mediating effects in the relationship between clinical decision-making abilities and job stress (Z=2.02, p=.043). Conclusion : Therefore, to reduce advanced practice nurses' job stress, it is necessary to develop a program and strategies to increase their clinical decision-making abilities.

• Journal of Digital Convergence
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• v.15 no.7
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• pp.271-284
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• 2017

This study was performed to examine that convergence-based integrated simulation practice program curriculum effects the clinical decision making, problem solving competence, clinical competence and confidence of core fundamental nursing skill performance for nursing students. After the convergence-based integrated simulation practice program, there were significant increased in problem solving process(t=-3.052, p<.01), clinical competence(t=-4.279, p=.000), and confidence of core fundamental nursing skill performance(t=-2.416, p<.05). The finding of this study verified that the integrated simulation practice program curriculum can be used for improvements of problem solving competence, clinical competence and confidence of core fundamental nursing skill performance for nursing students. It is necessary to develop a scientific analytical evaluation tool and program, and it would be necessary to have a system for scientifically analyzing the integration of simulation practical courses by nursing college students by grade level and subjects.

• Journal of the Korea Convergence Society
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• v.8 no.6
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• pp.121-130
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• 2017

The purposed of this study was to identify the factors that affect Confidence in Performance Patient Safety Management targeted nursing students. The study subjects were 228 nursing students. The nursing students experienced patientl safety accidents in the fall (50.0%), needle puncture (18.5%), Patient identification error (12.0%), injection medication error (7.5%) and oral medication errors (4.3%). In the logistic regression analysis, Attitude of Patient Safety Management(t=6.09, p<.001), Clinical Decision Making(t=3.97, p<.001) and gender(t=2.56, p=.011) were significant factors related to Confidence of Performance Patient Safety Management. Based on the results of this study, we propose to develop a convergence education program that considers patient safety management attitude, clinical decision making ability, and gender in order to improve confidence of performance patient safety management of nursing students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.3
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• pp.308-317
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• 2015

Purpose: The aim of this study was to examine the effects of case-based learning (CBL) on clinical decision making and nursing performance. Methods: This research was conducted between September, 2011 and January, 2012 as a nonequivalent comparison group design. The participants were 55 third year nursing students who were enrolled in a college of nursing in a university in Korea. The intervention was the CBL procedures which involved role-play practice videoed by camera and watched on the computer by the students. Questionnaires were used before and after the intervention to measure clinical decision-making. Nursing performance tests were done after the intervention. Results: Statistically significant group differences were observed in clinical decision-making. Nursing performance was significantly higher in the CBL group than in the control group. Conclusion: CBL focused on the solving problem process and clinical cases which are based on clinical setting allowing students to develop efficiency in clinical practice and adaptation to the clinical situation.

• Journal of Convergence for Information Technology
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• v.11 no.6
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• pp.73-82
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• 2021

This study was conducted to identify factors influencinging confidence in performing patient safety management (PSM) of nursing students. The subjects of this study were 230 nursing students in four universities in two cities. Data were collected between June 22 and June 26, 2020 using by completing structured self report questionnaires. Data were analyzed using SPSS/WIN 21.0. programs. In correlation analysis, significant positive correlations were found between confidence in performing PSM, PSM knowledge(r=.321, p<.001), PSM attitude(r=.584, p<.001), and clinical decision making ability(𝛽=.460, p<.001). In multiple regression analysis, PSM attitude(𝛽=.35, p=.005) and clinical decision making ability(𝛽=.23, p<.001) were factors predicting confidence in performing PSM, which explained 34.2% of the variance in the model. Therefore, we emphasize that continuing customized convergence educational programs are required to improve nursing student's confidence in performing PSM.

• Journal of the Korea Convergence Society
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• v.9 no.10
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• pp.159-165
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• 2018

This study was conducted to investigate the convergence effects of key vocational competency on career decision making in dental hygiene students. To this end, 196 students with an experience of clinical field training, who were enrolled in the department of dental hygiene in universities of Busan and Ulsan area. The collected data were analyzed by frequency analysis, correlation analysis and linear regression analysis using SPSS 24.0 program. The subjects' awareness level of key vocational competency was 3.38 points, while that of career decision making was 3.30 points. Among the sub-factors of key vocational competency, the awareness level of professional ethics was 3.46 points, which was the highest. As factors of key vocational competency affecting career decision making, interpersonal skills(p<0.01), skills for understanding groups(p<0.01), resource management skills(p<0.01), self-development skills(p<0.05), problem-solving skills(p<0.05), and mathematical skills(p<0.05) were found to be significant. It is necessary to make student individual, departmental, and university level convergence efforts and to develop curriculum so that dental hygiene education can help students equip with the key vocational competency as well as major competency.

• Journal of Korean Academy of Nursing
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• v.40 no.6
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• pp.892-902
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• 2010

Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. Results: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. Conclusion: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses’ participation in clinical decision making in cases where they can identify and solve the patient health problems.

• Journal of Korean society of Dental Hygiene
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• v.20 no.3
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• pp.369-378
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• 2020

Objectives: The purpose of this study is to examine the correlation between the critical thinking disposition of dental hygienists and the variables associated with clinical decision making and job performance to analyze factors affecting job performance. Methods: A questionnaire survey was administered to 166 dental hygienists from June 24 to August 8, 2019. We analyzed results with t-test, Mann-Whitney U test, ANOVA, Pearson's correlation analysis and a multiple regression analysis using the SPSS Windows version 23.0(SPSS Inc. IL, USA). Results: Critical thinking disposition was the highest for open-mindedness and clinical decision making ranked highest for canvassing of objectives and values. Job performance ranked highest in terms of assist with dental treatment. Factors affecting dental hygienists' job performance were clinical decision making and critical thinking disposition(p<0.001, adj. R² =31.4). Conclusions: It is expected that this study will provide basic data for the development of programs to enhance the job performance of dental hygienists. Furthermore, it is necessary to actively support plans such as conducting seminars at dental institutions and providing educational participation opportunities.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.3
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• pp.304-315
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• 2016

Purpose: The purpose of this study was to explore the relationships of critical thinking disposition (CT), nursing work environment (NWE), and clinical decision making ability among nurses. Methods: A cross-sectional, descriptive study design was conducted on 192 nurses who had worked for more than six months in five general hospitals. A self-reported questionnaire was used to collect data, which included demographics, CT, NWE, and clinical decision making ability. Results: The mean score of CT was 3.5. The highest score was on the objectivity of CT and the lowest on systematicity. The mean score of NWE was 2.3. The highest score was on the collegial nurse-physician relations of NWE and the lowest on the staffing and resource adequacy. The mean score of clinical decision making ability was 3.3. In hierarchical multiple regression, affecting factors on clinical decision making ability were CT and NWE. Conclusion: The findings showed that clinical decision making ability is associated with CT and NWE. To improve clinical decision making ability, it is important to improve CT. In addition, it should be considered to improve NWE where the nurses can make a decision with their job through critical thinking.