• Title/Summary/Keyword: 핵심간호능력

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A Development and Effects of Simulation-based Education Program on Emergency Airway Management (시뮬레이션 기반 응급기도관리 교육 프로그램 개발 및 효과)

  • Lee, Hyun Ah;Kim, Sung Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • 제20권11호
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    • pp.282-293
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    • 2019
  • Purpose: After developing and imparting knowledge of a simulation-based emergency airway management education program for nursing students, this study identified the effects of the education by evaluating emergency airway management knowledge, Clinical Performance Ability, self-efficacy, and critical thinking disposition. Method: The participants were 30 nursing students. Data were collected from October 14 to November 11, 2017, and analyzed using IBM SPSS Version 22.0. Results: The simulation-based nursing education program was developed and applied based on the ADDIE model involving five stages: analysis, design, development, implementation and evaluation. Comparing the pre-and post-education results, we observed statistically significant improvement when considering emergency airway management knowledge (t=-9.98, p<0.001), Clinical Performance Ability (t=-23.90, p<0.001), self-efficacy (t=-16.77, p<0.001), and critical thinking disposition (t=-5.04, p<0.001). Conclusions: Simulation-based emergency airway management training program is an effective educational program that enhances the emergency airway management knowledge, Clinical Performance Ability, self-efficacy, and critical thinking disposition of nursing students. We believe that the program developed in this study contributes towards improvement of patient nursing quality by enhancing the ability of nursing students to cope with emergencies in practice. Furthermore, it can be applied for educating new nursing students, and contribute to the development of nursing practices.

The effects of creative teaching technique applied to nursing major curriculum on critical thinking disposition, problem solving process, and self leadership (간호학 전공교과목에 적용한 창의적 교수법이 비판적 사고성향, 문제해결과정, 셀프리더십에 미치는 효과)

  • Kum, Ran;Seo, Im Sun;Kim, Tae Hee;Hahn, Suk Won;Kim, Min Suk
    • Journal of the Korea Convergence Society
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    • 제10권3호
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    • pp.373-382
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    • 2019
  • This study was performed to investigate the effects of creative teaching technique(CTT) on critical thinking disposition(CTD), problem solving process(PSP), and self-leadership(SL) in 5 majors of first to third grades in a college nursing department. CTT was developed to promote memory and practical ability. The study was conducted from August 1 to December 31 in 2017, and the survey was performed before and after applying the CTT. As a result, there was no difference in CTD, PSP, and SL in the first graders whom applied various teaching techniques to one subject. But CTD was 6.8point(p<0.001), PSP was 7.5~7.9point(p<0.001) and SL was 2.9~3.3point(p<0.001) improved in the second and third grades whom applied similar teaching techniques in two subjects. In order to improve the students' core competency, it is more effective for students to apply one or two methods repeatedly in several subjects than to apply various methods to one subject. Since the CTT was more effective in the group that selected the major depending on aptitude and interest, it is necessary to develop various teaching and learning strategies to enhance the interest in nursing major.

The Analysis of Research Trends in Korea on Nursing Informatics Competencies: A Scoping Review (간호정보역량 국내 연구동향 분석: 주제범위 문헌고찰)

  • Roh, Min;Kang, Hyun Seon;Kwon, Yong Eun
    • Journal of Digital Convergence
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    • 제20권4호
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    • pp.779-790
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    • 2022
  • The purpose of this study was to identify research trends related to nursing informatics competency and to present further directions. This study was scoping review designed and used methodological framework by Arksey and O'Mally. The reviewed study were found through electronic databases and published from January 2000 to December 2021. There were a total of 18 studies that were included in the analysis. The framework is comprised of evaluating the characteristics and the topic of research conducted. Research in regards to nursing informatics competency has increased after 2010, and quantitative research and research with nurses as the primary subject accounted for the majority of the studies performed. Factors that influenced the outcome for the nursing informatics competency were education, position, and key variables were work performance, self-leadership, job satisfaction, nursing work achievements, nursing organizational culture, and working environment. This research is significant that it systematically reviewed the nursing informatics competency and set a direction for further studies. In the further study, it is necessary to reflect changes in the health care system and nursing work environment and it is suggested to develop educational programs to improve nursing informatis competency for nurses and nursing students.

An Action Research to Improve Nursing Ethics and Professional Course using Visual Thinking and Window Panning (비주얼 씽킹과 윈도우 패닝을 적용한 간호윤리와 전문직 교과목 수업개선에 관한 실행연구)

  • Choi, Hanna;Kim, Suhyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • 제22권3호
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    • pp.362-373
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    • 2021
  • This is an action research study of mixed methodology design to confirm the implementation process and effects of applying visual thinking and window paning on improving nursing ethics and professional courses. Based on the conceptual model for action research, a quantitative and qualitative approach was taken. The data was collected and analyzed in an integrated manner. The survey analysis was done using the SPSS WIN 23.0 program. The participants were interviewed after experiencing the techniques in class and content analysis was used on the answers. As a result of applying visual thinking and window paning, ethical decision-making confidence (t=6.748, p<.001) and nursing professional intuition (t=-3.52, p<.001) showed statistically significant changes. There was, however, no significant change in biomedical ethics consciousness (t=1.291, p=.199). Qualitative analysis found that they had fresh experience, an unfamiliar but comfortable feeling, feeling of being mine, insufficient time, systematic case study approach based on theory, were able to cultivate cooperation and coordination ability through discussion and experience in various professional fields, pride, ethical responsibility consciousness and were able to apply learning content in the field. Visual thinking and window paning foster diverse competencies in nursing education and help integrative learning. Therefore, based on the results it is proposed that visual thinking and window paning are applied to the improvement of instruction in other courses to develop core nursing competency.

A Study on the Level of Awareness and the Current Performance Level of Self-directed Learning in Nursing Students (간호대학생의 자기주도 학습에 대한 인식과 수행 실태)

  • Kim, Jeong Ah;Bae, Moonhae;Ko, Ja-kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • 제17권12호
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    • pp.621-633
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    • 2016
  • The purpose of this study is to investigate the level of awareness and current performance level of self-directed learning (SDL) in nursing students. The core concepts were defined and a rubric was developed through literature review. It was applied later to subjects and the results were analyzed. According to the results, there were significant differences between the current performance level and the awareness level of SDL in all items. Students who chose nursing as a major due to their high school/SAT grades showed lower current performance level than others. There were insignificant differences in the current performance level influencing the next grade. The level of awareness showed insignificant differences according to the reason for selecting nursing as a major, satisfaction on major, and grade point average (GPA). In conclusion, there was a discrepancy between the level of awareness and the current performance level of SDL of nursing students, which indicates that they were aware of the necessity of SDL, but did not actually perform it. Nursing educators should seek for strategies that can improve SDL ability of their students as well as to better grasp the level of the SDL of their student and the current performance level of SDL to apply them to the instructional design.

Development of Nursing Students' Volunteer Activity for Goryeo-in Immigrants Based on Service Design (서비스디자인 기반의 고려인 이주민을 위한 간호대학생 봉사활동 개발)

  • Kim, Heeyoung
    • The Journal of the Korea Contents Association
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    • 제20권6호
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    • pp.177-186
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    • 2020
  • The number of Goryeo-in immigrants has been increasing recently. National attention and active interactions are required for them to settle down with the identity of Koreans. The purpose of this study was to develop volunteer activity for Goryeo-in immigrants based on service design. The study was performed in G metropolitan city from October to November 2019. The participants were 33 Goryeo-in immigrants and 3 stakeholders. Data was collected through a survey and interviews of Goryeo-in immigrants and stakeholder interviews. In the field surveys and interviews, it was found out that the main problems faced by Goryeo-in immigrants were communication difficulties, maladjustment, job insecurity and smoking. The core issue was defined as 'How Goryeo-in immigrant women can improve their communicate ability in Korean'. In order to solve this problem we developed a program called 'Goryeo-in Han-gul ssugssug' for volunteer activities, and the program delivered through a storyboard and a role play. Using the service design process, a meaningful volunteer activity was designed considering lots of situation of Goryeo-in immigrants and nursing students in various ways. This study shows that the service design methodology is a useful way to reflect the needs of consumers and volunteers in developing volunteer work.

The Effects of Self-efficacy, Critical Thinking Disposition, Self-leadership, and Communication Competency on the Core Competencies of the Preceptor in Advanced General Hospitals (상급종합병원 간호사의 자기효능감, 비판적 사고성향, 셀프리더십 및 의사소통 능력이 프리셉터 핵심역량에 미치는 영향)

  • Kang, Yun Mi;Eun, Young
    • The Journal of Korean Academic Society of Nursing Education
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    • 제24권3호
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    • pp.279-289
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    • 2018
  • Purpose: The study is to confirm the influence of self-efficacy, critical thinking disposition, self-leadership, and communication competency on the core competencies of the preceptor. Methods: Data were collected from August 27 to September 7, 2017 using structured questionnaires for 127 preceptors at a general hospital located in Korea. SPSS/Win 23.0 was used to analyze the frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: The mean score of the core competencies of the preceptors was $3.94{\pm}0.35$ (range 1-5); self-efficacy was $3.88{\pm}0.49$; critical thinking disposition was $3.54{\pm}0.36$; self-leadership was $3.66{\pm}0.39$; communication competency was $3.71{\pm}0.35$. There were no statistically significant differences between the core competencies of the preceptor and general characteristics. The core competencies of the preceptors were significantly correlated with self-efficacy (r=.61, p<.001), critical thinking disposition (r=.69, p<.001), self-leadership (r=.59, p<.001), and communication competency (r=.58, p<.001). The core competencies of the preceptors were affected by critical thinking disposition (${\beta}=.54$, p<.001), followed by communication competency (${\beta}=.24$, p<.001). The explanatory power by the factors was 51% (F=63.66, p<.001). Conclusion: The results suggest that critical thinking disposition and communication competency are important predictors of the core competencies of the preceptors.

Blended Learning Applied Curriculum Design for Nursing Department's Computer-Utilizing Academic Subjects (간호학과의 컴퓨터 활용 교과목 수업을 위한 브랜디드 러닝을 적용한 교과과정 설계)

  • Yoon, Sung-Ja;Kim, No-Whan;Park, Jin-Seob
    • The Journal of the Korea institute of electronic communication sciences
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    • 제12권2호
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    • pp.375-384
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    • 2017
  • This paper is intended to provide a good lecture to computer utilizing courses in the Department of Nursing, therefore first analyzes the outlines of relevant qualifying examinations as well as the contents of the textbooks and syllabus that are currently taught in universities, and then design the curriculum by applying blended learning for effective proceedings of computer-utilizing course. The curriculum for computer-utilizing course which this paper suggests is based on blended learning which blends face-to-face classes with e-learning classes, and its two tracks of teaching and practice include weekly core areas, teaching goals, and subjects. Therefore, this curriculum is expected to lead to excellent learning outcomes as it will become a good teaching scheme for teachers and will motivate students to acquire license. and to find employment.

A meta-analysis on flipped learning: Conditions for successful application and future research direction (플립러닝에 대한 메타 연구: 성공적 적용요건과 향후 연구방향)

  • Park, Esther O.;Park, Jihyun
    • Journal of the Korean Data and Information Science Society
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    • 제27권1호
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    • pp.169-178
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    • 2016
  • The purpose of this study is to rigorously review extant research on flipped learning that has been given a rising interests as a measure of securing the quality of higher education apart from the improvement of the curriculum. Colleges and universities are criticized for failing in equipping their customers with critical skills, which triggered them to review both curriculum and teaching learning method. In the middle of the teaching and learning method lies the flipped learning. For its relatively short history of research tackling the issues of flipped learning, now is the best time to review the extant studies on the topic to overview and suggest future directions in the field. With the goal in mind, this study restricted the journal articles reviewed to 20 and presented the results based on a conceptual framework derived from a rigorous literature review. Followings are policy suggestions and conditions for successful implementation of flipped learning.

Development of a Comprehensive Model of Disaster Management in Korea Based on the Result of Response to Sampung Building Collapse (1995), - Disaster Law, and 98 Disaster Preparedness Plan of Seoul City - (우리나라 사고예방과 재난관리 모형 개발을 위한 연구)

  • Lee, In-Sook
    • Research in Community and Public Health Nursing
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    • 제11권1호
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    • pp.289-316
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    • 2000
  • 우리나라의 경우 지역사회 재난 관리계획과 훈련이 보건의료적 모형이라기 보다는 민방위 모형에 입각하기 때문에 사고 현장에서의 환자 중증도 분류, 합리적 환자배분 및 이송, 병원 응급실에서의 대처 등이 체계적으로 이루어지지 못하고 있으며, 지역사회가 이에 즉각적으로 반응할 수 없다. 본 연구는 삼풍 붕괴사고 시에 대응방식과 그 후의 우리나라 응급의료 체계를 분석함으로써 대형사고 예방과 재난관리를 위한 우리나라 응급의료체계의 개선방안과 간호교육에서의 준비부분을 제시하고자 한다. 1 삼풍 사고 발생시에는 이를 관장할 만한 법적 근거인 인위적 재해에 관한 재난관리법이 없었다. 따라서 현장에서는 의학적 명령체계를 확보하지 못했기 때문에 현장에서의 응급 처치는 전혀 이루어지지 못하였다. 현장에서의 중증도 분류. 응급조치와 의뢰, 병원과 현장본부 그리고 구급차간의 통신 체계 두절, 환자 운송 중 의료지시를 받을 수 있도록 인력, 장비, 통신 체계가 준비되지 못하였던 점이 주요한 문제였다. 또한 병원 응급실에서는 재난 계획이 없거나 있었더라도 이를 활성화하여 병원의 운영 체계를 변환해가지 못하였다. 2. 삼풍백화점 붕괴사고 한달 후에는 인위적 재해에 대한 재난관리법이 제정되고, 행정부 수준별로 매년 지역요구에 합당한 재난관리 계획을 세우도록 법으로 규정하였다. 재난 관리법에는 보건의료 측면에서의 현장대응, 주민 참여, 응급 의료적 대처, 정보의 배된. 교육/훈련 등이 포함되어 있어야 한다. 그러나 법적 기반이 마련된 이후에도 한국 재난 계획 내에는 응급의료 측면의 대응 영역은 부처간 역할의 명시가 미흡하며, 현장에서의 응급 대응과정을 수행할 수 있는 운영 지침이 없이 명목상 언급으로 그치고 있기 때문에 계획을 활성화시켜 지역사회에서 운영하기는 어렵다. 즉 이 내용 속에는 사고의 확인 /공고, 응급 사고 지령, 요구 평가, 사상자의 중증도 분류와 안정화, 사상자 수집, 현장 처치 생명보존과 내과 외과적 응급처치가 수반된 이송, 사고 후 정신적 스트레스 관리, 사고의 총괄적 평가 부분에 대한 인력간 부처간 역할과 업무가 분명히 제시되어 있지 못하여, 사고 발생시 가장 중요한 연계적 업무 처리나 부문간 협조를 하기 어렵다. 의료 기관과 응급실/중환자실, 시민 안전을 책임지고 있는 기관들과의 상호 협력의 연계는 부족하다. 즉 현재의 재난 대비 계획 속에는 부처별 분명한 업무 분장, 재난 상황에 따른 시나리오적 대비 계획과 이를 훈련할 틀을 확보하고 있지 못하다. 3. 지방 정부 수준의 재난 계획서에는 재난 발생시 보건의료에 관한 사항 전반을 공공 보건소가 핵심적 역할을 하며 재난 관리에 대처해야 된다고 규정하고 있다. 그러므로 보건소는 지역사회 중심의 재난 관리 계획을 구성하고 이를 운영하며, 재난 현장에서의 응급 치료 대응 과정은 구조/ 구명을 책임지고 있는 공공기관인 소방서와 지역의 응급의료병원에게 위임한다. 즉 지역사회 재난 관리 계획이 보건소 주도하에 관내 병원과 관련기관(소방서. 경찰서)이 협동하여 만들고 업무를 명확히 분담하여 연계방안을 만든다. 이는 재난관리 대처에 성공여부를 결정하는 주요 요인이다. 4 대한 적십자사의 지역사회 주민에 대한 교육 프로그램은 연중 열리고 있다. 그러나 대부분의 교육주제는 건강증진 영역이며. 응급의료 관리는 전체 교육시간의 8%를 차지하며 이중 재난 준비를 위한 주민 교육 프로그램은 없다. 또한 특정 연령층이 모여있는 학교의 경우도 정규 보건교육 시간이 없기 때문에 생명구조나 응급처치를 체계적으로 배우고 연습할 기회가 없으면서 국민의 재난 준비의 기반확대가 되고 있지 못하다. 5. 병원은 재난 관리 위원회를 군성하여 병원의 진료권역 내에 있는 여러 자원을 감안한 포괄적인 재난관리계획을 세우고, 지역사회를 포함한 훈련을 해야 한다. 그러나 현재 병원은 명목상의 재난 관리 계획을 갖고 있을 뿐이다. 6. 재난관리 준비도를 평가할 때 병원응급실 치료 팀의 인력과 장비 등은 비교적 기준을 충족시키고 있었으나 병원의 재난 관리 계획은 전혀 훈련되고 있지 못하였다 그러므로 우리나라 재난 관리의 준비를 위해서는 현장의 응급의료체계, 재난 대응 계획, 이의 훈련을 통한 주민교육이 선행되어야만 개선될 수 있다. 즉 민방위 훈련 모델이 아닌 응급의료 서비스 모델에 입각한 장기적 노력과 재원의 투입이 필요하며, 지역사회를 중심으로 대응 준비와 이의 활성화 전략 개발, 훈련과 연습. 교육에 노력을 부여해야 한다. 7. 현장의 1차 응급처치자에 대해서는 법적으로 명시하고 있는 역할이 없다. 한국에서는 응급구조사 1급과 2급에 대한 교육과 규정을 1995년 이후 응급의료에 관한 법률에서 정하고 있다. 이 교육과정은 미국이 정하고 있는 응급구조사 과정 기준과 유사하지만 실습실이나 현장에서의 실습시간이 절대적으로 부족하다. 덧붙여 승인된 응급구조사 교육 기관의 강사는 강사로서의 자격기준을 충족할 뿐 아니라 실습강사는 대체적으로 1주일의 1/2은 응급 구조차를 탑승하여 현장 활동을 끊임없이 하고 있으며, 실습은 시나리오 유형으로 진행된다. 그러므로 우리나라의 경우 응급 구조사가 현장 기술 인력으로 역할 할 수 있도록 교과과정 내에서 실습을 강화 시켜야하며, 졸업생은 인턴쉽을 통한 현장 능력을 배양시키는 것이 필요하다. 8. 간호사의 경우 응급전문간호사의 자격을 부여받게 됨에 따라, 이를 위한 표준 교육 지침을 개발함으로써 병원 전 처치와 재난시 대응할 수 있는 역량을 보완해야 한다. 또한 현 자격 부여 프로그램 내용을 고려하여 정규자격 간호사가 현장 1차 치료자(first responder)로 역할 할 수 있도록 간호학 교과과정을 부분 보완해야한다.

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