• 한국간호교육학회지
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• 제19권2호
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• pp.273-284
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• 2013

Purpose: The study was done to identify the effects of OSCE program prior to clinical practice for nursing students and to find out the weakest area of fundamental nursing skills. Methods: Study design was methodological triangulation. Qualitative analysis was done to derive nursing students' OSCE experiences using OSCE reflection note. Level of basic nursing skill acquirement was identified by quantitative method. Results: Four themes and 10 sub-categories emerged: (a) confidence and interests in nursing being increased, (b) being encouraged by mentor and evaluator, (c) requiring much effort to learn nursing skill, (d) being aware of themselves and understanding others in their shoes. Results of analysis of OSCE application score record showed as followings ; Intravenous injection(92.6%), Intramuscular injection(89.5%), Foley catheterization(85.2%), Vital sign(81.5%): BP check(63.0%) Respiration check(50.0%), Health assessment: respiration sound auscultation(33.3%) heart sound auscultation(44.4%). Conclusion: OSCE program application before frist clinical nursing practice was effective in terms of fundamental nursing skills learning. It is necessary to reinforce nursing skills based on the study results.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.392-400
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• 2021

핵심기본간호술은 간호사가 환자를 효과적으로 돌보기 위해 반드시 가져야하는 기술이다. 본 연구는 모바일 기반의 성찰일지를 활용하여 교내실습 과정을 소개하고, 핵심기본간호술을 수행할 때 학생들이 직면하는 어려움을 측정하였다. 본 연구는 Kolb의 경험적 학습 과정을 기반으로 교내 실습을 진행한 후 분석되었다. 분석 자료로 학생들이 각 수업에 대하여 작성한 모바일 기반의 온라인 성찰일지를 활용하였다. 성찰일지의 내용을 분석하여 핵심술기 수행에 있어 어려움을 지식, 기술(수행), 태도로 구분하여 파악하였고, 핵심기본간호술에 대한 난이도, 중요도, 자신감도 평가하였다. 핵심기본간호술 평가 결과 학생들은 특히 기술적인 부분에서 다양한 측면의 어려움을 겪고 있었으며, 정맥수액주입 및 유치도뇨와 같이 핵심술기 난이도 "상"에 해당하는 항목에서 자신감이 부족한 것으로 나타났다. 또한 50% 이상의 학생들이 정맥수액주입 및 활력징후 측정을 가장 중요한 핵심기본간호술로 간주하였다. 향후 학생들의 핵심술기 수행 시 겪는 어려움을 해결하기 위해 다양한 콘텐츠 개발 및 교수법의 적용과 관련한 지속적인 연구가 필요할 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제18권1호
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• pp.241-249
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• 2018

본 연구는 핵심기본간호술 교육에서 또래교수법 프로그램의 활용이 간호학생들의 핵심기본간호술 수행력, 수행자신감, 그리고 학습만족도에 미치는 효과를 확인하기 위해 시도되었다. 2016년 3월부터 6월까지 C대학 간호학과 3학년에 재학중인 간호학생 148명(실험군 75명, 대조군 73명)이 참여하였다. 또래교수법 프로그램을 적용한 결과 실험군의 학습만족도, 유치도뇨 및 단순도뇨의 수행력과 수행자신감은 대조군보다 통계적으로 유의하게 높았으나, 경구투약의 수행력 및 수행자신감은 유의한 차이를 보이지 않았다. 이를 통해 또래교수법 프로그램이 학습자의 핵심기본간호술 교육효과에 긍정적으로 작용함을 알 수 있었으며, 급변하는 국내 간호교육 현장에서 간호학생들의 핵심기본간호 능력을 향상시키기 데 유용하게 활용될 수 있을 것이다.

• 기본간호학회지
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• 제21권2호
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• pp.162-173
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• 2014

Purpose: This study was done to identify learning experiences and self-confidence and to analyze nursing students' self-confidence according to learning experiences for core nursing skills (CNS). Method: Participants were 502 final year nursing students. Data were collected using a structured questionnaire and analyzed using descriptive statistics and t-test. Results: Over 60% of participants had practiced 15 items of the 24 CNS in the basic nursing lab (BNL). In clinical practice (CP), they had practiced five items but experienced only one item in a simulation lab (SL). Items with the highest confidence level were vital signs (4.69) followed by blood sugar test (4.60), pulse oximeter (4.38), and oral medication (4.12). Items with the lowest confidence level were blood transfusion (2.17) followed by enema (2.64) and indwelling catheterization (2.67). The group with CNS experience in the practice curriculum was generally more confident than the group with no experience. Self-confidences in some skills was significantly different depending on availability of SL, credits for BNL and CP, and presence of preceptors. Conclusion: Results indicate a need to develop practice education strategies such as changing the CP to practice-centered learning with preceptors and including well-designed SL to increase confidence of nursing students.

• 기본간호학회지
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• 제6권2호
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• pp.331-346
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• 1999

Many studies have reported that a lot of nursing colleges do not have good facilities for the nursing practice in hospitals, so many students do not have the good ability which is needed to be a competent nurse. The purpose of this study was to develop a program in which students could improve their ability in fundamental nursing skills before the graduation. This study was primarily designed to identify items of the fundamental nursing practice in which nursing college students have perceived deficiencies. According to previous studies, a total 75 items were presented. In Identifying them, a modified Porter format was used. The questionnaire contained three sections. A. How well do you think you can/could perform the item when you graduate/graduated the college? B. How well do you think you should perform/should be able to perform the item when you graduate/graduated the college? C. How important do you think the item is? For each of the 75 items, the respondents were instructed to answer the above three questions, by circling a number on a rating scale extending from 1 to 5, where low numbers represented a low degree of performance or minimum amount, and high numbers represented a high degree of performance or maximum amount. The perceived degree of deficiency in performance on each questionnaire item was obtained by subtracting the answer to Part A of an item from that to of Part B. The larger difference means a larger perceived degree of deficiency in performance. This method of measuring the perceived degree of deficiency in performance is an indirect measure derived from two direct answers by the respondent for each item. From this result Part C of each item was used to rank the items, and the items were prioritized. The items which had the highest priority were IV injection, simple catheterization, indwelling catheterization, CPR, and nurse recording. By this method, through these results from a nursing college, and the items which will be used first in developing the supplementation program for nursing college students can be identified.

• 디지털융복합연구
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• 제14권11호
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• pp.441-448
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• 2016

본 연구의 목적은 핵심기본간호술 선배멘토링교육이 간호대학생의 임상수행능력과 비판적 사고성향에 미치는 효과를 검증하기 위한 것이다. 연구설계는 단일군 전후 설계로, 간호대학생 57명을 대상으로 하였다. 교육내용은 총 6시간으로 활력징후 측정, 단순도뇨, 피하주사 3개의 핵심술기로 구성되어 있으며, 교수의 지도하에 선배 멘토가 라포 형성 및 교육, 자율실습, 평가를 실시하도록 하였다. 자료수집은 자가기입식 설문지를 사용하여 사전, 사후조사로 수집하였고, 수집된 자료는 paired t-tests를 이용하여 분석하였다. 연구결과, 핵심기본간호술 선배멘토링교육이 간호대학생의 임상수행능력, 비판적 사고성향을 통계적으로 유의하게 향상시키는 것으로 나타났다. 따라서 핵심기본간호술 선배멘토링교육이 간호대학생의 임상수행능력과 비판적 사고성향을 향상시키는데 효과적이므로 간호실습교육에 유용하게 활용될 수 있을 것이다. 향후 대조군을 포함하여 처치군과 대조군의 차이를 비교하고 효과를 검증하는 연구가 필요하다.

• 성인간호학회지
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• 제25권2호
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• pp.170-182
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• 2013

Purpose: This study investigated the effectiveness of simulation training with a hybrid model of student nurses' performance ability and reported self confidence. Methods: A nonequivalent control group with pre-posttest was designed. Data collection was done during the first semester in 2012 at a college of nursing in Seoul. Nursing performance ability and reported self confidence related to taking care of patients with urinary problems were evaluated. The treatment group (n=96) received simulation training of a catheterization procedure with a hybrid model involving standardized patients and a mannequin. Nursing students in the comparison group (n=84) did not receive the simulation training but would receive it prior to their next clinical practicum's. Results: The treatment group showed a significantly higher performance ability and reported self confidence than that of the comparison group. The perceived helpfulness and contentment of the simulation training in experimental group was high. Conclusion: The findings of this study demonstrated that simulation with a hybrid model was effective in teaching skills prior to the clinical experience which suggests that skill development is not dependent on the actual clinical situation. Nurse educators should consider simulation training as a tool beyond that of clinical practicum.

• 기본간호학회지
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• 제15권2호
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• pp.134-142
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• 2008

Purpose: This study was done to identify satisfaction with the method of evaluating practical skills in fundamental nursing through cellular phone animation self-monitoring and feedback. Method: The participants were 163 first-year student nurses. Data were collected from October 1 to 5 2007 using a structured questionnaire. Results: The average score for satisfaction was 3.65(${\pm}.69$) and the highest score was for the item, "I was pleased to have the opportunity of relearning by looking back at my behaviors through self monitoring" with 4.05(${\pm}.89$). The average score for dissatisfaction was 3.23(${\pm}.90$) and the highest score was "I memorized only orders according to the checklist" with 3.65(${\pm}.97$). The practical tests method showed a significant difference according to motivation for application to college of nursing (F=3.11, p=.047). There was a significant positive correlation between practical education satisfaction and test method (r=.363, p=.000). Conclusion: These findings show that there is a need to develop strategies to improve practical test methods for student nurses.

• 한국융합학회논문지
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• 제10권12호
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• pp.453-463
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• 2019

본 연구는 동 학년 동료 교수학습 기반 자율실습이 간호대학생의 핵심기본간호술 숙련도, 수행자신감 및 자아효능감에 미치는 효과를 규명하기 위한 비동등성 대조군 전·후 유사실험연구이다. 자료수집은 K시 소재 일개 전문대학 간호학과 2학년에 재학 중인 실험군 34명, 대조군 34명의 총 68명을 대상으로 2019년 5월 1일부터 6월 12일까지 시행되었다. 연구결과 동료 교수학습 기반 자율실습을 적용한 실험군과 적용하지 않은 대조군 간 유치 도뇨의 숙련도(t=11.60, p<.001), 수행자신감(t=4.12, p<.001), 보호장구 착용과 폐기물 관리의 숙련도(t=5.91, p<.001), 수행자신감(t=4.24, p<.001), 배출 관장의 숙련도(t=2.82, p=.008), 수행자신감(t=2.09, p=.044) 및 자아효능감(t=4.52, p<.001)은 통계적으로 유의한 차이가 있었다. 결과적으로 동료 교수학습 기반 자율실습은 핵심기본간호술 숙련도와 수행자신감 및 자아효능감 향상에 긍정적인 효과를 나타내었으며, 기존 자율실습을 보완할 수 있는 효율적인 방안으로의 활용 가능성이 확인되었다. 이를 토대로 향후 동료 교수학습을 다양한 전공과목에 확대 적용하여 효과를 검정하는 연구를 제언한다.