• Child Health Nursing Research
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• 제12권1호
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• pp.5-14
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• 2006

Purpose: The purpose of study was to describe and evaluate the educational status regarding clinical practicum for child health nursing to facilitate student's clinical compliance for the bachelor's degree in Korea. Methods: The study was a descriptive study and included data from 40 institutions among the 53 university nursing programs in Korea(75.5% response rate). Data were collected using mailed semi structured questionnaires and content analysis was done. Results: Findings show that most institutions have common learning objectives for the clinical practicum; neonatal care, high risk infant care, hospitalized child care, and advanced nursing practice. The mode for theoretical credits in child health nursing was 5 to 6 and 3 to 4 credits for clinical practice. The practice settings were prepared to provide diverse experiences, including childcare centers, and community centers with various learning activities. Evaluation for learning outcomes included faculty and instructors. It was pointed out that updating evaluation based on student and faculty feedback is important for a comprehensive practicum evaluation. Conclusions: Findings suggest that there is a -need for a generalized curriculum for clinical practicum and for the expanding role of advanced nursing practice-, a need for diverse clinical settings for practice, and effective guidance and learning activities. It is significantly noted that the attitude and teaching methodologies of clinical instructor's are highly important to effective clinical learning outcomes.

• 융합정보논문지
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• 제8권6호
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• pp.107-116
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• 2018

본 연구는 아동간호학 실습 전 정서상태를 확인하여 아동간호학 실습 교육 중재프로그램의 기초자료를 얻기 위해 PANAS를 이용하여 간호학과 3학년 학생 143명을 대상으로 시행된 서술적 조사연구이다. 수집된 자료를 SPSS 19.0으로 분석한 결과, 정적정서는 남학생이, 부적정서는 여학생 유의하게 높았으며, 정적 부적정서 미치는 영향요인 규명을 위한 다중회귀분석에서 전공만족도, 성격유형, 간호학 선택동기 및 실습예정 병원유형이 정적정서에의 영향요인이었던 반면 성별이 부적정서에 영향을 미치는 것으로 나타났고, 이들 변수들의 정적, 부적정서에의 설명력은 각각 22.8%, 7.8%이었다. 간호대학생의 아동간호학 실습 전 느끼는 부적정서의 원인을 규명하는 질적연구를 통해 아동간호학 실습 전 정서중재 프로그램의 시행이 필요하다. 또한 실습 전후의 정서상태를 비교하는 실험연구 및 기타 간호학 학과목 실습과 관련된 간호대학생의 정서상태의 비교 연구 시행을 제언한다.

• Child Health Nursing Research
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• 제28권1호
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• pp.51-61
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• 2022

Purpose: Practical training in pediatric nursing gives students the opportunity to apply nursing knowledge to children in a realistic clinical context. Clinical practice faculty (CPF) and clinical nursing instructor (CNI) have played important roles in the pediatric nursing practicum. This study was conducted to develop a protocol to guide clinical practicum in pediatric nursing. Methods: A service design methodology was employed between August 2020 and May 2021 at four universities and four hospitals in South Korea. The participants were five CPFs, five CNIs, five nursing college graduates, and 60 nursing students. The service design process had four phases: discovery, definition, development, and delivery. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results: The participants reported needs for providing concrete guidance and explanation, nursing practice experience, and a link between school and the clinical field. A protocol was developed to fulfill the participants' needs. The protocol comprised detailed information, teaching methodology, and partnership to guide students in the pediatric nursing practicum. Conclusion: The protocol developed in this study can be used to provide guidance for students' clinical practice in the field of pediatric nursing.

• Child Health Nursing Research
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• 제24권3호
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• pp.319-328
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• 2018

Purpose: The purpose of this study was to examine the effects of a neonatal nursing practice program for nursing students on students' stress, self-efficacy, and confidence. Methods: A 1-group pre- and post- study design was used. The participants consisted of 64 nursing students who were in a pediatric nursing clinical practicum at a nursing college in Seoul from September 2015 to May 2016. The program consisted of 3 stages-orientation, practice, and debriefing-and was conducted for 3 hours during a 2-week period of the pediatric nursing clinical practicum. The dependent variables were neonatal nursing practice stress, self-efficacy, and confidence. Data were analyzed using the paired t-test, the Pearson correlation coefficient, the $x^2$ test, and descriptive statistics with SPSS for Windows version 22.0. Results: The neonatal nursing practice program was effective at decreasing clinical practice-related stress and increasing confidence and self-efficacy regarding neonatal nursing practice. Conclusion: The neonatal nursing practice program may effectively promote the integration of theoretical knowledge and practice. In the future, we propose to develop various educational programs that reinforce basic nursing skills for neonates as part of an effective pediatric nursing clinical practicum.

• 부모자녀건강학회지
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• 제20권1호
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• pp.10-17
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• 2017

Purpose: This study was conducted to investigate the effects of simulation-based education using high-fidelity simulator and standardized patient in nursing care for children with fever on nursing students. Methods: A total of 166 senior nursing students who completed pediatric nursing practicum courses participated in this study. The single group study design with pretest and posttest was used. The simulation education was provided for 200mins including orientation, simulation preparation, simulation practicum, and debriefing. Pre and post surveys were performed using questionnaires on clinical performance competency, communication skills, critical thinking disposition and self-confidence. Results: The mean scores of clinical performance competency (t=-2.56, p<.05), communication skills (t=-6.39, p<.001), critical thinking disposition (t=-3.43, p<.001), and self-confidence (t=-3.72, p<.001) in posttest were significantly higher than those in pretest. Also, clinical performance competency in nursing care for children with fever has significant relationships with communication skills, critical thinking disposition and self-confidence. Conclusion: The results indicate that simulation-based education using high-fidelity simulator and standardized patient is an effective strategy for improving clinical performance competency, communication skills, critical thinking disposition and self-confidence in nursing students. Further study is needed to verify the effects.

• 부모자녀건강학회지
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• 제16권1호
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• pp.37-44
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• 2013

Purpose: The purpose of this study is to analyze the effectiveness of maternity nursing education-knowledge, skills and attitude among the third year students who have completed maternity nursing, practice at the college, clinical practice and core skill practicum. Methods: This is the descriptive research to verify the effectiveness of simulation-based practice education for core skill of maternity nursing. Third year nursing students who have completed maternity nursing related theories and practice have been selected as population. Total of 202 surveys have been used for analysis. Data analysis is done by using SPSS/WIN 18.0. Results: Self-confidence of core skill in maternity nursing is experimental group 4.52 and control group 4.37 score (p<.05). Performance competence in childbirth care is experimental group 4.53 and control group 4.35 score (p<.05). The students who have maternity nursing related clinical practice and core skill practicum experience show high core skill evaluation score. Conclusion: Therefore, it is recommended that current maternity nursing core skill curriculum should be reviewed and improved, and the students should be provided variety of simulation techniques to gain essential knowledge and core nursing skills.

• 여성건강간호학회지
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• 제28권3호
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• pp.174-186
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• 2022

Purpose: This study aimed to investigate the effects of virtual reality used in maternal-child nursing clinical practicums on nursing students' competencies through a systematic review. Methods: The inclusion criteria were peer-reviewed papers in English or Korean presenting analytic studies of maternal-child nursing practicums using virtual reality. An electronic literature search of the Cochrane Library, CINAHL, EMBASE, ERIC, PubMed, and Research Information Sharing System databases was performed using combinations of the keywords "nursing student," "virtual reality," "augmented reality," "mixed reality," and "virtual simulation" from February 4 to 15, 2022. Quality appraisal was performed using the RoB 2 and ROBINS-I tools for randomized controlled trials (RCTs) and non-RCTs, respectively. Results: Of the seven articles identified, the RCT study (n=1) was deemed to have a high risk of bias, with some items indeterminable due to a lack of reported details. Most of the non-RCT studies (n=6) had a moderate or serious risk of bias related to selection and measurement issues. Clinical education using virtual reality had positive effects on knowledge, skills, satisfaction, self-efficacy, and needs improvement; however, it did not affect critical thinking or self-directed learning. Conclusion: This study demonstrated that using virtual reality for maternal-child nursing clinical practicums had educational effects on a variety of students' competencies. Considering the challenges of providing direct care in clinical practicums, virtual reality can be a viable tool that supplements maternal-child nursing experience. Greater rigor and fuller reporting of study details are required for future research.

• Child Health Nursing Research
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• 제20권2호
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• pp.123-131
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• 2014

목적 본 연구의 목적은 아동대상자의 수술 후 간호를 주제로 문제기반학습 연계 시뮬레이션 교육 프로그램(simulation integrated with problem based learning, SIM-PBL) 개발과정을 기술하고, 교육 프로그램이 간호대학생의 임상간호 수행능력과 자아 효능감에 미치는 효과를 파악하기 위함이다. 방법 본 연구는 대조군 중재군 전후 시차 설계를 통한 유사 실험 연구이다. 자료수집 기간은 2012년 4월 23일부터 5월 18일까지 총 4주간이었다. 연구대상은 4년제 간호학과의 3학년에 재학 중인 학생을 대상으로 아동간호학 임상실습 중인 학생을 편의표집 하였고, 시차를 이용하여 대조군 18명, 중재군 18명으로 구성하였다. 대조군에게는 기존 임상실습교육이 제공되고, 중재군에게는 임상실습 시간 중 150분을 SIM-PBL로 대체하였다. SIM-PBL의 효과 평가를 위해 시뮬이션을 기반으로 한 임상간호 수행능력 평가(simulation based clinical examination, SCE)와 자아효능감이 이용되었다. 결과 SIM-PBL 교육을 받은 중재군은 대조군과 비교하여, 교육 후 임상간호 수행능력의 향상 정도가 일부 영역에서 통계적으로 유의한 차이를 보였다(신체검진: 3.019, p =.005; 수술 후 교육: t=2.428, p =.021). 그러나 자아효능감은 두 군 사이에 통계적으로 유의한 어떤 차이도 보여주지 못하였다. 결론 본 연구에서 사용된 SIM-PBL은 간호대학생들의 아동대상자를 위한 수술 후 간호 및 투약수행에 대한 임상간호 수행능력의 일부 영역을 향상시키는데 효과적이었다. 본 연구는 시뮬레이션 기반 교육과 문제기반학습의 두 가지 교육방법을 혼합하여 교육 프로그램을 구성하였고, 구조화된 체크리스트 도구를 통해 객관적으로 임상간호 수행능력을 평가하였다는 점에 의의가 있으며, 추후 이러한 교육 프로그램의 적극적 활용 및 중재의 크기에 따라 효과를 다양하게 입증하는 연구가 수행될 것을 제언한다.

• Child Health Nursing Research
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• 제28권4호
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• pp.280-290
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• 2022

Purpose: This study aimed to explore nursing students' experiences of neonatal nursing simulations using peer tutoring. Methods: In this qualitative content analysis study, data were collected using a narrative survey and focus group interviews with 27 third-year nursing students and six fourth-year nursing students from April to May 2022. Content analysis of the collected data was conducted. Results: Four categories-"stabilizing emotionally through each other", "advancing together", "difficulties in relationships", and "hoping to continue"-and nine sub-categories were extracted. The sub-categories "reduced burden" and "gaining confidence" were grouped into the first category, "stabilizing emotionally through each other". The sub-categories "being motivated to learn," "increased learning ability", and "preparation as a process" were grouped under "advancing together", and "attitudes affecting study environment" and "depending on help" were grouped into the third category of "difficulties in relationships". The fourth category of "hoping to continue" had "wanting to supplement for development" and "wanting to participate in different roles" as sub-categories. Conclusion: Based on the results of this study, we expect pediatric nursing practicum education to improve through the active use of neonatal nursing simulation education incorporating peer tutoring.

• Child Health Nursing Research
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• 제22권2호
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• pp.117-125
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• 2016

Purpose: This study was done to examine the effect of direct practice of newborn health assessment on nursing student's clinical competence and self-efficacy and to propose effective strategies for clinical education on newborn care. Methods: Design was a nonequivalent control group quasi-experimental study. The direct practice program was composed of a lecture, demonstration, drill and feedback using a manikin, and repeated direct practice regarding newborn health assessment. Participants were 65 student nurses taking the pediatric nursing practicum in the nursery room at M hospital. The experimental group (n=33) participated in the direct practice program for newborn health assessment and the control group (n=32) received the traditional practice method. Nursing clinical competence was assessed by two nurse investigators and structured questionnaires were used to measure self-efficacy. Results: The experimental group's clinical competence was significantly higher than that of the control group (t=-4.82, p=.000). However no significant difference was found between the two groups for self-efficacy (t=1.264, p=.211). Conclusion: These findings indicate that the direct practice program is effective in improving nursing student's clinical competence, but it was not effective in increasing self-efficacy. Direct practice in various clinical education settings is recommended and longitudinal effects be evaluated.