• Title/Summary/Keyword: Clinical Adaptation

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Preceptees' Experiences of Nursing Students in the Clinical Practice with Preceptorship: "Being refined while taking a firm stand with lack" (간호대학생의 임상실습에서 프리셉티 경험: "모자라지만 꿋꿋이 버텨 다듬어지기")

  • Park, Jeong Sook;Park, Young Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.168-180
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    • 2018
  • Purpose: The purpose of this study was to explore preceptees' experience among nursing students in the Clinical Nursing Practice program as integral practice. Specific aims were to identify problems students face as preceptees at a clinical practice and how they interact with preceptors and others. Methods: Grounded theory methodology was utilized. Data were collected from interactive field notes and transcribed notes with individual in-depth interview from 12 senior nursing students who had experiences as a preceptee in the Clinical Nursing Practice. Results: Through constant comparative analysis, a core category emerged as "Being refined while taking a firm stand with lack." The process of "Being refined while taking a firm stand with lack" consisted of four phases: sailing phase, adaptation phase, achievement phase and wistful returning phase. Conclusion: The findings of the study indicate that there is a need for nursing students to understand the limitations and strengths to learning experiences in preceptorship. In addition, the Clinical Nursing Practice as an integral practice program is needed to improve nursing capacity and for proper adaptation to real clinical environment among graduating students.

Development of Pressure Ulcer Management Guideline by Adaptation Process (수용개작방법을 활용한 욕창간호 실무지침 개발)

  • Jeong, Ihn Sook;Kim, Shinmi;Jeong, Jae Sim;Hong, Eun Young;Lim, Eun Young;Seo, Hyun Ju;Park, Kyung Hee;Hong, Yong Eun;Hwang, Ji Hyeon
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.1
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    • pp.40-52
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    • 2014
  • Purpose: This study was done to develop an evidence-based nursing clinical practice guideline (PU CPG) for pressure ulcer prevention and management in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by Gu et al. (2012) which consists of three main phases and 9 modules including a total of 24 steps. Results: The newly developed PU CPG included the introduction, pressure ulcers, summary of recommendations, recommendations, references, appendices, and glossary. The total number of recommendations was 148 in 4 sections (organizational policy, assessment, pressure ulcer prevention and management, and education) and 16 domains. Of the recommendations 4.7% were graded A, 16.9%, B, and 78.4%, C. Conclusion: Results indicate that this new PU CPG is an evidence-based practice guidance for pressure ulcer prevention and management and can be recommended for dissemination and utilization by nurses nationwide to improve the quality of pressure ulcer prevention and management. Regular revision is recommended.

The Clinical Experiences of Adaptation as a New Nursing Staff (신규 간호사의 실무 적응 경험)

  • 손행미;고문희;김춘미;문진하
    • Journal of Korean Academy of Nursing
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    • v.31 no.6
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    • pp.988-997
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    • 2001
  • This study aimed at uncovering the experience of adaptation of the new nursing staff in hospital setting. Methods: For this study, 15 new graduate nurses participated. The data was collected through the in-dept interviews and analysed in terms of Strauss and Corbin′s grounded theory methodology. Results: The core category was identified with "entering orbit". The new graduate nurses, who experienced the taeoom because of their unskilled professions, tried to enter orbit by overcoming difficult situations through reducing stress, maintaining good interpersonal relationship, grasping, compensating, persisting, and introspecting. Noticeably, in the process of adaptation, negative image of nursing, conflict of interpersonal relationship and the educational program for the new nursing staff had effect on the intervening factors. Finally, this study confirmed that the processes of new nurses′ adaptation are confusing, confrontating, becoming a member and settling in hospital setting. Conclusion: Therefore, the educational programs reflecting new nursing staffs′ experiences should be developed.

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Factors Influencing Nursing Students' Adjustment to College Life (간호대학생의 대학생활 적응 영향요인)

  • Kim, Kyoung-Nam;Kim, Ju-Young;Kim, Hyeon-Jeong;Kim, Hee-Jeong;Moon, Yoo-bin;Moon, Hye-Jin;Park, Eon-Seol
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1417-1425
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    • 2020
  • Purpose: The purpose of this study was to check the stress, stress and coping ability of nursing college students and to identify factors that influence college life adjustment. Method: This study was a descriptive research study to confirm the correlation between stress, stress response, coping ability, and college life adaptation of nursing college students, and to analyze the factors that influence college life adjustment. The data collection period was from August 17 to 23, 2020, for one week, the researcher directly explains the purpose and purpose of the study to 221 nursing college students nationwide, and online surveys to those who have agreed to participate in the study. The collected data were analyzed using SPSS Win 20.0 program. Results: Adaptation to college was negatively correlated with stress (r=-.285, p<.001), stress response (r=-.258, p<.001), and coping ability (r=.512, p<.001) had a positive correlation. The most significant factor influencing the study subjects' adaptation to college life was coping ability (β=.473, p<.001), followed by stress (β=-.185, p=.002) in the order of The explanatory power of the factors affecting the subject's adaptation to college life was 28.9%. Conclusion: As a result of this study, it means that nursing students' adaptation to college life has less stress and stress response, and higher coping ability increases college life adaptation. The factor that influenced the adjustment to college life was the most significant factor, followed by stress. In order for nursing students to adjust to college life smoothly, it is thought that coping measures to reduce stress and stress responses and overcome them are necessary.

Factors Influencing the Adaptation to the College Life of Nursing Students (간호대학생의 대학생활 적응 영향요인)

  • Choi, Soon Ook;Park, Jin Kyoung;Kim, Sang Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.2
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    • pp.182-189
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    • 2015
  • Purpose: The purpose of this study was to determine the degree of undergraduate nursing student adaptation to college life and investigate the factors that influenced that adaptation. Methods: First-year (undergraduate) students attending three nursing colleges were surveyed from November 24 through December 5, 2014; and data from 206 respondents were analyzed. For data analysis, multiple regression analysis was performed using the SPSS WIN 18.0 program. Results: The findings showed that age (p=.002), emotional intelligence (p<.001), and self-efficacy (p<.001) were significant variables that influenced first-year undergraduate nursing student adaptation to college life. Undergraduate nursing student adaptation was explained by self-efficacy (${\beta}=.327$, p<.001), emotional intelligence (${\beta}=.222$, p=.001), satisfaction with education in their academic major (${\beta}=-.217$, p<.001), and academic achievement (${\beta}=.136$, p=.018); and, the explanatory power of these variables was 41.2%. Conclusion: To facilitate undergraduate nursing student adaptation to college life prior to clinical practice, developing and apply programs to improve self-efficacy, emotional intelligence, satisfaction with education in their major, and academic achievement is deemed necessary.

CLINICAL CONSIDERATION OF INDIRECT BONDING TECHNIQUE (INDIRECT BONDING TECHNIQUE에 대한 고찰)

  • Lee, Kyung Hwan;Kim, Sang Cheol
    • The korean journal of orthodontics
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    • v.19 no.2
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    • pp.155-163
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    • 1989
  • Indirect bonding is done by placing the brackets on a model in the laboratory and using a template or tray to transfer the laboratory positioning to the teeth. The advantages of this technique are 1. decreased chair time 2. less patient discomfort 3. accuracy of a attachment placement 4. good adaptation of attachment to tooth contour 5. occlusal relationship of brackets and opposing teeth can be checked The disadvantages of the technique are 1. complex laboratory procedure 2. sometimes difficult on very short clinical crowns 3. teeth with crowns, large buccal restoration will not bond 4. may not be fitted close, if poor adaptation 5. likely to be disturbed setting Several indirect bonding techniques have proved reliable in clinical practice. However, they differ in the way the brackets are attached temporarily to the model, the type of transfer tray or other mechanism used, the adhesive or sealant employed, whether segmented or full bonding used, and the way the transfer is removed so as not to exert excessive force on a still maturing bond.

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A Study on Type of Clinical Experience of Adaptation of New Nursing Staffs in a General Hospital (일 종합병원 신규간호사의 실무적응 경험 유형)

  • Kim, Yun-Jeong
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.443-454
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    • 2014
  • This study designed to know subjective structure about clinical experience of adaptation of new nursing staffs in a general hospital and using Q-methodology. Using Q-methodology, 40 new nursing staffs sorted working a general hospital through personal interview. The statement positions on the sorting continuum were scored from +4(representing the highest level of agreement) through 0(at the neutral position on the continuum) through to -4(representing the highest level of disagreement). Factor analysis of the data was undertaken using PC QUANL program to determine if any patterns were discernible. The five types extracted all had eigenvalues greater than 1.0 and explained 62.38% of the variation in responses.: (1) New workload type, (2) Interest and responsibility type, (3) Improve the situation type, (4) Lack of knowledge and technology type, and (5) Excessive workload type. The significant differences found in the subjective structure of clinical experience of adaptation of new nursing staffs in ad general hospital. The findings of this study could contribute to the development of an effective programmes of education and personnel clinical practice strategies.

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.

Adaptation of the Evidence-Based Nursing Practice Guideline: Prevention and Management of Moisture Associated Skin Damage (근거 기반 간호 실무지침 수용개작: 습기 관련 피부 손상의 예방과 관리)

  • Baek, Kyu Won;Park, Joo Hee;Kim, Min Kyung;Kim, Kyung Sun;Jeon, Kyoung Ok;Park, Su Hyun;Yang, Weon Ji;Hwang, Ji Won
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.263-272
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    • 2018
  • Purpose: This study was done to develop an evidence-based nursing clinical practice guideline for Moisture associated skin damage (MASD) prevention and management for patients in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by the Korean Hospital Nurses Association. It consists of three main phases and 9 modules including a total of 24 steps. Results: The adapted MASD clinical practice guideline consisted of 4 sections, 8 domains and 28 recommendations. The number of recommendations in each section was: 7 on MASD assessment, 14 on MASD prevention and management, 4 on education, and 3 on organizational policy. Of the recommendations, 3.6% were marked as A grade, 28.6% as B grade, and 67.8% as C grade. Conclusion: This MASD clinical practice guideline is the first to be developed in Korea. The developed guideline will contribute to standardized and consistent MASD prevention and management. The guideline can be recommended for dissemination and utilization by nurses nationwide to improve the quality of MASD prevention and management. Regular revision is recommended.

Family Resiliency Facto for the Adaptation of Family who have a Congenital Heart Disease (선천성 심장 질환 아동 가족의 복원 요인이 적응에 미치는 영향)

  • Tak Young-Ran;Yun E-Hwa;An Ji-Yeon;Kim Sang-Hwa
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1298-1306
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    • 2004
  • Purpose: The purpose of this study was to explore the relationships of family strain, perceived social support, family hardiness, and family adaptation and identify the family resiliency factors for the adaptation of families who have a child with congenital heart disease. Method: The sample consisted of 90 families who had a child diagnosed with congenital heart disease and completed surgical treatment. Data was collected from parents using a questionnaire. Results: Results from path analyses revealed that family strain had a direct effect on both perceived social support and family hardiness, and an indirect effect on family adaptation. Also, the findings revealed that perceived social support had a direct effect on both family hardiness and family adaptation, and family hardiness had a direct effect on family adaptation. Thus, these results indicated that perceived social support and family hardiness had a mediating effect on family strain. Conclusion: Findings provide the evidence for the theoretical and empirical significance of perceived social support and family hardiness as family resiliency factors for family adaptation. Clinical implications of these findings might be discussed in terms of family-centered nursing interventions for the families who have a child with congenital heart disease based on an understanding of family resiliency for adaptation.