• Journal of Korean Academy of Fundamentals of Nursing
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• v.20 no.4
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• pp.438-448
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• 2013

Purpose: The purpose of this study was to investigate factors influencing clinical competence in nursing students. Method: The participants were 125 nursing students and data were collected from October 8 to December 18, 2010 using questionnaires with. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: There were significant correlations for creativity, problem-solving ability, self-directed learning ability, and clinical competence. The factor influencing clinical competence the most was creativity, followed by problem-solving ability, self-directed learning ability, and grade point average score. The regression model explained 37% of variance in clinical competence. Conclusion: The results indicate that for improvement in the clinical competence of nursing students, it is necessary to develop strategies and education programs to enhance creativity, problem-solving ability, and self-directed learning ability.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.4
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• pp.513-522
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• 2014

Purpose: This study identifies the influences of self-directed learning ability and metacognition on clinical competence in nursing students. Method: The subjects consisted of 290 second and third year nursing students. The data were analyzed using t-tests, ANOVA, Scheffe's test, Pearson's correlation coefficients and multiple linear regression via SPSS Statistics version 18.0. Results: On a scale of 1 (lowest) to 5 (highest), the mean self-directed learning ability score of the subjects was 3.19, mean metacognition score was 3.36 and mean clinical competence score was 3.29. A positive correlation was found between clinical competence with self-directed learning ability and metacognition. The strongest predictor of clinical competence was metacognition. Conclusion: To improve the clinical competence of nursing students, these findings indicate that increasing metacognition ability is required.

• Journal of Korean Academy of Nursing
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• v.53 no.1
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• pp.87-100
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• 2023

Purpose: This study aimed to develop a nursing simulation learning module for coronavirus disease 2019 (COVID-19) patient-care and examine its effects on clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient care for nursing students. Methods: A non-equivalent control group pre- and post-test design was employed. The study participants included 47 nursing students (23 in the experimental group and 24 in the control group) from G City. A simulation learning module for COVID-19 patient-care was developed based on the Jeffries simulation model. The module consisted of a briefing, simulation practice, and debriefing. The effects of the simulation module were measured using clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient-care. Data were analyzed using χ²-test, Fisher's exact test, t-test, Wilcoxon signed-rank test, and Mann-Whitney U test. Results: The levels of clinical reasoning competence, clinical competence, and performance confidence of the experimental group were significantly higher than that of the control group, and the level of anxiety was significantly low after simulation learning. Conclusion: The nursing simulation learning module for COVID-19 patient-care is more effective than the traditional method in terms of improving students' clinical reasoning competence, clinical competence, and performance confidence, and reducing their anxiety. The module is expected to be useful for educational and clinical environments as an effective teaching and learning strategy to empower nursing competency and contribute to nursing education and clinical changes.

• Journal of Convergence for Information Technology
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• v.11 no.8
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• pp.53-61
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• 2021

The purpose of this study was to investigate the menstrual pain, clinical practice stress, and clinical competence and identify influencing factors of clinical competence of 3rd nursing students who start clinical practice for the first tim. The survey was conducted on 155 nursing students from June 1 to October 30, 2020. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficients and multiple regression analysis. The degree of influence menstrual pain was 5.01points, clinical practice stress was 2.82points, clinical competence was 3.42points. Menstrual pain was positive correlated with clinical practice stress(r=.319, p=.000), and menstrual pain was negative correlated with clinical competence(r=-.279, p=.000). Clinical practice stress was negative correlated with clinical competence(r=-.333, p=.005). Menstrual pain was main factor that affects clinical competence. The model explained 25.0% of the variables. Therefore, intervention education is needed to reduce menstrual pain in order to improve the clinical competence of nursing students.

• The Journal of the Convergence on Culture Technology
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• v.5 no.1
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• pp.443-449
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• 2019

Purpose: The purpose of this study was to identify critical thinking disposition, clinical performance, and satisfaction of clinical practice in a college nursing students. Methods: The data were collected from self reported questionnaires about clinical performance, and critical thinking disposition given to 55 nursing students at June, 2017. Results: The mean score of total clinical performance was 3.70 (${\pm}.54$). Total critical thinking disposition was 3.57 (${\pm}.44$) and clinical satisfaction was 3.93 (${\pm}.72$). Regarding clinical performance, psycho-social competence was highest followed by basic care competence, educational care competence, nursing process competence, observing and monitoring competence, and nursing intervention competence. Critical thinking disposition had a significant positive correlation with clinical competence. Conclusion: Results of this study suggest that developing various clinical education and teaching learning methods for clinical competence is necessary to promote critical thinking disposition of nursing students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.1
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• pp.46-56
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• 2012

Purpose: The purpose of this study was to identify the relationships among professional self-concept, critical thinking disposition and clinical competence in nursing students. Method: The participants in the study were 505 nursing students, 262 associate degree nursing students and 243 baccalaureate nursing students, all in schools in Gwangju or South Jeonla Province. A questionnaire survey was conducted from April 25 to May 27, 2011. Statistical processing was performed with SPSS 18.0 Version and the data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson correlation coefficients, and multiple stepwise regression. Results: There was a positive correlation among clinical competence and professional self-concept, critical thinking disposition. The most effective factor for clinical competence was professional practice in professional self-concept, followed by prudence and objectivity in critical thinking disposition. The total explanation of clinical competence was 46.2%. Conclusion: The results of this study indicate confirm that professional self-concept and critical thinking disposition have an effect on clinical competence in nursing students. Accordingly in order to improve clinical competence, it is necessary to provide practice environment and educational curriculum that enhance the professional self-concept and critical thinking disposition of nursing students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.3
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• pp.292-301
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• 2014

Purpose: The purpose of this study was to contribute to the development of efficient methods of nursing practice education by evaluating effects of core fundamental nursing skills education on self-efficacy, clinical competence and practice satisfaction in nursing students. Method: The research design was a one group pretest-posttest design and it was done to assess changes in self-efficacy and clinical competence from pre to the post-test which was given after the core fundamental nursing skills education was completed. Data were collected from September 5 to December 20, 2013 from 156 nursing students who were taking the 12-hours core fundamental nursing skills education at one university in Gyeonggi-do. This practicum was composed of 6 core fundamental nursing skills. Results: Self-efficacy and clinical competence scores improved. There was no significant difference in self-efficacy but there was a significant difference of clinical competence. In the subscales of clinical competence, the domain of nursing skill was scored the highest. The score for practice satisfaction was also high. Conclusion: The results indicate that the core fundamental nursing skills education is effective in improving clinical competence and practice satisfaction in nursing students. But new strategies are needed to improve self-efficacy.

• Journal of Korean Public Health Nursing
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• v.29 no.3
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• pp.452-462
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• 2015

Purpose: The purpose of this study was to examine the influence of attribution disposition and self-efficacy on clinical practice competence of nursing students. Methods: A descriptive survey design was used. Participants were 214 nursing students who were collected using a structured questionnaire. Data were analyzed by frequencies, t-tests, ANOVA, Pearson correlation coefficients and multiple stepwise regression via spss win 21.0. Results: The total mean score for attribution disposition was $3.73{\pm}0.46$, self-efficacy was $3.20{\pm}0.42$, and clinical competence was $3.44{\pm}0.47$. Clinical competence is significantly and positively correlated with attribution disposition (r=.179, p=009) and self-efficacy (r=.379, p<.001). In a multivariate approach, predictors included explained 33.5% of variance in clinical competence. Significant predictors of clinical competence were attribution disposition (${\beta}=.245$, p<.001), self-efficacy (${\beta}=.380$, p<.001), and satisfaction with the nursing (${\beta}=.246$, p<.001). Conclusion: Development of an effective intervention program is needed to improve nursing students clinical practice competence, attribution disposition and attribution disposition of nursing students.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.4
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• pp.536-543
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• 2013

Purpose: The purpose of this study was to identify the mediating effect of professionalism in the relationship between clinical competence and field adaptation in newly graduated nurses. Methods: The participants in this study were 213 nurses from four tertiary hospitals who had less than 12 months of nursing experience. Data were collected during January and February, 2013. A structured questionnaire was used for data collection and data were analyzed using descriptive statistics, Pearson correlation coefficients, and path analysis with the SPSS/WIN 21.0 and AMOS 21.0 programs. Results: The mean score for clinical competence was $2.85{\pm}0.25$, for professionalism, $3.10{\pm}0.30$, and for field adaptation, $2.79{\pm}0.37$. There was a significant positive relationship between clinical competence and field adaptation. Also, professionalism was positively correlated with field adaptation. Professionalism showed mediating effects between clinical competence and field adaptation. Improvement of clinical competence increased professionalism and the increased professionalism raised the field adaptation. Conclusion: Based on these findings, orientation programs including strategies to increase professionalism, should be established to promote effective field adaptation in newly graduated nurses. These orientation programs can strengthen professionalism, the mediator between clinical competence and field adaptation in newly graduated nurses.

• The Korean Journal of Health Service Management
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• v.14 no.2
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• pp.117-129
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• 2020

Objectives: A descriptive survey was used in this study to identify the relationship between nursing students' grit, critical thinking disposition, and clinical competence and to examine factors that influence clinical competence. Methods: Data were collected from 241 nursing students and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation, and stepwise multiple regression analysis with the SPSS/WIN 24.0 PC program. Results: Clinical competence was found to have significant pure correlations with critical thinking disposition (r=.49, p<.001), and grit (r=.31, p<.001). The most influential factors influencing nursing students' clinical competence were critical thinking disposition (β=.35, p<.001), and grit (β=.28, p<.001), and these factors explained 33% of the variance in clinical competence. Conclusions: The findings indicate the need to develop and apply strategies and educational programs to enhance individual nurse's critical thinking disposition and grit. Furthermore, exploration is needed on ways to enhance clinical competence.