• Title/Summary/Keyword: Clinical Competency

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The Moderating Effect of Organizational Justice on the Relationship between Self-Efficacy and Nursing Performance in Clinical Nurses (임상간호사의 자기효능감과 간호업무성과의 관계에서 조직공정성의 조절효과)

  • Kim, Ju-Ra;Ko, Yukyung;Lee, Youngjin;Kim, Chun-Ja
    • Journal of Korean Academy of Nursing
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    • v.52 no.5
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    • pp.511-521
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    • 2022
  • Purpose: This study aimed to examine the moderating effect of organizational justice on the relationship between self-efficacy and nursing performance among clinical nurses. Methods: In January 2021, a cross-sectional survey was conducted with 224 clinical nurses recruited from a university-affiliated hospital in Suwon, South Korea. Participants completed online-based, self-report structured questionnaires. Collected data were analyzed using multiple regression and a simple model of PROCESS macro with a 95% bias-corrected bootstrap confidence interval. Results: Self-efficacy and organizational justice were found to be significant predictors of nursing performance. These two predictors explained the additional 34.8% variance of nursing performance in the hierarchical regression model, after adjusting the other covariates. In addition, organizational justice moderated the relationship between self-efficacy and nursing performance among the clinical nurses. In particular, at low self-efficacy level, participants with high organizational justice had higher nursing performance compared to those with low organizational justice. Conclusion: Enhancing organizational justice can be used as an organizational strategy for improving the organizational culture in terms of distribution, procedure, and interaction. Ultimately, these efforts will contribute to the improvement of nursing performance through a synergistic effect on organizational justice beyond nurses' individual competency and self-efficacy.

Analysis of the importance of nursing care and performance confidence perceived by nurses in the neonatal intensive care unit (신생아중환자실 간호사가 인식한 간호업무의 중요도와 수행 자신감)

  • Lim, Heemoon;Lee, Hyejung;Kim, Eunsook;Kim, Hyoyeong;Jang, Eunkyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.1
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    • pp.5-14
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    • 2022
  • Purpose: Neonatal nurses are expected to have clinical competency to provide qualified and safe care for high-risk infants. An educational intervention to enhance nurses' clinical competence is often a priority in the nursing field. This study was conducted to explore nurses' perceived importance and performance confidence of nursing care activities in neonatal intensive care units. Methods: One hundred forty-one neonatal nurses from seven hospitals across South Korea participated in the online survey study. The scale of neonatal nursing care activity consisted of 8 subdomains including professional practice (assessment, diagnosis, planning, intervention, evaluation, education, research, and leadership). The Importance-Performance Matrix was used to analyze the importance of and confident performance in each of the nursing subdomains. Results: Both importance and performance confidence increased as nurses' age (p=.042 and p<.001) and clinical experience (p=.004 and p<.001). Participants scored relatively higher in importance and performance confidence in the professional practice subdomains (assessment, intervention, evaluation), but scored lower in the education and research subdomains. Conclusion: To provide evidence-based nursing care for high-risk infants in neonatal intensive care units, educational interventions should be developed to support nurses based on the findings of the research.

Peer Role-Play in a College of Korean Medicine to Improve Senior Students' Competencies in Patient Care and Communication: A Case Analysis and Proposal for a Model (한의학 전공학생의 진료 및 의사소통 역량 향상을 위한 동료 역할극 모델제안과 사례분석)

  • Eunbyul Cho;Hyun-Jong Jung;Jungtae Leem
    • The Journal of Korean Medicine
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    • v.43 no.3
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    • pp.49-64
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    • 2022
  • Objectives: Peer role-play (PRP) has been used in health care training simulations because standardized patient training requires considerable time and expense. This study described the implementation of clinical simulation using PRP and examined the effect. Methods: Final year students from a single college of Korean medicine engaged in PRP as part of clinical skills practice. Education tools from clinical practice guidelines were used to structure the PRP. Communication competency was assessed with the Korean Version of the Self-Efficacy Questionnaire (KSE-12). Whether this training helped to achieve graduate outcomes was evaluated on a five-point scale. Results: Fifty-nine students (53.2%) participated in the survey. Among 12 items on the KSE-12, the score for "How certain are you that you are able to successfully listen attentively to the patient?" was the highest. Further, PRP was found to be helpful for self-directed learning, establishment of one's professional identity, and the ability to communicate and manage patients. Three themes ("Benefits of role-play", "The importance of positive feedback", "Limitations and problems of role-play"), 15 categories, and 16 central meanings were derived by categorizing learners' subjective opinions about PRP. Conclusions: Study findings indicate that PRP may contribute to improving communication skills and establishing a professional identity for future Korean medicine doctors. We suggest using PRP in clinical education in colleges of Korean Medicine.

Effects of Respiratory Infectious Disease Simulation-based Education using Standardized Patient for Nursing Student's of the Knowledge, Clinical Nursing Competency (표준화환자를 이용한 호흡기감염 시뮬레이션 교육이 간호대학생의 지식, 임상수행능력에 미치는 효과)

  • Jung Hur;Yeong Ju Yoon
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.435-442
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    • 2023
  • The purpose of this study is to analyze the effects of simulation education using standardized patients on respiratory infectious disease knowledge and clinical performance of nursing students. A single-group before-and-after design for the nursing of infectious respiratory patients using standardized patients from March 2 to June 15, 2020, targeting 112 senior nursing students. Respiratory infectious disease education program 'knowledge of lung infectious diseases', 'hand washing', 'wearing a mask', 'encouraging patients and caregivers to wear masks', 'intravenous injection', '3-way injection', 'surgical aseptic technique', 'disinfecting medical devices' , 'contaminated linen management', 'infected person management manual', etc., and 10 educational tasks were performed, and consisted of lectures, technical training, simulation using standardized patients, and debriefing. After simulation education using standardized patients, students' knowledge and clinical performance skills on respiratory infectious diseases showed significant improvement, and it was expected that it could be used for various infection control practices.

Development of Clinical Competency Self-Report Scale for Clinical Satisfaction of Occupational Therapy Student (작업치료대학생의 실습만족을 위한 임상수행능력 자기보고식 척도 개발)

  • Lee, Min-Jae;Lee, Sun-Min
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.1
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    • pp.137-147
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    • 2020
  • This study is aimed to develop and validate the clinical competence scale of occupational therapy student. The development of clinical competence scale analyzed the definition of clinical performance and previous studies. preliminary examinations were conducted on 203 occupational therapy departments in 3rd and 4th grade to verify item analysis and job validity. After exploratory factor analysis, eight factors of professional consciousness, 11 items of occupational therapy evaluation factors, 4 items of occupational therapy intervention factors, and 4 items of communication factors were extracted into a total of 27 factors. As a result of verifying the reliability of each factor through the internal consistency coefficient Cronbach's α, it was found to be .87~.94 and the overall reliability was .96. The correlation between the total score and the factors of the clinical competence scale was statistically significant. Through the confirmatory factor analysis, the model fit test of the factor structure for 27 items of 4 factors (χ2=.76, df = .31, CFI = .81, TLI = .80, RMSEA = .79) is considered acceptable. Through this study, The clinical competence scale is a valid and reliable scale that can be useful for objectively assessing.

The Impact of Interpersonal Skills, Psychosocial Health, and Confidence in Performing Nursing Skills on Clinical Performance of Nursing Students Who Experienced Clinical Practice after COVID-19 (COVID-19 이후 임상실습을 경험한 간호대학생의 대인관계능력, 사회심리적 건강, 간호술기수행자신감이 임상수행능력에 미치는 영향)

  • Meera Park;Eunsil Park;Nam Joo Je
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.159-168
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    • 2024
  • This study was conducted to identify factors influencing clinical performance among nursing students who experienced clinical practice due to COVID-19 and provide basic data to improve clinical performance. This study collected data from October 10 to October 27, 2023, targeting 144 students at two nursing schools in G Province. The collected data were analyzed using descriptive statistics, difference analysis (t-est, on-way ANOVA), correlation, and hierarchical regression analysis. As a result of the study, in Model 1, extrovert and mixed personality types were found to be significant predictive factors explaining clinical performance. The goodness of fit of Model 1 was statistically significant, and the explanatory power was 9.2% (F=8.256, p<.001). In Model 2, interpersonal skills and confidence in nursing skills appeared as significant predictive factors explaining clinical performance ability. Confidence in nursing skills was the best predictor of clinical performance, followed by interpersonal skills. The explanatory power of the model was 50.1%, an increase of 41.3% compared to Model 1. Model fit was also statistically significant. Simulation education that reproduces various situations should be strengthened to increase opportunities to perform direct nursing and improve nursing students' nursing capabilities. If you improve your confidence in nursing skills and interpersonal skills through simulation education, your clinical performance will ultimately improve, and this will be able to be demonstrated as a nursing competency when employed as a nurse.

Effects of Self-evaluation using Smartphone Recording on Nursing Students' Competency in Nursing Skills, Satisfaction, and Learning Motivations: Focusing on Foley Catheterization (자율실습교육에서 스마트폰 동영상을 활용한 자가평가 학습법이 간호술기 수행능력, 자율실습만족도, 학습동기에 미치는 효과: 유치도뇨를 중심으로)

  • Chang, Eunhwa;Park, Soohyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.2
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    • pp.118-127
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    • 2017
  • Purpose: The purpose of this study was to identify effects of self-evaluation using smartphone recording on competency in nursing skills, satisfaction and learning motivations in nursing students'. The setting was the open laboratory hours. Methods: A quasi-experimental pre/post-test design was conducted in September 2015. The participants were 82 sophomore nursing students from one University. The experimental group did self-evaluation by watching recorded video clips of their performance. The control group did not have any self-evaluation. The primary outcomes were scores from the foley catheterization checklist, scores from a student satisfaction tool, and scores from a learning motivation tool. Data were analyzed using ${\chi}^2$ test, Fisher's exact test, independent t-test, and paired t-test. Results: There was a significant higher mean score in levels of satisfaction by students in the experimental group compared to the control group (t=2.26, p=.027). In addition, improvement in communication skills by the experimental group was significantly higher than improvement in the control group (t=3.96, p<.001). Conclusion: Findings show that self-evaluation using smartphone recordings has positive effects on increasing both communication skills and satisfaction with practice during open laboratory hours. These results indicate that, self-evaluation using smartphone recording is useful as a supplement to traditional open laboratory education.

The Development of the Integrated Nursing Practicum Education Matrix based on Learning Outcomes (학습성과기반 단계적 통합간호실습교육 매트릭스 개발)

  • Lee, JuHee;Lee, Taewha;Lee, Hyunkyeong;Kim, Sanghee;Bae, Juyeon;Han, Jeehee;Lee, Kyongeun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.4
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    • pp.528-539
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    • 2015
  • Purpose: The purpose of this study was to develop an integrated nursing practicum education matrix based on the learning outcomes of each stage. Methods: In this Delphi technique study, 10 experts, consisting of six professors and four nurses, participated in the development of the matrix. The first step was an in-depth review for the composition of the questionnaire and the second step was the Delphi technique. The Delphi survey was conducted two times in order to complete the components of the matrix. The survey data was analyzed for statistical averages and standard deviations to decide the order of priority. Results: According to each stage (i.e. fundamental stage, competent stage, and proficient stage), the matrix was composed of education contents, methods, evaluation methods, and curriculum outcomes. Conclusion: The integrated nursing practicum education matrix of Y University was completed. The developed matrix will result in a reduction in the gap between nursing education and clinical practice and an improvement in nursing competency.

Affecting Factors of Core Nursing Competence by Senior Nursing Students (졸업 학년 간호대학생의 핵심간호역량 영향요인)

  • Jung, Young-soon;Lim, Sun-young
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.74-82
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    • 2021
  • The purpose of this study is to investigate factors attecting the core nursing competence of senior nursing students.. The subjects who participated in this study were 178 students in the 4th year of nursing at one college in the Ulsan were surveyed using a structured questionnairs. Independent t-test, one way ANOVA and Pearson's corrlation coefficient, Stepwise regression were performed on the collected data using SPSS 25.0 program. Study finding revealed that major satisfaction(��=0.44, p<.001), clitical thinking(��=0.29, p=.003), nursing professionalism(��=0.22, p=.009), and self-leadership(��=0.17, p<.001) about core nursing competence were siginificant predictive variables(F=7.75, p<.001). This variables accounted for 23.4% of the variance in core nursing competency. Therefore, it is necessary to develp and apply program to improve core nursing competency in senoir nursing students.

Analysis of Social Needs for Doctors and Medicine through a Keyword Analysis of Newspaper Articles (2016-2020) (신문기사 키워드 분석(2016-2020년)을 통한 의사 및 의료에 대한 사회적 요구 분석)

  • Jung, Hanna;Lee, Jea Woog;Lee, Geon Ho
    • Korean Medical Education Review
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    • v.24 no.2
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    • pp.103-112
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    • 2022
  • The purpose of this study was to explore, using topic modeling, the social value of doctors and medicine demanded by society as reflected in published newspaper articles in Korea. Ultimately, this study aimed to reflect social needs in the process of developing the Patient-Centered Doctor's Competency Framework in Korea. For this purpose, a total of 2,068 newspaper articles published from 2016 to 2020 were analyzed. Through topic modeling of these newspaper articles over the past 5 years, 18 topics were derived and divided into four categories. Focusing on the derived topics and keywords, the topics derived in specific years and the proportion of topics by year were analyzed. The results of this study make it possible to grasp the needs of society projected through the press for doctors and medicine. Due to the nature of the press, topics that frequently appeared in newspaper articles were mainly social phenomena related to requirements for doctors, particularly dealing with economic and legal aspects. In particular, it was confirmed that doctors are now required to have a wider range of competencies that go beyond their required medical knowledge and clinical skills. This study helped to establish doctor's competencies by analyzing social needs for doctors through the latest research methods, and the findings could help to establish and improve doctor's competencies through ongoing research in the future.