• Title/Summary/Keyword: Clinical Nursing Competency

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Modeling of Nursing Competencies for Competency-Based Curriculum Development (역량기반 교육과정 개발을 위한 간호역량 모델링에 대한 고찰)

  • Ko, Ja-Kyung;Chung, Myung Sill;Choe, Myoung-Ae;Park, Young Im;Bang, Kyung-Sook;Kim, Jeong Ah;Yoo, Mi Soo;Jang, Hye Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.1
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    • pp.87-96
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    • 2013
  • Purpose: Competency-based curriculum has attracted many nursing institutions' attention, pursuing the enhancement of competency and the quality of education. The goal of this study was to not merely scrutinize the nomenclature of competency and competency model as a concept of pedagogy as well as nursing science, but also form a well understanding of development process for nursing competency-based curriculum and nursing competency modeling. Methods: A comprehensive review on related literatures was conducted in each section of 1) competency-based curriculum, 2) competency and competency model, and 3) contents of competency. Results: The nomenclature of competency including nursing competencies, competency modeling and competency-based curriculum were clarified and summarized. Through analyzing and reviewing former studies related to competency, desirable nursing competency modeling and nursing competency-based curriculum were proposed and described. Conclusion: Learner-centered curriculum should be established based on nursing education that emphasizes intellectual skills acquisition and the enhancement of future-oriented professionalism. Competency modeling should reflect the fact that teaching-learning strategies should focus on the integration of nursing theories and clinical practices. Nursing competency modeling is essential in order to develop a genuine competency-based curriculum while in-depth practical research should be followed so that nursing theories and clinical practices work together in a coordinated fashion.

Effects of ego-resilience, nursing professionalism and empathy on clinical competency of general hospital nurses (종합병원 간호사의 자아탄력성, 간호전문직관 및 공감능력이 임상수행능력에 미치는 영향)

  • Kim, Suhyun;Park, Heeok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.2
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    • pp.101-110
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    • 2020
  • Purpose: The purpose of this study was to identify the effects of ego-resilience, nursing professionalism and empathy on clinical competency and to suggest strategies for improving the clinical competency of general hospital nurses. Methods: Data collection was performed from Jan. 18th, 2019 to Feb. 14th. A total of 194 nurses from four general hospitals participated in this study. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Kruskal-Wallis test, Scheffe test, Pearson's correlation and stepwise multiple regression analysis using SPSS 23.0. Results: The factors affecting the clinical competency of general hospital nurses included ego-resilience (β=.28, p<.001), nursing professionalism (β=.20, p=.011), empathic concern (β=.19, p=.003), working department (β=-.17, p=.008), total clinical career (β=.15, p=.011), and number of beds (β=.13, p=.033). These factors accounted for 33.0% of the clinical competency (p<.001). Conclusion: It is important to find ways to improve the level of empathy of general hospital nurses and there is a need to include education programs or practical interventions to strengthen empathy at the clinical level.

Effects of Nursing Education using a High-fidelity Patient Simulator on Self-directed Learning Competency, Clinical Knowledge, and Problem-solving Ability among Nursing Students (High-fidelity Patient Simulator를 활용한 간호교육이 간호학생의 자기주도학습역량, 임상수행지식 및 문제해결력에 미치는 효과)

  • Park, Hyo Mi;Lee, Hea Shoon
    • Perspectives in Nursing Science
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    • v.9 no.2
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    • pp.111-118
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    • 2012
  • Purpose: This study investigated the effects of simulation-based nursing education (for the care of congestive heart failure patients) on self-directed learning competency, clinical knowledge and problem-solving ability among nursing students. Methods: A one-group, pre-post design was utilized with 87 nursing students as the subjects. The scenario of simulation-based nursing education was created using a high-fidelity patient stimulator, and consisted of four states ((1) assessment, (2) reviewing laboratory data and administering medications and treatments, (3) managing increased dyspnea and decreased urine output, and (4) handling the "getting better" state). The simulation-based nursing education included orientation, team-based learning, team-based practice, and debriefing. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and paired t-tests. Results: The scores on the factors for self-directed learning competency (t=-2.57, p= .011), clinical knowledge (t=-6.85, p<.001), and problem-solving ability (t=-3.01, p= .003) increased significantly after the education intervention. Conclusion: Simulation-based nursing education is useful in improving self-directed learning competency, clinical knowledge, and problem-solving ability in nursing students.

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The Relationship Between Self-Disclosure and Clinical Competency in Nursing Students (간호대학생의 자기표출과 임상수행능력간의 관계)

  • 이규은;하나선;길숙영
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.571-583
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    • 2000
  • The purpose of this study was to identify the level of self-disclosure and clinical competency and the relationships between self-disclosure and clinical competency in nursing students. The subjects were consisted of 662 nursing students from six universities and five junior colleges. The data were collected conveniently by self reporting questionnaires given to the students from September 13 to October 23, 1999. The instruments for this study were JSDQ and clinical competency measurement tool. The data were analyzed by SAS/PC program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. The results of this study are as follows : 1. The mean score for the level of self- disclosure was 3.29$\pm$0.98. 2. The mean score for the level of clinical competency was 3.93$\pm$1.00. The mean score for the dimension of skills, professional attitudes, teaching and coordinating, nursing process, interpersonal relationships were 4.09$\pm$0.77, 4.08$\pm$0.82, 3.97$\pm$ 0.90, 3.77$\pm$0.76 and 3.37$\pm$0.75 respectively. 3. The statistically significant difference in the score of the self-disclosure according to the educational background (F=9.42, p<.01), grade (F=5.59, p<.01), religion (F=2.68, p<.05), satisfaction of nursing major (F=14.20, p<.0001), and satisfaction of nursing practice (F=5.42, p<.01) was obtained. 4. The statistically significant difference in the score of the clinical competency according to the grade (F=32.44, p<.0001), achieved performance records (F=3.52, p<.05), satisfaction of nursing major (F=12.06, p<.0001), satisfaction of nursing practice (F=27.35, p<.0001) was obtained. 5. The data shows the positive correlations between self-disclosure and skill (r=.3231, p<.0001), between self- disclosure and teaching/coordinating (r=.1912, p<.0001), between self-disclosure and interpersonal relationship (r=.3064, p<.0001), between self-disclosure and professional attitude (r=.2789, p<.0001), between self-disclosure and nursing process (r=.2766, p<.0001).

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Validation of a Path Model on Clinical Practice Competency of the Nursing Students (간호학생의 임상수행능력 경로모형 분석)

  • Kwon, Yunhee;Kwag, Oh-Gye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4572-4581
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    • 2012
  • This study examined the fitness of a path model on the relationship among critical thinking, career identity, nursing professional self-concept, satisfaction of clinical practice, and clinical practice competency for nursing students. The subjects consisted of 581 nursing students and data was collected through self-report questionnaires. The data was analyzed by the SPSS and AMOS programs. Critical thinking, career identity, nursing professional self-concept, and satisfaction of clinical practice showed a direct effect on clinical practice competency for nursing students. Critical thinking and career identity showed an indirect effect on clinical practice competency for nursing students. Critical thinking and career identity showed a direct effect on nursing professional self-concept and satisfaction of clinical practice for nursing students. We consider the cause which affects the clinical practice competency of student nurses and study on the reasonable and effective curriculum and teaching and learning program.

The Effect of Nursing Students' Clinical Practice Stress, Performance Ability, Satisfaction, and Critical Thinking on Nursing Professional Self Concept (간호학생의 임상실습 스트레스, 수행능력, 만족도, 비판적 사고성향이 간호전문직 자아개념에 미치는 영향)

  • Ju, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.213-224
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    • 2017
  • This study was to examine the structural model of nursing student 's Professional self-concept, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress. The subjects consisted of 227 nursing students and data was collected through Structured questionnaires. Results, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress showed a direct effect on Professional self-concept for nursing students. Clinical competency and Clinical Practice Stress showed an indirect effect on nursing Professional self-concept. Clinical competency and Clinical Practice Stress showed a direct effect on Critical thinking and Clinical Practice Satisfaction. In this paper, we propose a new approach to nursing students 'self-concept in nursing. In this paper, we propose a new approach to nursing students' self-concept. And to develop and apply an intervention program that can reduce the stress of clinical practice.

Nursing Competency And Indicator Development By Emergency Nurse's Clinical Ladder (응급실 간호사의 임상 등급(clinical ladder)에 따른 간호역량 및 행동지표 개발)

  • Youk, Shin-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.481-494
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    • 2003
  • Purpose: This study was to develop nursing competencies, sub-competencies and behavior indicators according to the clinical ladder of emergency nurses. Method: index of content validation was used by 21 clinical experts. Results: This study had three phases to develop nursing competencies, sub-competencies and behavior indicators. In first phase: 12 nursing competencies and 33 sub-competencies were developed through the literature review on nursing competency and emergency nurses' job description. The content of 12 competencies and 33 sub-competencies were reviewed by 3 nursing professors. The 12 competencies and 33 sub-competencies were followed: clinical judgement and measures(6 sub-competencies), processing ability of ward works(2 sub-competencies), flexibility(2 sub-competencies), resources management(2 sub-competencies), confidence(3 sub-competencies), cooperation(2 sub-competencies), professional development power(2 sub-competencies), patient service orientation(3 sub-competencies), inclination toward ethical value(5 sub-competencies), influence power(2 sub-competencies), developing others(2 sub-competencies), self control(2 sub-competencies). In second phase, 132 behavior indicators were developed according to nurse clinical ladder: novice, advanced novice, competent, proficient. In Third phase, content validity was examined on 132 behavior indicators by 21 clinical experts. 126 among 132 indicators had over 70% agreement among experts and 6 indicators under 70% were revised. Conclusion: nursing competencies, sub competencies and behavior indicators can be used nurses' clinical performance as well as establishing proper directions for professional growth related to reward system.

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Development of a Nursing Competence Measurement Scale according to Nurse's Clinical Ladder in General Wards (병동 간호사의 임상등급 간호역량 평가도구 개발)

  • Park, Mee Ran;Kim, Nam Cho
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.3
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    • pp.257-271
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    • 2014
  • Purpose: This methodological study was done to develop a Nursing Competency Measurement Scale based on the clinical ladders of nurses working in wards. Methods: Thirty clinical experts and 501 ward nurses evaluated the content validity of the scale. A survey using the Nursing Competency Measurement Scale was conducted with 114 nurses to evaluate reliability and applicability of the instrument. Data were analyzed using SPSS/WIN 21.0. Results: A review of the literature identified 13 components of nursing competencies and 30 core nursing competencies based on each of the 4 grade clinical ladders. Cronbach's ${\alpha}$ coefficient for the total was .92. Cronbach's ${\alpha}$ reliabilities of each clinical ladder grade were .83 for Grade I, .84 for Grade II, .81 for Grade III, and .84 for Grade IV. The Content Validity Index (CVI) of the scale with 120 individual items was 0.976~1.000 for Grade I scale, 0.986~1.000 for Grade II scale, 0.984~1.000 for Grade III scale, and 0.992~1.000 for Grade IV scale. The expert group nurses' average degree of nursing competence measured using the scale was 3.38~3.75 out of 4.0. Conclusion: Through this process, 120 final questions were confirmed to represent items of the Nursing Competency Measurement Scale based on clinical grade.

Convergence Study of Influence of Nursing Information Literacy Competency on Problem Solving Ability, Self-Directed Learning Ability and Clinical Performance Ability in Nursing Students (간호대학생의 간호정보활용역량이 문제해결능력, 자기주도적 학습능력 및 임상수행능력에 미치는 영향에 대한 융합적 연구)

  • Jo, Mean Jung;Gu, Mee Ock
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.495-507
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    • 2018
  • This study was done to develop and validate a path model for the causal relationship of nursing information literacy competency and problem solving, self-direct learning, and clinical performance ability of nursing students. Subject were 208 nursing students in the fourth grade of nursing school. Data were collected from June 4 to June 18, 2018. The nursing information literacy competency of nursing students showed direct effects on problem solving ability (${\gamma}=.70$, p<.001) and direct effects on self-directed learning ability (${\gamma}=.53$, p<.001). Nursing information literacy competency showed direct (${\gamma}=.31$, p<.001) and indirect effects (${\gamma}=.31$, p=.007) on clinical performance ability. These variables explained for 46.2% of clinical performance ability. Therefore, it is recommended to develop an education program that can enhance the nursing information literacy competency for improving the problem solving, self-directed learning, and clinical performance ability of nursing students.

A Study for Development of Competency-Based Continuing Education System Depending on Nurses Clinical Ladder (간호사 임상경력단계에 따른 역량기반 보수교육시스템 개발을 위한 연구)

  • Jang, Keum-Seong;Kim, Heeyoung;Kim, Nam-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.503-515
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    • 2018
  • The aim of this study was to develop a list of nursing competency for nurses' continuing education, and to propose a competency-based continuing education system according to nurses' clinical ladder. The definition of nursing competency was extracted by analyzing 10 studies. Also, the knowledge base of each nursing competency was confirmed through Carper and Chinn & Kramer's research. Nurses' clinical ladder and preliminary items of nursing competency behavior indicators were verified by seven experts for content validity. The results of this study were as follows; Nursing competencies were defined as 'evidence-based patient care', 'education and counseling', 'nursing management and leadership', 'law and ethics', 'professional value and development', 'research and policy development'. In addition, the validity of the 4 stages of clinical ladder and the 24 indicators of nursing competency were confirmed by experts. These findings suggest that the competency-based continuing education system according to the clinical ladder will be utilized as an effective human resource development strategy for improving the professionalism of nurses.