• 제목/요약/키워드: Clinical Nursing Practice Competency

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간호대학생의 자아탄력성, 전공만족도와 임상수행능력 간의 융합 관련성 (Convergence between Ego-Resilience, Major Satisfaction and Clinical Competency of Nursing Students)

  • 이경혜
    • 한국융합학회논문지
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    • 제10권3호
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    • pp.297-306
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    • 2019
  • 본 연구의 목적은 간호대학생의 자아탄력성, 전공만족도와 임상수행능력 간의 융합 관련성을 파악하기 위한 서술적 조사연구이다. 본 연구는 한국의 G 지역에 소재하는 일 대학교의 임상실습을 경험한 간호대학생 183명의 자료를 이용하였다. 자료는 SPSS24.0 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, t-test, ANOVA, Pearson's correlation coefficients, Multiple Regression Analysis을 포함하여 분석하였다. 임상수행능력은 자아탄력성 (r=.446, p<.000), 전공만족도(r=.439, p<.000)와 정적 상관관계가 있었고, 전공만족도는 자아탄력성(r=.310, p<.000)과 정적 상관관계가 있었다. 임상수행능력에 영향을 미치는 영향요인은 자아탄력성과 전공만족도이었으며, 설명력은 29.1%이었다. 따라서 간호대학생의 자아탄력성, 전공만족도, 그리고 임상수행능력을 향상을 도모하기 위한 융합적 교육프로그램으로의 개선과 교수학습방법의 다양화가 필요할 것으로 생각된다.

임상간호사의 비판적 성찰 역량, 전문직 자부심, 인간중심간호 수행이 환자안전간호활동에 미치는 영향 (Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities)

  • 이수빈;신수진
    • 중환자간호학회지
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    • 제16권3호
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    • pp.87-98
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    • 2023
  • Purpose : This descriptive survey investigated the effects of clinical nurses' critical reflection competency, professional pride, and person-centered care practices on patient safety management activities. Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey's HSD, Pearson's correlation coefficient, and multiple regression using SPSS 29.0. Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p =.010), education level (t=-2.56, p =.013), total work experience (F=3.87, p =.010), and the number of healthcare accreditation system experiences (F=5.22, p =.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p <.001), professional pride (r=.271, p <.001), and person-centered care practices (r=.399, p <.001). The results indicated that person-centered care practices affected patient safety management activities (𝛽=.358, p <.001) with the explanatory power of 22.5%. Conclusion : To improve clinical nurses' patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

시뮬레이션 실습을 경험한 간호대학생의 임상수행능력에 영향을 미치는 융합적 요인 (Convergence Analysis of the Factors Influencing Clinical Competency among Nursing Students Participated in Simulation-based Practice)

  • 양승애
    • 사물인터넷융복합논문지
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    • 제5권2호
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    • pp.55-66
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    • 2019
  • 본 연구는 간호대학생의 임상수행능력에 영향을 미치는 융합적인 요인들을 파악하기 위하여 실시하였다. 연구대상은 4년제 일 간호대학에 재학중인 간호대학생 185명이였으며 측정 도구는 셀프리더쉽, 비판적 사고성향, 자기주도학습능력, 문제해결과정, 임상수행능력에 관한 문항으로 구성되었다. 셀프리더쉽, 비판적 사고성향, 자기주도학습능력, 문제해결과정, 임상수행능력정도는 기술통계로 분석하였고 제 변수들 간의 상관관계는 Pearson correlation coefficients, 임상수행능력에 영향을 미치는 요인은 다중 선형 회귀분석(Multiple linear regression)을 적용하였다. 임상수행능력은 셀프리더쉽, 비판적 사고성향, 자기주도학습능력, 문제해결과정과 유의한 정적상관성이 있는 것으로 나타났다(r=.580, r=.604, r=.668, r=.627). 대인관계(β=.148), 비판적 사고성향(β=.158), 문제해결과정(β=.165), 자기주도학습능력(β=.321)순으로 유의미한 영향을 주는 것으로 나타나 임상수행능력의 53%를 설명하였다. 본 연구 결과를 토대로 간호대학생들의 임상수행능력을 향상시키기 위한 프로그램 개발에 활용할 수 있을 것이다.

Development of a Clinical Nursing Practice Training Simulation Program using Standardized Patient for Nursing Students Focused on Infectious Respiratory

  • Hur, Jung
    • International Journal of Advanced Culture Technology
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    • 제9권4호
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    • pp.169-179
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    • 2021
  • This study was conducted to develop and apply clinical nursing practice training simulation program using Standardized Patient for Nursing Students focused on infectious respiratory disease. This study is descriptive methodological study. Through prior consideration of documents and educational task of infectious respiratory disease was conducted with interview of clinical specialists of infection control managers. Development of educational task for infectious respiratory disease for Nursing Students went through the content validity. Finally, 10 educational tasks are developed 'knowledge of respiratory infections disease', 'hand washing', 'put on mask', 'lead to put on mask to patients and caregiver', 'intravenous injection via 3way', 'surgical aseptic technique', 'sterilization medical instrument', 'management of contaminated linen', 'infected personnel management manual'. The infectious respiratory disease simulation program was developed based on the ADDIE model and proceeded to 4 steps of analysis, design, development, implementation. The infection control education program included lectures (20 min), skill training (20 min), simulation using standardized patient (20 min), and debriefing (40 min), The collected data were analyzed by descriptive statistics with SPSS program for version 23.0. The results of this study confirmed that the clinical nursing practice training simulation program using standardized patients was effective in infectious respiratory disease of the nursing college students in knowledge of infectious respiratory disease and clinical nursing performance. we found this practical training program for nursing college students to improve knowledge and clinical competency of infection control. we expected that this developed program could be applied to practical training for various infectious control.

간호학 실습교육 평가도구에 관한 현황조사 (Survey of use of Evaluation tools for Student구s Clinical Competency)

  • 대한간호학회 교육위원회
    • 대한간호학회지
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    • 제22권3호
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    • pp.407-415
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    • 1992
  • The purpose of this study was to survey the use of a evaluation tools of clinical competency for nursing students. The sample consisted of the departments of nursing in 14 universities and 20 Junior colleges of nursing. Data analysis was done by frequency, percentages and factor analysis. The results of the study were as follows : 1. A common measurement tools for evaluation in the clinical area was used by 74.4% of universities and Junior colleges of nursing. Only 0-4.5% of Junior colleges of nursing and 1.5-7.4% of universities used a evaluation tools developed according to their major. 2. Theoretically, 3% of those sampled applied the nursing process as an instrumental means of nursing practice. Bloom's theory was applied by 35.8% of the schools. Most of them used their own measurement tools for evaluating their students. 3. One half of them used quantitative scales, the other half used others. 4. Professional attitudes wire included in their contents bvy 93.9% of universties and 94.1% of Junior colleges of nursing. The major areas of evaluation were knowledge, skills, attitudes and interpersonal relationships in that order. Results ; From this study can be concluded that regardless of the number of academic years of nursing and professional area, common standard evaluation tools for nursing competency were found to be needed. Theoretically, an evaluation scheme which applies the nursing process should be required. Knowledge, skill, attitude and interpersonal relationship would be essential elements to be evaluated. Maximizing the clinical competency and minimizing the conflict elements for nursing students is important. Nursing, education, students and environmental aspects must be consider in the goal of clinical education. A diagram, a checklist and a anecdote note in addition to the quantitative scale are necessary for efficient evaluation.

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간호관리학 실습에서의 근거기반간호 교육 적용: 결과평가와 확산 전략 (Implementation of Evidence Based Nursing Education into Nursing Management Clinical Practicum: Outcome Evaluation and Diffusion Strategies)

  • 박명화
    • 간호행정학회지
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    • 제19권1호
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    • pp.39-47
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    • 2013
  • Purpose: This practice study was done to describe the process and outcomes of application of Evidence Based Nursing (EBN) Education to nursing management clinical practicum and suggest strategies to diffuse EBN into nursing management education. Methods: Education on the evidence based nursing management process was provided to 65 senior nursing students from a university. Nursing management clinical practicum integrated with EBN. The setting was a five full day-clinical practicum. Group and individual training on EBN process with lectures, small group discussions, conferences, and educational prescription were provided. Outcomes were analyzed using paired t test for 65 participants. Results: Evidence based nursing competency increased significantly showing improvement in understanding EBN, formulating clinical question, searching & classifying the evidence, recognizing level of evidence, considering patient preference, and evaluating outcomes. Nursing students' access and use of evidence based information resource also improved. Conclusion: The results of this study indicate that the application of EBN to nursing management clinical practicum is effective to improve EBN competency in undergraduate students and should be further applied in nursing education using the systematic strategies.

간호대학생의 임상실습 적용을 위한 의도적 간호순회 프로토콜 개발 (Development of an intentional rounding protocol for nursing undergraduates to apply in clinical practice)

  • 김수은;옥종선;최진이;최희정
    • 한국간호교육학회지
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    • 제29권4호
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    • pp.381-394
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    • 2023
  • Purpose: This study aimed to develop an intentional rounding protocol to enhance the clinical competence of nursing students. Methods: An intentional rounding protocol for nursing students' clinical practice was developed following the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. A convenient sampling method was used to select 23 junior year university nursing students during their clinical practice in adult nursing. The program evaluation included a quantitative assessment (communication and relationship efficacy, empathy, and patient safety competency) and focus group interviews. Results: The intentional rounding protocol focused on the 4Ps (pain, position, potty, and possessions) and encompassed aspects such as level of consciousness, pain management, personal care needs, intravenous injection, oxygen administration, nasogastric/nasoenteric tube care, maintenance of urine collection bags, and the identification of environmental fall risks. Nursing students performed intentional rounding at least twice a day. Following the implementation of this protocol, nursing students demonstrated a significant improvement in communication and interpersonal efficacy. The focus group interviews revealed four main themes: growth of human relationships, acquiring knowledge in and about the clinical field, becoming a nurse, and barriers in reality. Conclusion: The intentional rounding protocol has the potential to enhance nursing students' communication and interpersonal skills during clinical practice and to provide them with positive experiences in nursing clinical education. Therefore, it is recommended that this protocol be incorporated into nursing clinical practice education.

일 대학 간호대학생이 지각한 중환자 간호 역량 조사 (Senior Nursing Students' Perceived Competence of Intensive and Critical Care Nursing)

  • 김진일;김두리;임효남
    • 한국간호교육학회지
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    • 제22권2호
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    • pp.115-124
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    • 2016
  • Purpose: The purpose of this study was to examine the degree of intensive and critical care nursing competence in senior nursing students. Methods: The research method for this study comprised a descriptive survey study with a convenience sample of 113 senior nursing students from one university. The instrument entitled ICCN-CS-1, which measures intensive and critical care nursing competence, was translated by the authors following WHO guidelines for translation process. The data were collected using ICCN-CS-1. Results: The mean score of intensive and critical care nursing was above the intermediate level. The competence indices of knowledge, skill and attitude/value were also above the intermediate level, which suggests that their competence is good. For two intensive and critical care nursing domains, the nursing students' mean score of clinical competence is higher than that of professional competence. The competence of intensive and critical care is also influenced by nursing students' satisfaction in their major and clinical practice as well as their confidence in clinical practice. Conclusion: The senior nursing students' competence of intensive and critical care nursing is above the intermediate level. A consideration of the influencing factors of satisfaction of nursing major/ICU practice and confidence of ICU practice is needed in intensive and critical care nursing education.

시뮬레이션 기반 신생아간호 교육이 간호대학생의 의사소통능력, 자기효능감, 임상수행능력에 미치는 영향 (Effects of Simulation-based Neonatal Nursing Care Education on Communication Competence, Self-efficacy and Clinical Competency in Nursing Students)

  • 심미경;김신향;김경화
    • 디지털융복합연구
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    • 제20권2호
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    • pp.563-571
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    • 2022
  • 본 연구는 시뮬레이션 기반 신생아간호 교육을 개발·적용하여 의사소통능력, 자기효능감, 임상수행능력에 미치는 효과를 확인하기 위해 시도되었다. 단일군 사전사후의 실험연구로 D시 소재 일 간호대학생 3학년 122명을 대상으로 하였다. 자료수집은 2021년 5월 3일부터 6월 4일까지 연구의 목적을 이해하고 참여에 서면동의 한 학생에 한해 자가보고식 설문지를 사용하여 자료를 수집하였다. 시뮬레이션 기반 신생아간호 교육은 3-4명을 한 그룹으로 하여 시나리오 구현을 위한 준비, 시나리오 구현, 디브리핑의 총 3단계의 4.5시간을 적용하였다. 연구결과 시뮬레이션 기반 신생아간호 교육 전·후 의사소통능력, 자기효능감, 임상수행능력은 유의한 차이가 있는 것으로 나타났다. 본 연구결과를 통해 아동간호학 분야에서 시뮬레이션 기반 교육은 관찰 위주인 아동간호 임상실습을 보완할 수 있는 효과적인 교수학습방법이 될 수 있음이 확인되었다.

학습계약에 기반한 자기주도 임상실습 운영사례 (Learning Contracts Based Self-Directed Clinical Practicum)

  • 김은정;조동숙
    • 한국간호교육학회지
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    • 제18권2호
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    • pp.268-275
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    • 2012
  • Purpose: The purpose of this study was to implement and evaluate the learning contracts based self-directed learning in a final clinical placement for senior nursing students. Methods: This study was a case study and 82 senior nursing students at a university participated in a learning contract based practice placement. Data were collected from written learning contracts and questionnaires after a clinical practice. Results: The students' learning needs were knowledge, clinical skills, and attitudes frequently encountered in a ward in which clinical skills were most common. The students' formulated learning contracts were varied but most of them were basic and simple. A self-directed clinical course was beneficial and a satisfactory experience to senior students. There was an increase in the students' motivation in learning, confidence in own capability, and satisfaction with the use of the learning contract. Conclusion: Self-directed clinical practicum would result in a degree of attitude change in the students. This study suggests that learning contract based self-directed clinical practice is effective to improve learning satisfaction, confidence in own capability, and competency.