• 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.

• 여성건강간호학회지
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• 제29권3호
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• pp.219-228
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• 2023

Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

• 기본간호학회지
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• 제16권1호
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• pp.56-63
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• 2009

Purpose: The purpose of this study was to identify self-efficacy, disposition to critical thinking and level of nursing competency in new nurses and to exam the correlation among these variables. Method: The sample was composed of 286 new nurses who had worked at E hospital for 1 year. Descriptive and correlation analysis using the SPSS program were used to analyze the data. Results: The mean score for self-efficacy was 67.10, disposition to critical thinking, 3.01 and nursing competency, 3.02. There were significant differences in scores for 3 variables between nurses with College degrees and nurses with Baccalaureate degrees. There was a significant positive correlation between disposition to critical thinking and nursing competency scores. Conclusion: Further study of the various components that influence nursing competency is necessary. Also based on the disposition to critical thinking, there is a need to develop education programs to strengthen curiosity and other related variables. The results of this study confirmed the necessity of developing a clinical model of nursing competency ability.

• 한국융합학회논문지
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• 제11권10호
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• pp.181-186
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• 2020

본 연구에서는 간호대학생을 대상으로 임상적 추론 역량에 대하여 조사하고 이에 영향을 미치는 요인을 파악하고자 시도되었다. 본 연구는 G^⁎Power 3.1.9.4를 이용하여 간호대학생 3, 4학년 297명을 대상으로 간호핵심역량과 관련된 학습능력을 파악하고자 임상적 추론, 문제해결능력, 비판적 사고성향, 임상적 의사결정, 자기주도학습, 임상수행능력을 측정하고 임상적 추론 역량에 영향을 미치는 변수를 검정하는 서술연구이다. 연구결과를 살펴보면, 학년별로 임상적 추론역량을 비교한 결과 유의한 차이를 보였으며(p=0.001), 또한 임상적 추론역량에 대한 영향변수를 확인한 결과 문제해결능력, 임상적 의사결정 능력, 임상수행능력, 임상실습경험(학년)이 유의한 변수로 나타났다.(p,.001). 본 연구결과는 간호대학생의 임상적 추론 역량을 높이기 위한 다양한 교육과정개발의 근거로 활용될 수 있을 것으로 보이며, 향후 임상적 추론 역량을 높일 수 있는 교육 개발을 위한 연구가 필요할 것으로 사료된다.

• 중환자간호학회지
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• 제12권2호
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• pp.50-60
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• 2019

Purpose : The purpose of this study was to identify the attributes, antecedents, and consequences of the transition of simulation-based learning (SBL) in nursing schools. Methods : The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched MEDLINE, CINAHL, EMBASE, Google Scholar, and RISS (Korean Education and Research Information Service) databases, resulting in nine studies for an in-depth review. Results : The attributes of transition of SBL include (1) preparing for a professional role, (2) practicing in a real clinical setting, and (3) progressing toward expected competency. Antecedents of the concept include novice status, changing roles, clinical experience in controlled settings, and expected competency in the clinical setting. Conclusion : The transition of SBL includes the important feature of progression toward expected competency. Further research is needed to identify graduate nurses' experiences during this transition to establish a strategy for improving it and developing a measurement tool that reflects attributes of the concept.

• 융합정보논문지
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• 제12권2호
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• pp.54-62
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• 2022

본 연구는 융합실습을 경험한 간호대학생의 핵심간호역량의 영향을 규명하는 것을 목적으로 하였고, U 광역시 소재 간호대학생 123명을 대상으로 하였다. SPSS 22.0 프로그램으로 t-검정, ANOVA, 상관관계 및 다중회귀분석을 하였다. 연구결과 핵심간호역량, 자기주도학습능력, 학습만족도, 학습성과의 평균점수는 5점 만점에 3.99점, 3.71점, 4.11점, 4.25점이었다. 간호대학생들의 핵심간호역량에 영향을 미치는 요인은 자기주도적 학습능력과 학습성과였으며 핵심간호역량을 설명하는 설명력은 29%이었다. 학습만족도는 핵심간호역량에 영향을 미치지 않은 것으로 나타났다. 본 연구결과 통해 임상실습현장에서 볼 수 있는 다양한 간호행위를 관찰하거나 시행할 수 있는 아닌 한계점을 개선하기 위해서는 양질의 교육환경 및 프로그램 개발이 마련되어야 함을 알 수 있었다. 교육환경 및 임상실습 평가에 대한 명확하고 체계적인 기준이 필요하고 실습이 다양해짐에 따라 임상실습에 대한 체계적인 표준안이 마련되어야 할 것을 제언한다.

• 한국콘텐츠학회논문지
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• 제15권6호
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• pp.370-378
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• 2015

본 연구는 간호 대학생의 감성 지능과 자기 효능감이 임상수행능력에 미치는 영향을 확인하고자 하였으며 본 연구의 대상자로 일 대학의 간호 대학생 199명이 참여하였다. 자료 수집은 Wong & Law Emotional Intelligence Scale (WLEIS), General Self-efficacy Scale, 임상수행능력 도구를 통하여 설문조사하였다. 본 연구 결과 감성 지능, 자기 효능감, 임상수행능력은 중간 수준(감성 지능은 M=4.7, SD=0.81; 자기 효능감은 M=3.2, SD=0.34; 임상수행능력(5점 만점)은 M=3.4, SD=0.56)으로 나타났다. 그리고 간호 대학생의 학년과 임상실습 만족도가 높을수록 임상수행능력 정도가 높게 나타났다. 더 나아가 감성 지능과 임상수행 능력의 상관성(r=.566, p< .001), 자기 효능감과 임상수행능력(r=.440, p< .001)은 통계적으로 유의한 순 상관관계가 있는 것으로 나타났다. 임상수행능력에 영향을 미치는 요인은 감성 지능, 자기 효능감, 성별이었다. 이들 요인의 설명력은 총 49.3%였다. 본 연구 결과를 토대로 간호 대학생의 임상수행능력 향상을 위해서는 이들 변수를 반영한 다양한 교수법과 학습전략마련이 필요하다.

• 기본간호학회지
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• 제17권3호
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• pp.362-370
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• 2010

Purpose: In this study the present status of the practicum in Fundamentals of Nursing and test for student competency in nursing skills were surveyed. Method: Participants included 72 nursing schools. A structured questionnaire was used for data collection and SPSS 17.0 for data analysis. Results: Credits for Fundamentals of Nursing, credits for practicum and hours per credit were 2.93, 7.34, and 2.14 respectively. Number of students per practice unit, full time assistants and students per assistant were 28.6, 0.6, and 20.2 respectively. Utilization of CPX room and OSCE room for practice was 5.6%, and 9.7% respectively. Of the school, 32.0% included clinical practice in the practicum. 90.3% provided an open lab but only 48.4% had full-time assistants for these clinical practice areas. Testing for nursing skill competency was performed twice a semester in most schools. Utilization of standard patients and high fidelity models for testing was 8.3%, and 23.6% respectively. The test was thought to be inappropriate in 33.4% of the schools. Conclusions: The results suggest that to improve the outcomes, the practicum for Fundamentals of Nursing needs to be changed to include expansion of facilities and human resources, utilization of standard patients and high fidelity models and development of appropriate test methods.

• 한국농촌간호학회지
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• 제13권2호
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• pp.25-41
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• 2018

Purpose: In this study undergraduate nursing students' experiences of learning in community health nursing clinical placements was explored on order to develop a more effective practice teaching method. Methods: Focus group interviews (FGI) were held with 11 nursing students in junior or senior year. The interviews were audio-taped semi-structured interviews and were analyzed using content analysis. Results: Nursing students felt that the education system for practice was incomplete in considering the nursing that was needed for their on-site practice. Also they were aware of the totality of the community and voluntarily tried to provide for the expansion of knowledge. Conclusion: Findings indicate a need to establish a cooperative plan between nursing schools and practice agencies and collaborative development in the community health nursing practice guidelines.

• 한국간호교육학회지
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• 제25권3호
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• pp.357-365
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• 2019

Purpose: The purpose of this study was to investigate predictors of emotional labor and resilience on clinical competence in nursing students. Methods: A cross-sectional, descriptive study was distributed to 120 nursing students. Structured questionnaires addressing emotional labor, resilience, and clinical competence were employed. Descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and regression were used to analyze the data. Results: A total of 116 surveys were analyzed. Satisfaction of clinical practice and major showed statistically significant differences in clinical competence (F=6.59, p=.002; F=11.32, p<.001, respectively). Clinical competence was positively associated with resilience (r=.67, p<.001). Regression analyses showed that satisfaction of clinical practice and major, and resilience were statistically significant in predicting clinical competence with the explanatory power of 46.4% (F=20.91, p<.001). Conclusion: The results showed that resilience was the critical predictor of clinical competence in nursing students. It is therefore necessary to develop resilience programs to help improve clinical competence in nursing students.