• 한국간호교육학회지
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• 제10권1호
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• pp.54-63
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• 2004

The purpose of this study is to identify the factors that influence stress experienced by nursing students and to provide a perceived causal structure model among these variables. The ultimate goal of this study is to develop efficient guidance to clinical nursing education in this population. This study intends to apply perceived causal structure: network analysis method which was developed by Kelly(1983), and has been applied in nursing research. This method is selected to show dynamic relationship of stressor using network method. Data was collected from convenient sample of 186 junior college nursing students who had the clinical practice experience during 10 weeks. Data collection and analysis was conducted in 2 steps from December, 9, 2002 to February, 8, 2003. Step 1.: Data was collected using literature review(10 articles) to identify the causes of stress. Nine causes of stress were extracted. Step 2.: As perceived casual structure network study, data was collected using questionnaires which included 9 extracted cause and stress. The questionnaire contained a 10 X 10 grid table with 10 causes and effects printed. In network analysis, 'Yes' was scored as 1, 'No' was scored as 0, and the mean(maximum 1, minimum 0) was calculated. Construction of the network under inductive eliminative analysis which stopped the construction of the network when the consensual agreement level dropped near 50% was proceeded by adding causes in order of the mean rating level. In this study, construction of the final network was stopped by consensual agreement level of 52% of the total subjects. The results are summarized as follows : Step 1: Investigation of the causes of stress ; The extracted causes of stress from quality data was identified 9 categories ; negative nurse, lack of clinical practice opportunity, ambiguous role, negative patient, lack of nursing knowledge and skill, difficult of personal relations, inefficient clinical practice guidance, gap of theory and practice, lack of support. Step 2 : Construction of the perceived causal structure model ; 1) The most central cause of stress is ambiguous role in the systems of causation. 2) The distal cause of stress is inefficient clinical practice guidance 3) The causes that have a number of outgoing link are negative nurse, ambiguous role. 4) The causes that have a number of incoming link are ambiguous role, gap of theory- practice, lack of clinical practice opportunity, lack of nursing knowledge- skill. 5) There is a mutual relationship between stress and difficult of personal relations, stress and ambiguous role, ambiguous role and negative nurse, ambiguous role and lack of clinical practice opportunity, ambiguous role and lack of nursing knowledge-skill, lack of nursing knowledge-skill and gap of theory- practice. In conclusion, the network suggests that the first centre cause is related on ambiguous role and the second on negative nurse, inefficient clinical practice guidance in the systems of causation

• 임상간호연구
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• 제24권1호
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• pp.74-84
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• 2018

Purpose: For this study an examination was done of relationships between intensive care unit (ICU) nurses' knowledge related to sedation and their clinical competencies in sedation practice. Methods: Ninety one ICU nurses were recruited from two tertiary hospitals in South Korea. A self-report questionnaire was used to examine the levels of knowledge related to sedation and nursing practice competence based on Ajzen's theory of planned behavior. Descriptive statistics, independent t-tests, one-way ANOVA, and Pearson correlations were performed using the IBM SPSS 21.0 Results: ICU nurses are more knowledgeable about general information on sedation rather than up-to-date information. Continuing education on sedation was related to difference in knowledge levels. However, the levels of knowledge were not related to competence in sedation practice. Instead, a positive attitude toward sedation practice was significantly related to the subjective norms; orders and goals, perceived behavioral control, practice of sedation, and intention to use. Conclusion: The results of this study provide fundamental information on levels of knowledge related to sedation practices of Korean ICU nurses. Continuing education should emphasize up-to-date information on sedation practice and need for positive attitudes which influence all other competencies towards sedation practices to achieve optical care of sedation in the ICU.

• 보건의료산업학회지
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• 제12권4호
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• pp.17-30
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• 2018

Objectives: This study aimed to examine the effects of compassion competence, professional self-concept and nursing practice environment on caring behaviors of clinical nurses. Methods: A convenience sample of 200 nurses was drawn from a tertiary hospital in G city. Structured self-report questionnaires were used to collect data, which were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: A significant difference in caring behaviors of nurses was found for age, educational level, and unit. There were statistically significant positive correlations between study variables. Sensitivity and communication of compassion competence, communication of professional self-concept, and nursing foundations for quality of care in nursing practice environment were significant predictors of caring behaviors, explaining 51.3% of total variance. Conclusions: To improve clinical nurses' caring behaviors, strategies must be developed and implemented for enhancing their compassion competence, professional self-concept, and nursing practice environment.

• 융합정보논문지
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• 제10권3호
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• pp.104-114
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• 2020

본 연구의 목적은 간호대학생이 임상실습 중 경험한 무례함 정도를 조사하고 무례함, 스트레스 대처전략이 간호전문직관 형성에 미치는 영향을 파악하는 것이다. 연구대상은 총 290명을 대상으로 삼았다. 연구도구는 무례함, 스트레스 대처전략, 간호전문직관을 사용하여 측정하였다. 자료 분석은 SPSS WIN 20.0을 이용하여 분석하였다. 연구결과 첫째, 일반적 특성 중 성별, 학년, 임상실습만족도, 임상실습환경만족도, 임상실습 중 무례함을 경험한 경우에 무례함 정도에 유의한 차이가 있었다. 또한, 간호전문직관의 차이는 전공만족도, 임상실습만족도, 임상실습환경만족도에 따라 유의한 차이를 보였다. 둘째, 무례함은 문제해결 중심대처(r=.36), 사회적지지 중심대처(r=.26), 회피중심대처(r=.25), 간호전문직관(r=-.16)과 상관관계가 있는 것으로 나타났다. 셋째, 간호전문직관에 유의미한 영향을 미치는 요인으로는 사회적지지 추구 대처(β=.23), 임상실습 환경 만족도(β=.22), 임상실습 만족도(β=.16)로 나타났으며, 총 설명력은 14% 이었다. 본 연구의 결과는 간호대학생의 간호전문직관 형성을 위해서는 적절한 스트레스대처전략, 만족스러운 임상실습환경과 임상실습 경험이 중요함을 시사한다.

• 동서간호학연구지
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• 제17권1호
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• pp.66-70
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• 2011

Purpose: The aim of this study was to examine the types of nursing problems in oriental nursing practice. Methods: This study employed a descriptive survey design. Nursing documentation was retrospectively reviewed for patients discharged from an oriental medicine hospital during three months. Nursing diagnoses documented were mapped into the Clinical Care Classification System. Data were summarized using descriptive statistics. Results: Data were collected from 110 patients using nursing documentation. The number of nursing diagnoses documented was 204 with a mean of 1.9 per patient. The frequently occurring nursing diagnoses were 'risk for trauma' (48.0%), 'pain' (13.7%), and 'urinary elimination alteration' (7.8%). According to the Clinical Care Classification system, the safety component (51.5%) was the most common nursing problem in oriental nursing practice. Conclusion: The study finding suggested that major nursing problems in oriental nursing practice were related to patient safety. Therefore, oriental nursing education on patient safety should be emphasized to improve the quality of nursing care in oriental medicine hospitals.

• 중환자간호학회지
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• 제2권2호
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• pp.56-67
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• 2009

Purpose: This study was done to suggest the standard ICU nursing procedure and standard ICU nursing practice time carried out according to the standard ICU nursing procedure. Methods: Through the literature review, 35 standard ICU nursing activities were selected and classified under 6 categories. Standard nursing procedures were described by research team and 4 clinical practice experts. Content validity of descripted nursing procedure was performed by 6 clinical practice experts. After that standard ICU nursing procedures were identified, standard nursing practice times were checked through 1:1 observation. Results: 35 ICU nursing activities were identified and categorized into 6 domains of activities. Also, their standard nursing procedures were identified, and finally 33 standard nursing practice times were measured and analyzed. The result of the measurement, 1 ICU nursing activity was spent above 30 minutes, 3 activities done within 10-20 minutes, 4 activities done within 5-10 minutes, and 25 activities were spent below 5 minutes. Conclusion: Through this study, 35 standard ICU nursing procedures were described and 33 standard ICU nursing practice times which carried out according to standard ICU nursing procedures were checked. The result can be as fundamental data for the study of nursing activity time in the ICU.

• 동서간호학연구지
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• 제13권2호
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• pp.179-186
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• 2007

Purpose: The aim of this study was to examine the differences in critical thinking and professionalism between Korean and Chinese nursing students. Critical thinking and professionalism were a part of five domains to evaluate nursing education: critical thinking, professionalism, leadership, communication, and nursing practice from the Korean Accreditation Board of Nursing. Methods: Data were collected from 207 college nursing students: 104 students from the 4-year degree program in Korea and 103 from the 5-year degree program in China from September 2006 to September 2007. The instruments for Chinese students were translated in Chinese and re-translated to check accuracy. The data were analyzed by using the SPSS/PC+ Win 12.0 Version. The $x^2$-test to compare general characteristics and the t-test to examine the differences of the study variables were conducted. Results: Korean nursing students reported significantly higher scores of critical thinking than did Chinese students while Chinese students reported significantly higher scores of professionalism. Students took previous courses associated with critical thinking reported significantly higher scores than did those without previous courses taken. There was no significant difference in scores of professionalism whether students had previous experience of related courses or not. Rather than, students with clinical practice reported higher scores of professionalism than did those without clinical practice. Conclusion: Levels of critical thinking were influenced by course focusing on critical thinking while professionalism was improved by combination of associated courses and clinical practice. For follow-up study, there is needed to examine nursing curriculum between Korea and China.

• 융합정보논문지
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• 제12권2호
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• pp.81-93
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• 2022

본 연구의 목적은 코로나 팬데믹 시기에 웹기반 시뮬레이션 실습을 포함한 임상 실습 경험의 의미를 파악하는 것이다. 웹기반 시뮬레이션 실습과 임상 실습 경험을 포커스그룹 인터뷰를 통하여 자료를 수집하고 내용분석 방법에 따라 분석하였다. 포커스 그룹에 의한 심충 면담내용을 분석한 결과, 2개의 구성요소와 7개의 주제 묶음, 18개의 주제로 나타났다. 첫 번째 구성요소로, 임상 실습은 4개의 주제 묶음으로 '팬데믹 상황에서의 불안한 실습의 출발', '다양한 사례에 의한 직접 경험', 미래 간호사로서 준비하는 훈련 기회', ' 수행의 부담감 및 제한적 경험'이었다. 두 번째 구성요소인 웹기반 시뮬레이션 실습은 3개의 주제 묶음으로 '미완성의 간호실습', '가상공간에서의 임상 간호에 대한 간접경험', '통합 실습 모델의 요구'로 분류되었다. 간호교육과정에서 임상 실습은 매우 중요한 부분이나 학생들이 실제로 현장에서 수행할 수 있는 간호는 매우 제한적이다. 따라서 관찰 위주의 임상 실습의 단점을 보완하고, 실습 교육의 질적 수준을 높이기 위하여, 웹기반 시뮬레이션 실습을 포함한 혼합 실습 모델 등을 고려할 필요가 있다.

• 한국간호교육학회지
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• 제9권2호
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• pp.310-319
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• 2003

The purpose of this study was to determine what effect reflection on clinical practice experience had students as learners and care providers. Qualitative research method was used to study a group of four-year undergraduate nursing course. Content analysis was done using the classification method of Carper's four patterns of knowing. Results of the study indicated that the use of the reflective process of clinical debriefing and journaling was impact on the aspect of nursing science, moral component of knowledge in nursing, personal knowing in nursing and the art of nursing. Especially, students moved from a passive to a more active mode of learning. The most significant finding was that over time, reflective processes resulted in the emergence of the client as the central focus of care. It was suggested that reflection was an important learning tool in professional education and that the skills required for reflection need to be developed in professional courses.

• 임상간호연구
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• 제20권3호
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• pp.337-347
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• 2014

Purpose: Deep Vein Thrombosis (DVT) is the cause of fatal diseases such as pulmonary embolism, due to a prolonged immobility, surgery, paralysis, and injuries. This study aimed to develop an evidence-based practice guideline for DVT prevention and apply it to patients with surgery in diverse nursing sites in South Korea. Methods: A 24-staged processes of adaptation was carried out on the basis of "adaptation of nursing practical guidelines" developed by Gu et al., in 2012. Results: Developed nursing guidelines of DVT prevention are composed of 79 recommendations in 8 domains. The extent and ratings of each recommendation with its evidence were addressed along with the background information. Conclusion: The developed DVT prevention guideline is necessary to be added to the evidence-based practice guidelines for the fundamentals of nursing practice. The developed guideline is needed to be disseminated to diverse nursing clinical settings in order to prevent DVT and enhance the quality nursing care.