• Journal of Korean Clinical Health Science
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• v.7 no.2
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• pp.1345-1354
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• 2019

Purpose: This study aimed to determine the mediating effects of aggressive stress response on the association between clinical practice stress and clinical practice satisfaction in ophthalmic optics majors and provide basic data that could help form opticians' professionalism and make clinical practice more effective. Methods: This study was conducted in 236 sophomores and juniors in Daegu and North Gyeongsang Province who had finished clinical practice. Hierarchical regression analysis and mediating effect testing were performed to determine the associations among clinical practice stress, clinical practice satisfaction, and aggressive stress response and determine the mediating effects of aggressive stress response on the association between clinical practice stress and clinical practice satisfaction. Results: Clinical practice stress was significantly negatively correlated with clinical practice satisfaction and aggressive stress response (p<0.01), and aggressive stress response was significantly positively correlated with clinical practice satisfaction (p<0.01). The association between clinical practice stress and clinical practice satisfaction was more likely to be explained by the addition of clinical practice stress than by being aggressive stress response controlled, which statistically significantly met the criteria for mediating effects (p<0.001). Conclusions: It is necessary to pay more attention to program development and teaching methods within the department of ophthalmic optics so that ophthalmic optics majors can utilize aggressive stress response to overcome clinical practice stress effectively and improve clinical practice satisfaction.

• Journal of dental hygiene science
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• v.19 no.4
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• pp.271-278
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• 2019

Background: This study aimed to examine the factors that influence clinical performance of dental hygiene students to provide useful data for developing strategies to improve clinical competence. Methods: The effects of variables on clinical competence by quantile level were analyzed using quantile regression analysis in 247 dental hygiene students. Quantile regression and multiple regression analyses were conducted using the Stata 11.0 program to analyze predictors of clinical competence. Results: The clinical competence score of dental hygiene students was 42.69±5.90, the satisfaction of clinical practice was 49.90±7.44, the clinical practice stress was 50.62±7.37, and the professional self-concept was 31.68±4.41. Empathy was the highest at 50.87±4.93. Multiple regression analysis showed that school year, stress from clinical training, satisfaction with clinical training, professional self-concept, and empathy had significant impact on clinical competence. Quantile regression analysis showed that the effects varied depending on the clinical competence level. School year and professional self-concept had a significant positive effect, regardless of the clinical competence level, while empathy had a significant positive effect at the top 10% (Q90) of the clinical competence level. Satisfaction with clinical practice affected clinical competence at Q25, Q50, and Q90. Stress from clinical practice had significant effects at Q25, Q50, and Q90 (p<0.05). Conclusion: According to the study results, different factors affected clinical competence according to the quantile of clinical competence. This study provides valuable implications for designing clinical competence enhancement programs and strategies. In addition, objective indicators for considering factors that may affect the clinical competence, such as academic competence and satisfaction of practice hospitals, are expected to require detailed analysis and measures.

• The Journal of Korean Academic Society of Nursing Education
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• v.6 no.1
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• pp.132-146
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• 2000

The purpose of this study was to explain the relationship between empowerment and satisfaction of clinical practice in nursing students. The instrument of this study was a structured questionnaire included empowerment and satisfaction of clinical practice. The data was collected from september 28, 1999 to March 31, 2000 and analyzed by Cronbach alpha, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and simple regression by using SPSS Win program. The result of research were as follows: 1. There was significant difference according to the general characteristic factor. The total empowerment was predicted by meaning of nursing, university and college, relationship of peer, clearance of study purpose. Satisfaction of clinical practice was predicted by university and college, clearance of study purpose. 2. There was a significant correlation between empowerment and satisfaction of clinical practice(r=0.442, p=0.000). 3. Empowerment was the highest factor predicting satisfaction of clinical practice. A total of 19.5% of the variance was explained in the total satisfaction of clinical practice. It was found that the higher the degree of perceived empowerment, the higher the degree of satisfaction of clinical practice. Therefore, nursing faculty should plan interventions to inspire satisfaction level of clinical practice by empowerment.

• The Korean Journal of Health Service Management
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• v.8 no.4
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• pp.149-161
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• 2014

The purpose of this study was to identify the association of factors related to clinical practice training for clinical competence among nursing students, and to analyze those factors influencing clinical competence, providing recommendations for improving their clinical competence and clinical learning environment. This descriptive correlative study completed organized questionnaires from 557 nursing students. The data was analyzed by SPSS 19.0. The most important factor affecting the clinical competence among nursing students was teaching effectiveness (${\beta}=.22$). followed by critical thinking (${\beta}=.19$). and the professional self-concept (${\beta}=.19$). The explained variable for clinical competence was 45.2% in nursing students. Thus, the development of an effective clinical internship program is important for strengthening nursing students' clinical competence. We suggest that the capability of nursing students should be strengthened and effective clinical internship programs should be developed to improve the clinical competence of nursing students.

• The Journal of Korean Academic Society of Nursing Education
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• v.4 no.2
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• pp.317-330
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• 1998

A descriptive-explanatory design was employed in this study. The purpose of this study was identify the level of assertiveness and clinical stress and the relationships between assertiveness and clinical stress in nursing students. A convenient sample of 143 nursing students was used for the study. The results of this study are as follows : 1) The level of assertiveness of nursing students was 3.65 in domain of contents, 3.68 in domain of voice, and 4.13 in domain of body language. Thus the level of asertiveness of nursing students was higher in body language. 2) The level of clinical stress of nursing students was 3.73 in domain of clinical education and evaluation by professors, 3.59 in domain of nurses, 3.32 in domain of human relationships, and 3.30 in domain of environment. Thus the level of clinical stress of nursing students was higher in clinical education and evaluation by professors. 3) The assertiveness of nursing students was found significantly related to human relationships. 4) The clinical stress of nursing students was found significantly related to satisfaction of nursing, satisfaction of clinical practice and priority of candidate for nursing. 5) The assertiveness of nursing students was not found significantly related to clinical stress in nursing students.

• Journal of Korean Clinical Health Science
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• v.3 no.4
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• pp.495-503
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• 2015

Purpose. The purpose of this study was descriptive research to evaluate the clinical competency and nursing professionalism values before and after nursing clinical practice in nursing students. Methods. The data collected from 100 nursing students by the study period was from December 10, 2013 ~ November 12, 2014 to measure the performance and clinical care professional intuition. The collected data were analyzed by paired t-test, ANOVA, correlation. Results. Clinical practice before performance was $3.48({\pm}.38)$, after practice $3.79({\pm}.40)$ was a professional nursing practice before intuition $3.90({\pm}.41)$, after the practice was $3.74({\pm}.40)$, clinical performance and the nursing profession is positive found to be correlated. Conclusions. This study suggests that development of research programs to improve care professional intuition in nursing college is necessary as results.

• Journal of Korean Clinical Health Science
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• v.9 no.2
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• pp.1526-1534
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• 2021

Purpose. This study is a descriptive research study to confirm the nursing professionalism, self-leadership, and clinical competence of nursing students and to identify factors affecting clinical competence. Methods. This study conducted a structured-questionnaire survey with 179 nursing students to look into their nursing professionalism, self-leadership, and clinical competence. Results. According to the study result, nursing professionalism scored 3.79 on average out of 5points, self-leadership 3.79 on average, and clinical competence 3.75 on average. It was found that clinical competence had significantly positive correlations with nursing professionalism (r=.62, p<.001) and self-leadership (r=.57, p<.001). According to regression analysis, the factors affecting clinical competence were nursing professionalism(β=.437, p<.001), self-leadership(β=.350, p<.001) and explanatory power was 46.4%. Conclusions. Given the above results, in order to improve clinical competence of nursing students, nursing educational institutes need to find an educational plan which can contribute to increasing nursing professionalism and self-leadership.

• Journal of Korean Physical Therapy Science
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• v.22 no.1
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• pp.1-10
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• 2015

Background : The purpose of this study is to provide information for making positive interpersonal relations by understanding the degree of difficulties of personal relations that physical therapy students may have on clinical practice. Methods : The study has been made based on the survey results of 10 university that completed clinical practice physical therapy students. The survey was conducted through direct contact and mail between October 1 and December 10, 2013, and analysed 291 survey sheets. Results : The results reveal that clinical instructor's attitude toward students was satisfying(71.82%). The results reveal that students felt convenient when faced with other department staffs in the hospital(70.44%). The results reveal that students didn't feel uncomfortable when they addressed themselves to patients(83.85%). The results reveal that students didn't feel uncomfortable when they were working with other college students(74.57%). Conclusions : The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to physical therapy students.

• Asian Oncology Nursing
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• v.4 no.2
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• pp.110-123
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• 2004

The purpose of this study was to develop a clinical pathway for the allogeneic bone marrow transplantation donor. For this study, a conceptual framework was developed through a review of the literature including six steps which are using in Jones Hopkins Hospital. USA. The researcher reviewed 129 medical re-cords of donor who had bone marrow donation between January 2002 to January 2004, to identify the overall service contents required by these patients and to make a preliminary clinical pathway. A content validity test was done for the preliminary clinical pathway, a professional group screened 51 medical re-cords and adopted with 3 hospitalization days as the clinical pathway framework. In the fifth step, clinical pathway test was also done to 7 donors from April 28th to July, 2004. After these processes the final clinical pathway was developed. The results of this study are as follows: 1. The vertical axis of the clinical pathway Includes the following 9 items: vital signs, nursing assessment, activity, diet, intervention, medication, test, consultation and patient teaching. The duration of the horizontal axis was 3days from admission to discharge 2. Analysis of the 129 medical records indicated that the average length of stay was 3 4 days. The medical performance according to the vertical axis in the preliminary clinical pathway consisted of 51 items After clinical validity test, it steel consisted of 51 items in the final form. 3. Clinical Validity test was done to 7 bone marrow donors. During these process, The first patient was deleted because he was out of the criteria the investigate set and 6 patients were used, finally The result of this study indicated all of 7 donors were discharged on expected day. 4. Clinical pathway enables to improve the quality of care, multidisciplinary team work It also helps nursing bone marrow donor, effective education to donor or medical member. The results of this study suggest that clinical pathway may be able to improve the quality of nursing care for bone marrow transplantation donors.

• Korean Journal of Adult Nursing
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• v.25 no.5
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• pp.574-584
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• 2013

Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.