• 제목/요약/키워드: Clinical nursing competence

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고학년 간호대학생의 인간중심간호역량 영향요인: King의 역동적 상호작용 체계모형을 중심으로 (Factors affecting Person-Centered Care Competence for senior nursing students: Focused on King's dynamic interaction system model)

  • 조인영;윤지영;김효진
    • 한국융합학회논문지
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    • 제12권8호
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    • pp.357-367
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    • 2021
  • 본 연구는 King의 역동적 상호작용체계를 기반으로 고학년 간호대학생의 인간중심간호역량에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 임상실습경험이 있는 4학년 간호대학생 242명을 대상으로 2021년 3월 20일부터 4월 3일까지 google 설문지를 통해 윤리적 민감성, 동료돌봄행위, 대인관계유능성, 사회적지지, 인간중심간호역량을 조사하였다. 수집된 자료는 SPSS 26.0 program을 사용하여, 기술통계, T-test, ANOVA, Pearson's correlation coefficient, Multiple regression을 통해 분석하였다. 연구결과, 대상자의 인간중심간호역량에 영향을 미치는 요인은 대인관계유능성(β=0.42, p<.001)과 사회적지지(β=0.29, p<.001)였으며, 이들의 설명력은 44.1%였다(F=23.77, p<.001). 본 연구는 개념적 기틀을 바탕으로 고학년 간호대학생의 인간중심간호역량에 영향을 미치는 개인적, 대인관계적, 사회적요인을 파악함으로써 이를 증진시키기 위한 방안을 모색하고 나아가 중재 프로그램 개발의 기초자료를 제공하였다는 점에서 의의가 있다.

학제간 의사소통을 포함한 시뮬레이션 교육이 간호대학생의 의사소통 자신감, 의사소통 행위, 기술적 술기 수행에 미치는 효과 (Effects of Simulated Interdisciplinary Communication Training for Nursing Students on Self-confidence in Communication, Communication Behavior and Technical Skill Performance)

  • 남경아;김은정;고은정
    • 한국간호교육학회지
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    • 제23권4호
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    • pp.409-418
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    • 2017
  • Purpose: Ineffective communication between healthcare professionals leads to medical errors and puts patients at risk of harm. The aim of this study was to examine the effects of interdisciplinary communication training in simulated settings on self-confidence in communication, observed communication behavior, and technical skill performances of nursing students. Methods: A repeated measures design with one group was conducted. Data was collected from 92 nursing students through a self-administered questionnaire and an observed behavior checklist. Data analysis was performed using descriptive statistics, a paired t-test, the Wilcoxon signed rank test, the Friedmann test, a Repeated Measures ANOVA, and the Spearman correlation coefficient. Results: Self-confidence in communication, observed Identification-Situation-Background-Assessment-Recommendation-Read Back communication behavior, and technical skill performances of nursing students were significantly improved. In observed communication behavior, the performance of Assessment and Read Back communication significantly improved. However, communication of Background, Assessment, and Recommendation did not improve to a satisfactory level. Observed communication behavior was not correlated with the overall technical skill performance. Conclusion: These results indicate that interdisciplinary communication training in simulated settings was effective in improving nursing students' confidence and communication skills with physicians. Longitudinal studies with larger samples are recommended in order to verify the effects of interdisciplinary communication training on clinical outcomes as well as communication competence.

일개 대학 간호대학생의 학업성취도, 만족도와 교육요구도 (Study on the Academic Achievements, Satisfaction, and Educational Demands of Nursing Students at a College of Nursing)

  • 김진현;김성재;방경숙;고진강;이남주;유주연
    • Perspectives in Nursing Science
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    • 제9권2호
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    • pp.127-135
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    • 2012
  • Purpose: The purpose of this study was to investigate the academic achievements, satisfaction and educational demands of nursing students at a college of nursing. Methods: The study subjects consisted of 134 senior nursing students who completed their clinical practicums. The students were asked to complete the evaluation survey for the curriculum. The evaluation survey for the curriculum consisted of three parts: 1) academic achievements of educational objectives, care of subjects, and skills; 2) satisfaction with the curriculum, clinical practice environment, and educational environment; 3) demands on the curriculum and clinical practicum. Results: The mean scores on the achievement levels of educational objectives, care of subjects and skills of the students were $3.68{\pm}0.53$, $3.69{\pm}0.59$, and $3.77{\pm}0.56$, respectively. The low rated domains were 'understanding and delivering culturally competent nursing' and 'competence in fundamental nursing skills' in their levels of achievements. Overall, students were satisfied with the nursing curriculum and educational environment. However, their satisfaction scores for the hours and arrangements of the clinical practicum, and the ratios and arrangements of lectures and clinical practicum were relatively low. Conclusion: The findings of this study are important to redesign nursing curriculum in order to prepare graduates for rapidly changing health care environments. We need to try various strategies to improve the clinical competencies of students by designing a curriculum based on social change and student needs.

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졸업직후 신규간호사의 감성지능, 비판적 사고능력 및 임상수행능력 간의 관계 (The Relationship between Emotional Intelligence, Critical Thinking Disposition and Clinical Competence in New Graduate Nurses immediately after Graduation)

  • 이외선;김미정
    • 디지털융복합연구
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    • 제16권6호
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    • pp.307-315
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    • 2018
  • 본 연구는 졸업직후 신규간호사의 비판적 사고능력과 임상수행능력과의 관계에서 감성지능의 매개효과를 파악하고자 시도되었다. C시와 K시 소재 2개의 종합병원의 졸업직후 신규간호사 181명을 대상으로 설문지를 이용하여 2017년 2월 27일부터 3월 30일까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 23.0을 이용하여 기술통계, Independent t-test, ANOVA, 피어슨 상관분석과 다중회귀분석을 실시하였고, 매개효과의 유의성 검증은 sobel test로 실시하였다. 연구결과 감성지능은 비판적 사고능력(r=.62, p<.001), 임상수행능력(r=.60, p<.001)과 유의한 정의 상관관계가 있는 것으로 나타났으며, 비판적 사고능력과 임상수행능력과의 관계에서 부분매개를 하는 것으로 나타났다(Z=3.88, p<.001). 그러므로 졸업직후 신규간호사의 임상수행능력을 향상시키기 위해서는 비판적 사고능력 뿐만 아니라 감성지능을 향상 시킬 수 있는 프로그램의 개발 및 적용이 필요하다.

간호역량 군집 유형에 따른 성찰 수준, 팀학습 분위기 및 학습조직 구축정도 비교 (Comparison of Reflection Hierarchy, Team Learning Climate, and Learning Organization Building on Nursing Competency in Clinical Nurses)

  • 김희영;장금성
    • 간호행정학회지
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    • 제19권2호
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    • pp.282-291
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    • 2013
  • Purpose: The purpose of this study was to identify clusters of nursing competency, and investigate the influence of reflective thinking, team learning climate, and learning organization building according to nursing competency clusters. Methods: Participants were 244 clinical nurses who worked in 4 general hospitals in Gwangju Metropolitan City. Data were collected by self-report questionnaires during June and July, 2011. Nursing competency, levels of reflection hierarchy, team learning climate, and learning organization building were measured. Data were analyzed using frequencies, means, t-test, one-way ANOVA, Pearson correlation coefficients, and K-means cluster analysis with SPSS/WIN 20.0 version. Results: Nursing competency correlated positively with intensive reflection, reflection, team learning climate, and learning organization building (p<.001). There were three clusters of nursing competency in a clinical ladder, which were derived from cluster analysis, grouped as high, middle, and low competency. Intensive reflection, reflection, team learning climate, and learning organization building showed significant differences according to grouping of nursing competency. Conclusion: The results indicate that developing intensive reflection, reflection, team learning climate, and learning organization building would be useful strategies for enhancement of nursing competency.

임상실습 오리엔테이션 프로그램이 간호학생의 첫 임상실습에 대한 불안, 자아존중감 및 자기효능감에 미치는 효과 (Effect of Clinical Practice Orientation Program on Anxiety, Self-Esteem and Self-Efficacy in College Students in Nursing)

  • 이숙희
    • 기본간호학회지
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    • 제15권4호
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    • pp.539-547
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    • 2008
  • Purpose: This study is done to identify how a clinical practice orientation program would affect anxiety, self-esteem and self-efficacy in college students in nursing. Method: Data was collected from 127 nursing students in February, 2008. The collected data were analyzed with the SPSS/Win 12.0 program, using t-test, ANOVA, paired t-test and Pearson's correlation coefficients. Results: The total mean scores were; anxiety 53.22/80, self-esteem 29.51/40 and self-efficacy in 59.76/85. Self-esteem and self-efficacy level were significantly different according to the level of Fundamentals practice and satisfaction with nursing as a major satisfaction(p=.001). The effect of the orientation program on clinical practice were a significantly increased in self-esteem and self-efficacy (p=.000). But in terms of anxiety, the effect was the opposite. So study to identify other factors causing anxiety and strategies to reduce the anxiety need to be considered. Conclusion: It is important to improve self-esteem and self-efficacy and the study results indicate that an orientation program is one strategy that needs to be developed to meet these needs for college students in nursing.

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아동간호학 학내실습이 신생아간호 수행능력에 미치는 효과 (Effectiveness of Infant Care Competence according to Pediatric Nursing Practice at School)

  • 김지연;안민순;박현주
    • 부모자녀건강학회지
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    • 제15권1호
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    • pp.14-19
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    • 2012
  • Purpose: This study purposed to examine the effect of the neonatal assessment ability and neonatal care ability of nursing students according to practice at school. Methods: The participants were 91 nursing students in the experimental group and 89 control group. The data were analyzed using descriptive statistics, fishers exact test, t-test, ANOVA. Results: The mean score of neonatal assessment ability was $39.01{\pm}2.19$ in experimental group, $30.20{\pm}6.48$ in control group. The mean score of neonatal care ability was $39.43{\pm}2.31$ in experimental group, $33.67{\pm}5.17$ in control group. Conclusion: From the studies reviewed, it can expect the positive effect to improving the infant care competence of nursing students in clinical field through pediatric nursing practice at school.

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간호대학생의 핵심역량 구조모형 (A Structural Equation Model on Core Competencies of Nursing Students)

  • 정명순;권혜진
    • 한국간호교육학회지
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    • 제21권2호
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    • pp.256-265
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    • 2015
  • Purpose: The purpose of this study was to propose and test a predictive model that could explain and predict the core competencies of nursing students. Methods: A survey using a structured questionnaire was conducted with 361 nursing students. The data was analyzed using SPSS Windows 21.0 and AMOS 21.0. Results: The elements that directly influence the core competencies of nursing students were satisfaction with their academic discipline (nursing) and critical thinking disposition in which the disposition toward critical thinking directly influenced their satisfaction with nursing as an academic discipline and clinical practice. Conversely, satisfaction with clinical practice indirectly influenced core competencies through critical thinking disposition. Conclusion: This result provides the basic data for a competence-based curriculum intent on strengthening the core competencies (communication, problem-solving, and self-directed learning) by improving satisfaction with both clinical practice with their major and disposition toward critical thinking on the part of nursing students.

구조화된 객관적 임상시험(OSCE) 실시 후 간호학생들의 임상수행능력에 대한 자기평가경향 분석 (Analysis of Trends in Self-assessment of Performance of Clinical Skills in Nursing Students after OSCE)

  • 한미현;박석건
    • 기본간호학회지
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    • 제18권2호
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    • pp.210-216
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    • 2011
  • Purpose: The self-assessment ability of students is important in acquiring clinical skills. The study explored the self-assessment behavior of nursing students after OSCE (Objective Structured Clinical Examination). Methods: The participants were 90 nursing students. They assessed their performance just after an OSCE (assessment 1). They were given OSCE checklists and re-assessed their performance level (assessment 2). Assessments 1, 2, and an assessment by professor were compared and analyzed. Results: Students assessed themselves higher than professor. But, when students were divided into three groups according to score level, different behaviors were evident between the groups. The high-score group assessed themselves lower than the professor, while the mid-and low-score groups assessed themselves higher than the professor. Students' self-assessment more closely approximated the professor's assessment when they were given checklists. The correlation between assessments 1 and 2 was stronger in high-score group and weak in low-score group. Conclusion: The study results indicate that students tend to assess their skills higher than the professor, but their scores were more in line with the professor when they were provided with checklists, and students' self-assessment behavior differed in the different score groups, suggesting a need for customized feedback and a concern for students with low scores.

교수학습방법에 따른 3개 간호대학생의 비판적 사고성향과 임상수행능력 (Critical Disposition and Clinical Competency in 3 Nursing Colleges with Different Education Methods)

  • 양선희;이옥철;이우숙;윤진;박창승;이숙정
    • 한국간호교육학회지
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    • 제15권2호
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    • pp.149-158
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    • 2009
  • Purpose: This study investigated critical thinking disposition and clinical competency of senior nursing students in 3 nursing colleges whose education methods were different; lecture based education, partially problem based learning (PBL) applied education or whole problem based learning applied education. Method: Participants were 399 diploma nursing students, and 92 undergraduate nursing students. The instruments used for this study were critical thinking disposition scales and clinical competency scales. Results: There was no statistical difference on critical thinking disposition except healthy skepticism between the 3 colleges. Clinical competency of the lecture based college was the highest. A significant positive correlation between critical thinking disposition and clinical competency were found in students whose scores of critical thinking disposition were greater than the median. Conclusion: This finding indicates that there is a need for further research on diverse nursing students who are studying by a various methods, prior to acceptance of a paradigm shift in nursing education from conventional lecture based methods to PBL applied methods.