• Title/Summary/Keyword: Clinical nursing competence

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

  • Kim, Ji-Youn;An, Min-Soon;Park, Hyun-Joo
    • Korean Parent-Child Health Journal
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    • v.15 no.1
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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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A Structural Equation Model on Core Competencies of Nursing Students (간호대학생의 핵심역량 구조모형)

  • Jung, Myeong-Soon;Kwon, Hye-Jin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.2
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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.

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

  • Han, Mi-Hyun;Park, Seok-Gun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.2
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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.

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

  • Yang, Sun-Hee;Lee, Og-Cheol;Lee, Woo-Sook;Yoon, Jin;Park, Chang-Seung;Lee, Suk-Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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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.

Desirable Personality Required of Nurses in Clinical Nursing Field: Focus Group Interviews Centered On (임상 간호현장에서 간호사에게 요구되는 바람직한 인성: 포커스그룹 인터뷰를 중심으로)

  • Mi-Ran Kim
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.27-37
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    • 2022
  • This study aims to identify the nature and content of the desired nursing personality of clinical nurses and provide basic data for securing nursing competencies and providing quality nursing as clinical nurses. This is a qualitative study with a focused group analysis to comprehensively explore the desirable nurse personality expected in clinical nursing settings. From November 30, 2019 to Jan 20, 2020, 6 nurses with more than 5 years of clinical experiences and working in a regional university hospital participated in the four focus group interviews. The collected qualitative data was analyzed by the content analysis method. The personality required of clinical nurses is 'process of self-regulation and effort for patient care', 'components for human-centered nursing', 'influence to create healthy interpersonal relationships', and 'nursing'. Configure and operate the organization. It was analyzed into a total of five main themes and 17 sub-themes: "Influence to make changes" and "Influence to bring about organizational change and results." This study confirms the desirable elements of personality in nursing practice, and proposes the application and effect verification research of clinical nursing education programs for nurses in order to secure the nursing competence of professionals and provide high-quality nursing care in the future.

Concept Analysis of Triage Competency in Emergency Nursing (응급실 간호사의 중증도 분류 역량에 대한 개념분석)

  • Moon, Sun Hee;Park, Yeon Hwan
    • Journal of Korean Critical Care Nursing
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    • v.10 no.3
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    • pp.41-52
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    • 2017
  • Purpose : This concept analysis identified attributes and defined triage competency among emergency nurses. Method : Walker and Avant's approach was used to guide the concept analysis. A literature review was completed including 26 studies, 5 reports of related associations, and 5 books. Results : The concept of triage competency in emergency nurses was identified as five attributes: clinical judgment, expert assessment, management of medical resources, timely decision, and communication. Antecedents of the concept were triage education and emergency room experience. The consequences of the concept were efficiency of care, patient rating, and safety. Triage competency in emergency nurses was defined as the comprehensive ability to prioritize patients' urgency and allocate limited medical resources. Conclusion : This study is meaningful since it clarified triage competency among emergency nurses. The attributes and empirical indicators of this study will likely lay the foundation for development of triage competency metrics.

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Current Status of Women's Health Nursing Practicum and Direction (여성건강간호학 실습교육의 현황과 과제)

  • Kim, Jeung-Im;Kang, Heesun;Park, Somi;Ahn, Sukhee
    • Women's Health Nursing
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    • v.20 no.2
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    • pp.173-183
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    • 2014
  • Purpose: This study was done to examine current status of women's health nursing practicum and identify necessary core nursing skills in this practicum area. Moreover, one syllabus and evaluation sheets for women's health nursing clinical practicum at one university were reviewed. Methods: A survey design was used with 81 educators who were teaching maternity or women's health nursing and its practicum. Results: Most clinical sites for practicum were university hospitals (43.0%), women's hospitals (32.7%), or general hospitals (17.3%); but the majority (77.8%) of educators expressed difficulty in finding appropriate practicum places. Common teaching and learning methods were clinical guides for practicum (44.6%), e-learning content (30.2%), and simulation (23.6%). Core nursing skills for this practicum included assessment of stages of labor, preparation of uterine-fetal monitoring devices and interpretation of results, monitoring uterus and fetal activity, and performing Leopold's maneuver. For postpartum care, the following were included; postpartum fundal massage, assessment of breast engorgement, fundus height, and episiotomy sites, inserting urinary catheter, and teaching the use of patient-controlled analgesia. Conclusion: To improve the quality of clinical practicum, development of a clear course syllabus, standardized clinical guidebook, and core nursing skills is required and should be shared with all relevant nurse educators.

Nurses' Perception and Willingness to Pay for Nursing Career Ladder System in General Hospital (상급종합병원 간호사의 임상경력개발시스템에 대한 인식과 지불의사)

  • Lee, Mi-Joon
    • Korea Journal of Hospital Management
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    • v.24 no.3
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    • pp.61-71
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    • 2019
  • Purposes: The purpose of this study is to analyze nurses' perception on the clinical career ladder system which was introduced to enhance the nursing capabilities in general hospital. Methods: Research data has been collected for approximately 30 days since March 28, 2017 from 171 nurses who had been involved in the clinical career ladder system, 177 nurses who had not participated, and a total of 348. Finding: The study results showed that nurses' perception on the cost effectiveness of clinical career ladder system is significantly different depending on the sex, age, program experience, personal stage in the clinical career ladder system and the individual's health condition. In addition, the nurses' willingness to pay for the clinical career ladder system was significantly associated with their department and the needs for the system. With adjusted age, gender, position, education and marital status, nursing competency was 8.71(95% Confidence Interval; 4.79 to 12.63) in the presence of system experience, but the perception on clinical career ladder system was 4.34(95% Confidence Interval; -6.84 to -1.84). Practical Implications: Based on the study results, we expect that more hospitals introduce the clinical career ladder system and also use these study results as basic data for securing excellent nurses.

Validity and Reliability of a Clinical Performance Examination using Standardized Patients (호흡기계 표준화 환자를 이용한 간호대 학생의 임상수행능력평가 타당도와 신뢰도 검증)

  • Choi, Ja-Yun;Jang, Keum-Seong;Choi, Soon-Hee;Hong, Mi-Soon
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.83-91
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    • 2008
  • Purpose: The purpose of this study was to test the validity of a modified clinical performance examination (CPX) for preclinical students in nursing. Method: 70 nursing students in their second semester of the junior year at C University participated in CPX. Scenarios and checklists were developed by our research team from September to October 2005. Six stations were organized. Evaluation included physical examination of a patient with lung cancer, education on usage of a metered dosage inhaler, and lobectomy postoperative care. Students were randomly assigned to a station. Result: There was a difference in the CPX scores according to stations. The agreement of scoring between trained faculty members and SPs was more than moderate (r=.647). The correlation between the CPX score and the average grade in the previous semester and between the CPX score and the average grade of a paper and pen test of the pulmonary system of adults was low (r=.276; r=.048). Conclusion: Traditional CPX is generally recommended, however, modified CPX is appropriate for preclinical students in the current Korean Nursing school setting if there are additional scoring systems to balance the testing level at each station.

Path analysis of major satisfaction, clinical competence, career decision-making self-efficacy, and career decision level in undergraduate nursing students (간호 대학생의 전공만족도, 임상수행능력, 진로결정 자기효능감과 진로결정 수준 간의 경로분석)

  • Lee, Ji-Won;Lee, Nae-Young;Eo, Yong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.311-320
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    • 2018
  • This study was conducted to investigate the relationship among major satisfaction (MS), clinical competence (CC), career decision-making self-efficacy (CDMS), and career decision level (CDL) for undergraduate nursing students. A self-report instrument was used to measure MS, CC, CDMS, and CDL. Questionnaires were completed by 307 nursing students in three nursing colleges, and path analysis was employed to validate the proposed model and analyze the causal relationships among variables. Four constructs (MS, CC, CDMS, and career decision) were analyzed. To build a path model, MS and CC were linked to CDMS and career decision. The initial analysis suggested that the modification needed modification; therefore, a covariance link was added. The overall goodness of fit for indices indicated satisfactory path analysis. The indices were revealed as $x^2=2412$, GFI=0.996, AGFI=0.961, and RMSEA=0.068. As a result, the proposed model was acceptable with a good fit, and there were significant direct and indirect effects of paths in the model. Specifically, MS and CC had a direct influence on CDMS, and MS and CDMS directly affected CDL. Moreover, MS and CC had indirect effects on CDL through CDMS. These results imply that students' CDMS should be seriously considered when designing counseling programs for career guidance, and substantiality of CC education is needed to improve CDMS. These results may provide a practical guideline to provide educational intervention for nursing students.