• Title/Summary/Keyword: Clinical nursing competence

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Predictors of Person-Centered Care among Nurses in Adult Intensive Care Units (성인 중환자실 간호사의 인간중심간호 수행과 영향요인)

  • Joo, Young Shin;Jang, Yeon Soo
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.34-44
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    • 2022
  • Purpose: The purpose of this study was to examine the level of Person-centered Critical Care Nursing (PCCN) and the factors influencing PCCN for nurses in Intensive Care Units (ICU). Methods: This study was designed by cross-sectional descriptive correlational study. The participants included 147 ICU nurses in two general hospitals in Seoul, Korea. Demographic characteristics, PCCN, communication skills, professionalism, and work environment were measured. The collected data were analyzed using descriptive statistical analysis, independent t-test, One-way ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression with the SPSS/Win 25.0 program. Results: The average age of the participants was 29.6±4.7 years and the mean work experience in the ICU was 4.67±3.52 years. The level of PCCN was 3.70±0.41, which was moderate to high, and it significantly showed a positive correlation with therapeutic communication skills (r=.66, p<.001), global interpersonal communication competence (r=.42, p<.001), professionalism (r=.38, p<.001), and work environment (r=.16, p=.048). The factors influencing PCCN were identified as therapeutic communication skill and global interpersonal communication competence (Adj R2=.45, p<.001). Conclusion: The findings of this study were confirmed that the strategies to promote PCCN are necessary to enhance therapeutic communication skill and global interpersonal communication competence. In addition, they may be particularly meaningful in providing basic data for nursing education and future intervention development research to promote PCCN for the ICU nurses. For improving PCCN for healthcare providers in ICU, further studies should be conducted to develop education and intervention programs.

The Effects of Simulation Education for New Nurses on Emergency Management Using Low-fidelity Simulator (저충실도 시뮬레이터를 활용한 신규간호사의 응급상황관리 시뮬레이션 교육의 효과)

  • Lee, Young Hee;Ahn, Hye Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.3
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    • pp.331-343
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    • 2019
  • Purpose: This study focuses on investigating the effectiveness of simulation education on emergency management using a low-fidelity simulator as related to clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in new nurses. Methods: A pre-post test experimental design of nonequivalent control group was applied. Fifty-five new nurses were recruited, 28 nurses for the experimental group and 27 nurses for the control group. A simulation education for emergency management comprising knowledge lecture, team learning, skill education, team simulation, and debriefing was developed and implemented from Feb. 14 to 27, 2015. Data were analyzed with percentage, average, and standard deviation, chi-square, and t-test using SPSS. Results: The experimental group showed significantly higher knowledge (t=5.81, p<.001), clinical skill performance (t=10.08, p<.001), self-confidence (t=-6.24, p<.001), critical thinking disposition (t=2.42, p=.019), and learning satisfaction (t=4.21, p<.001) for emergency management compared with the control group who had traditional lecture education. Conclusion: The results indicate that a simulation education using a low-fidelity simulator is an efficient teaching method for new nurses to deepen their clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in learning emergency management.

Evaluation on the Practicum Using Standardized Patients for Nursing Assessment to Articular Disease (표준화 환자를 이용한 관절질환 간호사정 실습교육의 평가)

  • Yi, Yeo-Jin;Lim, Nan-Young;Lee, Eun-Hee;Han, Hye-Ja;Kim, Joo-Hyun;Son, Haeng-Mi;Park, Young-Sook;Kang, Hyun-Sook;Cho, Kyung-Sook;Kim, Dong-Oak;Kwon, Sung-Bok;Lee, In-Ok
    • Journal of muscle and joint health
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    • v.14 no.2
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    • pp.137-148
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    • 2007
  • Purpose: This study was performed to evaluate of practicum by using standardized patient(SP) for nursing assessment. Method: This study had 2 steps. The 1st-step was pre-intervention stage including selection of a learning title, formation of case scenario, training of SP and developing the evaluation tools for students' clinical competence to assessment, 6 categories 29 items. The 2nd-step consisted of intervention and evaluation stages. 34 nursing students divided 2 groups participated in assessing the SP. Evaluation of each group was performed by 2 nursing professors. All students recorded their feelings after assessing the SP. The SP also evaluated about nursing students' attitude toward the SP. Results: ICC(Interclass correlation coefficient) between 2 groups was over 0.7 all categories. Students' assessing score(range 0-1) was muscular-joint function status(0.41), nutritional status(0.39), history taking(0.38), IADL(0.18), ADL(0.15), and emotional status (0.07). The mean scores of the nursing students' attitude by SP was 4.03(range 1-6). Also most students showed positive reactions to the education using SP because they had the chance to experience what they could not practice in clinical setting. Conclusion: The evaluation tool revealed high reliability. Nursing students' clinical competence was below average. But they took a good attitude to SP. We recommended further research using SP with various disease.

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Concept Analysis of Social Intelligence of Nurses Using Hybrid Model (혼종모형을 이용한 임상간호사의 사회지능 개념분석)

  • Lee, Kyung Ran;Lee, Na Kyoung;Oh, Hee;Park, Kyoung Ae
    • Journal of Korean Academy of Nursing
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    • v.54 no.3
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    • pp.459-474
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    • 2024
  • Purpose: The purpose of this study was to conduct a concept analysis of social intelligence in nurses so that applying social intelligence to the nursing field. Methods: In this study, we followed the hybrid model procedure, involving the following steps: First, in the theoretical stage, the attributes and definitions of the concept of social intelligence were determined through literature review. Second, the concepts' reality was confirmed during fieldwork. In the final analysis stage, the results confirmed in the theoretical and fieldwork stages were compared and analyzed to confirm the properties and definition of the concept. Results: Nurses' social intelligence consists of three dimensions: social cognitive nursing competency, human-centered social evolution, and skills for solving complex nursing situations. Nurses' social intelligence is a professional nursing competency that flexibly coordinates complex nursing situations, developed through accumulating experiences of continuous reflection and relationship expansion based on receptive listening and social sensitivity in clinical interpersonal relationships. Conclusion: Nurses' social intelligence is widely used in clinical practice and is shown to have a significant direct and indirect impact on clinical nursing. To effectively apply social intelligence in the clinical context, individual and organizational efforts are required to share and transfer knowledge and capacity-building methods through collective intelligence and education.

The Effects of Metacognition and Resilience on Clinical Reasoning Competence of Nursing Students Who Completed Simulation Education Linked to Problem-based Learning (문제중심학습 연계 시뮬레이션교육을 이수한 간호대학생의 메타인지, 회복탄력성이 임상추론능력에 미치는 영향)

  • Kyoung-Hwa Baek;Jeong-Hwa Cho
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.111-120
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    • 2023
  • This study is a descriptive research to examine the effects of meta-cognition and resilience on clinical reasoning ability of nursing students who have completed the simulation education integrated with problem based learning. The study subjects were senior nursing students who had experienced SIM-PBL education, and data was collected by using a structured questionnaire from September to December 2021. The collected data was analyzed employing descriptive statistics, correlation, and hierarchical regression analysis using the SPSS program. The results demonstrated that meta-cognition and resilience had a significant positive correlation with clinical reasoning ability. The chief factors influencing on the clinical reasoning ability of nursing students were as follows: confidence in participating in the SIM-PBL education, meta-cognition, and resilience. In addition, the three factors explained the clinical reasoning ability at a high level of 75%. The clinical reasoning ability of nursing students may be cultivated by applying internal reinforcers of self-confidence, meta-cognition, and resilience into a SIM-PBL simulation.

Effects of Simulation-based Practice Education for Core Skill of Maternity Nursing (분만간호 핵심술기에 대한 시뮬레이션 실습교육의 효과)

  • Song, Young A;Son, Young Ju
    • Korean Parent-Child Health Journal
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    • v.16 no.1
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    • pp.37-44
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    • 2013
  • Purpose: The purpose of this study is to analyze the effectiveness of maternity nursing education-knowledge, skills and attitude among the third year students who have completed maternity nursing, practice at the college, clinical practice and core skill practicum. Methods: This is the descriptive research to verify the effectiveness of simulation-based practice education for core skill of maternity nursing. Third year nursing students who have completed maternity nursing related theories and practice have been selected as population. Total of 202 surveys have been used for analysis. Data analysis is done by using SPSS/WIN 18.0. Results: Self-confidence of core skill in maternity nursing is experimental group 4.52 and control group 4.37 score (p<.05). Performance competence in childbirth care is experimental group 4.53 and control group 4.35 score (p<.05). The students who have maternity nursing related clinical practice and core skill practicum experience show high core skill evaluation score. Conclusion: Therefore, it is recommended that current maternity nursing core skill curriculum should be reviewed and improved, and the students should be provided variety of simulation techniques to gain essential knowledge and core nursing skills.

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The Effect of Core Fundamental Nursing Skills Program among Final Year Nursing Students on Performance Confidence, Clinical Performance Capacity and Core Nursing Ability (졸업학년 간호대학생의 핵심기본간호술 프로그램이 수행자신감, 임상수행능력 및 핵심간호역량에 미치는 효과)

  • Park, Jin Hee;Lee, Do-Young
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.281-289
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    • 2020
  • This study was done to identify the effect of the core fundamental nursing skills program among final year nursing students on their performance confidence, clinical performance capacity, and core nursing ability. The core fundamental nursing skills program was applied to 80 final year nursing students for 6 weeks from August 27 to October 10, 2018. The survey was done in self-writing method. The collected data was analyzed with means, standard deviation, and paired t-test. It was found that performance confidence, clinical performance capacity, and core nursing ability had increased after the program, which were statistically significant. Thus, it is expected that step-by-step and continuous education on core fundamental nursing skills program will upgrade those final year nursing students as skilled and professional nurses.

Influence of the Emotional Intelligence, Communication Competence and Stress coping on Turnover Intention in Psychiatric Nurses (정신전문병원 간호사의 감성지능, 의사소통능력, 스트레스 대처가 이직의도에 미치는 영향)

  • Kang, Hye-Seung;Kim, Yoon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.141-151
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    • 2016
  • This study examined the influence of the turnover intention and emotional intelligence, communication competence and stress coping of psychiatric nurses. A self-reported questionnaire was filled out by 160 Korean Psychiatric nurses from February 2 to February 27, 2015. The data were analyzed using the frequencies, t-test, ANOVA, Pearson's correlation, stepwise multiple regression using IBM SPSS 20.0. The turnover intention showed a close correlation with the emotional intelligence (r=-.638 p<.001), stress coping (r=-.649, p<.001), and communication competence(r=-.694, p<.001) in psychiatric nurses. The turnover intention and emotional intelligence, stress coping, communication competence explained 54.5% of the total variance of clinical competence in psychiatric nurses. Therefore, it is necessary to develop and implement a curriculum and program to improve the turnover intention and emotional intelligence, stress coping, communication competence of psychiatric nurses.

The Relationships of End-of-life Care Stress with Compassionate Competence and Attitudes toward End-of-life Care among Pediatric Nurses

  • Park, Ki Young;Jeong, Jeong Hee
    • Journal of Hospice and Palliative Care
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    • v.24 no.4
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    • pp.235-244
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    • 2021
  • Purpose: This study aimed to provide basic data for developing interventions to relieve the end-of-life care stress experienced by pediatric nurses by examining the relationships of end-of-life care stress with compassionate competence and attitudes toward end-of-life care. Methods: Data were collected via a survey that was conducted from September 10 to September 30, 2018 and administered to 113 nurses who had worked for more than 6 months in a pediatric unit at a tertiary hospital in Seoul, South Korea. The data were analyzed for frequency, percentage, mean, and standard deviation, and the independent t-test, one-way analysis of variance, and Pearson correlation analysis were conducted using SPSS version 25.0. Results: End-of-life care stress among pediatric nurses had a weak positive correlation (r=0.216, P<0.05) with compassionate competence and had no significant correlation with attitudes toward end-of-life care. Among the sub-factors of end-of-life care stress, psychological difficulties had a weak positive correlation with sensitivity (r=0.309, P<0.01) and communication (r=0.230, P<0.05), which are aspects of compassionate competence. Lack of knowledge about end-of-life care had a weak positive correlation with communication (r=0.209, P<0.05) as an aspect of compassionate competence. Conclusion: To improve the quality of end-of-life care provided by pediatric nurses, it is necessary to improve their compassionate competence and reduce their end-of-life care stress by developing education and support programs tailored to the characteristics of children and specific communication methods.

The Mediating Effect of Financial Literacy on Entrepreneurship and Nursing Start-Up Attitude

  • Chung Hee Woo;Hyeoeun Lee
    • Asian Journal of Innovation and Policy
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    • v.12 no.2
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    • pp.216-228
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    • 2023
  • Expectations and demands for the paradigm of healthcare systems are changing in response to changes in the characteristics of population properties and industrial structures; therefore, it is time to prepare for the career diversification of nursing students who have mainly entered the clinical field. The study tested the pathway of financial literacy on the relationship between entrepreneurship and nursing start-up attitude among nursing students. We obtained data from 177 South Korean nursing students through email and mobile phone. The analysis of the mediating effect was performed by hierarchical multiple regression. The SPSS WIN program was adopted. Entrepreneurship and financial literacy of subjects had a significantly positive effect on nursing start-up attitudes. Financial literacy indirectly affected the relationship between nursing students' entrepreneurship and nursing start-up attitude, and significance was verified by Process Macro. Financial literacy can mediate between entrepreneurship and nursing start-up attitudes. These factors will provide an important basis for nursing students to grow into talented people with business capabilities. Nursing education should strengthen the foundation that promotes business competence in nursing students.