• Title/Summary/Keyword: Clinical nursing competence

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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.

Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses (간호사의 범문화효능감 측정도구 개발 및 타당화)

  • Oh, Won-Oak;Park, Eun Sook;Suk, Min Hyun;Im, Yeo Jin
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.293-304
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    • 2016
  • Purpose: This methodological study was conducted to develop and psychometrically test the Transcultural Self-efficacy scale (TCSE-scale) for nurses. Methods: Initial 41 items for the TCSE-scale were generated based on extensive literature reviews and in-depth interviews with 18 nurses who had experience in caring for foreign patients. Cultural Competence and Confidence model was used as a conceptual framework. Content validity was evaluated by an expert panel. Psychometric testing was performed with a convenience sample of 242 nurses recruited from four general hospitals in the Seoul metropolitan area and Gyeonggi-do province of South Korea. To evaluate the reliability of TCSE-scale, a test-retest reliability and an internal consistency reliability were analyzed. Construct validity, concurrent validity, criterion validity, convergent validity and discriminative validity were used to evaluate the validity. Results: The 25-item TCSE-scale was found to have three subscales-Cognitive, Practical, and Affective domain-explaining 91.5% of the total variance. TCSE-scale also demonstrated a concurrent validity with the Cultural Competence Scale. Criterion-related validity was supported by known-group comparison. Reliability analysis showed an acceptable-to-high Cronbach's alpha-.88 in total, and subscales ranged from .76 to .87. The ICC was .90, indicating that the TCSE-scale has internal consistency and stability of reliability. Conclusion: This preliminary evaluation of the psychometric scale properties demonstrated an acceptable validity and reliability. The TCSE-scale is able to contribute to building up empirical and evidence based on data collection regarding the transcultural self-efficacy of clinical nurses. We suggest further testing of the applicability of TCSE-scale in different settings and community contexts.

Nursing students' confidence in clinical competency and job readiness during the COVID-19 pandemic era (코로나19 팬데믹 상황에서 간호대학생의 임상수행능력 자신감과 취업준비도)

  • Bang, Kyung-Sook;Kang, Jeong Hee;Nam, Eun Sook;Hyun, Mi Yeul;Suh, Eunyoung;Chae, Sun-Mi;Choi, Heeseung;Shin, Da-Ae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.4
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    • pp.402-411
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    • 2021
  • Purpose: This study explored nursing students' experiences of attending clinical practicum courses in 2020 during the COVID-19 pandemic era, focusing on their confidence in clinical competency and job readiness. Methods: The data for this study were collected using online questionnaires that were uploaded to a free online survey website and distributed via a link to the survey to 334 nursing students attending four-year nursing colleges at four national universities. Data analysis was done with descriptive statistics, independent t-tests, and ANOVA. Results: The participants were mostly female (83.2%) college seniors (78.1%). About 60% of the participants practiced between 40% to 100% of their clinical practicum hours in alternative ways. Almost a third of the participants reported that they were not ready for a job (30.2%). However, participants' confidence in clinical competency and job readiness was not related to the rate of alternative practice, but rather to both achievement of educational outcomes and satisfaction in the nursing practicum. Conclusion: Due to COVID-19, it is evident that effective and efficient materials and ways of delivering clinical courses are constantly to be sought and developed. In particular, recently graduated nurses who experienced abrupt and considerable alterations in their clinical practicum courses due to COVID-19 are in need of attention while they strive to make clinical adaptations.

Does a preterm labor-assessment algorithm improve preterm labor-related knowledge, clinical practice confidence, and educational satisfaction?: a quasi-experimental study (조기진통 사정 알고리즘은 실습 시 조기진통 관련 지식, 임상수행자신감, 교육만족도에 유효한가?: 유사실험 연구)

  • Hee-Young Choi;Jeung-Im Kim
    • Women's Health Nursing
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    • v.29 no.3
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    • pp.219-228
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    • 2023
  • Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

The Effect of Nonviolent Communication Program on Nurse's Interpersonal Competence, Job Stress and Spiritual Wellness (비폭력대화프로그램이 간호사의 대인관계능력, 직무스트레스, 정신적 웰니스에 미치는 효과)

  • Sim, Bong-Hee;Lee, Young-Sook;Ahn, Seong-Ah
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.375-386
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    • 2016
  • This study was conducted to investigate the effectiveness of a nonviolent communication program on nurse's interpersonal competence, job stress and spiritual wellness. This study was a inequality similar to the control group experimental design study of repeated measurements before and after. The data for this study were collected from June 1 to October 20, 2013 from 29 clinical nurses. The self-administered questionnaires used consisted of questions regarding general characteristics, interpersonal competence, job stress and spiritual wellness. The results were: 1. For interpersonal competence, the interaction between time and group was significant (F = 7.726, p = 0.002). 2. For job stress analysis, the interaction between time and group was not significant (F = 0.142, p = 0.851). 3. For spiritual wellness, the interaction between time and group was significant (F = 31.355, p < .001). These results suggest that the nonviolent communication program had a positive effect on rejected clinical nurse's interpersonal competence and spiritual wellness, but not on job stress. A follow-up replication study will be necessary.

Clinical Nurses' Perception and Performance of Antimicrobial Stewardship (임상간호사의 항생제 스튜어드십 인식도와 수행도)

  • Noh, Bo Yeoung;Yu, Jungok
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.125-138
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    • 2024
  • Purpose: This study aimed to assess the perception and performance of antimicrobial stewardship among clinical nurses and to contribute to establishing their role through an Importance-Performance Analysis(IPA) matrix. Methods: The study included 203 nurses working in hospitals of general hospital level or higher. Data collection took place from April 9 to May 6, 2024. Data analysis involved descriptive statistics, t-tests, ANOVA, Scheffé tests, and IPA analysis. Results: The average perception score for antimicrobial stewardship was 4.42±0.46, while the performance score was 3.96±0.53. Significant differences in perception and performance were observed across several ares: observation of patients, checking with/suggesting to physician based on assessments, implement tests and antimicrobial administration, patient education and support, coordinating multiple disciplines and institutions, acquiring up to date knowledge(p<.050). Perception was highest in the area of implement tests and antimicrobial administration but lowest in coordinating multiple disciplines and institutions. Conclusion: To establish the specific role of nurses in antimicrobial stewardship, improving nurse perception and fostering collaboration with various experts are essential. Developing educational programs and institutional support tailored to nurses is necessary to address areas identified for improvement in both perception and performance.

The Effects of Simulation Practicum using a Standardized Patient on Nursing Students' Communication Skills, Problem-Solving Skills, Critical Thinking Dispositions, and Clinical Competency (표준화 환자를 적용한 시뮬레이션 수업이 간호대학생의 의사소통능력, 문제해결능력, 비판적 사고성향 및 임상수행능력에 미치는 효과)

  • Chung, Su Kyoung;Kim, Kyoung Ah;Jeong, Eun Young
    • Journal of Home Health Care Nursing
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    • v.23 no.2
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    • pp.186-194
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    • 2016
  • Purpose: The purpose of this study was to evaluate the effects of standardized patient simulation on nursing students' communication skills, problem-solving skills, critical thinking dispositions, and clinical competency. Methods: A one-group pretest-posttest design was used. Data were collected from a convenient sample of 47 junior nursing students at W University. Scenarios to train SP and checklists to evaluate the students''competence were developed by our research team. The collected data were analyzed with descriptive analysis t-test, Pearson's Correlation Coefficient and Cronbach's ${\alpha}$ using SPSS WIN 21.0 Program. Results: The simulation practicum using a standardized patient was conducted based on four steps, namely, selections of scenario modules, standard patient training, implementation, and evaluation. The differences between the pre and post-test scores of problem-solving skills(t=-2.94, p=.005) and clinical competency(t=-2.84, p=.007) were statistically significant. But communication skill(t=-.32, p=.747) and critical thinking(t=-.68, p=.498) was not different in group. Conclusion: Standardized patient simulation in nursing education may be useful the improvement of problem-solving skills and clinical competency.

The Effect of Advanced Clinical Practicum on Clinical Competence for Nursing Student (종합선택실습이 간호대학생의 임상실무수행능력에 미치는 영향)

  • Kim, Jisoo;Kim, Young-Sook;Kim, Hye Soon;Jo, Hyun Sook;Lee, Eun-Ja;Lee, Yeo Jin;Kim, Yunmi;Park, Kwang-Hi
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.381-382
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    • 2011
  • 본 연구는 4주간의 종합선택실습이 간호대학생의 임상수행 능력 변화에 미치는 영향을 파악하기 위한 것으로 4주간의 종합선택실습을 이수한 4학년 간호 대학생 128을 대상으로 하였고 임상실무수행능력 평가도구를 이용하여 실무능력변화를 측정하였다. 연구 결과 종합선택실습 전의 임상실무능력이 70.4점에서 실습 후에는 124.8점으로 증가(p<.001)되었고 직접간호활동과 간접간호활동의 모든 하위 영역에서 실습 후의 임상실무수행능력이 유의하게 증가되었다. 또한 상위 성적 30% 학생의 종합선택실습 후의 임상실무수행능력이 중간 40%의 학생에 비해 더 유의하게 증가한 것으로 나타났다(p=.047).

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