• 제목/요약/키워드: Clinical nursing competence

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간호대학생의 핵심기본간호술 수행자신감 영향요인: 간호전문직관과 자기효능감을 중심으로 (Factors Influencing Confidence in Performing Fundamental Nursing Skills of Nursing Students: Focused on Professionalism and Self-efficacy)

  • 최금희;홍민주;권수혜
    • 기본간호학회지
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    • 제26권2호
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    • pp.107-116
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    • 2019
  • Purpose: The purpose of this study was to identify factors with nursing students's confidence in performing fundamental nursing skills. The focus was on professionalism and self-efficacy. Method: For the sample 258 fourth graders of nursing students were recruited in two universities located in Gyeongnam or Ulsan. Data were analyzed using t-test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: The mean score for confidence in performing fundamental nursing skills was $3.71{\pm}0.58$. Nursing professionalism and self-efficacy were positively correlated with confidence in performing fundamental nursing skills. Analysis using multiple regression showed that 27% of factors predicting confidence in performance of fundamentals of nursing practice (F=16.43, p<.001) included nursing professionalism (${\beta}=.37$, p<.001), self-expression (${\beta}=.15$, p=.009), and self-efficacy (${\beta}=.14$, p=.029). Conclusion: Findings show that nursing professionalism is one of the major factors influencing confidence in performing fundamental nursing skills. In order to improve the confidence in performing fundamental nursing skills, it is necessary to establish effective educational strategies that firmly enhance nursing professionalism and improve self-efficacy in nursing students.

Importance-Performance Analysis와 Borich 요구도 분석 방법을 활용한 임상간호실무 교육 요구도: 일개 상급종합병원 일반병동 간호사 대상 (Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital)

  • 이미라;김지영;김보연;박유연;한지유;이승희;이현주
    • 한국간호교육학회지
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    • 제29권2호
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    • pp.124-137
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    • 2023
  • Purpose: This study's aim was to confirm the importance and performance of the clinical practice of nurses working in the general wards of a tertiary hospital and to analyze their educational needs. Methods: The study employed a descriptive research design, and a self-reported questionnaire was developed and used for nurses in a tertiary hospital. Data were collected from July 22 to July 29, 2022, analyzed by an independent t-test, paired t-test, and one-way ANOVA for the importance and performance of each clinical nursing practice according to general characteristics, and then a post hoc verification was performed by Scheffé's test. An Importance-Performance Analysis and Borich needs assessment model were used to analyze clinical nursing education needs. Results: Clinical nursing practice performance showed a significant difference according to length of total clinical career, time working in current department, and preceptor experience. According to the results of the Importance-Performance Analysis, neurological evaluation, and nursing intervention, artificial respirator and high-flow oxygen inhalation nursing, chemotherapy, emergency nursing, and cardiopulmonary resuscitation were identified as belonging to the "concentrate here" quadrant. All these items ranked in the top 10 in the Borich needs assessment model. Conclusion: Based on these results, the current education system should be reviewed, and short and long term education strategies based on educational needs should be established to strengthen the competence of nurses.

융복합 시대 준비를 위한 국내 간호대학 교육에서의 비판적 사고 연구(1996-2014) 동향 분석 (A literature Review (1996-2014) on Critical Thinking in Korean Nursing Education for the Era of Convergence)

  • 하나선;박소영;이미자
    • 디지털융복합연구
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    • 제13권9호
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    • pp.341-349
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    • 2015
  • 본 연구는 융복합 시대에 중요한 능력인 비판적 사고와 관련되어 국내 간호대학 교육에서 연구된 논문(1996-2014) 75편을 분석한 문헌고찰 연구이다. 고찰 결과 2006년을 기점으로 비판적 사고 관련 연구가 크게 증가하였으며, 연구 설계는 관련 요인을 탐색하는 수준에서 경로모형 구축까지 진행되었음을 확인할 수 있었다. 비판적 사고에 영향을 미치는 요인으로 학력, 연령, 교우관계, 학업성적, 임상실습 기간, 전공만족도, 자아존중감, 자기효능감, 학습방법 등이 확인되었으며, 비판적사고 성향이 높을수록 임상실습 스트레스, 인지된 스트레스가 낮아지고, 문제해결 능력, 임상수행능력, 감정조절, 의사소통 능력이 증가하는 것으로 나타났다. 비판적 사고는 단기간에 획득, 향상되기 어려우므로 지금까지 연구에서 확인된 비판적 사고와 관련된 원인 및 결과변수를 바탕으로 간호교육과정에서 장기적이고 체계적으로 비판적 사고를 향상시키기 위한 교육 프로그램을 개발할 것을 제언한다.

한국 간호교육의 실제와 문제점 - 전문대학 교육과정 - (A Study on Present States of Nursing Education - Junior College of Nursing -)

  • 박춘자
    • 한국간호교육학회지
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    • 제1권1호
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    • pp.24-31
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    • 1995
  • This study was attempted to identify the present state of the Junior College of Nursing such as philosophy of education and goal of education. The study was based on the data from 17 Junior colleges of nursing. The survey was conducted from Jun. 21st to 30th. 1994. Data was analyzed by percentage. The results of this .study was summarized as follows : 1. The number of Junior college of nursing is 44, the number of graduates is 776, and the rate of employment is 97.3% in 1993. 2. 6 of 17 schools present the philosophy of education and the chief concepts of them were idea of establishment, human being, health, environment, nursing, nursology, nursing education and nurses. The most frequent presented general goal of the education was to train professional nurse (64.7%). The most concrete goal of the education was fostering of the competence and quality of students to enhance self development which based upon scientific thinking and skillful activities. (58.8%). The average total credit was 142.3(range of 133 to 155). The average liveral art credit was 27.2 and major credit was 104.1. The credit of clinical pracetice was 20.6 (1153.6 hours). 3. The most important problems of Junior College of Nursing was multiprogram of nursing edcuation. It should be unionized into 4 year program. 4. There should be a good nursing curriculum and philosophy which meet the modern nursing concept and diversional social needs.

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통합시뮬레이션 실습 교육이 간호대학생의 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과 (Effect of Integrated-Simulation Practice Education on Nursing Students' Communication Ability, Learning Confidence, Clinical Reasoning Competence, and Clinical Performance)

  • 김미정;나은하
    • 문화기술의 융합
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    • 제10권3호
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    • pp.683-692
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    • 2024
  • 본 연구는 간호대학생의 통합시뮬레이션 실습 교육이 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과를 파악하고자 시도된 단일군 사전·사후 유사실험연구이다. 연구대상은 G광역시에 소재한 일개 대학의 4학년 간호대학생 41명으로 2023년 9월부터 11월까지 9주간 운영되었다. 수집된 자료는 SPSS 23.0을 이용하여 기술통계, paired t-test, Pearson's correlation coefficient로 분석하였으며 연구결과는 다음과 같다. 첫째, 시뮬레이션 실습 교육 후 학습자신감(t=-2.21, p=.033), 임상추론역량(t=-2.97, p=.005), 임상수행능력(t=-2.84, p=.007)은 유의미한 효과가 있는 것으로 나타났으나 의사소통능력은 유의미한 차이를 나타내지 않았다(t=-.224, p=.824). 둘째, 간호대학생의 시뮬레이션 수업 후 임상수행능력은 의사소통능력(r=.650, p<.001), 학습자신감(r=.440, p<.001), 임상추론역량(r=.824, p<.001)와 정적 상관관계가 있는 것으로 나타났다. 본 연구결과를 바탕으로 간호대학생의 통합시뮬레이션 실습 교육은 간호대학생의 학습자신감과 임상추론역량, 임상수행능력 향상에 효과적인 교육방법이며 간호대학생의 임상수행능력을 높이기 위해서는 다양한 시나리오를 통한 시뮬레이션 실습 운영이 필요하다.

신규간호사의 응급간호 역량 강화를 위한 중요도 - 실행도 분석 (Importance-Performance Analysis (IPA) to Improve Emergency Care for Novice Nurses)

  • 박하영;김유진;추상희
    • 기본간호학회지
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    • 제26권3호
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    • pp.155-165
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    • 2019
  • Purpose: Although emergency care is one of the most important capabilities for novice nurses, many novice nurses have shown difficulty in emergency care in the clinical field. The purpose of this study was to provide evidence data for the future development of educational programs by analyzing the priorities in emergency care of novice nurses using the Importance-Performance Analysis. Methods: This study was designed as a descriptive survey. The participants were 197 novice nurses who worked in general hospitals from August 1 to 31, 2018. The questionnaire consisted of 'common emergency care', 'cardiovascular emergency care', 'nervous system emergency care', 'respiratory system emergency care', 'communication and teamwork competency'. Results: As a result of this study, 'communication and teamwork' among emergency cares was evaluated as the most important capability in the clinical field. In the Importance-Performance Analysis, a total of 12 items were included in the quadrant A, including 5 items related to 'cardiovascular emergency care', 4 items to 'respiratory system emergency care', 2 items to 'nervous system emergency care' and 1 item to 'common emergency care'. The results showed a need for intensive improvement in items included in quadrant A which are the high importance low performance items. Conclusion: In order to improve the emergency care of novice nurses, a variety of emergency care education programs on the nervous system and respiratory system care should be implemented as well as cardiovascular emergency care education.

간호대학생을 위한 문화간호 역량화 교육 프로그램 (A Proposed Teaching Model to Improve Cultural Competency Care for Undergraduate Korean Nursing Students)

  • 최경숙;;;이소영;전명희
    • 한국간호교육학회지
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    • 제20권3호
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    • pp.424-434
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    • 2014
  • Purpose: The aim of this study was to propose a teaching model to improve the cultural competence care of undergraduate Korean nursing students. Methods: A literature review was performed from 2000 through 2014 using internet to identify studies that presented nursing curricula and teaching-learning strategies in Korea. We analyzed retrieved Korean seven articles using Campinha-Bacote's ASKED model in combination with reflective experiences of authors observing classrooms in the U.S. Results: Six syllabuses presented information about cultural diversity nursing concepts in Korea. A traditional lecture focused on presenting contents about cultural knowledge by an instructor in the classroom was identified as a commonly used teaching strategy. We found that cultural competency related to cultural desire, awareness, and encounter was lacking. Thus, we developed teaching model based on the Korean nursing education contexts and combined with Campinha-Bacote model to improve cultural competency in nursing. Conclusions: The proposed teaching model shows promise as a strategy for improving the knowledge, attitudes, and skills related to cultural competent for undergraduate nursing students in Korea. However, evidences that this model improves nursing students' clinical practices reflecting cultural competent care are still lacking. Future research focusing on determining teaching methods and contents in clinical practices will be most effective.

병원 간호단위관리자의 핵심직무 ­- 핵심역량 매트릭스 개발 (Development of the Core Task and Competency Matrix for Unit Managers)

  • 이태화;강경화;이선희;고유경;박정숙;이새롬;유소영
    • 임상간호연구
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    • 제23권2호
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    • pp.189-201
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    • 2017
  • Purpose: The aim of this study was to develop the nursing management core task and competency matrix for hospital unit managers. The perceived level of importance and performance of identified core competencies by unit managers were also investigated. Methods: Literature review and expert survey identified nursing management core task and competencies. Subsequently, the core task and competency matrix was developed and validated by expert panel. A survey of 196 nurse managers from 3 cities identified perceived importance and performance of core competiences. Results: Thirty-eight nursing management core task and thirty-seven nursing management core competencies were identified comprising five categories; Clinical practice knowledge, Evidence-based practice, Employee development, Strategic planning and Initiative. Based on the core task and competencies, the task and competency matrix for unit managers was developed. In the analysis of importance and performance of core competencies, the mean score of importance ($3.50{\pm}0.30$) was higher than the mean score of performance ($3.03{\pm}0.34$). Conclusion: The development of core task and competencies for unit managers in hospitals provides a guide for the development and evaluation of programs designed to increase competence of unit managers.

아동간호사의 자기효능감과 감성지능 및 환아부모와의 파트너십이 간호역량에 미치는 영향 (Influence of Self-efficacy, Emotional Intelligence, and Nurse-Parent Partnership on the Nursing Competency of Pediatric Nurses)

  • 문혜미;유명숙
    • 가정간호학회지
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    • 제27권2호
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    • pp.146-155
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    • 2020
  • Purpose: This study aimed to examine the influence of self-efficacy, emotional intelligence, and nurse-parent partnership on the nursing competency of pediatric nurses. Methods: This study recruited 114 pediatric nurses working in one tertiary general hospital and two general hospitals in the city. Data were collected using self-reported questionnaires from August 26 to September 16, 2019, and were analyzed using the statistical package IBM SPSS 22.0. Results: Statistically significant correlations were found between self-efficacy, emotional intelligence, nurse-parent partnership, and nursing competency. The nursing competency of these nurses was affected by significant predictors such as emotional intelligence, nurse-parent partnership, work duration in pediatrics, and self-efficacy. These variables explained 60.6% of nursing competency of pediatric nurses. Conclusion: To improve the nursing competency of pediatric nurses, we should develop an intervention that can enhance the nurses' emotional intelligence, self-efficacy, and nurse-parent partnership. Furthermore, greater consideration of nursing careers is needed.

간호대학생의 의사소통기술 수행 구조모형 (A structural model of nursing students' performing communication skills)

  • 길초롱;성경미
    • 한국간호교육학회지
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    • 제29권2호
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    • pp.148-160
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    • 2023
  • Purpose: The purpose of this study was to construct and test a structural model of nursing students' performing communication skills. Methods: The data collection was conducted from October 13 to October 20, 2020. The participants were 286 students from nursing colleges located in three cities. The data analysis method was a covariance structure analysis with using IBM SPSS statistics version 23.0 and AMOS 21.0 statistical programs. Results: The hypothetical model showed a proper fit with the data: root mean square error of approximation=.08, standardized root mean square residual=.06, adjusted goodness of fit=.85, normed fit index=.91, and comparative fit index=.94. The model fit indices were normed to fit index=2.96. Statistically significant explanatory variables for the performing communication skills of nursing students were peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. The variables accounted for 66.1% of the performing communication skills of nursing students. Conclusion: Based on the above results, it appears necessary to develop strategies for improving the performing communication skills of nursing students, and having positive effects on health outcomes of the subjects by considering the variables of peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. Such strategies could potentially have positive effects on the health outcomes of the patients.