• Title/Summary/Keyword: Clinical nursing competence

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The relationship among nursing student's knowledge, nursing skill and perceived performance of tracheostomy care (간호대학생의 기관절개관 관리에 대한 지식, 술기 및 지각된 수행정도와의 관계)

  • Lee, Sun Hee;Kim, Soon Hee
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.2
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    • pp.463-475
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    • 2016
  • This study was to search the relationship among knowledge, nursing skill, perceived performance in graduating nursing class. The participants were 90 members of to graduating nursing class in D city. Data were collected from September 4, 2014 to September 22, 2014 using a questionnaire and core nursing skills checklists. Data analysis was done with SPSS/WIN 23.0 using descriptive statistics and Pearson correlation. It found that knowledge of hand washing had a positive correlation between the nursing skill and perceived performance. The most vulnerablenursing skill was hand washing. The best nursing skill was sterilization and withdrawing contaminated products from the patient (Place the inner tube immersed in a solution of hydrogen peroxide). Based on the findings of this study, activating prior knowledge needs to be stressed. Thus, it would be necessary to include more effective motivation in designing experiential education program for cognitive performance.

Effect on Core Nursing Competency of Nursing Students who Experienced Convergence Practice due to COVID-19 (코로나19로 인한 융합실습을 경험한 간호대학생의 핵심간호역량에 미치는 영향)

  • Lim, Sun-Young;Maeng, Su-Youn;Kim, Jung-Yee
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.54-62
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    • 2022
  • This exploratory study aims to identify effect on core nursing competency of nursing students who experienced convergence practice due to COVID-19. The subjects of this study surveyed 123 senior nursing students in U city with a structured self-report questionnaire analyzed by the SPSS 22.0 software, t-test, One-way ANOVA, correlation, and multiple regression analysis. The average scores for nursing competence scale, self-directed learning ability, learning satisfaction, learning outcomes were 3.99, 3.71, 4.11 and 4.25 out of 5.00. The factors affecting of students' nursing competencies were self-directed learning ability, learning outcomes with 29 percent being explained by these variables. Learning satisfaction did not affect core nursing competency. Through this study we found that high quality educational environment should be prepared to improve these limitations. it is considered that a clear and systematic standard for the educational environment and evaluation of clinical practice is needed.

Critical Review of Simulation Training's Effects on Nursing Students (간호학생을 대상으로 한 시뮬레이션 실습 효과에 대한 비판적 고찰)

  • Choi, Eun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.141-149
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    • 2020
  • This study was undertaken to analyze the intervening effect of nursing simulation among nursing students. This was a critical review study, and data obtained were reviewed using various data bases, including RISS, KISS, NDSL, DBpia, and KRI. The terminologies entered in the data base were nursing and simulation. Selected studies were assessed for methodological quality; and narrative, descriptive or one group post-test studies were excluded from the analysis. Ed. Notes: Please review for accuracy. I have suggested the edit to the best of my understanding. Finally, 234 studies were included for investigation. Results included studies of nursing simulation intervention in Korea, commencing from 2008. One group pre-post test and two group post test were more designed in journals comparing to master thesis or doctoral dissertation. Clinical practice was the most frequently studied aspect by both the assessor and student in the two groups' pre-post test design. Nursing competences associated with dependent variables during simulation were integrated skills, critical thinking, communication, cooperation, professional recognition and leadership. The two groups pre-post design explored more varied competences as compared to other designs. Considering the results obtained, we conclude that simulation intervention is an effective teaching method for nursing students to help improve their clinical practice. However, further studies are required to assess the impact of critical thinking and problem solving.

Practical experiences of public health center nurses in the early stages of the COVID-19 pandemic: Exploration of nursing competencies (보건소 간호사의 코로나19 팬데믹 초기단계의 실무경험: 간호역량 탐색)

  • Yu, Jung-Ok;June, Kyung-Ja;Song, Yeon-Yi;Choi, Seon-Im;Kim, Hye-Jin
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.247-260
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    • 2023
  • Purpose: The purpose of this study was to gain an in-depth understanding of the characteristics and competencies of practice experienced by public health center nurses(PHNs) during the early response phase of the coronavirus disease 2019(COVID-19) pandemic. Methods: PHNs were recruited from public health centers(PHC) in ten cities in Korea, using purposive sampling. They participated in semi-structured, in-depth interviews from December 21, 2020, to February 18, 2021. The interviews were transcribed verbatim and analyzed using qualitative content analysis. Results: Three themes and nine categories were drawn from the findings. The three themes that emerged from the data analysis were as follows: 'Handling expanding work scope and overwhelming workload beyond prepared competencies, willing to go anywhere.', 'Performing tasks of cooperation and communication required in the disaster management administrative system.', 'Demonstrated proficiency in clinical nursing practices, but recognized the need for further development of leadership and administrative capabilities.' Conclusions: The experiences of the subjects' have implications for the development of content for community nursing education that cultivates basic competencies to respond to real pandemic situations during undergraduate education. It is proposed that it would be necessary to establish a support system for developing specialized competencies in public health nursing.

The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses' Resilience, Violence Coping, Nursing Competency and Burnout (회복력 중이론을 기반으로 한 폭력대처 프로그램이 응급실 간호사의 회복력, 폭력대처, 간호역량과 소진에 미치는 효과)

  • Lee, Seung Min;Sung, Kyung Mi
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.332-344
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms. Methods: A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks. Results: Levels of resilience, F=59.41, p<.001, active coping behavior, ${\chi}^2=33.09$, p<.001, and nursing competency, F=59.41 p<.001, increased significantly and levels of passive coping behavior, ${\chi}^2=22.92$, p<.001, and burnout, F=52.74, p<.001, decreased significantly in the experimental group. Conclusion: The results suggest that the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.

Influence of Critical Thinking and Empathy on Resilience of Senior Nursing Students (졸업학년 간호대학생의 비판적 사고 성향과 공감역량이 회복 탄력성에 미치는 영향)

  • Baek, Kyoung-Hwa;Yang, Young-Mi;Cho, Mi-Ock
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.57-66
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    • 2021
  • This study is a descriptive research study to investigate the effects of critical thinking and empathy on resilience of nursing students. The subjects of this study were 234 nursing students in the 4th grade and the data were collected from June 3 to 19, 2019. Data was processed by descriptive statistics, t-test, correlation analysis, and multiple regression method. As a result of the study, critical thinking and empathy showed a significant positive relationship with resilience. Critical thinking and empathy were factors that influence the resilience of nursing students and the resilience was explained as 70.3%. Therefore, in order to increase the resilience of nursing students it is considered that an education program that strengthens internal factors can cultivate critical thinking and empathy skills is necessary.

Development of Performance Evaluation Tool for Operating Room Nurses (수술실간호사 업무수행평가 도구개발)

  • Park, Sung Ae;Park, Kwang Ok;Kim, Myung Suk;Yoon, Gae Suk;Lee, Yoon Young
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.71-84
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    • 2008
  • Purpose: The purpose of this study was to develop a performance tool to evaluate operating room nurses. Method: In the first stage, 59 preliminary items were selected after two focus group meetings were carried out using as background a reference review. At this stage 59 items were developed. Next, the selected preliminary items were modified by an expert group of nurses with over 10 years experience, nurses holding doctoral degrees and professors in nursing. In the third and fourth stage, these items were analyzed by the expert group to determine validity and tested by hospital nurses with over 10 years experience to determine reliability Results: For the final tool, the 59 items, 47 items for the performance evaluation dimension and 12 items for the competence evaluation dimension were found to be valid and reliable. Cronbach's $\alpha$ was .9622, a promising alpha value for the total instrument. Conclusion: This tool is an efficient performance evaluation instrument providing meaningful feedback for operating room nurses.

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Effects of Self-evaluation using Smartphone Recording on Nursing Students' Competency in Nursing Skills, Satisfaction, and Learning Motivations: Focusing on Foley Catheterization (자율실습교육에서 스마트폰 동영상을 활용한 자가평가 학습법이 간호술기 수행능력, 자율실습만족도, 학습동기에 미치는 효과: 유치도뇨를 중심으로)

  • Chang, Eunhwa;Park, Soohyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.2
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    • pp.118-127
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    • 2017
  • Purpose: The purpose of this study was to identify effects of self-evaluation using smartphone recording on competency in nursing skills, satisfaction and learning motivations in nursing students'. The setting was the open laboratory hours. Methods: A quasi-experimental pre/post-test design was conducted in September 2015. The participants were 82 sophomore nursing students from one University. The experimental group did self-evaluation by watching recorded video clips of their performance. The control group did not have any self-evaluation. The primary outcomes were scores from the foley catheterization checklist, scores from a student satisfaction tool, and scores from a learning motivation tool. Data were analyzed using ${\chi}^2$ test, Fisher's exact test, independent t-test, and paired t-test. Results: There was a significant higher mean score in levels of satisfaction by students in the experimental group compared to the control group (t=2.26, p=.027). In addition, improvement in communication skills by the experimental group was significantly higher than improvement in the control group (t=3.96, p<.001). Conclusion: Findings show that self-evaluation using smartphone recordings has positive effects on increasing both communication skills and satisfaction with practice during open laboratory hours. These results indicate that, self-evaluation using smartphone recording is useful as a supplement to traditional open laboratory education.

Development of Competencies for New Nurses and Verification of Content Validity through a Delphi Survey (델파이조사를 통한 신규간호사 역량 도출 및 내용타당도 검증)

  • Hanna Jung;Yoonjung Lee;Jung Yeon Kim;Minjin Lee;Soo Young Han;Yumie Rhee;Shinki An;Phill Ja Kim
    • Korean Medical Education Review
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    • v.25 no.2
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    • pp.159-173
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    • 2023
  • The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi survey panel consisted of 18 people, including adjunct professors at the College of Nursing, nursing managers, and nurses with master's degrees. The Delphi survey asked about the validity of the competencies constructed in two rounds. After analyzing the Delphi results with mean, standard deviation, content validity ratio, degrees of convergence, and degrees of consensus, 12 core competencies and 36 enabling competencies were finally derived. The competencies consisted of clinical judgment and management (nine items), task competence (four items), patient orientation (five items), moral value orientation (three items), cooperation (two items), supply management (two items), professional development (three items), confidence (one item), self-control (two items), flexibility (two items), influence (one item), and nurturing others (two items). The finally derived competencies were pilot-tested with 229 new nurses who had worked for 2-12 months. The self-evaluation scores of new nurses were distributed differently according to their working period. In this study, the competencies required for new nurses were identified and the corresponding enabling competencies were identified. In the future, it is expected that a competency-based education program will be prepared based on these findings, and furthermore, it will be possible to provide high-quality medical and nursing services that meet patients' needs by improving the competency of new nurses and lowering the turnover rate.

Effects of Death Anxiety and Perceived End-of-Life Care Competencies on Fear of Terminal Care among Clinical Nurses

  • Heewon Kim;So-Hi Kwon
    • Journal of Hospice and Palliative Care
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    • v.26 no.4
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    • pp.160-170
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    • 2023
  • Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.