• Title/Summary/Keyword: Clinical nursing competence

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Influencing Factors on Intention of Career Choice toward Mental Health Nurses among Senior Nursing Students (졸업을 앞둔 간호대학생의 정신간호사에 대한 진로선택 의도 영향요인)

  • Jinyoung, Lee;Moonhee, Gang
    • Journal of Industrial Convergence
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    • v.21 no.2
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    • pp.53-59
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    • 2023
  • The purpose of this study was to identify the influencing factors on the intention of career choice toward psychiatric nurses among nursing students. The participants were 261 senior nursing students from five schools in D and W metropolitan cities. Data were collected from August 1 to 20, 2019, and analyzed by descriptive statistics, t-test, Pearson Correlation Coefficient, and multiple regression using SPSS 26.0 program. In the multiple regression analysis, age (𝛽=.13, p=.048), satisfaction of mental health nursing practicum (𝛽=.16, p=.035) were significant factors on intention of career choice toward mental nurses with 10.3% of total explanatory power. Therefore, it is necessary to improve the practice satisfaction of nursing students by improving the practice environment and clinical nursing instructors' teaching competence. In addition, an further study was proposed that can identify various variables that affect the career choice of mental health nurses by expanding the subjects.

The Effect of Preceptor Nurses' Conflict Management Type on Preceptor Role Recognition and Core Competency (프리셉터 간호사의 갈등관리 유형이 프리셉터 역할인식 및 핵심역량에 미치는 영향)

  • Kim, Eun Jeong;Park, Bohyun
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.337-347
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    • 2023
  • Purpose: The objectives of this study were to categorize the conflict management types of preceptor nurses and determine the effects of these types on preceptors' role perception and core competencies. Methods: Data was collected from 192 preceptor nurses with at least two years experiences in general hospitals, from July 1 to July 31, 2022. Conflict management type, preceptor role perception, and core competency were investigated using structured instruments. The data was analyzed using K-means cluster analysis, Independent samples t-test, One-way ANOVA with Scheffé's test, and multiple regression analysis. Results: The conflict management types were categorized into four types; comprehensive type (cluster 1), integrating, obliging, compromising type (cluster 2), undifferentiated type (cluster 3) and obliging, avoiding type (cluster 4). The effect of conflict management types on preceptors' role recognition occurred in the following order of cluster 2 (integrating/obliging/compromising type), cluster 1 (comprehensive type), and cluster 4 (obliging/avoiding type). Next, cluster 1 (comprehensive type), cluster 2 (integrating/obliging/compromising type), and cluster 4 (obliging/avoiding type) were shown in the order of the impact on the core competencies of the preceptor. Conclusion: When preceptor nurses use a mixture of various attributes of conflict management evenly, they have been shown to demonstrate effective preceptor role recognition and core competencies. Therefore, it is proposed that future development of conflict management training programs for preceptor nurses should begin with identifying their conflict management type, followed by creating a program that addresses any deficiencies.

Development of the Developmental Support Competency Scale for Nurses Caring for Preterm Infants (미숙아 발달지지를 위한 간호역량 측정도구 개발)

  • Kim, Jeong Soon;Shin, Hee Sun
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.793-803
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    • 2016
  • Purpose: Developmental care has been recognized as a very important component for the development and health promotion of preterm infants. However, research on how to assess developmental nursing competency has not been studied as expected. This study was done to develop and evaluate a new scale to measure nursing competency for developmental support of preterm infants. Methods: Concept analysis was done with using the Hybrid model of Schwartz-Barcott and Kim (2000), from which a preliminary new scale (30 items) was developed. To test the validity and reliability of the new scale being developed, data were collected from 122 NICU nurses at 4 hospitals in 3 cities in the Republic of Korea, from December, 2014 to March, 2015. Results: The final version of the Developmental Support Competency Scale for Nurses (DSCS-N) caring for premature infants was a 4-point Likert type scale, consisting of 19 items, and categorized as 6 factors, explaining 62.5% of the total variance. Each of the factors were named as follows; 'environmental support' (4 items), 'parental support' (3 items), 'interaction' (3 items), 'critical thinking' (3 items), 'professional development' (3 items), and 'partnership' (3 items). The Cronbach's ${\alpha}$ coefficient for the scale was .83 and the reliability of the subscales ranged from .60~.76. Conclusion: The psychometric evaluation of the new scale demonstrated an acceptable validity and reliability. Findings indicate that the DSCS-N can be used as the tool to test the effect of educational programs for nurses and contribute to advance developmental care for preterm infants.

A Systematic Review on the Use of SBAR in Communication for Domestic Nursing Students (국내 간호대학생의 SBAR를 이용한 의사소통에 대한 체계적 고찰)

  • Mi-Jin Lee;Hwa-Young Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.1
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    • pp.171-182
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    • 2024
  • The purpose of the study was to review the evidence of effects of SBAR for communication in domestic nursing students. Four databases were searched for articles publised until June 2023 that databases include RISS, KISS, DBpia & KCI. Key word used for search include 'nursing students,' 'nursing,' 'SBAR,' 'communication.' Of 57 papers searched, seventeen studies were selected for data analysis. Studies evaluated outcomes including communication clarity, communication competence, communication confidence, critical thinking ability, self-efficacy, reporting confidence, clinical judgment, and communication satisfaction that most studies reported positive effects while some figures were not statistically significant. Accordingly, we intend to analyze the characteristics and contents of communication interventions using SBAR, evaluate their effectiveness, and use them as evidence for future follow-up research on communication interventions using SBAR.

Emergency Nurses' Critical Thinking Disposition, Problem Solving Ability, and Triage Competency (중증도 분류간호사의 비판적 사고성향, 문제해결능력과 중증도 분류역량)

  • Park, Jae Hyung;Bae, Sun Hyoung
    • Journal of muscle and joint health
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    • v.29 no.2
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    • pp.124-132
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    • 2022
  • Purpose: The purpose of this study was to investigate the relationships among critical thinking disposition, problem solving ability, and triage competency in nurses working in Emergency Rooms (ERs). Methods: This cross-sectional study, conducted in August and September 2021, involved 118 ER nurses from three hospitals in the Gyeonggi-do metropolitan area. The data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple linear regression analysis using SPSS for Windows version 25.0. Results: The mean score of triage competency among ER nurses was 87.63±15.65. In the regression model, age, ER experience, triage experience, critical thinking disposition, and problem solving ability predicted 52% of the triage competency. Both critical thinking disposition and problem-solving ability were noted to be significant (β=.32, p<.001; β=.36, p<.001, respectively). Conclusion: Critical thinking disposition and problem solving ability of ER nurses were identified as major factors in triage competency. To improve ER nurses' triage competency and enhance critical thinking disposition and problem solving ability, a systematic and ongoing program should be developed and implemented.

Relationship between time management and anxiety of Occupation Therapy students

  • Lee, Hye-Sun
    • International Journal of Advanced Culture Technology
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    • v.9 no.4
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    • pp.254-259
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    • 2021
  • Time management skills are essential for Occupation Therapy students' success, and development of clinical competence. The purpose of this study was to determine the relationship between time management skills and anxiety and academic motivation of nursing students. This study was carried out on 95 Occupation Therapy students. Data were collected using demographic Questionnaire, Time Management Questionnaire (TMQ), Spielberger State-Trait Anxiety Inventory (STAI) and Academic Motivation Scale (AMS), which was completed t by self-report. Data were analyzed using SPSS 20 software with descriptive and analytical statistics such as ANOVA, independent t-test, Regression and Pearson Correlation Coefficient. The results also showed a statistically significant negative correlation between the students' TMQ scores and the state anxiety (r= -0.282, p< 0.005) and trait anxiety scores (r= -0.325, p<0.005). Moreover, there was a statistically significant positive correlation between the students' TMQ scores and AMS scores (r= 0.279, p< 0.005). Regarding the findings, it seems that it is necessary to plan for improving time management skills in order to enhance academic motivation and reduce anxiety rates among Occupation Therapy students.

The Effect of High-Fidelity Simulation Practice Related with Classical Education of Medical Surgical Nursing (성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 교육의 효과)

  • Chyn, Yeol-eo;Kim, Kyoung-Mi;Hwang, Hye-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8176-8186
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    • 2015
  • This research was conducted for the purpose of developing a high-fidelity simulation education program, applying it to clinical field and analyzing this program's effect on nursing college students in order to solve problems being caused from the gap between the adult nursing theoretical class and practical education. As the analysis method, this study developed a scenario including an algorithm for caring hyperkalemia patients, the evaluation check list, and debriefing according to the adult nursing theoretical class's learning goal and measured the high-fidelity simulation program's effect in using the non-equivalent control group pre-test and post-test design. As the results from the analysis, there secured the simulation education program's general properties and dependent variable's homogeneity in the experimental group and the control group. The nursing simulation practice program for hyperkalemia patients showed slight effect on the experimental group compared to the control group in fields such as nursing practice ability, problem solving ability, critical thinking skills, self-confidence of nursing, and knowledge. (t=-83.313, p<.001, t=-3.169, p=.003, t=-2.473, p=.017, t=-4.036, p<.001, t=-5.044, p<.001). High-Fidelity simulation programs in conjunction with an adult nursing theory classes of nursing students nursing practice ability, problem solving ability, critical thinking skills, self-confidence of nursing, and knowledge. This simulation program may be an effective educational method for nursing practice and also support improved quality of nursing education.

A Bioethical Study of the Informed Consent for Organ Donor (장기공여를 위한 사전동의의 생의윤리학적 고찰)

  • Um, Young-Rhan;Han, Sung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.475-487
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    • 1998
  • This is a study to search for the ethical basis for valid informed consent of organ donors. It is an admirable action that a person give his own body part or organ as a gift to another person. The organ for transplantation can be removed only when the donor consents voluntarily to donation. It is recently proposed as the need for organ transplantation is increased that organs can be harvested although the consent of deceased cannot be obtained. This may raise many moral issues because human beings all have an unalienable right to control their own bodies. The principle of autonomy is usually regarded as an ethical basis for informed consent. However, some people criticize that the principle of autonomy requires a person and his decision to be autonomous (but there are many patients who aren't autonomous due to their confusion or unconscious condition in a clinical situation). or this principle can foster indifference to patients needing help: thus respect for principles of care and beneficence is necessary. When we consider the complexity of making a decision about organ donation. the principle of autonomy should be replaced by the principle of respect for individual autonomy. as expressed by Childress (1990). This principle requires the care givers to respect the client's individual decisions. The elements of informed consent are threshold elements: competence to understand and decide. voluntariness in deciding: information elements: disclosure of material information. recommendation of a plan. understanding of disclosure and recommendation: and consent elements: decision in favor of a plan. authorization of the chosen plan. In cases of living donors. the elements of competence and voluntariness are more important than the others. So only an adult can give a recipient his own body part. but it should be forbidden to harvest from minors or protected adults (i.e. developmentally disabled person However. when organs are removed from a cadaver donor. we ought to respect the donor's decision. So we ought to try to seek donor cards or any documents expressing the donor's opinion about organ transplant. All health care givers ought to disclose donor information about organ transplantation clearly enough for the donor to understand it and to be able to weigh the harms and benefits. We are going to propose 'the subjective standard' as the ethical standard of disclosure. This standard will assure that patients have enough information to be able to decide autonomously from their own position. Care givers have to consider the method of disclosure because donors can be influenced by it positively or negatively, Establishment of the Hospital Committee is recommended. because medical professionals will have a chance to discuss the procedure of decision and the validity of harvesting a organ from a person.

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Mental Health of Adolescents in a Community (일 지역사회 청소년의 정신건강 실태)

  • Kim, In-Hong
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.234-243
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    • 2009
  • Objectives: The aim of this study was to establish the basic data for adolescents' mental health states in a community. Methods: 466 middle school and high school students were analyzed by visit-survey with an organized questionnaire from March to June 2008. K-YSR for measurement of mental health was used. Results: The score of total behavior (p<0.01), anxious/depressed (p<0.05), though problems (p<0.001), attention problems (p<0.001), aggressive behavior (p<0.01) and internalizing problems (p<0.05) in girls appeared significantly higher as compare to those the boys. Also, total competence (p<0.05) in high school students appeared significantly lower as compare to those middle school students. Withdrawn (p<0.01) in high school students appeared significantly higher as compare to those middle school students. The though problems (p<0.001) and aggressive behavior (p<0.05) in middle school students appeared significantly higher as compare to those high school students. The distribution of clinical group was school 93.8%, total competence 32.6%, attention problems 8.8%, total behavior problems 8.6%, anxious/depressed 7.7%, aggressive behavior 6.4% et. al. The social (p<0.05), anxious/depressed (p<0.05), attention problems (p<0.01), internalizing problems (p<0.05) and externalizing problems (p<0.05) in girls of clinical group were more frequent significantly as compared to those the boys of clinical group. Also, the social (p<0.01) in middle school students of clinical group was more frequent significantly as compared to those the high school students of clinical group. Conclusions: This study result will be significant in that it can provide basic data for the school mental health services.

The Effects of Motivational Interviewing Training Program on Communication Skills and Self-Efficacy of Home Visiting Nurses (동기강화상담 교육훈련 프로그램이 가정방문간호사의 의사소통능력과 직무효능감에 미치는 효과)

  • Kim, Sungjae;Yang, Jeongwoon
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.274-287
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of Motivational Interviewing(MI) training program on communication skill and self-efficacy of home visiting nurses(HVNs). Methods: This study has a mixed-methods design that includes a one-group pre-post test study and focus group interviews(N=23). From April 16th to June 11th in 2014, total six two-hour sessions of MI training program were provided to the participants. The quantitative outcomes were collected using Global Interpersonal Communication Competence Scale(GICC-15) and Self-efficacy Scale, and the qualitative data were obtained by 5 focus group interviews. Group pre-post changes were evaluated by paired t-tests and the qualitative data were analyzed by content analysis method. Results: MI training program led to significant enhancement in communication skills(Z=-3.62, p<.001) and self-efficacy(Z=-3.67, p<.001). The qualitative study revealed that the participants had positive experiences to express empathy, support self-efficacy, and respect autonomy for their clients applying reflective-listening and affirmation skill. Conclusion: The HVNs who participated in the MI training program showed improved communication skills and self-efficacy in the quantitative and qualitative studies. A randomized clinical trial is needed to confirm the value of MI training program for HVNs.