• Title/Summary/Keyword: Clinical nursing competence

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A Convergence Study on the Effect of Self-directed Practice based Peer-tutoring on Performance, Confidence and Self-efficacy of Core Nursing Skills in Nursing Students (동료 교수학습 기반 자율실습이 핵심기본간호술 숙련도, 수행자신감 및 자아효능감에 미치는 효과에 관한 융합연구)

  • Koo, Heesun
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.453-463
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    • 2019
  • The purpose of study was the non-equivalent control group pretest-posttest design to test the effect of self-directed nursing practice based peer-tutoring of same sophomore, on the level of confidence, performance and self-efficacy of core nursing skills in nursing students. The subjects were 68 nursing students in K City from May 1th to June 12th in 2019. The participants were shared into the peer tutoring practice group (experimental group, n=34) and the lecturer guided practice group (control group, n=34). The results of study, the experimental group scored significantly higher on the foley catheterization performance (t=11.60, p<.001), confidence (t=4.123, p<.001) and wearing protection equipment performance (t=5.91, p<.001), confidence (t=4.24, p<.001) and enema performance (t=2.82, p=.008), confidence (t=2.09, p=.044) and self-efficacy (t=4.52, p<.001) than control group. Therefore, the results justified that self-directed nursing practice based peer-tutoring could be effective in improving the performance, confidence and self-efficacy of core nursing skills in nursing students. Based on this, I suggest the study that examines the effects of peer-tutoring by applying it to various majors.

A Comparative study on Perceived Importance and Frequency of Core Nursing Skills between General and Special wards (일반병동과 특수병동의 핵심기본간호술에 대한 중요성인식과 수행 빈도 비교)

  • Chang, Eun-Hee;Mo, Moon-Hee;Choi, Eun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.2
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    • pp.1264-1272
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    • 2015
  • This study was performed to compare the perceived importance and performance frequency of the core nursing skills between general and special department. Subjects were 182 nurses who work on the hospital. Data was collected using items made by Korean accreditation board of nursing education and analyzed by frequency, mean and t-test. There were differences of importance and frequencies about nursing core skill between general and special wards. Core nursing skills of general wards were higher importance on intradermal injection(p=.011), transfusion(p=.028), simple catheterization(p=.047), cleansing enema(p=<.001), preoperative and postoperative care(p=.035), management administration(p=.027) and oxygenation with cannular(p=.002) than special wards. Actual performance frequency core nursing skills of general wards were higher similar on transfusion(p=.002), intermittent tube feeding(p=.032), simple catheterization(p=<.001), cleansing enema(p=<.001), preoperative care(p=.001), postoperative care(p=<.001), management administration(p=.001), protection equipment for quarantine room and waste disposal(p=.021), oxygenation with cannular(p=<.001) than special wards. It is needed to develop efficient and sequential program to learning the nursing core skills for nursing students.

Defining the Core Competencies of the Nurses in A Tertiary Hospital and Comparing Different Units based on Their Respective Characteristics (일 종합전문요양기관 간호사의 핵심역량 도출 및 근무지 특성별 중요도 인식 비교)

  • Sung, Young-Hee;Jeong, Jeong-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.1
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    • pp.76-93
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    • 2006
  • Purpose: The purpose of this study was to define the core components required of nurses to provide quality nursing care to patients and analyze the significance of these components in the hospital's various units to maintain a high level of competence among nurses. Method: The study evaluated 3 categories included 35 subcategories with 148 core components that were derived from literature review and interviews of nursing professionals. The nursing professional category included 18 subcategories with 98 components, the organizational culture category included 4 subcategories with 16 components, and the temperament-attitude category included 13 subcategories with 34 components. The study included 335 nurses with more than one year of hospital experience and measured disparities among different hospital units. The data was analyzed with SPSS-Win 10.0, differing perceptions of the importance of general traits among the participants were measured using standard deviation, and differing perceptions of the importance of professional traits among the participants were assessed using ANOVA and subsequently with the Bonferroni Test. The reliability of the aforementioned research tools were evaluated using the Cronbach's ${\alpha}$. Result: The results of the study were as follows: 1. Among the three categories, temperament-attitude category was perceived to be the most important, followed by nursing professional category and organizational culture category. Among the ten most important subcategories within the three categories, safety and infection prevention as well as responsibility were perceived to be the most important, followed by promotion of physiologic adaptation, document management and presentation, self-control, ethics, observance law, coping with emergency, humanity, and medication. 2. The relative importance of category associated with the core competencies within the hospital unit were as follows : 1) The units that rated nursing professional category as being the most significant were: internal medicine, surgical unit, mother-child unit, emergency room, intensive care unit, and operating room, in that order. 2) The units that rated the organizational culture competencies as being the most significant were: mother-child unit, internal medicine, surgical unit, emergency room, operating room, and intensive care unit, in that order. 3) The units that rated temperament-attitude category as being the most significant were: internal medicine, surgical unit, emergency room, mother-child unit, operating room, and intensive care unit, in that order.

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Inter-Rater Reliability of the Korean Triage and Acuity Scale (한국형 응급환자 분류도구의 간호사-응급구조사 간 신뢰도 평가)

  • Son, Jeong Ah;Lee, Eun Ja
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.107-116
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    • 2020
  • Purpose: This study was a prospective survey to evaluate the Korean Triage and Acuity Scale (KTAS) inter-rater reliability and to identify discordant areas in the KTAS classification between nurses and paramedics in emergency department (ED). Methods: Inter-rater reliability were evaluated using triage deta from January 11 to May 31, 2019. A convinience sample of a total of 800 patients who visited an emergnecy medical center in Incheon (400 adult and 400 pediatric patients in this study) were selected. The triages of this study a pair of one nurse and one paramedic performed triage at the same time, using the KTAS, Inter-rater reliability for the KTAS was evaluated with the weighted kappa. Results: The inter-rater reliability of the KTAS evaluated by weighted Kappa between nurse-paramedic KTAS score of adult patients was .71, and .66 for pediatric patients. Both were in the level considered as substantial. Among causes of triage discordance, the most frequently identified discordant item in triaging adults was the difference in the measurement of pain intensity (28.0%). For both adult and pediatric patients, multiple chief complaint was identified as the major discordant factor. In triaging pediatric patients the body temperature assessment by subjective judgments was the highest discordant item (50.7%). Conclusion: The study result suggested that the KTAS demonstrated a reasonable level of inter-rater reliability and functioned as a standardized triage tool for emergency medical services. In order to improve the inter-rater reliability and classification competence, it is necessary to revise the current all-integrated KTAS provider course to be differentiated for each job group.

An Intergrative Review on Korean Nursing Studies Related to Problematic drinker's children (문제음주자 자녀에 관한 국내 간호연구의 통합적 고찰)

  • Lee, Eun-Young;Lee, Jeong-Seop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8844-8852
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    • 2015
  • This study was conducted to figure out characteristics of the children of problematic drinkers by reviewing the studies on those children reported in nursing studies in Korea and incorporating the results. The research method was integrated literature review, and for the study, eleven articles were selected by searching with key words such as 'problematic drinking', 'alcoholic', 'alcohol dependence', 'children', and 'nursing' in three research databases, spanning between 2000 and 2014. The research results are as follows: For the domestic nursing studies on the children of problematic drinkers, there were many descriptive research using survey method, requiring introduction of various research methods in order to know characteristics and lives of the children of problematic drinkers in depth. For main characteristics of the children of problematic drinkers, they have lower ability to cope with, many of them suffer from psychological and mental health problems, are very sensitive in interpersonal relationships with higher hostility. In addition, it is reported that the children of problematic drinkers are likely to have more problematic drinking, show higher depression and lower emotional perception and expression, social support, and social competence. Based on the results of this study, considering the fact that there are extremely few studies on the children of problematic drinkers, it requires more active studies and researches in nursing. Through the study with accurate results, it will contribute to nurses' capability in both clinical settings and local community as a guideline.

Education Needs for Home Care Nurse (가정간호 교육요구도 조사 연구)

  • Kim Cho-Ja;Kang Kyu-Sook;Baek Hee-Chon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.2
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    • pp.228-239
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    • 1999
  • In 1990 Home Care Education Programs started when legislation established certification for Home Care Nurses. The Ministry of Health and Welfare proposed a home care education curriculum which has 352 class hours and 248 hours of 'family nursing and practice'. Though Home Care Education Programs have been offered in 11 home care educational institutes, there has been no formal revision for the home care education programs. Also a first and second home care demonstration projects have been carried out, but there has been no research on outcomes for home care education as applied in home care practice. The purposes of this study were to identify the important content areas for home care nursing as perceived by home care nurses, and to identify their clinical competence in each of these areas, and from these to identify the education needs. The sample was 107 home care nurses who were working in home care demonstration hospitals and community-based institutions which have been offering home care services. Responses were received from 88 nurses, comprising a 82.2% return rate, and 86 were included in the final analysis. The instrument used was a modification of the instrument developed by Caie-Lawrence et(1995) and Moon's(1991) instrument on home care knowledge. The instrument's Cronbach's coefficient was 0.982. Among the respondents, 64% were working at home care demonstration hospitals and 36% were working at community-based institutions. Their home care experiences were from one month to six years, with a mean of 20.6 months. The importance rating for home care education content was 3.42 0.325, which means importance was rated relatively high. Technical aspects of home care were identified the most important. Five items 'education skill', 'counseling skill', 'interview skill', 'wound care skill', 'bed sore care skill' received 100% importance ratings. The competency rating was 2.87 0.367 and 'technical aspects of home care' was the highest, and 'application to home care skill' was the lowest. Home care nurses' education needs were identified and compared to the importance ratings and competency ratings. Eleven items were identified as the highest in the importance areas and eleven items were in the lowest competency areas. High importance ratings matched with low competency ratings determined training needs, but there was no matching items in this study. In the lowest competency areas four items were excluded, because of not being applicable in current home care practice. Therefore total eighteen items were identified as home care education needs. These items are 'bed sore care skill', 'malpractice', 'wound care skill', 'general infection control', 'change and management of tracheostomy tubes', 'CVA patient care', 'Hospice care', 'pain management', 'urinary catheterization and management', 'L-tube insertion and managements', 'Respirator use and management skill', 'infant care', 'prevention to burnout', 'child assessment', 'CAPD', 'infant assessment', 'computer literacy', and 'psychiatry patient care'.

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Nursing Students' Patient Safety Competency and Patient Safety Management Practice (간호대학생의 환자안전 역량과 환자안전관리 행위)

  • Park, Jung-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.216-223
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    • 2019
  • This study was conducted to identify the effects of patient safety competency on patient safety management practice by nursing students and provide basic data for the development of the program to improve patient safety management practice. Participants were 293 fourth year nursing students who had clinical practice as student nurses for more than one year. Data were collected from April 26 to May 9, 2018. Collected data were analyzed for frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson' s correlation coefficient, and multiple regression with SPSS/WIN 24.0 computer program. Nursing students' patient safety competency was an average $2.90{\pm}0.38$ points (patient safety knowledge $2.68{\pm}0.65$; patient safety skills $3.26{\pm}0.56$; patient safety attitudes $2.75{\pm}0.40$). The average core of management practices to patient safety recorded $4.13{\pm}0.57$ points. In terms of the correlation among subjects' patient safety knowledge, skills, attitudes and patient safety management practices, significant correlation existed between skills and management practices (r=.337, p<.001), attitudes and management practices (r=-.150, p =.010), knowledge and management practices (r=.171, p=.003). Regression analysis revealed that 15.7% of the variance in patient safety management practice by nursing students could be explained by patient safety skills (${\beta}=.307$, p<.001), patient safety accident experience of Fire (${\beta}=-.127$, p=.026), patient safety attitudes (${\beta}=-.121$, p=.026), and patient safety accident experience of patient education (${\beta}=-.119$, p=.034). Additional studies to determine the various factors affecting patient safety management practice of nursing students and to develop educational program for increasing patient safety management practice should be conducted.

Relation amang Stress, Ego-Resilience, Self-Efficacy, Clinical performance in graduate medical student (의학전문대학원생의 스트레스, 자아탄력성, 자기효능감과 임상수행능력과의 관계)

  • Hong, Sun-Yeun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5797-5804
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    • 2011
  • Recently, the medical education is undergoing system transition from a medical college to a medical graduate school and introduction of performance test in the doctor license state examination. Therefore, To deal with these challenges, it is needed that medical faculty prepare the education programs for considering student's personal characteristics and improving Clinical performance. So, The purpose of this study was to understand relation among Stress, ego-resilience, self-efficacy and Clinical performance in graduate medical student, and for this study, We conducted a survey of 97 medical graduate school students in D city during the period from August 19st to 20st. 2011. The study found a negative correlation between Stress and Ego-Resilience, a positive correlation of stress with confidence at low region in Self-Efficacy. Ego-Resilience correlates positively with CPX at low region in Clinical performance, Preference for difficulty level of the task at low region in Self-Efficacy correlates negatively with OSCE. OSCE and CPX at low region in Clinical performance are positively correlated. Therefore, Stress reduction of students can improve Self-Efficacy, Furthermore, improve ultimately Clinical performance. According to this study, To improve Clinical performance competence, student's personal characteristics should be considered and education programs for self-efficacy and ego-resilience advancement be reflected in curriculum.

Development of PBL packages for the improvement of the problem-solving ability, self-directed learning capability and communicative competence of dental hygiene students (치위생과 학습자의 문제해결능력, 자기주도적 학습능력, 의사소통능력의 향상을 위한 문제중심학습 패키지 개발)

  • Jung, Young-Ran;Lee, Woo-Sook;Cho, Duk-Joo
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.1
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    • pp.33-49
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    • 2010
  • Obiectives : The purpose of this study was to develop PBL packages geared toward improving the problem-solving abilities, self-directed learning capabilities and communicative competency of dental hygienists, which were all required for dental hygienists to have in the dental field. Methods : After three PBL packages for a semester of oral health education were developed, the PBL packages were evaluated by an expert to determine what improvements should be made. Results : The findings of the study were as follows. The three PBL packages were based on real clinical situations and designed to have a different degree of difficulty and provide problems in the form of scenario for learners to solve in a self-directed manner. When the packages were assessed by an expert, the packages were expected to make a contribution to the improvement of the three different abilities on which this study focused, and the packages were found to be appropriate in general in terms of learning content and field applicability, though they needed some modifications. Thus, this study attempted to develop PBL packages and let an expert assess the packages in order to give some suggestions about the development of PBL packages. The packages developed in this study are expected to help boost the problem-solving abilities, self-directed learning capabilities and communicative competency of dental hygienists, which should all be possessed by dental hygienists in the dental field. Moreover, the packages were found to be conducive to the introduction of PBL in the field of dental hygiene. Conclusions : To ensure the successful application of the packages, dental hygiene students should be provided with the packages in situations similar to real clinical situations, and they should have an opportunity to practice dental hygiene duties.

A case study on the effect of communication training program on nurse's communication ability, emotional intelligence (EQ), self - esteem and interpersonal ability (의사소통 훈련 프로그램이 간호사의 의사소통능력, 감성지능(EQ), 자존감 및 대인관계능력에 미치는 효과에 대한 사례연구)

  • Yoo, Mi-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.280-290
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    • 2018
  • This study was a non-equivalence-based Quasi experimental study comparing the difference in communication ability, emotional intelligence (EQ), self-esteem, and interpersonal abilities between an experimental group with communication training and a non-control group. The subjects of the study were nurses working for D university hospital located in C city and comprised an experimental group of 21 people and a control group of 21 people. From April to May 2017, the experimental group took communication training programs, which were designed to improve communication capacity, emotional intelligence, self-esteem, and interpersonal ability for a total of four sessions (for 2 hours a week), and pre-post examination was conducted for the validity of the study. For data analysis, the SPSS for Windows 23 was used for the mean and standard deviation of pre-post tests, and U-test of the independent sample Mann-Whitney and the Wilcoxon code order test of the corresponding sample were carried out. The study results indicate that, compared with the control group, the experimental group showed communication capacity (Z=-3.361, p<.05), emotional intelligence (Z=-2.209, p<.05), self-esteem (Z=-1.633, p<.05), and interpersonal relationship (Z=-2.577, p<.05). After the communication training program, scores of communication capacity, emotional intelligence (EQ), self-esteem, and interpersonal competence of the experimental group increased significantly, and all hypotheses were supported. These results suggest that nurses' use of communication training experience in performing nursing work in a clinical setting would improve communication skills, emotional intelligence (EQ), self-esteem, and interpersonal skills and provide therapeutic communication and effective nursing, thereby enhancing patients' satisfaction and contributing to the improvement of nursing quality.