• 성인간호학회지
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• 제25권5호
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• pp.574-584
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• 2013

Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

• 대한한의진단학회지
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• 제20권1호
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• pp.27-36
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• 2016

Objectives The purpose of this study was to revealed the association among the clinical performance, self-concept of the nursing profession and critical thinking disposition of nursing students. Methods The subjects were recruited from the university nursing students who was experienced Grade 3 and Grade 4 students. The general characteristics of the subjects were presented with the frequency and percentage. Differences in clinical performance, professional nursing self-concept and critical thinking disposition were analyzed by t-test, ANOVA according to the degree of general characteristics. A significant positive correlation were analyzed from $Scheff{\acute{e}}$ test. Multiple regression analysis was used to reveal the effective indexes for Clinical Competence of the subjects. The suitable significance was 0.05 Results Total 318(23 males and 295 females) participants were joined in this study. Critical thinking disposition of the nursing students was significantly different in the university satisfaction, academic record, major satisfaction, satisfaction of clinical practice, relationships with colleagues practice, satisfaction amount of practice(p<0.001). Clinical competence of nursing students was positively associated with critical thinking disposition, professional self-concept and professional self-concept was positively associated with critical thinking disposition. Critical thinking disposition and professional self-concept was significant (F=83.081, p<.001). The higher clinical competence was (${\beta}=.168$, p=.001), the higher professional self-concept was(${\beta}=.051$, p<.001). The explanation power of critical thinking disposition and professional self-concept was 34.5% in clinical competence. Conclusions There is significantly positive correlation among critical thinking disposition, professional self-concept, and clinical performance in the nursing students.

• 한국융합학회논문지
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• 제9권11호
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• pp.569-579
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• 2018

본 연구는 간호대학생의 핵심기본간호술의 임상수행 경험과 자신감, 임상수행능력 정도를 알아보기 위한 연구이다. 자료는 빈도와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson's Correlation Coefficient, 다중회귀분석을 통하여 분석하였다. 연구결과는 다음과 같다. 핵심기본간호술의 임상수행경험, 수행자신감 및 임상수행능력에서 유의한 차이를 보인 일반적 특성은 학년이며, 임상수행능력과 핵심기본간호술 수행경험 그리고 수행자신감은 순상관관계가 있었다. 임상수행능력에 가장 큰 영향을 미치는 요인은 핵심기본간호술 수행자신감으로 31.2%의 설명력을 보였다. 이러한 결과는 간호대학생의 임상수행능력을 높이기 위해 간호대학생의 핵심기본간호술 수행자신감을 높일 수 있는 다양한 교육과정 개발이 필요함을 보여주는 것이라 하겠다.

• 간호행정학회지
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• 제19권4호
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• pp.536-543
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• 2013

Purpose: The purpose of this study was to identify the mediating effect of professionalism in the relationship between clinical competence and field adaptation in newly graduated nurses. Methods: The participants in this study were 213 nurses from four tertiary hospitals who had less than 12 months of nursing experience. Data were collected during January and February, 2013. A structured questionnaire was used for data collection and data were analyzed using descriptive statistics, Pearson correlation coefficients, and path analysis with the SPSS/WIN 21.0 and AMOS 21.0 programs. Results: The mean score for clinical competence was $2.85{\pm}0.25$, for professionalism, $3.10{\pm}0.30$, and for field adaptation, $2.79{\pm}0.37$. There was a significant positive relationship between clinical competence and field adaptation. Also, professionalism was positively correlated with field adaptation. Professionalism showed mediating effects between clinical competence and field adaptation. Improvement of clinical competence increased professionalism and the increased professionalism raised the field adaptation. Conclusion: Based on these findings, orientation programs including strategies to increase professionalism, should be established to promote effective field adaptation in newly graduated nurses. These orientation programs can strengthen professionalism, the mediator between clinical competence and field adaptation in newly graduated nurses.

• 근관절건강학회지
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• 제27권3호
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• pp.307-315
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• 2020

Purpose: This study sought to identify the effects of emotional intelligence, self-leadership, and critical thinking disposition on clinical reasoning competence among nursing students. Methods: Data were collected from 149 nursing college students using structured self-reported questionnaires, and analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis via the software SPSS version 25.0. Results: Clinical reasoning competence was positively correlated with emotional intelligence (r=.61, p<.001), self-leadership (r=.50, p<.001), and critical thinking disposition (r=.48, p<.001). Emotional intelligence (β=.46, p<.001), self-leadership (β=.24, p=.002), and age (β=-.15 p=.017) were identified as factors that influence clinical reasoning competence(Adjusted R2=.42). Conclusion: To enhance clinical reasoning competence among nursing students, their emotional intelligence and self-leadership need to be improved, and the age of students should be considered, as the level of clinical reasoning competence tends to decrease in students over 31 years old.

• 한국산학기술학회논문지
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• 제14권9호
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• pp.4380-4387
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• 2013

본 연구는 간호대학생의 임상수행능력 정도를 확인하고 임상수행 능력의 예측 요인을 파악하고자 시도되었다. 연구 대상자는 D광역시에 소재하는 2개 대학 간호학과 학생 197명이었다. 자료수집을 위한 설문조사는 2011년 3월 2일부터 21일까지 실시되었고 자료분석은 SPSS 21.0프로그램을 이용하여 분석하였다. 연구결과 대상자의 임상수행능력은 평균 3.96점이었고, 임상수행능력과 비판적사고 성향, 문제해결능력, 전공만족도, 임상실습만족도는 유의한 상관관계가 있는 것으로 나타났다. 간호대학생의 임상수행능력에 영향을 미치는 영향요인은 비판적 사고성향이 18.2%의 설명력으로 가장 높은 영향요인으로 나타났고 논리학 이수 문제해결능력을 포함한 변수가 임상수행능력의 27.2%를 설명하였다. 본 연구결과에 의하면 간호대학생의 임상수행능력 영향요인을 고려한 효율적인 교육프로그램 개발이 요구된다.

• 한국간호교육학회지
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• 제12권1호
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• pp.60-69
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• 2006

Purpose: This study was to explore the clinical competence according to clinical ladder of operating room nurses. Method: The subjects were 125 the operating room nurses working at five university hospitals in four city. The instrument to measure the clinical competency and clinical performance of OR nurses was developed by researcher. It consisted of 12 domains of clinical competence and 23 items of clinical performance. Results: Clinical competence and clinical performance of OR nurses group devided into 4 groups by clinical ladder such as 0-12month, 13-36 mon. 37-84 mon. over 85 month were significantly different. More experienced nurses performed higher level of clinical performance and competency in 23 items and 12 domains. Conclusion: It will be needed to add concrete behavioral patterns and behavioral indicators of nursing competencies, per stage of the clinical ladder, by repetitive studies on nurses of various hospitals and to confirm the validity.

• 문화기술의 융합
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• 제8권1호
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• pp.417-425
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• 2022

이 연구는 간호대학생의 셀프리더십, 임상수행능력과 임상실습만족도에 대한 관계를 파악하고, 임상실습만족도에 셀프리더십과 임상수행능력이 미치는 영향을 규명하기 위한 연구이다. 자료수집은 2019년 5월1일부터 5월 16일까지 조사하여, 186부의 설문지를 분석에 사용하였으며 SPSS/WIN 28.0통해 분석하였다. 대상자의 셀프리더십의 평균은 3.44점이고, 임상수행능력의 평균은 3.82점, 임상실습만족도의 평균은 3.69점으로 나타났다. 임상실습만족도는 셀프리더십(r=.221, p=.002)과 임상수행능력(r=.262, p<.001)과 양의 상관관계가 있는 것으로 나타났고, 셀프리더십과 임상수행능력(r=.050, p=.494)은 상관관계가 없는 것으로 나타났다. 임상실습만족도에 영향을 미치는 변수는 셀프리더십(β=.251, p<.001)과 임상수행능력(β=.208, p=.003)으로 나타났고, 이들 변수의 설명력은 10.4%로 나타났다. 따라서 간호대학생의 임상실습만족도를 높이기 위해서는 셀프리더십과 임상수행능력을 향상시킬수 있는 프로그램 개발이 이루어져야 한다.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2749-2759
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• 2013

본 연구는 간호대학생의 감성지능과 의사소통능력, 임상수행능력, 임상실습스트레스와의 관계를 파악하기위해 시도되었다. 간호대학 2학년에 재학중인 184명을 대상으로 설문지를 이용하여 2012년 1월 5일부터 2012년 2월 29일까지 자료를 수집하였다. SPSS WIN18을 이용하여 빈도, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 연구결과 간호대학생의 감성지능과 의사소통능력, 임상수행능력, 임상실습스트레스는 유의한 상관관계를 보여 감성지능이 높을수록 의사소통능력 및 임상수행능력이 높고 임상실습스트레스는 낮은 것으로 나타났다. 따라서 간호대학생의 의사소통능력 및 임상수행능력을 향상시키고 임상실습스트레스를 감소시키기 위해서는 감성지능을 증진시킬 수 있는 프로그램 개발 및 검증을 제언한다.

• 기본간호학회지
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• 제13권3호
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• pp.343-350
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• 2006

Purpose: This study was done to identify the relationship between self-efficacy and clinical skill competence of nursing students. Method: The participants in the study were 375 student nurses enrolled in 3rd & 4th year of a BSN program in Seoul and Gyeongi province, Korea. Data were collected from December 12, 2004 to November 30, 2005 using a structured questionnaire. Data were analyzed using SPSS 11.0 Win program. Results: The average score for self-efficacy was $3.21{\pm}0.60$, and for clinical skill competence $2.80{\pm}0.42$. The self-efficacy score showed a significant difference according to student's year in college (t=2.494, p=0.013), and GPA score (t=4.299, p=0.000). The clinical skill competence score showed a significant difference according to year in college (t=5.351, p=0.000), GPA score (t=2.997, p=0.003) and satisfaction with course (F=5.214, p=0.006). There was a significant positive correlation between self-efficacy and clinical skill competence (r=0.224, p=0.000). Conclusion: These findings show that there is a need to develop strategies to improve self-efficacy for student nurses in Korea. And also, it is recommended that programs to improve clinical skill competence need to be included in nursing curricula.