• The Journal of Korean Academic Society of Nursing Education
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• v.26 no.3
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• pp.259-268
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• 2020

Purpose: This exploratory study aims to identify the influence of clinical practice belonging, satisfaction with major, and work values on the level of career identity among nursing students. Methods: The subjects of this study are 251 senior students from three nursing departments located in a metropolitan city. Using SPSS 22.0, the study uses technical statistics, t-test, One-way ANOVA, correlation, and multiple regression analysis. Results: The average scores for clinical practice belonging, satisfaction with major, and work values were 3.61, 3.87, and 3.70 out of 5.00, respectively, and 2.85 out of 4.00 for career identity. The factors affecting students' career identity were clinical practice belonging, aptitude, satisfaction with clinical practice, satisfaction with major, indoor work, service and employment at hospitals with 40 percent being explained by these variables. Conclusion: Through this study we found that clinical practice belonging has the greatest impact on career identity. In order to enhance clinical practice belonging, universities and clinical institutions need to develop new programs and curricula.

• The Journal of Korean Academic Society of Nursing Education
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• v.26 no.2
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• pp.157-166
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• 2020

Purpose: This study was conducted to explore how clinical practice stress and moral sensitivity affect the clinical competency of nursing students. Methods: Participants had completed at least a one year (2 semesters) clinical nursing practicum through K University in D Metropolitan City. A total of 188 nursing students were recruited: third grade (n=104) and fourth grade (n=84). The questionnaires were adopted with clinical practice stress, Korean version of moral sensitivity questionnaire (K-MSQ), and the clinical competency. Results: Clinical competency was positively correlated with patient-oriented care (r=.27, p<.001) and the professional responsibility (r=.32, p<.001) of the moral sensitivity (r=.27, p<.001). The attitude of medical personnel experiencing clinical practice stress shows a significant positive relationship with clinical competency (r=.15, p=.038). The attitude of medical personnel (β=.09, p=.194) experiencing clinical practice stress, patient-oriented care (β=.16, p=.041) and professional responsibility (β=.23, p=.003) of the moral sensitivity explained 12% of the variance in clinical competency (F=9.17, p<.001). Therefore, the influential factors on clinical competency were two sub-factors of moral sensitivity. Conclusion: Moral educational programs should be considered to develop a nursing students' clinical competency.

• The Korean Journal of Emergency Medical Services
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• v.18 no.2
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• pp.109-123
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• 2014

Purpose: This study attempts to provide information for developing a preceptorship education program by analyzing the recognition and acceptance of the introduction of paramedic preceptorship in the clinical practice of paramedic students in Korea. Methods: Data were collected from 120 paramedics from December 26, 2013, to February 20, 2014. A questionnaire consisting 33 questions was administered, and the collected data were analyzed using SPSS version 21.0. Results: The overall responses were positive, and the subjects were very interested in the introduction of paramedic preceptorship in paramedic education and clinical practice settings. The mean score for preceptorship acceptance was 3.97 on a 5-point Likert scale. In terms of recognition, 59.0% of the 78 subjects were able to explain preceptorship. In terms of acceptance, 85.8% of the subjects agreed with preceptorship and 81.7% considered an effective training method. Conclusion: Most of the subjects agreed that preceptorship is very important for the education of paramedic students. The preceptorship education program development will be the basis of clinical practice.

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.3
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• pp.365-375
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• 2011

Purpose: This study aimedto develop a structural equation model on the relationship among ego-resilience, and teaching effectiveness on clinical education, stress coping style, perceived family support, and satisfaction of clinical practice in nursing students in order to increase the satisfaction of clinical practice. Methods: The subjects were 399 undergraduate nursing students enrolled in 7 universities and participating in 10 clinical practice setting areas in 5 cities in South Korea. The research was conducted from December 5th, 2009 to February 20th, 2010. The structural equation model was used to perform the analysis with the statistics program of SPSS win 17.0 and AMOS 5.0. Results: Teaching effectiveness and family support showed a direct effect on satisfaction of clinical practice, while ego-resilience and stress coping styles showed an indirect effect. The biggest total effect on satisfaction of clinical practice was teaching effectiveness followed by family support, ego-resilience, and stress coping styles respectively, which accounted for 50.9%. Conclusion: Based on outcomes of this study, the proposed model allows better understanding of the satisfaction of clinical practice. This result implies that strategies or intervention programs enhancing extrinsic protection factors, motivation factors, and intrinsic protection factors should be considered. In addition, a structural support system for increasing the satisfaction level of clinical practice in nursing students should also be considered.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.3
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• pp.307-315
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• 2009

Purpose: This study was done to investigate the relationship of self efficacy, self-directedness and practice satisfaction to clinical practice for nursing students. Method: The participants were 122 nursing students in clinical practice. They responded to questionnaires that included measures of self efficacy, self-directedness and clinical practice satisfaction. Results: The average self efficacy score was 3.70, self-directedness, 3.66 and clinical practice satisfaction, 3.44. Self efficacy showed a significant difference according to gender with men having higher scores (t=-2.82, p= .005). Clinical practice satisfaction showed a significant difference according to motivation for nursing (F=3.86, p= .011), and location of clinical practice (F=3.73, p= .006). Self efficacy had a significant positive correlation to self-directedness (r= .755, p< .001) and clinical practice satisfaction (r= .379, p< .001). Self-directedness had a significant correlation with clinical practice satisfaction (r= .412, p< .001). Conclusion: After clinical practice, self efficacy, self-directedness and clinical practice satisfaction in nursing students were relative higher. Self efficacy, self-directedness were affected by clinical practice satisfaction.

• Journal of the Korean Society of School Health
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• v.13 no.1
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• pp.147-160
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• 2000

The purpose of this study was to serve as a basis for better student practice in dental hygiene and for determining educational direction for dental hygiene clinical education by examining what students and clinical-practice instructors thought on clinical practice and what factors gave an impact to clinical education. For attaining the purpose, an investigation was made of 449 third-grade students in the department of dental hygiene at seven educational institutes in Seoul and Kyoung-gi province. 246 instructors in charge of the clinical practice of the students at dental hospital or clinics were also examined. The findings of this study were as follows: 1. The instructors and students had different opinions on the number of trainees, training time, beginning of training, and assessment(p<0.05). The instructors thought that a trainee was appropriate for an instructor(59.8%), and that training time was not sufficient(30.8%). They considered it proper for students to start practice during the summer vacation of second year(21.5%), and responded that assessment should be done by the dentist, dental hygienist or professor in charge(44.7%). However, the students had an idea that an instructor should take charge of 2 or 3 trainees(47.4%), and that there was a lot of training time(55.7%). They considered it appropriate to start practice in the first term of second grade(l9A%), and thought the assessment should be made by the dentist and dental hygienist in charge(44.8%). 2. The students' satisfaction was clinical practice was affected(p<0.05) by their own selection of training institutes(28.1%), the absence of trainee from other colleges(29.4%), ample practice time(28.3%), implementation of student assessment once a day(45.3%), diverse practice opportunities (45.5%), and easy traffic to the training institute(32.9%). 3. The achivement of clinical practice was influenced by practice opportunities, the degree of faithful treatment performance, the frequency of student assessment, the number of trainees, traffic to training institutes, assistance in understanding theoretical knowledge of clinical practice, and assessment methods(p<0.05).

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.4
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• pp.381-394
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• 2023

Purpose: This study aimed to develop an intentional rounding protocol to enhance the clinical competence of nursing students. Methods: An intentional rounding protocol for nursing students' clinical practice was developed following the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. A convenient sampling method was used to select 23 junior year university nursing students during their clinical practice in adult nursing. The program evaluation included a quantitative assessment (communication and relationship efficacy, empathy, and patient safety competency) and focus group interviews. Results: The intentional rounding protocol focused on the 4Ps (pain, position, potty, and possessions) and encompassed aspects such as level of consciousness, pain management, personal care needs, intravenous injection, oxygen administration, nasogastric/nasoenteric tube care, maintenance of urine collection bags, and the identification of environmental fall risks. Nursing students performed intentional rounding at least twice a day. Following the implementation of this protocol, nursing students demonstrated a significant improvement in communication and interpersonal efficacy. The focus group interviews revealed four main themes: growth of human relationships, acquiring knowledge in and about the clinical field, becoming a nurse, and barriers in reality. Conclusion: The intentional rounding protocol has the potential to enhance nursing students' communication and interpersonal skills during clinical practice and to provide them with positive experiences in nursing clinical education. Therefore, it is recommended that this protocol be incorporated into nursing clinical practice education.

• Journal of Digital Convergence
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• v.18 no.7
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• pp.279-287
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• 2020

For effective clinical practice education, this study was conducted to find out the effects of learning practical subjects on the core competency and satisfaction level of clinical practice on nursing students. The research subjects were divided into groups that conducted four core nursing education classes eight hours a day for two weeks, and groups that received traditional lecture-oriented education, and a questionnaire was prepared and reported by themselves after 15 weeks of clinical practice. The collected data was analyzed using frequency, percentage, mean and standard deviation, chi-square test, and t-test using the SPSS 21.0 program. The findings supported the hypotheses in critical thinking propensity and clinical practice satisfaction, and the hypotheses in leadership, problem-solving and communication skills were rejected. The results of this study confirmed that practical training for strengthening core practical skills has a positive effect on the critical thinking tendency and clinical practice satisfaction of nursing students. Therefore, it can be used as an effective practical training arbitration in nursing education.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.1
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• pp.131-140
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• 2012

Purpose: The purpose of this study was to investigate the degrees of and relationships between self-leadership, stress of clinical practice and self-disclosure in a group of college female students. Methods: Data were collected from 258 participants with self-report questionnaires in August, 2011. Results: There were significant differences in the level of 'self-leadership' depending on 'interpersonal relationships', 'application motivation', 'satisfaction with nursing as a major' and 'satisfaction in clinical practice'. And also there was significant difference in the level of 'self-disclosure' depending on 'interpersonal relationships'. But there was no significant difference in the level of 'stress of clinical practice' depending on general characteristics of participants. There were significant correlations between 'self-leadership' and self-disclosure, 'stress of clinical practice' and 'self-disclosure'. Conclusion: The results of this study suggest that it is needed to develop diverse programs that can reduce the stress of clinical practice by strengthening the capacity of self-leadership and self-disclosure.

• Korean Medical Education Review
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• v.22 no.2
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• pp.115-121
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• 2020

The high degree of academic burnout experienced during academic life indicates that job skill levels during the first year following graduation are low, and the correlation with turnover intention is high. We investigated the effects of clinical practice stress and resilience on nursing students' burnout, and searched for factors that can prevent or control burnout. We recruited a convenience sample of 202 nursing students. Academic burnout, general characteristics, clinical practice stress, and resilience were assessed via self-reported questionnaires. The mean total score of academic burnout was 44.0 points; exhaustion was the highest at 18.5 points, inefficacy was 15.9 points, and cynicism was 9.6 points. High levels of clinical practice stress affected academic burnout (β=0.194, p=0.003), while high resilience was a factor that lowered the degree of academic burnout (β=-0.449, p<0.001). Based on our results, factors affecting students' experiences of academic burnout were clinical practice stress and resilience. We therefore propose the implementation of a new curriculum aimed at increasing satisfaction with the major, reducing clinical practice stress, and increasing resilience, including an efficient peer mentoring program for clinical practice.