• Title/Summary/Keyword: Clinical practice performance

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A Preliminary Study on Development and Evaluation of Home Health Care Nurse Clinical Practice Program -Focused on Postoperative Orthopedic Patients- (가정간호사 임상실무 훈련프로그램 개발과 평가를 위한 사전 연구 -정형외과 수술 환자를 중심으로-)

  • 서영숙
    • Journal of Korean Academy of Nursing
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    • v.26 no.1
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    • pp.15-32
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    • 1996
  • The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed include confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient /family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who have had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.

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The Convergence Influence of Clinical Performance Ability, Clinical Practice Satisfaction, and Emotional Intelligence on Nursing Professionalism of Nursing Students (간호대학생의 임상수행능력, 임상실습 만족도 및 감성지능이 간호전문직관에 미치는 융복합적 영향)

  • Kim, Ga-Ya
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.63-71
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    • 2022
  • The purpose of this study is a descriptive research study to understand to investigate the convergence effects of nursing students clinical performance ability, clinical practice satisfaction, and emotional intelligence on nursing professionalism. From November 10 to November 20, 2021, 132 fourth-year nursing students 132 students in 4th year nursing department were surveyed using a convenience sampling. The collected data were analyzed using descriptive statistics, t-test and ANOVA, Scheff'e test, Pearson correlation coefficient, and multiple regression analysis using SPSS Statistics 25.0. As a result of the study, factors affecting nursing professionalism were emotional intelligence(β=.46, p<.001), clinical performance (β=.18, p=.033), and clinical practice satisfaction(β=.18, p=.027) and the explanatory power of nursing professionals was 52%. Therefore, it is expected that it will be used as basic data for a program that can improve professional nursing values of nursing students through factors affecting professional nursing values.

The Influences of Critical Thinking Ability, Communication Skills, Leadership, and Professionalism on Clinical Practice Ability in Nursing Students (간호학생의 비판적 사고능력, 의사소통능력, 리더십, 전문직관이 임상실무능력에 미치는 영향)

  • Lee, Jia;Jang, Mi Heui
    • Journal of East-West Nursing Research
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    • v.23 no.2
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    • pp.124-133
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    • 2017
  • Purpose: The purpose of this study was to identify factors that affect nursing students' clinical practice ability. Methods: The data were collected from 303 nursing students who had more than 500 hours of experience in clinical practicum at 4 universities in Seoul and the metropolitan area. The instruments consisted of 27 items of critical thinking, 19 items of professionalism, 40 items of self reported leadership, 20 items of communication evaluation tool, and 61 items of nursing practice performance evaluation. Results: For the clinical practicum, most difficult for nursing students were cardiopulmonary resuscitation, fecal enema, stoma care, and blood transfusion. Clinical practice abilities were positively correlated with nursing professionalism(r=.26, p<.001), leadership (r=.16, p=.007) and critical thinking(r=.12, p=.031). Professionalism(${\beta}=.32$, p=.001) was the most significant factor influencing the clinical practice ability of nursing students. Critical thinking was the second largest factor but not significant(${\beta}=.16$, p=.058). Conclusion: The findings suggest that the nursing curriculum should include nursing knowledge and nursing skills as well as various case-based or field-based decision making training programs to cultivate professionalism, critical thinking and other abilities for clinical practice.

A Study on Perceived Connectivity between Pharmacological Knowledge and Clinical Practice, and the Need for Pharmacology Education Contents in Undergraduate Courses among Clinical Nurses (임상 간호사의 약리학 지식과 임상실무 연계성 및 교육내용 필요도)

  • Kim, Chul-Gyu;Cho, Mi-Kyoung;Park, Seungmi
    • Journal of Korean Biological Nursing Science
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    • v.16 no.1
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    • pp.41-51
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    • 2014
  • Purpose: The purpose of this study was to identify clinical nurses' knowledge of pharmacology, their need on pharmacology education contents, and perceived connectivity between knowledge and clinical practice. Methods: Subjects consisted of 114 clinical nurses. They responded to self-administered questionnaires about knowledge of pharmacology and need in pharmacology, and perceived connectivity between the knowledge and clinical practice. Results: The mean score of knowledge of pharmacology was $5.2{\pm}1.7$. The mean score of need on pharmacology in clinical practice was $7.9{\pm}1.9$, and those of satisfaction, application, and confidence with clinical performance by applying the knowledge to clinical practice were $7.4{\pm}1.9$, $6.8{\pm}2.0$, and $7.5{\pm}2.1$ respectively. Knowledge of pharmacology was positively correlated with perceived connectivity between knowledge and clinical practice. Scores of need of dose calculations was the highest among 14 units of pharmacology education contents in undergraduate courses while that of development of new drugs was the lowest. Scores of need of coagulation modifier drugs and thrombolytic agents were the highest among 16 units of pharmacology education contents by system specific drug while those of dermatologic and ophthalmic drugs were the lowest. Conclusion: The results indicate that knowledge of pharmacology is important in promoting perceived connectivity with clinical practice by applying knowledge to clinical practice.

Factors Affecting Clinical Competency of Dental Hygiene Students (치위생(학)과 학생들의 임상수행능력에 영향을 미치는 요인)

  • Jang, Kyeung-Ae
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.35-42
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    • 2015
  • This study was done to explore clinical competence and factors related to competence in dental hygiene students. This study performed a survey on such an issue from March 2 to June 12, 2015 for 329 dental hygiene students who were residing in Busan and Ulsan. In the result by the satisfaction of the major, there is the highest score in the satisfaction of the critical thinking, self-leadership, satisfaction in clinical practice and ability of clinical performance. The critical thinking reveals the positive relationship with the self-leader ship(r=0.884) and the ability of clinical performance(r=0.845). Whereas the self-leader ship show the negative relation with stress in clinical practice(r=-0.796). The most important factor affecting on the clinical competence among dental hygiene students was critical thinking(p<0.001), followed by self-leadership(p<0.01) and satisfaction of clinical practice(p<0.01). In results, the critical thinking, the self-leader ship and the satisfaction of clinical practice have an effects on the ability of clinical performance of the dental hygiene students. The teaching learning strategy and the educational programs to enhance the critical thinking and self-leader ship should be developed. Furthermore, the present study can be used as the base data for the systematic and convergence program to improve the satisfaction of clinical practice and the ability of clinical performance.

Influencing Factors on Clinical Competency in Nursing Students who have Experienced non-Face-to-Face Clinical Practice (비대면 임상실습을 경험한 간호대학생의 임상수행능력에 미치는 영향 요인)

  • Hwang, Sung-woo;Cha, Hyun-su
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.539-550
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    • 2021
  • The purpose of this study was to identify the influencing factors of satisfaction for clinical practice, critical thinking disposition on clinical competency in nursing students who have experienced non-face-to-face clinical practice. The participants in this study were 163 nursing students at four university. A on line survey was conducted from January 2021 to February, 2021. The data were analyzed using t-test, ANOVA, scheffé test, pearson correlation coefficients, and multiple regression analysis by SPSS 22.0 version. The results of this study indicate that satisfaction for clinical practice, and critical thinking disposition have an influence on clinical competency in nursing students. The total explanation of clinical competency was 60.6%. Based on this, it is suggested to develop a program to improve clinical practice satisfaction and critical thinking tendency to increase clinical performance of nursing students who have experienced non-face-to-face clinical practice.

Resident Perceptions of Competency-Based Korean Medicine Education: A Qualitative, Content Analysis Study Conducted using Focus Group Interviews

  • Jiseong Hong
    • The Journal of Korean Medicine
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    • v.44 no.4
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    • pp.59-71
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    • 2023
  • Objectives: The new educational system emphasizes acquisition of clinical competency by the time of graduation from Korean medicine colleges that allow Korean medicine doctors to immediately perform clinical tasks. This study investigated awareness of competency-based education in Korean medicine hospital residents who must simultaneously undergo training and assist medical students in clinical practice. Methods: This was a qualitative research that was conducted using focus group interviews (FGIs) to investigate the awareness of demands for improvement in competency-based Korean medicine education in Korean medicine hospital. To apply the principles and procedures of FGIs, a semi-structured questionnaire was developed. Data analysis was conducted using the five steps of framework analysis. Results: According to contents analysis, first competency-based education that reflects actual clinical practice tasks is needed. Second, sufficient basic skill mastery education must be reinforced. Third, an intermediate curriculum that mediates clinical practice and basic education is needed. Fourth, the Objective Structured Clinical Examination and Clinical Performance Examination must be expanded to prepare for the Korean medicine doctor practical test. Conclusions: Korean medicine residents reported the gap between clinical practice and use of knowledge and skills acquired in the curriculum while acting as direct observers and educations of clinical clerkship in hospitals. Based on this exploratory study it is necessary to conduct research on the educational competency of Korean medicine residents who play an important role as educational leaders in Korean medicine clinical practice training.

The Development and Evaluation of a Clinical Practice Nursing Students' Microbiology Program Based on the Mastery Learning Model (완전학습모델기반 간호 미생물학 이론 및 실습프로그램의 개발과 효과평가)

  • Kim, Bo Hwan;Chang, Sun Ju;Choi, Jeong Sil
    • Journal of Korean Biological Nursing Science
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    • v.15 no.2
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    • pp.90-98
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    • 2013
  • Purpose: The purpose of this study was to develop a clinical practice nursing students' microbiology program based on the mastery learning model, and to evaluate the effects of the program on nursing students' knowledge, self-efficacy, performance, and satisfaction related to the nursing students' microbiology program. Methods: The program was developed by using the processes of the mastery learning model. The pre-experimental research design involved a one group pretest-posttest design. The setting was a university located in Incheon, Korea. A total of 130 nursing students participated in the program including a theoretical lecture, clinical practice, and formative and summative evaluation. Results: Using the program that was designed and developed, results for the total score of self-efficacy, knowledge, and performance in the post-test application were significantly higher than in the pre-test application (p<.05). The satisfaction of hand hygiene and disinfection/contaminated hand microbial culture and disinfection test received the highest ratings. Conclusion: The application of a clinical practice nursing students' microbiology program was effective, and can be expanded to other nursing students. Future research with other study designs was warranted in order to prove the effect of a microbiology program based on the mastery learning model.

A Survey on Students' Perception of Clinical Performance Examination (CPX) in College of Korean Medicine Using Student Standardized Patients (학생표준화환자를 사용한 한의과대학 진료수행시험(CPX)에 대한 학생 인식 조사)

  • Jo, Hak-Jun;Roh, Jeong-du;Sung, Hyun Kyung;Park, Jeong-Su
    • Journal of Society of Preventive Korean Medicine
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    • v.24 no.3
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    • pp.1-13
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    • 2020
  • Objectives : The objective of this survey was to examine students' perception of the clinical performance examination (CPX) in college of traditional Korean medicine using student standardized patients. Methods : College of traditional Korean medicine students who completed the first-semester clinical practice education were selected as the subjects, and they participated in a survey asking questions about the following matters: satisfaction with CPX, self-evaluation, difficulties experienced during the CPX course, level of prior knowledge of clinical practice education, and usefulness of and intimacy with Student Standardized Patients (SSP). Results : Satisfaction with CPX was calculated to be 4.10 (5 being the perfect score), and self-evaluation of CPX was calculated to be 4.12. The subjects chose physical examination as the most difficult item relating to CPX. 80.5% responded positively to the question relating to diverse experiences in practice education, and 52.8% responded positively to the question relating to prior knowledge of diverse standardized patients. 55.6% responded positively to the question relating to performance proficiency of SSP, 63.9% responded positively to the question relating to usefulness of SSP to prepare for CPX, and 69.4% responded positively to the question relating to usefulness of SSP in evaluating CPX, and 55.6% responded positively to the questions relating to intimacy with SSP. It was confirmed that there was a strong quantitative correlation between prior knowledge of clinical practice education and usefulness of SSP, and that there was a strong quantitative correlation between performance proficiency of SSP and usefulness of SSP. It was confirmed that there was a middle-level correlation between performance proficiency of SSP and intimacy with SSP, and that there was a middle-level quantitative correlation between intimacy with SSP and usefulness of SSP. Conclusions : It was confirmed that senior students enrolled in college of traditional Korean medicine were mostly satisfied with the clinical performance examination in college of traditional Korean medicine using SSP, and that usefulness of SSP had a quantitative correlation with prior knowledge of diverse clinical practice educations, performance proficiency of SSP, and intimacy with SSP.

Nurses' Evidence-Based Pain Management Knowledge, Performance and EBP Attitude in Small-medium Sized Hospitals (중소병원 간호사의 근거기반 통증 관리 지식과 수행 및 근거기반 실무에 대한 태도)

  • Hong, In-Hwa;Eun, Young
    • Journal of Korean Clinical Health Science
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    • v.3 no.4
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    • pp.476-489
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    • 2015
  • Purpose. The purpose of this study was to investigate the evidence-based pain management knowledge, performance and Evidence-Based Practice(EBP) attitude of nurses at small-medium sized hospitals. Methods. The sample of this study were 214 nurses. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression using SPSS/Win 21.0 Results. Evidence-based pain management knowledge score averaged $3.95{\pm}0.43$, with significant differences depending on clinical experiences. Performance score averaged $3.77{\pm}0.51$. EBP attitude score averaged $3.21{\pm}0.57$, and significant differences were evident depending on hospital division and clinical setting. Evidence-based pain management knowledge and EBP attitude were significant predictors of evidence-based pain management performance. Conclusions. This result indicates that education and training programs to facilitate evidence-based pain management knowledge, performance, and EBP attitude are needed among nurses.