• 제목/요약/키워드: Clinical practice powerlessness

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간호학생들의 무력감과 간호이미지 관계에서 임상실습만족도의 매개효과 (Mediation Effect of Clinical Practice Satisfaction in the Relationship between Nursing Students' Powerlessness and Nursing Image)

  • 이경희
    • 동서간호학연구지
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    • 제16권1호
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    • pp.26-34
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    • 2010
  • Purpose: This study investigated how powerlessness of nursing students influenced their clinical practice satisfaction and nursing image, and how clinical practice satisfaction mediates the relationship between powerlessness and nursing image. Methods: A descriptive research design was used. Data were collected from 107 junior nursing students. Data were analyzed using SPSS WIN 12.0. Results: Powerlessness and clinical practice satisfaction influenced nursing image. Clinical practice satisfaction provided complete mediation between powerlessness and nursing image. Conclusions: Nursing students need to reduce their powerlessness and increase clinical practice satisfaction to enhance their image of nursing.

사물인터넷에서 치위생과 학생의 임상실습관련 무력감과 진로정체감과의 관계에서 자아존중감의 매개효과 (Mediating effect of self-Esteem in the Relationship between Dental Hygiene Students' Powerlessness and Career Identity in the IoT)

  • 김해선
    • 사물인터넷융복합논문지
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    • 제10권2호
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    • pp.115-124
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    • 2024
  • 본 연구는 사물인터넷에서 치위생과 학생을 대상으로 자아존중감이 임상실습관련 무력감과 진로정체감 사이의 관계에 영향을 주는지 확인하고자 하였다. 충청지역에 소재한 대학에 재학 중인 치위생과 학생 172명을 대상으로 설문조사를 실시하였다. 임상실습관련 무력감과 자아존중감 그리고 진로정체감 간의 상관관계를 확인하기 위해 피어슨의 상관관계분석을 시행하였고, 위계적 회귀분석을 이용하여 임상실습관련 무력감과 진로정체감 관계에서 자아존중감의 매개효과를 확인하였다. 연구결과 임상실습관련 무력감은 자아존중감과 진로정체감에 유의한 부적 상관관계가 있고 자아존중감과 진로정체감은 정적 상관관계가 있다는 것을 확인하였다. 또한 자아존중감은 임상실습관련 무력감과 진로정체감 사이의 관계에서 부분적인 영향을 미치는 것으로 나타났다. 따라서 임상실습에 참여하기 전 치위생과 학생들에게 자아존중감 향상을 위한 다양한 온라인 기반 자아존중감 향상 프로그램 마련이 필요하다.

간호대학생의 임상실습교육환경이 임상실습 관련 무력감과 자기효능감에 미치는 영향 (The Effects of Clinical Learning Environment on Nursing Students' Powerlessness and Self-Efficacy Related to Clinical Practice)

  • 오윤경;김은영
    • 동서간호학연구지
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    • 제24권1호
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    • pp.36-43
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    • 2018
  • Purpose: The purpose of this study was to identify the effect of the clinical learning environment on nursing students' powerlessness and self-efficacy related to clinical practice. Methods: Participants were 149 nursing students from a university who had completed their clinical practicum in B city. Data were collected using self-report questionnaires and analyzed using t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: The mean score of the clinical learning environment was 2.99 out of 5 points, the powerlessness related to the clinical practice, 2.96 out of 5 points, and the self-efficacy related to clinical practice, 73.69 out of 100 points, respectively. The regression analysis showed that the clinical learning environment explained 11% of the powerlessness related to clinical practice and 3% of the self-efficacy related to clinical practice in the nursing students after controlling for the general characteristics. Conclusions: The result of this study indicated that it is necessary to improve the clinical learning environment for decreasing the feeling of powerlessness and increasing the self-efficiency related to clinical practice among the nursing students.

융합 시대의 임상실습 교육환경, 임상실습관련 무력감, 현장실습적응, 간호전문직관이 돌봄효능감에 미치는 영향 (The Influence of Clinical Learning Environment, Clinical Practice Powerlessness, Field Practice Adaptation, and Nursing Professionalism on Caring Efficacy in Convergence Era)

  • 제남주;김정숙
    • 디지털융복합연구
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    • 제18권12호
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    • pp.469-479
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    • 2020
  • 본 연구는 간호학과 4학년을 대상으로 돌봄효능감에 미치는 영향을 파악하고자 시도되었다. G도 J대학 간호학과 173명을 자료수집 하였다. IBM SPSS WIN/25.0을 이용하여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression을 사용하였다. 돌봄효능감은 임상실습 교육환경(r=.42, p<.001), 현장실습적응(r=.53, p<.001), 간호전문직관(r=.42, p<.001)과 상관관계, 임상실습관련 무력감(r=-46, p<.001)과 역상관관계가 있었다. 대상자의 돌봄효능감에 가장 영향을 미치는 요인은 현장실습적응(β=.330, p<.001), 그 다음으로, 간호전문직관(β=.188, p=.005), 임상실습 교육환경(β=.176, p=.015), 내성적(β=-.146, p=.018), 외향적(β=.134, p=.035) 순이었다. 설명력은 41.8%이었다. 본 연구결과를 토대로 돌봄효능감 향상을 위한 체계적인 간호교육 프로그램이 필요하며, 돌봄효능감 프로그램 개발에 도움이 되는 기초자료로 활용될 수 있을 것이다.

임상실습 현장에서 간호대학생이 경험하는 도덕적 고뇌 (The Experience of Nursing Students' Moral Distress in Clinical Practice)

  • 김찬희;최희승
    • 한국간호교육학회지
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    • 제22권3호
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    • pp.355-365
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    • 2016
  • Purpose: This study explores the moral distress that nursing students experience during their clinical practice in Korea. Methods: Data were collected using focus group interviews, and analyzed using qualitative content analysis. Participants were recruited from three nursing schools in three different cities; each focus group interview lasted between one to two hours. Results: Twenty-two nursing students with more than one year of clinical practice experience participated. Three categories and ten themes were extracted. The following situational categories: "unprotected patients' right and dignity," "clinical settings in which standards of care are not upheld," "disrespectful hospital culture," and "inconsistent and unsystematic clinical education" caused moral distress. Types of responses to moral distress included: "shock and confusion over the gap between reality and moral standards," "powerlessness when cannot advocate patients," "fear and doubts about nursing career," and "moral desensitization and disappointment in oneself." "Expressions of moral distress and the need for advice" and "a search for meaning and hope" were identified as coping strategies. Conclusion: These results demonstrate the need for systematic clinical practicum and education programs to minimize moral distress. These programs may offer opportunities for students to turn moral distress into opportunities for learning and growth in the future.

모성 간호 실습 후 분만과정에 대한 간호학생의 심리적 반응 고찰 -모성 간호 실습, 실습에 대한 간호학생의 심리적 반응- (A Review of Responses of Nursing Students Following Clinical Maternity Nursing Practice)

  • 조정호
    • 모자간호학회지
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    • 제4권1호
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    • pp.41-51
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    • 1994
  • The purposes of this study were to identify responses of nursing students following clinical maternity nursing practice, to develop data of further effective clinical maternity nursing practice, to understand nursing students perceive the natural maturation process toward pregnancy delivery and puerperal process, to help the nursing students achieve personality growth and development through clinical maternity nursing practice. The subjects were 35 senior nursing students from the Department of Nursing Science of Chung-Ang University. The data were collected from the 1st semester (Feb.22$\sim$June 9) to the 2nd semester(Aug.23$\sim$Nov.10), 1993 through self-reporting using an open ended questionnaire about perception and feelings regarding the normal delivery process. The data analysis used descriptive method. Results of the study were as follows : 1. Following clinical practice in maternity nursing, the responses of the nursing students were collected included both positive and negative aspects. The positive responses were classified in to four categories and each category included subgroups. One group, labelled as $\ulcorner$The birth of noble life$\lrcorner$ had a subgroup, (I felt the mystery and wonder of life), another group, $\ulcorner$After delivery, comfort and satisfaction$\lrcorner$ with the subgroup (I can bear to see the comfort and relief beyond pain) (C/S is better than vaginal delivery) (Very easy), the 3rd group, $\ulcorner$ I realized family friendship and support$\lrcorner$ with subgroup (Honorable, Magnificient) (I thank my parents ) (It's good to looking at my husband's support), and the 4th group, $\ulcorner$The birth of a healthy baby$\lrcorner$, with its subgroup, (baby looks pretty and healthy). 2. The negative responses were classified in eight categories and each category included subgroups. One group labelled as $\ulcorner$Fear$\lrcorner$, had subgroups of (Terrible, Horrible) (Shock) (Dread), another group, $\ulcorner$Tension$\lrcorner$, and its subgroup, (I became tense about stories heard before clinical practice), the 3rd group, $\ulcorner$surprise$\lrcorner$ and its subgroup (I was surprised at the delivery process), the 4th group, $\ulcorner$Power lessness$\lrcorner$ and its subgroup, (I watched the labor pain impatiently), the 5th group $\ulcorner$Apathy$\lrcorner$ ; and its subgroup, (I didn't feel the empathy for the labor pain of the pregnant women), the 6th group, $\ulcorner$Disgust$\lrcorner$ and its subgroup, (Disgust, Embarrassed), the 7th group, $\ulcorner$Inevitable destiny$\lrcorner$ and its subgroups (necessity of self-sacrifice and difficulty) (I accepted it as a women's destiny) (I can't do it), the last group, $\ulcorner$There seems to be trouble$\lrcorner$ and its subgroup, (It seems to have been a little too hard for mother and baby). Suggestions for further studies are as follows : 1. Nursing students should receive intensive education about $\ulcorner$The birth of noble life$\lrcorner$ $\ulcorner$After delivery, comfort and satisfaction$\lrcorner$ $\ulcorner$I realized family friendship and support$\lrcorner$ $\ulcorner$The birth of a healthy baby$\lrcorner$, so that a more positive attitude can be developed before clinical maternity nursing. 2. Nursing students should be given an orientation which is reality based and related clinical maternity nursing (using for A.V. Materials), so that they will not feel they tension, of the negative categories. 3. Nursing students should be received articles on Pain Relief Method, so that they will be prepared activie and positive in the clinical practice, and therefore they will not feel the powerlessness, of the negative categories. 4. F/U for responses of nursing students should be checked following clinical maternity nursing to evaluate the effects of the instruction.

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Nursing Students' First Clinical Experiences of Death

  • Park, Hyoung Sook;Jee, Youngju;Kim, Soon Hee;Kim, Yoon-Ji
    • Journal of Hospice and Palliative Care
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    • 제17권3호
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    • pp.161-169
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    • 2014
  • 목적: 본 연구는 "병원 실습 중 간호대학생의 환자의 죽음에 대한 첫 경험은 어떠한가?"라는 질문을 통해 실습 중 간호대학생이 직면하는 환자의 죽음에 대한 경험을 포괄적이고 심층적으로 파악하고자 실시되었다. 방법: 본 연구는 2012년 1월 27일로부터 시작하여 2012년 3월 6일까지 양산시 부산대학교 간호학과 4학년에 재학 중인 여학생으로, 병원실습 중 환자의 죽음을 처음 경험한 실습생들 8명에게 실시되었다. 연구방법은 Colaizzi의 현상학적 연구 방법이 이용되었다. 결과: 17개의 주제, 15개의 주제묶음과 8개의 범주가 도출되었다. 8개의 범주는 '피하고 싶은 죽음현실', '무력감', '건강회복의 기대감에서 공포로', '죽음의 다양한 해석', '간호학의 한계', '간호사 부족에 대한 원망', '갈증의 증폭', '성장의 계기'이다. 결론: 간호대학생들은 환자의 죽음에 대한 첫 경험 과정에서 다양한 감정을 경험하고, 임종간호를 감당하고 있는 간호사의 모습을 미래의 간호사라는 자신의 입장에서 해석해가고 있었다. 이와 동시에 그들은 죽음을 간호의 영역으로 받아들이고, 공부하고 익혀나가는 성장의 노력을 하고 있었다. 따라서, 본 연구의 결과를 통해 죽음관련 내용이 간호대학 교육과정에 꼭 포함되어야 함을 알 수 있었고, 이는 신규간호사 시기에 큰 부담이 되고 있는 임종간호의 스트레스를 줄여서 업무 적응을 높이고, 이직 의도를 낮추는데 긍정적 영향을 미칠 것이다.

물리치료사의 임파워먼트와 직무만족, 조직몰입과의 관계 (Relationships Between Empowerment, Job Satisfaction, and Organizational Commitment Among Physical Therapists)

  • 심재훈;김윤신;윤태형
    • 한국전문물리치료학회지
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    • 제15권3호
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    • pp.70-79
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    • 2008
  • The aim of the study was to analyze the relationship between empowerment, job satisfaction, and organizational commitment among physical therapists. Currently, healthcare is changing very rapidly with developments in science and technology. In response to these rapid and uncontrollable changes, organizational members are often empowered. Through the empowerment process, feelings of powerlessness and frustration can be reduced and factors promoting work performance, such as job satisfaction and organizational commitment could be enhanced. One said this term popularly, there was a lack of study. There have been few studies on physical therapy administration. Data was collected from 352 therapists from many hospitals from February 1 to February 28, 2008, and analysis of variance, Pearson's correlation, etc., were performed. The results were as follows: Of all the characteristics of empowered subjects, gender (p<.05) and age were observed to be significantly different (p<.01). Educational background, working pattern, marriage status, and the period of duty were observed to be different among empowered therapists (p<.001). The degree of empowerment as perceived by therapists was 58.72. Empowerment was correlated with job satisfaction and organizational commitment (p<.01). The study on empowerment was significant from the aspect of strategies to increase work performance. To elucidate the optimal strategy to effectuate empowerment in clinical practice, we studied various aspects of empowerment. Further studies on the relationship between empowerment and organizational commitment are warranted.

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