From 1990 to 1997 Home Care Education Programs have been offered at 11 Home Care Education Institutes. But there have been no revisions in the program. Especially in the clinical practicum, the Ministry of Health and Welfare proposed 248 hours as 'Family Nursing and Practice'. But each of institutes has developed their own program, and the clinical practicum is very different. Institutions for home care practice have been very limited and even now only 40 hospitals started home care in the second demonstration project. A few community-based institutions have also been offering home care services. This study was conducted to analyze home care clinical practicum offered at Y university, and plan for a revised home care clinical practicum. Y university clinical practicum was revised to include 'visits to community institutions', 'laboratory practice', 'hospital practice', 'discharge planning and home care practice', and 'home care specialty practice'. The results of the evaluation and plan for a revision are as follows: 'Visits to community institutions' is a practice that helps the students understand community resources which are available to home care nurses, and as an orientation to institutions for practice. 'Laboratory practice' is to used to improve nursing skills that are applicable to home care. Problems that the students identified in the laboratory practice were 'lack of opportunity for individual practice', and 'inadequate theoretical preparation for practice'. To address these problems the basic nursing skills laboratory was open and could be used freely by the home care students, and practice could be done after the theoretical lectures. 'Hospital practice' is a practicum in which the students apply nursing skills to patients and to obtain assessment skills for discharge planning. Using a preceptorship, five days for hospital practice should be offered. 'Discharge planning and home care practice' was done at Wonju Christian Hospital. This institute is too far away that this practice should be provided at different institutions as soon as it is possible to contract with home care institutions. Patients groups in different home care institutions are very different, so the 'Home care specialty practice' should be done after analyzing patient groups and choosing specialty areas. These areas are' care of patients with respiratory dysfunction', 'care of patients with neurologic dysfunction', 'care of cancer patients', 'care of patients on dialysis', and 'wound care'. This practice should be offered with a preceptorship, so preceptors, clinical directors, and students should meet for home visit orientation.
Purpose: Practical training in pediatric nursing gives students the opportunity to apply nursing knowledge to children in a realistic clinical context. Clinical practice faculty (CPF) and clinical nursing instructor (CNI) have played important roles in the pediatric nursing practicum. This study was conducted to develop a protocol to guide clinical practicum in pediatric nursing. Methods: A service design methodology was employed between August 2020 and May 2021 at four universities and four hospitals in South Korea. The participants were five CPFs, five CNIs, five nursing college graduates, and 60 nursing students. The service design process had four phases: discovery, definition, development, and delivery. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results: The participants reported needs for providing concrete guidance and explanation, nursing practice experience, and a link between school and the clinical field. A protocol was developed to fulfill the participants' needs. The protocol comprised detailed information, teaching methodology, and partnership to guide students in the pediatric nursing practicum. Conclusion: The protocol developed in this study can be used to provide guidance for students' clinical practice in the field of pediatric nursing.
The Journal of the Convergence on Culture Technology
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v.8
no.5
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pp.445-451
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2022
This study was conducted to confirm the differences in nursing process competence, critical thinking disposition, and education satisfaction between clinical practicum and school practicum in the prolonged COVID19 pandemic. As an inequality control post-hoc design study, 55 students who agreed to participate in the study among the third year of nursing college students who took adult nursing practice were targeted. Data were collected by classifying the students who participated in the school practicum into the experimental group(N=29) and the students who participated in the clinical practicum into the control group(N=26). The collected data were analyzed using SPSS/WIN 22.0 program. As a result of the study, there was no significant difference in nursing process competence and critical thinking disposition between the two groups. However, in the control group, overall satisfaction with education (t=-9.82, p=.040) and recommendations to other students (t=-1.88, p<.001) were found to be significantly higher. Although it was not possible to confirm the difference between the effects of clinical practicum and school practicum as a result of the study, the significance of the study could be found in that there was no difference. In line with the post-corona era, future research on the development of a practicum program consisting of various contents, teaching methods, and practice to achieve the goal of practicum and analysis of the effectiveness of the program is suggested.
Choi, Soon Hee;So, Hyang Sook;Choi, Ja Yun;Yoo, Sung Hee;Yun, So Young;Kim, Myung Hee;Song, Mi Ok
The Journal of Korean Academic Society of Nursing Education
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v.20
no.2
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pp.341-349
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2014
Purpose: This study was conducted to compare blended practicum with clinical and lab combined e-learning between cooperative and individual group on learning outcomes. Method: A total of 63 junior Nursing students were recruited from C University in G city from May, 2012 to June, 2012. Ten hours lab practicum for two weeks was provided for both two groups during the period of adult nursing practicum. Prior to blended practicum, e-learning was conducted. For cooperative group, two hours off line team learning with a tutor for eight weeks was provided, in other hands, for individual group, any off line team learning was not provided and self study on line was not evaluated by the tutor. Results: The result of ANCOVA showed that critical thinking and self directed learning were significantly improved in the individual group compared to the cooperative group (F=-18.15, p<.001; F=28.12, p<.001). In other hands, clinical competence was significantly higher in the cooperative group than in the individual group (F=16.61, p<.001). Conclusion: Through development of self-leaning facilitating online contents, the blended practicum combined e-learning could be effective in critical thinking, self-directed learning and clinical competence. Further studies about e-learning strategies of off-line learning are still needed.
Purpose: This study sought to identify the levels of coronavirus disease 2019 (COVID-19) knowledge, anxiety, nursing professionalism, and clinical practicum stress, and the factors influencing this stress in nursing students. Methods: A cross-sectional and descriptive study was conducted with the participation of 140 junior and senior nursing students recruited from three nursing colleges in Busan and Gyeongsangnam-do. Data analysis was performed using independent t-tests, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 26.0 program. Results: The study arrived at a mean score of 63.18±13.89 for clinical practicum stress, which showed a significant difference based on the perceived health status and reasons for admission to nursing school. Anxiety and professionalism exhibited a noteworthy correlation with clinical practicum stress. The significant predictors of clinical practicum stress among nursing students were perceived health status (β=.39, p<.001), anxiety (β=.25, p=.033), and the reasons for admission to nursing school (β=.17, p=.012). The total explanatory power of these variables was 23.0% (F=6.28, p<.001). Conclusion: The results of this study suggest that it is necessary to provide effective education to promote nursing professionalism during a pandemic. It is also necessary to develop and include various programs in the curriculum that strategically intervene to prevent anxiety in pre-service nurses. This would reduce the stress in the clinical practice of nursing students when faced with new infectious diseases in the future.
Purpose: To describe the lived experience of nursing students when faced with clinical judgment in a nursing practicum at the hospital. Methods: A descriptive research design was utilized. Participants were 79 students in the clinical practicum. Participant consent was obtained for ethical protection. Data were collected from August to December 2007 using a semi-structured questionnaire. Content analysis was utilized for data analysis. Results: Two categories and 5 themes were extracted from the data for 'difficult' and 'easy' clinical judgments. For the student category, the two themes were 'knowledge' and 'skill', while the three themes for the clinical education environment category were, 'judgment of clinical symptoms and signs', 'differences between theory and practice' and 'human relationships'. For coping, 2 categories and 5 themes were extracted for the difficult clinical judgment situation, while one category and one theme were found for the easy clinical judgment situation. Conclusion: To develop students' clinical judgment, there is need to develop the method of clinical skills using simulation in clinical teaching. For future research, a study on factors affecting clinical judgment of nursing students in hospitals is needed.
The Journal of the Convergence on Culture Technology
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v.9
no.6
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pp.605-614
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2023
The purpose of this study is to understand the difference in nursing process competence, critical thinking disposition, and SBAR technique knowledge of nursing students according to practical methods. The subjects of the study were 20 students who participated in clinical practice and 18 students who participated in alternative clinical practicum. The collected data were analyzed by t-test, Mann-Whitney U-test, and Kruskal Wallis test. As a result of the study, there was no significant difference between nursing students' nursing process competence, critical thinking disposition, SBAR utilization ability, and perception of use depending on clinical practice and alternative clinical practicum. In clinical practice, nursing process competence and SBAR technical knowledge were significantly higher when college life satisfaction was high. In in-school practice, which is an alternative clinical practicum, critical thinking disposition and SBAR technical knowledge were high when nursing major satisfaction was high, and critical thinking disposition was high when grade were high. In preparation for future pandemic situations, a systematic clinical alternative practicum education plan should be prepared to improve nursing process competence, critical thinking tendency, and SBAR technique knowledge.
Journal of Korean Academy of Fundamentals of Nursing
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v.24
no.3
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pp.219-229
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2017
Purpose: The aim of this study was to examine the relationship between handwashing knowledge and handwashing compliance in nursing students and to identify the moderation and mediation effects of self-efficacy and perceived behavioral control on the relationship. Methods: The participants were 172 nursing college students who completed the self-report measures. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient, Multiple regression analysis was used to test moderation and mediation effects. Results: The score for knowledge of handwashing was higher in participants who had completed fundamentals of nursing practicum (t=-6.54, p<.001) and the score for compliance with handwashing was higher in participants who had completed clinical practicum (t=-3.81, p<.001) or fundamentals of nursing practicum (t=-5.97, p<.001). Self-efficacy showed a significant moderation effect (z=2.21, p=.027) but not a mediation effect while perceived behavioral control had a significant mediation effect but not a moderation effect on the relationship between knowledge of handwashing and compliance. Conclusion: Findings indicate that clinical practicum and fundamentals of nursing practicum were helpful to nursing students in acquiring knowledge and in practicing proper handwashing technique. These findings suggest that continuing and repetitive education programs on handwashing need to be enhanced and strategies to strengthen self-efficacy and perceived behavioral control need to be included in education programs.
In social welfare arena field practicum has been an essential instrument and method for social work students to get socialized to the social work professional. However, to whom involve in the actual field practicum-universities(or colleges), institutes - have some difficulties. On the base of community welfare is a clinical approach in this times. To strengthen community welfare policy, the beginning of community welfare committee is such a good opportunity to tackle the problems of the field practicum. This study suggest that the problem of the field training are 1) a guidance of an individual social work institute, 2) the lack of social work institute, 3) the absence of the trainee's sense of values, 4) the bad conditions of the field practicum for social work students in undergraduate courses at the university(or college), and 5) the lack of professionalism for supervisors. This study makes the following social work suggestions to vitalize field practicum in community welfare. It is more likely important to 1) make the law of the field practicum for undergraduate social work courses, 2) make the coordinated programs of the field practicum for undergraduate social work course in community welfare, 3) enlarge the opportunity that a field specialist take further education, 4) support and carry of supervisor reeducation, 5) make the program development of trainee's personal experiences in social work values, and 6) social work professors make a practice in the social work field.
This study aimed to investigate the effect of verbal abuse experience, coping style and resilience on emotional response and practical stress. 261 nursing students participated in this study. The Data were collected using self-report questionnaires from Dec. 1 to Dec. 20, 2014. We found a positive correlation among verbal abuse experience, emotional coping style and stress during clinical practicum; a positive correlation among problem coping style, emotional coping style and resilience; a positive correlation among emotional coping style, emotional response and stress; a negative correlation among resilience and emotional response; a positive correlation among emotional response and stress during clinical practicum. The highest impact factors affecting the emotional response was emotional coping style(${\beta}=.422$). The highest impact factors affecting stress during clinical practicum was verbal abuse experience(${\beta}=.283$). Future efforts should be focused to provide interpersonal relation training and communication skills training for a safe environment of nursing students.
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