• 중환자간호학회지
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• 제17권2호
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• pp.83-95
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• 2024

Purpose : This study aimed to investigate the impact of clinical reasoning competence, positive psychological capital, and nursing work environment on nursing performance of intensive care unit (ICU) nurses in tertiary general hospitals. Methods : Data were collected from 169 ICU nurses in tertiary general hospitals in Busan, South Korea, from July 27 to August 15, 2023, using a self-report questionnaire. After excluding 12 questionnaires with insufficient responses, 157 responses were analyzed. Descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis were employed. Results : Factors influencing nursing performance included clinical reasoning competence (β=.51, p <.001), hope as a subfactor of positive psychological capital (β=.31, p <.001), and the nursing foundations for quality of care in the nursing work environment (β=.21, p <.001). The explanatory power of the regression model was 62% (F=87.41, p <.001). Conclusion : The study underscores the importance of improving clinical reasoning competence among ICU nurses to enhance nursing performance and foster a hopeful attitude through reflective practices and personal growth. Organizational interventions, such as educational and psychological support programs, along with creating a supportive nursing environment, are crucial for improving nursing performance among intensive care unit nurses.

• 한국게임학회 논문지
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• 제19권3호
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• pp.65-74
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• 2019

본 연구는 디지털스토리텔링 요소를 접목한 기능성게임이 대학교육으로 활용 될 수 있는 구체적 대안을 제시하고 기능성게임의 한계로 지적되어왔던 게임콘텐츠 품질평가의 기준을 고찰하여 향후 기능성 게임이 보다 대중화되고 여러 학계에서 참고자료로서 활용될 수 있도록 기초자료를 제공하였다. 특히 본 연구에서는 디지털스토리텔링의 특징인 사건해결과정의 기초적 프레임을 토대로 임상 추론과정을 학습할 수 있는 기능성게임을 개발 할 때 주로 고려되어야할 요소를 위주로 정리하였다.

• 한국산학기술학회논문지
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• 제21권8호
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• pp.107-114
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• 2020

본 연구는 시뮬레이션 기반 교육이 간호학생들의 임상추론역량과 임상수행능력 및 시뮬레이션 교육만족도에 미치는 효과를 알아보고자 수행되었다. 본 연구 설계는 단일군 전후 설계이다. 대상자는 G시 C대학교의 89명 3학년 간호학생으로, 8월부터 10월까지 8주간의 시뮬레이션 교육을 참여하였다. 학습한 시나리오 주제는 전 고관절대치술 후 수혈 부작용 환자 간호, 당뇨 환자의 저혈당증 환자 간호, 간경화증 환자의 고칼륨혈증 환자 간호이다. 자료는 SPSS 23.0 프로그램을 이용하였고, 평균과 표준편차, 대응표본 t검정으로 분석하였다. 간호학생들은 시뮬레이션 교육을 적용한 후 임상추론역량(t=-17.082, p<.001)과 임상수행능력(t=-18.40, p<.001)이 통계적으로 유의하게 향상되었고, 시뮬레이션 교육만족도는 5점 만점에 4.65점으로 높은 점수를 나타내었다. 이러한 결과로 볼 때, 본 시뮬레이션 기반 교육은 간호학생에게 임상상황과 유사한 환경에서 질적이고 안전한 간호를 경험할 수 있도록 하였다. 따라서 간호학생들의 임상추론역량과 임상수행능력을 향상시키기 위해서는 임상현장에서 접할 수 있는 다양한 사례의 시나리오 개발 및 간호교육과정에서 시뮬레이션 기반 교과목들의 적용이 더 필요하다.

• PNF and Movement
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• 제14권3호
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• pp.157-176
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• 2016

Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy. Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP. Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability. Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.

• 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.

• Psychiatry investigation
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• 제15권12호
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• pp.1154-1161
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• 2018

Objective The present study aimed to investigate relationship among cognitive factors (working memory and processing speed) and fluid reasoning (Gf) in psychiatric patients using a standardized clinical tool. Methods We included the responses of 115 heterogeneous patients who were diagnosed with the MINI-Plus 5.0 and WAIS-IV/WMS-IV was administered. For our analysis, structured equation modeling (SEM) was conducted to evaluate which cognitive variables are closely related to the Gf. Results The results showed that the visual working memory was the strongest predictor of the Gf compared to other cognitive factors. Conclusion Processing speed was capable of predicting the Gf, when visual working memory was controlled. The inter-relationship among the Gf and other cognitive factors and its clinical implications were further discussed.

• 기본간호학회지
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• 제16권4호
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• pp.459-471
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• 2009

Introduction: Critical thinking involves identifying problem(s), assessing resources, and generating possible solutions and allows clinical nurses to decide which solution is the most reasonable under the given circumstances, taking into consideration the "hat ifs" and how they will affect the end result. This research was conducted to further understanding and identification of subjective factors in critical thinking in clinical nurses. Methods: The research design was a Q-Methodological Approach. Q-population was formulated from a non-structured questionnaire and interviews from 17 experienced clinical nurses. Thirty selected Q-statements were sorted by 30 experienced clinical nurses. Results: Four factors for critical thinking were identified: (1) Deductive reasoning based on causal relation, (2) Construction of an effective model based on patients' responses, (3) Formulating categories based on priorities for effective interventions, and (4) Judging validity of the situational significance on clinical performances. Conclusion: Critical thinking is an attitude and reasoning process. From this study, the frame of reference for clinical nurses in formulating critical thinking within the context of clinical settings is identified and indicates the way nurses utilize thinking skills when they care for patients and areas that need further exploration as nurses and faculty develop education systems to advance clinical performance competency.

• 의학교육논단
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• 제26권1호
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• pp.79-80
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• 2024

• 대한한의학원전학회지
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• 제32권2호
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• pp.1-16
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• 2019

Objectives : In this paper, characteristics of research methodology used in the field of Korean Medical Classics and its application was studied, with a focus on abductive reasoning that takes place in such methodology. Methods : First, the properties of the Korean Medical knowledge system, production, circulation and consumption of Korean Medical knowledge, methodology of knowledge production, reasoning of hypothesis, Medical Classics research methodology and its examples were examined. Afterwards, the relationship between Medical Classics research and Korean Medical Doctors's competence was studied. Results : The knowledge system of Korean Medicine, formed by a knowledge production group changes continuously not unlike a living organism. Knowledge is produced through Sang (象) within human consciousness that lies in an existential relationship between the knowledge producer and subject, through means of abductive reasoning. Conclusions : Creative knowledge production through abductive reasoning in the field of Korean Medical Classics will hopefully contribute to production of highly useful knowledge in clinical settings, complement and make change in the current Korean Medical knowledge system. Various teaching methods based on this research methodology will contribute to strengthening Korean Medical Doctors's competence as well.

• 산업융합연구
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• 제21권4호
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• pp.81-89
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• 2023

본 연구는 간호대학생의 임상추론역량, 비판적 사고 성향과 핵심기본간호술 수행자신감의 관계를 확인하고자 수행하였다. 연구 대상은 대전광역시 D 대학교 간호대학생 3, 4학년 157명으로 2022년 11월 2일부터 11월 15일까지 자가설문지를 통해 조사하였다. 수집된 자료는 SPSS/WIN26.0 Program을 이용하였다. 연구결과 간호대학생의 임상추론역량과 비판적 사고 성향(r=.417, p<.001), 임상추론역량과 핵심기본간호술 수행자신감(r=.659, p<.001), 비판적 사고 성향과 핵심기본간호술 수행자신감(r=.303, p<.001)이 유의한 양의 상관관계를 보였다. 따라서 본 연구결과는 간호대학생의 핵심기본간호술 수행자신감을 높이기 위한 다양한 교육과정 개발의 근거로 활용될 수 있을 것으로 보인다.