• 제목/요약/키워드: Competence Analysis

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문제중심학습 연계 시뮬레이션교육을 이수한 간호대학생의 메타인지, 회복탄력성이 임상추론능력에 미치는 영향 (The Effects of Metacognition and Resilience on Clinical Reasoning Competence of Nursing Students Who Completed Simulation Education Linked to Problem-based Learning)

  • 백경화;조정화
    • 산업융합연구
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    • 제21권10호
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    • pp.111-120
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    • 2023
  • 본 연구는 PBL-SIM 교육을 이수한 간호대학생의 메타인지와 회복탄력성이 임상추론능력에 미치는 영향을 살펴보기 위한 서술적 조사연구이다. PBL-SIM 교육을 경험한 간호학과 4학년 141명을 연구 대상으로 하였으며, 2021년 9월부터 12월까지 설문지를 적용하여 자료수집 하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 기술통계, 상관분석 및 위계적 회귀분석을 진행하였다. 연구 결과, 메타인지(r=.78, p<.001)와 회복탄력성(r=.81, p<.001)은 임상추론능력과 유의한 양의 상관관계를 보였다. 간호대학생의 임상추론능력에 영향을 주는 요인으로는 교육 참여의 자신감, 메타인지 및 회복탄력성이었으며, 이들은 임상추론능력을 75%의 높은 수준으로 설명하였다(F=32.74, p<.001). 간호대학생의 임상추론능력을 향상하기 위해서는 자신감, 메타인지 및 회복탄력성과 같은 내적 요인을 시뮬레이션 교육과정에 반영할 것을 제언한다.

Effects of Death Anxiety and Perceived End-of-Life Care Competencies on Fear of Terminal Care among Clinical Nurses

  • Heewon Kim;So-Hi Kwon
    • Journal of Hospice and Palliative Care
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    • 제26권4호
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    • pp.160-170
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    • 2023
  • Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

조기진통 사정 알고리즘은 실습 시 조기진통 관련 지식, 임상수행자신감, 교육만족도에 유효한가?: 유사실험 연구 (Does a preterm labor-assessment algorithm improve preterm labor-related knowledge, clinical practice confidence, and educational satisfaction?: a quasi-experimental study)

  • 최희영;김증임
    • 여성건강간호학회지
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    • 제29권3호
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    • pp.219-228
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    • 2023
  • Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

의료시스템과학에서의 시스템사고 교육을 위한 교수설계 (Instructional Design for Systems Thinking Education in Health Systems Science)

  • 김세진;이상미;이단비;윤보영
    • 의학교육논단
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    • 제25권3호
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    • pp.212-228
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    • 2023
  • Systems thinking, a linking domain of health systems science (HSS), is an approach that investigates specific problems from a holistic perspective. It supports improving patients' health, fulfilling their health needs, and anticipating issues that threaten patient safety within the healthcare system. It also helps solve problems through critical thinking and ref lection. This study aimed to develop an curriculum on systems thinking, explore the effectiveness of the course, and investigate the applicability of HSS education at individual universities. In this study, the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model was utilized to design, develop, implement, and evaluate an elective course on systems thinking. In the design process, learning outcomes and goals were developed, and educational content, teaching-learning methods, and student evaluation methods were linked. In the development process, class materials and evaluation materials were prepared. In the implementation process, the course was implemented, and the evaluation process analyzed the results of learning performance and curriculum assessments. The evaluation found the following results. First, the students in the study realized the importance of systems thinking and experienced the need for systems thinking through non-medical and medical situations. Second, the students were very satisfied with the learning activities in the course (mean=4.84), and the results of the self-competence evaluation, conducted before and after the course, also showed a significant improvement. This study confirmed the effectiveness of the elective course, and its results can serve as a reference for developing an HSS curriculum.

고용서비스 관련 전문자격 개편에 대한 인식 조사 (Survey on Perceptions Regarding the Reform of Professional Qualifications in Employment Services)

  • 장신철;조한진
    • 실천공학교육논문지
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    • 제16권3_spc호
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    • pp.351-365
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    • 2024
  • 지난 20여년간 고용서비스 분야의 직무는 지속적으로 확대되어 왔으나 직업상담사 자격은 2000년대 초반 직업상담 심리 위주로 개발되었기 때문에 직업상담사 자격의 신호기능과 선별기능이 저하되고 있다는 노동시장의 지적이 많다. 이에 본 연구에서는 고용서비스 전문자격 신설 및 개선방향에 대하여 현업 고용서비스 종사자를 대상으로 설문조사를 실시하였다. 자료 분석 결과 고용서비스 종사자들은 모든 자신의 직무에서 중요도에 비해 현재 능력수준이 부족한 것으로 나타나 기존의 직업상담사 하나의 자격으로 기업지원, 행정관리, 노동시장 프로그램 기획 집행 등 확대된 고용서비스 직무를 모두 담당하는데 한계가 있는 것으로 나타났다. 향후 고용서비스 관련 자격의 개편 방향에 대해서는 새로운 자격을 신설하는 것에 동의하는 비율이 62.6%로 나타났고, 대신 기존의 직업상담사 자격은 전문성을 강화하자는 비율이 67.4%로 나타났다.

팀 기반 심폐소생술 시뮬레이션 교육을 받은 임상간호사들의 전문직 간 태도 및 교육부담감이 심폐소생 관련 자기효능감에 미치는 영향 (Impact of Inter-professional Attitude and Educational Burden on Clinical Nurses' Cardiopulmonary Resuscitation-related Self-efficacy Following Team-based Cardiopulmonary Resuscitation Simulation Training)

  • 옥종선;안수영;권정화
    • 근관절건강학회지
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    • 제31권1호
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    • pp.22-30
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    • 2024
  • Purpose: In-hospital cardiac arrest is rare, but often results in high mortality rates. Early and effective cardiopulmonary resuscitation (CPR) is crucial for survival and nurses are often the first responders. This study aimed to investigate how inter-professional attitudes and educational burdens affect self-efficacy related to CPR performance following team-based CPR simulation training. Methods: This retrospective observational study analyzed data from a satisfaction survey conducted after team-based CPR training sessions between January and November 2022. Of the 454 nurses surveyed, 238 were included in the study after excluding those with ambiguous responses. Multiple regression analysis was performed to assess factors influencing CPR self-efficacy. The factors examined included inter-professional attitudes and educational burden. Results: Higher levels of inter-professional attitudes, particularly regarding teamwork roles and responsibilities, lower educational burden, and a positive perception of CPR competence were all associated with improved CPR-related self-efficacy. Participants who reported higher engagement in teamwork, lower task load, and greater confidence in their CPR abilities demonstrated higher self-efficacy in performing CPR. Conclusion: Enhancing the competencies of nurses who may act as initial responders in CPR situations within or outside hospital settings can help save lives and support public health.

국내 간호대학생의 SBAR를 이용한 의사소통에 대한 체계적 고찰 (A Systematic Review on the Use of SBAR in Communication for Domestic Nursing Students)

  • 이미진;김화영
    • 문화기술의 융합
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    • 제10권1호
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    • pp.171-182
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    • 2024
  • 본 연구는 국내 간호대학생을 대상으로 SBAR를 활용한 의사소통 연구에 대해 알아보기 위해 시행된 체계적 고찰이다. 문헌검색은 2023년도 6월까지 출간된 논문으로 데이터베이스는 RISS, KISS, DBpia, KCI를 이용하였다. 검색어는 '간호대학생', '간호', 'SBAR', '의사소통'을 사용하였다. 총 57편의 논문이 검색되었고, 최종적으로 17편이 포함되었다. 측정된 결과 변수는 의사소통 명확성, 의사소통능력, 의사소통 자신감, 비판적 사고능력, 자기효능감, 보고 자신감, 임상판단력, 의사소통 만족도 등에 대부분 유의한 결과가 확인되었으나 일부 연구에서 유의미하지 않은 결과도 확인되었다. 이에 SBAR를 활용한 의사소통 중재의 툭성과 내용을 분석하고 효과를 평가하여 향후 SBAR를 활용한 의사소통 중재의 후속 연구를 위한 근거 자료로 활용하고자 한다.

국제보건에서 한의약 공적개발원조의 현재와 지속가능한 발전전략 (Current Status and Sustainable Development Strategies of Traditional Korean Medicine Official Development Assistance (ODA) in Global Health)

  • 황예은;이승현;김형우;남효주;이승언;백유상;채한
    • 대한한의학회지
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    • 제45권1호
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    • pp.257-270
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    • 2024
  • Objectives: Korea has a unique history of being both a recipient and a donor of Official Development Assistance (ODA), and the international community expects Korea to contribute to the development of developing countries by utilizing this experience. Traditional Korean medicine (TKM) seeks to contribute to global health, however the concept of ODA has been unclear and there has been no clear strategy and sustainable initiatives. Methods: This study examines the concept of ODA and its application in global health, including business objectives, scale, evaluation principles, and development strategies. Additionally, we reviewed the current status of Traditional Korean medicine globalization projects and conducted a SWOT analysis of the internal and external environment of the TKM sector. Based on these findings, we redefined the concept of ODA for TKM and proposed suggestions for its development. Results: The current study identified key ideas for TKM ODA. It should prioritize the improvement of primary healthcare in recipient countries, aligning with the international evaluation criteria of the SDGs. Secondly, TKM's 70 years of experience can be leveraged to enhance both the competence and economic benefits of recipient countries' medical systems. Based on these concepts, a TKM ODA development model was proposed, comprising two core visions, three development strategies and goals, and six core values. Conclusion: This study systematically examined the TKM in global health and suggested sustainable development strategies for TKM ODA. Through its expansion, TKM could contribute to the advancement of global traditional medicine and its overall engagement in healthcare.

대학의 창업교육 서비스 품질이 교육만족과 창업역량, 창업의지에 미치는 영향 (The Effect of University Entrepreneurial Education Service Quality on Education Satisfaction, Entrepreneurial Capability, and Entrepreneurial Intention)

  • 곽동신;정화영;김명숙
    • 벤처창업연구
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    • 제11권4호
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    • pp.37-48
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    • 2016
  • 본 연구는 대학의 창업교육 서비스 품질이 교육만족과 창업역량, 창업의지에 미치는 영향에 관한 연구이다. 대학에서 다양한 창업교육이 진행되고 있지만 창업성과에 대한 연구는 많이 이루어지지 않고 있다. 본 연구에서는 창업성과를 높이기 위한 요인을 분석하기 위해 창업교육의 서비스 품질이 교육만족과 창업역량, 창업의지에 미치는 영향에 대해 살펴보았다. 첫째, 창업교육 서비스 품질을 측정하기 위해 서비스 품질에 대한 이론적 배경을 바탕으로 유형성, 신뢰성, 반응성, 확신성, 공감성 등 5개 요소 21개의 문항을 설정하고, 설문 분석 결과를 바탕으로 창업교육 서비스 품질이 교육만족과 창업역량에 미치는 영향을 알아보았다. 둘째, 고객 만족에 대한 선행연구를 바탕으로 창업교육 수강생의 교육만족을 정의하고, 창업역량의 요소 중 성취역량, 창의성역량, 개념화역량, 사회적 역량 등에 미치는 인과관계를 분석하였다. 셋째, 교육만족과 창업역량이 창업의지에 미치는 인과관계를 분석하였다. 그 결과, 창업교육 서비스 품질은 기존의 연구와 다르게 유형성과 신뢰성이 하나의 요인으로 분석되어 반응성, 확신성, 공감성 등 4개 요인으로 확인되었고, 4개의 요인으로 구성된 창업교육 서비스 품질이 교육만족과 창업역량에 영향을 주는 것으로 확인되었다. 또한, 창업역량 요인을 4개로 정의하여 설문을 분석한 결과 성취역량과 창의성역량이 하나의 요인으로 분석되어 개념화역량, 사회적 역량과 함께 3가지 요인으로 확인되었다. 이는 교육만족에 영향을 받는다는 것을 확인할 수 있었다. 창업의지는 창업역량에 영향을 받았지만, 교육만족에 직접적인 영향을 받지 않는 것으로 확인되었다. 이러한 결과는 교육만족이 창업역량을 통하여 창업의지에 간접적인 영향을 미친다는 것을 의미한다. 차후 연구에서는 대상을 여러 지역 혹은 전국으로 확대할 필요성이 있으며, 다른 변수와의 접근 방법을 가지고 연구되어야 할 것이다.

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시맨틱 웹 기술혁신의 채택과 확산: 질적연구접근법 (The Adoption and Diffusion of Semantic Web Technology Innovation: Qualitative Research Approach)

  • 주재훈
    • Asia pacific journal of information systems
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    • 제19권1호
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    • pp.33-62
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    • 2009
  • Internet computing is a disruptive IT innovation. Semantic Web can be considered as an IT innovation because the Semantic Web technology possesses the potential to reduce information overload and enable semantic integration, using capabilities such as semantics and machine-processability. How should organizations adopt the Semantic Web? What factors affect the adoption and diffusion of Semantic Web innovation? Most studies on adoption and diffusion of innovation use empirical analysis as a quantitative research methodology in the post-implementation stage. There is criticism that the positivist requiring theoretical rigor can sacrifice relevance to practice. Rapid advances in technology require studies relevant to practice. In particular, it is realistically impossible to conduct quantitative approach for factors affecting adoption of the Semantic Web because the Semantic Web is in its infancy. However, in an early stage of introduction of the Semantic Web, it is necessary to give a model and some guidelines and for adoption and diffusion of the technology innovation to practitioners and researchers. Thus, the purpose of this study is to present a model of adoption and diffusion of the Semantic Web and to offer propositions as guidelines for successful adoption through a qualitative research method including multiple case studies and in-depth interviews. The researcher conducted interviews with 15 people based on face-to face and 2 interviews by telephone and e-mail to collect data to saturate the categories. Nine interviews including 2 telephone interviews were from nine user organizations adopting the technology innovation and the others were from three supply organizations. Semi-structured interviews were used to collect data. The interviews were recorded on digital voice recorder memory and subsequently transcribed verbatim. 196 pages of transcripts were obtained from about 12 hours interviews. Triangulation of evidence was achieved by examining each organization website and various documents, such as brochures and white papers. The researcher read the transcripts several times and underlined core words, phrases, or sentences. Then, data analysis used the procedure of open coding, in which the researcher forms initial categories of information about the phenomenon being studied by segmenting information. QSR NVivo version 8.0 was used to categorize sentences including similar concepts. 47 categories derived from interview data were grouped into 21 categories from which six factors were named. Five factors affecting adoption of the Semantic Web were identified. The first factor is demand pull including requirements for improving search and integration services of the existing systems and for creating new services. Second, environmental conduciveness, reference models, uncertainty, technology maturity, potential business value, government sponsorship programs, promising prospects for technology demand, complexity and trialability affect the adoption of the Semantic Web from the perspective of technology push. Third, absorptive capacity is an important role of the adoption. Fourth, suppler's competence includes communication with and training for users, and absorptive capacity of supply organization. Fifth, over-expectance which results in the gap between user's expectation level and perceived benefits has a negative impact on the adoption of the Semantic Web. Finally, the factor including critical mass of ontology, budget. visible effects is identified as a determinant affecting routinization and infusion. The researcher suggested a model of adoption and diffusion of the Semantic Web, representing relationships between six factors and adoption/diffusion as dependent variables. Six propositions are derived from the adoption/diffusion model to offer some guidelines to practitioners and a research model to further studies. Proposition 1 : Demand pull has an influence on the adoption of the Semantic Web. Proposition 1-1 : The stronger the degree of requirements for improving existing services, the more successfully the Semantic Web is adopted. Proposition 1-2 : The stronger the degree of requirements for new services, the more successfully the Semantic Web is adopted. Proposition 2 : Technology push has an influence on the adoption of the Semantic Web. Proposition 2-1 : From the perceptive of user organizations, the technology push forces such as environmental conduciveness, reference models, potential business value, and government sponsorship programs have a positive impact on the adoption of the Semantic Web while uncertainty and lower technology maturity have a negative impact on its adoption. Proposition 2-2 : From the perceptive of suppliers, the technology push forces such as environmental conduciveness, reference models, potential business value, government sponsorship programs, and promising prospects for technology demand have a positive impact on the adoption of the Semantic Web while uncertainty, lower technology maturity, complexity and lower trialability have a negative impact on its adoption. Proposition 3 : The absorptive capacities such as organizational formal support systems, officer's or manager's competency analyzing technology characteristics, their passion or willingness, and top management support are positively associated with successful adoption of the Semantic Web innovation from the perceptive of user organizations. Proposition 4 : Supplier's competence has a positive impact on the absorptive capacities of user organizations and technology push forces. Proposition 5 : The greater the gap of expectation between users and suppliers, the later the Semantic Web is adopted. Proposition 6 : The post-adoption activities such as budget allocation, reaching critical mass, and sharing ontology to offer sustainable services are positively associated with successful routinization and infusion of the Semantic Web innovation from the perceptive of user organizations.