• 기본간호학회지
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• 제21권2호
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• pp.162-173
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• 2014

Purpose: This study was done to identify learning experiences and self-confidence and to analyze nursing students' self-confidence according to learning experiences for core nursing skills (CNS). Method: Participants were 502 final year nursing students. Data were collected using a structured questionnaire and analyzed using descriptive statistics and t-test. Results: Over 60% of participants had practiced 15 items of the 24 CNS in the basic nursing lab (BNL). In clinical practice (CP), they had practiced five items but experienced only one item in a simulation lab (SL). Items with the highest confidence level were vital signs (4.69) followed by blood sugar test (4.60), pulse oximeter (4.38), and oral medication (4.12). Items with the lowest confidence level were blood transfusion (2.17) followed by enema (2.64) and indwelling catheterization (2.67). The group with CNS experience in the practice curriculum was generally more confident than the group with no experience. Self-confidences in some skills was significantly different depending on availability of SL, credits for BNL and CP, and presence of preceptors. Conclusion: Results indicate a need to develop practice education strategies such as changing the CP to practice-centered learning with preceptors and including well-designed SL to increase confidence of nursing students.

• 한국간호교육학회지
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• 제23권3호
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• pp.330-340
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• 2017

Purpose: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. Methods: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. Results: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were $36.44{\pm}4.82$, $13.44{\pm}1.71$, and $42.32{\pm}5.05$, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. Conclusion: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.

• 한국임상보건과학회지
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• 제4권4호
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• pp.769-781
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• 2016

Purpose. The purpose of this paper was to analyze the educational needs of industry which will hire learner and to develop curriculum to meet the demand. Methods. This study was a descriptive research based on survey results. In each questionnaire, the number of responses and ratios were measured to determine the priorities of the questionnaire items and the education demand was evaluated based on these priorities. Results. The core competency keywords for nurses in industry are knowledge, technology, and communication. In the industry needs for curriculum development, the importance of education to be strengthened for nurse training was found to be core basic nursing skills, nursing process application ability, communication ability, creative nursing problem solving ability, personality and foreign language ability. Conclusion. This study has laid the groundwork for the development of competency based curriculum based on environmental factors and reducing the problems of mis - matching between industry and education.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.85-92
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• 2019

본 연구는 간호대학생의 임상실습 중 핵심기본간호술의 수행자신감에 영향을 미치는 요인을 파악하기 위해 시행된 서술적 조사연구이다. 연구대상은 경상북도 G시에 소재한 4년제 간호학과에 재학중인 3, 4학년 학생 190명으로 일반적 특성 및 임상실습 특성, 핵심기본간호술 경험 정도와 수행자신감을 설문조사하였다. 자료분석은 기술통계, t-test, 분산분석 및 다중회귀분석을 실시하였다. 연구결과, 수행경험한 핵심기본간호술의 수는 5개 이하가 51.1%였으며, 관찰경험한 핵심기본간호술의 수는 11개 이상 78.4%였다. 일반적 특성, 임상실습 만족도와 핵심기본간호술 경험 정도에 따른 수행자신감은 남자, 연령과 학년이 증가할수록, 전공만족도와 임상실습 만족도가 높아질수록 높아졌으며, 특히 수행경험한 핵심기본간호술의 수가 증가할수록 높아졌다(p<0.001). 하지만 수행자신감은 관찰경험한 핵심기본간호술의 수에 따른 차이는 없었다(p=0.463). 간호대학생의 수행자신감에 영향을 미치는 요인으로는 연령, 학년, 임상실습 만족도와 수행경험한 핵심기본간호술의 수로 나타났다. 따라서 간호교육과정에서 간호대학생의 임상실습 중 다양한 핵심기본간호술을 직접적으로 경험할 수 있는 기회를 늘리는 것이 중요하고, 보안책으로 시뮬레이션 교육을 적극적으로 활용하는 방안이 모색되어야 할 것이다.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.173-180
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• 2020

본 연구는 기본간호학실습 교육에서 핵심기본간호술 수행 시 의사소통능력 평가에 사용할 수 있는 평가도구를 구성하고 적용 결과를 기술한 사례연구이다. 문헌고찰과 전문가 검토를 통해 의사소통능력 평가도구를 구성하였고, 2019년 10월부터 11월까지 일 대학 기본간호학실습 교과목을 수강 중인 94명을 대상으로 적용 후 결과를 분석하였다. 연구결과, 핵심기본간호술 수행 시 평가되어야 할 의사소통능력 항목으로 5가지 요인(자기 소개, 눈맞춤, 정서적 지지, 정보제공, 치료적 접촉)이 도출되었으며 활력징후를 측정하는 기본간호술 수행 시 평가된 의사소통능력은 5점 만점에 평균 3.96점으로 나타났다. 루브릭에 따른 학습성과 달성도는 전체 학생의 95.8%가 '중' 이상에 도달하여 목표 성취수준에 도달한 것으로 나타났다. 본 연구는 간호대학생의 졸업 시 역량으로 핵심기본간호술과 의사소통능력이 요구되는 현실에서, 기본간호학실습 교육과정에서 사용 가능한 의사소통능력 평가도구를 구성하고 적용하여 학습성과 달성도를 확인함으로써 학습성과 평가과정을 개선하고 체계적인 평가 체계를 구성하는데 중요한 근거를 제공하는 의의가 있다. 향후 본 연구에서 도출된 의사소통능력 평가도구의 타당성과 신뢰도 확보를 위한 연구, 다양한 평가도구와의 비교 연구를 제언하는 바이다.

• 여성건강간호학회지
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• 제9권4호
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• pp.410-421
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• 2003

Purpose : The purpose of this study was to develop core competency of midwife practices to improve midwifery education, national examination and clinical practices. Method: Literature and. document review and internet search and survey were used. 127 registered in the Korean Midwifery Association midwives by structured instrument were surveyed to analyze midwife's practices and work situation. Result : Midwifery education program has to be either a post graduate or a graduate program for people with nursing license. Midwifery practice has to be extended to a lifelong health care of all women including non-pregnant women, not just a health care of pregnant women and newborns. Thus, a primary health care of women, laws/ethics, and management skills were included in the core competencies of midwifery practice considering the international trend of future-oriented and extended role of a midwife. Also, newborn care and ability to cope with emergency situations were emphasized based on the midwife´s opinion. Conclusion: This study has to be developed midwifery practices and education and the standard of midwifery practice has to be stated based on that result.

• 한국산업융합학회 논문집
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• 제22권6호
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• pp.721-727
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• 2019

The purpose of this study is to investigate the relationship between clinical judgment and nursing performance based on myocardial infarction simulation applied to nursing students. Method: 39 fourth grade nursing students participated in this explanatory study with sampling of accommodations. The Lasater Clinical Judgment Rubric has been used in self-reported clinical trials and satisfaction with judging practices. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficient using SPSS WIN 19. Results: Scenarios with myocardial infarction were scored by self-reported clinical judgment. Total mean score of clinical judgment and total mean value of clinical judgment is 4.17 ± 0.80. Correlation Between Variables After Simulation Practice is highly significant for providing positive clinical judgment and satisfaction with nursing performance. Conclusion: The simulation-based practice associated with adult nursing in myocardial infarction was useful for clinical judgment and nursing performance satisfaction, which improved the core basic skills of nursing students.

• 한국융합학회논문지
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• 제9권8호
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• pp.311-318
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• 2018

본 연구는 기본간호술 수행자신감과 심폐소생술 관련 융합적 요인들의 상관관계를 알아보고 간호대학생을 대상으로 응급상황에서의 심폐소생술 수행 의도에 영향을 미치는 요인을 파악하고자 수행된 연구로서 BLS와 핵심기본간호술을 교육받은 간호학과 재학생을 대상으로 하였다. 자료는 2018년 1월부터 2018년 3월까지 수집되었다. 연구분석은 SPSS(ver. 24.0)을 이용하여 Independent t-test, Pearson's correlation과 Logistic regression을 사용하였다. 연구결과 심폐소생술관련 변수들 사이에서는 중간 이상의 높은 상관관계가(r=.575~.738) 확인되었으며, 자동제세동기 활용의 경우 기본간호술 자신감, 심폐소생술 자신감, 숙련도, 자기효능감과 낮은 상관관계가 확인되었다(r=.163~.301). 핵심기본간호술과 심폐소생술 관련 변수들 간에는 중간정도의 상관관계(r=.415~453)가 확인되었다. 로지스틱 회귀분석 결과 심폐소생술 자기효능감과 (OR=1.22, 95% CI: 1.07~1.38) 자동제세동기 활용이 (OR=1.72, 95% CI: 1.09~2.75) 영향요인으로 확인되었다. 이러한 연구 결과는 전반적인 간호술기 능력 향상이 심폐소생술 술기 능력향상과 관련이 있음을 알 수 있었고, 심폐소생술에서 주요 사용 도구인 자동제세동기와 상관관계가 있으므로 이에 대한 자기효능감 증진과 실제상황에서 심폐소생술과 밀접한 관련이 있는 자동제세동기 사용을 교육의 필수요소로 포함시키는 노력이 필요하다.

• Journal of Korean Biological Nursing Science
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• 제16권3호
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• pp.192-200
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• 2014

Purpose: The aim of this study was to develop a new course entitled 'Clinical Research Management' to enhance nursing students' clinical competency in handling clinical trials. Methods: The goals and content of the existing current education program for clinical research professionals such as clinical research coordinators and clinical research associates provided by the Korea National Enterprise for Clinical Trials were analyzed to identify the core educational concepts. A focus group interview was performed to investigate essential competency levels for the professionals who were to begin their career in the area of clinical trials after graduating from the college of nursing. Through these initial processes, we identified the core competency required for clinical research professionals and the related course content. Goals and objectives based on the specified four competencies were set and confirmed by expertise review. Results: We developed a new course entitled Clinical Research Management, a 16-week elective subject consisting of various teaching and learning strategies based on four core competencies: basic knowledge on clinical trials, communication, risk management, and ethics. Conclusion: The results of this study will contribute to enhancing nursing students' clinical competency, including knowledge, skills, and attitudes relevant to clinical trials.

• 한국융합학회논문지
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• 제10권10호
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• pp.321-329
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• 2019

본 연구는 아동간호사의 말초정맥관 관련 간호교육프로그램의 기초자료를 얻기 위해 125명의 아동간호사를 대상으로 시행된 서술적 조사연구로, 최희강 외(2016)의 아동의 말초정맥주사관리 프로토콜과 간호교육평가원의 핵심 기본간호술 중 정맥주사프로토콜의 일부를 사용하여 수집된 자료를 SPSS 21.0으로 분석하였다. 아동간호사의 말초정맥관 관련 교육수행이 가장 낮았고, 부작용관리수행이 가장 높았다. 일반적특성에 따른 간호수행 하위영역에 부분적으로 유의한 차이가 있었다. 교육과 간호수행 간 정적 상관관계가 있었고(r=.486, p<.001), 간호수행에 영향을 미치는 요인은 교육(${\beta}=.472$), 근무부서(${\beta}=.216$) 및 결혼상태(${\beta}=.169$)이었다(adj $R^2=0.314$, p<.001). 본 연구결과는 대상자 수를 확대하여 반복 연구 후 아동간호사의 말초정맥관 관리 교육프로그램의 기초자료로 활용될 수 있다.