• Title/Summary/Keyword: Core nursing skill

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Study on Patient Outcomes through the Construction of Korean Nursing Minimum Data Set (NMDS) (한국형 Nursing Minimum Data Set(NMDS)구축을 통한 환자결과에 대한 연구)

  • Lee, Eun-Joo
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.1
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    • pp.14-22
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    • 2006
  • Purpose: The purpose of this study is developing the nursing information system which contains the core elements of nursing practice, the Nursing Minimum Data Set (NMDS) that should be collected and documented all the settings in which nursing care is provided. Method: The program was developed under the hospital information system by TCP/IP protocol and used NANDA, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) to fill out the elements of NMDS. The Oracle was used as DBMS under the Windows 98 environment and Power Builder 5.0 was used as a program language. Results: This study developed linkage among the NANDA-NOC-NIC to facilitate choosing correct nursing diagnosis, interventions, and outcomes and stimulate nurses' critical thinking. Also the system developed includes nursing care sensitive patient outcomes, so nurses can actively involve in nursing effectiveness research by analyzing the data stored in the database or by making relational databases with other health care related databases. Conclusion: The program developed in this study ultimately can be used for the nursing research, policy development, reimbursement of nursing care, and calculating staffing and nursing skill mix by providing tool to describe and organize nursing practice and measure the nursing care effectiveness.

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The Effect of Job Characteristics, Career Commitment and the Job Fitness on Job Attitude of Clinical Nurses (간호사의 직무특성, 경력몰입 및 그 적합성이 직무태도에 미치는 영향)

  • Kim, Myoung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.387-401
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    • 2001
  • The purpose of this study was to identify the effect of job characteristics, career commitment, and the fitness relationship between the two variables on the nurses' job attitude(job involvement and job satisfaction). Data were collected using self-reporting questionnaire taken by 594 nurses working at eight university hospitals in Seoul and Chungbuk area. Data were analyzed using t-test, ANOVA, factor analysis, Cronbach's alpha coefficients, multiple regression through SAS program. The results of the study were as follows : 1. Three dimensions(task significance, skill variety, autonomy) of five core job characteristics have positive influence on job involvement and only one dimension(autonomy) of five core job characteristics has positive influence on job satisfaction of nurses. 2. The level of career commitment have positive influence on both job involvement and job satisfaction of nurses. 3. There were significant differences between ${\lceil}$high job characteristics-high career commitment${\rfloor}$ groups and ${\lceil}$high job characteristics-low career commitment${\rfloor}$ groups for job involvement and job satisfaction in nursing organization.

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The Effects of Club Activities on Communication Skills and Self-leadership of Nursing Students (간호대학생의 동아리 활동이 의사소통 능력과 셀프리더십에 미치는 영향)

  • Song, Min Sun;Lee, In Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.485-494
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    • 2020
  • Club activities play an important role for college students in adapting to their college life. This study was therefore undertaken to investigate the effects of club activities on the communication skills and self-leadership of nursing students. Convenience sampling method was applied for 147 students enrolled in the nursing department of university in D city, of which 119 subjects participated in club activities. Data was collected from October 15 to November 30, 2019, and analyzed by applying 𝑥2 test, t-test, and hierarchical multiple regression analysis, using the IBM SPSS/WIN 22.0 program. Results: Communication skill and self-leadership were above the middle level. Depending on the club activities, significant differences were obtained for grade (𝑥2=8.07, p=0.045), major satisfaction (𝑥2=8.26, p=0.010), and communication skill and behavior-focused strategies (t=4.48, p=0.036). Factors affecting communication skill were behavior-focused strategies, constructive thought pattern strategies, and activeness amongst club activities. Therefore, the numerous club activity experiences of subjects helped improve the communication skill which, in turn, helps improve self-leadership. Our study indicates the necessity to seek an educational strategy that encourages active club activities of nursing students, for improving the core competencies of professional nurses, encompassing communication skills and self-leadership.

Development of Self-practice Program for Core Nursing Skills for Undergraduate Nursing Students based on Mobile Application (모바일 앱 기반 간호대학생 핵심간호술 자가학습 프로그램 개발)

  • Kim, Sun Kyung;Eom, Mi-Ran;Lee, Youngho;Go, Younghye
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.343-352
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    • 2021
  • A convergence study was conducted to develop a smartphone application for self-practice of core nursing skills and evaluate its usefulness for undergraduate nursing students. Mobile Application Rating Scale and seven essay questionnaire were used to for usability evaluation among 22 undergraduate nursing students. The score of the information domain was the highest with 4.19(SD 0.79). The subjective quality domain showed the lowest score of 3.08(SD 0.87). Participants' performance confidence score was 8.23(SD 1.60), and learning satisfaction score was 7.89(SD 0.87). Participants reported that the convenience and repetitive self-learning were the strengths of the app. In addition, design and technical supplementation, and lecturer-feedback would improve effectiveness of the current educational app. Findings of this convergent study would be helpful to promote the application of mobile apps for effective self-learning of core nursing skills in undergraduate nursing education. Future resesarch is needed to examine effectiveness study of mobile app on the performance of core nursing skills.

The Factors Influence of Clinical Competency of Core Basic Nursing Skills During the Clinical Practice in Nursing Students (간호대학생의 임상실습 중 핵심기본간호술 수행자신감에 영향을 미치는 요인)

  • Kim, Dong-Ok;Byun, Soung-Won;Lee, Haejin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.85-92
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    • 2019
  • This study was a descriptive study conducted to identify factors that had an influence on clinical competency of core basic nursing skills(CBNS) during the clinical practice in nursing students. Data were collected from 3rd and 4th grade 190 nursing students in G city using self-report questionnaire, and analyzed using descriptive statistics, the t-test, one way ANOVA, multiple regression with SPSS 23.0 program. This study found that the number of experience CBNS below 5 was 51.1%, and the number of observation CBNS over 11 was 78.4%. Clinical competency according to general characteristics, clinical practice satisfaction and the level of CBNS experience increased with male, increase age and grade, and major subject satisfaction and clinical practice satisfaction, especially, as the number of experience CBNS increased, clinical competency increased(p<0.001). But clinical competency did not differ according to the number of observation CBNS(p=0.463). The factors affecting the clinical competency of nursing students were age, grade, clinical practice satisfaction and the number of experience CBNS. Therefore, it is important to increase the opportunity to directly experience the various CBNS in clinical practice of nursing students in the nursing education curriculum, and it is necessary to find ways to actively use simulation education.

Application of the Evaluation Tool for the Performance Outcomes in Fundamental Nursing Practicum: A Case Study Focused on Evaluating of Communication Ability (기본간호학실습에서 학습성과 평가도구의 적용 사례: 의사소통능력 평가를 중심으로)

  • Kim, Haejin;Cheon, Eui Young;Kim, Eun Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.173-180
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    • 2020
  • This is the report of a case study to describe the results of applying an evaluation tool for communication ability when performing core basic nursing skills in fundamental nursing practice education. The communication ability evaluation tool was constructed based on a literature review and expert advice. The tool was applied to test 94 students who were taking fundamental nursing practice courses from October to November 2019. As a result, five factors (self-introduction, eye contact, emotional support, information provision, and therapeutic touch) were derived as evaluable items of communication ability to be evaluated when performing core basic nursing skill, and were evaluated when performing core basic nursing skills to measure vital signs. The average communication ability was 3.96 out of 5 points. According to the rubric, 95.8% of all students attained 'medium' and reached their goal achievement level. The findings of this study are meaningful in providing an important basis for improving the performance outcome evaluation process and for constructing a systematic evaluation system in fundamental nursing practicum. Further studies to secure the validity and reliability of this communication ability evaluation tool and comparative studies with various evaluation tools are suggested.

Nurse-Patient Interaction Patterns and Patient Satisfaction in the Emergency Department (군집분석을 이용한 응급실 간호사-환자 상호작용 유형 및 환자의 상호작용 만족도)

  • Kim, Eun-Jung
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.99-109
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    • 2010
  • Purpose: The purpose of this study was to identify effective nurse interaction patterns with patients in the emergency department. Methods: For this study, video technology was used to record complete conversations between the nurse and patient. The participants were 28 nurses and 63 patients in the emergency department at one university hospital located in Seoul. The data were collected from November, 2002 to April, 2003. The video recordings were observed for 4 hr for each case and coded using an adapted version of Roter's Interaction Analysis System (RIAS). The data were analyzed using cluster analysis to identify the patterns of nurse-patient interaction. Results: Cluster analysis revealed 4 distinct nurse interaction patterns; 1) "closed" characterized by orientation and negative talk, 2) "positive" characterized by positive affective talk, 3) "informative and directing" characterized by task-focused behavior including data gathering, and giving information about medical condition and treatment, 4) "facilitative" characterized by balance of psychosocial and biomedical topics. Patient satisfaction was highest in the facilitative interaction pattern. Conclusion: The patient centered interaction pattern, balancing information exchange and psychosocial exchange are the most effective interactions in the emergency department, suggesting that effective interaction skill is a core clinical nursing intervention in acute care.

Perceived Competency, Frequency, Training Needs in Physical Assessment among Registered Nurses

  • Oh, Heeyoung;Lee, Jiyeon;Kim, Eun Kyung
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.627-634
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    • 2012
  • Purpose: The purpose of this study was to identify registered nurses learning needs about physical assessment. Specifically, what are the perceived competency, frequency of skill use and the unmet training needs. Methods: The study was an exploratory survey study. The sample was 104 registered nurses. Data were collected through three instruments: The Perceived Competency in Physical Assessment Scale, the Frequency of Physical Assessment Scale, and the Training Needs of Physical Assessment Scale which incorporated 30 core Physical Assessment skills. Descriptive statistics, t-test, and Pearson's correlation coefficient were used to analyze the data. Results: Auscultation of heart and lung sounds and inspection of the spine were rated by the subjects as physical assessment skills they feel least competent and also were less frequently performed. The most competent area for physical assessment was neurological system. The respiratory and abdominal system was identified as two systems that more education would be needed. Nurses with less than one year of working experience reported needing more training. Nurses with more than five years of clinical work experience performed physical assessment more frequently than nurses with less than five year of work experience. The perceived competency was positively related to the frequency of physical assessment. Conclusion: Continuing education is necessary to further train registered nurses regarding physical assessment skills and the program needs to be focused on the area which nurses are less competent for and have high training need.

Empowerment on Clinical Nursing Skills Core Program (임상 시나리오 중심 핵심 간호기술 강화 프로그램의 효과)

  • Kim, Hye-Suk;Park, Hae-Ryoung;Park, Eun-Hee
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.589-599
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    • 2014
  • Critical thinking includes creative thinking, open-mindedness, inquisitiveness. Critical Thinking Disposition was significantly higher in experimental group that was enhanced by the scenario-based learning contents than that of the control group(t=4.102, p<.001). Problem Solving process was significantly higher in experimental group that was enhanced by the scenario-based learning contents than that of the control group(t=5.082, p<.001). However, there was no significant difference between the two groups in Clinical Competence(t=2.646, p=.009). But experimental group was significantly higher score than that of the control group score decreased. These results support that the implementation of a scenario-based learning contents need to be continued as an effective educational material but we need more research to establish how this can be effectively implemented in a students' practicum.

Research trend analysis of Korean new graduate nurses using topic modeling (토픽모델링을 활용한 신규간호사 관련 국내 연구동향 분석)

  • Park, Seungmi;Lee, Jung Lim
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.240-250
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    • 2021
  • Purpose: The aim of this study is to analyze the research trends of articles on just graduated Korean nurses during the past 10 years for exploring strategies for clinical adaptation. Methods: The topics of new graduate nurses were extracted from 110 articles that have been published in Korean journals between January 2010 and July 2020. Abstracts were retrieved from 4 databases (DBpia, RISS, KISS and Google scholar). Keywords were extracted from the abstracts and cleaned using semantic morphemes. Network analysis and topic modeling were performed using the NetMiner program. Results: The core keywords included 'education', 'training', 'program', 'skill', 'care', 'performance', and 'satisfaction'. In recent articles on new graduate nurses, three major topics were extracted by Latent Dirichlet Allocation (LDA) techniques: 'turnover', 'adaptation', 'education'. Conclusion: Previous articles focused on exploring the factors related to the adaptation and turnover intentions of new graduate nurses. It is necessary to conduct further research focused on various interventions at the individual, task, and organizational levels to improve the retention of new graduate nurses.