• 대한간호학회지
• /
• 제41권4호
• /
• pp.433-443
• /
• 2011

Purpose: Clinical training for nursing students is limited to rudimentary skills to avoid potential risks. Simulation-Based Training (SBT) can overcome the shortcomings of clinical training. We evaluated the educational effect of SBT for obstetrical nursing students using high-fidelity simulation courses. Methods: We developed a simulation program for obstetrical nursing students to practice nursing skills that are necessary to provide quality care. The program consisted of four sessions. 1st: An orientation and a preliminary test. 2nd: Learning core skills required in obstetrical nursing. 3rd: Testing each student with scenario. 4th: Providing a debriefing session. At the beginning of the program, students were surveyed about their self-confidence in obstetrical nursing care, and at the end of the program, they were surveyed about the adequacy of SBT as well as self-confidence. Results: Students' self-confidence showed a significant difference before and after simulation. Mean adequacy of SBT was $7.15{\pm}1.35$ (out of 10). Most students became more interested in Women's Health Nursing after SBT. Conclusion: The results from evaluating the effects of simulation-based obstetrical nursing training show that SBT provides invaluable clinical experience for obstetrical nursing students by overcoming the lack of actual clinical involvement in clinical training programs.

• 한국간호교육학회지
• /
• 제15권2호
• /
• pp.175-182
• /
• 2009

Purpose: Objective Structured Clinical Examination (OSCE) is a good way to evaluate clinical skills of nursing students. To do this, we need modules, evaluators, persons to run the examination, as well as models and standardized patient care if necessary. The main purpose of this study was to compare the effects of the OSCE method on nursing skills performance of students enrolled in a core skill lab of nursing courses. Method: Eight items were developed for the examination. Five minutes was allowed for each item. Two married women and third-year students played patient's roles. The participants were 2nd-year nursing students and the OSCE program was performed on December, 2008. Data analysis was done using SPSS WIN 12.0. Result: The evaluation score for BP check skill was 1.68 and hand washing skill was 1.87 by evaluators. Response of examinees to OSCE was favorable. Examinees did not express resistance for evaluation by OSCE run by SPs and students. Conclusion: The OSCE method is an effective tool for evaluating clinical nursing skills performance in student nurses. It is necessary to explore more efficient ways to develop OSCE cases in wider areas of nursing education. It is also recommended to replicate similar studies in nursing education.

• 한국간호교육학회지
• /
• 제20권2호
• /
• pp.332-340
• /
• 2014

Purpose: This study was done to identify the relations on self-esteem, empathy and interpersonal relationship to reinforce competence in communication skills of nursing students. Method: Participants consisted of 84 entire 1st year students of a nursing college. Variables included self-esteem, empathy, interpersonal relationship and demographic variables. Data was analyzed by frequencies, ANOVA and Pearson's correlation. Results: Satisfaction in nursing science of the subjects was 97.5% above average, Self understanding of the subjects was 93% above average. There were significant difference in self-esteem, empathy and interpersonal relationship among satisfaction in nursing science and self understanding of the subjects. Self-esteem positively correlated to empathy, empathy positively correlated to interpersonal relationship and interpersonal relationship positively correlated to self-esteem. Conclusion: In order to improve core competence in effective communication skills of nursing students, it is important to actively intervene for improving self-esteem and empathy and interpersonal relationship. Therefore, when organizing a communication subject of a nursing college, it is crucial to develop a program that leads to higher learning satisfaction of nursing study by improving self-esteem and empathy and interpersonal relationship skills.

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

• 한국간호교육학회지
• /
• 제29권4호
• /
• pp.395-404
• /
• 2023

Purpose: The purpose of this study was to identify the factors influencing the nursing practice readiness of newly graduated nurses. Methods: The participants were 120 new nurses with 1 to 12 months of work experience at two tertiary hospitals in Seoul and Gyeonggi Province. The data were collected through an online questionnaire from February 6 to April 30, 2023. The collected data were analyzed using the IBM SPSS 25 program, and the independent t-test, Mann-Whitney U-test, ANOVA, Pearson's correlation coefficient, and a multiple regression analysis were performed. Results: The participants' nursing practice readiness was found to be positively correlated with their confidence in core nursing skill performance, satisfaction with clinical practice, satisfaction concerning simulation education, satisfaction regarding preceptorship, length of preceptorship and length of current unit placement. The regression analysis showed that the significant variables affecting nursing practice readiness were confidence in core nursing skill performance and satisfaction with clinical practice, and the explanatory power of the variables on nursing practice readiness was 36.0%. Conclusion: In order for newly graduated nurses to achieve nursing practice readiness, it is necessary to develop a nursing education program that can improve their confidence in core nursing skills performance and satisfaction with clinical practice in the nursing college curriculum and further research on the factors affecting nursing practice readiness is needed.

• 한국응용과학기술학회지
• /
• 제41권4호
• /
• pp.962-980
• /
• 2024

본 연구는 임상간호사의 간호전문직관과 임상의사결정능력 간의 관계에서 비판적 사고성향과 핵심간호술 수행자신감의 이중매개효과를 검증하여 임상의사결정능력 향상을 위한 기초자료로 활용하기 위해 실시한 서술적 조사연구이다. 연구대상자는 일 지역의 종합병원 임상간호사 173명이며, 2023년 9월 15일~10월 13일까지 자료수집을 하였다. 자료분석은 SPSS/AMOS 23.0 프로그램을 이용하여 연구변인들간의 인과적 관계 분석과 부트스트래핑 추정방식으로 매개효과를 검증하였으며, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, hierarchical regression을 실시하였다. 연구결과, 첫째, 임상간호사의 간호전문직관, 임상의사결정능력, 비판적 사고성향과 핵심간호술 수행자신감 간의 인과모형의 적합성은 타당하게 성립하였다. 둘째, 간호전문직관에서 임상의사결정능력에 대한 영향관계에서 비판적 사고성향은 부분매개효과를 나타냈다. 셋째, 이중매개효과를 검증한 결과, 비판적 사고성향의 간접효과가 비판적 사고성향과 핵심간호술 수행자신감의 간접효과보다 크게 나타나 이중매개효과보다는 단일매개 효과가 큰 것으로 나타났다. 따라서 임상간호사들의 높은 간호전문직관의 함양은 임상의사결정능력을 향상시킬 수 있으며, 특히, 비판적 사고성향을 강화시키는 것이 더 효율적임을 검증하였다.

• 한국보건간호학회지
• /
• 제28권3호
• /
• pp.590-604
• /
• 2014

Purpose: The purpose of this study is to develop a nursing competence scale for soon to be graduate nursing students and to verify its validity and reliability. Methods: This study is a methodological study for development of a scale. Based on literature review and group discussion of 13 professional experts, 40 preliminary items were developed and the content validity was verified. Psychometric testing was performed and data were collected from 141 soon to be graduate nursing students of a university. Construct validity was verified by factor analysis and reliability was calculated. Results: The analyses resulted in a scale named the Nursing Competence Scale for Graduating Nursing Students (NCS-GNS), consisting of 30 items covering eight categories: nursing professionalism, integrated nursing through critical thinking, communication skills, nursing leadership, respect for life, stress management, nursing research, and core nursing skills. For the entire scale, the explained variance was 66.72% and Cronbach's alpha was 0.906. Conclusion: NCS-GNS was developed and its validity and reliability were verified. This scale can be used to evaluate nursing competence for graduating nursing students.

• 한국융합학회논문지
• /
• 제8권5호
• /
• pp.97-105
• /
• 2017

본 연구는 웹기반 간호교육 콘텐츠를 활용한 기본간호 실습교육의 효과를 검증하기 위해 시행되었다. 연구설계는 비동등성 대조군 전후설계의 유사실험 연구이다. 연구대상자는 M시에 소재하는 대학의 간호학과 2학년 64명이었다. 자료수집은 2013년 9월부터 10월까지 시행되었다. 연구결과는 웹기반 간호교육 콘텐츠를 적용한 실험군의 학습동기(t=5.44, p<.001), 실습만족도(t=6.98, p<.001), 핵심기본간호술 수행능력(p<.001)이 대조군 보다 높아 통계적으로 유의하게 나타났다. 그러나 자기주도학습은 두군 간의 차이가 없어 통계적으로 유의하지 않게 나타났다. 따라서, 본 연구에서는 웹기반 간호교육 콘텐츠를 활용하여 기본간호 실습교육의 효과가 확인되었다. 또한 본 연구에서는 간호대학생들의 역량강화를 위해 기본간호 실습교육과정에 웹기반 콘텐츠 간호교육 프로그램이 필요함을 제언한다.

• 한국융합학회논문지
• /
• 제10권12호
• /
• pp.453-463
• /
• 2019

본 연구는 동 학년 동료 교수학습 기반 자율실습이 간호대학생의 핵심기본간호술 숙련도, 수행자신감 및 자아효능감에 미치는 효과를 규명하기 위한 비동등성 대조군 전·후 유사실험연구이다. 자료수집은 K시 소재 일개 전문대학 간호학과 2학년에 재학 중인 실험군 34명, 대조군 34명의 총 68명을 대상으로 2019년 5월 1일부터 6월 12일까지 시행되었다. 연구결과 동료 교수학습 기반 자율실습을 적용한 실험군과 적용하지 않은 대조군 간 유치 도뇨의 숙련도(t=11.60, p<.001), 수행자신감(t=4.12, p<.001), 보호장구 착용과 폐기물 관리의 숙련도(t=5.91, p<.001), 수행자신감(t=4.24, p<.001), 배출 관장의 숙련도(t=2.82, p=.008), 수행자신감(t=2.09, p=.044) 및 자아효능감(t=4.52, p<.001)은 통계적으로 유의한 차이가 있었다. 결과적으로 동료 교수학습 기반 자율실습은 핵심기본간호술 숙련도와 수행자신감 및 자아효능감 향상에 긍정적인 효과를 나타내었으며, 기존 자율실습을 보완할 수 있는 효율적인 방안으로의 활용 가능성이 확인되었다. 이를 토대로 향후 동료 교수학습을 다양한 전공과목에 확대 적용하여 효과를 검정하는 연구를 제언한다.

• 성인간호학회지
• /
• 제24권6호
• /
• pp.627-634
• /
• 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.