• 한국간호교육학회지
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• 제27권4호
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• pp.423-435
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• 2021

Purpose: The purpose of this study is to identify the educational needs of a severe trauma treatment simulation program based on mixed reality which combines element of both virtual reality and augmented reality. Methods: Focus group interviews were conducted with ten military hospital nurses on February 4 and 5, 2021. The collected data were analyzed using a qualitative content analysis. As a framework for data analysis, the educational needs were clustered into the following four categories: teaching contents, teaching methods, teaching evaluation, and teaching environment. Results: The educational needs for each category that emerged were as follows: three subcategories including "realistic education reflecting actual clinical practice" and "motivating education" for teaching contents; five subcategories including "team-based education," "repeated education that acts as embodied learning," and "stepwise education" for teaching methods; six subcategories including "debriefing through video conferences," "team evaluation and evaluator in charge of the team," "combination of knowledge and practice evaluation" for teaching evaluation; six subcategories including "securing safety," "similar settings to real clinical environments," "securing of convenience and accessibility for learners," and "operating as continuing education" for teaching environment. Conclusion: The findings of this study can provide a guide for the development and operation of a severe trauma treatment simulation program based on mixed reality. Moreover, it suggests that research to identify the educational needs of various learners should be conducted.

• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.193-202
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• 1986

공중보건 일반의사들의 업무수행 정도와 진료, 예방 및 보건증진 사업 수행에 필요한 기본적인 수기의 수행능력을 평가하고 그들의 업무 수행능력을 향상시키기 위한 교육 개선 방안을 마련하기 위하여 1982년과 1983년에 배치된 공중보건 일반의사들 가운데 남부 4개도(경북, 경남, 전북, 전남)에서 출신학교별로 비슷한 비율로 120명을 무작위로 뽑아 1984년 1월 9일에서 2월 10일 사이에 설문지를 이용한 집단면담을 하였다. 면담에 응한 97명 가운데 본 조사에 필요한 자료를 제시할 수 있었는 86명으로 부터 얻은 자료를 분석하였다. 보건지소의 진료실적은 2종 보험실시 지역이 1일 평균 $30{\sim}40$명으로 환자가 많으나 그외 지역은 $3{\sim}4$명으로 매우 저조하였다. 또한 예방 및 보건증진사업을 적극적으로 추진한다고 답한 사람은 조사대상자의 2%에 불과했다. 63가지 기본적인 임상수기 가운데서 자신있게 할 수 있다고 한 사람이 50%이상인 것은 근육주사, 정맥주사, 외상치료와 같이 간단한 것으로 12가지에 불과했고 임산부관리, 응급환자처치, 예방 및 보건증진 사업등에 필요한 수기에 자신이 있는 사람은 10%도 못 되었다. 국립보건원에서 실시하고 있는 공중보건 일반의사들의 실무교육이 현지 사정과 맞지 않는것이 많아 실무에 큰 도움이 안 된다고 했으며, 도립병원이나 지방 종합병원에서 받은 임상수련이 실무에 많은 도움이 된다고 한 사람은 38.8%였으며, 별도움이 안된 이유 가운데 전문의가 없거나 있어도 무관심하여 수련지도가 부족한 탓이라고 한 사람이 48.4%로 가장 많았다. 공중보건일반의 실무교육은 교육내용을 실무종사자들의 의견을 수렴하여 현지 사정에 맞도록 개선해야할 것이며, 실무종사자들 가운데 유능한 사람을 강사로 활용하고, 국립보건원에 모아 교육시키는 것보다 전국을 몇개의 지역으로 나누어 지방에서 교육을 시키는것이 효과적일 것이다. 임상실습은 4개월이 적당할 것으로 생각되며, 수련기간 동안에 필수적으로 익혀야 할 수기를 수첩으로 만들어 실습사실을 지도전문의에게 확인 받게하며, 보건사회부에서는 수련지도에 관한 지침을 마련하여 수련병원에 배부하고 수련상황을 평가하도록 한다. 최소한 기본 4과에 전문의를 갖춘 병원을 수련병원으로 선정하여야 할 것이다. 공중보건 일반의사들이 현지에서 당면하는 문제해결을 도우고 사업추진을 위한 동기를 유발하기 위해 보수교육이 필요하며 이를 위해 보건사회부는 재정 및 행정적 지원을 하는 것이 좋겠다. 도를 몇개지역으로 나누어 지역마다 지도위원회를 구성하여 공중보건 일반의사들을 순회지도 하고 자문에 응하도록 하는 것이 좋을 것으로 생각된다.

• 중환자간호학회지
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• 제6권2호
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• pp.24-36
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• 2013

Propose: This study was to investigate the educational effect and retention of repeated simulation-based basic life support (BLS) training for nursing students. Methods: A comparison group design with pretest and posttest was used. A total of 35 nursing students (18 for the experimental group, 17 for the control group) participated in the study. A repeated simulationbased BLS training program which include a lecture, skills training, and two repeated sessions of simulation practice and debriefing was provided twice for experimental group. Knowledge, self-efficacy, and skill performance of cardiopulmonary resuscitation (CPR) were measured three times: at baseline, week 2, and week 6. Descriptive analysis, repeated measures ANOVA, and t-test were used for data analyses. Results: Knowledge, self-efficacy and skill performance of CPR were not significantly changed by group assignment, by the time, and interaction of group by time. Effectiveness of intervention was not maintained until Week 6. Conclusion: The results suggest that the timing of repeat education, total training time, and students' mastery of CPR performance should be considered when developing simulation-based programs to improve and maintain students' CPR knowledge, self-efficacy, and skill performance.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.30-36
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• 2023

Objectives: This study examined the changes in anxiety and depressive symptoms in the parents of Korean adults with autism spectrum disorder (ASD) after participating in the Korean version of the Program for the Education and Enrichment of Relational Skills for Young Adults (PEERS^® -YA-K). Methods: Forty-six parents were enrolled (mean age 54.7 years; 22 fathers and 24 mothers), of whom 27 participated in the PEERS^® - YA-K as social coaches. Participants completed self-report scales, including the Test of Young Adult Social Skills Knowledge (TYASSK), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Symptom Check-List-90-R (SCL-90-R). The scales were administered three times: before and after the 16-week program and 4 months after the program ended. Differences between participant variables at pretreatment, post-treatment, and follow-up were analyzed using paired-sample t-tests. Results: Participants showed a significant improvement in their social skills knowledge (TYASSK) (p<0.01). There was a significant improvement in the BAI and BDI scores of parents with severe depressive and anxiety symptoms at the baseline (p<0.05). Paternal paranoia and maternal hostility results also significantly improved on the SCL-90-R. Conclusion: This study suggests that PEERS^® -YA-K can reduce parental anxiety and depressive symptoms. To the best of our knowledge, this is the first to compare the degree of depression and anxiety after PEERS^® -YA-K in parents of adults with ASD.

• 의학교육논단
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• 제26권1호
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• pp.5-18
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• 2024

The author recommends the creation of a nationwide career guidance program at the national level through the establishment of a long-term cohort, involving collaboration among medical schools nationwide. This cohort would be constructed for the purpose of analyzing correlations from admission to medical school to post-graduate education, facilitating the development of a career guidance program. This will aid in career development through students' self-analysis and competency building. Each medical school should operate a systematic career guidance program. Career guidance for post-graduate major selection should be included in the regular curriculum. Schools are advised to operate student counseling rooms for various career guidance services. For example, medical schools can operate 1:1 career counseling, academic counseling, career guidance surveys, psychological tests, and counseling. It is advisable to establish a mentor-professor system, connect mentor professors, and build a network of experts related to majors to provide immediate support according to students' needs. Professional mentor training should be provided to mentor professors. To provide opportunities for students to experience their career paths in advance, early clinical exposure, long-term integrated clinical practice, community-based clinical practice, participation in student research programs, career fairs, and student internship programs are recommended. In South Korea, it is necessary to systematically operate the internship system and make improvements to facilitate optical career choices. Additionally, considering the significant influence of social factors on students' career choices in South Korea, efforts should be made to identify and address the issues related to these social factors.

• 한국산학기술학회논문지
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• 제19권10호
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• pp.194-205
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• 2018

본 연구에서는 요양병원 간호보조인력 즉 간호조무사, 요양보호사의 환자안전에 대한 지식, 태도 및 환자안전활동 정도를 파악하여, 요양병원 환자안전관리 역량증진 및 간호보조인력을 위한 교육과정 개발의 기초자료로 활용하고자 시도된 서술적 조사연구이다. 자료 수집은 2017년 3월 2일부터 3월 26일까지 B광역시 소재 요양병원 중 2013년 적정성평가 2등급 이상, 200병상 이상의 6곳에서 근무하는 간호보조인력 230명을 대상으로 구조화된 설문지를 이용하여 수집하였다. 수집된 자료는 SPSS/WIN 20.0 프로그램을 이용하여 실수와 백분율, 평균, 표준편차, t-test, ANOVA, $Scheff{\acute{e}}$ test, 상관관계분석 및 다중회귀분석을 실시하였다. 본 연구의 결과, 요양보호사보다 간호조무사가, 고학력일수록, 환자안전교육을 받은 횟수가 많을수록 환자안전활동 정도가 높은 것으로 나타났다. 또한 환자안전에 대한 지식이 태도에 영향을 미치고, 태도는 환자안전활동에 영향을 미치는 것으로 나타났다. 따라서 바람직한 태도 개선을 위해 직종별 차별화된 교육과 연간 5회 이상의 실제적이고 지속적인 교육 프로그램의 제공이 필요하고 적절한 근무시간 등의 제도개선 또한 필요할 것으로 사료된다. 이 결과를 토대로 요양병원 간호보조인력의 환자안전관리 역량증진 및 환자안전에 대한 지식 향상과 바람직한 태도개선을 위한 교육과정 개발의 기초 자료로 활용할 수 있을 것이다.

• 근관절건강학회지
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• 제30권1호
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• pp.36-47
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• 2023

Purpose: The study aim was to investigate factors affecting factors nursing performance. Methods: This descriptive correlation study examined degree of mindfulness, resilience, organizational commitment, and nursing performance in order to confirm the correlation between variables and their effects on nursing performance. Study participants were 193 nurses who had more than 1 year of work experience at a tertiary hospital. The data were collected from March to April 2022 using structured self-reported questionnaires. SPSS/WIN 25.0 program was used to analyze the data. The statistical significance of the mediating effects were verified by applying PROCESS Macro. Results: Resilience, health state, total clinical career years, and organizational commitment were identified as factors affecting nursing performance, with the model explaining 51.6% of outcomes. Resilience had a complete mediating effect on the relationship between mindfulness and nursing performance. Conclusion: To improve nursing performance, various education and training must be developed and implemented to strengthen resilience. Additionally, it will be helpful to apply a mindfulness-based program to improve resilience. Further, designing various measures to improve the work environment and increase organizational commitment is recommended.

• 대한간호학회지
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• 제30권1호
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• pp.39-46
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• 2000

This study, was done to compare the nursing education systems of China and South Korea (Korea), then, on the basis of this comparison, to examine the direction of nursing education in China. The results the study are as follows : 1. Nursing education in Korea was influenced by social change, political policy, but as it was established, nurses in Korea, were able actively involved in presenting nursing education development proposals to the government, and in developing nursing education through their own efforts. Nursing education in China developed through the political policy of a socialist Country. During the period of modernization after 1977, a nursing education developed very quickly, In 1983, the first baccalaureate nursing education program was established and, in 1992, the first masters program was opened. 2. In Korea, there are two nursing education systems; diploma and baccalaureate, and there is only one entry level, high school graduation. In China today, on the other hand, there are three types of nursing education systems; technical, diploma, and baccalaureate, and they have middle school and high school graduation as the two levels of entry. 3. There are similarities between China and Korea in curriculums for nursing education which include the major nursing concepts. But in descriptions of the education objectives, China the emphasis is on training the 'expert' in clinical nursing which is not consistent with their educational philosophy. Korea differs from China in that the focus is on training for 'multiple ability' to be used in both clinical and community environments. 4. In Korea, the curriculum is organized with the theoretical and clinical experience combined. The curriculum is oriented to the life cycle and human developmental process. In China, however, the curriculum is organized so that after finishing the theoretical part of the curriculum, the students begin a one year intensive field experience in which the major clinical field is the hospital, and the focus is on disease oriented care and research ability. 5. In order for nurses to be proposed to address nursing education system needs follows : to change as The new nursing education system should be baccalaureate education in order to improve the education level in all nursing education programs, to develop doctoral programs, to open nurse specialist programs, and to develop a new curriculum based nursing philosophy and health delivery system change. New nursing curriculum for health care in China in the 21st century should be directed by a framework based on nursing philosophy, objectives and nursing content. In conclusion, the study will contribute China nursing education system revolution for policy develop and curriculum research. According to these results, in the future, nurses in China should be more actively involved in research and in a nursing education revolution, Also they should be involved in building information networks and in developing long term projects in nursing education.

• 근관절건강학회지
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• 제12권1호
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• pp.28-38
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• 2005

Purpose: This study was to understand the level of family support, self-efficacy and compliance and to examine the relationships of the above three variables in chronic arthritis. Method: The subjects of this study were 116 patients sampled among the limited population of outpatients and inpatients at Rheumatism Center of the H university hospital in S city. The research instruments used in this study were family support, self efficacy and compliance scale. In data analysis, SPSS 8.0 program was used. Result: 1. Family support and self-efficacy level were above the medium. 2. Compliance level was medificant. Conclusion: Rheumatism patients will be able to live satisfactorily if they gium. 3. The relation among the family support, self efficacy and compliance was signot a good education about efficient training program aimed at compliance.

• 동서간호학연구지
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• 제26권2호
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• pp.196-204
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• 2020

Purpose: This study investigates the participation status in clinical nursing education and nurses' continuing education needs to develop educational programs. Methods: Participants were 227 nurses working in medical institutions where nursing students practiced, and the selection criteria were nurses with more than two years of clinical education experience; data were collected using structured questionnaires. Results: More than half of the clinical nurses had completed a preceptor training program for clinical nursing education, and the subjects mainly educated by nurses were new graduate nurses and nursing students. The obstacles to clinical nursing education were lack of compensation, lack of manpower, lack of patient nursing time, excessive workload, and lack of knowledge as educators. The educational methods preferred in continuing education were small-group workshops and online education. The desired educational topics in continuing education were current nursing practice standards, simulation nursing education, and the role of clinical nursing educators. Conclusion: Based on our results, it is necessary to understand the importance of clinical nursing education, which is essential for clinical nurses, to prepare a specific system for them and to develop and operate a systematic education program according to medical institutions' characteristics.