• Title/Summary/Keyword: Evidence-based practice Competency

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An analysis of the educational needs priorities for clinical nurse educators: Utilizing the Borich needs assessment and the locus for focus model (임상간호교육자의 교육요구도 우선순위 분석: Borich 요구도와 locus for focus model 활용)

  • Shin, Sujin;Hong, Eunmin;Do, Jiyoung; Lee, Miji
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.4
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    • pp.405-414
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    • 2023
  • Purpose: This study used a descriptive investigative design to compare the educational needs and priorities of education-dedicated nurses and preceptors regarding clinical nurse educator competency. Methods: A survey was conducted from March to April 2023 with 308 participants, including 140 education-dedicated nurses and 168 preceptors. The collected data were analyzed using descriptive statistics and a paired t-test with the IBM SPSS 26.0 program. For the purpose of analyzing educational needs, we further analyzed data through the Borich needs assessment and the locus for focus model. Results: Among the clinical nurse educator competency, both education-dedicated nurses and preceptors identified "new theory and practice" as the highest priority educational need. Additionally, education-dedicated nurses prioritized "teaching design ability," "teaching evaluation ability," and "evidence-based nursing/practice and research," while preceptors prioritized "clinical nursing knowledge" and "professional development ability" as their educational needs. Conclusion: While both education-dedicated nurses and preceptors responded that education is necessary for all the competency areas required of clinical nurse educators, variations were observed in their reported educational needs and priorities. Thus, it is imperative to develop and implement a differentiated education program for enhancing the competency of clinical nurse educators that considers the distinct requirements of education-dedicated nurses and preceptors.

A Systematic Review of Evidence for Education and Training Interventions in Microsurgery

  • Ghanem, Ali M.;Hachach-Haram, Nadine;Leung, Clement Chi Ming;Myers, Simon Richard
    • Archives of Plastic Surgery
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    • v.40 no.4
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    • pp.312-319
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    • 2013
  • Over the past decade, driven by advances in educational theory and pressures for efficiency in the clinical environment, there has been a shift in surgical education and training towards enhanced simulation training. Microsurgery is a technical skill with a steep competency learning curve on which the clinical outcome greatly depends. This paper investigates the evidence for educational and training interventions of traditional microsurgical skills courses in order to establish the best evidence practice in education and training and curriculum design. A systematic review of MEDLINE, EMBASE, and PubMed databases was performed to identify randomized control trials looking at educational and training interventions that objectively improved microsurgical skill acquisition, and these were critically appraised using the BestBETs group methodology. The databases search yielded 1,148, 1,460, and 2,277 citations respectively. These were then further limited to randomized controlled trials from which abstract reviews reduced the number to 5 relevant randomised controlled clinical trials. The best evidence supported a laboratory based low fidelity model microsurgical skills curriculum. There was strong evidence that technical skills acquired on low fidelity models transfers to improved performance on higher fidelity human cadaver models and that self directed practice leads to improved technical performance. Although there is significant paucity in the literature to support current microsurgical education and training practices, simulated training on low fidelity models in microsurgery is an effective intervention that leads to acquisition of transferable skills and improved technical performance. Further research to identify educational interventions associated with accelerated skill acquisition is required.

Case Study on Osteology Practice at Human Anatomy Course: Focused on the Students in the Department of Biomedical Laboratory Science (인체해부학 수업에서 골학실습의 활용 사례 연구: 임상병리학과 학생을 중심으로)

  • Kim, Jin-Hee
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.144-152
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    • 2016
  • This study was conducted for the first time based on the evidence that cadaver practice is not easy in the university without medical school where cadaver dissection is not easy to look for. The purpose of this study was to evaluate the effect of osteology practice at human anatomy course for students at the freshman stage in college of health science without medical school. Both self report questionnaires and evaluation paper were analyzed depending on the course of higher education and gender. As a result of analysis, most students thought that osteology practice was interesting and it helped to understand of anatomy lecture. But students from liberal arts had poor understanding of bone's direction compared with students from natural sciences. And most students wanted to do cadaver dissectionafter osteology practice. In conclusion, osteology practice was recommended to student's expectation as well as education of gross anatomy in department of biomedical laboratory science, collage of health science without medical school. This study suggested that practice of gross anatomy should run parallel with lecture.

Analysis of the importance of nursing care and performance confidence perceived by nurses in the neonatal intensive care unit (신생아중환자실 간호사가 인식한 간호업무의 중요도와 수행 자신감)

  • Lim, Heemoon;Lee, Hyejung;Kim, Eunsook;Kim, Hyoyeong;Jang, Eunkyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.1
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    • pp.5-14
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    • 2022
  • Purpose: Neonatal nurses are expected to have clinical competency to provide qualified and safe care for high-risk infants. An educational intervention to enhance nurses' clinical competence is often a priority in the nursing field. This study was conducted to explore nurses' perceived importance and performance confidence of nursing care activities in neonatal intensive care units. Methods: One hundred forty-one neonatal nurses from seven hospitals across South Korea participated in the online survey study. The scale of neonatal nursing care activity consisted of 8 subdomains including professional practice (assessment, diagnosis, planning, intervention, evaluation, education, research, and leadership). The Importance-Performance Matrix was used to analyze the importance of and confident performance in each of the nursing subdomains. Results: Both importance and performance confidence increased as nurses' age (p=.042 and p<.001) and clinical experience (p=.004 and p<.001). Participants scored relatively higher in importance and performance confidence in the professional practice subdomains (assessment, intervention, evaluation), but scored lower in the education and research subdomains. Conclusion: To provide evidence-based nursing care for high-risk infants in neonatal intensive care units, educational interventions should be developed to support nurses based on the findings of the research.

A literature Review (1996-2014) on Critical Thinking in Korean Nursing Education for the Era of Convergence (융복합 시대 준비를 위한 국내 간호대학 교육에서의 비판적 사고 연구(1996-2014) 동향 분석)

  • Ha, Na-Sun;Pak, So-Young;Lee, Mi-Ja
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.341-349
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    • 2015
  • The critical thinking has become gradually important in nursing education for the era of convergence. The literature review was undertaken to identify the study trends of critical thinking in nursing education in Korea. 75studies from 1996 to 2014 were reviewed. The studies related to critical thinking were highly increased from 2006. The study design was identified descriptive studies to path model. The predictors to critical thinking were an academic system, age, interpersonal relationship, academic achievement, the duration of clinical practice, satisfaction on nursing, self-esteem, self-efficacy, learning methods and so on. The consequence variables were clinical practice stress, cognitive stress, the ability of problem-solving, clinical competency, emotion control, communication competence. It is necessary to develop education programs and curriculum based on evidence from the researches for increasing critical thinking.

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

  • Joo, Jae-Hun
    • Asia pacific journal of information systems
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    • v.19 no.1
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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.