• Title/Summary/Keyword: Experience of Clinical Practice

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Guarantee of Safety for the Patient: Subjectivity of unsafe clinical practice in Nursing Students (임상실습 안전에 대한 간호대학생의 주관성)

  • PARK, Euna
    • Journal of Fisheries and Marine Sciences Education
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    • v.29 no.2
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    • pp.343-353
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    • 2017
  • Nursing students who are in clinical practices under the complicated medical environment to become competent practitioners can be exposed to a variety of dangerous situations. In particular, nursing students can experience stress and compromised safety because they have difficulty in prioritizing their tasks and lack confidence in clinical and interpersonal skills. The purpose of this study is to investigate the types and characteristics of nursing students' attitudes toward the safety of clinical practices, and improve their safety related to clinical practices. A total of 40 statements about the safety of clinical practices were applied to 37 nursing students. Collected data were analyzed with the PC QUANL program. The Perception of nursing students to the safety of clinical practices was categorized into three types: 'Pursuit of perfection in overwhelming state type', 'Perseverance Patience type' and 'Cover up-meeting expectation type'. The subjects related to the safety of clinical practices need to be developed within the curriculum of nursing departments by examining the Perception of nursing students to the safety of clinical practices. In addition, a sense of responsibility shared by nursing students, educators and practitioners needs to be enhanced to improve the safety of clinical practices.

Communication between paramedic students and patients in clinical practice (임상현장실습에서 응급구조(학)과 학생들과 환자간의 의사소통능력에 관한 연구)

  • Jae-Hyoung, Jang;Ye-Eun, Jeong;So-Eun, Jeon;Keun-Ja, Cho
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.3
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    • pp.47-60
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    • 2022
  • Purpose: This study aimed to identify the level of communication ability between paramedic students and patients in clinical practice. In addition, it was performed to produce essential data contributing to the qualitative improvement of communication ability. Methods: Data were collected from paramedic students with clinical experience after they provided online consent. Data collection was performed from June 3 to July 12, 2022. One hundred forty-seven questionnaires with 92 items were analyzed using SPSS statistics 28.0. Results: 57.1% of students took communication as a subject despite 92.5% of respondents saying that communication education is necessary for them. The average level of participant communication ability was 4.60 (±1.05) points (measured on a 7-point Likert scale). Among the subdivided communication ability levels, the highest level was demonstrated in the physical examination-related interview (5.36±0.96), and the lowest was shown in the completion part (3.93±1.51). Furthermore, a statistically significant difference was found in communication ability level according to school grade (F=4.709, p=.000). The highest correlation (r=.972, p<.001) was obtained between total communication ability and understanding the patient's point of view. Conclusion: Paramedic students should improve their communication skills to serve patients more effectively. Finally, more educational content should be developed on field-based situations in communication courses.

Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives

  • Go Eun, Park;Nae Young, Lee
    • Journal of Hospice and Palliative Care
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    • v.25 no.4
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    • pp.139-149
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    • 2022
  • Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs. Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The mean scores were 7.79±1.39 points for knowledge, 1.92±2.00 points for experience, and 2.80±0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P<0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39). Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs. Therefore, nurses' must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.

Traumatic Experiences and Posttraumatic Growth of Nursing Students who were in the Clinical Training (간호학생의 임상실습에서의 외상 경험과 외상후 성장)

  • Sung, Kyung Mi;Park, Sun Ah;Oh, Eun Jin;Lee, Seung Min;Lee, Se-Young
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.489-503
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    • 2018
  • The purpose of this study was to explore traumatic experiences and posttraumatic growth of nursing students who were in clinical training. The data were collected from 490 nursing students at four nursing colleges with clinical training experience more than 1 year, from November 20th 2017 to December 20th. Collected data were analyzed through t-test, ANOVA, and $Scheff{\acute{e}}$ test with the SPSS/WIN 25.0 program, and qualitative data were analyzed by content analysis. 26.5% of the subjects had traumatic experiences in their daily life, 61.2% in the clinical practice. Their posttraumatic growth was scored 2.63 out of 5 on average. The contents of traumatic experiences were 'Violence experienced by medical staff','Negative perception of nursing care','Non-Educational Practical Environment' Clinical practice in a harsh environment, Witness of a serious patient, et al. The findings can be used as important basic data for the development of nursing practice education program for encouraging the posttraumatic growth of nursing students.

Knowledge and Attitudes about AIDS among Dental Hygiene Students (일부 치위생과 학생들의 AIDS에 대한 지식 및 태도)

  • Choi, Sung-Suk;Lee, Yun-Hui
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.3
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    • pp.77-87
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    • 2013
  • Objective: The purpose of this study was to obtain the basic data for the establishment of the curriculum from the analysis of knowledge and attitudes about AIDS among dental hygiene students. Methods: Data was collected from the students of two colleges majoring in dental hygiene in Daegu, using questionnaire. They were the students of total 390. The analysis was made using t-test, (one-way ANOVA), and multiple linear regression analysis. These were conducted using SPSS 14.0 version. Results: The horizontal and vertical transmission in percent correct knowledge of HIV infection, most of the questions asked of respondents knew the correct answer, AIDS attitudes in the community education hours to receive AIDS education is important then the response was highest at 88.2 percent. AIDS knowledge is based on clinical practice, and AIDS attitudes in accordance with the educational experience of the average difference between groups investigated showed statistically significantly. HIV knowledge and attitudes, no oil, depending on the educational experience of the average difference between groups investigated showed statistically significantly. The grade, the higher knowledge of HIV was found to be lower in a statistically significant negative relationship showed (p<0.001), clinical experience, the more experience, knowledge of HIV was higher statistically significant positive showed a relationship (p<0.001), a higher attitude about HIV AIDS knowledge was higher showed a statistically significant positive relationship (p<0.001). Conclusion: Dental hygiene to prevent infection associated with AIDS in the curriculum and hands-on curriculum to enhance patient care through the AIDS patients in clinical management after graduating as a dental hygienist at the ethical responsibility is considered to be very strong.

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Subjectivity of Korean Nursing Students' Experiences of Geriatric Hospital Practices (노인 간호 실습경험에 대한 주관성 연구)

  • Shin, Dong Soo;Suh, Sum Rim;Lee, Eun Joo
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.622-631
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    • 2006
  • Purpose: This study elicited Korean students' experiences of nursing practice at geriatric hospitals. Method: A purposive sample of 26 Korean nursing students was recruited from K College of Nursing located in Daegu, Korea. Inclusion criteria were nursing students who: 1) finished nursing practice at geriatric hospitals, 2) were oriented and communicable, and 3) understood research purpose and agreed to participate in this study. Individuals were interviewed using Q-methodology. Results: The majority of the participants had experience of living with the elderly and volunteering related to elder care. Data analysis showed that participants' experiences of nursing practices were consisted of three types: skill acquiring-oriented, relationship-oriented, and practice system-oriented. Conclusion: Nursing practices at geriatric hospitals provided opportunities of having positive attitude toward the elderly for nursing students. Nursing students' experiences were divided into at least three different types. Nursing educators need to develop curriculum for gerontological nursing practice tailoring to theses differences.

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The Effects of Evidence-Based Practice Competency, Self-leadership, Organizational Commitment on the Professional Self-concept of Trauma Nurses (권역외상센터 간호사의 근거기반실무역량, 셀프리더십, 조직몰입이 전문직 자아개념에 미치는 영향)

  • Cho, Ok-Hee;Yoon, Jeong Eun;Choi, Jina
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.1
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    • pp.31-39
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    • 2022
  • Purpose: This study investigated the effects of evidence-based practice competency, self-leadership, and organizational commitment on professional self-concept of nurses in regional trauma centers. Methods: The 98 research participants were nurses with clinical experience of a year or more. Descriptive statistics, t-tests, Mann-Whitney U test, ANOVA, and Pearson's correlation coefficients were computed, and multiple regression analysis was conducted. Results: Professional self-concept showed statistically significant differences according to marital status, religion, and educational background, and was positively correlated with and affected by evidence-based practice competency, self-leadership, and organizational commitment. Conclusion: Trauma nursing education programs should include evidence-based practice competency and self-leadership and organizational support should be provided to improve the professional self-concept of nurses in regional trauma centers.

Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students (간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향)

  • Ahn, Ju Hyun;Kim, Myoungsuk
    • Journal of East-West Nursing Research
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    • v.26 no.2
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    • pp.176-184
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    • 2020
  • Purpose: The purpose of this study was to investigate the influence of nursing students' self-reflection and insight, and academic selfefficacy on their clinical reasoning competence. Methods: Data were collected from 147 third- and fourth-year nursing students who had more than 6 months of clinical training experience. Clinical reasoning competence, self-reflection and insight, and academic self-efficacy were measured using self-reported questionnaires. Data analysis was conducted with IBM SPSS 25.0 using one-way ANOVA, independent t-test, Pearson correlation coefficient, and multiple regression analysis. Results: Clinical reasoning competence was positively correlated with self-reflection and insight (r=.24, p=.003) and academic self-efficacy (r=.30, p<.001). Academic self-efficacy (β=.23, p=.011), dissatisfaction with major (β=-.17, p=.034), and 5~8 case studies (β=-.39, p=.027) were identified as factors influencing clinical reasoning competence (adjusted R2=.15). Conclusion: To improve the clinical reasoning competence of nursing students, it is necessary to develop the academic self-efficacy of complex cases and provide critical inquiries, debriefing tailored to clinical reasoning, and sufficient reflection during clinical and simulation practice.

The Effect of Clinical Training Program for Nursing Faculty (간호학교수 임상연수프로그램 효과 분석)

  • Suh, Moon-Ja;Do, Bok-Neum;Park, Chun-Ja;Kim, Seung-Sil;Chun, Si-Ja;Lee, Sun-Ok;Im, Nan-Young;Park, Young-Im;Jung, Eun-Soon;Kim, Soon-Lae;Choi, S-Mi;Cho, Nam-Ok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.2
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    • pp.247-261
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    • 2000
  • It is important for nursing faculties to try to improve their professional knowledge and skill in nursing education. Thus it is essential for them to participate in clinical training program. The purpose of this study was to identify the effect and satisfaction of faculty clinical training programs which were managed by Korean Academic Society of Nursing Education and 4 Hospitals(Samsung Medical Center, Seoul National University Hospital, Seoul, Asan Medical Center, Yeonsei Sebrance Medical Center) in Seoul. The data collection was done from July, 1999 to December, 1999 and the 125 subjects were used for the analysis. The purpose of participation of professor to clinical training course was found that to observe of up-to-date treatment method($3.57{\pm}.60$) and to connect between knowledge and practice ($3.63{\pm}.50$). The professors were highly satisfied with 'can see the high-tech institution and facilities($3.45{\pm}.62$)' and 'can confirm in advanced nursing field and practice ($3.38{\pm}.58$)' in clinical training program. And it was found that nursing professors applied the experience of participation in clinical training program to lecture and clinial practice for students. But they were dissatisfied with 'they had no or not enough time to practice'. In conclusion, the clinical training program was useful for nursing professor to educate and instruct the students. It is suggested that the more advanced course and practical program have to be developed for nursing faculties.

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Individual and School Factors Affecting Critical Thinking Ability among Nursing Students (간호대학생의 비판적 사고능력에 영향을 미치는 개인요인과 학교요인)

  • Shin, Sujin;Park, Inhee;Hwang, Eunhee;Jung, Dukyoo;Kim, Kon Hee
    • Korean Medical Education Review
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    • v.20 no.1
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    • pp.44-50
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    • 2018
  • The purpose of this study was to investigate factors associated with the critical thinking ability of nursing students at the individual and school levels. The study adopted a descriptive design and recruited 465 nursing students from four nursing schools from November 2014 to September 2015 through convenience sampling. The Clinical Critical Thinking Skill Test was used to measure critical thinking ability, and the data were analyzed with the SAS ver. 9.4 program (SAS Institute Inc., Cary, NC, USA) for descriptive statistics, t-test, analysis of variance, and multi-level model. The results showed that clinical practicum experience (${\beta}=-0.72$, p=0.025), taking critical thinking courses (${\beta}=0.63$, p=0.010), and taking simulation courses (${\beta}=0.56$, p=0.035) improved critical thinking ability in the individual level model. In the school level model, the interaction effect between the years of clinical practice done by the student and the presence of full-time clinical instructors was significant (${\beta}=1.29$, p=0.011). These results suggest that critical thinking ability improves with the more years of clinical practice individual nursing students have, and this improvement is greater with the presence of full-time clinical instructors in the school. Therefore, it is recommended that nursing students undergo critical thinking and simulation courses to develop their critical thinking ability, and dedicated clinical instructors in nursing schools should play a vital role.