• 제목/요약/키워드: Experience of Clinical Practice

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임상실습 교육개선을 위한 일 실습지도자 활용모델 (preceptorship model)의 적용 및 효과에 관한 연구 -암센타, 재활센타, 중환자실 실습을 중심으로- (Application and Effectiveness of a Preceptorship for the Improvement of Clinical Education)

  • 이원희;김소선;한신희;이소연;김기연
    • 대한간호학회지
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    • 제25권3호
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    • pp.581-596
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    • 1995
  • Clinical practice in nursing education provides an opportunity for students, through the process of ap-plying theoretical knowledge to practice, and to learn nursing skills as well as being socialized into nursing and as such decrease the reality shock of actual nursing practice. Because of a shortage of nursing faculty, the job of achieving the objectives of the clinical practice had been turned over to the head nurses. This resulted in many problems, such as, unclear location of responsibilities and inadequate feedback from head nurses. Therefore this study was done to introduce and evaluate the use of preceptors as a way to minimize the above problems, and to maximize the achievement of the clinical practice objectives. Using an adaptation of Zerbe's (1991) three-tiered team model, clinical practice was done using a preceptor, a head nurse and a clinical instructor, each with different and well defined roles. The subjects of this study were 67 senior students of the College of Nursing of Y University in Seoul whose clinical practice in adult nursing was carried out between May 1, 1994 and December 8, 1994. There were 22 preceptors who had at least two years of clinical experience and who were recommended by their head nurses. They were given additional education on the philosophy and objectives of the College of Nursing, on communication skills, on the theory and practice of education, and on nursing diagnosis and education evaluation. The role of the preceptor was to work one-to-one with students in their practice. The role of the head nurse was to supervise and evaluate the preceptors. The role of the clinical instructor was to provide the education program for the preceptors, to provide ad-vice and suggestions to the preceptors and to maintain lines of communication with the college. With each of these roles in place, it was thought that the effectiveness and efficiency of the clinical practice could be increased significantly. To evaluate the effectiveness of the preceptorship, the three - tiered model, Lowery's Teacher Evaluation Opinion Form translated and adapted to Korea was used to measure student statisfaction. The Clinical Practice Compentency Evaluation Tool developed by Lee et ai was also used to measure student competencies. The results of this study are as follows 1. The satisfaction with clinical practice was higher with the introduction of the perceptors than it was before they were used. (t=-5.96, p=<.005) 2. The clinical practice competencies were higher with the introduction of the preceptors than it was before they were used(t=-5.l3, p<.005) 3. In order to analyze areas not measured by the quantitative tools additional analysis of the open questions was done. The results of this analysis showed that : 1) The students felt positive about their sense of security, confidence, handling of responsbility, and being systematic. They also felt positive about improvements in knowledge, opportunities for direct care, and socialization. 2) The students felt negative about the technical part of their role, lack of knowledge by the preceptor, unprofessional attitudes on the part of the preceptor, difficulty in the role of the professional nurse(student). 3) The preceptors felt positive about their responsibility, motivation, and relationship with the college. 4) The preceptors felt negative about their bur-den. Introduction of the preceptorship model will lead to change and improvement in the negative factors discussed above, solve problems in the present clinical education system, increase continuity in the education of the students, help with socialization of the students and motivation of the preceptors to up-grade their education and increase their confidence. These objectives must be obtained to further the development of professional nursing, and thus, making the preceptorship a reality is our job for the future.

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일부 치위생과 학생들의 교육수혜 및 임상실습에 따른 B형간염에 대한 이론적 지식의 관련성 (Relationship between Knowledge about Hepatitis B among Dental Hygiene Students Received Education and Clinical Practice)

  • 최성숙;이계희
    • 한국학교ㆍ지역보건교육학회지
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    • 제14권2호
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    • pp.75-83
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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 about hepatitis B 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 the 1st, 2nd, and 3 grade, in total 390 student. The analysis was made using t-test, (one-way ANOVA), and multiple linear regression analysis. These were conducted using spss 14.0 version Results: Hepatitis B in the theoretical knowledge 'yes' if the answer 'When one of the family member is contaminated with Hepatitis the other members have to take the physical examination and vaccination against Hepatitis' to 86.7 % was the highest. The educational experience(p<0.01) and hepatitis B vaccination(p<0.001) of the mean difference between the groups investigated were statistically significant. Third grade, the higher the knowledge of hepatitis B was found to be lower relationship showed a statistically significant negative(p<0.05), clinical experience, the more experience, the more hepatitis B vaccinations were higher statistical knowledge relationship showed a significant positive(p<0.01). Conclusion: Currently dental hygiene curriculum is offered as a regular dental infection control subject, but more specific and systematic infection prevention subjects are required through continuing education program. In addition, for the admission of the students majoring in dental hygiene hepatitis B vaccination plan should be mandatory.

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간호학생의 임상실습 중 환자의 죽음 경험 (Nursing Students' Experiences with Patient Deaths during Clinical Practice)

  • 강현주;최혜정
    • 한국간호교육학회지
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    • 제26권1호
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    • pp.56-66
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    • 2020
  • Purpose: The purpose of this study was to explore nursing students' experiences with patient deaths during clinical practice. Methods: The participants were ten nursing students who had experienced patient deaths during clinical nursing practice at a university hospital in Korea. Individual in-depth interviews were conducted, and the data were analyzed using the content analysis method suggested by Graneheim and Lundman (2004). Results: The participants' experience was structured into six categories: experiencing various emotions in facing patient deaths, viewing oneself as a nursing student at the scene of a patient's death, thinking about death again, finding a pathway of understanding and support for patient death experiences, impressions and regret felt while actually observing terminal care, and picturing oneself as a future nurse dealing with a patient's death. Conclusion: Based on this study, stress management and self-reflection programs are suggested for nursing students who have experienced patient deaths. Practical nursing education for patient death and end of life care is also needed.

치기공과 학생의 자기존중감, 비판적 사고성향 및 현장실습 스트레스 간의 연관성 (Association between self-esteem, critical thinking disposition, and field practice stress of dental laboratory technology students)

  • 강월;장연
    • 대한치과기공학회지
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    • 제44권3호
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    • pp.81-88
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    • 2022
  • Purpose: This study was conducted to verify the effects of self-esteem and critical thinking disposition on dental laboratory technology students' field practice stress. Methods: The subjects of the study were 198 dental laboratory technology students with clinical practice experience located in Gyeongsangbuk-do and Gyeongsangnam-do. The collected data were analyzed by t-test, ANOVA, correlation analysis, and linear regression analysis using IBM SPSS Statistics ver. 22.0 (IBM). Results: The average self-esteem, critical thinking disposition, and field practice stress scores were 3.76, 3.50, and 2.40, respectively. There was a significant correlation between self-esteem, critical thinking disposition, and field practice stress. It was found that the higher the self-esteem, the lower was the field practice stress. On the contrary, among the sub-items of critical thinking disposition, when intellectual fairness increased, the field practice stress decreased; however, when healthy skepticism increased, the field practice stress increased. Conclusion: Self-esteem and critical thinking disposition were both found to have a substantial effect on field practice stress. Therefore, various educational programs need to increase self-esteem and cultivate critical thinking skills for a successful field practice and field practice stress relief of laboratory technology students.

Nursing students' rights in clinical practice in South Korea: a hybrid concept-analysis study

  • Sunghee Park;Mi-Young Choi
    • Child Health Nursing Research
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    • 제29권4호
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    • pp.260-270
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    • 2023
  • Purpose: This study aimed to derive a conceptual definition and attributes for nursing students' rights in clinical practice in South Korea. Methods: This concept-analysis study was conducted at a nursing school in South Korea. The participants were recruited using purposive sampling. The inclusion criteria were being a fourth-year nursing student and having two or more semesters of practical experience. The hybrid model used in this study had three stages. First, 12 studies were reviewed during the theoretical stage. Second, 10 in-depth interviews were conducted during the fieldwork stage. Third, in the analytical stage, the concept of nursing students' rights related to clinical practice was defined and the attributes were derived. Results: The analysis established five attributes of nursing students' rights: the right to learn, the right to be protected from infections and accidents, the right to be cared for and supported, the right to be respected, and the right to be recognized as a member of a nursing team. A key theme that emerged from this study was having the right to learn in a safe and supportive environment. Conclusion: It is necessary to develop a measurement tool based on the above five attributes and to verify its effectiveness.

한국 간호대학생의 공감 능력에 영향을 미치는 요인 (Factors Influencing Empathy in Nursing Students in Korea)

  • 김해진;이명선
    • 한국간호교육학회지
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    • 제21권2호
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    • pp.237-245
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    • 2015
  • Purpose: The purpose of the study was to explore the levels of self-awareness, assertiveness, life stress, and empathy in nursing students and identify influential factors on empathy. Methods: A predictive correlational design was used. The data was collected by questionnaires from a convenience sample of 319 nursing students in 2014 in Korea. The data was analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean items scores of self-awareness, assertiveness, life stress, and empathy were 3.49, 3.02, 2.20 and 3.58, respectively, of a possible score ranging from 1 to 5. Empathy significantly differed by gender, grade, satisfaction with nursing as a major, and clinical practice experience. Empathy was correlated with self-awareness and interpersonal relationship stress. As a result of multiple regression analysis, empathy accounted for 20.1% of the variance by self-awareness, gender, clinical practice experience and interpersonal relationship stress. The most important factor was self-awareness, which explained 11.6% of the variation. Conclusion: The results of the study reveal that strengthening self-awareness and relieving interpersonal relationship stress ought to be integrated in developing effective educational intervention for enhancing empathy in nursing students.

간호대학생의 사회심리적 특성에 따른 죽음에 대한 태도 (A Study of Nursing College Students' Attitude towards Death by Psychosocial Characteristics)

  • 황경혜;조옥희;정미영
    • 가정간호학회지
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    • 제20권1호
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    • pp.63-71
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    • 2013
  • Purpose: This study was performed to identify nursing college students' attitudes towards death and was conducted as a pre-investigation to prepare them for coping with terminally ill patients in their clinical practice. Methods: The subjects consisted of 321 nursing students. Their attitudes towards death were measured by using the Collett-Lester Fear of Death Scale(CLFODS). The data obtained were analyzed by using the one-wayANOVA and Duncan's multiple test using the SAS 9.2 soft ware program. Results: The mean CLFODS score was 2.99. Among the 4 subscales, there were significant differences among the students with respect to grade, indirect experience of death, social isolation, daily life stress, and suicidal ideation in the past year. Conclusion: A negative attitude towards death was observed in the psychosocial characteristics, with indirect experience of death, social isolation, daily life stress, and suicidal ideation in the past year. It is necessary to educate students on how to care for dying patients before clinical practice. This education can be carried out by developing a death education program after considering the above mentioned psychosocial characteristics noted in this study.

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임상 실습을 경험한 간호대학생의 사회적 지지 측정 도구 개발 (The development of a social support scale for nursing students in clinical practice)

  • 박가원;박성희
    • 한국간호교육학회지
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    • 제29권1호
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    • pp.5-16
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    • 2023
  • Purpose: This methodological study developed a scale that reflects the social support characteristics of nursing students who have experienced clinical practice and verified their reliability and validity. Methods: The 37 initial items of the scale were derived based on the results of a previous study that analyzed the concept of nursing students' social support. The initial items were revised through content validity verification, and 29 preliminary items were finally selected. Data were collected from 220 students enrolled in a nursing department in Jeollabuk-do, who had clinical practice experience, and 205 surveys were used for the final analysis. The data collection period was from March 11 to April 26, 2022. An exploratory factor analysis was performed using maximum likelihood factor extraction and varimax rotation. Results: The social support scale for nursing students who have experienced clinical practice consisted of a total of three sub-factors and 17 items. The three sub-factors were 'support from family and friends' (eight items), 'support from school, professors, and clinical instructors' (seven items) and 'support from department seniors' (two items). The reliability of the developed scale was found to be high, with a Cronbach's alpha of .93. As a result of verifying the criterion validity of the developed scale, the correlation between the criterion tool and the scale developed in this study was statistically significant. Conclusion: The significance of this study is that it developed a scale to measure social support for the first time among nursing students in Korea.

임상간호사의 그릿, 사회적 지지, 잡 크래프팅, 근거기반 실무역량이 직무만족도에 미치는 영향 (Effects of Clinical Nurses' Grit, Social Support, Job Crafting, and Evidence-Based Practice Competency on Job Satisfaction)

  • 서보람;강경림;박교연
    • 임상간호연구
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    • 제30권1호
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    • pp.54-64
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    • 2024
  • Purpose: This descriptive survey study aimed to examine the effects of grit, social support, job crafting, and evidence-based practice competency on job satisfaction among nurses. Methods: The participants of this study were 211 clinical nurses with experience of more than six months. Data were collected using through an online survey from February 1 to February 17, 2023. The questionnaires was consisted of general characteristics, grit, social support, job crafting, evidence-based practice competency, and job satisfaction. Data were analyzed using descriptive statistics(frequency, percentage, mean, and standard deviation), t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis with the SPSS/WIN 28.0 program. Results: The average scores of the main variables were 3.08±0.44 out of four for grits, 3.67±0.52 out of five for social support, 4.20±0.64 out of five for job crafting, 4.84±0.71 out of seven for evidence-based practice competency, and 3.72±0.55 out of five for job satisfaction. In the regression model, the factors affecting the nurses' job satisfaction were grit (β=0.66, p<.001) and social support (β=0.11, p=.046), which explained 78.7% of the variance in job satisfaction. Job crafting and evidence-based practice competency were correlated with job satisfaction; however, there was no statistically significant effects of these variables on job satisfaction. Conclusion: Based on the findings of this study, grit and social support showed the most significant effects on the job satisfaction of nurses. Therefore, active support is needed to develop a strategy to improve nurses' grit and to create a supportive work environment, which would be helpful to increase their job satisfaction.

C. M. I 반응에 의한 간호원의 심신 건강 평가 (Psychiatric Evaluation of Nurses by C. M. I.)

  • 방용자
    • 대한간호학회지
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    • 제7권2호
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    • pp.107-116
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    • 1977
  • It is a well accepted fact that mental and physical health of nurses has a direct bearing or influence in their practice in the nursing profession. Recently, with this view in mind, the study of the mental and physical health of nurses has attracted the attention of many especially those in research hospitals. According to Soon Hyang Cha(1974) a nurse in clinical practice or service has a daily energy consumption of 39% and San Cho Chun (1974) asserts that Nurses'duties are more demanding on her emotionally than on her nursing technical skills. Many more studies has been made to this effect, here and abroad and similarly stressed the importance of mental and physical health for nurses. This study was made in an attempt to analyze the trend or tendency of the mental and physical health of nurses by employing the Cornell Medical Index (CMI) method. The data has been collected from May 1977 to November 1977, 200 nurses from 8 University hospitals and 200 nurses from general hospitals in Seoul, Theses who participated were selected at random. The data were tabulated and comparison made. The results were as follows : 1. Among nurses, the analysis based on the length of experience, it is apparent that, the longer or more experience one ha s, the more complaints they have. 2 The longer the nurses are engaged in nursing practice, the more they have problems in their digestive, musculoskeletal, respiratory and nervous systems and are more prone to diseases, and get tired easier than those of shorter experience. But on the other hand it could be seen that younger nurses or nurses with less experience in the profession are more melancholic and prone to stress than those with longer experience.

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