• 문화기술의 융합
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• 제9권4호
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• pp.23-30
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• 2023

본 연구는 간호대학생의 통합임상실습 전·후 학습성과의 차이를 파악하여 효율적인 임상실습 교육 운영을 위한 기초자료로 활용하고자 시도되었다. 단일군 사전·사후 설계로 자료수집은 2021년 7월 19일부터 9월 10일까지 간호대학생 38명을 대상으로 2주간 통합임상실습 전·후 이루어졌다. 수집된 자료는 SPSS/Win 23.0을 이용하여 빈도, Wilcoxon sign rank, 피어슨 상관관계로 분석하였다. 통합임상실습 후 제1학습성과(통합적용)(Z=-4.63, p<.001), 제2학습성과(핵심수행)(Z=-3.99, p<.001), 제6학습성과(비판적사고)(Z=-3.60, p<.001) 및 제11학습성과(연구수행)(Z=-2.76, p=.005)가 실습 전보다 유의하게 증가하였다. 통합임상실습이 학습성과를 향상시키는 효과적인 실습인 것으로 나타났으므로 학습성과 향상을 위한 전략으로 적극 활용하기를 제언한다.

• 한국산학기술학회논문지
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• 제15권5호
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• pp.3037-3045
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• 2014

본 연구는 일 대학 간호학생 115명을 대상으로 임상적 의사소통상황 관련 역할극을 선행한 통합실습프로그램을 개발 적용하고 적용 전과 후의 의사소통능력, 임상수행능력 및 문제해결과정 점수의 변화를 확인하고자 실시하였다. 통합실습 프로그램은 6개의 임상적 의사소통 상황 관련 시나리오를 활용한 역할극, 3개의 임상상황 관련 시나리오를 적용한 역할극, 3개의 핵심간호술기로 구성되었으며 매주 4시간씩 8주간 실시되었다. 자료수집기간은 2013년 3월부터 6월까지였으며 프로그램 전과 후에 자가보고식 설문지를 작성하게 하였다. 수집된 자료는 SPSS/WIN 19.0을 이용하여 기술통계와 t-test를 통해 분석하였다. 연구결과, 통합실습프로그램 적용 후에 의사소통능력, 임상수행능력 및 문제해결과정 점수가 모두 유의하게 증가한 것으로 나타났다. 이에 본 연구에서 개발한 통합실습프로그램은 간호실습 교육을 위한 효과적인 방법이라고 생각하며 적극 활용할 것을 제안한다.

• Child Health Nursing Research
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• 제21권4호
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• pp.293-301
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• 2015

Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

• 한국간호교육학회지
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• 제13권1호
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• pp.32-40
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• 2007

Purpose: The purpose of this study was to develop and evaluate an integrated clinical evaluation program to increase the competency of senior nursing students. Method: A cross-sectional one group test design was utilized. Based on a framework derived from the prior studies, an integrated clinical evaluation program was developed. In order to assess the effect of the developed program, the senior students' experience with the program was measured. The participants were senior nursing students and the program was performed on November, 2005 after their semester was all finished. Result: The evaluation score for ability in application of nursing process was 83.87 and nursing skill was 85.69 by evaluators. The students reported that the program provided a chance to relearn and practice basic nursing skills and it was helpful in increasing decision making competency and their ability to apply the nursing process. Conclusion: This study suggests that the integrated clinical evaluation program contributes to cultivating a nurse with comprehensive nursing competencies and to improve the nursing students' knowledge, attitude, and skill.

• 기본간호학회지
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• 제23권3호
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• pp.283-291
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• 2016

Purpose: This study was done to evaluate the persistency of effects of an integrated nursing simulation program on interest in learning, recognition of importance of communication, communication skills, and problem-solving abilities. Method: Forty-seven nursing students were recruited for this quasi-experimental design research. The experimental group (n=23) performed the simulation program for two weeks, and the control group (n=24) performed traditional clinical nursing practice for two weeks. Data were collected at baseline, immediately after the intervention, at 4 weeks, and finally at 8 weeks. Results: With respect to all variables, no significant differences were found between the experimental group and the control group. Interest in learning showed a significant increase in the control group (F=3.59, p=.018) at 4 weeks, and there was a significant increase in problem-solving abilities in the experimental group (F=4.98, p=.004) immediately after the intervention. Conclusion: Findings from this study suggest that the integrated nursing simulation program is as effective as the traditional clinical nursing practice, and the integrated nursing simulation program could be used as an alternative.

• 디지털융복합연구
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• 제15권7호
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• pp.271-284
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• 2017

본 연구는 융복합 기반 통합시뮬레이션실습 교육이 간호대학생의 임상의사결정능력, 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감에 미치는 효과를 확인하고자 수행되었다. 연구설계는 단일군 사전사후설계에 의한 실험연구로 연구대상은 C도 소재 일개 4년제 대학 간호학과 4학년 학생 64명이었으며 연구기간은 2016년 9월 5일부터 2016년 12월 6일까지였다. 연구결과 통합시뮬레이션실습 교육 운영 후 문제해결과정 (t=-3.052, p<.01), 임상수행능력(t=-4.279, p=.000), 핵심기본간호술 수행 자신감(t=-2.416, p<.05)의 점수가 사전에 비해 사후에 유의하게 증가하였다. 본 연구를 통하여 통합시뮬레이션실습 교육이 4학년 간호대학생의 문제해결과정, 임상수행능력, 핵심기본간호술 수행 자신감의 임상실습 수행에 긍정적인 효과를 제공하므로 이를 지속적으로 적용하고 운영하는 교육과정이 필요할 것으로 생각된다. 과학적이고 분석적인 평가 도구와 프로그램의 개발이 필요하며 간호대학생의 학년별, 과목별 시뮬레이션실습과목의 통합을 과학적으로 분석하는 시스템이 필요하리라 생각된다.

• 융합정보논문지
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• 제7권3호
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• pp.55-64
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• 2017

본 연구는 여성독거노인을 위한 치매예방 통합프로그램의 개발 및 효과를 확인하기 위한 비동등성 대조군 전-후 설계의 유사 실험연구이다. 연구 대상은 J군 여성독거노인 56명(실험군 28명, 대조군 28명)을 대상으로 실험군은 12주 동안 집단학습과 개별학습의 치매예방통합프로그램을 제공받았다. 치매예방 통합교육프로그램은 교수체계설계의 주요 개발단계인 ADDIE모형에 근거하여 개발하였다. 연구결과, 실험군은 대조군에 비해 인지기능이 향상되었고, 우울이 완화 되었으며, 삶의 질도 향상되었다. 이에 본 프로그램은 자가 실천이 가능한 치매예방 통합프로그램으로 사료되며 향후 이 프로그램을 수정 보완하여 지역사회에 확대하여 대상자들이 지속적으로 자가 실천할 수 있는 간호중재 전략 모색이 필요하다고 생각된다.

• 대한간호학회지
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• 제33권4호
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• pp.464-470
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• 2003

Purpose. Nursing has evolved as a unique and independent field over the last decades. Unfortunately, many nurses in Korea express concern that they lack appropriate background knowledge in bioscience necessary to practice nursing competently. To determine the reasons of their concerns, we examined the perceptions of RNs regarding bioscience courses in their undergraduate (Baccalaureate and 3 year diploma program) and their perceived relations to the practice of nursing. Methods. The structured questionnaires were sent to 3 university-affiliated tertiary hospitals in Seoul, Korea. Results. The responses given by the nurses in the two groups were similar. The nurses in this study reported that the bioscience courses they took as undergraduates had little relation to their professional tasks. This lack of link between bioscientific knowledge and nursing practice may be partly due to the fact that the courses are taught by non-nursing faculties who are not familiar with nursing tices. It also appears that bioscience knowledge deficit was most prominent during nursing assessment regardless of the program they attended or the unit they are currently working. Conclusion. Bioscience courses should be integrated into the nursing curriculum properly and taught by nursing faculty who have a strong background in biological sciences.

• 성인간호학회지
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• 제25권5호
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• pp.574-584
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• 2013

Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

• 가정간호학회지
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• 제28권2호
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• pp.186-196
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• 2021

Purpose: Breast cancer is becoming increasingly prevalent among young Korean women. During pregnancy, women's concern regarding their breasts heightens. Thus, pregnancy provides a window of opportunity for breast cancer prevention and management along with antenatal care. This study developed and evaluated an integrated breast health program for pregnant women. Methods: This study employed a non-equivalent control group and non-synchronized design (22 experimental, 29 control). Women pregnant for over 28 weeks participated. The two-session integrated breast health program focused on breast management during breastfeeding and education about breast cancer prevention and early screening. Results: During the early postpartum period (within three months after the program), there were statistically significant differences in knowledge and attitude about breast cancer and breast self-examination before and after the program. There were also statistically significant differences in BSE at 6 and 12 months after the program and mammography at 12 months after the program. However, there were no statistically significant differences in clinical breast examination and breast ultrasonography at 6 and 12 months after the program. Conclusion: The integrated breast health management program was effective in increasing knowledge and improving attitudes regarding breast cancer, BSE, and early screening practices among pregnant women. Further studies should consider providing breast health programs differently for each phase of pregnancy and continuing the same after delivery.