• 간호행정학회지
• /
• 제8권1호
• /
• pp.55-72
• /
• 2002

Purpose : This study aimed at understanding the lived experience of new graduate nurse in hospital setting.Method : This study was based on a phenomenological approach. For this study, 8 new graduate nurses participated. The unstructured in-depth interviews were carried out from June to October, 1998. The data was analyzed Van Kaam's method.Results : Clinical new graduate nurses experienced clinical adaptation and endeavor, professional conflict of nursing, disability of nursing performance, work stress and management, maladaptation of human relationships, diverse emotions of interpersonal relationships, change of personal identity, difference between theory and reality of nursing.Clinical adaptation and endeavor included to get familiar with hospital life, satisfaction and worth for nursing, to get familiar with scoldings, calm down by oneself, efforts for self-development. Professional conflicts of nursing included future uncertainties in the hospital, dissatisfactions in work, doubts and regrets in nursing.Disability of nursing performance included lack of knowledges and skills, desolate working, stresses from mistake in working. Work stress and management included psychological signs and symptoms, physical signs and symptoms, management of stress. Maladaptation of human relationships included unsuitabilities in nursing unit climate, difficulties in human relationship. Diverse emotions of interpersonal relationships included regrets and absurdities to clients, thanks and regrets to colleagues, difficulties with doctors, sense of rivalry with colleague nurses. Change of personal identity included to become narrowing life circle, change of personality. The differences between theoretical knowledge and practice included needs of systematic pre-education for clinical nursing practice, differences between nursing educations and clinical practices.Conclusion : Therefore, the human resource management reflecting new graduate nurses' experiences should be developed.

• 한국콘텐츠학회논문지
• /
• 제22권10호
• /
• pp.320-329
• /
• 2022

본 연구는 신규간호사의 재직의도에 영향을 미치는 요인을 파악하기 위한 횡단적 조사연구이다. 경기도 소재 일개의 대학 부속병원에서 근무하는 1년 미만의 신규간호사 127명을 대상으로 2020년 12월 30일부터 2021년 1월 13일까지 자료를 수집하였다. 수집된 자료는 SPSS 25.0 프로그램을 통해 기술통계, Independent t-test, One-way ANOVA, Pearson's correlation coefficient, Multiple regression으로 분석하였다. 연구결과 연구대상자의 재직의도는 현실충격과 음의 상관관계가 있었으며, 극복력과 양의 상관관계가 있었다. 재직의도에 영향을 미치는 요인은 간호직 만족도, 현실충격, 임상경력, 극복력으로 나타났으며, 이들 변수의 설명력은 44.2%이었다. 따라서 신규간호사의 재직의도를 향상시키기 위해서 임상상황에 대한 사전경험이나 훈련을 통해 현실충격을 줄이고, 극복력을 증진시킬 수 있는 프로그램 개발이 필요하다. 또한 간호직 만족도를 향상시키는 지지체계와 근무환경을 구축하고, 신규간호사의 업무적응을 돕는 6개월 이상의 장기적인 교육 프로그램이 필요하다.

• 보건의료산업학회지
• /
• 제8권3호
• /
• pp.207-218
• /
• 2014

This study was to compare the recognition of future career and nurse's characteristics according to nursing school system. This study was based on cross sectional descriptive method. The data were analyzed by $x^2$-test, t-test, and ANOVA using PASW WIN 18.0 program. The data represented that students who were doing associated degrees or bachelor degrees, showed the similar level recognition of future career and nurse's characteristics. However they showed differences in recognition of the career where they could create and new things(t=2.933, p=.004) and working part time(t=2.328, p=.021). In regards to recognition of nurse's characteristics bachelor degrees students had higher professional ethics($4.59{\pm}.44$). This study proposed that these research results could be used for improving methodology of nursing education.

• 간호행정학회지
• /
• 제20권3호
• /
• pp.292-301
• /
• 2014

Purpose: The purpose of this study was to identify factors that affect reality shock in new nurses. Methods: Participants were 216 newly graduated nurses with less than 1 year experience in 5 university and 10 general hospitals in Busan, Ulsan and Gyeongnam, A self-report questionnaire was completed by the nurses between November 18 and December 25, 2013. Data were analyzed using t-test, ANOVA and hierarchial multiple regression analysis with the SPSS/WIN 21.0 Program. Results: Average scores for work environment and environmental reality shock were $2.63{\pm}0.33$ and $2.66{\pm}0.43$ points respectively. Regression analysis showed that with the nurses' demographic and work characteristics controlled, work environment explained 4.2% of the reality shock. Factors significantly affecting reality shock included nurses' changing residence because of job (${\beta}$=.21, p=.001), whether they were able to work on the unit of their choice (${\beta}$=-.13, p=.031) and whether they had a choice in days off (${\beta}$=-.14, p=.038). Conclusion: When these factors are considered, reduction in nurses' reality shock requires improvement in work environment, placing new nurses in a department of their choice and allowing them a choice in off-duty days. These measures would also help achieve organizational goals and develop the new nurses as professional nurses.

• 동서간호학연구지
• /
• 제23권1호
• /
• pp.45-52
• /
• 2017

Purpose: This study was to identify the effects of self-resilience and social support on reality shock among new graduate nurses. Methods: The data was collected using self-reported questionnaires from a convenience sample of 111 new graduate nurses. The data was analyzed by descriptive statistical, independent t-test, ANOVA, Scheffe test, Pearson correlation coefficient, and multiple regression via the SPSS Window 23.0 program. Results: Among general and work related characteristics, factors that have shown significant differences on reality shock were gender (t=-2.29, p=.024), work unit (t=3.31, p=.023) and whether they are working at unit they desired (t=-5.08, p<.001). Reality shock has shown a negative correlation with self-resilience (r=-.51, p<.001) and social support (r=-.41, p<.001). Factors that affected the reality shock on new graduate nurses were self-resilience (${\beta}=-.43$, p<.001), whether they are working at unit they desired (${\beta}=.35$, p<.001) and their currently work unit (${\beta}=-.17$, p=.028). These factors take into account of 38.0% of overall reality shock. Conclusion: The results suggest that self-resilience, desired unit and current work unit should be considered as factors when developing an intervention to alleviate the reality shock experienced by new graduate nurses.

• 문화기술의 융합
• /
• 제9권1호
• /
• pp.463-469
• /
• 2023

본 연구의 목적은 신규간호사가 경험하는 현실충격 관련 연구를 텍스트 네트워크 분석을 통해 분석함으로써 신규간호사의 성공적인 임상적응과 이직률 감소에 기여할 수 있는 기초자료를 제공하기 위함이다. 2002년 1월부터 2021년 12월까지 국내외 학술지에 게재된 115편의 논문에서 신규간호사가 경험한 현실충격에 관한 토픽을 추출하였다. 6개의 데이터베이스(국내: DBpia, KISS, RISS / 해외: Web of science, Springer, Scopus)에서 문헌을 검색하였다. 키워드는 문헌의 초록에서 추출되었고 의미론적 형태소를 사용하여 정리되었다. 네트워크분석 및 토픽모델링은 NetMiner 4.5 프로그램을 사용하여 수행되었다. 핵심 키워드는 '신규간호사', '현실충격', '전환', '학생간호사', '경험', '실습', '근무환경', '역할', '돌봄', '교육' 등으로 확인되었다. 최근 신규간호사의 현실충격에 관한 연구에서 잠재적 디리클레 할당(LDA) 기법으로 '이직', '근무환경', '전환 경험'의 세 가지 주요 주제를 추출하였다. 본 연구결과를 바탕으로 신규호사가 경험하는 현실충격을 효과적으로 감소시키고 성공적으로 임상적응을 도울 수 있는 중재 연구의 필요성을 제언한다.

• 한국간호교육학회지
• /
• 제29권1호
• /
• pp.27-40
• /
• 2023

Purpose: The study aimed to examine the concept and attributes of the quality of clinical nursing education for new graduate nurses. Methods: This study adopted a hybrid model introduced by Schwartz-Barcott and Kim. In the theoretical stage, the meaning and attributes of the quality of clinical nursing education for new graduate nurses were determined by analyzing eight articles. In the fieldwork stage, data were collected using semi-structured interviews with five new graduate nurses and seven experienced nurses. The data were analyzed by qualitative content analysis methods developed by Elo and Kyngӓs. In the final analysis, a final result was arrived at comparing, contrasting, and integrating the attributes of the concepts derived in the theoretical and field-work stages. Results: The quality of clinical nursing education for new graduate nurses was identified as excellence or the standard of education for new graduate nurses that would support them in adapting to clinical settings and transitioning to professional nurses. The attributes of the quality of clinical nursing education were founded to possess three dimensions, six categories, and 18 attributes. The multidimensional attributes of the quality of clinical nursing education for new graduate nurses were confirmed as education resources, design, method, content, evaluation, interaction, and outcome under the three dimensions of input, process, and output. Conclusion: The concept and nature of the quality of clinical nursing education observed in this study can be utilized as a basis for the future development, evaluation, and improvement of clinical nursing education for new graduate nurses in healthcare organizations.

• 한국간호교육학회지
• /
• 제19권4호
• /
• pp.594-605
• /
• 2013

Purpose: This study aimed to describe nurses' experience in transition from new graduate nurses to professional clinical nursees in a hospital. Methods: Ten new clinical nurses working in a hospital participated in this study. Data collected through in-depth interviews were analyzed using phenomenology. Results: The analysis yielded five core category themes from new nurses for becoming a professional nurse: (a) beginning of hardship journey (b) feeling of inability in workplace (c) struggling hard to develop skills (d) enduring hardships by soothing oneself and peer support (e) beginning of an exciting journey. Conclusion: Over time, new nurses face many difficulties in transition to a professional status. To enhance the role development of new clinical nurses in hospital settings, nursing schools and clinical fields must teach and prepare them. Nursing schools should teach a strong theoretical base as well as nursing skills. In addition, in the clinical nursing department, education, teaching the integrated systems, staff development, support, evaluation, and feedback are needed for new nurses's development.

• 한국간호교육학회지
• /
• 제5권1호
• /
• pp.97-105
• /
• 1999

Based on literature, status and role of the NP in America was reviewed. The process of developing NP program in America suggests us many things. In America, nurse practitioners have sustained a mutually beneficial status with their patients for over thirty years. Excel fence in academic education and clinical training will enable nurse practitioners to continue to provide quality health care. The magnitude changes in the health care system of the United States, the challange of providing real access of health care continues. Lack of access to adequate primary care was the driving force in the initial 1965 Federal Involvement in developing the NP role. In 1993 President Bill Clinton's health care reform initiative provided policy support for NPs as primary care providers. The Institute of Medicine explicitly recognized NPs as an integral part of the primary care team. In addition, several national reports recognized NPs as affordable, accessible, high-quality care providers. The recent passage of direct Medicare reimbursement for NPs reflected public policy statements coincided with and likely contributed to a growth spurt in the NP workforce. From 1965 to 1977 NP programs offered traditional primary care clinical tracks(adult, family, woman's health, and pediatrics) for relatively small clusters of students in a variety of institutional settings. From 1978 to 1990 these educational programs were incorporated into graduate schools of nursing. By 1990 the majority of NPs received educational preparation in master's-level nursing programs. A new emphases was placed on postmaster's NP programs designed for master's prepared clinical nurse specialists and nurse managers. he the health care system shifted hospital nursing resources toward community-based care, these master's -level nurses sought additional NP preparation. NP educational programs are defined as the educational structure in which one or more NP clinical tracks are offered. NP clinical tracks, in turn, offer curriculum and supervised clinical experiences that match standards in specific practice areas such as family(FNP), adult(AUP), geriatrics(GNP), pediatrics(PNP), women's health (WHNP), neonatal (NNP), and acute care(ACNP). There were indications that NP practice was expanding into new clinical areas as evidenced by new types of tracks, particularly in acute care and psychiatry. The increase in acute care NP students likely reflects the increased demand from hospitals and other acute care settings. In Korea, change of nurse's role into nurse practitioner's role may have many difficulties. The need of health consumer, policy support of government, approval of medical care team are all essential component. Every nursing personnel make effort to planning the new health care delivery system.

• 간호행정학회지
• /
• 제8권4호
• /
• pp.535-549
• /
• 2002

Purpose : The purpose of this study was to develop a core competency evaluation tool of the preceptors training new graduate nurses and to determine the validity of the developed instrument. Method : This study was conducted in 2 phases. In phase I, preceptor's core competency list was developed through literature review, focus group interview, and review by nursing directors and nurse managers. In phase II, 60 preceptors were evaluated with the developed instrument and categorized into excellent, good & poor core competency groups. For validation of the instrument, new graduates' clinical performance improvement and satisfaction with preceptor were compared between excellent and poor group. Result : The data were analyzed by SPSS P.C and the results were as follows. 1) Preceptor's core competencies were classified into three domains; Role model(10 items), Socialization facilitator(8 items), and Educator(16 items), and each item had four point system of "strongly agree" to "strongly disagree". Cronbach'${\alpha}$ of the instrument was.9416. 2) Comparison of clinical performance improvement and satisfaction with preceptor of the new graduates trained by excellent and poor preceptors revealed that new graduates' clinical performance improvement(p=.015) and satisfaction with the preceptor(p=.005) were significantly higher in the excellent core competency preceptor group than the poor core competency preceptor group. Conclusion : The validity of the preceptor's core competency evaluation tool developed in this study was confirmed. Therefore, this tool can be effectively utilized for education and evaluation of new graduates' preceptors in clinical settings.