• Title/Summary/Keyword: Nursing Competency Level

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The Relationship Between Self-Disclosure and Clinical Competency in Nursing Students (간호대학생의 자기표출과 임상수행능력간의 관계)

  • 이규은;하나선;길숙영
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.571-583
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    • 2000
  • The purpose of this study was to identify the level of self-disclosure and clinical competency and the relationships between self-disclosure and clinical competency in nursing students. The subjects were consisted of 662 nursing students from six universities and five junior colleges. The data were collected conveniently by self reporting questionnaires given to the students from September 13 to October 23, 1999. The instruments for this study were JSDQ and clinical competency measurement tool. The data were analyzed by SAS/PC program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. The results of this study are as follows : 1. The mean score for the level of self- disclosure was 3.29$\pm$0.98. 2. The mean score for the level of clinical competency was 3.93$\pm$1.00. The mean score for the dimension of skills, professional attitudes, teaching and coordinating, nursing process, interpersonal relationships were 4.09$\pm$0.77, 4.08$\pm$0.82, 3.97$\pm$ 0.90, 3.77$\pm$0.76 and 3.37$\pm$0.75 respectively. 3. The statistically significant difference in the score of the self-disclosure according to the educational background (F=9.42, p<.01), grade (F=5.59, p<.01), religion (F=2.68, p<.05), satisfaction of nursing major (F=14.20, p<.0001), and satisfaction of nursing practice (F=5.42, p<.01) was obtained. 4. The statistically significant difference in the score of the clinical competency according to the grade (F=32.44, p<.0001), achieved performance records (F=3.52, p<.05), satisfaction of nursing major (F=12.06, p<.0001), satisfaction of nursing practice (F=27.35, p<.0001) was obtained. 5. The data shows the positive correlations between self-disclosure and skill (r=.3231, p<.0001), between self- disclosure and teaching/coordinating (r=.1912, p<.0001), between self-disclosure and interpersonal relationship (r=.3064, p<.0001), between self-disclosure and professional attitude (r=.2789, p<.0001), between self-disclosure and nursing process (r=.2766, p<.0001).

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Effects of Competency Level in Communication on Professional Competence of Public Health Nurses (보건간호사의 의사소통능력이 전문직능력에 미치는 영향)

  • Ahn, Yang-Heui;Kweon, Eun-Kyung;Choi, Eun-Seong;Gu, Eun-Jin
    • Journal of Korean Public Health Nursing
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    • v.25 no.2
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    • pp.233-243
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    • 2011
  • Purpose: The study was done to describe competency level in communication and professional competence of Public Health Nurses and to test effect of competency level in communication on professional competence of Public Health Nurses (PHNs). Methods: A correlational research design was used and 153 PHNs working at nine Public Health Centers (PHCs) in four Metropolitan cities agreed to participate. Participants completed a structured questionnaire measuring the study variables with socio-demographic characteristics. Data were analyzed using descriptive statistics and multiple regression analysis with the PAWS Statistics 18. Results: The mean of competency level for communication and professional competence were above average for the test instruments utilized (90.3 and 68.4 respectively). The level of communication competency differed by age and location of PHCs, and professional competence differed by location of the PHCs. The level of communication competency was the most important affecting professional competence and explained 32.9% of the professional competence. Conclusion: Nurses with better communication competency had more professional competence. In the future, repeated study is needed, and communication program is needed to develop and train PHNs to improve their professional competence.

Development of an In-service Education Program for Emergency Room Nurses According to Their Career Ladders (응급실 간호사의 업무분석을 통한 경력등급별 실무교육안 개발)

  • Lee, Eun Nam;Kim, Bog Ja;Kim, Sung Sook;Kang, Kyung Hee;Kim, Young Soon
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.99-111
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    • 2008
  • Purpose: This study was done to provide basic data for developing an in-service education program to improve nurses' quality. First, frequency of nursing activities and competency levels of emergency nurses according to their career ladders were compared through job analysis and then practical education programs were presented on based of the results. Method: Data were collected from 335 nurses working in emergency rooms in 31 tertiary hospitals. Data collection was done from September to November 2005 using the job analysis questionnaire. Results: There were 41 nursing activities that showed differences in frequency and 78 activities that showed differences in perceived competency level. Irrespective of emergency nurses' careers, activities that show high frequency but low competency were sputum liquefying therapy, assessment of cranial nerve function, identification of diagnostic radiology, and communication with various departments. In-service education content according to nurse's career ladders was presented by adding high frequency nursing activities and activities with low competency level even though having high frequency. Conclusion: There is a need to develop and provide in-service education programs, which consider nurses' difference in frequency and competency level for their career ladders.

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Correlations between Motivation to Achieve, Clinical Competency and Satisfaction in Clinical Practice for Diploma and Baccalaureate Nursing Students* (간호대학생의 학제 간 성취동기, 임상수행능력 및 임상실습만족도의 관련성 비교 연구)

  • Sung, Mi-Hae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.90-98
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    • 2010
  • Purpose: This study was done to compare the relationships between motivation to achieve, clinical competency, and satisfaction on clinical practice in diploma and baccalaureate nursing students. Method: A descriptive research design was used in this study. The participants were 181 nursing students in B city who were surveyed between June 2 and June 30, 2008 using self-report questionnaires. The collected data were analyzed using the SPSS WIN 14.0. Results: There were significant difference in clinical competency according to satisfaction with college life, and motivation for choice of nursing for baccalaureate students. There was a positive correlation between motivation to achieve and clinical competency. Motivation to achieve and satisfaction in clinical practice, and clinical competency and satisfaction were correlated with clinical practice for students in both diploma and baccalaureate programs. The predictors influencing clinical competency for the nursing students were motivation to achieve, and satisfaction in clinical practice, and education level. Three factors explained 26.8% of clinical competency for nursing students. Conclusion: It is necessary to enhance individual motivation to achieve to improve clinical competency of nursing students. Motivation to achieve needs to be considered in planning programs to enhance clinical competency in nursing students.

Difference in the Cultural Competency and Cultural Nursing Competence Educational Needs of Public Health Nurses and Community Health Practitioners (보건소간호사와 보건진료전담공무원의 문화역량 및 문화간호역량 교육요구 비교)

  • Han, Young Ran;Jeong, Yeo Won
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.233-246
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    • 2023
  • Purpose: The purpose of this study was to investigate the level of cultural competency and cultural nursing competence educational needs of public health nurses (PHNs) and community health practitioners (CHPs) and to uncover the difference between the two groups. Methods: The subjects of this study were 217 PHNs and 165 CHPs. Data were collected using a structured questionnaire. Descriptive statistics, an independent two-sample t-test, the x2 test, one-way ANOVA, and the Scheffé test were used for data analysis. Result: There was no statistically significant difference between the cultural competency of CHPs (4.27±1.00) and that of PHNs (4.10±1.07) which were at a moderate level. Among the subareas, cultural awareness and sensitivity were above average, but cultural skills and knowledge showed relatively low scores. There was no statistically significant difference between the cultural nursing competence educational needs of CHPs (3.85±0.65) and PHNs (3.90±0.70) and these were at a relatively high level. Among the subareas, knowledge of key concepts, cultural communication, and attitudes and skills were above average. Conclusion: The results of this study highlight the need to develop and implement educational programs to enhance the cultural competency of PHNs and CHPs nationwide using various teaching-learning methods.

A Study on the Relationship between Career Identity and Clinical Competency in Nursing Students (간호학생의 진로정체감과 임상수행능력과의 관계)

  • Choi, Eun-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.15-21
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    • 2009
  • Purpose: This study was performed to identify the level of career identity and clinical competency and the relationships between them in nursing students. Method: Subjects were junior students of 2 colleges in Daegu(N=217). A self-rating questionnaire included demographic data, career identity of nursing students and the clinical competency Korean scale. We received consents from teachers and students. The data was analyzed by frequency, percentage, t-test, ANOVA and Pearson's correlation coefficient using the SPSS 12.0 Program. Result: The mean score of career identity was 31.90 points and clinical competency was 145.13. Career identity showed a significant difference in the age, satisfaction of college entrance and satisfaction of clinical practice. Clinical competency showed a significant difference in the sex, marriage, satisfaction of college entrance and satisfaction of clinical practice. The data showed a negative correlation between career identity and clinical competency. Conclusion: It is necessary to find affecting factors on career identity of nursing students and to develop objective tools for clinical competency and to improve clinical competency programs.

Effects of ego-resilience, nursing professionalism and empathy on clinical competency of general hospital nurses (종합병원 간호사의 자아탄력성, 간호전문직관 및 공감능력이 임상수행능력에 미치는 영향)

  • Kim, Suhyun;Park, Heeok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.2
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    • pp.101-110
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    • 2020
  • Purpose: The purpose of this study was to identify the effects of ego-resilience, nursing professionalism and empathy on clinical competency and to suggest strategies for improving the clinical competency of general hospital nurses. Methods: Data collection was performed from Jan. 18th, 2019 to Feb. 14th. A total of 194 nurses from four general hospitals participated in this study. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Kruskal-Wallis test, Scheffe test, Pearson's correlation and stepwise multiple regression analysis using SPSS 23.0. Results: The factors affecting the clinical competency of general hospital nurses included ego-resilience (β=.28, p<.001), nursing professionalism (β=.20, p=.011), empathic concern (β=.19, p=.003), working department (β=-.17, p=.008), total clinical career (β=.15, p=.011), and number of beds (β=.13, p=.033). These factors accounted for 33.0% of the clinical competency (p<.001). Conclusion: It is important to find ways to improve the level of empathy of general hospital nurses and there is a need to include education programs or practical interventions to strengthen empathy at the clinical level.

Critical Thinking Disposition, Medication Error Risk Level of High-alert Medication and Medication Safety Competency among Intensive Care Unit Nurses (중환자실 간호사의 비판적 사고성향, 고위험약물 투약오류 위험수준 및 투약안전역량)

  • Lee, Yoon Hee;Lee, Youngjin;Ahn, Jeong-Ah;Kim, Hee Jun
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.1-13
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    • 2022
  • Purpose : The study aimed to identify relationship among intensive care unit (ICU) nurses' critical thinking disposition, medication error risk level of high-alert medication, and medication safety competency, as well as the factors affecting medication safety competency. Methods : The participants were 266 ICU nurses of one higher-tier general hospital and one general hospital in Province. The data were collected using structured self-administered questionnaire from August 10 to August 31, 2021. Measurements included the critical thinking disposition questionnaire, nurses's knowledge of high-alert medication questionnaire, the medication safety competency scale. Data were analyzed using hierarchical multiple regressions using SPSS/WIN 28.0. Results : In the multiple regression analysis, the medication safety competence has a statistically significant correlation with the working department, the critical thinking disposition, and medication error risk level of high-alert medication. Conclusion : Based on the results of this study, it is suggested to develop and apply an educational strategy that can strengthen the knowledge and skills of critical thinking disposition and medication error risk level of high-alert medication to improve the ICU nurse's medication safety competency.

A Correlation Study on Self-Efficacy, Disposition to Critical Thinking and Nursing Competency of New Nurses (신규간호사의 기본간호 업무에 대한 자기효능감과 비판적 사고성향 및 간호실무능력간의 상관성 연구)

  • Song, Young-Shin
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.56-63
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    • 2009
  • Purpose: The purpose of this study was to identify self-efficacy, disposition to critical thinking and level of nursing competency in new nurses and to exam the correlation among these variables. Method: The sample was composed of 286 new nurses who had worked at E hospital for 1 year. Descriptive and correlation analysis using the SPSS program were used to analyze the data. Results: The mean score for self-efficacy was 67.10, disposition to critical thinking, 3.01 and nursing competency, 3.02. There were significant differences in scores for 3 variables between nurses with College degrees and nurses with Baccalaureate degrees. There was a significant positive correlation between disposition to critical thinking and nursing competency scores. Conclusion: Further study of the various components that influence nursing competency is necessary. Also based on the disposition to critical thinking, there is a need to develop education programs to strengthen curiosity and other related variables. The results of this study confirmed the necessity of developing a clinical model of nursing competency ability.

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The Development of Nursing Education Model and The Instrument for Improving Clinical Competence (실무수행능력 중심의 교육모형 및 측정도구 개발)

  • Um Young-Rhan;Suh Yeon-Ok;Song Rha-Yun;June Kyung-Ja;Yoo Kyung-Hee;Cho Nam-Ok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.2
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    • pp.220-235
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    • 1998
  • The revolution of nursing curriculum has been focused on clinical competency for nursing graduates to flexibly respond to changes in societal health needs and disciplinary requirements. In this trend, the study was designed to identify basic concepts of nursing education that reflects the changes in societal needs and nursing discipline, and to develop the instrument to measure performance level in each dimension of clinical competency. The study was conducted in two phases. In phase 1, principal concepts consisted of nursing education were determined through literature review as well as series of discussion sessions on nursing philosophies and educational objectives among researchers. Though the process, the conceptual framework of competency based nursing curriculum was constructed with nursing process and professional role as horizontal threads, client, health needs, and nursing interventions as vertical threads. Then, items were developed to represent each dimension of competency : client and health need, nursing process, professional role, and nursing interventions. The total of 273 items were included as to represent clinical competency required for BSN graduates. In phase 2, questionnaires were distributed to nursing faculties of 41 BSN programs to validate the 273-item Instrument developed to measure competency. The total of 34 subjects returned the questionnaire with 81% of response rates. The subjects of the study had an average of 42 months of clinical experience and 13 years of education experience in various nursing areas with an age range of 30 to 52 years. The data were analyzed by utilizing SPSSWIN and the results are as follows. 1) The mean score of the nursing process dimension was supported most with the mean of 3.60(SD=0.32) compared to client and health need dimension(M=3.49, SD=.40), professional role(M=3.41, SD=.44), and nursing interventions(M=3.57, SD=.34). 2) The dimensions of competency were moderately correlated to each other with a range of r=.433 to r=.829, confirming that four dimensions of competency were related but distinct concepts. 3) The items of each dimension were analyzed based on its appropriateness. 'Assessing risk factors of the clients' were most highly supported in client and health need dimension. Most items of nursing process dimension were considered appropriate, while items related to efficient communication were well supported in professional role dimension. In nursing intervention dimension, items on basic nursing skills were highly supported while items on specific nursing interventions such as music therapy or art therapy were considered relatively inappropriate to competency for BSN graduates. The findings clearly showed that the current nursing education more emphasizes nursing interventions based on nursing process than other dimensions of competency. There is a need to reconceptualize nursing curriculum that is able to reflect more of nursing professional role and client/health need dimensions. Further research to validate the instrument by confirming competency dimensions of nursing graduates who are currently working at the hospital has been suggested.

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