• 간호행정학회지
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• 제21권2호
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• pp.154-163
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• 2015

Purpose: This descriptive study was done to identify factors that influence stress related to clinical practice for nursing students. Methods: Structured questionnaires were used to collect data from 278 students from two nursing colleges located in G metropolitan city and one nursing college in C region. Results: The factors that most influenced stress for the nursing students during their clinical practice were critical thinking disposition, clinical competence, year, and gender. Especially, the result showed that higher critical thinking disposition and clinical competence correlated with lower stress in clinical practice. Conclusion: The results indicate that improving nursing students' critical thinking ability and clinical competence would help to relieve stress during clinical practice and increase the ability to cope with stress efficiently. The development of a variety of teaching and learning strategies and education in both theoretical and clinical practice education would be necessary to achieve this goal.

• 한국콘텐츠학회논문지
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• 제17권4호
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• pp.320-330
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• 2017

본 연구의 목적은 간호대학생의 의사소통능력, 간호전문직관, 감정노동이 임상실습 스트레스에 미치는 영향을 파악하기 위함이다. 충청도, 경상도 소재의 대학 3곳에 재학 중인 3, 4학년 간호대학생 198명을 대상으로, 2016년 9월 19일부터 10월 10까지 자가 보고식 설문조사로 시행되었다. 연구결과, 감정노동(${\beta}=0.356$, p<.001)이 가장 큰 영향력을 나타내는 변수였으며, 간호전문직관(${\beta}=-0.376$, p<.001), 의사소통능력(${\beta}=0.170$, p=.017) 순으로 임상실습 스트레스에 영향을 주는 것으로 나타났고, 이들 전체 변수는 임상실습 스트레스에 대해 약 25.4%의 설명력을 나타냈다(F=23.34, p<.001). 그러므로 감정노동 감소, 간호전문직관 및 의사소통능력을 향상시키기 위한 전략이 간호대학생의 임상실습 스트레스 감소를 위해 도움이 될 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제16권9호
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• pp.286-296
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• 2016

본 연구는 간호 대학생의 자아 존중감과 의사소통능력이 임상실습 스트레스에 미치는 영향을 확인하고자 하였으며 본 연구의 대상자로 일 대학의 간호 대학생 198명이 참여하였다. 자료 수집은 자아 존중감 척도, 의사소통능력 척도, 임상실습 스트레스 측정도구를 통하여 설문조사하였다. 본 연구 결과 5점 만점에 자아 존중감은 평균 $3.4{\pm}0.57$, 의사소통능력은 평균 $3.5{\pm}0.42$, 임상실습 스트레스는 평균 $3.6{\pm}0.58$으로 나타났다. 또한 일반적 특성 중 남학생보다 여학생(85.4%), 시뮬레이션 실습 경험이 없는 경우보다 있는 경우(72.2%) 임상실습 스트레스가 높게 나타났다. 더 나아가 자아 존중감과 임상실습 스트레스의 하위 변수인 바람직하지 못한 역할모델과 양의 상관관계가 있으며(r=.156, p=.029), 의사소통능력과 임상실습 스트레스(r=-.329, p<.001)는 통계적으로 유의한 음의 상관관계가 있는 것으로 나타났다. 간호 대학생의 임상실습 스트레스에 영향을 미치는 요인은 의사소통능력, 성별, 임상실습만족도, 시뮬레이션 실습경험 여부였다. 이 요인의 설명력은 총 27.8%였다. 본 연구 결과를 토대로 간호 대학생의 임상실습 스트레스를 감소하기 위해서는 이들 변수를 반영한 다양한 교수법 활용 및 학습전략을 마련할 필요가 있다.

• 한국융합학회논문지
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• 제9권11호
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• pp.569-579
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• 2018

본 연구는 간호대학생의 핵심기본간호술의 임상수행 경험과 자신감, 임상수행능력 정도를 알아보기 위한 연구이다. 자료는 빈도와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson's Correlation Coefficient, 다중회귀분석을 통하여 분석하였다. 연구결과는 다음과 같다. 핵심기본간호술의 임상수행경험, 수행자신감 및 임상수행능력에서 유의한 차이를 보인 일반적 특성은 학년이며, 임상수행능력과 핵심기본간호술 수행경험 그리고 수행자신감은 순상관관계가 있었다. 임상수행능력에 가장 큰 영향을 미치는 요인은 핵심기본간호술 수행자신감으로 31.2%의 설명력을 보였다. 이러한 결과는 간호대학생의 임상수행능력을 높이기 위해 간호대학생의 핵심기본간호술 수행자신감을 높일 수 있는 다양한 교육과정 개발이 필요함을 보여주는 것이라 하겠다.

• 성인간호학회지
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• 제28권1호
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• pp.83-94
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• 2016

Purpose: The purpose of this study was to explore how knowledge management of hospital and nurses' beliefs and competences on evidence-based practice can affect evidence-based decision making. Methods: In this descriptive study, a total of 184 nurses who were working in the five general hospitals participated. The data were collected through a self-administered questionnaire in September, 2014. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and step-wise multiple regression with SPSS/WIN Statistics 21.0 program. Results: Evidence-based decision making was correlated with EBP beliefs (r=.55, p<.001), EBP competence (r=.57, p<.001), and knowledge management (r=.50, p<.001). Hierarchical regression analysis showed that EBP beliefs (${\beta}=.18$, p=.005), EBP competence (${\beta}=.37$, p<.001), organizational knowledge management (${\beta}=.27$, p<.001) explained 48.6% of evidence based decision making (p<.001). Conclusion: The study results indicated that evidence-based practice competences, organizational knowledge management, and evidence-based practice beliefs were important factors on evidence-based decision making. In order to improve evidence-based practice among nurses through organizational knowledge management, EBP beliefs and competence at individual level need to be considered and incorporated into any systemic training of EBP.

• 부모자녀건강학회지
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• 제15권2호
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• pp.71-79
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• 2012

Purpose: This study was conducted to examine the effects of simulation-based practice using standardized patients for the care of woman with postpartum hemorrhage as related to clinical performance competence and critical thinking deposition of nursing students. Methods: A nonequivalent control group pre-post test experimental design was used. Fifty four third year students were recruited, 29 students for the experimental group and 25 students for the control group. The simulation-based practice about nursing care related to postpartum hemorrhage included skill training, team-based practice, and debriefing. It was implemented with the experimental group for about 30 minutes in October 6, 2011. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability, and t-test using the SPSS/WIN program. Results: The experimental group who had the simulation-based practice showed significantly higher knowledge and skills of clinical performance competence than the control group (t=2.19, p=.003). But the experimental group who had the simulation-based practice did not show significantly higher critical thinking deposition than the control group (t=-0.32, p=.748). Conclusion: The results indicate that a simulation-based practice is an effective teaching method to improve knowledge and skills for clinical performance competence of nursing students. Further study is needed to identify the effect of a simulation-based practice on nursing attitudes.

• 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.

• 한국응용과학기술학회지
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• 제37권6호
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• pp.1718-1727
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• 2020

본 연구는 간호대학생의 의사소통능력, 학업적 자기효능감, 임상 실습만족도가 셀프리더십에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 이를 위해 G시 간호대학생 3학년 156명을 대상으로 편의표집 하였다. 연구결과 의사소통능력, 학업적 자기효능감, 임상 실습만족도, 셀프리더십는 모두 정적으로 유의한 상관관계를 보였고, 간호대학생의 셀프리더십의 영향요인으로는 의사소통능력, 학업적 자기효능감, 임상실습만족도, 성적에서 유의한 영향을 미치는 것으로 나타났다. 간호대학생의 셀프리더십에 영향을 미치는 요인을 활용한 간호대학 교과목에 적용과 프로그램을 개발이 필요할 것이다.

• 한국간호교육학회지
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• 제25권3호
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• pp.357-365
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• 2019

Purpose: The purpose of this study was to investigate predictors of emotional labor and resilience on clinical competence in nursing students. Methods: A cross-sectional, descriptive study was distributed to 120 nursing students. Structured questionnaires addressing emotional labor, resilience, and clinical competence were employed. Descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and regression were used to analyze the data. Results: A total of 116 surveys were analyzed. Satisfaction of clinical practice and major showed statistically significant differences in clinical competence (F=6.59, p=.002; F=11.32, p<.001, respectively). Clinical competence was positively associated with resilience (r=.67, p<.001). Regression analyses showed that satisfaction of clinical practice and major, and resilience were statistically significant in predicting clinical competence with the explanatory power of 46.4% (F=20.91, p<.001). Conclusion: The results showed that resilience was the critical predictor of clinical competence in nursing students. It is therefore necessary to develop resilience programs to help improve clinical competence in nursing students.

• 한국간호교육학회지
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• 제20권4호
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• pp.463-470
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• 2014

Purpose: This study investigates the influence of education satisfaction, communication competence, and group cohesion on organizational socialization in nursing students. Method: The subjects were 175 third year nursing students. Data were collected from June 3 to 14, 2013 through a self-reporting questionnaire. Data analysis was performed by multiple regression using the SPSSWIN 21.0 program. Results: The organizational socialization score of nursing students averaged 3.79 points (5 Likert scale). Practice education satisfaction, communication competence and group cohesion of nursing students influenced organizational socialization ($R^2$ 52.5%, F=49.051, p<.001). Conclusion: For nursing students, practice education satisfaction, communication competence and group cohesion are significant variables for organizational socialization. Thus, in order to enhance the organizational socialization of nursing students, there is a need to develop a differentiated practicum curriculum that considers nursing student demands in collaboration with nursing faculty and administrators on the basis of education programs, including concepts of communication competence and group cohesion.