• 제목/요약/키워드: Nursing Practice Environment

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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.

근로자의 산업보건관리에 대한 지식, 태도, 실천 조사연구 -광주, 전남지역- (A Study on the Knowledge, Attitude and Practice about Industrial Health Care Services of workers -Kwang-ju City and Chonnam Province-)

  • 강혜영;박인혜;오미성;최영애;유수옥;최희정
    • 지역사회간호학회지
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    • 제4권2호
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    • pp.139-145
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    • 1993
  • The purpose of this study was to identify the degree and the relationship of the Knowledge, Attitude and Practice of industrial health care services of workers. This information will provide useful data for an effective industrial health care service. The was collected from 600 data employees in Kwang-ju city & Chonnam province. The data was gathered by questionnaire from Dec 20, 1992 to Jan 20, 1993. The questionnaire was developed by the Academic Affairs of Community Health Nursing Academy. Data was analyzed by using the statistical computer package, SPSS to manipulate the data along with percentages, means, standard deviations, modes, t-test and ANOVA. The results in this study were summarized as follows: 1. General characteristics of workers: Distributions of workers was laborer(76.2%). in the 25-34 age group(50.2%), married(63.3%), males comprised(77.5%), the educational level with the highest percentage was high school graduates (71.1%), with a monthly income of 300-700 thousand won(43.8%), and has been working in the present career over seven years (31.5%). 2. The Knowledge, Attitude and Practice levels of employees about industrial health care services The levels were measured according to a five point scale. The total mean score of knowledge was 2.92 points out of 4. The following are the scores of Knowledge of special medical examination and location of industrial clinic(3.48), periodic medical examination (3.18), occupational disease(3.08), personal protective equipment (2.92), and health education(1.37). The total mean score of Attitude was 2.77 point out of 4. The following are the scores of Attitude in order of working environment (3.35), necessity of periodic medical examination and health education(3.15), the worker's perception influence on the working environment to health was high(3.11). But, the level of satisfaction in the content of periodic medical examination was low(2.19). The total mean score of Practice was 2.70 points out of 4. The scores of Practice in order were, practice of periodic medical examination(3.70), utilization of industrial clinic(2.92), and to participate in health education(1.47). 3. The relationship of general characteristics to Knowledge, Attitude, and Practice of workers: Knowledge had a significant difference by sex (P<.01), marital status(P<.01), education level (P<.05) and monthly income(P<.01). Attitude was significantly different with sex(P<.05) and Practice was significantly related to monthly income (P<.01).

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간호대학생의 전공만족도와 보건소실습 중요도 인식과 수행도의 IPA에 관한 연구 (A Study on the IPA of Nursing Students' Major Satisfaction and Importance Perception and Performance of Public Health Center Practice)

  • 김은재
    • 문화기술의 융합
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    • 제9권4호
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    • pp.39-49
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    • 2023
  • 본 연구는 간호대학생의 보건소 실습에 전공만족도 및 실습의 중요도 인식과 수행도을 분석하고 보건소의 실습내용에 대한 개선방안을 파악하고자 J시의 간호대학생 217명을 대상으로 자료를 수집하였다. 수집된 자료는 SPSS WIN 25.0을 이용하여 분석하였으며, 연구결과는 전공만족도와 보건소 임상실습 수행도와는 정적상관(r=.55, p<.001)을 가지는 것으로 나타났으며, 수행도의 하위요인 모두와 정적 상관(r=.41~.54, p<.001)을 보였다. 특히 하위의 요인 중 실습을 통한 내적 성장과 이론의 실제 적용과의 상관관계는(r=.54~.56, p<.001)으로 상관성이 높은 요인이었다. 간호학생들의 전공만족도를 향상시키기 위해서는 이론 공부가 선행되어야 하며, 영역별 분석을 통해 간호대학생이 의 간호대학생들의 정체성과 내적 성장을 통한 만족감을 얻기 위해서는 보건소 실습을 하는 동안 실습지도자는 다양한 네트워크를 구축하며 간호대학생들과의 원할한 의사소통에 최선을 다하며, 지역사회의 보건소 실습 환경개선을 위해 실습 전·후 실습기관과의 간담회를 통한 다양한 의견들의 제시가 이루어지도록하며, 간호대학생들의 보건소 실습이 원활하게 수행되기 위해서는 실습지도교원은 간호대학생이 보건소 실습을 하기 전 실습관련 사전 학습이 필요하다는 개선점을 도출하였다.

코로나19로 인한 융합실습을 경험한 간호대학생의 핵심간호역량에 미치는 영향 (Effect on Core Nursing Competency of Nursing Students who Experienced Convergence Practice due to COVID-19)

  • 임선영;맹수연;김정이
    • 융합정보논문지
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    • 제12권2호
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    • pp.54-62
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    • 2022
  • 본 연구는 융합실습을 경험한 간호대학생의 핵심간호역량의 영향을 규명하는 것을 목적으로 하였고, U 광역시 소재 간호대학생 123명을 대상으로 하였다. SPSS 22.0 프로그램으로 t-검정, ANOVA, 상관관계 및 다중회귀분석을 하였다. 연구결과 핵심간호역량, 자기주도학습능력, 학습만족도, 학습성과의 평균점수는 5점 만점에 3.99점, 3.71점, 4.11점, 4.25점이었다. 간호대학생들의 핵심간호역량에 영향을 미치는 요인은 자기주도적 학습능력과 학습성과였으며 핵심간호역량을 설명하는 설명력은 29%이었다. 학습만족도는 핵심간호역량에 영향을 미치지 않은 것으로 나타났다. 본 연구결과 통해 임상실습현장에서 볼 수 있는 다양한 간호행위를 관찰하거나 시행할 수 있는 아닌 한계점을 개선하기 위해서는 양질의 교육환경 및 프로그램 개발이 마련되어야 함을 알 수 있었다. 교육환경 및 임상실습 평가에 대한 명확하고 체계적인 기준이 필요하고 실습이 다양해짐에 따라 임상실습에 대한 체계적인 표준안이 마련되어야 할 것을 제언한다.

한국 전문간호사제도의 현황과 활성화 전략 (Current Status and Vitalizing Strategies of Advanced Practice Nurses in Korea)

  • 설미이;신용애;임경춘;임초선;최정화;정재심
    • Perspectives in Nursing Science
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    • 제14권1호
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    • pp.37-44
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    • 2017
  • Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.

임상실습 시 간호학생의 성희롱 인식 정도가 성희롱 대처유형에 미치는 영향 (Influence of Awareness of Sexual Harassment on Nursing Students' Coping Behavior during Clinical Practice)

  • 강경아
    • Journal of Korean Biological Nursing Science
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    • 제20권2호
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    • pp.76-83
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    • 2018
  • Purpose: The purpose of this study was to investigate the relationship between the awareness of sexual harassment and the coping behavior of recipients of sexual harassment. This study also assesses the factors that influence the coping behavior of nursing students during clinical practice. Methods: For this descriptive study, data were collected from November 15 to December 15, 2017. Participants included 221 nursing students recruited from nursing colleges located in three different areas. Results: 22% of the participants answered that they had experienced sexual harassment. Regarding the type of attacker, the majority of attacker was patient (83.7%). The sexual harassment awareness level was $4.22{\pm}0.40$, the degree of coping for those who experienced sexual harassment was $2.99{\pm}0.38$. Among the coping behaviors, mitigation ($3.48{\pm}0.39$) was the highest. The factors influencing the coping behavior of recipients of sexual harassment were sexual harassment awareness (${\beta}=0.24$, p=.016) and satisfaction with preventive education (${\beta}=0.45$, p<.001). Conclusion: In order to make a safe clinical practice environment, it is necessary to develop a practical sexual harassment prevention program, as well as a reporting and support system for the nursing students. Such a program will help students clearly recognize the sexual harassment situation and increase their abilities to cope with sexual harassment appropriately.

지역 종합병원 간호사의 직무 스트레스가 건강증진행위에 미치는 영향: 긍정심리자본과 간호근무환경의 매개효과 (The Effect of Job Stress on Health Promotion Behaviors of Nurses in a Regional General Hospital: The Mediating Effects of Positive Psychological Capital and Nursing Work Environment)

  • 장유민;박주영
    • 한국직업건강간호학회지
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    • 제27권3호
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    • pp.160-170
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    • 2018
  • Purpose: The purpose of this study is to provide preliminary data for alleviating nurses' job stress and support health promotion behaviors. Further, the study reviews the mediating effects of positive psychological capital and nursing work environment in relation to job stress and health promotion behaviors among nurses in a regional general hospital. Methods: A study survey was conducted from June 9 to 16, 2017. The subjects were current nurses working at a regional general hospital in D city. Analysis of a survey questionnaire from 147 participants was conducted. Results: Upon reviewing the mediating effects of positive psychological capital and nursing work environment in relation with health promotion behaviors and job stress, it was found that positive psychological capital (Z=-4.78, p<.001) and nursing work environment (Z=-4.17, p<.001) were significant mediators. Conclusion: As demonstrated through the results of this research, it is necessary to build programs to strengthen individual positive psychological capital and increase the practice of health promotion behaviors among nurses. It is also evident that a systematic approach is needed to improve the nursing work environment.

성찰일지 분석을 통한 간호대학생의 보건소 실습 경험 (현상학적 연구) (A Study on Experiences of Nursing Students in Clinical Practice at the Public Health Center through Analytic Approach of Self- Reflection (phenomenological study))

  • 최혜정
    • 대한통합의학회지
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    • 제7권4호
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    • pp.171-180
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    • 2019
  • Purpose : The purpose of this study is to understand the experiences of nursing students in clinical practice at a public health center through their self- reflections. Subjects : The 110 students in the 3rd year, practice at two public health centers in city P and city K. From the110, 53 male and female university students who practice in city K were selected to participate : 11males (20.8 %) and 42 females (79.2 %). Methods : The data analyzed were the self-reflections regarding the clinical practice. Results : These data indicate that : most of the participants now believe that public health centers provide many more services to the community than they previously knew about. They rate the public health center's programs highly, and want to be community health nurses. For the first time, they realize that the work of public health nurses is very important. In particular they note that their emotions while at the public health center differ significantly from when they work at the other. The environment in the public health center makes them feel more comfortable and less stressed. Generally, they are satisfied with their practice at the public health center. Conclusion : On the basis of these findings, the following recommendations can be made. Experience at public health centers is an important part of nursing students' education. I suggest that research on nursing students' experiences while practicing at the public health center should expand to include research methods other than the analysis of their reflection journals, In addition a follow-up study of experiences while practicing at the public health center should be attempted of self-reflections.

영유아 가정방문간호를 위한 간호사의 역량 (Competencies of Nurses in a Maternal Early Childhood Sustained Home-Visiting Program)

  • 이지윤;전경자;조성현
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.397-409
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    • 2017
  • Purpose: Competency is a key foundation of the nursing education curriculum and a baseline element of nursing practice. The purpose of this study was to explore the competencies of community health nurses in a maternal early childhood sustained home-visiting program based on nurses' field experiences. Methods: The participants were 21 nurses who had more than 1 year of experience in this program. Reflective interviews were performed; lasting 1 hour per nurse, on August 18, 2016, and the collected data were analyzed using qualitative directed content analysis. Results: Twenty-four themes were extracted for 9 competencies. The major themes included implementing a long-term relationship-based approach, providing client-led service rather than expert-led service, helping mothers with psychosocial difficulties, and applying skills in a practical manner in the home environment. Conclusion: In order to develop a home-visiting program as part of maternal-early childhood nursing practice, nurses should develop competencies that help them make significant and positive interventions. Results indicate that the curriculum for community health nurses should be changed to improve competencies in building relationships with clients and to focus on the application of skills in specific cases and in clinical practice.

인공호흡기 관련 폐렴의 예방을 위한 근거기반 간호실무지침 개발 (Development of Evidence-Based Nursing Practice Guideline for Prevention of Ventilator-Associated Pneumonia)

  • 김화영;류세앙
    • 한국콘텐츠학회논문지
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    • 제21권10호
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    • pp.630-644
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    • 2021
  • 본 연구는 인공호흡기 관련 폐렴 예방을 위한 근거기반 간호실무지침을 개발하고자 수행되었다. 한국보건의료연구원의 하이브리드 방법에 따라 근거기반 간호실무지침을 개발하고 유효성을 검증한 방법론적 연구이다. 주제와 핵심 질문은 문헌 검토와 전문가 인터뷰를 통해 도출하였고, 핵심 질문과 관련된 권고안은 체계적 검색과 선정에 의한 기존 가이드라인을 분석하여 수렴하였으며, 미해결 핵심 질문과 관련된 권고안은 체계적고찰과 메타 분석을 통해 새로 개발하였다. 개발된 권고안은 RAND에 의한 유효성 검증과 간호실무지침 초안은 AGREE II에 의한 방법론적 질평가를 수행하였다. 9개 범주의 44개 권고안으로 구성된 최종 간호실무지침의 임상타당성은 중환자실 간호사 122명을 대상으로 평가하였다. 최종 개발된 인공호흡기 관련 폐렴 예방을 위한 근거기반 간호실무지침은 방법론적 타당성과 내용타당도가 검증되었고 우리 간호실무 환경에 적합하여 중환자 간호실무의 질적 향상에 기여할 수 있을 것으로 기대된다.