• Title/Summary/Keyword: Nursing Practice Environment

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The influence of the Clinical Learning Environment and Learning Transition on Satisfaction with a Gerontological Nursing Clinical Practicum in Nursing Students

  • Lee, Insook;KNAG, Yun
    • International Journal of Advanced Culture Technology
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    • v.10 no.2
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    • pp.43-52
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    • 2022
  • This study used a descriptive survey design to examine the impact of the clinical learning environments and learning transition nursing students experienced the gerontological nursing clinical on the satisfaction with clinical practice. A convenient sample of 211 4th year nursing students who had the gerontological nursing clinical practicum from one College of Nursing at Private University in South Korea was recruited and completed the surveys from October to December 2019. This study showed that the satisfaction with a gerontological nursing clinical practicum was significantly correlated with clinical learning environments and learning transition. The results of this study highlights the need to create a safe and positive clinical learning environment for quality gerontological nursing clinical practicum, so hospitals and nursing schools need to make efforts to promote clinical sites as an educational learning environment in collaborative relationships.

A Preliminary Study on Setting Philosophy and Curriculum Development in Nursing Education (간호교육 철학정립 및 교육과정 개발을 위한 기초조사)

  • 정연강;김윤회;양광희;한경자;한상임
    • Journal of Korean Academy of Nursing
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    • v.18 no.2
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    • pp.162-188
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    • 1988
  • The purpose of this study is to guide the direction of the Korean nursing education to analysize ⑴ the philosophy and objectives ⑵ curriculum, and ⑶ educational environment. This analysis is based on the data from 50 nursing schools (14 4-year colleges and 35 3-year colleges) The survey was conducted from Dec. 1986 through Jan. 1987 by mail. 1) Educational philosophy and objectives 10 4-year colleges and 8 3-year college program have curricular philosoph. Most popular curricular philosophies are human beings, health, nursing, nursology, nursing education, nurses role in the present and in the future. 10 nursing schools mentioned that human being is the subject to interact with : environment physically, mentally and socially. 2 schools mentioned that health is the state of functioning well physically, mentally and socially. 13 schools mentioned that the nursing is the dynamic act to maintain and to promote the highest possible level of health. 4 schools mentioned that the nursology is an applied science. 4 schools mentioned that nursing education is the process to induce the behavioural changes based on the individual ability. There is different opinion about the nurses' role between 4-year college and 3-year college. In the responses from 4-year colleges they focus on the leadership in effective changes, self-regulating and self-determining responsibilities, applying the new technology, continuing education, and participation in research to further nursing knowledge. In the responses from 3-year colleges, they focus on the education in college, primary health care nursing, direct care provider and public health education. Among 50 respondents 40 schools have educational goals which can be divided into two categories. One is to establish the moral and the other is to develop the professionalism. 2) Curriculm The analsis of curriculum is only based on the data from the 4-year colleges because the most of 3-year colleges follow the curriculum guideline set by the Ministry of Education. a) Comparison of the credits in cultural subject and in nursing major. The average required credit for graduation is 154.6 and the median credit is the range of 140-149. The average credit of cultural subjects is 43.4. In detail, the average number of credit of required course and elective courses are 24.1 and 19.3 respectively. The average credit for major subject is 111.2. In detail, the average credit for required courses and electives course are 100.9 and 10.4 respectively. In 5 colleges, students are offered even on elective course b) Comparison of the credit by class. The average earned credits are as follows : 41.1 in freshman, 400 in sophormore 38.3 in junior and 32.4 in senior. Cultural subjects are studied in early phases. c) Comparison of the compulsory and elective cultural subject by institute. The range of credit is 7-43 in compulsory cultural subjects and there are lot of differences among institutions. While all respondents require liberal arts as compulsary subjects, few respondents lists social science, natural science and behavioral science as required subjects. Social science-related subjects are frequently chosen as cultural subjects d) Distribution of creditsin cultural subjects by institute. The liberal art subjects are taught in 20 institute. English and physical education courses are taught in all instituions. The social science subjects are taught in 15 colleges and the basic Psycology and the Basic sociology are the most popular subjects. The natural science subjects are taught in 7 colleges and Biology and Chemistry are the most popular subjects among them. e) Distribution of credits in major basic courses by institute. Most of the institutes select Anatomy, Microbiology, Physiology, biochemistry and Pathology as basic major courses. f) Comparison of the required and elective courses for nursing major by institutions. Subjects and credit ranges in major are varing by institute. More than half of the respondents select the following subjects as required major subjects. (1) Adults Health Nursing and Practice (19.5 credits) (2) Mother and Child Care and Practice (8.9 credits) (3) Community Health Care and Practice (8.5 credits) (4) Psychiatric Nursing Care and Practice (8.1 credits) (5) Nursing Management and Practice (3.9 credits) (6) Fundamental of Nursing, Nursing Research and Health Assessment and Practice. Three institutions select Introduction to nursing, Rehabilitation Nursing, School Nursing, Public Health Nursing, Nursing English, Communication, Human Development as electives in nursing major. 3) Educational environment a) Nursing institution There are forty-three 3-year colleges and seventeen 4-year colleges and 81.4% of which are private b) Number of students and faculty 19.2% of the students are in 4-year colleges and 80.8% of the students are in 3-year colleges. In 4-year colleges, the number of nursing faculty members is in the other of assistant professor, instructor and professor. In 3-year colleges, the orderiis lecturer, associate professor, full time instructor and assistant professor. In 4-year colleges, 18.8 students are allocated per nursing faculty and in 3-year colleges, 33.1 students are allocated per nursing faculty. c) Clinical practices 66.7% of the 4-year colleges practice over 1201 hours in clinic and 28.5% of 3-year colleges practice over 1201 hours in clinic. In 4-year colleges, 11.5 students are allocated per nursing faculty and in 3-year colleges,17 students are allocated per nursing faculty The survey shows no difference in the procedure between 4-year colleges and 3-year colleges but 3-year colleges choose the more variety practicing site such as special hospital and community health clinic. d) Audiovisual facilities The survey shows a lot of difference in audiovisual facilities among institution and 3-year colleges are less equipped than 4-year colleges.

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Factors Influencing Nurse Turnover Intention of Senior Convalescence Hospitals in the Metropolitan Area (수도권 200병상 이상 노인요양병원 간호사의 이직의도에 영향을 미치는 요인)

  • Hwang, Youn Sun;Cho, Eunyoung
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.3
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    • pp.156-167
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    • 2016
  • Purpose: This study was a descriptive research to investigate the factors influencing nurses' turnover intention of Senior Convalescence hospitals in the metropolitan area. Methods: A cross-sectional survey design was used. A questionnaire was distributed to the nurses in Senior Convalescence hospitals. The data of 210 nurses were analyzed using the descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and multiple regression. Results: Turnover intention was significantly correlated with professionalism, job involvement, organizational commitment, job stress, practice environment. Organizational commitment, job stress, age, and practice environment were identified as factors influencing turnover intention. These factors explained 53.3% of variance of turnover intention. Conclusion: The results suggest that strategies to decrease turnover intention should be discussed and continued to develop ways to establish organizational commitment, to lower job stress levels and to improve practice environment of nursing work. And further study is needed to identify the key mechanism in nurses' turnover intention of Senior Convalescence hospitals.

Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner's Professional Characteristics (한국 전문간호사의 전망에 관한 고찰: Flexner의 전문직 특성을 기반으로)

  • Kim, Eun Mi;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.16 no.3
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    • pp.1-10
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    • 2023
  • Purpose : This study explores the professional status of Advanced Practice Nurses (APNs) in Korea, who, despite being legally certified, face instability in their professional standing, including their scope of practice and compensation. Method : The study uses Flexner's professional characteristics as a framework to analyze and project the future trajectory of Korean APNs. Results : First, to ensure social accountability, professional bodies need to establish uniform nursing policies related to job roles, and healthcare institutions must adhere to these policies. Second, nursing leaders should spearhead the creation of nursing knowledge essential for the profession's advancement, aiming to establish it as the foundation for nursing practice through a consensus process within the nursing community. Third, the curriculum for APNs should enhance the quantitative and qualitative aspects of practice in response to societal needs. Fourth, professional bodies should formulate consistent nursing policies based on a thorough analysis of the healthcare environment and legal considerations, and guide their implementation in clinical practice through a consensus process within the nursing community. Lastly, guidelines should be established for professional standards suitable for the Korean context. Conclusion : Based on this review, it is recommended that all APNs adhere to the professional standards set by their respective organizations, actively participate in personal quality improvement initiatives, and fulfill their duties and roles as members of these professional bodies. Furthermore, these organizations should devise practical strategies to solidify the APN system and should spearhead a systematic consensus process that garners the agreement of all members within the nursing community.

The Effects of Nursing Work Environment and Job Stress on Health Problems of Hospital Nurses (병원간호사의 간호근무환경과 직무 스트레스가 건강문제에 미치는 영향)

  • Bang, Young Eun;Park, Bohyun
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.3
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    • pp.227-237
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    • 2016
  • Purpose: The purpose of this study was to identify the effects of nursing work environment and job stress on health problems of hospital nurses. Methods: The subjects were 200 nurses working in S general hospital in Gyeongnam, and the data were collected using organized questionnaire from Jan 10 to 25, 2015. The Korean version of the practice environment scale of nursing work index, the instrument for job stress, and the Korean version of Todie Health Index for health problem were used for measurement. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression. Results: The nursing work environment was found to be slightly negative, and the job stress was found to be high. There were significant correlation among nursing work environment, job stress, and health problems. In addition, it showed that the nursing work environment and job stress of nurses were factors affecting their health problems. Conclusion: The nursing work environment and job stress are influencing factors on the health problems of hospital nurses. Multi-faceted efforts to create a positive nursing work environment are required. Further researches related to association between the nursing work environment and health problem of nurses are needed.

Impact of Work Environment and Organizational Justice on Job Satisfaction among General Hospital Nurses (일개 종합병원 간호사의 간호근무환경, 조직공정성이 직무만족에 미치는 영향)

  • Kim, Se Young;Yoon, Yeon Ok;Ha, Young Suk;Kim, Eun Jeong;Song, Bo Gyeong;Song, Seong Min
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.4
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    • pp.205-214
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    • 2023
  • Purpose: This study investigated the impact of nurse practice environment and organizational justice on nurses'job satisfaction. Methods: We identified the factors between nursing work environment and organizational justice to job satisfaction for 189 nurses working at a general hospital in city C. Data were collected from June 1st to 15th, 2023, and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple stepwise regression, using IBM/SPSS 27.0 for the Windows program. Results: The mean job satisfaction was 3.24±0.55 points on a 5-point scale. Multiple stepwise regression revealed that the factors affecting nurses'job satisfaction included nursing foundations for quality of care (β=.26, p=.005), staffing and resource adequacy (β=.40, p<.001), collegial nurse-physician relations (β=-.24, p=.007), and distributive justice(β =.27, p<.001).These variables explained 55.0% of job satisfaction. Conclusion: The research findings indicate that higher job satisfaction is associated with a better nurse practice environment and positive perceptions of organization justice. These findings indicate that it is necessary to enhance the nurse practice environment and improve organizational justice to enhance job satisfaction among nurses.

Influence of Satisfaction with Clinical practice and Image of nurses on Nursing professionalism of Nursing students (간호대학생의 임상실습만족도와 간호사 이미지가 간호전문직관에 미치는 영향)

  • Lim, Kyoung-Min;Jo, Eun-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.556-566
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    • 2016
  • This study examined the influence of satisfaction with clinical practice and the image of nurses on the nursing professionalism of nursing students. The subjects were 184 nursing students in B city who had experienced clinical practice. The data were collected from November 15 to December 15, 2014 and, analyzed using a t-test, ANOVA, Scheff's test, Pearson's correlation coefficients and multiple regression. Significant differences in the nursing professionalism by gender, religion, age, and school record were observed. Nursing professionalism was positively related to the satisfaction with clinical practice. In addition, there was a positive correlation between the nursing professionalism and image of nurses. Meaningful variables that influenced the nursing professionalism were satisfaction with the contents of clinical practice, image of nurses, satisfaction with the course of clinical practice, satisfaction with the environment of clinical practice, and school record. These factors comprised 75.8% of the total variance in the nursing professionalism of nursing students, and the satisfaction with contents of clinical practice was the most influential factor. In conclusion, to increase the nursing professionalism of nursing students, it is necessary to develop educational programs and institutional strategies to improve the satisfaction with clinical practice and the image of nurses.

Factors Influencing Nursing Service Quality of Nurses in Long Term Care Hospitals (요양병원 간호사의 간호 서비스 질 영향요인)

  • Park, Ju Hee;Park, Eun Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.409-415
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    • 2022
  • The purpose of this study is to identify factors affecting nursing service quality for nursing hospital nurses and An attempt was made to confirm the correlation between nursing work environment, human-centered care, and work stress on nurses in nursing hospital. The data was collected using questionnaire filled out by 129 nurses at nursing hospitals in G city area from August 20 to September 10, 2019. As a result of the study, factors influencing the quality of nursing services among nursing hospital nurses were married, Practice Environment of Nursing Work, and human-centered care. Based on these results, hospital management will need to make efforts to improve the organizational system to create a desirable nursing working environment in nursing hospital.

The Effect of Nursing Working Environment and Career Barrier recognized by Graduate grade Nursing College Students on Career Identity (졸업학년 간호대학생의 간호근무환경 인식과 진로장벽이 진로정체감에 미치는 영향)

  • Baek, So-Young
    • Journal of Digital Convergence
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    • v.17 no.10
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    • pp.37-47
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    • 2019
  • The purpose of this study was to examine the relationship between nursing work environment perception, career barriers and career identity of graduating grade nursing college students and factors affecting career identity. The data collection was conducted from June 3 to June 28, 2019 with 212 students in grade 4 of C University in S city. Career identity, $2.65{\pm}0.46$, $3.23{\pm}.57$, and $2.28{\pm}.77$, respectively. Career identity was positively correlated with nursing working environment(r=-.654, p<.001) and career barrier(r=.319, p<.001). The nursing work environment was negatively correlated with career barriers(r=-.216, p<.001). The variables that affect the sense of course are the career barrier(${\beta}=-.527$, p=.000), recognition of nursing work environment(${\beta}=.131$, p=.014), practice satisfaction(${\beta}=-.154$, p=.009), and this variable showed an explanatory power of 50.1% on career identity. Therefore, it is necessary to make efforts at the school to enhance awareness of nursing work environment and satisfaction in practice, improve clinical practice, and lower the career barrier through support and support from hospital and nursing managers.

Effects of Simulation-based practice and clinical practice for critical thinking disposition and nursing process confidence (시뮬레이션기반 실습과 임상실습이 간호대학생의 비판적사고성향과 간호과정자신감에 미치는 효과)

  • Kim, Hwa-Young;Ma, Hyunhee;Lee, Mijin
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.399-408
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    • 2021
  • The purpose of this study was to determine the effects of simulation-based practice and clinical practice on nursing students' critical thinking disposition and nursing process confidence. This study is a quasi-experimental design using the non-equivalent control group pretest-posttest only design, targeting 103, 4th grade(51=control group, 52=experimental group) in the Department of Nursing at D University. The collected data were analyzed using the SPSS/WIN 23.0 program, and the main research results are as follows. Students who experienced simulation-based practice showed significant improvement in critical thinking tendencies(t=-3.28, p=.001) compared to those who experienced clinical practice. There was no significant difference in nursing process confidence (t=-1.78, p=.079), but it was significantly higher in actual application, collaborative contsistency, and nursing contsistency. As a result, There were no significant difference in some, but it was contfirmed that simulation-based practice improved the critical thinking disposition and nursing process confidence in of nursing students. In addition to clinical practice, it is considered necessary to study simulation-based practice using repetitive practice and standardized patients in a free simulation practice environment.