• 한국산학기술학회논문지
• /
• 제18권8호
• /
• pp.72-83
• /
• 2017

본 연구는 임상실습 중인 간호대학생을 대상으로 의료관련 감염관리를 위한 표준주의 안전환경과 표준주의 인지도, 수행도 정도를 파악하고 표준주의 수행도에 영향을 미치는 요인을 규명하고자 시도 되었다. 2016년 7월부터 9월까지 D광역시의 9개 간호대학에서 3, 4학년생 246명에게 구조화된 설문지를 사용하여 자료를 수집하였다. 연구결과 표준주의 안전환경은 7점 만점에 4.63점이었고, 표준주의 인지도는 5점 만점에 4.67점, 표준주의 수행도는 3.79점으로 인지도에 비해 수행도가 유의하게 낮았다. 인지도와 수행도의 차이가 가장 큰 영역은 개인 보호구와 안전한 주사행위영역 이였다. 표준주의의 안전환경은 수행도와 유의한 양의 상관관계, 인지도와 수행도도 유의한 양의 상관관계가 있었다. 표준주의 수행도에 영향을 미치는 요인은 안전환경과 학년으로 10.7%의 설명력을 보였다. 따라서 간호대학생의 의료관련 감염관리를 높이기 위해서는 전통적인 방법의 인지교육과 함께 표준주의 수행도를 높일 수 있는 안전환경의 구축이 필요하다. 감염관리에 보다 지지적인 실습환경의 조성이 요구되며 시뮬레이션 수업과 같은 새로운 교육 전략과 병원과 학교의 상호협력 시스템을 통한 안전환경구축을 위한 노력 등을 확대해 나가야 할 것이다.

• Child Health Nursing Research
• /
• 제15권2호
• /
• pp.201-209
• /
• 2009

Purpose: This quasi-experimental study was conducted to identify the effects of dental health education on dental health knowledge and dental hygiene status in preschoolers. Methods: Forty-one children were recruited from two daycare centers, one of which served as the experimental group and the other as the comparative group without dental health education. Dental health education consisted of knowledge-oriented lecture and individual practice with a tooth simulator. The dental health knowledge was measured using a self-report questionnaire and dental hygiene using a dental plague index. The measurements were taken before and after the education program in the experimental group while only before the education program in comparative group. Results: Increases in dental health know ledge and decreases in dental plague index were observed 4 days after the education and lasted at least 8 days after the education, Conclusion: The findings of this study indicate that dental health care education consisting of a lecture with simulation practice can be effective in improving dental health care in preschoolers at day care center.

• 한국간호교육학회지
• /
• 제17권2호
• /
• pp.168-177
• /
• 2011

Purpose: The purpose of this study was to investigate the attitude toward death in Korean nursing students. Method: The sample consisted of 365 baccalaureate nursing students. The questionnaires included questions on sociodemographics and death-related characteristics of the participants, and the Fear of Death and Dying Scale (FODS) to measure the attitude toward death. Result: The mean of the FODS score was 2.63 out of 4, so the participants had a slightly negative attitude toward death. There were statistically significant differences between gender, religion, religion activity, perceived health status, experience of parents' death, experience of friend's death, and overall FODS score. Among the four subscales of overall FODS, the score of the fear of death of self was significantly higher in the participants who experienced clinical practice and who experienced patient's death in the intensive care unit compared to the emergency room. Conclusion: Based on the study results, educational programs to change the attitude toward death are required before clinical practice. Programs need to consider nursing students' gender and religion, and give opportunity to share experiences and feelings about death of family or friend. In addition, using standardized patients and simulators is advised in the need for simulation training.

• 한국산학기술학회논문지
• /
• 제18권3호
• /
• pp.460-468
• /
• 2017

본 연구는 농촌에서 거주하는 노인들에게 강의 기반과 시뮬레이션 기반 심폐소생술 교육 후 심폐소생술에 대한 태도, 자기 효능감, 만족도에 미치는 효과를 확인하기 위해 실시되었다. 또한 65세 이상 농촌 노인 43명을 대상으로 실시한 비동등성 대조군 전후설계를 이용한 유사실험 연구이다. 22명의 대조군에게 강의기반 심폐소생술 교육을 실시하였고, 실험군에게는 강의 기반 심폐소생술 교육과 시뮬레이션 기반 심폐소생술 교육을 실시하였다. 교육 전, 후 설문지를 이용하여 자료를 수집하였으며, 수집된 자료는 ${\chi}^2$-test, Fisher's exact test, paired t-test, ANCOVA로 분석하였다. 연구결과 실험군과 대조군 두 그룹에서 태도에 대한 유의한 차이는 없는 것(F=0.89, p=.353)으로 나타났으나, 자기 효능감(F=5.54, p=.025)과 만족도(F=4.66, p=.039)에서는 유의한 차이가 있는 것으로 나타났다. 이는 농촌에 거주하고 있는 노인들에게 이 연구에서 적용한 교육 방법이 효과적임을 나타내는데 기초자료를 제공하는 것으로, 시뮬레이션 기반 교육을 통해 심폐소생술에 대한 자기 효능감과 만족도를 향상시킴으로써 노인들도 응급상황에 대처 할 수 있도록 하는 노력이 이루어져야 한다.

• 한국산학기술학회논문지
• /
• 제20권7호
• /
• pp.85-92
• /
• 2019

본 연구는 간호대학생의 임상실습 중 핵심기본간호술의 수행자신감에 영향을 미치는 요인을 파악하기 위해 시행된 서술적 조사연구이다. 연구대상은 경상북도 G시에 소재한 4년제 간호학과에 재학중인 3, 4학년 학생 190명으로 일반적 특성 및 임상실습 특성, 핵심기본간호술 경험 정도와 수행자신감을 설문조사하였다. 자료분석은 기술통계, t-test, 분산분석 및 다중회귀분석을 실시하였다. 연구결과, 수행경험한 핵심기본간호술의 수는 5개 이하가 51.1%였으며, 관찰경험한 핵심기본간호술의 수는 11개 이상 78.4%였다. 일반적 특성, 임상실습 만족도와 핵심기본간호술 경험 정도에 따른 수행자신감은 남자, 연령과 학년이 증가할수록, 전공만족도와 임상실습 만족도가 높아질수록 높아졌으며, 특히 수행경험한 핵심기본간호술의 수가 증가할수록 높아졌다(p<0.001). 하지만 수행자신감은 관찰경험한 핵심기본간호술의 수에 따른 차이는 없었다(p=0.463). 간호대학생의 수행자신감에 영향을 미치는 요인으로는 연령, 학년, 임상실습 만족도와 수행경험한 핵심기본간호술의 수로 나타났다. 따라서 간호교육과정에서 간호대학생의 임상실습 중 다양한 핵심기본간호술을 직접적으로 경험할 수 있는 기회를 늘리는 것이 중요하고, 보안책으로 시뮬레이션 교육을 적극적으로 활용하는 방안이 모색되어야 할 것이다.

• 한국산학기술학회논문지
• /
• 제22권2호
• /
• pp.169-178
• /
• 2021

본 연구는 간호대학생의 정신간호학실습에 대한 교내실습 경험을 탐색하기 위한 질적 연구이다. 연구대상자는 강원도 소재 일 대학교에서 정신간호를 실습하는 3학년 학생 62명으로, 자료수집 기간은 2020.08.03.~08.20까지였다. 수집된 자료는 Colaizzi의 방법을 적용하여 분석하였다. 연구 결과 1) 현장경험에 대한 아쉬움 2) 배움을 통한 성취 3) 미래 간호사 역할에 대한 두려움 4) 과제 작성에 대한 부담감 5) 임상 긴장감으로부터 자유로움 6) 타 부서와의 협력의 중요성의 6가지 범주가 도출되었다. 교내실습 평가에서는 즉각적 피드백과 자세한 설명, 간접 체험의 내용이 긍정적으로 평가되었다. 이를 바탕으로 향후 교내실습의 효과적 운영을 위해서는 시뮬레이션 실습을 포함하여, 간접 체험실습, 온라인/비대면 실습, 대면실습 등의 다양한 콘텐츠가 적절히 활용되어 임상실습과의 격차를 줄이는 효율적 프로그램의 개발이 필요하다. 더불어 정신간호학 실습 교육에서는 치료적 의사소통 및 환청 중재와 같은 실무의 격차를 줄이기 위한 다각적 노력이 더욱 필요함을 제언하는 바이다.

• 여성건강간호학회지
• /
• 제23권3호
• /
• pp.166-180
• /
• 2017

Purpose: The purpose of the study was to have an in-depth understanding of delivery room nurses' experiences of caring for stillborn babies and their parents. Methods: After obtaining approval from the Institutional Review Board, data were collected from March 1 to August 30, 2016. A total of six nurses participated in the study. Semi-structured in-depth interviews were conducted and the data subsequently analyzed. Results: Using thematic analysis, six themes were defined and refined: Emotional distress as a result of encountering stillborn babies; Caring for the deceased baby; Concerns for the mother's pain; Consideration for the father; Conflicts between accepting and dismissing parents' requests; and Strong mindset for the stillborn babies and their parents. Conclusion: The results showed that the nurses' experiences of caring for stillborn babies and their parents might be a difficult and lonely process. However, it could also be a process of attaining maturity by finding meaning and value in one's work. It would be helpful for the delivery room nurses to share examples of effective communication, train through simulation, and learn useful strategies that each nurse can use.

• 기본간호학회지
• /
• 제15권2호
• /
• pp.143-152
• /
• 2008

Purpose: A survey was done on knowledge and attitude toward CPR and provision of CPR education to nurses on general wards. Method: A survey of 280 nurses on general wards in four university hospitals with 700 beds or more in the city of Pusan was done. The data were collected from September 10, to September 22, 2007. Results: The mean score for knowledge of Basic Life Support was 12.71 (mean converted to 100: 63). About 76% of the nurses believed that they had a responsibility to perform CPR, but 53.3% of the nurses were not confident to perform CPR. About 94% of the nurses had received education on CPR but 32.3% of those took it 6 to 12 years ago. About 41% of the nurses spent 3-4 hours for the education and 73.2% of those took simulation education. Conclusion: Although most of the nurses had received CPR education, they were not knowledgeable or confident. Therefore, better CPR education programs including up-dated knowledge are needed. More reinforced education should be offered every six months or on a yearly basis in order to enhance lasting efficiency.

• 대한건축학회연합논문집
• /
• 제20권6호
• /
• pp.71-80
• /
• 2018

The path and visibility of nurses in general hospital wards have been treated as architectural planning factors. However, the analysis approach of existing studies shows limitations that only fixed physical elements are considered without considering the behavior of users using space. Consider factors for analysis of ward and models based on this study model. Select a case hospital to apply the analysis technique and conduct the nurse questionnaire and route survey of the hospital. Establish a framework for analysis model applied with the path of nurse movements. The analysis model applies to the case hospital. The analysis results are aggregated to derive design suggestion for reference to the spatial improvement of the ward. Visible visibility to observe the bedside in the nursing station, visibility to observe the beds in the nurse's path, and visibility to observe patients moving in the nurse's path were derived from visual access frequency and exposure frequency. The survey of nurses' movements at the site allowed the nurses to calculate the distance required to move. Reflecting the path of nurse movement, a model was presented for a comprehensive analysis of nursing distance and nursing visibility, which could lead to improvement in the observation and visibility of nurses and the layout of patient rooms or day rooms.

• 여성건강간호학회지
• /
• 제30권1호
• /
• pp.67-78
• /
• 2024

Purpose: The present study investigated experiences of traumatic perinatal events, the provision of related education, and educational needs of nurses working in the labor and delivery room (LDR). Methods: Nurses working in the LDRs of six institutions and two nurse portal sites were invited to participate in the survey, delivered on paper or online. The data were collected from October 1 to November 25, 2022. Data from 129 nurses were analyzed using frequency, the chi-square test, the Fisher exact test, the t-test, and analysis of variance. Results: Virtually all participants (98.6%) reported having experienced at least one traumatic perinatal event (dystocia, postpartum hemorrhage, neonatal congenital anomalies, severe maternal or neonatal injury, stillbirth, and maternal or neonatal death) while working in the LDR. The most shocking traumatic perinatal event experienced was the maternal or neonatal death (40.3%), but 24.8% of participants did not recall ever receiving education on the topic. About 63% of participants experienced traumatic perinatal events within a year of working in the LDR. The average score for education needs regarding traumatic perinatal events was 3.67±0.37 out of 4, and participants preferred simulation education as the most effective educational method. Conclusion: Since most of the participants had experienced various traumatic perinatal events in the early stages of working in the LDR and expressed a high level of need for education on traumatic perinatal events, it is necessary to provide more effective stimulation education programs in the early period of work in the LDR.