• 동서간호학연구지
• /
• 제14권1호
• /
• pp.5-13
• /
• 2008

Purpose: The study was to identify the relationship among perceived stress, coping strategies and satisfaction f clinical experience in nursing students and to examine difference of grade. Methods: A total 238 nursing students (second grade: 141 students, third grade: 97 students) from K. Womens' College were provided with self reported questionnaires from July 26, 2006 to July. 30, 2006. Perceived stress was measured using Perceived Stress Scale. Coping was measured using Coping Responses Inventory-Adult form. Satisfaction of clinical experience was measured using Satisfaction Inventory. The data were analyzed by descriptive statistics, t-test, ANOVA and Pearson's Correlation Coefficient with SPSS 12.0 program. Result: Participants showed that a high level of perceived stress score $2.71{\pm}.47$ of total 4 (2nd grad) and $2.67{\pm}.35$ of total 4 (3rd grade). Approach Coping Scales score of coping strategies was $68.19{\pm}6.06$ (2nd grade), $63.38{\pm}6.69$ (3rd grade) of total 96, then coping mechanism's mean among 2nd grade nursing students was higher than 3rd grade nursing students. Satisfaction score of clinical experience in 2nd grade nursing students was $3.01{\pm}.32$ and higher than 3rd grade ($2.99{\pm}.38$). There was a negative correlation r=-.264 (p=.000) between perceived stress during clinical practice and satisfaction. It was statistically significant. There was a positive correlation r=.154 (p<.05) between satisfaction score of clinical experience in nursing students and approach coping scales score. Conclusion: With these findings, we found that the more approach coping level, the more satisfaction of clinical practice. It is needed to developing effective teaching method and coping strategies for nursing students to improve their coping ability and prepare qualified nursing profession.

• Perspectives in Nursing Science
• /
• 제1권1호
• /
• pp.50-65
• /
• 2004

Despite the new wave of diverse philosophical thoughts in nursing, the criteria for theory evaluation rarely incorporate the new thoughts in its realm. Especially, feminist thoughts, which have contributed to the development of nursing knowledge through incorporating diversities and complexities of nursing phenomenon and reflecting social, cultural, and historical contexts surrounding nursing encounters, were rarely incorporated into the evaluation criteria. In this paper, a feminist approach to theory evaluation is proposed based on a critical analysis of the existing evaluation criteria. First, a historical review of feminist thoughts is provided, and feminist principles across diverse groups of thinking within feminism are discussed. Then, theory evaluation criteria are historically analyzed and critiqued while considering the feminist principles. The critical points found in the currently available theory evaluation criteria include: (a) the evaluation criteria are based on objectivity, (b) they are ignoring gender differences; (c) cultural differences tend not to be seriously considered; and (d) contexts surrounding nursing phenomenon are rarely considered. Based on the critical points, four additional components for theory evaluation are proposed. The components are: (a) respect for subjectivity; (b) historical and sociopolitical contextual considerations; (c) gender sensitivity; (d) cultural competence; and (e) blueprint for action.

• 한국보건간호학회지
• /
• 제21권1호
• /
• pp.102-109
• /
• 2007

This paper discusses the merits of the community capacity and capacity building concepts, the strategies used for building community capacity and their implications for community health nursing. Community capacity is defined as the interaction of the human capital, organizational resources, and social capital existing within a given community that can be used to improve or maintain the health of the community. Community capacity building is one approach to promoting community health. This approach takes a comprehensive, dynamic, and multidimensional view of community needs and circumstances and places an emphasis on asset development, collaboration among community organizations, and community participation. The major strategies for community capacity building involve activities such as facilitating the development of an asset-based approach to community, developing leadership, establishing partnership, organization development, utilizing community resources, and developing public relations. The implications of community capacity for community health nursing are addressed in terms of the need for community health education and practicum, long-term commitment, partnerships, and a paradigm shift. The author suggests that the concept of community capacity building may be useful for improving the health of both the entire community and its individual residents.

• 대한간호학회지
• /
• 제48권1호
• /
• pp.85-95
• /
• 2018

Purpose: This qualitative study aimed to explore the experience of incivility among nursing students. Methods: Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents. Results: Incivility occurred in the context of a hierarchical organizational culture, due to nursing students' position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as "being mistreated as a marginal person," and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students' experience of incivility could eventually lead to workplace bullying in nurses. Conclusion: The results of this study suggest that nursing students' experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.

• 여성건강간호학회지
• /
• 제24권4호
• /
• pp.379-391
• /
• 2018

Purpose: To describe nursing students' experience of sexual harassment during clinical practicum. Methods: An interpretive phenomenological qualitative approach was used to understand contextual experiences of participants. Individual in-depth interviews were conducted to collect data from thirteen nursing students who experienced sexual harassment during clinical practice in general hospitals at D metropolitan city. All interviews were recorded and transcribed into Korean and English. Transcripts were analyzed using the data analysis method described by Diekelmann, Allen, and Tanner. Results: The following 12 themes emerged from the data: 'unprepared to respond', 'lack of education', 'unsure about when behavior crosses the line', 'power differential for nursing students', 'balancing self-preservation with obligations to patients', 'shame', 'feeling responsible for not being able to prevent the harassment', 'impact on patient care', 'fear of what might have happened', 'fear of repercussions', 'long term impact', and 'peer support'. Conclusion: Participants in this study described feeling an obligation to care for their patients. However, they seemed to be unable to balance this while feeling vulnerable to sexual harassment with strong negative feelings. Helping students recognize and effectively deal with sexual harassment is a critical element to assure quality learning for participants and maintain quality of care during clinical practice.

• 대한간호학회지
• /
• 제32권6호
• /
• pp.878-887
• /
• 2002

This study was to explore lived experience of middle-aged women with aging. The ultimate purpose of this inquiry was to discover the essence of middle-aged women's experience of aging and to promote understanding. Method: This inquiry was performed by using Van Manen's hermeneutical phenomenological approach to make more plausible interpretation of experience. First-handed experiences were explored through multi-stage in-depth interview with 6 women aged between 40 and 64. Second- handed experiences were explored with text such as essay, novel, and photographs. Result: As the process of reflecting and analysing the data of experience were performed, essential themes were emerged: striking onset of event, discomfort and tired body and mind, everything in ones mind, age of harvest gaining much more than loss. Conclusion: This inquiry would be a cornerstone for humanistic nursing care for the mid-aged women.

• 한국직업건강간호학회지
• /
• 제18권2호
• /
• pp.174-184
• /
• 2009

Purpose: While there exist a good number of studies on Korean nurses who were dispatched to Germany in 1960s and 1970s in sociological or labor economic perspectives, there have been few studies on their experiences from a nursing perspective. The purpose of this study is to recapture their lives and experiences from a nursing point of view. Methods: This paper adopts an Agar's ethnographic approach which is more suitable to investigate personal qualitative experiences of those Korean nurses. The data were collected from group discussion and individual interview, and field observation with 10 dispatched Korean nurses. Results: The experiences of those dispatched nurses to Germany can be summarized into three themes: challenging to life, embracing new life, and giving a meaning to life. Challenging to life involved 'hope and anxiety', and embracing new life was reflected by 'wonderment and envy' and 'loneliness and sorrow'. Lastly, they took pride in their contributions to their mother country and also felt something lacking that they had not been properly evaluated. Conclusion: By rediscovering their lives and experiences from a nursing perspective, this study argues for more future studies to reexamine their impact and contribution to the nursing field in Korea.

• Journal of Preventive Medicine and Public Health
• /
• 제55권6호
• /
• pp.586-594
• /
• 2022

Objectives: This study investigated the effectiveness of the social marketing mix approach in increasing students' knowledge about smoking, promoting positive attitudes toward smoking cessation, and decreasing smoking behavior. Methods: This quantitative research study incorporated a quasi-experimental method with a pretest-posttest non-equivalent group design. Using the purposive sampling technique, 152 smoking students were selected as participants. They were divided into 2 equal groups, with 76 students in the control group and 76 in the intervention group. The data were collected using questionnaires and analyzed with the chi-square test, independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U-test. Results: The social marketing mix intervention was effective in increasing the students' knowledge about smoking (p<0.001), improving their attitude toward smoking cessation (p<0.001), and reducing their smoking behavior (p=0.014). Conclusions: This approach should be implemented by local governments to reduce smoking behavior in the community, especially among teenagers, in addition to instituting a smoking ban and applying fines.

• 한국시스템다이내믹스연구
• /
• 제15권4호
• /
• pp.61-84
• /
• 2014

This study aims to explore the development and application of a simulated skills package designed to improve nursing students' knowledge integration and their system thinking(ST) skills about congestive heart failure(CHF) and to identify the change in students' ST levels using a ST-based learning approach. A simulated learning support package was developed by nurse educators and ST experts. The developed program was implemented with 35 third-year nursing students from S university in Seoul. The subjects improved their ST skills regarding CHF after intervention. Mean test scores for students completing the program were significantly higher than pre-intervention scores, including measures of direction of causality, polarity of causal relationship, feedback loop, polarity of feedback loop (reinforcing, balancing) and time delay (t=2.26~6.53, p=.030~p<.001). It is suggested that more educational programs be developed on various topics in order for nursing students to improve their ST skills as well as knowledge integration in clinical nursing practicum packages.

• 임상간호연구
• /
• 제14권2호
• /
• pp.71-81
• /
• 2008

Purpose: The objective of this study was to determine the cause-effect and dynamic change mechanism among factors that affect calculation of the nursing workforce in the hemodialysis room and to establish a system dynamics model and create a strategic simulation to be used to increase efficiency in the clinical situation. Method: The system dynamics approach was adapted to build a simulation model for calculating the nursing workforce. The model was built using Vensim 5.0b DSS. Results: The results were as follows for Scenario A: The highest level of nursing service quality, patient satisfaction, and nurse satisfaction, and the lowest level of turnover intention is maintained when the ratio of patients to nurse is 3.5:1 compared to all other situations. Scenario B: At the ratio of patients to nurse 4.0:1 nursing service quality, patient satisfaction, and nurse satisfaction dropped slightly, and turnover intention also rose slightly. However with time the results showed improvement. Conclusion: In terms of economic efficiency in the hemodialysis room, the ratio of patients to nurse for the best nursing workforce should not exceed 4.0:1.