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A Study of Teaching Effectiveness on Clinical Nursing Education (임상간호 실습교육의 교수효율성에 관한 연구)

  • 김미애
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.946-962
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    • 1996
  • The purpose of this study was to contribute to the development of clinical instruction by students' ratings of teaching effectiveness in clinical nursing education. The subjects were comprised of graduating class 618 students from 24 nursing colleges in the nation. The instruments used in this study were "general characteristics & status of clinical nursing education" developed by the researcher and "Instrument to Measure Effectiveness of Clinical Instructors" by Reeve(1994). The 50 questions used in the questionaire were categorized into 13 components subject to factor analysis. The 13 components were interpersonal relationships, communication skills, role model, resource for students, favorable to students, encouraging to think for selves, teaching methods, evaluation, finding assignments for objectives, organization of subject matter, professional competence, knowledge of subject matter & working with agency personnel. The results of this study are as follows 1. Status of clinical nursing educaion : 1) Clinical nursing education were led by nursing professors(44.9%), a team of both nuring professor & head nurse(6.8%), instructors from specific hospital(15.1%), instuctos for a specific subject(14.6%), & head nurse(6.8%). For 3-year program students, 34.6% of the clinical nursing education were led by instructors from specific hospital & 51.4% of the education by nursing professors for Bachelor's program. 2) The contents for clinical education comprised of Conference being the most frequent of 34.5% ; a combination of Nursing skills, Orientation, Conference etc.22.0% : Nursing process 21.7% : Orientation 13.5% : Inspection(making rounds ) 6.4%, & Nursing skills of 2% being the least frequent. 3) Students' preference of clinical teachers from the highest to the lowest were instructors for a specific subject being the most desired (44.9%) followed by nursing professor, head nurse, a team of both nursing professor & head nurse, & instructors from specific hospital being the least desired. 4) Students felt that the qualification for clinical teachers should be at least a master's degree holder and 5 or more years of clinical experience. The reason they felt was because knowledge & experience are imperative for professional education. 2. Clinical teaching effectiveness : The total points for teaching effectiveness was 147.97(mean of 2.95±0.98) where the total score is considered to be an average rating. 3. Teaching effectiveness as status of clinical nursing education : 1) The score ratings for the clinical instructors from the highest to the lowest were as follows : instructors for a specific subject, instructors from specific hospitals, a team of both nursing professors & head nurses, nursing professors, head nurses, which resulted in significunt difference(F=4.53, P<0.001). 2) The rating scores based on the teaching program from the highest to the lowest were as follws ; nursing skills, nursing process, a combination of nursing skills, orientation, conference etc. , conferences, orientation, inspection, which resulted in significunt difference(F=10.97, P<0.001). 4. Based on 13 categorized components from the questionaires, questions related to communication skills scored the highest points of 3.20 where inquiries regarding resource for students scored the lowest points of 2.38. 5. Among the 13 categorial components from the questionaire, Interpersonal relationship, Communication skills, Resource for students, Encouraging to think for selves, Evaluation, Teaching method, Finding assignment for objectives, Organization of subject matter, Professional competence, & Working with agency personnel, instructors for a specific subject scored the highest points and head nurse scored the lowest, which resulted in significant difference. Favorable for students, instructors for a specific subject scored highest points and nursing professor scored the lowest, which resulted in significant deference (F=5.39, P<0.001). Role model & Professional competence, instructors for a specific subject scored the highest points and head nurse scored the lowest, with minimum variation(F=1.29, P>0.05 : F=1.64, P>0.05) 6. Based on 13 categorial components as a whole, the highest points scored among the 5 groups of clinical teachers was instructors for a specific subject and the lowest, by head nurse(F=1.94, P<0. 001). A team of both nursing professor & head nurse attained higher score in clinical education than their independent education.

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Study of the Curriculum Development of Nursing Education in Pusan (간호학교 교육과정 발전을 위한 기초 일 조사(부산시를 중심으로))

  • 차선정
    • Journal of Korean Academy of Nursing
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    • v.2 no.1
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    • pp.201-215
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    • 1971
  • The survey was conducted on 16 questions for 24 professions, 20 questions for 250 students following school such as Pusan National school of nursing, Maryknoll school of nursing, Boak oum school of nursing, Chun hae school of noising if Pusan from April 17. to September 15. 1971. The results of the evaluated were follows: It was found that the most of students are majoring nursing, the reasons are 1. For future home life (21%) 2. For secure job(16%) The feeling of clinical practice. 1, Expected too much (32%) 2. Unstabled(36.4%) 3. Fearful(31.6%) The main problems which student nurses. 1. The gap between lecture and clinical practice (22%) 2. Over clinical practice(18%) 3. Unfairness of evaluation practice (66.5%) As matter of fact. it was revealed that the professor's adequate clinical supervision was mainly attributed to the professor's excess workload consisting of lectures, and other duties. Professors and they also recognised that appraisement of clinical experiences of students are often found to be biased. In view of the findings of this study regarding the educational process and its principles of formation above, a few suggestions have teen made regarding the development of the Curriculum of nursing school in Pusan.

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A Study for the Nursing Curriculum and educational environment in 3-year college (전문대학 간호과의 교과과정 및 교육여건에 관한 조사 연구)

  • Kim Sook-Young;Son Haeng-Mi;Lee Hong-Ja;Lee Hwa-In;Jun Eun-Mi;Cho Kyung-Mi;Joo Hye-Joo;Han Young-Ran
    • The Journal of Korean Academic Society of Nursing Education
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    • v.3 no.2
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    • pp.125-149
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    • 1997
  • The role of nurses in Korea is undergoing significant change because of the economic development, medical insurance and the change of family structure. It will be predicted that the nurse's role is extended more and more in the 21C. So the nursing curriculum in nursing education is the most important thing to prepare a good quality of nursing. Furthermore qualified curriculum calls for the development of desirable attitudes in nursing students. The purpose of this descriptive study was to collect data which can be used to facilitate the process of encouraging every college to assume greater responsibility for needed curriculum and educational conditions related to preperation of nursing students for various developed society toward 21C. A total sixty one nursing college were surveyed by mail during August and October 1997. Thirty six college(59%) responded. The data was analyzed by using SAS program. The results are as follows : 1) 32 college(88.9%) answered that they have Nursing educational philosophy and goal. 2) Total credits are 136credits, and the students who don't have teacher's course need 128 credits. 3) Nursing essential subjects comprise 84 credits, and nursing clinical practice subjects are 19 credits. 4) 15 colleges(41.7%) have their own hospital for student's clinical practice, 36 college(100%) take the community nursing practice in public health center, 34college(94.4%) take the school health nursing practice. 5 college(13.9%) have industrial nursing practice. 5) 3-year nursing college have 6.4 professor, 3.5 assistent professor, 1.9 and 3.4 full faculty and 7.4 part time faculty. We sugest that 3-year college have to have nursing educational philosophy and goal in terms of nursing educational standard. To improve the quality of nursing education every college should try to increase the number of professor and to contact qualified hospital for students clinical practice.

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The influences on the self-regulated learning ability due to nursing students' achievement goal: Focusing on the mediating effects of autonomous support (간호대학생의 성취목표가 자기조절학습능력에 미치는 영향: 자율성지지의 매개효과)

  • Cho, HaeKyung
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.523-531
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    • 2018
  • The purpose of this study based on descriptive research is to examine the influences on the self-regulated learning ability due to nursing students' achievement-goal and to make sure mediating effect of autonomous support of professor. A convenience sample of 294 nursing students were recruited from a college in C province from April to May, 2018. Data are analyzed using SPSS/WIN 21.0 program. As a result, it is turned out that there are positive correlation between mastery goal, performance approach goal, self-regulated learning ability and autonomous support of professor. In the Sobel test results, autonomous support of professor had a partial mediating effect between mastery goal and self-regulated learning ability(Z=3.922, p<.001). So, a new teaching method should be developed through the convergence of related factors of self - regulated learning ability.

An Analysis on Clinical Education of Pediatric Nursing (아동간호학 임상실습교육 현황)

  • Kwon In-Soo
    • Child Health Nursing Research
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    • v.8 no.3
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    • pp.344-356
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    • 2002
  • This study was conducted to analyse the current clinical education of pediatric nursing in baccalaurate nursing program, then to give basic data for enhancing the quality of future clinical education of pediatric nursing. Data were collected through self-reported questionnaire by mail from December 2001 to February 2002. The subjects were 29 schools of 50 baccalaurate nursing education programs. The data were analysed by double raters, researcher and assistant researcher. The results were summarized as follows: 1. Twenty-eight schools had the objectives of the clinical education of pediatric nursing, and 28 schools in pediatric ward, 23 schools in nursery, 22 schools in neonatal intensive care unit(NICU), 15 schools in objectives related to profession by clinical site. 2. Credits on clinical education of pediatric nursing were most 15 schools of 3 credits. 3. The clinical sites were mainly the hospital that sick children were admitted in. 4. The clinical teacher were 9 types including pediatric professor and field nurse. 5. On teacher's role, the professor instructed the case study and conference, and field nurse instructed the patient assignment and nursing procedures. 6. All of schools used explanation and conference as a method of clinical education, 1 or 2 schools used PBL or role play or field study. 7. On clinical education content, most of school included Apgar scoring system, physical examination in newborn assessment, respira- tion maintenance, temperature maintenance, infection prevention, nutrition, and bath in newborn care. 8. On clinical education content, most of school included care of incubator, phototheraty, infusion, gavage feeding and how to use the instruments in NICU. Eighteen schools included attachment promotion, and 20 schools case study. 9. On clinical education content, most of school included a checklist of nursing procedures, case study, assessment of growth and development in pediatric ward and other sites. 10.There were various evaluation types in scores, measuring items. In conclusion, the results of this study revealed that there were some discrepancy in the objectives and contents, clinical sites on hospital focused, teacher's role, and diversity of measurement items and ratings in clinical education of pediatric nursing. There is a need for a standardization of content, clinical site, and evaluation tool to improve a quality of clinical education of pediatric nursing based on this study.

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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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A Study of Faculty Practice for Clinical Teaching (임상실습 교육을 위한 간호학 교수의 실무참여에 관한 연구)

  • Kim Moon-Sil
    • The Journal of Korean Academic Society of Nursing Education
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    • v.1 no.1
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    • pp.5-16
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    • 1995
  • Nurse educators are being encouraged to intergrated the role of faculty practice into the role expectations of the education institutes. Schools of nursing are faced with challenge of the faculty who wishes to adopt facilitating practical role. Also directors of nursing department in hospitals point out the lack of competences for nursing care of new graduated nurse. This survey study was conducted to clarify the factors that faculty who engages on practice in the clinical teaching are to facilitate or inhibit. In this study, 55 head nurses of university hospital and 30 professors of nursing school were assigned to complete the questionnaire. Results of this study are as follows : 1) Head nurse : The most actively participated nursing activities in student's clinical teaching are medication, injection, vital sign checking and bed making. The problems of clinical leaching are lack of direct care of Professors, overloaded work of head nurses, passive learning attitudes of nursing students and less priority about clinical teaching of academic administrator's perception. 2) Nursing professor Facilitators of faculty practices are negative perception about clinical practice of both nursing professor and academic administrator. Inhibitors of faculty practice are negligence of the clinical teaching, lack of the practicing capability and lack of administration system on practical education by head of the school. There, following strategies are suggested for facilitating faculty practice : 1. Faculty practice focused on clinical teaching must be emphasized for academic administration. 2. Nurse educators must keep continuing clinical practice in their specific area. 3. Collaboration between school of nursing and hospital promotes effectiveness of the clinical practice for nursing students.

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The Effects of Nursing Students' Major Satisfaction and Professor-Student Interaction on their Adjustment to University Life (간호대학생의 전공만족도와 교수-학생 상호작용이 대학생활적응에 미치는 영향)

  • Lim, Kyoung-Min;Park, Jung-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.195-205
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    • 2018
  • This study was a descriptive investigation of the effects of nursing students' major satisfaction and professor-student interaction on their adjustment to university life. For this investigation, data were collected from July 22 to August 15, 2017. The collection was made through a questionnaire survey of nursing students in their 1st or 2nd year at one of eight colleges or universities located in B Metropolitan City, U Metropolitan City and G City. Participants were informed of the purpose of the study and agreed to participate in it. Of all the questionnaire sheets collected after the survey, those filled in by 205 participants were finally used for analysis here, with those by others excluded because they were considered to have been inappropriately filled out. The findings of this study can be summarized as follows. Nursing students surveyed in the study were significantly different from one another with respect to adjustment to university life depending on grade, health status, interpersonal relationships, desired career, academic achievement and family life level. Moreover, nursing students who had higher satisfaction with their major and more interactions with their professors were likely to adjust better to university life. In addition, regression analysis revealed that the nursing students' satisfaction with their major had the biggest effect on their adjustment to university life. Taken together, the results suggest that nursing students in their 1st or 2nd year of school should continue to be provided with curricular or extracurricular programs designed to improve their major satisfaction and that they should be given opportunities for communication with or counseling from their advisors or other nursing professors from the onset of university life.

Factors Influencing Psychological Well-being of Nursing Students (간호대학생의 심리적 안녕감에 영향을 미치는 요인)

  • Park, Jin-Ah;Hong, Ji-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.448-457
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    • 2019
  • This descriptive study was conducted to identify the factors affecting the psychological well-being of nursing students. A questionnaire survey was conducted on 298 nursing college students attending two universities in G city from April 10 to May 9, 2018. The research tools were used 27 items of Professor Trust Scale, 25 items of emotional regulation, 25 items of Connor-Davison Resilience Scale, and 18 items of psychological well-being scale. psychological well-being was significant different according to gender(p=.019), grade(p=.011), motivation of choosing a nursing(p=.003), major satisfaction(p<.001), stress of clinical practice(p=.002), and current health status(p<.001). There were significant positive correlations between psychological well-being and professor trust, active emotion regulation, support-seeking emotion regulation, and ego-resilience and negative correlation between psychological well-being and avoidant-distractive emotion regulation. The results of multiple regression analysis are as follows. Factors influencing the psychological well-being of nursing students were ego-resilience, support-seeking emotion regulation, avoidant-distractive emotion regulation, major satisfaction and these variables explained the psychological well-being by 55.0%(F=30.92, p<.001). It is necessary to develop a curriculum/comparative programs and student coaching plans for improving ego-resilience which is the most influential variable. Also internal or environmental and social support should be strengthened so that negative emotions caused by various causes can be efficiently managed.

The Present Situation and Future Strategies of 4-Year Nursing Baccalaureate Program (한국 4년제 대학 간호교육의 현황과 발전방안)

  • Park Jeong-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.1 no.1
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    • pp.17-23
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    • 1995
  • One of the biggest problems of Nursing Education in Korea is the division among nursing education programs of the last 3 and 4 years. To solve this problem, Nursing community must do variable trials to achieve the unity of a 4-year educational program. With this, we need to observe the phenomena and reality of the present 4-year nursing educational program that we have. The object of this study is to analyse and discuss that we have. The object of this study is to analyse and discuss the problems and future strategies of 4-year Nursing Baccalaureate program. 1. Problems as nursing department in Medical School. 1) Many 4-year nursing baccalaureate programs are operating under the medical school as nursing department. So the academic development in nursing department is unprogressive and is not approved as unique discipline. 2) The operating system between nursing and medical department are different even though they are in the same school. 3) Inequality between nursing and medical department : In many case, the nursing professor can not attend administraion committees to discuss the medical school's operation because of many differences between nursing and medical organization. 4) Weakness of the leadership and the student activities in nursing student : The nursing student involvement is usually passive because of the difference of curriculum, less number than medical students and the difference between 4-year and 6-year education program. 5) There is the obscurity of the relationship between department of nursing and other departments in whole university. 2. Problems in nursing itself 1) We need to reconstruct nursing discipline. We must change from the disease centered model to health centered model and life cycle centered model so that we can be distinguished from medicine. We also must change from hospital centered nursing to all population centered nursing, 2) The improvement of curriculum ; When the independent framework of nursing discipline become established, we need to improve the curriculum. 3) The education of clinical practice ; Most nursing school programs are divided into professors who are lecturing the theory and clinical teachers who are teaching the nursing technique in the clinic. So, what is needed in nursing discipline is that the professors have a dual position. In America, The professor is required to be a clinical specialist and to have his or her clinic so that the professor become a good role model, teach the clinical practice effectively, and give the student the practice field. 4) To extend fields of nursing : At first, the school nurse must become the school health educator, a real teacher. The nurse must establish and operate a childern's wellbeing center or nursery school, a disabled people's house or senile's wellbeing center, a mental health center, and a health promotion clinic for healthy people. 5) The name 'nursing department' need to be considered. When the focus is to be changed from the disease model to health improvement model, we take into consideration change 'nursing college', 'nursing department' and 'nursing profession' to 'health science college' or 'health wellbeing college'. 6) We must have highly qualified academic students. Each Nursing educational faculties must have the high qualified students through the development of nursing educational program and the increment of scholarship. The Korean Nurses Association and The Korean Clinical Nurses Association need to make an endeavor for the improvement of work condition and payment of clinical nurses of hospitals who consist of 70% of all nursing manpower. 3. Improvement Strategy 1) All nursing educational program must be changed 4-year program gradually. 2) Nursing department need to try to become nursing college. 3) We need to study many researches for improvement of the problem in nursing discipline and nursing education. We need more interdisciplinary researches, and we need to be granted for that research. 4) We need to have many seminars and workshops thoughout the whole country to expand a sense of nursing education. 5) Drawing up a policies plan for the nursing educational improvement : The Korean Nurses Association, The Korean Academic Nursing Association, Korea Nursing College and department President's Committee, and Korea Academic Society of Nursing Education must try for the development of nursing educational improvement and ask for government frame the policy to develop nursing education.

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