• 한국컴퓨터정보학회논문지
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• 제22권11호
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• pp.73-79
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• 2017

The purpose of this study was to identify differences in stress, interpersonal relations, learning perceptions and self-efficacy of nursing students participating in team based learning simulation practices. The study group consisted of 24 students in the third grade who attended nursing college. Data were collected using questionnaires. The collected data were analyzed by SPSS 22 version's descriptive statistics, t-test, and paired t-test. The results showed that stress and learning perceptions were significantly different according to gender, leave of absence in pre and post - test. After the practice of team - based simulation, the stress of nursing college students decreased and interpersonal relations and self - efficacy were improved. The results of this study showed that nursing students' gender and absence of school should be considered in the team - based simulation. Further research on team based simulation practice involving interpersonal relationships is needed.

• 의학교육논단
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• 제19권2호
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• pp.76-82
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• 2017

The quantitative expansion of nursing schools has necessitated the qualitative improvement of nursing education, which requires the development of nursing education for clinical practice. To identify strategies for strengthening the educational capacity of clinical fields and nursing schools, this study first examined the current status of nursing education for clinical practice, and then proposed several prospective directions for education. Nursing clinical practice-related studies from several Korean and international electronic databases were reviewed. Insufficient training hospitals and lack of qualified clinical training instructors were the main problems found within nursing educational resources for clinical practice, while the simple practice contents based on observation and inadequate evaluations were the main problems found in nursing educational management for clinical practice. This study suggests better standards and educational accountability for training hospitals and programs to nurture human resources for clinical practice, as well as a variety of training methods to integrate practical training courses and the expansion of formation evaluation. Based on these results, it is necessary to establish governance for nursing education for clinical practice and clarify the role and standards of each practitioner, strengthen the educational role of the hospital, and improve the system. In addition, introducing various types of education methods and strengthening evaluation standards are needed in order to enhance nursing education for clinical practice.

• 한국콘텐츠학회논문지
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• 제16권7호
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• pp.513-521
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• 2016

본 연구는 간호대학생의 분만실 실습 중 수행내용을 파악하고 임상실습 환경에 따른 간호대학생의 실습 수행도 및 만족도를 분석하여 실습의 질 향상을 위한 개선방안을 제시하고자 하였다. 연구결과 간호대학생의 분만실 임상실습은 대부분 관찰 위주로 진행되고 있었고, 제한된 영역에서만 직접수행과 보조적 수행을 경험하였다. 간호대학생의 임상수행 만족도는 69%정도의 비교적 낮은 수준을 보였다. 임상실습지에 따른 차이를 분석한 결과 여성전문병원의 분만실에서 실습 한 간호대학생은 종합병원에서 보다 더 많은 관찰을 수행 할 수 있었고, 그에 따라 만족도 점수 또한 높았다. 분만실 임상실습에서 관찰 및 보조적 수행이 많을수록 만족도는 상승하였다. 결과에서 확인된 실습 중 부족한 직접수행은 시뮬레이션기반 임상실습 등을 통해 보완할 수 있을 것이다. 또한 병원 실무자와의 긴밀한 의사소통을 기반으로 실습지를 확보하고, 다양한 간호대상자를 경험하고 관찰할 수 있도록 지도하는 것은 간호대학생의 임상실습 만족도와 질 향상을 위한 전략으로서 제시될 수 있겠다.

• 한국사회복지학
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• 제61권4호
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• pp.85-108
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• 2009

본 연구는 결혼이민자 가족이 직면하고 있는 다양한 도전에 대해 사회복지실천현장의 효과적인 접근방법으로 임파워먼트 접근의 틀을 제시하고자 하였다. 구체적으로 첫째, 결혼이민여성의 프로필과 지원서비스현황을 파악하고, 둘째, 적응관련 쟁점을 정리하였다. 셋째, 적응쟁점을 개인과 가족 관계, 지역사회 관련 및 사회문화 관련으로 구분하고, 임파워먼트 기반 사회복지실천 접근의 내용을 각각의 쟁점별로 거시 중도 미시적 수준에서 논의하였다. 결혼이민자 가족을 위한 차별화된 접근은 다문화역량과 밀접한 관계에 있다고 보고, 사회복지사 자신과 사회복지기관, 지역사회의 문화적 편견에 대한인식과 다문화 지식 및 기술의 개발 필요성을 지적하였다. 끝으로 다문화역량 확보에 대한 사회복지학계와 실천현장의 대응에 대해 논의하였다.

• 임상간호연구
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• 제22권2호
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• pp.238-247
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• 2016

Purpose: This study was done to develop an evidence-based practice guideline for catheter dysfunction in hemodialysis patients. Methods: Development of the guideline process was done according to the De Novo development version 1.0 by NECA which consists of 12 steps. Results: The developed guideline consisted of 5 domains and 14 recommendations. The number of recommendations for each domain were: 3 on catheter dysfunction assessment, 1 on conservative management of catheter dysfunction, 7 on drug management of catheter dysfunction, 1 on catheter function test and 2 on maintenance management. Of the recommendations, 7.15% were marked as A grade, 52.85% of B grade, and 50% of C grade. Conclusion: Findings in this study indicate that this guideline can be added to the evidence-based practice guidelines for fundamentals of practice and that this guideline can be disseminated to nurses nationwide in order to improve the care of hemodialysis patients with catheter dysfunction.

• 간호행정학회지
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• 제18권4호
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• pp.460-473
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• 2012

Purpose: This study was done to provide information on issues of nursing core competencies needed in the fields of nursing practice for graduates in nursing, from the perspective of nursing managers, and to make suggestion for improving nursing education programs. Methods: Ten nursing managers participated in this study. They were in charge of clinical nursing education in the fields of nursing practice. Data were collected using focus group interviews and analyzed with the content analysis methodology of Downe - Wamboldt's. Results: Six types of nursing core competency - therapeutic nursing competency, professional nursing competency, administrative nursing competency, humanistic nursing competency, relational nursing competency, and personal nursing competency - were identified as nursing core competencies needed in the fields of nursing practice for graduates in nursing. Conclusion: Results of the study show important evidence for decision-making about nursing curriculum revision based on nursing core competency, both in the classroom and in nursing practice areas. These results should contribute to the development of evaluation indicators for nursing students or new nurses. Further research is required to measure degree of nursing core competency in graduates of nursing and to identify the effect of competency-based education for improving nursing core competency.

• 간호행정학회지
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• 제23권2호
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• pp.111-117
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• 2017

Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

• 대한물리의학회지
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• 제7권3호
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• pp.283-291
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• 2012

Purpose : The purpose of this study was to identify education, attitudes and beliefs, interest and perceived role, self-efficacy and barriers to physical therapists' implementation of evidence-based practice for people with stroke. Methods : The participants were 120 physical therapists providing services to people with stroke in Gwang-ju. The questionnaire contained items to evaluate practitioner and organizational characteristics and perceptions of research considered to influence evidence-based practice. The prevalence of practitioner and organizational factors was estimated using percentages. Logistic regression was used to examine relationships between sociodemographic and practice characteristics and each practitioner factor. Results : 40% of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. 88.3% agreed that research findings are useful. Self-efficacy ratings were 45%. Conclusion : Lack of education, negative perceptions about research and physical therapists' role in evidencebased practice, and low self-efficacy to perform EBP activities represent barriers to implementating EBP for people with stroke that can be addressed through continuing education.

• 한국간호교육학회지
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• 제22권4호
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• pp.452-461
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• 2016

Purpose: This study was conducted to investigate the relationships among communication competence, professional self-concept, and stress in clinical practice of nursing students. Methods: The study participants were 308 senior year nursing students in D city and K province. Collected data were analyzed using t-tests, analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression with the SPSS Version 20.0. Results: There were significant differences in participants' stress of clinical practice based on their level of satisfaction on clinical practice, self-confidence of nursing and difficulty with relationships in clinical practice. A negative correlation was detected between stress in clinical practice and the professional self-concept of nursing students. Significant predictors of the perceived stress of clinical practice were satisfaction in clinical practice and pride in nursing. These accounted for 18% of the perceived stress of clinical practice in a regression model. Conclusion: The results may serve as basic data in support of the need to the develop effective systematic stress management programs and clinical training courses in order to attenuate the stress experienced during clinical practice of nursing students.

• 재활간호학회지
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• 제16권1호
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• pp.47-54
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• 2013

Purpose: The purpose of this study was to investigate the relationship among stress, depression, and satisfaction to clinical practice in nursing students. Methods: Three hundred forty-five nursing college students were selected by convenient sampling and data were collected from October to November, 2011. Results: The nursing students experienced moderate stress level. The most severe stressors were adjustment to school and clinical practice. Also, they experienced more than moderate level of satisfaction on clinical practice. The most satisfiable factors were clinical practice circumstance and practice hours. The sophomore had more severe stress and depression and had lower clinical practice satisfaction than the junior. Satisfying with major in nursing as well as clinical practice had a significantly negative correlation with stress and depression. Conclusion: Based on this results, we need to develop programs for increasing satisfaction to clinical practice and major in nursing. The program will enhance adaptation ability to clinical practice.