• Title/Summary/Keyword: Preceptorship

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Application and Effectiveness of a Preceptorship for the Improvement of Clinical Education (임상실습 교육개선을 위한 일 실습지도자 활용모델 (preceptorship model)의 적용 및 효과에 관한 연구 -암센타, 재활센타, 중환자실 실습을 중심으로-)

  • 이원희;김소선;한신희;이소연;김기연
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.581-596
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    • 1995
  • Clinical practice in nursing education provides an opportunity for students, through the process of ap-plying theoretical knowledge to practice, and to learn nursing skills as well as being socialized into nursing and as such decrease the reality shock of actual nursing practice. Because of a shortage of nursing faculty, the job of achieving the objectives of the clinical practice had been turned over to the head nurses. This resulted in many problems, such as, unclear location of responsibilities and inadequate feedback from head nurses. Therefore this study was done to introduce and evaluate the use of preceptors as a way to minimize the above problems, and to maximize the achievement of the clinical practice objectives. Using an adaptation of Zerbe's (1991) three-tiered team model, clinical practice was done using a preceptor, a head nurse and a clinical instructor, each with different and well defined roles. The subjects of this study were 67 senior students of the College of Nursing of Y University in Seoul whose clinical practice in adult nursing was carried out between May 1, 1994 and December 8, 1994. There were 22 preceptors who had at least two years of clinical experience and who were recommended by their head nurses. They were given additional education on the philosophy and objectives of the College of Nursing, on communication skills, on the theory and practice of education, and on nursing diagnosis and education evaluation. The role of the preceptor was to work one-to-one with students in their practice. The role of the head nurse was to supervise and evaluate the preceptors. The role of the clinical instructor was to provide the education program for the preceptors, to provide ad-vice and suggestions to the preceptors and to maintain lines of communication with the college. With each of these roles in place, it was thought that the effectiveness and efficiency of the clinical practice could be increased significantly. To evaluate the effectiveness of the preceptorship, the three - tiered model, Lowery's Teacher Evaluation Opinion Form translated and adapted to Korea was used to measure student statisfaction. The Clinical Practice Compentency Evaluation Tool developed by Lee et ai was also used to measure student competencies. The results of this study are as follows 1. The satisfaction with clinical practice was higher with the introduction of the perceptors than it was before they were used. (t=-5.96, p=<.005) 2. The clinical practice competencies were higher with the introduction of the preceptors than it was before they were used(t=-5.l3, p<.005) 3. In order to analyze areas not measured by the quantitative tools additional analysis of the open questions was done. The results of this analysis showed that : 1) The students felt positive about their sense of security, confidence, handling of responsbility, and being systematic. They also felt positive about improvements in knowledge, opportunities for direct care, and socialization. 2) The students felt negative about the technical part of their role, lack of knowledge by the preceptor, unprofessional attitudes on the part of the preceptor, difficulty in the role of the professional nurse(student). 3) The preceptors felt positive about their responsibility, motivation, and relationship with the college. 4) The preceptors felt negative about their bur-den. Introduction of the preceptorship model will lead to change and improvement in the negative factors discussed above, solve problems in the present clinical education system, increase continuity in the education of the students, help with socialization of the students and motivation of the preceptors to up-grade their education and increase their confidence. These objectives must be obtained to further the development of professional nursing, and thus, making the preceptorship a reality is our job for the future.

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Needs of Training Programs for Practice Courses in Advanced Practice Nurse Education (전문간호사를 위한 임상 전문실습교육프로그램 요구)

  • Ryu, Ho-Sihn;Oh, Pok-Ja;Lim, Ji-Young;Kang, Hee-Sun;Yang, Seung-Hee;Kim, Ae-Kyung;Ham, Ok-Kyung;Chu, Sang-Hui;SeoMun, Gyeong-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.4
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    • pp.553-561
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    • 2007
  • Purpose: This study aimed to assess needs of training programs for APN practice courses and continuing education programs for APNs to provide baseline data to improve APN education and practice. Methods: A total of 98 questionnaires were distributed to professors in 38 nursing institutions and 64 (65.3%) were returned. Data collection was performed in November and December, 2007 through email. Results: Professors in charge of geriatric and home care nurse practitioner programs constituted 43.7% of the study participants. Forty-one percent answered that they were satisfied with the practice programs they currently have operated, while 36.5% responded to have difficulty in appointment of institutions for practice programs and 56.3% had problems in assignment of preceptorship. In case of developing training programs for APN practice courses, 58.7% answered that they are willing to participate, and 90.6% felt needs for development of continuing education programs for APNs. Regarding liability insurance for APN students, only 11.5% provided insurance policy. Conclusion: The study results indicated that standardized training programs are needed to assure quality of APN education, and continuing education programs are required to provide opportunities for APNs to improve competencies.

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A Comparison of Preceptors' and New Graduate Nurses' Perception of Teaching Effectiveness (신규간호사와 프리셉터가 인지하는 프리셉터의 교수효율성 비교)

  • Kim, Ji-Yang;Kim, Young-Sun;Kim, Chun-Sill;Park, Hyun-Sook;Sin, Mi-Young;Yun, Yeon-Sook;Jo, Yu-Sook;Park, Mi-Mi;Yoo, Moon-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.2
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    • pp.193-202
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    • 2009
  • Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception ($4.07{\pm}.44$) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors ($3.57{\pm}.37$). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

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Effect of Nursing Organizational Culture on Job Satisfaction of Preceptors (간호조직문화가 프리셉터의 직무만족에 미치는 영향)

  • Yang, Nan-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.4
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    • pp.597-603
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    • 2006
  • Purpose: This study was to identify effect of nursing organizational culture on job satisfaction of preceptors. Method: The subjects were 73 preceptors who were working for the 4 of university hospitals in Seoul, Daejeon and Kyong Ki. This study was conducted from Aug to Oct 2005. The data was collected by questionnaires and were analyzed using descriptive statistics, pearson correlation coefficient, stepwise multiple regression. Result: Job satisfaction of preceptors were significantly correlated among nursing organizational culture. The stepwise multiple regression analysis on job satisfaction revealed that nursing organizational culture was a powerful predictor of job satisfaction. Conclusion: The findings indicate that nursing organizational culture is important for improving job satisfaction of preceptors. Therefore it is necessary to develop of good nursing organizational culture for successful preceptorship.

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Affecting Factors on Job Satisfaction, Nursing Professional Attitudes of New Nurses according to Transformational Leadership (프리셉터의 변혁적 리더십이 신규간호사의 직무만족과 간호전문직태도에 미치는 영향)

  • Yang, Nam-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.305-310
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    • 2006
  • Purpose: This study was to identify affecting factors on job satisfaction, nursing professional attitudes of new nurses according to transformational leadership of preceptors. Method: The subjects were 101 new nurses who were working for the 4 of university hospitals in Seoul, Daejeon and Kyong Ki. This study was conducted from Aug to Oct 2005. The data was collected by questionnaires and were analyzed using descriptive statistics, pearson correlation coefficient, stepwise multiple regression. Result: Transformational leadership of preceptors were significantly correlated between Job satisfaction, nursing professional attitudes of the new nurses. The stepwise multiple regression analysis for job satisfaction, nursing professional attitudes revealed that the most powerful predictor was charisma. Conclusion: The findings indicated that the transformational leadership of preceptors is important for improving job satisfaction, nursing professional attitudes of the new nurses. Therefore it may be necessary further to develop of the leadership training program for effective preceptorship.

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An Evaluation Study on Home Care Clinical Practicum (일 가정간호 실습교육 평가 연구)

  • Kang, Kyu-Sook;Kim, Cho-Ja;Seo, Mi-Hye;Baek, Hee-Chong;Margaret, Storey
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.6
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    • pp.78-87
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    • 1999
  • From 1990 to 1997 Home Care Education Programs have been offered at 11 Home Care Education Institutes. But there have been no revisions in the program. Especially in the clinical practicum, the Ministry of Health and Welfare proposed 248 hours as 'Family Nursing and Practice'. But each of institutes has developed their own program, and the clinical practicum is very different. Institutions for home care practice have been very limited and even now only 40 hospitals started home care in the second demonstration project. A few community-based institutions have also been offering home care services. This study was conducted to analyze home care clinical practicum offered at Y university, and plan for a revised home care clinical practicum. Y university clinical practicum was revised to include 'visits to community institutions', 'laboratory practice', 'hospital practice', 'discharge planning and home care practice', and 'home care specialty practice'. The results of the evaluation and plan for a revision are as follows: 'Visits to community institutions' is a practice that helps the students understand community resources which are available to home care nurses, and as an orientation to institutions for practice. 'Laboratory practice' is to used to improve nursing skills that are applicable to home care. Problems that the students identified in the laboratory practice were 'lack of opportunity for individual practice', and 'inadequate theoretical preparation for practice'. To address these problems the basic nursing skills laboratory was open and could be used freely by the home care students, and practice could be done after the theoretical lectures. 'Hospital practice' is a practicum in which the students apply nursing skills to patients and to obtain assessment skills for discharge planning. Using a preceptorship, five days for hospital practice should be offered. 'Discharge planning and home care practice' was done at Wonju Christian Hospital. This institute is too far away that this practice should be provided at different institutions as soon as it is possible to contract with home care institutions. Patients groups in different home care institutions are very different, so the 'Home care specialty practice' should be done after analyzing patient groups and choosing specialty areas. These areas are' care of patients with respiratory dysfunction', 'care of patients with neurologic dysfunction', 'care of cancer patients', 'care of patients on dialysis', and 'wound care'. This practice should be offered with a preceptorship, so preceptors, clinical directors, and students should meet for home visit orientation.

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The Effects of Empathy and Perceived Preceptor's Empathy on Job Satisfaction, Job Stress and Turnover Intention of New Graduate Nurses (신규간호사의 공감수준과 인지된 프리셉터의 공감수준이 직무만족도, 직무스트레스 및 이직의도에 미치는 영향)

  • Choi, Ju-Hee;Lee, Sang-Ok;Kim, Sung-Soo
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.313-327
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    • 2019
  • The purpose of this study was to identify the effect of new graduate nurses' empathy and their perceived preceptors' empathy on job satisfaction, job stress and turnover intention. For this purpose, a survey was conducted on new graduate nurses who were under 12 months old while working at three medical institutions that operated the preceptorship. In the preceptorship according to adult learning theory, the preceptors need to create a psychological environment for the new graduate nurses, and their empathy should be perceived by new graduate nurses. The study revealed that the new graduate nurses group with high level of empathy had high levels of job satisfaction, low job stress, and low degree of turnover intention, and the level of empathy affects job satisfaction of new graduate nurses. The new graduate nurses group with low level of perceived preceptor's empathy had low job satisfaction, high job stress, and high degree of turnover intention, and their perceived preceptor's empathy affected job stress and turnover intention. Based on these results, we suggest the introduction of a program to enhance empathy for new graduate nurses and preceptors.

The Effects of Clinical Practice in School on Clinical Competence in Nurse (재학시 주문선택 집중실습이 간호사의 임상수행능력에 미치는 효과)

  • Kim, Hye-Soon;Yang, In-Soon;Yi, Yeo-Jin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.206-213
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    • 2005
  • Purpose: The purpose of this study was to test the effects of clinical practice in school on clinical competence in nurse. Method: This study used a quasi experimental post-test design. Data were collected after post-test from April 1, 2005 to May 30, 2005 and from 73 clinical nurses(53 experimental group, 20 control group) who work for 4 General hospitals. Data were analyzed using SPSSWIN 11.5 with $X^2$-test, t-test, Mann-Whitney U-test, and stepwise multiple regression. The experimental group participated in treatment : 4-week consecutive clinical nursing education with preceptor in schooling, and the control group participated in treatment : traditional clinical nursing education with preceptor in schooling. Results: Clinical competence were significantly different between experimental and control groups(t=3.221, p=.002). Clinical competence in nurse is effected by satisfaction of clinical practice in schooling in experimental group(F=14.781, p=.000). Conclusion: 4-week consecutive clinical nursing education with preceptor has an effect on clinical competence in nurse. Therefore we should spread and reinforce the 4-week consecutive clinical nursing education program for improving clinical competence of nurse.

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Nursing Performance and Organizational Socialization of New Nurses according to Teaching Style of Preceptors and Personality of New Nurses (프리셉터의 지도유형과 신규간호사의 성격특성에 따른 신규간호사의 간호업무수행과 조직사회화)

  • Choi, Jeong-Sil;Yang, Nam-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.3
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    • pp.281-289
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    • 2012
  • Purpose: In this study, we examined the differences and relationship between teaching style of preceptors, and personality, nursing performance, and organizational socialization of new nurses. Methods: The participants were 118 new nurses. The data collected from March to May 2011 were analyzed using descriptive statistics, ANOVA, and Pearson correlation coefficients. Results: Teaching style of preceptors was most frequently judgement-initiative, and personality of new nurses was most frequently extraversion. Nursing performance ($3.05{\pm}.59$) and organizational socialization ($3.05{\pm}.59$) of new nurses were at an average level. Nursing performance and organizational socialization of new nurses were not significantly different according to teaching style of preceptors. Significant correlations were found between personality and nursing performance, and between personality and organizational socialization. Conclusion: These findings indicate that changes in perceived teaching style of preceptors and personality of new nurses may be necessary to increase efficiency of preceptorship related to nursing performance and organizational socialization of new nurses. The above-mentioned results should be reflected in the development of effective preceptor training programs.

Validity and Reliability of the Korean Version Scale of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale (CLES+T) (한국어판 임상학습환경과 슈퍼비전, 임상실습지도교수(CLES+T) 측정도구의 타당도와 신뢰도)

  • Kim, Sun-Hee;Yoo, So Yeon;Kim, Yae Young
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.70-84
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    • 2018
  • Purpose: This study was conducted to evaluate the validity and reliability of the Korean version of the clinical learning environment, supervision and nurse teacher evaluation scale (CLES+T) that measures the clinical learning environment and the conditions associated with supervision and nurse teachers. Methods: The English CLES+T was translated into Korean with forward and back translation. Survey data were collected from 434 nursing students who had more than four days of clinical practice in Korean hospitals. Internal consistency reliability and construct validity using confirmatory and exploratory factor analysis were conducted. SPSS 20.0 and AMOS 22.0 programs were used for data analysis. Results: The exploratory factor analysis revealed seven factors for the thirty three-item scale. Confirmatory factor analysis supported good convergent and discriminant validities. The Cronbach's alpha for the overall scale was .94 and for the seven subscales ranged from .78 to .94. Conclusion: The findings suggest that the 33-items Korean CLES+T is an appropriate instrument to measure Korean nursing students'clinical learning environment with good validity and reliability.