• International Journal of Advanced Culture Technology
• /
• 제8권3호
• /
• pp.140-147
• /
• 2020

The purpose of this study is to improve the empathy, communication efficacy, and communication skills of nursing students through a psychiatric nursing practice program using storytelling by allowing the students to immerse in the narratives and identify themselves with the main characters with mental illness. This study is a single group pretest-posttest design that applied psychological nursing practice using storytelling to 46 nursing students from a local university in Korea and evaluated its effectiveness. Data analysis was performed by a paired t-test to compare the effects of the participants' empathy, communication self-efficacy, and therapeutic communication ability using SPSS 21.0 program. The results showed that psychiatric nursing practice using storytelling had an effect on the empathy (t=3.565, p=.001) and communication self-efficacy (t=2.320, p=.025) of nursing students. Based on these results, psychiatric and mental health clinical practice curriculums should be developed to improve nursing students' understanding of mental disorders and develop their communication ability with patients.

• 산업융합연구
• /
• 제20권2호
• /
• pp.61-70
• /
• 2022

본 연구는 COVID-19 pandemic으로 간호대학생의 정신간호학 임상실습이 제한되면서 블랜디드 러닝을 기반으로 한 정신간호학실습 프로그램을 개발하고 의사소통 능력, 협력적 자기효능감 및 학습전이동기에 미치는 효과를 확인하기 위한 연구이다. 연구는 2021년 10월 18일부터 2021년 12월 11일까지 간호대학생 64명이 참여하였으며 온라인 구글설문지를 이용하여 실습 전과 실습 후에 설문지를 완성하였다. 수집된 자료는 SPSS 25.0 프로그램을 이용하여 기술적 통계, paired t-test로 분석하였다. 연구결과, 대상자는 블렌디드 러닝을 기반으로 한 정신간호학실습프로그램 전에 비해 후에 의사소통 능력, 협력적 자기효능감과 학습전이동기가 유의미하게 상승되었다. 본 연구결과를 통하여 블렌디드 러닝을 기반으로 한 정신간호학실습프로그램의 효과를 확인할 수 있었다. 추후 포스트 코로나 상황에서도 임상현장실습을 대체하여 적용할 수 있는 정신간호학실습교육의 실행성과 후속연구의 근거자료로 활용될 수 있을 것이다.

• International Journal of Advanced Culture Technology
• /
• 제10권3호
• /
• pp.210-219
• /
• 2022

Psychiatric nursing is a specialty where nursing students experience many difficulties in applying what they have learned in theory to clinical practice. Therefore, a situation-oriented case-based strategy is required to help them overcome the limitations of psychiatric nursing clinical practice and reduce their burden. This study aimed to measure the effectiveness of a psychiatric nursing clinical practice program using situation-oriented case-based learning. Participants comprised 63 nursing students in psychiatric nursing classes. The students were asked to create a scenario of interaction between a nurse and patient based on a case study. Empathy, therapeutic communication ability, and attitudes toward mental illnesses were measured. We analyzed the effectiveness of the program by comparing changes in the nursing students' empathy, therapeutic communication ability, and attitude toward mental illness after the program. The participants showed significant increases in empathy and therapeutic communication abilities. However, there were no significant changes in attitudes toward mental illnesses. Based on the results of this study, it is expected that situation-based learning will be effective for students who have difficulties in certain aspects, such as COVID-19, or where there are limited clinical practice opportunities, such as psychiatric nursing.

• 간호행정학회지
• /
• 제16권3호
• /
• pp.229-239
• /
• 2010

Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses. Methods: As a descriptive correlational study, this study sampled 206 psychiatric mental health nurses in six hospitals in Seoul and Gyeonggi area through convenience sampling. Data were collected from March 2 to 31, 2009 using a self-report questionnaire. The collected data were analyzed using SPSS WIN 16.0. Results: In the subscales of professionalism, the 'Sense of calling' had the highest mean score while the 'Professional organization' had the lowest mean score. A significant positive correlation was observed in nursing professionalism, nursing performance and retention intention. According to an analysis on the impact of each subscale of nursing professionalism on nursing performance and retention intention, the 'Sense of calling' and 'Autonomy' were the most significant predictor variable. Conclusion: The results confirmed that the improvement of psychiatric mental health nurses' professionalism increases their nursing performance and retention intention and the 'Sense of calling' and 'Autonomy' are critical prediction factors. It is necessary to come up with a strategy which strengthens nursing professionalism in order to improve psychiatric mental health nurses' performance and retention intention.

• 대한간호학회지
• /
• 제19권1호
• /
• pp.81-91
• /
• 1989

This descriptive-comparative study attempted to examine the differences according to the year in college of 288 junior college nursing students attitudes about mental illness. The instrument used for this study was the OㆍMㆍI (Opinion about Mental Illness) scale developed by Cohen and Struening. Data collection was done from the 27th to the 30th of September, 1988 by means of a questionnaire. Data were analyzed by computer, using the t-test and Analysis of Variance. The finding of this study are as follows : 1. Hypothesis I: “There will be a difference in attitudes toward mental illness according to the year in college 1"There will be a difference in the attitude about authoritarianism-according to the year in college" was rejected(F＝.5675, P＝.5676). 2 "There will be a difference in the attitude about benevolence-according to the year in college." was accepted(F＝.5376, P＝.5848). 3. "There will be a difference in the attitude about mental hygiene ideology-according to." was accepted (F＝17.3497, P＝.0000). 4. "There will be a difference in the attitude about social restrictiveness-according to" was rejected (F＝1.7416, P＝.1771), 5."There will be a difference in the attitude about interpersonal etiology-according to" was accepted (F＝10.8597, P＝.0000). 2. Hypothesis II : "There will bed difference in attitudes toward mental illness." according to whether or not the student have had clinical practice in the psychiatric ward. 1.There will be a difference in the attitudes about authoritarianism - according to "whether or not the student's have had clinical practice in the psychiatric ward was rejected(t＝.59, p＝.555). 2. "Whether they have had clinical practice at the psychiatric ward or not, There will be difference in the attitudes about benevolence." was rejected (t＝1.34, p＝.182). 3."Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the mental hygiene ideology attitude." was accepted (t＝2.72, p＝.008). \circled4 “Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the social restrictiveness - attitude." was rejected (t＝-.59, p＝.557). 5. "Whether they have had clinical practice at the psychiatric ward or not, there will be difference of to interpersonal etiology-attitude." was accepted(t＝3.55, p＝.001). In conclusion, it was found that the higher the year in College, the more positive the attitudes are about mental hygiene ideology and interpersonal etiology. This study suggests that more positive attifudes about psychiatric illness can be induced by a more effective educational experience. The main limitation of this study was that the sociocultural background of Korea is not considered in the OㆍMㆍI scale.

• 한국산학기술학회논문지
• /
• 제16권11호
• /
• pp.7812-7819
• /
• 2015

간호학생들은 정신질환 및 정신질환자간호에 대한 전문적인 지식과 기술부족으로 환자와의 관계형성에 대한 불안과 두려움을 갖게 된다. 시뮬레이션교육은 임상상황과 유사한 비위협적인 환경에서 수행되므로 효과적인 교수-학습방법으로 알려져 있다. 본 연구는 표준화환자를 활용한 시뮬레이션교육이 정신건강간호학 임상실습에 대한 불안과 자신감에 미치는 효과를 확인하기 위한 비동등성 대조군 전후설계에 의한 유사실험연구이다. 연구대상은 3년제 간호대학에 재학 중인 3학년 학생으로 실험군(N=28)은 조현병환자 시나리오로 표준화환자를 활용한 시뮬레이션교육을 실시하고, 대조군(N=18)은 실험군과 같은 내용의 사례를 적용한 토론교육을 하였다. 수집된 자료는 기술통계를 산출하고 비교검증을 위해 t-test와 ANCOVA를 하였다. 연구결과 실험군이 대조군에 비해 정신건강간호학 임상실습에 대한 불안점수가 유의하게 감소하였으나, 자신감은 군간 유의한 차이를 보이지 않았다. 따라서 임상실습 전에 수행한 시뮬레이션교육은 간호학생의 정신건강간호학 임상실습에 대한 불안을 감소시키는데 효과적인 학습방법이라고 할 수 있다.

• 실천공학교육논문지
• /
• 제15권1호
• /
• pp.63-72
• /
• 2023

본 연구는 정신간호학실습교육에서 간호학생의 의사소통능력과 실습스트레스가 실습만족도에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 연구대상자는 일 대학 4학년 간호학생 237명이었고 수집된 자료는 SPSS/WIN 24.0 프로그램을 사용하여 기술통계, t-test, ANOVA, 상관분석 및 다중회귀분석을 실시하였다. 연구결과 의사소통능력은 실습만족도(r=.285, p<.001)와 양의 상관관계를 보였고, 실습스트레스 하부 영역 중 연계 교육(r=-.13, p<.05)과 음의 상관관계, 의료진과의 갈등(r=.18, p<.01)과는 양의 상관관계가 있었다. 실습스트레스는 실습만족도(r=-.28, p<.001)와 음의 상관관계가 있는 것으로 나타났다. 정신간호학 실습만족도에 영향을 미치는 요인은 역할 모델(β=-.43, p<.001), 의사소통능력(β=.23, p<.001), 전공만족도(β=.21, p<.01), 연계 교육(β=.20, p<.05)이었으며 이 변수들의 설명력은 27.1%이었다. 간호학생의 실습만족도 향상을 위해 실습스트레스 하위요인인 역할모델, 연계교육과 의사소통능력을 고려한 교수학습법과 프로그램개발이 요구된다.

• 한국보건간호학회지
• /
• 제16권1호
• /
• pp.95-104
• /
• 2002

Purpose : This study was conducted to investigate the extent to which the professional self concept between the psychiatric mental health nurse practitioner (PMHNP) and general nurse in psychiatric ward was comparable. The results were expected to provide basic data for developing the construct of professional self concept and making awareness of the importance of the program increasing professional self concept. Method : The subjects of this study were 227 PMHNP and 436 general nurse in psychiatric ward. The instruments used for this study were PSCNI by Arthur (1990), PSI by Heppner and Peterson(1982) and the index of work satisfaction by Slavitt et al.(1978). With the aid of the SAS, t-test. two-way ANOVA and stepwise multiple regression were conducted. Result : 1. The average item score of PSCNI of PMHNP was $2.82\pm0.27$. and that of general nurse was $2.66\pm0.27$. Statistically significant difference between two groups was found(p=0.0000) 2. There was statistically significant difference between two groups in the score of professional practice(p=0.0000), satisfaction(p=0.0024), leadersbip(p=0.0000) , flexibility(p=0.0000) and skill (p=0.0000). 3. Statistically significant differences between the two groups were observed in terms of age(p=0.0003), marital status(p=0.0001). education(p=0.0005), religion(p=-.0144), motive (P=-.0001), length of service as a nurse(p=0.0121), the length of service in psychiatric unit(p=0.0143). However there were no significant interaction effect with group and age, marital state. education, religion, motive, length of service as a nurse, length of service in psychiatric unit. 4. Job satisfaction (JS) and problem solving inventory score(PS) were found to be the highest factor predicting the professional self concept between the PMHNP and general nurse. JS and PS accounted for $43.4\%$ in the professional self concept of PMHNP, whereas PS, JS, age and religion accounted for $53\%$ in the professional self concept of general nurse in psychiatric ward. In conclusion, this study suggested that we need to develop programs and polices to increase the professional self concept of nurse, particularly of psychiatric mental health nurse practitioners.

• 문화기술의 융합
• /
• 제9권6호
• /
• pp.1127-1134
• /
• 2023

본 연구는 Parse의 연구방법을 적용하여 간호대학생의 온라인 정신건강간호학실습 경험의 의미와 구조를 밝히기 위한 질적 연구이다. 연구대상은 K대학 간호학과 4학년 재학생으로 COVID-19상황에서 정신건강간호학실습을 온라인으로 진행한 학생 9명을 대상으로 하였다. 자료수집은 2022년 3월 7일부터 2022년 5월 27일까지 이루어졌다. 연구결과 COVID-19상황에서 간호대학생의 정신건강간호학 온라인 실습 경험의 핵심 개념은 '자기와 타인 이해의 중요성 인식', '치료적 인간관계 형성을 위한 의사소통 준비', '간호의 의미 탐구를 통한 미래에 대한 조망'으로 나타났다. 핵심 개념을 생생한 경험의 구조로 전환시키면 '자기와 타인 공감', '상호적 인간관계를 위한 마음가짐', '간호의 본질탐구와 자기실현'으로 나타났다. 핵심 개념을 개념적으로 통합시키면 '가치화', '노출-은폐', '강화성'으로 재해석할 수 있다. 결론적으로 COVID-19 상황에서 간호대학생의 정신건강간호학 온라인 실습 경험은 정신건강간호의 목적이 되는 치료적 관계를 위한 인간의 이해, 의사소통의 중요성을 인식하며 미래 간호사로 성장하고, 초월해 나가는 경험이었다. 본 연구는 향후 팬데믹 등 예측할 수 없는 다양한 상황에 효율적인 임상실습 운영을 위한 기초자료가 될 것이다.

• 한국보건간호학회지
• /
• 제16권2호
• /
• pp.378-387
• /
• 2002

This study was conducted to investigate the degree of PSI (self-evaluative awareness of problem solving ability) in PMHNP (psychiatric mental health nurse practitioners) and to identified the factors predicting problem solving ability of them, in order to provide basic data for the development of the specific education programs to improve problem solving ability. Data was collected from 355 subjects who have the certificates of PMHNP working in hospitals and public centers. Chun Seok Kyun's instruments (1993) based on the Heppner and Petersen's Problem Solving Inventory (1982) was used to determine PMHNPs' PSI. The results were as follows; 1. The average score of PSI of PMHNP was $2.81\pm0.23$. Of the three factors. there marked the lowest score in the factor 3. personal control $(2.56\pm0.43)$, and the highest score was in the factor 1. problem-solving confidence $(2.95\pm0.34)$. 2. The differences in PSI were significant for degree of education and career in psychiatric settings (p=0.000l, p=0.0187). 3. Job satisfaction was the highest factor predicting PSI of PMHNP$(17.9\%)$. When degree of education, career in psychiatric setting and marital status were added, the total predictors explained $24.3\%$. As a result, it is necessary to conduct further research in relation to the problem-solving process, the development of education program. skill acquisition and measurement of problem solving in nursing practice.