• Women's Health Nursing
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• v.29 no.3
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• pp.219-228
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• 2023

Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

• Journal of Korean Academy of Nursing Administration
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• v.1 no.1
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• pp.5-21
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• 1995

This study purports to investigate moral reasoning and ethical decision making among student nurses in the hypothetical moral dilemmas. The subjects consisted of 25 senior nursing students attending at a four-year college. Data were collected through self-reported questionnaires in November, 1993. The questionnaires included two kinds of tests. Rest's Defining Issues Test was adopted to measure the stage of moral development, which was classified with the stage 2 (instrumental relativist orientation), the stage 3 (interpersonal concordance), the stage 4 (law and order), the stage 5A (societal consensus), and the stage 5B (intuitional humanism). In particular, the level of principled thinking (P) was measured by summing those scores of the stages 5A, 5B, and 6. The possible range of P is 0 to 95. As for measuring the levels of morality and nursing dilemma, Crisham's Nursing Dilemma Test was adopted. This test generated the morality score(MS) and the dilemma score (DS). The data were analyzed by t-test, ANOVA, Kruskal-Wallis test, and Pearson correlation coefficients. The findings are following. 1. The mean score of P was 52.93 (SD=12.82). The mean score of the stage 5A was significantly higher than the scores of other stages (17.92, p=.0001). 2. The mean score of P was not significantly different by general characteristics of the students. Of the scores of each stage, only the mean score of the stage 3 revealed significant difference by the status of living with parents(p=.0283). The score was highest when "living with both parents"(15.22), which was followed by "living with no parents"(10.0), "living with father only"(9.0), and "living with mother only"(7.50). 3. With regard to the five dilemmas postulated such as forcing medication, performing cardiac pulmonary resuscitation, reporting a medication error, informing diagnosis to terminally ill adult, and providing new-nurse orientation, most students perceived them as moral dilemma rather than nonmoral one. Most students made a positive decision according to moral reasoning in the above situations except for providing new-nurse orientation. 4. The mean score of the MS was 3.30 and that of the DS was 3.32. These scores did not show significant difference with general characteristics of the students. 5. As for the correlations between moral reasoning and decision making, the score of the stage 5A was positively correlated with the scores of P(.74, p<.0001) and DS(.56, p<.001). Positive correlation was also observed between the scores of stage 2 and stage 4(.68, p<.0001). On the other hand, the score of P was negatively correlated with the scores of stage 3(-.47, p<.05) and of stage 4(-.55, p<.001). The score of the stage 5A was also negatively correlated with the score of the stage 6(-.42, p<.05).

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.1
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• pp.669-678
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• 2017

This study aimed to identify the mediating effect of resilience on the relationship between stress during clinical practices and clinical competence in nursing students. A total of 137 senior nursing students in three different universities located in C city were included. The study period was between October 15 and November 15, 2016, and the data were collected using by structured questionnaires. Collected data were analyzed by descriptive analysis, t-test, ANOVA, Pearson's correlation, and Multiple regression using the SPSS 22.0 statistical program. The average score of stress in clinical practice, clinical competence, and resilience were $3.09{\pm}0.43$, $3.54{\pm}0.45$ of 5 and $4.93{\pm}0.66$ of 7. There were significantly negative correlations between stress in clinical practice and resilience (r=-.24, p=.005), as well as stress in clinical practice and clinical competencies (r=-.21, p=.012), while there were significantly positive correlations between resilience and clinical competencies (r=.59, p<.001). Resilience had a full mediated effect between stress in clinical practices and clinical competencies, which showed the significance upon Sobel test (Z=-3.02, p=.003). Therefore, it is suggested that various training courses and programs for strengthening resilience should be developed and applied to nursing curriculum.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.8
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• pp.106-114
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• 2017

This study was a one-group pre-post test design experimental investigation conducted to evaluate the effects of problem-based learning by type of learning in nursing students. The subjects of the study were 125 senior students in the Department of Nursing Science at a single university located in A. City, and the study was conducted for eight weeks from April 18 through June 10, 2016. Data analysis consisted of descriptive statistics, ANOVA, ${\chi}^2$-tests and t-tests. Most nursing students underwent converger type of learning, and after problem-based learning, their learning flow, problem-solving ability and critical thinking disposition increased significantly. In problem-based learning by type of learning, the problem-solving ability was significantly higher in the converger type than in the accommodator type, and there were no significant differences in learning flow and critical thinking disposition; however,in all types of learning, learning flow and critical thinking disposition increased. Since these results suggest that teaching and learning strategies should be set up for each type of learning, it is necessary to seek plans for teaching and learning strategies to make up for the weak points and strengthen the strong points by each type of learning when applying the problem-based learning method.

• Journal of Korean Public Health Nursing
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• v.14 no.1
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• pp.68-79
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• 2000

In order to provide a desirable direction for the health education on preventing drinking of elementary school students. by understanding the views held by elementary school teachers on drinking prevention education. 529 teachers at elementary schools located in Seoul were responded by constructed questionnaires during the period of Nov. 15 to Dec. 18 1999. The results of the survey analysis were as follows: 1. $84.6\%$ of the respondents said that schools should offer education programs on preventing drinking, and this view was more strongly shared by teachers with religions than non-religious ones. 2. $35.0\%$ of teachers responded that the education should start with 6th graders, while $28.3\%$ opted for 4th to 5th grades. With regard to the appropriate class in providing such education, $41.0\%$ selected physical education (PE), followed by extracurricular activity class with $35.4\%.\; 45.6\%$ of the respondents said discussion would be the most effective education method. while $35.4\%$ recommended using experiments. Growth and developmental defect and fall in diseases were pointed out as the most interesting topic for students by $39.4%$ and $31.2\%$ of the surveyed, respectively. As for the most effective media for education, $56.0\%$ recommended video, followed by cartoons $(21.5\%)$ and computer games $(19.5\%),\;63.7\%$ of the teachers picked school nurses as the most appropriate person in carrying out the education. The results of the finding show that it would be most desirable to provide health education on preventing drinking to senior elementary schoolers during the PE or extracurricular activity class by school nurses. The program would be structured to first show video clips on growth and developmental defect or fall in diseases resulting from drinking and to have discussions or experiments on related matters.

• Journal of Korean Academy of Nursing
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• v.14 no.2
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• pp.63-74
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• 1984

This study attempted to analyze and confirm the correlation between self-concept and the degree of satisfaction on clinical practice. The subjects of the survey were 194 junior and senior students selected from S universities by questionaire from Nov. 1 to Nov. 30, 1983 in Seoul. The collected data was analyzed by t-test, AN-OVA, Pearson correlation according to purpose of study. The results were as follows: 1. Self-concept by religion was significant (F = 4.51, df=4/185, p= .002). 2. In the motives of selecting the nursing, most of students chose the nursing depending on their altruism(62.9%), ability and aptitude(57.7%) and better opportunity of studying abroad and Setting a job(49.5％） respectively. 3. The degree of clinical practice satisfaction was low as 2.80 of a total score 4.0. The degree of satisfaction of contents(3.33) revealed to be high. Compared with the degree of satisfaction on instruction(2.77), practice hours(2.83), practice environment (3.65), and clinical evaluation(2.60) revealed to be low. Religion and choice order of the admission were not significant in satisfaction of clinical practice(t=.37, p=.715). The main hypothesis that“The more positive self concept will be, the higher the degree of satisfaction on clinical practice will be”was not supported (r= .0509, p=.240). The first sub-hypothesis that“The more positive the cognitive self-concept will be, the higher the degree of satisfaction will be”was partially supported. Because favorite-isolated self-concept was significantly correlated with the satisfaction (r=.1189, P=.005). The second sub·hypothesis that“The more positive the evaluational self-concept will be, the higher the degree of satisfaction on clinical practice will be”was not supported. As a above results, self-concept was not influenced to the degree of satisfaction on clinical practice, therefore it is required that environment, instruction method and evaluation for clinical practice should be refined and improved by clinical administrators and nursing faculties for nor-sing student's satisfaction on clinical practice.

• Journal of the Korea Convergence Society
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• v.7 no.5
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• pp.97-106
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• 2016

This study is to find the converging effects of the Complete Sciences Subjects(CSS) in high school before entrance to University on the scores of Basic Nursing Sciences(BNS) and Major Nursing Subjects(MNS) of 111 senior nursing students of one university. Using the SPSS 19.0, t-test, Pearson's correlation coefficient, multiple and simple linear regression were carried out. The mean scores of the groups that have completed the subjects of Biology I & II, Chemistry I & II were high on Anatomy, Physiology and Pathology. There was a significant difference between the group of completed Biology II and incompleted Biology II on the mean scores of MNS(p<.05). There were positive correlations between the CSS and the scores of BNS and MNS, a moderate correlation between Chemistry II and BNS(r=.303) and a strong correlation between BNS and MNS(r=.796). Explanation rate of CSS on the scores of BNS, and MNS were 18.2%, 8.2% respectively, and on the scores of BNS on MNS was 63.8%. The result of this study can be used in assessing university entrance procedure after repeated study, extended location and more participants, and to use for making pre-school program for the freshmen who didn't CSS.

• Journal of Korean Public Health Nursing
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• v.29 no.2
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• pp.219-230
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• 2015

Purpose: This research study not only examine the relationship between cognitive function, IADL, depression and quality of life, but also clarifies factors impacting quality of life for the elderly. The purpose of this study is to administer health promotion programs and to improve quality of life for the elderly. Methods: Data were collected from May 20, to June 10, 2014. The participants were 157 elderly persons with mild cognitive injury (MCI), who had under 23 points on MoCa-K from three different senior welfare centers in Daejeon. The questionnaires were conducted by four university students after receiving instruction from the researcher and consisted of general characteristics, cognitive function, depression and quality of life. SPSS WIN 19.0 program was used for data analysis. Results: Cognitive function showed positive correlation with quality of life (r=175, p=.028). IADL did not show correlation with quality of life (r=-.005, p=.947). However cognitive function(r=-.344, p<.001) and depression (r=-.623, p<.001) showed negative correlation with quality of life. In addition, the factors impacting quality of life were cognitive function (${\beta}=.14$, p=.29) and depression (${\beta}=-.61$, p<.001) which accounted for 39% of quality of life. Conclusion: These findings showed that the participants had depression and their cognitive function was low. As a result, the more participants' cognitive function decreased, the more their quality of life decreased. In addition, the more their depression decreased, the more their quality of life improved.

• Journal of Korean Academy of Rural Health Nursing
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• v.14 no.2
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• pp.47-53
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• 2019

Purpose: This case study was done to describe the health survey conducted by a community health practitioner. Methods: The community health survey was carried out from April 16 to May 31, 2018 with face to face interviews done by 48 trained senior nursing students. Results: Compared with other regions, rates for chronic disease prevalence, chewing discomfort, falls, and depression were higher than those of the relevant district/the relevant city, and the whole country. It is encouraging that the treatment rate for hypertension, diabetes, and hyperlipidemia, and walking practice rate were higher than those other regions. Those who participated in village events had low stress, and those who participated in health promotion programs had a higher quality of life. Conclusion: The community health practitioner in the public health center post needs to operate health promotion programs continuously. Programs including chronic disease management, fall prevention, depression control, and oral health management should be emphasized, and ways to increase social participation, including participation in village events should be developed.

• Child Health Nursing Research
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• v.19 no.1
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• pp.1-11
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• 2013

Purpose: This study was done to develop a scenario and evaluate student performance in simulation learning of care for children with respiratory distress syndrome in neonatal intensive care units. Methods: To test the application effect, a one group pre-test design was applied. The scenario based on actual patients and textbook material was developed through several meetings of experts. The scenario was used with 17 groups of 55 senior nursing students who participated voluntarily. Results: Contents were organized focusing on the nursing process for simulation learning. In the application of knowledge and skills, nursing students had high scores in the contents of observation of oxygen saturation, and care to relieve dyspnea. Participants' ability, especially in suction and oxygen supply in the evaluation of objective structured clinical examination was not adequate. There was a significant positive correlation between problem-solving ability and satisfaction in learning. Conclusion: The respiratory distress syndrome simulation scenario developed in this study was an effective tool to give students experience in problem solving and critical thinking ability under conditions similar to reality. The development of various scenarios for child nursing care is needed.