• The Journal of the Convergence on Culture Technology
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• v.8 no.1
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• pp.417-425
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• 2022

This study is to understand the relationship between self-leadership, clinical competence, and clinical practice satisfaction of nursing students, and to investigate the effect of self-leadership and clinical competence on clinical practice satisfaction. Data collection was conducted from May 1 to May 16, 2019, and 186 questionnaires were used for analysis and analyzed through SPSS/WIN 28.0. The average of the participants's self-leadership was 3.44 points, the average of clinical competence was 3.82 points, and the average of clinical practice satisfaction was 3.69 points. Satisfaction with clinical practice was found to have a positive correlation with self-leadership(r=.221, p=.002) and clinical competence(r=.262, p<.001), and self-leadership and clinical performance(r=.050, p=.494) showed no correlation. The variables affecting clinical practice satisfaction were self-leadership(β=.251, p<.001) and clinical competence(β=.208, p=.003), and the explanatory power of these variables was 10.4%. Therefore, in order to increase the satisfaction of nursing students in clinical practice, it is necessary to develop a program that can improve self-leadership and clinical competence.

• 대한임상약리학회:학술대회논문집
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• 2007.11a
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• pp.86-86
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• 2007

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• Journal of Korean Academy of Nursing
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• v.39 no.6
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• pp.840-850
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• 2009

Purpose: This study was done to investigate the relationship between critical thinking disposition and clinical competence among nurses in general hospitals. Methods: This study was a descriptive-correlational study with a convenience sample of 560 nurses from 5 general hospitals. The data were collected by self-administered questionnaires. Critical thinking disposition was measured using the Critical Thinking Disposition Scale for Nursing Students. Clinical competence was measured using the Standardized Nurse Performance Appraisal Tool. Results: The mean score for critical thinking disposition and clinical competence was 3.37 and 4.10 respectively on a 5 point scale. A statistically significant correlation was found between critical thinking disposition and clinical competence. A regression model explained 72.8% of clinical competence. Prudence is the most significant predictor of clinical competence ($R^2=.728$). Conclusion: Study findings suggest that nurses with a higher level of critical thinking disposition would have a higher level of clinical competence. Furthermore, prudence might be the most important predictor of clinical competence. In order to strengthen clinical competence in nurses, the development and enhancement of critical thinking should be emphasized at the college level and nurses should be encouraged to make a clinical decision with greater prudence.

• Korean Journal of Adult Nursing
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• v.25 no.5
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• pp.574-584
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• 2013

Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

• Korean Journal of Biological Psychiatry
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• v.19 no.4
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• pp.172-178
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• 2012

Data from clinical studies are needed for psychiatrists to make quick and scientific decisions based on the best available evidence in clinical settings. Various methods of clinical studies are useful for clinicians to have reliable answers to unmet clinical needs. Although randomized controlled trials may provide high-quality information about major issues, well-designed, naturalistic and observational studies often give us unbiased explanation for real-world phenomena. Adequate selection of clinical variables and appropriate number of participants are key factors of well-designed clinical studies. Statistical methods can add an extra dimension to initial design of clinical studies. Given ethical issues in clinical studies on psychiatric disorders, special regards should be paid to participants' ability to provide informed consents. New strategies of clinical studies need to be developed to meet clinical needs and protect the rights and welfare of study participants.

• Journal of Korean Academy of Nursing Administration
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• v.21 no.4
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• pp.417-425
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• 2015

Purpose: The purpose of this study was to identify factors in the clinical learning environment that affect clinical practice stress and anxiety in nursing students. Methods: Participants were 210 senior nursing students from two universities who had completed their clinical experience. Data were collected from self-report questionnaires and analyzed using t-test, ANOVA, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 Program. Results: The mean scores for the clinical learning environment, the clinical practice stress, and anxiety were $3.16{\pm}0.68$, $2.98{\pm}0.66$, and $43.74{\pm}10.18$ points, respectively. The regression analysis showed that the clinical learning environment contributed to 13% of the stress and 20% of the anxiety in the nursing students with the conditions controlled for general characteristics, department satisfaction and social support. Conclusion: The results of this study suggest that the clinical learning environment should be carefully assessed to reduce nursing students' stress and anxiety from clinical practice. Therefore, collaboration between nursing universities and teaching hospitals is necessary to optimize clinical learning environment.

• Journal of East-West Nursing Research
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• v.24 no.1
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• pp.36-43
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• 2018

Purpose: The purpose of this study was to identify the effect of the clinical learning environment on nursing students' powerlessness and self-efficacy related to clinical practice. Methods: Participants were 149 nursing students from a university who had completed their clinical practicum in B city. Data were collected using self-report questionnaires and analyzed using t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: The mean score of the clinical learning environment was 2.99 out of 5 points, the powerlessness related to the clinical practice, 2.96 out of 5 points, and the self-efficacy related to clinical practice, 73.69 out of 100 points, respectively. The regression analysis showed that the clinical learning environment explained 11% of the powerlessness related to clinical practice and 3% of the self-efficacy related to clinical practice in the nursing students after controlling for the general characteristics. Conclusions: The result of this study indicated that it is necessary to improve the clinical learning environment for decreasing the feeling of powerlessness and increasing the self-efficiency related to clinical practice among the nursing students.

• Neonatal Medicine
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• v.15 no.2
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• pp.119-122
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• 2008

Clinical research is a necessity, not an option, for developing better and new medicines and therapeutic modalities. But in the course of clinical research, there are rules and guidelines that should be followed to ensure the due respect for persons, beneficence, and justice for persons who voluntarily participate in the research as described in the Belmont Report. Good Clinical Practice (GCP) is an "international scientific and ethical quality standard for designing, conducting, recording, and reporting" clinical trials. The main purposes of GCP would be to protect rights, safety, and well-being of trial subjects, in compliance with the principles of Declaration of Helsinki, and to assure that the data obtained from clinical trials are credible. In order to achieve these, investigators must be fully aware of the meanings as well as actual procedures involved in the research and should make the best effort to comply with GCP. For those individuals who belong to vulnerable populations, such as neonates, in addition to the general principles of GCP, further measures to ensure added protection should be implemented. It is our duty to develop and provide better care through clinical research even for neonates. But in doing so, we have to make sure that the importance of protecting the rights, safety, and well-being of the subjects supersede the interests of science and society.

• Journal of Fisheries and Marine Sciences Education
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• v.28 no.3
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• pp.619-629
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• 2016

This study was a descriptive study to investigate emotional labor, clinical practice stress and satisfaction of clinical practice in nursing college students. The data were collected using an self-reporting questionnaire from June 1 to July 12, 2015. Collected data were analysed on SPSS Win 20.0. The study results were summarized as follows : The students' emotional labor was $3.13{\pm}0.54$ in average on a scale of 5. The clinical practice stress was $3.65{\pm}0.47$ in average, and students' satisfaction of clinical practice was $3.41{\pm}0.43$. The emotional labor has positive correlation significantly with clinical practice stress(r=0.353, p<.001), and negative correlation with satisfaction of clinical practice (r=-0.170, p<.007). In stepwise multiple regression to put control variables, emotional labor and clinical practice stress were no significant influence toward satisfaction of clinical practice. According the result, to improve the satisfaction of clinical practices emotional labor should be released. Moreover it is necessary to attention to the health care of nursing students and it is needed to boost up the students satisfaction with major, more friendly relations should be built with co-trainees.

• Journal of Korean Academy of Nursing Administration
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• v.17 no.2
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• pp.216-225
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• 2011

Purpose: In this study, the relationship between self-leadership, stress, and satisfaction among nursing students in clinical practice was examined. Method: The participants were 273 nursing students. Data collected from September to December 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean scores for self-leadership ($3.72{\pm}.41$), stress ($3.45{\pm}.59$), and satisfaction ($3.11{\pm}.38$) in clinical practice were above average. Self-leadership was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Stress in clinical practice was significantly different according to gender, year, and health status. Satisfaction in clinical practice was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Significant correlations were found between self-leadership and satisfaction in clinical practice, and stress and satisfaction in clinical practice. Year, self-leadership, interpersonal relationships, and stress in clinical practice were factors influencing satisfaction in clinical practice (20.0%). Conclusion: These findings indicate that there is a need to improve self-leadership, and to lessen stress in clinical practice to improve nursing students' satisfaction with clinical practice. The above-mentioned results should be reflected in the development of effective teaching methods for clinical practice.