• 제목/요약/키워드: clinical practice training

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간호대학생의 간호전문직관 영향요인: 전환충격과 무례함 중심으로 (The Effects of Transitional Shock and Incivility Experienced by Nursing Student on Nursing Professionalism)

  • 박혜련;전혜정;반민경
    • 동서간호학연구지
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    • 제27권1호
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    • pp.78-86
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    • 2021
  • Purpose: The purpose of this study was to understand the correlations between transitional shock, incivility and nursing professionalism among nursing students. Methods: A total of 143 nursing students completed transitional shock, incivility and nursing professionalism, using structured questionnaires. The collected data were analyzed using the t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: The results showed that nursing professionalism was significantly correlated with gender (β=.20, p=.001), major satisfaction (β=.44, p=.007), clinical practice satisfaction (β=.45, p<.001), transitional shock (β=-.20, p=.012), and incivility experienced (β=-.18, p=.021) among nursing students. Conclusion: It is necessary to develop a plan for reducing individual satisfaction with clinical practice and the transitional shock of nursing students. It ultimately may increase nursing students' nursing professionalism. In addition, a strategy is needed to reduce incivility among nursing students by creating positive educational environment in clinical practice through cooperation between schools and training institutions, and to strengthen desirable nursing professionalism.

중환자실 간호사를 위한 자기주장훈련의 효과 (Effects of Assertiveness Training for ICU Nurses)

  • 조용애;김금순
    • 임상간호연구
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    • 제19권2호
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    • pp.255-264
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    • 2013
  • Purpose: This study was done to examine the effects of assertiveness training on Intensive Care Unit (ICU) nurses' assertive behavior, job stress, communication conflict, and self-esteem toward improving their communication skills and coping. Methods: The assertiveness training program was developed to a 10-hour program consisting of 3 sessions. The goals were to understand assertive behavior and learn how to practice assertive communication in general conflict situations and/or a difficult conflict situation in the ICU. Participants were 65 nurses recruited from a tertiary teaching hospital and of these, 27 nurses completed the program. Data were collected from Jan. 30th to Mar. 28th, 2009 using a questionnaire which included demographic characteristics, assertive behaviour scale, job stress scale, communication conflict inventory-specific, and self-esteem scale. Data were analyzed using SPSS v. 14.0 for $x^2$ test and t-test. Results: ICU nurses in the experimental group had a significant increase in aspects of assertive behavior and a decrease in job stress. Conclusion: The results of the study indicate that assertiveness training is effective in increasing ICU nurses' assertive behavior and decreasing job stress through reinforcement of assertiveness behavior.

신생아집중치료실 간호사의 캥거루 돌보기에 대한 인식과 장애 (Perception and Barriers to Kangaroo-Mother Care Among Neonatal Intensive Care Unit Nurses)

  • 정선경;김태임
    • Child Health Nursing Research
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    • 제22권4호
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    • pp.299-308
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    • 2016
  • Purpose: To investigate the perception and barriers of Kangaroo-Mother Care (KMC) among nurses in Neonatal Intensive Care Units (NICU). Methods: Participants were 131 nurses working in NICU who completed self-report questionnaires which included information regarding perception, barriers, and practice of KMC. Collected data were analyzed using SPSS 18.0 program for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients. Results: Of the participants, 33.6% reported the practice of KMC in their NICU, with 75.6% wanting to receive training in KMC and 31.3% having received KMC education. Most of the participants agreed that KMC enhances attachment, parental confidence, and effective breast feeding but they reported a negative perception in providing KMC for premature infants weighing less than 1000 grams or intubated premature infants. Major barriers to practicing KMC were safety of infants, possible work overload for nurses, as well as absence of consistent guidelines. Barriers to KMC among nurses who received the KMC training were lower than nurses who did not receive the KMC training (t=-2.11, p=.037). Conclusion: Education program and standardized clinical practice protocol should be developed to foster the positive perception and to reduce nurse barriers to KMC.

3D-Printed Disease Models for Neurosurgical Planning, Simulation, and Training

  • Park, Chul-Kee
    • Journal of Korean Neurosurgical Society
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    • 제65권4호
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    • pp.489-498
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    • 2022
  • Spatial insight into intracranial pathology and structure is important for neurosurgeons to perform safe and successful surgeries. Three-dimensional (3D) printing technology in the medical field has made it possible to produce intuitive models that can help with spatial perception. Recent advances in 3D-printed disease models have removed barriers to entering the clinical field and medical market, such as precision and texture reality, speed of production, and cost. The 3D-printed disease model is now ready to be actively applied to daily clinical practice in neurosurgical planning, simulation, and training. In this review, the development of 3D-printed neurosurgical disease models and their application are summarized and discussed.

임상 실습과제 방법에 따른 간호학생의 셀프리더십, 팀효능감, 문제해결과정 및 과제만족도 비교연구 (Comparative Study on Self-leadership, Team Efficacy, Problem Solving Process and Task Satisfaction of Nursing Students in Response to Clinical Training)

  • 김정효;박미경
    • 한국간호교육학회지
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    • 제20권4호
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    • pp.482-490
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    • 2014
  • Purpose: This research compares self-leadership, team efficacy, problem solving processes and task satisfaction in response to teaching methods applied to nursing students, and determines whether variations exist. Method: This research experiments before and after the training of a nonequivalent group. The subjects were 36 learners of action learning methods and 39 learners of nursing course methods, and the research took place from October through December 2012. Results: Prior to the training, the general features and measurable variables of the two groups of subjects were similar, and self-leadership, team efficacy, problem solving process and task satisfaction in both groups were elevated compared to pre-training. In particular, in comparison with the nursing course, there was a notable difference in scores, the action learning method receiving high scores in the problem solving process (t=2.92, p=.005) and task satisfaction (t=2.54, p=.013) Conclusion: It is recommended that educators not only conduct the practice training course for teaching methods, but also incorporate action learning.

중소병원 간호사의 근거기반 통증 관리 지식과 수행 및 근거기반 실무에 대한 태도 (Nurses' Evidence-Based Pain Management Knowledge, Performance and EBP Attitude in Small-medium Sized Hospitals)

  • 홍인화;은영
    • 한국임상보건과학회지
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    • 제3권4호
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    • pp.476-489
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    • 2015
  • Purpose. The purpose of this study was to investigate the evidence-based pain management knowledge, performance and Evidence-Based Practice(EBP) attitude of nurses at small-medium sized hospitals. Methods. The sample of this study were 214 nurses. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression using SPSS/Win 21.0 Results. Evidence-based pain management knowledge score averaged $3.95{\pm}0.43$, with significant differences depending on clinical experiences. Performance score averaged $3.77{\pm}0.51$. EBP attitude score averaged $3.21{\pm}0.57$, and significant differences were evident depending on hospital division and clinical setting. Evidence-based pain management knowledge and EBP attitude were significant predictors of evidence-based pain management performance. Conclusions. This result indicates that education and training programs to facilitate evidence-based pain management knowledge, performance, and EBP attitude are needed among nurses.

임상융합 신생아마사지 프로그램 전·후 간호대학생의 신생아돌보기 활동 자신감 비교 (Comparison of the Self Confidence for Newborn Baby Care Before and After Clinical Convergence Baby Massage Training Program in Nursing students)

  • 임소연;박민희
    • 한국융합학회논문지
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    • 제8권4호
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    • pp.59-65
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    • 2017
  • 본 연구의 목적은 간호대학생의 임상융합 신생아마사지 프로그램 전 후에 신생아돌보기 활동 자신감의 차이를 비교분석하기 위하여 실시되었다. 연구대상은 충남지역에 위치한 B대학 간호학과 3학년 학생 50명이었고, 2016년 3월 1일에서 3월 25일까지 1일 2시간씩 4차례에 걸쳐 계획된 교육프로그램을 진행하였다. 대상자에게 신생아돌보기 활동 자신감 정도를 교육 프로그램 전 후에 각각 1회씩 측정하였고, 수집된 자료는 SPSS 21.0 프로그램을 이용하여 paired t-test로 분석하였다. 연구결과로는 교육 전 후에 신생아돌보기 활동 자신감 총점(t=-7.209, p<.001)과 세부영역인 수유관리(t=-6.025, p<.001), 트림시키기(t=-3.870, p<.001), 목욕시키기(t=-7.432, p<.001), 목욕 후 위생관리(t=-5.892, p<.001), 제대관리(t=-3.843, p<.001), 아기 상태 파악 및 아기 간호활동(t=-6.113, p<.001)에서 통계적으로 유의하였다. 이는 임상에서 필요한 지식과 술기에 바탕을 둔 신생아마사지 프로그램이 간호대학생의 신생아돌보기 활동자신감 향상에 긍정적인 효과 및 임상 실습과 졸업 후 임상 간호 수행에 큰 도움이 될 것이라 사료된다.

인턴제도 폐지 논의 이후의 의학교육 변화 (Accelerating Change in Medical Education after the Dismantlement of the Intern Training System)

  • 양은배;김병수;신좌섭
    • 의학교육논단
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    • 제17권1호
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    • pp.20-25
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    • 2015
  • In light of changes in today's medical environment, whether to dismantle the 50-year-old internship training system in the Republic of Korea is under debate. Although the question remains open, discussions on such issues have drawn attention to the quality of the clinical clerkship and student career advisory programs in medical colleges. The purpose of this study is to analyze the experiential clerkship and career exploration issues. Ensuring excellence of the clerkship and career advisory sessions is an essential responsibility of educational institutions regardless of whether the intern training system is dismantled. Important objectives of the experimental clerkship include reinforcing prerequisites established by law, introducing a student practice license, developing a standardized clinical assessment and student portfolio requirement, and publishing a guidebook for clinical directors. For career exploration, it is necessary to broaden participants' experiences of specialties and to manage the variety of student career guidance programs. It is imperative for the Korean Association of Medical Colleges, in collaboration with medical colleges, to play a leading role in focusing more attention and effort on such issues.

가정간호사 임상실무 훈련프로그램 개발과 평가를 위한 사전 연구 -정형외과 수술 환자를 중심으로- (A Preliminary Study on Development and Evaluation of Home Health Care Nurse Clinical Practice Program -Focused on Postoperative Orthopedic Patients-)

  • 서영숙
    • 대한간호학회지
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    • 제26권1호
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    • pp.15-32
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    • 1996
  • The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed include confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient /family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who have had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.

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간호대학생의 임상실습 스트레스와 간호전문직관과의 관계에서 정서조절력의 효과 (The effects of emotional regulation between clinical practice stress and nursing professionalism in nursing students)

  • 장인순
    • Journal of the Korean Data and Information Science Society
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    • 제27권3호
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    • pp.749-761
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    • 2016
  • 본 연구는 간호대학생의 간호전문직관에 영향을 미치는 요인과 임상실습 스트레스가 간호전문직관에 영향을 미치는데 정서조절력이 조절변수로서 효과를 가지는지 규명하고자 실시하였다. 간호대학생 192명의 자료를 사용하였고, 2015년 9월부터 11월까지 자료를 수집하였다. SPSS 21.0 프로그램을 활용하여 기술통계분석, t-test, ANOVA, 상관분석, 위계적 회귀분석을 하였다. 간호전문직관은 임상실습 스트레스와 음의 상관관계를 (r=-.40, p<.001), 정서조절력과는 양의 상관관계 (r=.55, p <.001)가 있었다. 그리고 정서조절력은 임상실습 스트레스 (r=-.20, p <.001)와 음의 상관관계가 있었다. 간호전문직관에 교수지지, 전공만족도, 임상실습 스트레스, 정서조절력이 유의한 영향을 미치는 요인으로 나타났고, 정서조절력은 임상실습 스트레스와 간호전문직관의 관계에서 조절효과는 없는 것으로 나타났다. 본 연구 결과는 간호대학생의 간호전문직관을 높이기 위해 지지체계 구축과 임상실습 스트레스 관리와 정서조절력 훈련 개발의 중요함을 보여준다.