• Title/Summary/Keyword: clinical study

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Effects of Clinical Learning Environment on Clinical Practice Stress and Anxiety in Nursing Students (임상실습교육환경이 간호학생의 임상실습 스트레스 및 불안에 미치는 영향)

  • Kim, Eun Young;Yang, Seung Hee
    • 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.

The Effects of Clinical Learning Environment on Nursing Students' Powerlessness and Self-Efficacy Related to Clinical Practice (간호대학생의 임상실습교육환경이 임상실습 관련 무력감과 자기효능감에 미치는 영향)

  • Oh, Yun-Kyung;Kim, Eun-Young
    • 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.

An Analysis of Research on Clinical Nursing Education (간호학 임상실습 교육에 대한 연구 논문 분석)

  • 권인수
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.706-715
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    • 2002
  • This literature review was designed to identify a trend of study in clinical nursing education, to propose the idea for further study on an improvement of teaching students in the clinical setting. Method: The researches reviewed were 36 (seven in Korea and twenty nine out of Korea) on clinical nursing education in baccalaurate program from 1996 to 2000 from Journal of Korean Academy of Nursing, Journal of Korean Education of Nursing, Journal of Nursing Education, and Nurse Educator. Result: The prevailing research design was the nonexperimental(N=21). Subjects were predominantly nursing students(N=24). Structured questionnaire(N=22) was used most often for data collection. Among clinical setting studied, specific area was none in Korea. Research variables in nonexperimental studies were 4 types of student, teacher and teaching method. Independent variables in experimental studies were 7 types of clinical teaching methods, and dependent variables were six types of competence and knowledge of student. Research theme of qualitative research was most in clinical experience of student. Conclusion: In Korean, there were the lack of researches in specific clinical area, clinical teacher and teaching method. Accordingly, future studies need to be focused on various clinical areas, clinical teacher, and teaching method to improve the clinical nursing education in Korea.

Comparison of Stress Levels Arising in Clinical Settings, Stress Coping Mechanisms and Clinical Competency between Male and Female Nursing Students (남녀 간호대학생의 임상실습 스트레스, 대처방식 및 임상수행능력 비교)

  • Kim, Sung-Mi;Hwang, Tae-Yoon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.606-616
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    • 2014
  • Purpose: This study compares differences between male and female nursing students in terms of the level of stress experienced during clinical practice settings, stress coping mechanisms and clinical competency. Method: The study population was nursing students who had taken a clinical practice course at one of five general hospitals in city D. Data were collected from September 15 to October 15, 2013 through a structured self-administered questionnaire survey given to 319 subjects (156 male students, 163 female students) enrolled in a statistical analysis course. Results: Male nursing students experienced lower stress levels during clinical practice and higher clinical competency than female students. In terms of stress coping mechanisms, male students were significantly more active than female students in deploying coping strategies. Among all students, students with higher clinical practice stress and concomitant stress coping scores exhibited higher clinical competency. Conclusion: Noticeable differences between male and female nursing students in terms of stress levels arising in the course of clinical practice, stress coping strategies, and clinical competency were revealed. However, further identification of specific stressful situations for male and female nursing students and subsequent management of clinical training circumstances are required.

A Coorientation Analysis of Perception on Bionursing between Clinical Nurses and Nursing Professors (기초간호자연과학 교육과 연구에 대한 임상 간호사와 간호학 교수의 상호지향성 인식)

  • Choe, Myoung-Ae;An, Gyeong-Ju;Jeong, Jae-Sim
    • Journal of Korean Biological Nursing Science
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    • v.14 no.3
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    • pp.212-220
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    • 2012
  • Purpose: The purpose of this study was to compare perception on bionursing and satisfaction and importance about bionursing subjects of clinical nurses with that of professors using a coorientation model. Methods: Subjects for this study consisted of 135 clinical nurses at a tertiary hospital and 114 nursing professors. Questionnaire for perception on bionursing consisted of competency of professor, linkage with clinical practice and research of bionursing. Perceptions on bionursing education and research, satisfaction and importance about subjects of bionursing were measured. The data were analyzed by t-test. Results: Perception of clinical nurses on research of bionursing was more positive than professors. Perception of professors on research of bionursing was significantly less than that of professors estimated by clinical nurses. Perception of clinical nurses on linkage with clinical practice and research of bionursing estimated by nursing professor was significantly less than that of clinical nurses. Satisfaction of clinical nurses with the subjects of bionursing was significantly less than that of professors. Clinical nurses perceived anatomy the most important while professors perceived physiology the most important. Conclusion: Perceptions of clinical nurses on bionursing as well as satisfaction and importance about subjects of bionursing were identified to be different from those of professors.

A Study on Satisfaction and Experience of Clinical Practice & Direction for Clinical Education: Focused on Maternity Nursing Practice (일 대학 간호학생의 임상실습 만족도, 실습경험 분석 및 개선방향 제시 -모성간호학 임상실습 중심-)

  • Lee, Seoung-Eun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.333-348
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    • 2001
  • The study was intended to investigate the degree of satisfaction and experiences of maternity nursing practice and to examine the relationships between satisfaction and experiences. Data were collected from a college located in Inchon from April 2, 2001 to October 30, 2001. A general characteristics questionnaires, questionnaire for clinical practice satisfaction and maternity nursing clinical checklist were used to measure the satisfaction and experiences of maternity nursing practice. The subject were supposed to record their clinical experience in maternity clinical practice checklist. 153 questionnaires for satisfaction of clinical practice and 178 maternity nursing clinical practice checklists used for analysis. The data were analyzed by SPSS-PC+ program. The results of this study were as follows ; 1) The mean score of satisfaction of clinical practice was 3.34(a perfect score 5) and among the 4 categorial components from the questionnaire of satisfaction the score of 'clinical practice teaching' was high(3.85) and 'clinical practice environment(2.91)' and 'clinical practice contents(2.90)' was relatively low. 2) There was significant value between place of clinical practice and clinical practice satisfaction among 7 clinical practice hospital and the most high score of clinical practice satisfaction is 3.70 and the low score is 2.91(F=7.706, p<.001). The score of delivery room was significantly higher than the OBGY room and there was significant value among the place of clinical practice(DR : F= 6.441, p<.001, OBGY room : F=7.908, p<.001). 3) In delivery room, the frequency of observation are 2.61 day, the frequency of practice are 1.33 day and in OBGY room the frequency of observation are 1.73 day, the frequency of practice are 1.31 day for 2 week of maternity clinical practice and the most frequent practice of maternity nursing care was checking vital sign. 4) There were significant relationships between the ranking score of clinical satisfaction and clinical experiences in maternity nursing practice. Based on the results, it is suggested that the satisfaction of clinical practice was related to environment of clinical practice and it is necessary to improve environment of clinical practice and make a strategies to enhance the quality of maternity clinical experience.

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A Survey of Teaching Effectiveness and the Development of an Evaluation Instrument for Clinical Education (임상실습지도자의 효율성 조사와 임상평가도구 개발)

  • Kwon, Mi-Ji
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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    • pp.177-186
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    • 2002
  • The purpose of this study was to contribute to the development of clinical instruction by students ratings of teaching effectiveness in clinical education. The instrument used in this study was teaching effectiveness of clinical nursing by Yu and modified evaluation method by Kern and Mickelson. The results were are follows 1. Among the 12 categorial components of clinical teaching effectiveness, the highest satisfaction was 'encouraging to think for themselves' and the lowest was 'attitude of teacher and evaluation' 2. To compare teaching effectiveness between sex, 'resource for student' and 'professional competence' showed statistical significance. 3. To compare teaching effectiveness among clinical practice stage, 'encouraging' 'role model', 'professional competence', 'organization of subject mater' and 'attitude of teacher and evaluation' showed statistical significance. 5. Interrater ICCs for evaluation method did not showed statistical significance and interitem ICCs showed statistical significance. This article presents goal of clinical education, development of clinical instructor's educational program and a standardized method to measure clinical performance.

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Clinical Nurse's Organizational Commitment and Influencing Factors (부산시내 일개 대학병원 간호사의 조직몰입에 영향을 미치는 요인)

  • Jung, Kwuy-Im;Oh, Chang-Seok
    • The Korean Journal of Health Service Management
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    • v.5 no.1
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    • pp.101-110
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    • 2011
  • This study was designed to identify organizational commitment and influencing factors in clinical nurses. A cross-sectional design was conducted with a sample of 322 clinical nurses randomly selected from university hospital in Korea. The tools used for this study were scales measuring organizational commitment(15 items), job satisfaction(41 items). The data were analyzed using SPSS 12.0 employing pearson correlation coefficients and multiple regression analysis. The mean score for organizational commitment in clinical nurses was 3.77 points. Factors influencing organizational commitment in clinical nurses were identified as job satisfaction(${\beta}$=.388), belief presence level(${\beta}$=.206). These factors explained 13.4% of organizational commitment reported by clinical nurses. The results indicate which factors are major factors influencing organizational commitment in clinical nurses. Therefore, these factors may serve as predictors of organizational commitment in clinical nurses.

Changes in Awareness of Major Employment Following Clinical Practice in Students of Physical Therapy

  • Kim, Myung-Hoon;Kim, Ga-Eun;Kim, Jun-Han;Park, Sung-Ho;Jo, Yong-Jun;Choi, Ji-Hye;Kim, Su-Hyun;Kim, Hyun-Jin
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.403-410
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    • 2014
  • Purpose: This study attempted to provide the basic data for the institutional improvement of the clinical practice of physical therapy department students. Methods: Research for this study included 390 participants used for the analysis of the present study. The statistical analysis was of the characteristics and satisfaction of the clinical practices of subjects, the reasons for major employment preferences before and after clinical practices, and the preferred institution and field of major employment before and after clinical practice. Results: The general characteristics of students of the physical therapy department include females in their third year of college at age 20~24 years-old. As well, no religion, usual satisfaction with major, and motivation of choosing a physical therapy employment rate were the most common. A residency type in the form where one would cook one's own food and a clinical practice with a general hospital grade were seen most often. Regarding preference of major employment before and after clinical practice, the preference of major employment was 88%, which increased by 5.2% after clinical practice from 82.8% before clinical practice. The preference for no major employment due to lack of interest and no aptitude increased 43.5% from 23.9% after clinical practice. Conclusion: The number of apprentices will increase despite practice institutions being limited; for practice of environment, content, etc., relatively changes are slow, and progress rapidly medical technology. It is a society in which expertise is required; in the present study, there is a value in providing the clinical data missing in physical therapy.

A Study on Dental Hygiene Students' Curriculum Regarding Clinical Practice (일부 치위생과 학생들의 임상실습 시 교과목 효용에 관한 연구)

  • Jang, Sung-Yeon
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.1
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    • pp.11-18
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    • 2021
  • Background: The present study aimed to analyze which curriculum is the most relevant to dental hygiene students when they participate in clinical practice in order to provide a useful reference for preparing educational guidance in this field. Method: The survey utilized in the present study consisted of six questions about general characteristics, such as grade, satisfaction with major, amount of clinical practice, period of clinical practice, place of clinical practice, and the most interesting are during clinical practice. When evaluating curriculum relevancy, the following were ranked on a 5-point Likert scale, where 5 = very useful, 4 = comparatively useful, 3 = normal, 2 = comparatively unuseful, 1 = very unuseful: difference in requirements in the field of clinical practice, reason for this difference, and question about the utility of each curriculum. On this scale, higher points implied higher relevance. Result: The highest groups of curricula regarding curriculum utility were as follows: operative dentistry (59.6%), pre-clinical practice (55.2%), dental materials and clinical practice (54.4%), and prosthetic dentistry (49.6%). The lowest groups of curricula regarding curriculum utility were as follows: oral physiology (2.0%), oral histology and embryology (1.6%), and oral microbiology (1.2%). These results imply a lack of connection between the curriculum and tasks in clinical practice. Conclusion: Based on the results of the present study, it appears that both theory and practice courses of the clinical curriculum must be conducted systematically, and that there is a need to conduct education for the fundamental curricula, such as oral physiology, oral histology and embryology, and oral microbiology, regarding the relevance of tasks practiced in clinics.