The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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Communication of Nursing College Students Experienced in Clinical Practice in the COVID 19 Situation

코로나 19 감염병 상황에서 간호대학생이 경험한 임상실습에서의 의사소통

  • Received : 2023.08.14
  • Accepted : 2023.09.05
  • Published : 2023.09.30
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Abstract

In this paper, the purpose of this qualitative research was to explore the communication experiences of nursing students during their clinical practice in the context of the COVID-19 pandemic among 4th grade nursing students. Data collection involved collecting reflective journals from 87 4th grade nursing college students who participated in clinical practice from December 19, 2022, to February 10, 2023. Participants were asked to freely write about their experiences following their clinical practice. The reflective journals were analyzed using Thematic Analysis by Braun & Clarke. In the context of the COVID-19 pandemic, the research findings have yielded 142 meaningful statements, 30 provisional themes, 9 sub-themes, and 4 central themes regarding the communication experiences of nursing college students during their clinical practice. The four central themes identified are as follows: "A mask that became a language barrier", "Broken Communication", "Fear that the quality of nursing care will decline", "Body and mind overcoming difficulties." In conclusion, this study has facilitated an understanding of the communication experiences of nursing college students during clinical practice in the context of the COVID-19 pandemic. Additionally, this research can serve as foundational information for improving ineffective communication due to the use of various medical equipment required in infectious disease situations and for developing practical strategies in nursing education under infectious disease conditions.

본 연구는 간호대학생 4학년의 코로나 19 감염병 상황에서 임상실습 의사소통 경험을 탐색하기 위한 질적연구이다. 자료수집은 2022년 12월 19일부터 2023년 2월 10일까지 임상실습에 참여한 간호대학생 4학년 87명의 참여자로부터 실습을 하고 난 후 자신의 경험을 서술식으로 자유롭게 작성하도록 한 성찰일지를 수집하였다. 성찰일지의 분석은 Braun과 Clarke 의 주제 분석 방법을 적용하였다. 연구 결과 코로나 19 감염병 상황에서 간호대학생의 임상실습에서의 의사소통 경험은 142개의 의미 있는 진술, 30개의 잠정적 주제, 9개의 하위 주제, 4개의 중심주제가 도출되었다. 4개의 중심 주제는 '언어장벽이 되어버린 마스크', '반쪽이 되어버린 의사소통', '간호의 질이 떨어지지 않을까 두려움', '어려움을 극복한 몸과 마음'으로 나타났다. 결론적으로 본 연구 결과는 코로나 19 감염병 상황에서 간호대 학생이 임상실습에서 경험하는 의사소통에 대한 이해를 가능하게 하였으며, 다양한 감염병 상황에서 착용해야 하는 의료장비로 인한 비효과적인 의사소통 개선과 더불어 감염병 상황에서의 간호대학생의 실습교육 전략의 기초자료로 활용 될 수 있을 것이다.

Keywords

References

  1. M. J. Sim, "Relationship between Practical Satisfaction, Learning Confidence, and Nursing Clinical Competency of In-class Practical Education due to COVID-19," International Nextgeneration Convergence technology Association, Vol. 5, No. 4, pp. 553-563, 2021. https://doi.org/10.33097/JNCTA.2021.05.04.553
  2. I. Y. Cho, "The relationship of communication skill, communication self-efficacy and communication related educational needs," Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 4,2593-2601, 2015. https://doi.org/10.5762/KAIS.2015.16.4.2593
  3. S. J. Jung, and S. Y. Ryn, "The Factors Influencing Understanding on Patient Safety Culture in GeneralHospital Employees", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 10, pp. 281-289, 2017. https://doi.org/10.5762/KAIS.2017.18.10.281
  4. S. N. Lee, and J. Y. Park, " The effects of communication between nurses and medical professionals on patient safety climate", Korean Society of Nursing Science Conference, Vol. 2020, No. 10, pp. 291, 2020
  5. H. Bosworth, "Challenges and strategies to improve patient health literacy and competencies," Patient Intelligence. Vo,l 2, pp .19-25. 2020. https://doi.org/10.2147/pi.s9491
  6. L. Webb, Nursing: communication skills in practice, Oxford University Press, pp. 3-19, 2011
  7. World Health Organization, WHO directorgeneral's opening remarks at the media briefing on COVID-19, 2020. Available from : https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-mediabriefing-on-covid-19-11-march-2020
  8. S.W.Jung, and M.S. Koo, "Variation virus is in full swing in Korea, increased anxiety despite acc eleration of vaccination" [Internet]. Seoul:NEWSIS; 2021 [cited 2021 May 15]. Available from:https://newsis.com/view/?id=NISX20210 511_0001437607&c ID=10201&pID=10200
  9. Korea Disease Control and Prevention Agency, KDCA to Lower COVID-19 to Class 4 from Class 2 disease, 2023. Available from : https://www.kdca.go.kr/board/board.es?mid=a30402000000&bid=0030
  10. A. J. Palmiero, D. Symons, J. W. MorganIII, and R.E. Shaffer. "Speech intelligibility assessment of protective facemasks and air-purifying respirators," Journal of Occupational & Environmental Hygiene, Vol. 13, No. 12, pp. 960-968, 2016. https://doi.org/10.1080/15459624.2016.1200723
  11. J. Chodosh, B.E. Weinstein, and J. Blustein, "Face masks can be devastating for people with hearing loss." BMJ , 370, 2020. https://doi.org/10.1136/bmj.m2683 (Published 09 July 2020)
  12. M. McKee, C. Moran, and P. Zazove, "Overcoming additional barriers to care for deaf and hard of hearing patients during COVID-19," JAMA Otolaryngol Head Neck Surg, Vol. 146, No. 9, pp. 781-782, 2020. https://doi.org/10.1001/jamaoto.2020.1705
  13. G.H.Saunders, I.R.Jackson, and A.S.Visram, "Impacts of face coveringson communication: An indirect impact of COVID-19," International Journal of Audiology, Vol. 60, No. 7, pp. 495-506, 2021. https://doi.org/10.1080/14992027.2020.1851401
  14. J. Littlejohn, A. Venneri, A. Marsden, and C.J. Plack, "Self-reported hearing difficulties are associated with loneliness, depression and cognitive dysfunction during the COVID-19 pandemic," International Journal of Audiology, Vol. 61, No.2, pp. 97-101, 2022. https://doi.org/10.1080/14992027.2021.1894492
  15. J. H. So, M. H. Kim, S. Y. Hong, J. Y. Hwang, and H. G. Yoon, "The relationship between Image of Nurses, Major Satisfaction, Nursing Professionalism, and Anxiety among Nursing students in University who experienced Covid-19," The Journal of the Convergence on Culture Technology, Vol. 9, No.1, pp. 213-221, 2023. https://doi.org/10.17703/ JCCT.2023.9.1.213
  16. J.S. An, "Analysis of Image of Nurses on Articles in Korean Daily Newspapers after Corona Pandemic", The Journal of the Convergence on Culture Technology (JCCT), Vol. 7 No. 1, pp. 66-74, 2021. https://doi.org/10.17703/JCCT.2021.7.1.66
  17. H.E. Park, N.H. Jung, and H. Jo, "A Survey of Korean College Students Anxiety and Depression in COVID-19", Journal of Research Methodology, Vol. 6, No. 3, pp. 255-278, November 2021. https://doi.org/10.21487/jrm.2021.11.6.3.255
  18. H. A. Lee, S. J. Lee, S. H. Lee, J. H. Chung, and H.Y. Byun, "Influence of Wearing a Face Mask on Subjective Communication Difficulties According to Hearing Level," Korean Journal of Otorhinolaryngology-Head and Neck Surgery, Vol. 66, No.4, pp. 226-233. https://doi.org/10.3342/kjorl-hns.2022.00675
  19. C. R. Gil, and K.M. Sung, "A structural model of nursing students' performing communication skills", The Journal of Korean Academic Society of Nursing Education, Vol. 66, No. 4, pp. 226-233. 2023. http://dx.doi.org/10.5977/jkasne.2023.29.2.148
  20. D.H. Kim, D.H. Kang, S.H. Kang, J.H.Kang, J.E. Kang, H.J. Kwak, D.H. Kim, M.K. Kim, and E. Ko. "Factors Associated with Nursing Students' Communication Ability." Chonnam Research Institute of Nursing Science. vol. 27, no. 1, pp. 28-37, 2022. https://doi.org/10.33527/nhi2022.27.1.28.
  21. V. Braun, and V. Clarke, "Using thematic analysis in psychology," Qualitative Research In Psychology. Vol. 3, No. 2, pp. 77-101. 2006. https://doi.org/10.1191/1478088706qp063oa
  22. Y. S. Lincoln, and E. G. Guba, Naturalistic inquiry. Beverly Hills, CA: Sage. 1985.
  23. S. H. Han, and H. S. Yu, "College women's self-leadership, stress of clinical practice and self disclosure in an area," The Journal of Korean Academic Society of Nursing Education, Vol. 18, No. 1, pp. 131-140, 2012. https://doi.org/10.5977/jkasne.2012.18.1.131
  24. M. H. Noh, E.A. Han, A.R. Cho, and J. h. Cho, "Usefulness of transparent mask for communication in emergency room," Health Communication, Vol.15 No.2, pp. 103-108, 2020. https://doi.org/10.15715/kjhcom.2020.15.2.103
  25. D. H. Kang, and J. h. Yang, "Clinical Practice Experience of Nursing Students During the COVID-19 Pandemic," Korean Journal of Adult Nursing, Vol. 33, No. 5, pp. 509-521, 2021. https://doi.org/10.7475/kjan.2021.33.5.509
  26. D. Zeitlin, " Identifying and optimizing communication in patients with hearing loss," American Journal of Health-System Pharmacy, Vol. 73, No.16, pp. 1255-1259, 2016. https://doi.org/10.2146/ajhp150658
  27. J. Plass, E. Guzman-Martinez, L. Ortega, M. Grabowecky, and S. Suzuki, "Reading Without Awareness," Psychological Science. Vol. 25, No. 9, pp. 1835-1837, 2014. https://doi.org/10.1177/095679761454213
  28. I. J. Cho, "Cultural communication between Korea and the world," SEOUL : Korean cultural history, 1998.
  29. D.Xu, C. Yan, Z. Zhao, J. Weng, and S. Ma, "External Communication Barriers among Elderly Deaf and Hard of Hearing People in China during the COVID-19 Pandemic Emergency Isolation: A Qualitative Study." International Journal of Environmental Research and Public Health, Vol. 18, No. 21, pp,1-13. 2021. https://doi.org/10.3390/ijerph182111519
  30. L. M. Thibodeau, R. B. Thibodeau-Nielsen, C. M. Tran, C. M. Quynh, and R. T. Souza Jacob, "Communicating during COVID-19: the effect of transparent masks for speech recognition in noise." Ear and Hearing, Vol. 42 No.4, pp. 772-781, 2021. https://doi.org/10.1097/AUD.0000000000001065
  31. N. J. Lee, and J. H. Kim, "Perception of Patient Safety Culture and Safety Care Activity among Nurses in Small-Medium Sized General Hospitals", Journal of Korean Academy of Nursing Administration, Vol. 17, No. 4, pp. 462-473, 2011. https://doi.org/ https://doi.org/10.11111/jkana.2011.17.4.462
  32. S. J. Park, J. Y. Kang, and Y. O. Lee, "A Study on Hospital Nurses' Perception of Patient Safety Culture and Safety Care Activity", Journal of Korean Critical Care Nursing, Vol. 5, No. 1, pp. 44-55, 2012.
  33. S.J. Jung, "The Relationship of Communication Perception and Job Performance of General Hospital Nurses," Journal of the Korea Academia-Industrial cooperation Society,Vol. 21 No. 5, pp. 485-494, 2020. https://doi.org/10.5762/KAIS.2020.21.5.485
  34. S. H. Kwon, Y. K. Kim, M.S. Bang, and M. Ryu, "Nursing students' experiences of adapting to clinical practice in the COVID-19 pandemic," The Journal of Korean Academic Society of Nursing Education. Vol.28 No.1, pp. 57-69 , 2022. 2022. https://doi.org/10.5977/jkasne.2022.28.1