한국간호교육학회지 (The Journal of Korean Academic Society of Nursing Education)

  • 제30권3호
  • /
  • Pages.280-289
  • /
  • 2024
  • /
  • 1225-9578(pISSN)
  • /
  • 2093-7814(eISSN)
한국간호교육학회 (The Korean Academic Society of Nursing Education)
권호 표지
DOI QR코드

DOI QR Code

일개 어린이병원의 프리셉터 교육과정 개발과 효과 평가

The development and evaluation of a pediatric nurse preceptor education program in a children's hospital

  • 조남주 (서울특별시 어린이병원) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소) ;
  • 정나래 (서울특별시 어린이병원) ;
  • 김은철 (서울특별시 어린이병원)
  • Cho, Nam-Ju (Director of Nursing Department, Seoul Metropolitan Children's Hospital) ;
  • Bang, Kyung-Sook (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Jung, Na-Rae (Head of Nursing Team, Seoul Metropolitan Children's Hospital) ;
  • Kim, Eun-Chul (Seoul Metropolitan Children's Hospital)
  • 투고 : 2024.07.16
  • 심사 : 2024.08.09
  • 발행 : 2024.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aimed to develop and evaluate the effectiveness of a preceptor educational program in a children's hospital. The program's impact was assessed by measuring improvements in clinical competency, communication competency, and leadership competency. Methods: Four day pediatric nurse preceptor education program was developed using the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. A single-group pretest-posttest design was employed to assess the program's effects with seventeen participants who were newly trained preceptors. Additionally, participant satisfaction with the program was measured. Results: Following the implementation of the program, significant improvements were observed in clinical competency (Z=-3.62, p<.001), communication competency (Z=-2.77, p=.006), leadership competency (Z=-2.08, p=.038), other competence (Z=-2.64, p=.008), and total competency (Z=-3.52, p<.001) among participants. The overall satisfaction score was 4.41±0.62 on a 5-point scale. Conclusion: The pediatric nurse preceptor educational program significantly enhances the overall nursing competencies of preceptor nurses in a children's hospital. Further research is needed to evaluate the effects of this preceptorship on newly graduated nurses.

키워드

과제정보

This work was supported by Seoul Metropolitan Government in 2023.

참고문헌

  1. Yun HJ, Kwak EM, Kim HS. Focus group study on reality shock experiences of new graduate nurses. Journal of Qualitative Research. 2018;19(2):102-111. https://doi.org/10.22284/qr.2018.19.2.102
  2. Yoon SH. Occupational stress and depression in clinical nurses - Using Korean occupational stress scales -. Journal of Korean Academy of Nursing Administration. 2009;15(3):463-470.
  3. Muir J, Ooms A, Tapping J, Marks-Maran D, Phillips S, Burke L. Preceptors' perceptions of a preceptorship programme for newly qualified nurses. Nurse Education Today. 2013;33(6): 633-638. https://doi.org/10.1016/j.nedt.2013.02.001
  4. Panzavecchia L, Pearce R. Are preceptors adequately prepared for their role in supporting newly qualified staff? Nurse Education Today. 2014;34(7):1119-1124. https://doi.org/10.1016/j.nedt.2014.03.001
  5. Shin S, Park YW, Kim M, Kim J, Lee I. Survey on the education system for new graduate nurses in hospitals: Focusing on the preceptorship. Korean Medical Education Review. 2019;21(2):112-122. https://doi.org/10.17496/kmer.2019.21.2.112
  6. Ashton KS. The orientation period: Essential for new registered nurses' adaptation. Nursing Science Quarterly. 2015;28(2):142-150. https://doi.org/10.1177/0894318415571600
  7. Cosme S, Yarbrough C, O'Brien M, Chappell K. Using the Magnet® criteria to document new graduate nurses' transition to practice. Journal for Nurses in Professional Development. 2018;34(1):20-25. https://doi.org/10.1097/NND.0000000000000412
  8. Horton CD, DePaoli S, Hertach M, Bower M. Enhancing the effectiveness of nurse preceptors. Journal for Nurses in Staff Development. 2012;28(4):E1-E7. https://doi.org/10.1097/NND.0b013e31825dfb90
  9. Ward A, McComb S. Precepting: A literature review. Journal of Professional Nursing. 2017;33(5):314-325. https://doi.org/10.1016/j.profnurs.2017.07.007
  10. Kwon IG, Cho YA, Cho MS, Yi YH, Kim MS, Kim KS, et al. new graduate nurses' satisfaction with transition programs and experiences in role transition. Journal of Korean Clinical Nursing Research. 2019;25(3):237-250. https://doi.org/10.22650/JKCNR.2019.25.3.237
  11. Jeong H, Moon SH, Ju D, Seon SH, Kang N. Effects of the clinical core competency empowerment program for new graduate nurses led by clinical nurse educator. Crisisonomy. 2021;17(6):109-123. https://doi.org/10.14251/crisisonomy.2021.17.6.109
  12. Chung JS, Cha YN, Kim KK, Park SY. The Development and Management of a Re-entry Program for Inactive Registered Nurses. The Journal of Korean Academic Society of Nursing Education. 2008;14(2):232-243. https://doi.org/10.5977/JKASNE.2008.14.2.232
  13. Institute of Medicine. The future of nursing: Leading change, advancing health. The National Academies Press; 2011. p.5-12.
  14. Korean Nurses Association. Guidelines for the educational management system for new nurses. Korean Nurses Association; 2019. p. 5-44.
  15. Kramer M, Maguire P, Halfer D, Budin WC, Hall DS, Goodloe L, et al. The organizational transformative power of Nurse Residency Programs. Nursing Administration Quarterly. 2012;36(2):155-168. https://doi.org/10.1097/NAQ.0b013e318249fdaa
  16. Vizient. AACN Nurse Residency Program [Internet]. Vizient; 2023 [cited 2024 Jul 4]. Available from: https://www.vizientinc.com/our-solutions/clinical-solutions/vizient-aacn-nurse-residency-program
  17. Son JT, Park M, Kim HR, Lee WS, Oh K. Analysis of RN-BSN students' clinical nursing competency. Journal of Korean Academy of Nursing. 2007;37(5):655-664. https://doi.org/10.4040/jkan.2007.37.5.655
  18. An M, Heo S, Hwang YY, Kim J, Lee Y. factors affecting turnover intention among new graduate nurses: Focusing on job stress and sleep disturbance. Healthcare. 2022;10(6):1122. https://doi.org/10.3390/healthcare10061122
  19. Lee SY, Suh SR. Effect of social support and self-efficacy in the relationship between Nursing work environment and Reality Shock in New Graduate Nurses. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(4):317-324. https://doi.org/10.5762/KAIS.2017.18.4.317
  20. Spector N, Blegen MA, Silvestre J, Barnsteiner J, Lynn MR, Ulrich B, et al. Transition to practice study in hospital settings. Journal of Nursing Regulation. 2015;5(4):24-38. https://doi.org/10.1016/S2155-8256(15)30031-4
  21. Trepanier S, Early S, Ulrich B, Cherry B. New graduate nurse residency program: A cost-benefit analysis based on turnover and contract labor usage. Nursing Economic$. Economic$. 2012;30(4):207-214.
  22. Omansky GL. Staff nurses' experiences as preceptors and mentors: An integrative review. Journal of Nursing Management. 2010;18(6):697-703. https://doi.org/10.1111/j.1365-2834.2010.01145.x
  23. Irwin C, Bliss J, Poole K. Does preceptorship improve confidence and competence in newly qualified nurses: A systematic literature review. Nurse Education Today. 2018;60:35-46. https://doi.org/10.1016/j.nedt.2017.09.011
  24. Ryan C, Cant R, Ossenberg C, Ahchay D, Hughes L, Bogossian F. Competency domains for registered nurse preceptor professional development: Evidence from a modified e-Delphi study. Nurse Education in Practice. 2024;77:103952. https://doi.org/10.1016/j.nepr.2024.103952
  25. Lee JO, Song MG. Effects of core competency and teaching style on preceptor self-efficacy among preceptors. Journal of Korean Clinical Nursing Research. 2013;19(2):275-284. https://doi.org/10.22650/JKCNR.2013.19.2.275
  26. Chan HY, So WK, Aboo G, Sham AS, Fung GS, Law WS, et al. Understanding the needs of nurse preceptors in acute hospital care setting: A mixed-method study. Nurse Education in Practice. 2019;38:112-119. https://doi.org/10.1016/j.nepr.2019.06.013
  27. Park YC, Park HS. Clinical competence and organizational socialization according to communication style of preceptors as perceived by new nurses. Journal of Korean Academy of Fundamentals Nursing. 2016;23(1):42-50. https://doi.org/10.7739/jkafn.2016.23.1.42
  28. Chen F, Liu Y, Wang X, Dong H. Transition shock, preceptor support and nursing competency among newly graduated registered nurses: A cross-sectional study. Nurse Education Today. 2021;102:104891. https://doi.org/10.1016/j.nedt.2021.104891
  29. Han MK, Shin S, Kim J. Individual and institutional outcomes of nurse residency program for new nurses: A systematic review. Korean Journal of Adult Nursing. 2021;33(1):10-28. https://doi.org/10.7475/kjan.2021.33.1.10
  30. Kim SK, Shin NY, Kim SY. Effects of the clinical nurse education program led by clinical nurse educator on nursing performance and education satisfaction for new graduated nurse. Journal of the Korean Society for Multicultural Health. 2023;13(1):55-63. https://doi.org/10.33502/JKSMH.13.1.055