• 제목/요약/키워드: 간호문제

검색결과 930건 처리시간 0.023초

성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 교육의 효과 (The Effect of High-Fidelity Simulation Practice Related with Classical Education of Medical Surgical Nursing)

  • 전열어;김경미;황혜영
    • 한국산학기술학회논문지
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    • 제16권12호
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    • pp.8176-8186
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    • 2015
  • 본 연구는 간호 대학생에게 성인간호학 이론수업과 실습교육의 단절로 발생하는 문제점을 해결하기 위해 High-Fidelity 시뮬레이션 교육프로그램을 개발하여 적용함으로써 그 효과를 분석하고자 시행되었다. 분석방법은 성인간호학 이론수업의 학습목표에 따라 비뇨기계 대상자 간호에서 고칼륨혈증 대상자 간호를 위한 알고리즘, 평가체크리스트, 디브리핑을 포함한 시나리오를 개발하여 비동등성 대조군 전후설계(non-equivalent control group pre-test and post-test design)로 측정하였다. 분석결과 일반적 특성과 종속변수의 실험군과 대조군의 동질성이 확보되었다. 고칼륨혈증 대상자 시뮬레이션 교육프로그램이 간호대학생의 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식정도에 미치는 효과는 시뮬레이션 교육을 받은 실험군이 대조군 보다 유의하게 증가하였고, 통계적으로 유의한 차이가 있는 것으로 나타났다(t=-83.313, p<.001, t=-3.169, p=.003, t=-2.473, p=.017, t=-4.036, p<.001, t=-5.044, p<.001). 간호학생의 성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 프로그램은 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식을 높게 하는 것으로 나타났다. 이러한 시뮬레이션 실습교육 프로그램을 교육과정에 적용함으로써 효율적인 실습교육 방안을 제시하고 간호교육의 질 제고에 기여할 수 있을 것이다.

간호대학생의 성인간호실습 가상현실 교육 중재: 체계적 고찰 (Intervention of Virtual Reality of Adult Nursing Practicum for Nursing Students: A Systematic Review)

  • 김현경;고은정
    • 문화기술의 융합
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    • 제8권6호
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    • pp.373-380
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    • 2022
  • 본 연구는 간호대학생의 성인간호실습 가상현실 교육 중재 연구를 체계적 고찰 방법으로 탐색하여, 추출된 문헌들로부터 중재 방법, 연구 주제, 결과 변수, 효과성의 근거합성을 하였다. CINAHL, PubMed, Cochrane Library, EMBASE, RISS의 데이터 베이스로부터 7편의 연구가 추출되었고, 무작위 실험연구가 3편, 비무작위 실험연구가 4편이었다. 고찰 결과 간호대학생의 지식, 수행, 태도, 비판적 사고, 자기효능감, 정보수집능력, 문제해결능력, 자신감, 효율성에서 효과를 보였으므로, 성인간호실습에서 가상현실 교육 중재가 효과적임을 알 수 있었다.

블렌디드 러닝(blended learning)을 적용한 기본간호학 실습교육에서 성찰일지의 작성이 간호학생의 메타인지와 문제해결능력에 미치는 효과 (Effects of Writing Reflective Journal on Meta-cognition and Problem Solving Ability in Nursing Students taking a Fundamental Nursing Skills Course Applying Blended Learning)

  • 조미영
    • 기본간호학회지
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    • 제23권4호
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    • pp.430-439
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    • 2016
  • Purpose: The purpose of this study was to contribute to the development of an efficient teaching-learning method by analyzing effects of writing reflective journals on meta-cognition and problem solving ability in nursing students in education applying blended learning for fundamental nursing skills. Methods: The research design was a one-group pretest-posttest design, done to assess changes in meta-cognition and problem solving ability. Participants were 63 nursing students taking the fundamental nursing skills course at one college in Gyeonggi Province. The course was offered from March 21 to June 3, 2016. Data were collected using pre and post tests given before and after writing of reflective journals in blended learning. Data were analyzed using t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test and paired t-test with SPSS Statistics version 20.0. Results: The results of this study show that scores for meta-cognition and problem solving ability of these students were all above average. There was a statistically significant difference in meta-cognition between pre and post writing of reflective journals but not for problem-solving ability. Conclusion: The findings indicate that writing a reflective journal in blended learning is an efficient teaching-learning method to improve meta-cognition in nursing students.

간호학과 남학생의 문제음주 실태와 관련 요인 (Factors Affecting Problem Drinking in Male Nursing Students)

  • 지은주;이은경
    • 기본간호학회지
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    • 제23권4호
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    • pp.440-447
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    • 2016
  • Purpose: The purpose of this study was to identify factors affecting problem drinking in male nursing students. Methods: This study was conducted using a cross-sectional survey. A total 126male nursing students completed a self-report questionnaire to assess alcohol consumption, motives for drinking, and self-efficacy in drinking refusal self-efficacy. The participants were divided into 2 groups, moderate and problem drinkers. Multivariate analysis was used to identify factors affecting problem drinking in these nursing students. Results: Problem drinkers was found to be related to young age (adjusted OR=0.83, 95% CI [0.71, 0.96], coping motives (adjusted OR=1.19, 95%CI [1.00, 1.42], and drinking refusal self-efficacy (OR=0.96, 95% CI [0.93, 0.99]). Conclusion: The findings highlight the important role that coping motives and drinking refusal self-efficacy play in the problems in the drinking behavior of male nursing students.

비판적 사고성향과 문제해결과정이 간호업무수행에 미치는 영향 (Influence of Nurses' Performance with Critical Thinking and Problem Solving Process)

  • 최혜란;조동숙
    • 여성건강간호학회지
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    • 제17권3호
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    • pp.265-274
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    • 2011
  • Purpose: This study determined the correlation between nurses' critical thinking disposition; problem solving process; and nursing performance. It also examined the impact of critical thinking disposition and problem solving process on nursing performance. Methods: The data was collected from 419 nurses. Descriptive statistics, t-test, ANOVA, scheffe test, pearson correlation analysis and multiple regression analysis were performed. Results: Nursing performance showed that there were differences according to age, marital status, educational level, total number of years in the career and the length of employment in the present department. The problem solving process showed differences in the educational level. Critical thinking disposition showed differences according to age, educational level and total number of years in the career. Problem solving process and nursing performance showed a positive relationship whereas critical thinking disposition and nurses' performance showed a positive relationship. Factors affecting nursing performance, were nurses' age, duration of employment in the present department, problem solving process and critical thinking disposition. This model was statistically significant and showed 22.1% of the total variance. Conclusion: The attention of nursing administrators should be drawn to the consideration that a certain amount of experience in the current department is positively related to nursing performance. Furthermore, in order to provide a improvement in professional nursing performance, educational programs towards nurses' critical thinking disposition and problem solving process should be provided.

간호학생에게 적용한 문제중심학습(Problem-Based Learning)의 효과 (Effects of Problem-Based Learning of Nursing Student)

  • 손영주;송영아;최은영
    • 기본간호학회지
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    • 제17권1호
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    • pp.82-89
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    • 2010
  • Purpose: The purpose of this study was to compare nursing students before using problem-based learning and after the experience in: class satisfaction, tendency to critical thinking, learning attitude and motivation. Method: The data were collected on March 20 and June 5, 2008. The PBL study was given for 15 weeks from March through June involving 216 junior nursing students. To test effects of PBL, a one group pretest-posttest design was used. Statistical analysis was performed with SPSS 13.0. Paired t-test, $x^2$-test, and Pearson correlation coefficient were performed. Results: The results are summarized as follows: Following PBL, the students scored significantly higher on the class satisfaction (t=-3.321, p= .001), tendency to critical thinking (t=-2.218, p= .034), learning attitude (t=-2.910, p= .004) and motivation (t=-4.407, p<.001). The Pearson correlation coefficients among the three variables were significantly positive. Conclusion: This study contributes to our understanding of outcomes from the PBL approach. The students undertaking PBL showed that they developed a more positive attitude with their educational experience. Also, students' tendency to think critically improved through the use of the PBL approach.

간호대학생의 좋은 수업 경험이 문제해결능력에 미치는 영향: 자기조절학습능력의 매개효과를 중심으로 (The mediating effect of self-regulated learning ability on the relationship between experience of good class and problem solving ability of nursing students)

  • 박주영;우정희
    • 한국간호교육학회지
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    • 제26권2호
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    • pp.185-197
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    • 2020
  • Purpose: The purpose of this study was to investigate the mediating effect of self-regulated learning ability on the relationship between experiencing a good class and problem solving ability in nursing college students. Methods: A structured self-report questionnaire was used to measure experiencing a good class, self-regulated learning ability, and problem solving ability. During June, 2019, data were collected from 130 nursing students in D city. Data were analyzed using t-test, One-way ANOVA, Pearson's correlation coefficients, and hierarchical multiple linear regression with SPSS/WIN 23.0. Results: Importance of good class (r=.50, p<.001), satisfaction of good class (r=.42, p<.001), and self-regulated learning ability (r=.71, p<.001) were positively correlated with the problem solving ability of participants. Also, self-regulated learning ability had a partial mediating effect on the relationship between experiencing a good class and problem solving ability. Conclusion: Considering the findings of this study, developing programs that can improve the self-regulated learning ability of nursing students who experience a good class are needed to increase their level of problem solving ability.

임상실습 시 간호대학생의 문제해결과정에 미치는 영향요인 (Factors Influencing the Process of Problem Solving in Nursing Students during Clinical Practice)

  • 김정효;박미경
    • 한국간호교육학회지
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    • 제18권1호
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    • pp.34-42
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    • 2012
  • Purpose: The purpose of this study was to investigate factors which influence the process of problem solving in nursing students during clinical practice. Method: Data were collected by questionnaires from 511 nursing students in from April 10 to June 10, 2011. Data were analyzed by Pearson's correlation coefficients and multiple regression procedures. Result: The values regarding self-leadership (mean 3.62), self-directed learning readiness (mean 3.53) and problem solving process (mean 3.37) were higher than the median. There were significant correlations between all the predictive variables and the process of problem solving. The greatest factors influencing the process of problem solving in nursing students were self-leadership and self-directed learning readiness (54.3%). Conclusion: By using the results of this study as a foundation, nursing education curriculum should be comprised of self-leadership and self-directed learning readiness for improvement of nursing students' problem solving process.

병동 간호관리자의 문제상황 관리 경험 (Nurse Managers in a Difficult Situation on Caring Clients: A Critical Discourse Analysis)

  • 조명옥
    • 성인간호학회지
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    • 제19권5호
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    • pp.56-69
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    • 2007
  • Purpose: This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families. Methods: Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant-observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied. Results: The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism. Conclusion: The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.

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