• Title/Summary/Keyword: 간호실습교육

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The Status of Blood and Body Fluid Exposure and Affecting Factors among Nursing Students including Knowledge, Performance regarding Standard Precautions (간호대학생의 임상실습중 혈액 및 체액 노출현황과 영향 요인 - 감염관리 지식 및 수행도 중심으로-)

  • Kim, Hee-Jung;Kim, Nam-Cho
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.17-30
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    • 2014
  • Objectives: The purpose of this study was to investigate the status of exposure to blood and body fluid and factors affecting on blood and body fluid exposure of nursing students including knowledge, performance regarding standard precautions. Methods: 280 nursing students in D-city and S-city participated in this study. Data collection was conducted from January to March 2012. Students' knowledge and performance on standard precautions of infection control in hospitals were measured using the measurement developed by Hong(2010). Data analysis was performed using descriptive statistics, t-test, one way-ANOVA, ${\chi}^2-test$, Pearson correlation coeficient, logistic regression by the SPSS WIN 18.0 program. Results: 58.6 percent of subjects experienced a exposure to blood and body fluid. The level of nursing students' knowledge level regarding standard precautions was $22.44{\pm}2.11$ and performance level was $4.31{\pm}0.50$. The factors affecting on blood and body fluid exposure of nursing students were knowledge level and education type about infection control. Conclusions: Based on the findings of this study, to decrease the exposure to blood and body fluid of nursing students, a proper education need to be stressed to improve nursing students' infection control knowledge and awareness.

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Survey of Exposure to Blood and Body Fluids, Knowledge, Awareness and Performance on Standard Precautions of Infection Control in Nursing Students (간호대학생의 혈액 및 체액 노출실태, 감염예방 표준주의 지식, 인지도 및 수행도)

  • Jeong, Mi-Hyun
    • The Journal of the Korea Contents Association
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    • v.15 no.4
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    • pp.316-329
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    • 2015
  • The purpose of this study was to investigate the actual situation of nursing students' exposure to blood and body fluids, and their knowledge, awareness and performance of standard precautions in an attempt to offer basic data for education of nursing students concerning infection control. The participants of this study were 309 juniors and seniors enrolled in the nursing colleges in J province. Of the participants, 71.5% turned out to have experienced exposure to the blood and body fluids of patients. The mean score of the knowledge about standard precautions was $20.59{\pm}2.05$, whereas grade, infection control education were statistically significant. The average awareness of standard precautions scored $4.67{\pm}.36$, and age, no follow-up measures were statistically significant. The mean sore for the performance of standard precautions was $4.25{\pm}.70$, while exposure to blood and body fluids was found to be statistically significant. There was positive correlation between the participants' knowledge, awareness and performance. The awareness(${\beta}=.274$) of standard precautions only stood out significantly among the factors affecting the performance of standard precautions, accounting for 8.6% in the performance variance of standard precautions. The study found it necessary to develop the infection control program in diverse ways by complementing especially the areas which used to show low awareness and performance of standard precautions. It is thus suggested to intensify education for students about infection control prior to starting clinical training.

The Effects of the Hospice & Palliative Care Education Program for Caregivers (호스피스 완화의료 도우미 교육 프로그램의 효과)

  • Choi, Gum-Hee;Kwon, So-Hi
    • Journal of Hospice and Palliative Care
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    • v.21 no.1
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    • pp.33-39
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    • 2018
  • Purpose: This study aimed to identify how an education program on palliative care affects nursing home caregivers' perception of hospice care and attitude towards terminally ill patient care. Methods: This study was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 101 certified care workers: 58 in the experimental group and 43 in the control. The experimental group completed the palliative care education program consisted of 20 hours of classroom training and 20 hours of clinical practicum. An ANCOVA was performed to compare the score changes to outcome variables. Results: Compared with the control group, the experimental group showed significant pretest-posttest differences in both the perception of hospice care (F=21.09, P<0.001) and attitude towards caring for terminally ill patients (F=13.28, P<0.001). Conclusion: These results indicate that the palliative care education program for caregivers is effective in preparing participants to provide hospice/palliative care service. Further study is warranted to explore the effects of this program on palliative caregivers' performance.

Effects of Diabetic Education Fortified with Individual Practice on Plasma Glucose, Self-care, and Self Reported Physical Symptom in Type 2 Diabetic Patients (개별실습을 강화한 당뇨교육이 제2형 당뇨병 환자의 혈당, 자가 관리 및 자각증상에 미치는 효과)

  • Kim, Hyeon Jeong;Kim, Hee Seung;Ahn, Sung Hee
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.194-201
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    • 2006
  • Purpose: This study was attempted to estimate the effects of diabetic education fortified with individual practice on plasma glucose, self-care, and self reported physical symptoms in type 2 diabetes patients Method: The subjects consisted of 46 patients with type 2 diabetes patients, who took the hospitalization diabetes education program from July 2003 until February 2004 at Seoul C university hospital. The experimental group was assessed at preand post intervention. The diabetes education was provided for one week. The education consisted of diabetes education videos for the diabetic introduction, group education for medication therapy, dietetic treatment and diabetes complication education. Also individual education for nurses examination of glycemia and insulin injection practice. Results: The HbA1c values significantly decreased from 9.6% on the time of hospitalization to 7.4% 3 months after discharge. In respect to the number of days of self-care, medication, diet, exercise, cleansing feet, and carrying sweets to prepare for hypoglycemia all significantly increased 3 months after discharge compared to the values at the time of hospitalization. Self reported physical symptoms were also significantly increased 3 months after discharge compared to the time of hospitalization. Conclusion: The diabetic education fortified with individual practice can be practically used as a plan for managing glycemia, self-care, and self reported physical symptom of diabetes patients.

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A Relationship between Burden of Clinical Nursing Instructor and Teaching Effectiveness (임상실습 지도자의 부담감과 교수 효율성과의 관계)

  • Son Haeng-Mi;Kim Sook-Young;Lee Hwa-In;Jun Eun-Mi;Han Shin-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.2
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    • pp.187-203
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    • 1998
  • The purpose of this study was to identify the correlation between burden and teaching effectiveness on clinical nursing practice. The subjects were collected 135 clinical nurses who have taught nursing students and worked at hospitals which have over 400 beds in Seoul, Inchon, and Kyoung-gi Do. The instruments used in this study were : the burden on clinical nursing education was measured by Montgomery (1985) developed and visual analogue scale, and effectiveness of clinical instruction was measured by Reeve (1994) developed. The results of this study were as follows. 1) Seeing that the general characteristics of participants : average ages we 32.8 years old, 29.6% of them have Catholics in religions. 75.6% of them were graduated from 3-year nursing college. 20.7% of nurses are working at the surgery ward and I.C.U in each. Clinical nursing career is average 10.03 years, clinical instructional career is 5.22 years, and clinical teaching time is 5.26 hours in a day. Contents of clinical teaching were composed of basic nursing skills 80.7%, orientation 78.5%, inspection(making rounds) 71.9%. 2) The mean score of the burden on clinical nursing instructor was 2.42 by Montgomery's scale and 4.69 by the visual analogue scale. Theses scores represented that subjects were not affected burden highly. The mean score of leaching effectiveness on clinical nursing education was 3.47 and the almost items were found to have higher level. 3) There is no statistically significant differences in the burden according to general characteristics. And the teaching effective ness on clinical nursing education according to general characteristics regarding the age, job position, clinical career and clinical educational time were shown statistically significant differences. 4) There is a negative correlation between the burden and teachin effectiveness on clinical nursing education with a correlation efficient(r=-0.396, p<0.01). Further study is recommended to explore the meaning of burden experiences of clinical instructor deeply and to identify the correlation between the burden of clinical instructor and teaching effectiveness as the job position, and to analysis differences in teaching effectiveness as subcategories.

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Evaluation on the Practicum Using Standardized Patients for Nursing Assessment to Articular Disease (표준화 환자를 이용한 관절질환 간호사정 실습교육의 평가)

  • Yi, Yeo-Jin;Lim, Nan-Young;Lee, Eun-Hee;Han, Hye-Ja;Kim, Joo-Hyun;Son, Haeng-Mi;Park, Young-Sook;Kang, Hyun-Sook;Cho, Kyung-Sook;Kim, Dong-Oak;Kwon, Sung-Bok;Lee, In-Ok
    • Journal of muscle and joint health
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    • v.14 no.2
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    • pp.137-148
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    • 2007
  • Purpose: This study was performed to evaluate of practicum by using standardized patient(SP) for nursing assessment. Method: This study had 2 steps. The 1st-step was pre-intervention stage including selection of a learning title, formation of case scenario, training of SP and developing the evaluation tools for students' clinical competence to assessment, 6 categories 29 items. The 2nd-step consisted of intervention and evaluation stages. 34 nursing students divided 2 groups participated in assessing the SP. Evaluation of each group was performed by 2 nursing professors. All students recorded their feelings after assessing the SP. The SP also evaluated about nursing students' attitude toward the SP. Results: ICC(Interclass correlation coefficient) between 2 groups was over 0.7 all categories. Students' assessing score(range 0-1) was muscular-joint function status(0.41), nutritional status(0.39), history taking(0.38), IADL(0.18), ADL(0.15), and emotional status (0.07). The mean scores of the nursing students' attitude by SP was 4.03(range 1-6). Also most students showed positive reactions to the education using SP because they had the chance to experience what they could not practice in clinical setting. Conclusion: The evaluation tool revealed high reliability. Nursing students' clinical competence was below average. But they took a good attitude to SP. We recommended further research using SP with various disease.

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The effectiveness of a flipped learning on Korean nursing students; A meta-analysis (국내 간호대학생에게 적용한 플립러닝의 효과에 대한 메타분석)

  • Kang, Mi-Jung;Kang, Kyung-Ja
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.249-260
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    • 2021
  • This study is a meta-analysis study conducted to integrate and analyze the results of flip-learning studies for Korean nursing students. We searched PubMed, EMBASE, Cochrane, CINAHL, and Korean databases. Randomized controlled trials (RCTs) and Non-Randomized controlled trials (Non-RCTs) evaluating the effects of flipped learning for Korean nursing students were included. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using a random-effects meta-analysis. The entire effect size in flipped learning was big in effect size (SMD = 1.21; 95% CI = 0.84 to 1.63; I2 = 93.9; n = 23) compared to the control groups. The analysis results of subgroups according to the classification of Bloom showed that flipped learning was found to have a significant effect on psychomotor domain, cognitive domain, and affective domain. A total of 10 literature analyses, this meta-analysis showed that flipped learning on Korean nursing students is effective in psychomotor, cognitive, and affective domain than the traditional teaching method. The flip learning can be integrated into theoretical and practical nursing education to improve the academic performance of nursing students.

Relationships between Metacognition, Problem Solving Process, and Debriefing Experience in Simulation as Problem-based Learning (S-PBL) (시뮬레이션 기반 문제중심학습에서 메타인지, 문제해결과정, 디브리핑 경험과의 관계)

  • Choi, Eun Jin
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.459-469
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    • 2016
  • The purpose of this study was to identify relationships between metacogintion, problem solving process, and debriefing experience in S-PBL. Study participants were 102 nursing students who took the integrated S-PBL class in their last semester. Data were collected using a self-reported questionnaire and analyzed into descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. The highest subscale of debriefing experience was 'appropriate facilitator guidance' 3.78 (out of 5). Problem solving process and metacognition were positively correlated (r=0.704, p<.001). Metacognition was positively correlated with debriefing experience(r=0.197, p<.05), especially area of 'learning and making connections'(r=0.235, p<.05) whereas, there was no significant correlation between problem solving process and debriefing experience. Multiple regression (enter method) showed that gender and metacognition explained 51.2% of problem solving process. This study offers a rationale on simulation debriefing and further studies are needed to support effects of experiences of debriefing and factors on problem solving process and debriefing in nursing simulation.

The Effects of Adult Attachment and Self-Differentiation on Clinical Competency of Nursing Students (성인애착과 자아분화가 간호대학생의 임상수행능력에 미치는 영향)

  • Chung, Su Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.354-361
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    • 2019
  • This study was conducted to understand the relationship between the clinical competency of nursing students and their adult attachment and self-differentiation of nursing students. Data collection was conducted from the third and fourth grade students who had experienced clinical practice in a nursing university at Daejeon, Chungcheong province in two nursing universities at Daejeon and Chungcheong province. Finally, 169 out of initial 200 questionnaires were used for analysis. The collected data were analyzed through descriptive statistics, Pearson's correlation effectiveness, and stepwise multiple regression using the SPSS Statistics 22 Windows program. Attachment avoidance in adult attachment was significantly correlated with self-differentiation (r=-240, p=.002) and clinical competency (r=-.237, p=.002). Clinical competency was significantly correlated with attachment avoidance (r=-.237, p=.002) and self-differentiation (r=.248, p=.001). The result of stepwise multiple regression indicates that self-differentiation and attachment avoidance (F=8.707, p<.001) predicts 8.4% in clinical competency. The most powerful predictor was self-differentiation (${\beta}=.203$, p=.008), followed by attachment avoidance (${\beta}=.188$, p=.0015). Therefore, in order to improve the clinical competency of nursing college students, it is deemed necessary to develop and apply educational and counseling programs capable of increasing their level of self-differentiation while decreasing their degree of attachment avoidance.

Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors (근거기반실무(Evidence-based Practice) 자기효능감, 교과목 요구도, 장애요인 및 촉진요인 탐색을 위한 혼합연구: 교수 및 임상실습 프리셉터를 중심으로)

  • Oh, Eui Geum;Yang, You Lee;Yoo, Jae Yong;Lim, Ji Yun;Sung, Ji Hyun
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.501-513
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    • 2016
  • Purpose: The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula. Methods: For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis. Results: Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP. Conclusion: The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.