• Title/Summary/Keyword: 간호학 임상실습 교육

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Nursing Students' Stress and Anger Experience in the Clinical Setting (간호학생의 임상실습과 관련된 스트레스와 분노경험)

  • Park, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.1
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    • pp.7-21
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    • 2001
  • The purpose of this study was identify the level of stress, anger and anger expression in the clinical setting and identify the relation ships between anger and stress of nursing students in the clinical setting. A convenient sample of 213 junior college of nursing students was used for the study. The data were analyzed by descriptive statistics and Pearson Correlation Coefficients. The results of this study were summarized as follows : 1. The average stress score in the clinical setting of subjects was 3.87. The higher level of stress in the clinical setting was 4.10 in domain of nurses, 4.10 in domain of human relationships, 4.07 in domain of report and 3.89 in domain of relationship between nursing theory and practice. 2. The average state-anger score of subjects was 1.54. 3. The average anger-out score of anger expression mode was 1.66 and 2.36 in anger-in. 4. The state-anger was found significantly related to stress of nursing students in the clinical setting (r=0.256 p<0.001). In the relationship between state- anger and stress in the clinical setting, environment, patient relationship, between nursing theory and practice, nurses, report, orientation were significantly positive correlation . 5. The anger-out of anger expression mode was not found significantly related to stress of nursing students in the clinical setting. 6. The anger-in of anger expression mode was found significantly related to stress of nursing students in the clinical setting (r=0.205 p<0.01). In the relationship between anger-in of anger expression mode and stress in the clinical setting, environment, patient, nurses, human relationships, conference were significantly positive correlation.

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Relationship among Stress, Coping Strategies, and Self-esteem in Nursing Students Taking Clinical Experience (간호대학생들의 임상실습 스트레스, 대처방식 및 자아존중감과의 관계)

  • Lee, Jong-Eun;Kim, Soon-Lae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.1
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    • pp.98-106
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    • 2005
  • The study to identify the relationship among stress associated with clinical experience, coping strategies and self-esteem in nursing students and to provide basic information which is useful for nursing students' learning experience in clinical setting were surveyed using self-reported questionnaires. The findings were summarized : 1. Senior students showed a higher level of stress than junior students. A higher stress level was observed in the unsatisfied group, compared with the neutral group. By class and clinical schedule, students who followed the 3-week class and 3-week clinical schedule showed a higher level of stress than those who followed the 8-week class and 8-week clinical schedule. 2. Senior students had a higher mean coping strategy score than junior students. And the satisfied group showed higher self-esteem, compared with the neutral and unsatisfied group. 3. There was a positive correlation between stress associated with clinical learning experience and coping strategies. But a negative correlation was seen between stress and self-esteem in nursing students. 4. Nursing students used more coping mechanisms as their stress levels increased but showed low self-esteem. The results suggest the need for developing more effective teaching methods and strategies that could improve students' ability to solve problems and sustain their self-esteem even under a stressful circumstance.

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Nursing Students' Experiences with Patient Deaths during Clinical Practice (간호학생의 임상실습 중 환자의 죽음 경험)

  • Kang, Hyun-Ju;Choe, Hye Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.1
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    • pp.56-66
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    • 2020
  • Purpose: The purpose of this study was to explore nursing students' experiences with patient deaths during clinical practice. Methods: The participants were ten nursing students who had experienced patient deaths during clinical nursing practice at a university hospital in Korea. Individual in-depth interviews were conducted, and the data were analyzed using the content analysis method suggested by Graneheim and Lundman (2004). Results: The participants' experience was structured into six categories: experiencing various emotions in facing patient deaths, viewing oneself as a nursing student at the scene of a patient's death, thinking about death again, finding a pathway of understanding and support for patient death experiences, impressions and regret felt while actually observing terminal care, and picturing oneself as a future nurse dealing with a patient's death. Conclusion: Based on this study, stress management and self-reflection programs are suggested for nursing students who have experienced patient deaths. Practical nursing education for patient death and end of life care is also needed.

The Relation between Stress of Clinical Practice and Burnout among Nursing Students: The Mediation Effect of Spiritual Well-being (간호대학생의 임상실습 스트레스와 소진의 관계: 영적 안녕의 매개효과)

  • Lee, Do Young;Park, Jin Kyoung;Choi, Mi Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.3
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    • pp.300-308
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    • 2017
  • Purpose: The purpose of this study is to examine the factors that influence the clinical practice of nursing students and to identify the mediating effects of spiritual well-being in the relation between stress of clinical practice and burnout caused by clinical practice. Methods: Data were collected by self-report questionnaires targeting 420 nursing students in three nursing colleges located in Gyeonggi and Chungnam province. Results: Burnout of clinical practice according to general characteristics of the study subjects showed significant difference in religion (t=1.895, p=.049). Stress of clinical practice and burnout of clinical practice showed positive correlation (r=.42, p<.001), existential spiritual well-being showed negative correlation between stress of clinical practice (r=-.17, p<.001) and burnout of clinical practice (r=-.47, p<.001). In addition, religious spiritual well-being in spiritual well-being showed no mediating effects and existential spiritual well-being showed mediating effects between burnout in clinical practice stress. Conclusion: In order to alleviate the stress of clinical practice for burnout of clinical practice prevention of nursing students, solutions to improve the existential spiritual well-being will be required in the future.

An Analysis on Clinical Education of Pediatric Nursing (아동간호학 임상실습교육 현황)

  • Kwon In-Soo
    • Child Health Nursing Research
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    • v.8 no.3
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    • pp.344-356
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    • 2002
  • This study was conducted to analyse the current clinical education of pediatric nursing in baccalaurate nursing program, then to give basic data for enhancing the quality of future clinical education of pediatric nursing. Data were collected through self-reported questionnaire by mail from December 2001 to February 2002. The subjects were 29 schools of 50 baccalaurate nursing education programs. The data were analysed by double raters, researcher and assistant researcher. The results were summarized as follows: 1. Twenty-eight schools had the objectives of the clinical education of pediatric nursing, and 28 schools in pediatric ward, 23 schools in nursery, 22 schools in neonatal intensive care unit(NICU), 15 schools in objectives related to profession by clinical site. 2. Credits on clinical education of pediatric nursing were most 15 schools of 3 credits. 3. The clinical sites were mainly the hospital that sick children were admitted in. 4. The clinical teacher were 9 types including pediatric professor and field nurse. 5. On teacher's role, the professor instructed the case study and conference, and field nurse instructed the patient assignment and nursing procedures. 6. All of schools used explanation and conference as a method of clinical education, 1 or 2 schools used PBL or role play or field study. 7. On clinical education content, most of school included Apgar scoring system, physical examination in newborn assessment, respira- tion maintenance, temperature maintenance, infection prevention, nutrition, and bath in newborn care. 8. On clinical education content, most of school included care of incubator, phototheraty, infusion, gavage feeding and how to use the instruments in NICU. Eighteen schools included attachment promotion, and 20 schools case study. 9. On clinical education content, most of school included a checklist of nursing procedures, case study, assessment of growth and development in pediatric ward and other sites. 10.There were various evaluation types in scores, measuring items. In conclusion, the results of this study revealed that there were some discrepancy in the objectives and contents, clinical sites on hospital focused, teacher's role, and diversity of measurement items and ratings in clinical education of pediatric nursing. There is a need for a standardization of content, clinical site, and evaluation tool to improve a quality of clinical education of pediatric nursing based on this study.

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A Study on the Relationship between Perceived Family Support and Satisfaction of Clinical Practice by Nursing Students (간호학생이 지각한 가족지지와 임상실습만족도와의 관계)

  • Gu, Hye-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.2
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    • pp.205-215
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    • 2008
  • Purpose: This study was to identify the relationship between the degree of family support and the degree of satisfaction in clinical practice by nursing students. Method: This study was designed to measure the level of satisfaction according to the content, guidance, circumstance, hours, and the evaluation of clinical practice. Four hundred sixty-five nursing students from 4 nursing colleges, and 1 baccalaureate program in G area were randomly sampled. An instrument consisting of 64 questions, developed by the researcher and a nursing professor, was used to gather data from March 10 through 31, 2008. The data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson Correlation, using the SPSS 14.0 program. Result: The results were summarized as follows : Family support of nursing students showed a significant difference by religion (t=2.104, p=0.036) and satisfaction of major (F=8.010, p<0.001). The satisfaction degree of clinical practice by nursing students showed a significant difference by university or college (t=2.636, p=0.012), residence type (t=2.098, p=0.036), and satisfaction of major (F=5.779, p=0.003). The relationship between generally perceived family support correlated with the degree of satisfaction in clinical practice of nursing students (r=.199, p<0.001). Conclusion: It was found that a higher degree of satisfaction in clinical practice depends on a higher degree of family support. Therefore, nursing faculty should plan interventions to inspire satisfaction level of clinical practice by family support.

Effects of the Reeducation of Core Fundamental Nursing Skills on Clinical Stress, Critical Thinking Disposition and Self-Confidence in Nursing Skills of Senior Nursing Students (핵심기본간호술 재교육이 졸업학년 간호학생의 임상실습스트레스, 비판적 사고성향 및 수행자신감에 미치는 효과)

  • Yeom, Young-Ran;Choi, Keum-Bong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.3
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    • pp.283-293
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    • 2016
  • Purpose: The purpose of this study was to study the effects of the reeducation of core fundamental nursing skills on clinical stress, critical thinking disposition, and self-confidence in nursing skills of senior nursing students. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two nursing colleges. The sample consisted of an intervention group (n=33) that participated in the educational program and a control group (n=32). The data were collected using self-administered questionnaires. Data analyses utilized $x^2$-test & t-test. Results: After the reeducation of core fundamental nursing skills, senior nursing students had less clinical stress (t=-2.089, p=.041) and more self-confidence (t=1.008, p=.318) in nursing skills. However, it had no effect on critical thinking disposition (t=1.008, p=.318). Conclusion: Reeducation of core fundamental nursing skills is important to the nursing profession. Also, nurses who are self-confident in their nursing skills are less stressed about improving the quality of their work due to the reeducation of core fundamental nursing skills. Therefore, it is vital for nursing colleges to reeducate core fundamental nursing skills to their students before graduation.

Development of Clinical Evaluation Tool for Nursing Student (임상 간호실습교육 평가도구 개발)

  • Lee, Kun-Ja;Chang, Chun-Ja;Hong, Sung-Sun
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.473-485
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    • 2001
  • This study is intended to develop a reliable and appropriate instrument of the clinical nursing education. This research consisted of 4 steps. First step is construction of the content validity by 1 Korean literature professor and 1 teaching professor in Ga Chon Gil College, the pilot study for the content validity by 14 professors and survey with four points Likert Scale, which includes from the point 'strongly valid' to the point of 'strongly non-valid', by 113 head nurses who guide and evaluate the students in clinical practice. The third step is the test of validity and reliability of the preliminary evaluation tool. The fourth step is the test of validity and reliability of the developmental evaluation tool. The data were collected from Sep. 10th, 2001 to Sep. 28th, 2001. This study was analyzed by SPSS PC+ for descriptive statistics, factor analysis and Cronbach's Co-efficient Alpha of the collected data. The results of these analysis are like as follows. 1. Evaluation tool of Clinical practice consists of 16 items including four categories : factor 1 was labeled 'desirable attitude'(5 items), factor 2 was labeled 'correctly judgement and nursing problem solving'(4 items), factor 3 was labeled 'adaptive ability of nursing knowledge and skill'(4 items), factor 4 was labeled 'desirable human relationship'(3 items) and these contributed 71.992% of the variance in the total score. 2. Cronbach's Co-efficient Alpha for internal consistency was .9128 for the total 16 items. For further research, it need to develop a variable and reliable instrument of the student self-evaluation and instrument that based on community.

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A Study of the Clinical Experience of Nursing Students (간호학생의 임상실습경험)

  • Sohn Sue-Kyung;Chung Bok-Yae;Chung Sung-Eun;Park Jin-Mee;Lee Soo-Yeon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.3
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    • pp.59-77
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    • 1997
  • Nursing students have identified the clinical experience as one of the hardest and most anxiety producing components of their nursing program. Nurse educators play a critical role in assisting students to apply their knowledge skillfully in the clinical area. In order to help students through their clinical experience, faculty must first understand more fully the meaning of this experience for nursing students. A phenomenological study was conducted to explore the actual reality of the nursing students' clinical experience. The research was done through indepth interviews. Fifteen Pusan senior nursing students who had completed their clinical practice described their experiences. The data were collected during the period from October 1994 to January 1995. The data were analyzed by Colaizzi's method of phenomenological analysis. Six theme clusters emerged : the experience of emotional difficulties ; the experince of physical diffuculties ; the perception of deficiencies of knowledge and skill ; the disappointments and regrets perceived during the experience ; the awareness of various sources of joy and gratitude ; the experience of personal growth. The results of this study enable us to understand nursing students better. Also through these results, we should be better placed to help nursing students during their clinical experience and to help their gain more from this experience.

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Content Analysis of the Experience of Preceptors in Clinical Education for Senior Student Nurses (학생 임상실습지도자(Preceptor)의 역할수행경험에 대한 내용분석)

  • 허혜경;최상순;안양희;임영미;신윤희;박소미;김기연;송희영;김기영
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.859-868
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    • 2004
  • Purpose: The purpose of this study was to identify experiences of nurses who served as preceptors in clinical education for senior student nurses in a college of medicine in Wonju city. Method: Data was collected from 20 preceptors instructing senior student nurses in 2001 using a self-completion questionnaire. To analyze data, content analysis was done using an analysis scheme developed by the investigators. Result: The analysis scheme consisted of 7 categories and 25 subcategories. 135 significant statements were analyzed and categorized. Preceptors indicated that they were role models, socialization facilitators and educators while instructing students in the clinical practicum. In performing the preceptors' role, preceptors reported that their most important change was self-enhancement, and positive experience was a constructive work atmosphere. The most important factor facilitating the preceptors' role performance was support from head nurses, and the most discouraging factor was work loads. Conclusion: This study suggests that interventions for encouragement and socialization of preceptors should be developed to promote clinical education for senior student nurses.