• Title/Summary/Keyword: Advanced Nursing Practice

Search Result 151, Processing Time 0.026 seconds

Study on Clinical Education for Nursing in Hospitals in Korea (간호학 임상실습교육 실태 조사)

  • Song, Jiho;Kim, Miwon
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.19 no.2
    • /
    • pp.251-264
    • /
    • 2013
  • Purpose: The purpose of this study was to ascertain the current state of clinical nursing education at hospitals. Methods: Questionnaires were sent out to 236 hospitals which have over 300 beds. Out of these, 116 hospitals responded, and the collected data was analyzed by mean, frequency, t-test, and ANOVA test. Results: These hospitals have teaching agreements with 4.2 nursing colleges and clinical education lasts 8 months. Clinical education status regarding hospital characteristics, between a university hospital, non-university hospitals, among advanced general hospitals, general hospitals, and special hospitals showed statistical differences in colleges per hospital and nurses' degree. 37.9% of cases have no internal regulation for nursing education, and in 68.1% of cases, students' practice was limited to simple nursing care. The current primary guide for student's practice was head nurse (61.25%), and the course professor took charge of mainly the conference. The difficulties as an educational hospital are increases in work load, difficulties in teaching, excessive number of students, simultaneous practical training, complaints from patients, lack in training manpower, and stress. Conclusion: This study determined that the big hospitals are heavily burdened by nursing education and that it will be necessary to establish standards for educational hospitals to ensure higher quality education.

Development of a Clinical Nursing Practice Training Simulation Program using Standardized Patient for Nursing Students Focused on Infectious Respiratory

  • Hur, Jung
    • International Journal of Advanced Culture Technology
    • /
    • v.9 no.4
    • /
    • pp.169-179
    • /
    • 2021
  • This study was conducted to develop and apply clinical nursing practice training simulation program using Standardized Patient for Nursing Students focused on infectious respiratory disease. This study is descriptive methodological study. Through prior consideration of documents and educational task of infectious respiratory disease was conducted with interview of clinical specialists of infection control managers. Development of educational task for infectious respiratory disease for Nursing Students went through the content validity. Finally, 10 educational tasks are developed 'knowledge of respiratory infections disease', 'hand washing', 'put on mask', 'lead to put on mask to patients and caregiver', 'intravenous injection via 3way', 'surgical aseptic technique', 'sterilization medical instrument', 'management of contaminated linen', 'infected personnel management manual'. The infectious respiratory disease simulation program was developed based on the ADDIE model and proceeded to 4 steps of analysis, design, development, implementation. The infection control education program included lectures (20 min), skill training (20 min), simulation using standardized patient (20 min), and debriefing (40 min), The collected data were analyzed by descriptive statistics with SPSS program for version 23.0. The results of this study confirmed that the clinical nursing practice training simulation program using standardized patients was effective in infectious respiratory disease of the nursing college students in knowledge of infectious respiratory disease and clinical nursing performance. we found this practical training program for nursing college students to improve knowledge and clinical competency of infection control. we expected that this developed program could be applied to practical training for various infectious control.

Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance (중환자 전문간호행위에 대한 건강보험 상대가치 및 환산지수 개발)

  • Kim, Jin-Hyun;Kim, Myung-Ae;Kim, Mi-Won;Kim, Kyung-Sook;Yoo, Cheong-Suk
    • Journal of Korean Academy of Nursing
    • /
    • v.41 no.3
    • /
    • pp.302-312
    • /
    • 2011
  • Purpose: The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units. Methods: The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed. Results: Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%. Conclusion: Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.

Development of a Curriculum for Rehabilitation Nurse Specialist Program (재활 전문간호사 교육과정안 개발연구)

  • Kang, Hyun-Sook;Suh, Yeon-Ok;Lee, Myung-Hwa;Kim, Jeong-Hwa;Lim, Nan-Young;Suh, Moon-Ja;Lee, Jeong-Ja;Park, In-Joo;Cho, Bok-Hee;Kim, In-Ja;So, Hee-Young;Song, Chung-Sook;Lee, Sung-Sook;Hwang, Ok-Nam;Park, Sang-Yeun;Yoo, Yang-Sook
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.4 no.2
    • /
    • pp.179-186
    • /
    • 2001
  • The purpose of this study is to develop a systematic and efficient curriculum for the rehabilitation nurse specialist program. This research was carried out as a group work of 15 experts in order to share various opinions about the curriculum, and also through literature review. Articles, curriculums of other Clinical Nurse Specialist Programs, medical laws guidelines, as well as Clinical Nurse Specialist Program from the Korean Nurses Association were reviewed, and the issue was discussed throughly via group meetings. The developed curriculum is as follows: 1. Educational philosophy lies in the fact that the rehabilitation nurses support the patients to maximize their potential and functional level, so that they could maintain healthy state and re-adapt to changed environment. Furthermore the rehabilitation nurses are disposed of arbitrary decision power under their own responsibility, thus they take charge of welfare and healthy environment of the local society through the patients(subjects) and local resources. 2. Educational goals are to train rehabilitation nurse specialist, who correspond to the social needs, so to say, those who have the knowledge and skills for nursing practice, education and research. 3. The curriculum consists of 37 credits, of which 24 credits are based on lectures and 13 credits based on clinical practice. General courses are 3 subjects (5 credits) ; nursing theory, nursing research, and laws/ethics. Mandatry courses are 8 subjects with 19 credits; advanced physical assessment, pharmacology, pathophysiology, issues in rehabilitation nursing, advanced rehabilitation nursing intervention I, advanced rehabilitation nursing intervention II, sports physiology, special rehabilitation nursing intervention. As for the clinical practice courses, assessment and evaluation for rehabilitation(64 hours), community and home based rehabilitation nursing(128 hours), hospital based rehabilitation nursing(128 hours), institution based rehabilitation nursing(96 hours) would be treated. 4. Contents of the curses were developed to correspond with the courses' objectives and specific items. 5. Evaluation would be carried out both in the lecture and in the clinical practice. The knowledge and skills of the students would be measured to ensure full validity and credibility. However this developed curriculum should be continuously modified and updated in more desirable direction.

  • PDF

A Study for a Curriculum for the Oriental Clinical Nurse Specialist Program (한방전문간호사 교육과정 개발 연구)

  • 이향련;김귀분;조결자;신혜숙;김광주;왕명자;김숙영;김정아;김현실
    • Journal of Korean Academy of Nursing
    • /
    • v.30 no.6
    • /
    • pp.1467-1478
    • /
    • 2000
  • The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.

  • PDF

The Current Status of Professional Medical Support Staffs in General Hospitals less than 500 Beds -Focusing on Nursing Staffs- (500병상 미만 종합병원에서의 전문지원인력 운영실태 -간호인력을 중심으로-)

  • Jeon, Mi-Kyeong;Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Hee Young;Kim, Jeong Hye
    • Journal of Korean Clinical Nursing Research
    • /
    • v.24 no.2
    • /
    • pp.197-208
    • /
    • 2018
  • Purpose: This study aimed to investigate the current statistics of professional medical support staffs(PMSSs) working in general hospitals with less than 500 beds. Methods: This study was conducted on 35 general hospitals with less than 500 beds from September 11th to October 27th, 2017. Results: Four hundred fifty one PMSSs were currently providing medical support. The number of clinical nurse experts was the highest among the roles, followed by Physician Assistants(PA) and Advanced Practice Nurses. The mean job satisfaction score was 3.07 out of 5. In the case of PA group, most of the delegated prescriptions were performed, however the delegated roles were not much documented in written format. The paucity of documentation requires a development of a committee for PMSSs, including a development of selection criteria and a scope of practice in each institution. Conclusion: The results of this study suggested the composition of a committee for PMSSs in the medical institutions and renaming the specified titles of PMSSs.

Experience of Healthcare Providers in the Advanced Practice Nurse System (전문간호사제도에 대한 의료인의 경험)

  • Kim, Min Young;Jeon, Mi-Kyeong;Choi, Su Jung;Kim, Jeong Hye;Kim, Heeyoung;Leem, Cho Sun
    • Journal of Korean Critical Care Nursing
    • /
    • v.14 no.2
    • /
    • pp.42-56
    • /
    • 2021
  • Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.

Factors Affecting the Safety Care Practice of Childcare Teachers

  • Hyun Ye, Lee;Ju Young, Hong;Eun Young, Jung
    • International Journal of Advanced Culture Technology
    • /
    • v.10 no.4
    • /
    • pp.160-167
    • /
    • 2022
  • In this study, an attempt was made to provide basic data for the development of programs that can improve safety care practices in the future by identifying factors that influence childcare teachers' safety care practices. 134 childcare teachers participated, and the survey results were analyzed using SPSS WIN 21.0 statistical program. As a result of this study, there was a significant positive correlation between safety knowledge and attitude. There was no significant correlation with knowledge and safety care practices. It was found that safety attitude had a significant positive correlation with safety care practice.. The factor influencing safety care practice was attitude toward safety, and the explanatory power of the model was 46.1%. In order to improve the level of safety care practices of childcare teachers, a program that can be practically utilized through customized education tailored to the needs of childcare teachers and each field rather than simply imparting knowledge is absolutely essential.

The Effect of Clinical Training Program for Nursing Faculty (간호학교수 임상연수프로그램 효과 분석)

  • Suh, Moon-Ja;Do, Bok-Neum;Park, Chun-Ja;Kim, Seung-Sil;Chun, Si-Ja;Lee, Sun-Ok;Im, Nan-Young;Park, Young-Im;Jung, Eun-Soon;Kim, Soon-Lae;Choi, S-Mi;Cho, Nam-Ok
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.6 no.2
    • /
    • pp.247-261
    • /
    • 2000
  • It is important for nursing faculties to try to improve their professional knowledge and skill in nursing education. Thus it is essential for them to participate in clinical training program. The purpose of this study was to identify the effect and satisfaction of faculty clinical training programs which were managed by Korean Academic Society of Nursing Education and 4 Hospitals(Samsung Medical Center, Seoul National University Hospital, Seoul, Asan Medical Center, Yeonsei Sebrance Medical Center) in Seoul. The data collection was done from July, 1999 to December, 1999 and the 125 subjects were used for the analysis. The purpose of participation of professor to clinical training course was found that to observe of up-to-date treatment method($3.57{\pm}.60$) and to connect between knowledge and practice ($3.63{\pm}.50$). The professors were highly satisfied with 'can see the high-tech institution and facilities($3.45{\pm}.62$)' and 'can confirm in advanced nursing field and practice ($3.38{\pm}.58$)' in clinical training program. And it was found that nursing professors applied the experience of participation in clinical training program to lecture and clinial practice for students. But they were dissatisfied with 'they had no or not enough time to practice'. In conclusion, the clinical training program was useful for nursing professor to educate and instruct the students. It is suggested that the more advanced course and practical program have to be developed for nursing faculties.

  • PDF

The Effect of Transient Tachypnea Newborn Care Simulation Learning on Nursing Students' Critical Thinking Disposition, Clinical Performance ability, and Self- confidence

  • Ju hee Hwang
    • International Journal of Advanced Culture Technology
    • /
    • v.11 no.4
    • /
    • pp.154-162
    • /
    • 2023
  • The purpose of this study is to understand the effects of simulation-based practice education on critical thinking disposition, clinical performance ability, and self-confidence. Using the method of one-group pretest-posttest experimental research, this study selected total 70 nursing students (3rd year) as research subjects. The final research subjects were total 63 students excluding seven people with insufficient responses. From March to April 2023, total eight sessions of simulation practice education (4 hours per session) were conducted once a week. In the effects of the program, the critical thinking disposition, clinical performance ability, and self-confidence were measured. Using the SPSS Window Version 25.0, the critical thinking disposition, clinical performance ability, and self-confidence were analyzed through the mean, standard deviation, and paired t-test. In the results of this study, the critical thinking disposition (t=-10.61, p<.001), clinical performance ability (t=-3.06, p=.003), and self-confidence (t=-15.97, p<.001) were statistically significant. In the results of analyzing the correlations of clinical performance ability, and self-confidence after the simulation practice education, the learning satisfaction showed significantly positive correlation with immersion (r= .647, p<.001). The results of this study verified the improvement of critical thinking disposition, clinical performance ability, and self-confidence of nursing students after the simulation-based practice education. Thus, it would be necessary to develop the educational contents for various subjects, and also to expansively apply the simulation practice education.