• 제목/요약/키워드: Advanced nursing practice

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간호교육과정틀에 관한 소고 -돌봄과학과 보건정책 중심으로- (A Reconsidering on Setting for Philosophy and Curriculum Development in Nursing Education)

  • 김명자
    • 기본간호학회지
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    • 제2권1호
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    • pp.55-66
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    • 1995
  • The goals of nursing education, and the bases for evaluating them depend on the goals of nursing practice. In order to prepare for the coming twenty first century and the meet changing societal demands and health needs, it is necessary to develop a new conceptual framework for future nursing education. While hospitals will still be in significant components of the health care system, will no longer be central focus or dominant influence. Health care services will be more usually delivered at community base. The nursing education required by that new approach must provide for reconsidered about a concept of caring as nursing curriculum. The changes in health care delivery that have occured, now being proposed, for nursing education undergoing its own changes. So the philosophy and objectives of education meed to reconsidering about the caring concept and general nursing. Nurse educators must prepare students to practic in condition of constant change. At the same time nurse educators must emphasize preparation about that. The practice of science of caring in nursing draws on a basic knowledge of the behavioral knowledge, biophysical processes, pathological processes, nursing skills and procedures and various treatment regimes and problem solving to help decision making in nursing situations. The concept of care is probably one of the least understood ideas used by professional and nonprofessional people, yet it is probably one of the most improtant concepts to be understood by nursing. Human caring and human relationships are closely interrelated. Humn caring remains an essential dimension of professional work and the science of caring as essental to the discipline of nursing. It is expected that the objectives of nursing education will be accomplished when the course and content of the curriculum are based on this conceptual framework. One recurrent education goal with some consistency is that of equipping the student with the necessary skills to live effectively and productivly in the world of tomorrow. In the new vision we are developing, professional education must also include exposure to liberal arts, encouragement of critical thinking, and a moral context for advanced professional education that is based upon a contextual health policy and caring science educational model.

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Nurse Educators' Experience of Developing and Implementing a High-fidelity Simulation-based Interprofessional Education Module for Medical and Nursing Students

  • Yun, KANG;Somyeong Kim
    • International Journal of Advanced Culture Technology
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    • 제11권4호
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    • pp.1-8
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    • 2023
  • Objective: Despite the recommendation of the use of high-fidelity simulation (HFS) in interprofessional education (IPE), there is little known about its work for nursing students. Thus, this study aimed to explore nurse educators' perceptions and experiences in developing and implementing the HFS-based IPE for nursing and medical students. Methods: This study used a case study, using reflective filed notes. Results: Nursing educators perceived HFS as an effective educational approach to engaging nursing and medical students actively in interprofessional collaborative practice (ICP) experiences and in evaluating their actual performance on it. In terms of their perspectives on the elements necessary for effective HFS-based IPE, four themes were identified: collaborative learning, co-facilitating debriefing, leadership commitment and active faculty involvement.

국내 응급전문간호사의 업무 수행빈도, 중요성, 자율성 및 지각된 수행능력 (Task Analysis of Emergency Nurse Practitioners: Frequency, Importance, Autonomy, and Perceived Competence to Perform)

  • 안숙희;이은남;송라윤;박진희;김복자;성미혜;이은자;김민주;김성숙
    • 중환자간호학회지
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    • 제8권1호
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    • pp.25-40
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    • 2015
  • Purpose: The purpose of the study was to identify the frequency and importance of task performance and the perceived competence to perform of the emergency nurse practitioners (ENPs) certified in Korea. Method: This cross-sectional study was conducted with 41 ENPs certified by March 2012. The questionnaire to identify frequency, importance, autonomy, and perceived competence to perform 131 typical ENP task elements was developed on the basis of the standardized role of an ENP defined by the Korean Accreditation Board of Nursing Education. The data were analyzed using descriptive statistics. Results: The professional nursing practice showed the highest scores for performance frequency, task importance, autonomy, and perceived competence to perform as compared to other job categories. Clinical decision making was the most frequently performed duty. Data collection was the duty with highest levels of importance, autonomy, and perceived competence for the ENPs. However, the ENPs reported that research was the duty with the lowest levels of frequency, importance, autonomy, and perceived competence Conclusion: ENPs in Korea perform various tasks. In order to improve their position in the field, it is necessary to clarify their job description and enhance their competence to perform evidencebased professional nursing practices.

Analysis of Factors Affecting the Knowledge with COVID-19

  • Cho, Eui-young;Kim, Jungae
    • International Journal of Advanced Culture Technology
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    • 제9권4호
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    • pp.219-225
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    • 2021
  • This study was a cross-sectional reaserch that analyzed the factors that most affect COVID-19 knowledge in nursing college students who are relatively at high risk for recent prevalence of COVID-19 exposure in relation to clinical practice of nursing college students. A total of 249 nursing students participated in this study, 93 male students and 156 female students. The period for collecting data from structured questionnaires was from October 1 to October 20, 2021. The collected data were frequency analysis, Pearson correlation analysis, simple regression analysis, and hierarchical regression analysis using SPSS 18.0. As a result of the analysis, infection prevention behavior(𝛽=0.06, p=0.006) had the most influence on COVID-19 knowledge, and the second was professional intuition(𝛽=-.162, p=0.018). Based on the results of this study, in order to improve the knowledge of COVID-19 among nursing students, it is proposed to develop an infection prevention behavior education program and a professional intuition improvement program.

전문간호사의 직무만족 및 직무수행 (Job Satisfaction and Job Performance of Advanced Practice Nurses)

  • 김상돌
    • 한국산학기술학회논문지
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    • 제14권12호
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    • pp.6146-6154
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    • 2013
  • 본 연구는 국내 전문간호사의 직무개선을 위한 기초자료를 제공하기 위해 전문간호사의 직무만족 및 직무수행에 관한 실태를 파악하기 위한 서술적 조사연구이다. 자료는 한국간호교육평가원에서 시행된 '2009년 전문간호사 직무만족도 조사' 원시자료를 이용하여 2005년부터 2008년까지 전문간호사 자격시험에 합격한 452명으로부터 얻었다. 자료분석은 SPSS 14.0 프로그램을 이용하여 평균, t-test 또는 ANOVA를 실시하였다. 전문간호사의 직무만족도는 평균 2.94점/5.00점으로 나타났다. 전문간호사의 자격분야와 동일한 직무를 수행하는 전문간호사가 그렇지 않은 전문간호사에 비해 직무만족(t=.23, p<.001), 임금상승(t=2.23, p<.05), 직급변화(t=2.56, p<.05), 전문적인 직무수행(t=10.52, p<.001), 상사와 동료와의 신뢰감 상승(t=5.31, p<.001), 직무수행에 대한 자신감 상승(t=5.07, p<.001) 등에서 각각 유의하게 높게 나타났다. 그러므로 정부와 간호계는 전문간호사들이 자격분야와 동일한 직무를 수행할 수 있도록 전문간호사의 적절한 인력수급, 보험수가 정책 마련 및 직무개선 등과 같은 노력이 요구될 것으로 사료된다.

전문간호사의 완벽주의와 소진의 관계에서 감성지능의 조절효과 (A Study on the Mediating Effect of Emotional Intelligence between Perfectionism and Burnout in Advanced Practice Nurses (APN))

  • 노기옥;박경숙;임영순
    • 간호행정학회지
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    • 제22권2호
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    • pp.109-118
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    • 2016
  • Purpose: The aim of this study was to analyze relationships between perfectionism, burnout, and emotional intelligence in APN and to identify the mediating effect of emotional intelligence on the relationship between perfectionism and burnout. Methods: A structured self-report questionnaire was used to measure perfectionism, burnout, and emotional intelligence. Data were collected from 121 APN working in five advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, Independent t-test, One-way ANOVA, Mann-Whitney U test, Pearson correlation and Hierarchical multiple regression with the SPSS/WIN 22.0 program. Results: Mean scores for each variable were: perfectionism 3.57 (on a 5-point scale), burnout 3.32 (on a 7-point scale), and emotional intelligence 5.00 (on a 7-point scale). Self-oriented perfectionism had a positive correlation with burnout, as did socially prescribed perfectionism. Emotional intelligence was a significant variable reducing burnout, as it also had a reverse buffering effect on the relationship between self-oriented perfectionism and burnout. Explanatory power of the final model based on variables was 34%. Conclusion: The results of this study suggest a mediating direction regarding burnout by demonstrating that emotional intelligence plays a direct and reverse buffering role to self-oriented perfectionism, which can be used to reduce burnout in APN.

Evaluation of Nursing Documentation of Delirium Care

  • KANG, Yun
    • International Journal of Advanced Culture Technology
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    • 제7권1호
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    • pp.112-121
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    • 2019
  • The purpose of the study was to determine whether a delirium educational program has a positive outcome on nurses' documentation in patient records of delirium care. A one group pre-post design was used. A convenient sample of 60 consecutive records that included documentation by participating nurses in four medical wards of one regional general hospital in South Korea was audited two months before and two months after a delirium educational program. Although an educational program in this study positively changed nurses' knowledge and attitudes, these positive effects did not translate to improvement in the documentations of delirium care. There was no significant increase in the frequency of nursing documentation of delirium assessment following participation in the educational program. Furthermore, there was no significant increase in the frequency of nursing documentation of the use of non-pharmacological management following the documentation of keywords associated with delirium after participation in the educational program. The findings indicate the need to develop, implement and record a systematic risk assessment for delirium and assessment and management of existing delirium based on evidence-based guidelines in clinical practice in South Korea.

Effects of Simulation-based Learning on Stress, Problem Solving Ability, Self-Efficacy, and Resilience of College Nursing Students

  • Kyoungrim, Kang;Sang-Hwa, Lee;Dong-Hee, Kim;Kyo-Yeon, Park
    • International Journal of Advanced Culture Technology
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    • 제10권4호
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    • pp.8-18
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    • 2022
  • Objectives: The objective of this study was to explore the effects of the simulation-based learning program on stress, problem-solving ability, self-efficacy, and resilience of final-year nursing students in a college in South Korea. Methods: The design of the study was a one-group pretest-posttest. The participants of this study were final-year nursing students in 2018. A total of 105 students completed it. The intervention was an 8-week simulation-based practice course. The primary and secondary outcome measures were baseline and follow-up questionnaires regarding demographic factors, stress, problem-solving ability, self-efficacy, and resilience. Results: Problem-solving ability (t=6.567, p<.001), self-efficacy in four situations (p<.001) and resilience (t=2.352, p=.021) increased after simulation-based learning than before learning. Stress also increased after simulation-based learning compared to before learning (t=5.960, p<.001). The level of stress, self-efficacy, and resilience were mainly related to participants' satisfaction with their clinical placement, and interpersonal relationships (p<.05). Conclusions: Simulation-based learning is expected to improve nursing students' problem-solving ability, self-efficacy, and resilience. This can lead to induce learning motivation of nursing students, improve their coping strategies for solving problems, and ultimately provide high-quality care.

고령임부 대상 모바일 웹 기반 임신 건강관리 교육프로그램 효과 (Effects of a Mobile Web-based Pregnancy Health Care Educational Program for Mothers at an Advanced Maternal Age)

  • 왕희정;김일옥
    • 대한간호학회지
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    • 제45권3호
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    • pp.337-346
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    • 2015
  • Purpose: This study was conducted to develop a mobile web-based pregnancy health care educational program for mothers who were at an advanced maternal age (AMA) and to verify the effects of the program on pregnancy health care. Methods: This program was developed using a web-based teaching-learning system design model and composed of 10 subject areas. This research was a quasi-experimental study using a non-equivalent control group pretest-posttest time serial design and data were collected from April 2 to May 3, 2014. To verify the effects of the program, it was used for 2 weeks with 30 AMA mothers (experimental group). For the control group, a classroom education booklet for pregnant women used with 31 AMA mothers. Results: The experimental group having participated in program had statistically significantly higher scores for knowledge (t=3.76, p <.001), self-efficacy (t=8.54, p <.001), and practice behavior (t=4.88, p <.001) of pregnancy health care, compared to the control group. Conclusion: The results of the program indicate that a Mobile web-based pregnancy health care educational program is effective in meeting the needs of AMA mothers and can be used as the prenatal educational program for AMA mothers and is appropriate as an educational media for theses mothers.

수술실 간호사의 윤리적 이슈에 대한 인식 유형: Q방법론적 접근 (Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach)

  • 김진남;정석희
    • 대한간호학회지
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    • 제48권6호
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    • pp.679-691
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    • 2018
  • Purpose: This study was aimed at identifying the types of perceptions of ethical issues among perioperative nurses. Methods: Q-methodology focusing on individual subjectivity was used with data collected in November 2016. Thirty-four Q-statements were selected and scored by the 35 participants on a 9-point scale with normal distribution. Participants were perioperative nurses working in advanced general hospitals and general hospitals. The data were analyzed using the PC-QUANL program. Results: A total of 35 perioperative nurses were classified into 4 factors based on the following viewpoints: self-centered (type 1), onlooking and avoiding (type 2), patient-centered (type 3), and problem-centered (type 4). The 4 factors accounted for 57.84% of the total variance. Individual contributions of factors 1, 2, 3, and 4 were 41.80%, 7.18%, 5.20%, and 3.66%, respectively. Conclusion: The major contribution of this study is the clarification of perioperative nurses' subjective perceptions of ethical issues. These findings can be used in formulating effective strategies for nursing educators, professional nurses, and nursing administrators to improve ethical decision-making abilities and to perform ethical nursing care by the appropriate management of ethical issues in everyday nursing practice.