• Title/Summary/Keyword: Clinical Basic Nursing Practice

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Relationship among Essentials of Fundamental Nursing Skills Performance, Stress from Work and Work Capability of New Clinical Nurses (신규간호사의 핵심기본간호술 수행과 업무스트레스 및 업무수행능력과의 관계)

  • Bang, Soon Sik;Kim, Il-Ok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.628-638
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    • 2014
  • Purpose: This study identifies the relation among the essentials of fundamental nursing skills performance (EFNSP), work capability and stress from work experienced by new clinical nurses. Method: This is a cross-sectional descriptive study with a self-reported questionnaire. The subjects were 224 new clinical nurses employed by general hospitals having more than 400 beds. The data, collected from February 10 to March 7, 2014, were analyzed using descriptive statistics, t-tests, ANCOVA, Pearson's correlation analysis and hierarchical linear regression. Results: The highest frequency of EFNSP of new clinical nurses was vital sign measurement (4.74, ${\pm}.89$) and the lowest frequency of performance was Basic CPR & defibrillator application (1.81, ${\pm}.94$). There were significant positive correlations between frequency and confidence of EFNSP (r=.64, p<.001), frequency and work capability (r=.34, p<.001), and confidence of EFNSP and work capability (r=.48, p<.001), but negative correlation stress from work and work capability (r=-.17, p=.009). General characteristics, stress from work, frequency and confidence in EFNSP and stress from work explain 25.1% of work capability. Conclusion: This result suggests the importance of EFNSP education in nursing schools and availability of opportunities to practice EFNSP during the post-graduation waiting period until assignment to a hospital.

A qualitative study on dental clinical assistance work performed in dental clinics - Focusing on nursing assistant - (치과진료실에서 수행되는 치과진료 협조업무에 대한 질적연구 - 간호조무사를 중심으로 -)

  • Sun-Hwa Hong;Sang-Eun Moon;Ga-Hye Seo
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.6
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    • pp.563-572
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    • 2022
  • Objectives: The purpose of this study is to provide basic data for elucidating the clinical experiences of nursing assistants working at dental clinics and for establishing the bases necessary for building a safe working environment for the staff at dental clinics. Methods: From March 28 to August 20, 2022, the study conducted in-depth interviews with nursing assistants working with dental hygienists in dental clinics. The collected data were analyzed using the phenomenological method. Results: The study analyzed the meanings associated with the dental clinical assistance work experiences of nursing assistants in dental clinics. A total of 98 semantic words and 9 sub-categories were extracted, which were ultimately categorized into 4 central meanings: 'imperfect reality', 'work without boundaries', 'putting oneself in someone else's shoes', and 'symbiosis'. Conclusions: The nursing assistants were exposed to an environment where they needed to perform delegated treatment procedures even when they lacked dental work competency. They recognized their gaps in learning and the necessity for designated roles as clinical assistants. Thus, it is necessary to review the allocation and expansion of the work roles of dental practitioners based on the practical and rational realities in dental practice.

A Study on Curriculum Development for Fundamentals of Nursing at the Graduate Level (대학원 기본간호학 전공 교육과정 개발을 위한 연구)

  • Chang Sung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.162-170
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    • 2005
  • Purpose: This study was conducted to develop a curriculum model for fundamentals of nursing at the graduate level which reflects a consensus of educators and the students in Korean nursing society. Method: A survey was used with three groups to identify consensus on a curriculum model for fundamentals of nursing at the graduate level; 42 educators in fundamentals of nursing, 11 nurse educators whose major was not fundamentals of nursing and 70 nurses with a bachelor degree in nursing. Results: Consensus on a curriculum model at the graduate level were delineated from analysis of the survey, Based on these results, a curriculum model fur fundamentals of nursing at the graduate level is outlined: As one major area of nursing, fundamentals of nursing focuses on nursing practice based on basic human needs. Thus main focus of the curriculum for fundamentals of nursing at the graduate level is research performance and theory development on nursing interventions to meet basic human needs in clinical settings. Conclusions: A curriculum model for fundamentals of nursing at the graduate level suggests that its application may have a positive impact on development of distinct knowledge body for fundamentals of nursing that will differentiate the content of education for undergraduate and graduate levels of nursing. However, the suggestion for the curriculum model needs to be refined and developed for application.

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A Preliminary Study on the Standardization of Fundamental Nursing Practice Education (기본간호학 실습교육의 표준화 작업을 위한 기초 연구)

  • Chang, Sung Ok;Won, Jong Soon;Park, Jin Hee;Lee, Hea Shoon;Park, Hyoung Sook;Lim, Sun Young;Song, Mi Ryeong;Paik, Hoon Jung;Kim, Kyung Hee;Sohng, Kyeong-Yae;Lim, Se Hyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.4
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    • pp.446-456
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    • 2014
  • Purpose: Purpose: This study was undertaken to develop directions for research on nursing practice education and also for standardization of contents of Fundamental Nursing Practice (FNP) by identifying and analyzing the present content and inconsistency in FNP textbooks. Method: Eleven FNP textbooks published between 2007 and 2013 were selected and itemized nursing contents were compared and analyzed. Nursing professors and practicingnurses prioritized contents identified from an actual condition survey based on theoretical reason and clinical guides for each item. Results: Inconsistencies were found for 34 domains with 219 sub items and of them, 21 domains and 84 items needed to be standardized. Number of items that showed consistency between professors and nurses ($ICC{\geq}.800$) was 29 (34.5%) and for complete consistency (ICC=1), 4 (4.8%). Number of items that showed inconsistency between the groups (ICC<.600) was 30 (35.7%) and very low consistency (ICC=0), 10 (11.9%). Conclusion: The results indicate a difference between understood validity of content by professors and by nurses and technical differences among FNP textbooks. Therefore confirmation of the items needing to be standardized and differences in understanding content by professors and by nurses shows a need for standardization of practice education between course and clinical practice. These results provide basic data for developing standardized form of FNP education.

Desirable Personality Required of Nurses in Clinical Nursing Field: Focus Group Interviews Centered On (임상 간호현장에서 간호사에게 요구되는 바람직한 인성: 포커스그룹 인터뷰를 중심으로)

  • Mi-Ran Kim
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.27-37
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    • 2022
  • This study aims to identify the nature and content of the desired nursing personality of clinical nurses and provide basic data for securing nursing competencies and providing quality nursing as clinical nurses. This is a qualitative study with a focused group analysis to comprehensively explore the desirable nurse personality expected in clinical nursing settings. From November 30, 2019 to Jan 20, 2020, 6 nurses with more than 5 years of clinical experiences and working in a regional university hospital participated in the four focus group interviews. The collected qualitative data was analyzed by the content analysis method. The personality required of clinical nurses is 'process of self-regulation and effort for patient care', 'components for human-centered nursing', 'influence to create healthy interpersonal relationships', and 'nursing'. Configure and operate the organization. It was analyzed into a total of five main themes and 17 sub-themes: "Influence to make changes" and "Influence to bring about organizational change and results." This study confirms the desirable elements of personality in nursing practice, and proposes the application and effect verification research of clinical nursing education programs for nurses in order to secure the nursing competence of professionals and provide high-quality nursing care in the future.

Traumatic Experiences and Posttraumatic Growth of Nursing Students who were in the Clinical Training (간호학생의 임상실습에서의 외상 경험과 외상후 성장)

  • Sung, Kyung Mi;Park, Sun Ah;Oh, Eun Jin;Lee, Seung Min;Lee, Se-Young
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.489-503
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    • 2018
  • The purpose of this study was to explore traumatic experiences and posttraumatic growth of nursing students who were in clinical training. The data were collected from 490 nursing students at four nursing colleges with clinical training experience more than 1 year, from November 20th 2017 to December 20th. Collected data were analyzed through t-test, ANOVA, and $Scheff{\acute{e}}$ test with the SPSS/WIN 25.0 program, and qualitative data were analyzed by content analysis. 26.5% of the subjects had traumatic experiences in their daily life, 61.2% in the clinical practice. Their posttraumatic growth was scored 2.63 out of 5 on average. The contents of traumatic experiences were 'Violence experienced by medical staff','Negative perception of nursing care','Non-Educational Practical Environment' Clinical practice in a harsh environment, Witness of a serious patient, et al. The findings can be used as important basic data for the development of nursing practice education program for encouraging the posttraumatic growth of nursing students.

Analysis on Content and Trend of Nursing Intervention Studies Published in Adult Nursing Area (성인간호학 영역에서의 간호중재논문 내용 분석)

  • Suh, Moon-Ja;Jeong, Jae-Sim;Oh, Hyo-Sook
    • Journal of Korean Biological Nursing Science
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    • v.5 no.2
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    • pp.41-51
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    • 2003
  • Purpose : This descriptive study was performed to analyze the trends of nursing interventional studies in adult nursing area. Method : All interventional studies of 'Journal of Korean Academy of Adult Nursing Society', fifty three articles, from 1989 to 2000 were collected and reviewed Result : The research subject were patients in 38(66.7%) and 81.8% of researches was performed in hospital environment. There was only one true experimental design and most of articles(79.2%) were designed by quasi-experimental method Only 17% of articles have theoretical framework and 73.6% of articles described research hypotheses. The data collection methods for variables were as follows: Psychosocial measurement 60.8%, physiological measurement 25.7%, and observation 13.5%, respectively. Lecture(16.7%), audio-visual(16.7%), and book, pamphlet, or leaflets(13.6%) were the most frequently used instruments of the interventions. Behavioral domain(60.3%) and Physiological: Basic domain(29.3%) was the most common, when the interventions were classified by Nursing Intervention Classification. Physiological(50.8%) and psychosocial variables(49.2%) were the two major dependent variables. Conclusion : Considering the above results obtained, the nursing intervention studies in adult nursing area have been tested with quasi-experimental studies through clinical trials. For the development of clinical nursing practice and advancement of nursing theories, the amount of interventional studies should be increased and the quality of research methods refined more to develop nursing science and practice in adult nursing area.

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Legal Analysis and Development of managerial guideline to nursing activities related to observation (간호사의 경과관찰업무에 대한 판례분석 및 관리지침 개발)

  • Kim, In-Sook;Kim, Ki-Kyoung;Kim, Dae-Ran
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.273-281
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    • 2002
  • Purpose. The study was done to develop nursing guidelines to prevent nursing negligence in the clinical setting that would lead to malpractice. Method. A comprehensive review of the literature and focus groups interviews were used to search for malpractice cases related to "observation", one of the most basic nursing activities. The cases were analyzed with respect to nursing practice and a legal expert was consulted on the content. Results. 4 malpractice cases related to observation negligence were selected for this study; 1) a case of failing to observe dyspnea after a thyroidectomy, 2) a case of failing to observe a depressed patient for suicide attempts, 3) a case of failing to observe a VP shunt obstruction, 4) a case of failing to observe a cardiac ischemia after a bronchoscopy. 11 guidelines were developed for clinical nurses and 13 guidelines for nursing managers. Conclusion. These guidelines are useful in preventing malpractice due to nursing negligence. Therefore nurses need to apply them to their practices and continue to make an effort to develop guidelines for other malpractice situations.

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A STUDY OP THE CURRICULUM IMPROVEMENT OP NURSING EDUCATION (간호교육과정의 개선을 위한 일 조사연구)

  • 이연순
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.67-77
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    • 1974
  • Introduction This study is concerned with improving the nursing education curriculum. The purpose of the study was to 1. Review the basic principles of curriculum development. 2. Determine opinion about current nursing curriculums from recent nursing school graduates. Methods of the study A questionnaire was distributed to 250 nurses, in f general hospitals in Seoul. The nurses were graduated from nursing schools in 1973, but represented all types of nursing programs. The Questionnaire was designed to illicit responses about nursing school curriculums in 5 areas: 1. Establishment of objectives 2. Selection of learning experience 3. Organization of learning experience 4. Instruction 5. Evaluation Summary of the major findings 1. Establishment of objectives Thirty nine point three percent of the nurses said that the first objective of the general nursing education was stated "to educate a nurse as a human being with humanity:" Ninety point eight percent of the total respondents said that thor knew the objectives of the curriculum of their nursing schools, but more half of them (58.3%) understood the objectives vaguely at the time they attended nursing school. 2. Selection of learning experience Thirty nine point eight percent of the respondents said their curriculum contained "only a few" liberal arts courses. 3. Organization of learning experience forty seven point six percent. of the respondents were reported that the number of course hours was "insufficient" in liberal arts courses. Fifty seven point three percent of the nurses felt there was an overemphasis on any special topic in liberal arts courses. 4. Instruction Methods of instruction were as follows: Liberal arts courses-a. lecture which centered on explanation (61.1%), b. lecture which centered on writing (43.7%) Supporting nursing courses-a. lecture which centered on explanation (34.0%). b. laboratory Practice (37.8%) Clinical nursing courses-a. lecture which centered on writing (33.0%), b. clinical practice (38.4%) The percentage of respondents replying that various equipment for the learning activities were "insufficient"were as follows: Liberal arts courses-51.0% Supporting nursing courses-28.6% Clinical nursing courses-37.9% 5. Evaluation In the liberal arts courses, 30.6% o( the respondents answered that the evaluation of records was in their opinion "poor, " and 28.2% of the respondents reported that the method of evaluation was "unfair and discouraging. " "Development of a systematic theory of nursing" was thought to be essential for curriculum improvement. The respondents felt that the junior year was the hardest because 1. Number of subjects was too great (28.1%) 2. Lack of a systematic theory of nursing (14.5%) 3. Conflict due to the difference between nursing theory and nursing practice (21.4%) Recommendations 1. Since this study was limited to nurses who had graduated in 1973, a larger study involving professors, graduate students, and nurses from a wider area is suggested in order to establish the reliability and validity of the present findings. 2. Nursing research should be carried out more actively in order to develope nursing science. 3. A permanent organization for research into ways to improve the curriculum should be established in each nursing school.

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The Current Use of Human Patient Simulators in Nursing Schools in Korea (간호교육에서의 환자시뮬레이션 교육 현황)

  • Lee, Yoon Ju;Kim, Mi Won;Oh, Eui Geum
    • Korean Medical Education Review
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    • v.13 no.2
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    • pp.47-57
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    • 2011
  • Purpose: This study was conducted to explore the current usage of high integration mannequin human patient simulators (hereafter HPS) in nursing education. Methods: Thirty-two faculty members in 11 nursing schools participated in this survey. the questionnaire consisted of some multiple-choice questions and open questions to collect data on the experience of faculty members with using HPS as well as quantitative information. Results: The faculty members who used HPS in their classes recognized the need to use simulation in nursing education. They identified the advantages of simulation education as promoting adaptation to the clinical environment(46.9%), promoting self-confidence(28.1%), promoting critical thinking(28.15), and making direct nursing skill practice available(28.1%). However, they considered the obstacles to the use of simulation in nursing education to be insufficient manpower(62.5%), insufficient time(40.6%), and difficulty in preparing a teaching strategy(34.4%). Conclusion: HPS is useful in nursing education, but systematic plans and policies regarding on its operation are needed to confirm its effectiveness. The results of this study generally provide a basic information for use of HPS in nursing education.