• 제목/요약/키워드: Clinical Basic Nursing Practice

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

  • 이연순
    • 대한간호학회지
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    • 제4권2호
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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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간호교육에서의 환자시뮬레이션 교육 현황 (The Current Use of Human Patient Simulators in Nursing Schools in Korea)

  • 이윤주;김미원;오의금
    • 의학교육논단
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    • 제13권2호
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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.

Effects of a Critical Thinking Course for Korean Nurses in RN-BSN Program

  • Je, Nam-Joo;Lee, Shin-Young;Lee, Seonah
    • 통합자연과학논문집
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    • 제12권2호
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    • pp.58-68
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    • 2019
  • Critical thinking is essential to implementing the nursing process requiring timely decision making. The study examined the effects of a critical thinking course for nurses in the RN-BSN program. The study used a pre- and post-test design with a control group. The experimental group was a convenience sample of 24 working nurses attending a health college. The control group was 24 fellow nurses. The nursing process-based critical thinking course was provided to the experimental group two and half hours a week for 8 weeks. Teaching methods included lectures followed by a summary and quiz, brainstorming and action learning, and lecturer feedback. A pamphlet about views of professional occupation was provided to the control group. The data were collected using self-report questionnaires and analyzed to examine differences in the test scores before and after the intervention. The scores of critical thinking disposition, problem-solving process, and clinical competence increased significantly in the experimental group but did not in the control group. The difference between the two groups was also statistically significant in critical thinking disposition, problem-solving process, and clinical competence. It is necessary that a robust educational program or training to enhance critical thinking ability of nurses are provided in clinical settings and that nurses keep going on thinking critically in their practice.

여자 간호대학생의 친밀한 신체간호에 대한 인식 (Subjectivity of Female Nursing Student Providing Intimate Care to Patient)

  • 박은아
    • 수산해양교육연구
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    • 제27권4호
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    • pp.1063-1074
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    • 2015
  • Nursing students are often embarrassed about offering an intimate care to patients in a clinical environment, and experience stress. In particular, nursing students is often a low level of interaction skill and nursing school has no education program for this intimate care. Therefore, these difficulties are increased while the clinical practice. The purpose of this study was to identify the attitude of female nursing students regarding intimate care to patient and the characteristics of the type by applying Q-methodology, and to create the basic data for the development of education programs for nursing student to prevent stress and embarrassed feeling. Data were collected by applying 35 Q statements to 32 female nursing students. Collected data were analyzed with the PC QUANL program. Results indicate that female nursing students' attitudes of intimate care were divided into four types: 'considering situation-professional obligation type' 'gender related risk avoidance type' 'transcendent professional care type' and 'pursuit of the ideal professional type.' The types of female nursing students' attitudes of intimate care to patient were discussed, focusing on the attitude type identified in this study.

첫 임상실습이 간호대학생의 전문직관, 역할갈등, 직무만족에 미치는 영향 (Change in the Nursing Professionalism, Role Conflict and Job Satisfaction of the Nursing Students before and after their first Clinical Experience)

  • 박은희;황란희
    • 디지털융복합연구
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    • 제15권1호
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    • pp.593-601
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    • 2017
  • 본 연구는 간호학생이 첫 임상실습을 경험한 후 달라진 전문직관, 직무만족, 역할갈등의 변화를 파악하며 간호학생의 임상 실습교육 향상을 위한 기초자료를 제공하자고 시도되었다. 첫 임상실습 후 간호학생의 전무직관(t=-2.184, p=.031), 직무만족(t=-2.068, p>.001)은 상승하였다. 그러나 부정적 요소인 역할갈등(t=-3.729, p>.001) 역시 상승하였다. 즉, 간호학생은 첫 임상실습을 통해 예비간호전문인으로서 바른 전문직관을 세우고 자신의 업무에 대해 만족감을 느꼈다. 그러나 간호학생은 첫 임상실습을 통해 임상에서의 현실적인 간호사 역할을 경험한 후, 오히려 심각하게 자신의 미래 직업에 대한 고민을 하는 것을 알 수 있었다. 특히 역할갈등의 하부영역 중 개인 내 갈등(t=-3.729, p>.001), 역할모호성(t=-5.720, p>.001)에서 심각한 갈등을 느끼므로, 간호학생을 위한 업무기준과 직준표준안 마련에 대해 간호교육계 및 임상실무 현장 전반에 걸쳐 논의가 필요할 것으로 사료된다.

진료협력간호사의 운영현황에 관한 연구 (A Study on the Present Status of Clinical Nurses with Expanded Role)

  • 권영대;성영희;권인각;황문숙
    • 임상간호연구
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    • 제14권3호
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    • pp.99-115
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    • 2008
  • Purpose: The purpose for this study was to identify the present state of Clinical Nurses with Expanded Role (CNERs) and provide basic data to refine the roles of CNERs. In this study, CNREs refers to nurses who perform techniques traditionally done by doctors and use titles such as clinical nursing specialist, educator with consultation, research assistant, coordinator, physician assistant and special examiner. Method: This study was conducted from September 1 to November 12, 2007. Data from 684 nurses from 38 hospitals who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 14.0 program. Results: The mean percentage of time spent was, for direct practice, 41.1%, for education and counseling, 22.8%, for consultation and coordination, 10.4%, for research, 6.8%, for administration, 8.9% and for other activities, 10.0%. The most frequently implemented CNERs, activities included consultation and education for patients and their families, counseling by telephone, history taking, physical examination, reading examination results, psychosocial assessment, managing treatment, input of prescriptions, and writing up patient records, Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medication and laboratory tests. Conclusion: Although the number of hospital CNERs are rapidly increasing, there is still confusion about the title and framework as well as standards. Furthermore, because some nurses are prescribing medication and laboratory tests as well as performing techniques not traditionally done by nurses, there is an absolute need for a legalized system and systematic education system for the safety of patients who are being cared by all CNERs.

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간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도 (Cognition and Practice of Safe Handling of Cytotoxic Drugs in University Hospital Nurses)

  • 김매자;전명희;최진선;박종순
    • 종양간호연구
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    • 제4권2호
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    • pp.154-165
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    • 2004
  • Purpose : To provide basic data for establishing the policy of safe handling of cytotoxic drugs and for building training materials and clinical guidelines for nurses handling cytotoxic drugs. Methods: 255 nurses in Seoul and 257 nurses in D metropolitan area participated in the study. Questionnaires were based on the safe handling guideline for cytotoxic drugs issued by OSHA and ONA. Results: Nurses in Seoul scored higher in the cognition for safe handling guidelines of cytotoxic drugs in preparation, administration. as well as total score compared with nurses in D metropolitan area. The practical score also showed higher in nurses in Seoul in administration, disposal and total score. But both groups showed low level of practical score. The answers why they could not follow the guideline for cytotoxic drugs were "don't have", "busy", and "don't know", etc Conclusion: Handling of the cytotoxic drug is very common and important. The study findings suggest that hospitals especially in D metropolitan area should educate the nurses and supply equipments for safe handling of cytotoxic drugs. Thus, repetitive and continual education of all nurses including experts is needed. In addition, it is necessary to supply enough protective equipment for preventing exposure to the cytotoxic drugs.

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COVID-19 상황에서 간호대학생의 정신건강간호학 온라인 실습 경험: Parse 연구방법 적용 (Nursing Sudents' Experiences of Online Psychiatric Nursing Practice in COVID-19 : A Parse Research Method Study)

  • 강균영;김진주
    • 문화기술의 융합
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    • 제9권6호
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    • pp.1127-1134
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    • 2023
  • 본 연구는 Parse의 연구방법을 적용하여 간호대학생의 온라인 정신건강간호학실습 경험의 의미와 구조를 밝히기 위한 질적 연구이다. 연구대상은 K대학 간호학과 4학년 재학생으로 COVID-19상황에서 정신건강간호학실습을 온라인으로 진행한 학생 9명을 대상으로 하였다. 자료수집은 2022년 3월 7일부터 2022년 5월 27일까지 이루어졌다. 연구결과 COVID-19상황에서 간호대학생의 정신건강간호학 온라인 실습 경험의 핵심 개념은 '자기와 타인 이해의 중요성 인식', '치료적 인간관계 형성을 위한 의사소통 준비', '간호의 의미 탐구를 통한 미래에 대한 조망'으로 나타났다. 핵심 개념을 생생한 경험의 구조로 전환시키면 '자기와 타인 공감', '상호적 인간관계를 위한 마음가짐', '간호의 본질탐구와 자기실현'으로 나타났다. 핵심 개념을 개념적으로 통합시키면 '가치화', '노출-은폐', '강화성'으로 재해석할 수 있다. 결론적으로 COVID-19 상황에서 간호대학생의 정신건강간호학 온라인 실습 경험은 정신건강간호의 목적이 되는 치료적 관계를 위한 인간의 이해, 의사소통의 중요성을 인식하며 미래 간호사로 성장하고, 초월해 나가는 경험이었다. 본 연구는 향후 팬데믹 등 예측할 수 없는 다양한 상황에 효율적인 임상실습 운영을 위한 기초자료가 될 것이다.

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

  • 손행미;김숙영;이화인;전은미;한신희
    • 한국간호교육학회지
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    • 제4권2호
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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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간호교육에서의 유전학 교육과정 현황과 요구 (The Current Status and Educational Requirements for Genetics Curriculum at Nursing Institutions)

  • 홍해숙;변영순;나연경
    • Journal of Korean Biological Nursing Science
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    • 제5권1호
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    • pp.13-22
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    • 2003
  • The purpose of this study was to investigate and analyze current educational requirements related to genetics curriculum(from June 2002 to September 2002) established at nursing institutions and to provide the basic data for the development of genetics science program at the undergraduate. Subjects of this study were comprised of twenty-three colleges of nursing in 4-year baccalaureate and thirty colleges in 3-year diploma programs. The results of this study were as follows : 1) 32 colleges offer courses related to genetics. 29 among 32 colleges have that integrated. Three schools have established completely independent courses of genetics. 21 colleges do not have any courses dealing with genetics. 2) The contents of courses related to genetics include: Congenital abnormalities, chromosomal aberrations, congenital metabolic disease, prenatal diagnosis and genetic counseling, genes and chromosomes, immune genetics, blood type and genetics, rule of genetics, variation in gene expression, the map of the human gene, gene linkage genetics, interaction of genes, single inheritance in order and genetic biochemistry. 3) For course credit, 14colleges(48.3%) offered at most 1 credit per course. The grade of student who can take the course, 51.7% were in their second year while 37.9% were in their third year. The majors of nursing faculty who taught the course were nursing(51.7%) and basic nursing science(17.2%). 4) As far as the need of opening the courses related to genetics, 36 colleges(67.0%) have made a 'need', 12 schools(22.6%) state 'dose not need'. 711e reason for need were the following development of bio engineering, increase number of patients who are related to genetics, recognition of the need in clinical nursing. 7 schools(13.2%) agreed to offer independent course in genetics but 39 schools(73.6%) are in disagreement with that. When the school offers the course with other courses, 27 schools(50.0%) are opening basic nursing science and 14 schools(26.4%) are opening nursing as an integrated courses. If the name of course was either genetic nursing(34.0%) or genetics(28.3%), the credits for the course was one or 2 credits. 33 schools(62.3%) students were in the first or second years. 41 schools(84.9%), the majors of the faculty who had taught the course were either basic nursing science(35.8%), nursing(28.3%) or basic medicine(24.5%). The contents of the course should include in that order: Chromosome aberrations, prenatal diagnosis and genetic counseling, congenital metabolic disease, congenital abnormalities, genes and chromosomes, the rules of genetics, immune genetics, interaction of genes, variation in gene expression, etc. The results and discussions of the study indicate that the entire curriculums need to be investigated with respect to contents of education, nursing curriculums and name of courses because of the increasing need of knowledge related to genetics in the clinical practice.

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