• Title/Summary/Keyword: Clinical Education

Search Result 3,681, Processing Time 0.027 seconds

The Effect of Ego-resilience, Stress Coping Styles, Teaching, Effectiveness, and Family Support on Satisfaction of Clinical Practice in Nursing Students by AMOS Structural Equation Model (간호대학생의 자아탄력성, 스트레스 대처방식, 교수효율성, 가족지지가 임상실습만족도에 미치는 효과: 구조방정식 모형구축)

  • Park, Wan-Ju;Han, Ji-Young
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.17 no.3
    • /
    • pp.365-375
    • /
    • 2011
  • Purpose: This study aimedto develop a structural equation model on the relationship among ego-resilience, and teaching effectiveness on clinical education, stress coping style, perceived family support, and satisfaction of clinical practice in nursing students in order to increase the satisfaction of clinical practice. Methods: The subjects were 399 undergraduate nursing students enrolled in 7 universities and participating in 10 clinical practice setting areas in 5 cities in South Korea. The research was conducted from December 5th, 2009 to February 20th, 2010. The structural equation model was used to perform the analysis with the statistics program of SPSS win 17.0 and AMOS 5.0. Results: Teaching effectiveness and family support showed a direct effect on satisfaction of clinical practice, while ego-resilience and stress coping styles showed an indirect effect. The biggest total effect on satisfaction of clinical practice was teaching effectiveness followed by family support, ego-resilience, and stress coping styles respectively, which accounted for 50.9%. Conclusion: Based on outcomes of this study, the proposed model allows better understanding of the satisfaction of clinical practice. This result implies that strategies or intervention programs enhancing extrinsic protection factors, motivation factors, and intrinsic protection factors should be considered. In addition, a structural support system for increasing the satisfaction level of clinical practice in nursing students should also be considered.

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

  • Kwon, Young Dae;Sung, Young Hee;Kwon, In Gak;Hwang, Moon Sook
    • Journal of Korean Clinical Nursing Research
    • /
    • v.14 no.3
    • /
    • pp.99-115
    • /
    • 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.

  • PDF

Factors Affecting Satisfaction of Clinical Practice among Prospective Graduates in Nursing Colleges (간호대학 졸업예정자의 임상실습 만족도 영향요인)

  • Kwon, Young-Eun;Kim, Seon-Young
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.24 no.1
    • /
    • pp.80-88
    • /
    • 2018
  • Purpose: This study was designed in order to explore the factors affecting the satisfaction of clinical practice among prospective graduates in nursing colleges and attempt to provide the base data for the quality improvement of clinical practice education. Methods: A total of 205 perspective graduates in nursing who have completed the clinical practice at four colleges of nursing located in Gyeonggi-Do and Chungcheongnam-Do participated in the study. Using structured questionnaires, the data was collected between October 10th, 2016 and November 9th, 2016. Results: The average scores for the image of nurses ($3.86{\pm}0.66$), satisfaction of major ($3.85{\pm}0.55$), self-efficacy ($3.44{\pm}0.51$), nursing professionalism ($3.70{\pm}0.47$), and satisfaction of clinical practice ($3.32{\pm}0.56$) were calculated. The satisfaction of clinical practice was in significant statistical correlation with the image of nurses (r=.59, p<.001), major satisfaction (r=.47, p<.001), self-efficacy (r=.21, p<.001), and professional identity (r=.46, p<.001). The significant predictors of the satisfaction of clinical practice included the image of nurses (${\beta}=.48$, p<.001) and nursing professionalism (${\beta}=.19$, p=.008). The regression model resulted in 36.0% satisfaction of clinical practice. Conclusion: Active development and implementation of programs for establishing positive images of nurses and nursing professionalism are needed in order to improve the satisfaction of clinical practice for nursing students.

Assessment of Acupuncture and Moxibustion Medicine Clinical Practice Using the Objective Structured Clinical Examination

  • Cho, Eunbyul;Lee, Ju-Hyun;Kwon, O Sang;Hong, Jiseong;Cho, Nam Geun
    • Journal of Acupuncture Research
    • /
    • v.38 no.3
    • /
    • pp.219-226
    • /
    • 2021
  • Background: The objective structured clinical examination (OSCE) is a widely used method to assess the clinical performance of students in clinical practice. Although OSCE has been used for undergraduate students of Korean medicine, this has not been widely reported. Methods: In 2020, the practical course for acupuncture and moxibustion medicine (acupuncture, electroacupuncture, pharmacopuncture, auricular acupuncture, and burning acupuncture) was taught using flipped learning, according to clinical practice guidelines, and assessed by the OSCE. The appropriateness of this model of education and its evaluation using OSCE were evaluated using a 5-point Likert scale, and the results were analyzed. Results: Of the respondents, 67% reported that the OSCE accurately reflected their competency, and 82% reported that online video lectures helped them to improve their clinical skills. The average adequacy score of the model was > 3.7/5, and the average adequacy score of the checklist used in the OSCE was > 4.1/5 for all 5 clinical application skills. The difference in the mean self-efficacy score between students who had taken the OSCE and those students who had not taken the OSCE, was highest in the burning acupuncture group (0.923). Conclusion: This study showed that students' satisfaction with the OSCE was high and flipped learning was an effective education model. In the future, models representing the human body or simulated patients should be used to evaluate students' skills and attitude.

The Effects of Service Education for Improvement of Nursing Image (예절교육 자가평가)

  • Kim, Myung-Ae;Lee, Young-Shin
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.2
    • /
    • pp.7-19
    • /
    • 1996
  • The purpose of this study was to analysis the effect of service education that would improve the image of nursing as a qualified nurse. This study was designed one group pretest-posttest design. The sample was consisted of 274 nurses who was all of the nurses participated in the education of service. The education was provided during eight hours a day each group. The program of the education was devided eight sections and each section had it's own individual teacher. The member of each group was consisted of about twenty-five nurses. The questionnaire was developed by researchers and was applied two times just at the preeducation and two weeks after the education. The criteria of the developed questionnaire was consisted of two aspects, one was recognizant aspect of service and the other was behavioral aspect of service. The reliability of the questionnaire was Chronbach's $\alpha$=0.778. The questionnaire was exammed collected in the morning when the education of the service was started and two weeks after the education. The data were analyzed by descriptive statistics, paired T-test, Pearson's correlations. The result of the study are as follows : 1. There was a significant difference in the aspect of recognition of service between pre and post self-evaluation. 2. There was no significant difference in the aspect of behavior service between pre and post self-evaluation. 3. There was a significant difference in the aspect of total sense, score between pre & post self-evaluation. 4. There was a significant correlation between clinical experience and aspect of recognition of service. The positive correlation was shown in the longer clinical experience between nurse's role and service. But there was not a statistically significant correlation between clinical experience and aspect of behavior of service. Through the result it can be concluded that the education of service was needed to improve image of nursing as a practical and basic factor for the nurses, even though the education was not directly related to the nures's professional knowledge and skills.

  • PDF

Nurses' Image perceived by Student Nurses before and after their First Clinical Practice (첫 임상실습 전.후 간호학생이 지각한 간호사 이미지)

  • Yang, Jin-Ju
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.9 no.1
    • /
    • pp.64-72
    • /
    • 2003
  • Purpose: The purpose of this study was to identify changes in nurses' image of student nurses before and after their first clinical practice. Method: Study samples were composed of 78 student nurses who were from nursing dept. of one college in G city. All participants had their first clinical practice for 4 weeks at two general hospitals in Gwangju. The internal consistency of the total scale was Cronbach's $\alpha$= .883. Results: After the first clinical practice, the mean score of nurses' image in general was lower than that of nurses' image before the clinical practice. In five subcategories, before the first clinical practice, professionalism and expertness were the highest followed by role performance, vision of a career, and temperature as a nurse in order but after the first clinical practice, professionalism was the highest score followed by expertness, temperature as a nurse, role performance, vision of a career in the mean scores of nurses' image. Conclusion: Based upon these findings, clinical practice will play an important role in improving role performance and vision of a nursing career for student nurses, so nursing administrators should make efforts to improve image of nurses in a variety of practice.

  • PDF

The Communication Styles and Nursing Service Satisfaction of Clinical Research Nurses Perceived by Clinical Subjects (임상시험 대상자가 지각한 임상연구 간호사의 의사소통 유형과 간호서비스 만족도)

  • Seo, Mi Seon;Park, Young Im
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.22 no.4
    • /
    • pp.559-566
    • /
    • 2016
  • Purpose: This study aimed to examine the communication styles and nursing service satisfaction of clinical research nurses perceived by clinical subjects. Methods: The data were collected with self-administrated questionnaires after receiving consents from 200 clinical trial subjects. The data were analysed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression analysis using SPSS 21.0 statistic program. Result: Clinical subjects perceived that clinical research nurses used the informative, affective, and non-authoritative communication styles. The study identified factors influencing the nursing service satisfaction, and they were the informative communication styles (${\beta}$=.34, p<.001) and affective communication styles (${\beta}$=.35, p<.001, $R^2$=37%) by multiple linear regression. Conclusion: If educational programs on communication are developed to help clinical research nurses use the informative and affective communication styles according to the characteristics of subjects and applied to the field of practice, they will be able to increase the nursing service satisfaction and contribute to the higher quality of clinical trials.

The effect of verbal violence, clinical practice stress, and coping with stress on nursing students' major satisfaction during clinical practice (간호대학생의 임상실습 중 경험한 언어폭력, 임상실습 스트레스 및 스트레스 대처가 전공 만족도에 미치는 영향)

  • Heo, Heejung;Song, Yeoungsuk
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.29 no.2
    • /
    • pp.190-198
    • /
    • 2023
  • Purpose: This study was conducted to identify the effect of verbal violence, clinical practice stress, and coping with stress on the major satisfaction in nursing students during clinical practice. Methods: A cross-sectional study was used. A survey was conducted from May 3 to May 10, 2022, on 200 nursing students who were in their junior and seneior years at two universities in Gyeongsangbuk-do. Descriptive statistics, frequency analysis, independent t-test, one-way ANOVA, Scheffé's test, Pearson correlation coefficient, and hierarchical regression analysis were employed to analyze the data. Results: Major satisfaction was found to be significantly negatively correlated with verbal violence (r=-.30, p<.001) and clinical practice stress (r=-.15, p=.032) and to be positively correlated with coping with stress (r=.24, p<.001). Their satisfaction with clinical practice (β=.29, p=.037), verbal violence (β=-.23, p<.001), coping with stress (β=.16, p=.015), religion (β=.14, p=.041), and clinical practice stress (β =-.13, p=.048) explained 19.3% of the variance in nursing students' major satisfaction during clinical practice. Conclusion: A verbal violence and coping with stress program for nursing students should be developed to increase nursing students' major satisfaction during clinical practice.

The Survey for Improvement in Clinical Practice Curriculum of Physiotherapy (물리치료 임상실습 교과내용 개선을 위한 조사연구)

  • Jang, Su-Gyeong
    • Journal of Korean Physical Therapy Science
    • /
    • v.5 no.3
    • /
    • pp.659-674
    • /
    • 1998
  • This Study was to investigate elaborated research themes and direction through specifying the problems of clinical practice education and looking for the direction of improvement. It was in the basis of the viewpoint of the educators that professors and therapists who were the subjects of this study. Perform this study, the 15 colleges' professors and the 55 hospitals' therapists was made up questionnaire, and the data was analysing by Chi-square test and percentage. The results were as follow : ${\cdot}$ In a personal history among the general qualities, professors have little clinical practice history(l-5 years, 53.3%), and therapists have little lecture career(1-5 years, 43.6%, have no 49.0%), ${\cdot}$ The 78.6% subjects were unsatisfied of clinical practice systems. ${\cdot}$ The correlation between clinical history, school career and lecture career and the satisfaction level of clinical practice systems has no(P<.005), ${\cdot}$ The subjects were agreed to that clinical practice curriculum should be changed(67.1%), reinforced(82.9%), and specified(90.0%). ${\cdot}$ The clinical practice credits are 11 points averagely. ${\cdot}$ In the clinical practice curriculum, it made no difference in the practicum of diseases, modality, and the therapeutic techniques between professors and therapists. ${\cdot}$ The 100% professors said that the practicum of the patients' assessment is necessary, and the 63.6% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the clinical psychology is necessary, and only the 20.0% therapists were training for that. ${\cdot}$ The 93.3% professors said that the practicum of the patients' management is necessary, and the 50.9% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the medical ethics is necessary, and the 34.5% therapists were training for that. ${\cdot}$ The 46.7% professors said that the practicum of the hospital administration is necessary, but the 54.5% therapists have not training. ${\cdot}$ The 33.3% professors said that the practicum of the pharmacology is necessary, but the 81.8% therapists have not training. ${\cdot}$ The 86.7% professors said that the practicum of the patient's education is necessary, and the 43.6% therapists have training. ${\cdot}$ The 66.7% professors said that the practicum of the prosthesis and brace is necessary, but the 14.5% therapists have not training. ${\cdot}$ The 60.0% professors said that the practicum of the exercise prescription is necessary, but the 25.5% therapists have not training. ${\cdot}$ The 53.5% professors said that the practicum of the emergency treatment is necessary, but the 52.7% therapists have not training. ${\cdot}$ Drawing up the plan about the curriculum of clinical practice, the professors (46.7%) were agreed to national master plan framing by an expert advisor, but the therapists (58.2%) said that the plan that make the most of hospitals' characteristics should be specified. ${\cdot}$ It was found that a clinical special therapists(54.5%) was good as a person in charge of clinical practice education, in that each therapist's own good time (34.5%) was. ${\cdot}$ It made use of the form framing by college(40.0%) as the clinical practice textbook, the form framing by hospital (42.9%) and each therapist(22.9%) as the plan, and the form framing by college (74.3%) as the measurement. ${\cdot}$ The most difficult point in clinical practice education was the lacks of the theory-praciticum linkage(78.2%). ${\cdot}$ It was found that the period of clinical practice was in the second semester-third grade (40.0%) and the desirable period was in the first semester-third grade(50.0%). ${\cdot}$ Professors (53.3%) were agreed that the desirable clinical practice duration was from four months to six months(60.0%), and the therapists (60.0%) were agreed that from one month to three months. ${\cdot}$ This study presented the lacks of rearing the experts, the lacks of cultural education, and the lacks of the theory-clinical practice linkage. There were need to develop the systematic programs, clinical practice textbooks, the measurements and the special hospital for clinical practice. And it was need to reduce the gab between of the hospitals for clinical practice, to cut down the costs. and to improve the labour conditions of leaders. In view of this findings, it takes notice of that both professor and therapist were dissatisfied at the present clinical practice systems. These results point out the problems of clinical practice systems, and do not make expect to us the successive and positive clinical practice. The general, specific and intensive plan about the problems and the direction of improvement that establishing the level of hospital for clinical practice and physiotherapy can be elaborated.

  • PDF

A Study of Assessing Educational Needs on Program Planning for AIDS(Acquired Immunodeficiency Syndrome) Inservice Education for Clinical Nurses (임상간호사를 위한AIDS(후천성 면역 결핍증) 교육 프로그램 개발을 위한 기초 연구)

  • 박인혜;이숙자;이정희
    • Journal of Korean Academy of Nursing
    • /
    • v.29 no.2
    • /
    • pp.371-382
    • /
    • 1999
  • Nurses are at the forefront of providing hands-on care to patients infected with HIV(Human Immunodeficiency Virus). Therefore, appropriate and sensible infection control precaution should be taken at all times. The purpose of this study is to find out nurse's loaming needs about HIV/AIDS ; and nurse's willingness to perform nursing care to HIV/AIDS patients ; and the degree of fellowing universal precautions in nursing care ; and the degree of knowledge of HIV/AIDS to provide information on the guide for the further continuing education. The respondents of this study were 280 nurses in a university hospital in Kwang-Ju city. Data were collected using a self-administered questionnaire and analyzed by using percentages, means, Pearson's correlation, t-test, ANOVA, Duncan's grouping. The findings were as follows ; 1. The mean age of the nurses was 28.9 years, and the mean duration of their clinical experience was 6.8 years. Majority of the nurses(83.9%) had no experience in taking care of the AIDS patients. 2. The content s nurse's need to learn were showed in order such as clinical manifestations, infection control, patient care, and the mode of transmission of HIV/AIDS. 3. Even though the nurses had quite low knowledge about HIV/AIDS(mean score was 12.2 from the total of 26), they are willing to take care of the AIDS patients (mean score was 39.5 from the total of 60), and the degree of following universal precaution was also not so bad (mean score was 40.8 from the total of 50). 4. Nurses who are over 35 years old and had informal education regarding HIV/AIDS better following universal precautions. Nurses who had over 12 years of clinical experiences have more willingness to perform nursing care to the AIDS patients. Nurses who had experiences in taking care of the AIDS patients were more knowledgeable about HIV/AIDS. These findings suggest that some strategies should be develope to increase the willingness to perform the nursing care to the AIDS patients. And also continuing education program should be develope and run for the clinical nurses so that they can provide effective and appropriate nursing care to the AIDS patients.

  • PDF