• The Journal of Korean Academic Society of Nursing Education
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• v.24 no.2
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• pp.160-167
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• 2018

Purpose: This study was conducted to identify the influence of clinical practicum-related stress, and awareness, and self-efficacy on strength on health promotion behaviors among nursing students. Methods: The subjects were 274 students in nursing college who had experience in a clinical nursing practicum. Data were collected from self-reported questionnaires and were analyzed by independent t-test, ANOVA, Pearson correlation coefficient, and multiple regression analyses. Results: Multiple regression analyses showed that strength self-efficacy and self-awareness on strength significantly affected overall health promotion behaviors. Regarding subscales of health promotion behaviors, self-awareness on strength significantly affected health responsibility and stress management in health promotion behavior when controlling for sociodemographic characteristics, while the subscales of clinical practicum-related stress did not affect health promotion behavior. Conclusion: The recognition of an individual's strength and self-efficacy might be a factor in improving health promotion behaviors among nursing college students, although they suffer from stress during clinical nursing practicum.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.4
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• pp.527-536
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• 2016

Purpose: This study was conducted to explore the factors affecting emotional labor, self-esteem and clinical practice satisfaction on professional identity in nursing students. Methods: A total of 262 nursing students participated in the study. Data were analyzed using SPSSWIN 18.0. Results: The mean scores for emotional labor, self-esteem, clinical practice satisfaction and professional identity were above-average. There were significant mean differences in professional identity according to ages, academic score, motivation for selecting nursing, satisfaction with college life and satisfaction with nursing majors. Professional identity correlated positively with self-esteem and clinical practice satisfaction, negatively with emotional labor. The significant predictors of professional identity included satisfaction with nursing majors, self-esteem, emotional labor and motivation for selecting nursing. The regression model explained 38.9% of professional identity. Conclusion: To enhance professional identity in nursing students, it is necessary to build effective strategic to focus on promoting their satisfaction with the nursing major, self-esteem and management of emotional labor.

• The Journal of Korean Academic Society of Nursing Education
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• v.24 no.1
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• pp.89-99
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• 2018

Purpose: The purpose of this study was to identify the influence of professional self-concept, job overload, and perceived organizational support on job involvement in clinical nurses. Methods: The participants in this study were 232 nurses who were working in five general hospitals in city D. Data was collected using self-reported questionnaires from August 16 to September 15, 2016. The data was analyzed using the IBM SPSS 19.0 program. Results: Job involvement of clinical nurses was influenced by professional self-concept, perceived organizational support, turnover intention, age, and monthly income. These variables explained 47.6% of job involvement of clinical nurses, and professional self-concept was the most significant factor in job involvement. Conclusion: The findings indicate that the job involvement of clinical nurses is influenced by professional self-concept and perceived organizational support. Consequently, it is necessary to increase professional self-concept and perceived organizational support for nurses' job involvement.

• The Journal of Korean Society for School & Community Health Education
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• v.17 no.3
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• pp.103-116
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• 2016

Objectives: The purpose of this study was to compare the differences of sleep quality, fatigue and depression between school lessons and clinical practicum term in nursing students. Methods: This study was conducted through a survey on 84 $4^{th}$ grade nursing students. Data collection was conducted from April to June, 2015. Participants completed a questionnaire assessing sleep quality, fatigue and depression. Data were analyzed by the SPSS/WIN 21.0 using descriptive statistics, paired t-tests, ANOVAs, Pearson's correlations and multiple regression. Results: The mean scores of fatigue and depression during the school lesson were significantly high compared to those of the clinical practicum. On the contrary, the score of sleep quality did not showed difference. Sleep quality showed negative correlations with fatigue and depression respectively, and fatigue showed positive correlation with depression. Subjective health status was the influential factor predicting fatigue and depression after school lessons, and subjective health status and major satisfaction were the influential factors predicting fatigue and depression after clinical practicum term. Conclusions: Nursing students showed different characteristics between school lessons and clinical practicum term. Thus, it is essential to identify physical and psychological problems and related factors respectively, then to devise appropriate programs to improve nursing curriculums.

• Korean Journal of Adult Nursing
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• v.25 no.1
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• pp.53-61
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• 2013

Purpose: The purpose of the study was to identify the levels of anxiety, depression and uncertainty of patients who participated in the clinical trials for anticancer drug, and to identify correlations among these variables. Methods: Cross-sectional survey used the Symptom Check List-90-Revision and the Mishel Uncertainty in Illness Scale from 106 subjects in 2011. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients. Results: The mean score of anxiety was 2.06, that of depression 2.35, and that of uncertainty 2.61. Anxiety and depression (r=.70), anxiety and uncertainty (r=.44), depression and uncertainty (r=.60) were significantly correlated each other. The levels of anxiety, depression and uncertainty were different in various characteristics of the subjects, such as education, recurrence, and economic burden. Conclusion: The results of the study indicate that when implementing psychosocial interventions for cancer patients who participate in clinical trial, factors such as education, economic burden, and recurrence should be integrated into the intervention. Further studies applying theoretical model would be helpful to identify directional relationships among the variables that are important in psychosocial well-being of cancer patients undergoing clinical trial.

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.2
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• pp.226-234
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• 2011

Purpose: The purpose of this study was to identify the effect of a simulation-based practice on clinical performance and problem solving processes for nursing students. Method: The study used a one group pre-post test design. Students experienced a simulation-based practice that included team base learning, skill training, taking a high-fidelity simulation with SimMan 3G, and also being debriefed for 12 weeks (August 2010 to December 2010). The pre-test and post-test were conducted to compare the differences in knowledge, clinical nursing skills, and problem solving processes. Result: After students had received the simulation-based practice, they showed statistically significant higher knowledge (t=14.73, p<.001) and clinical nursing skills (t=15.47, p<.001) than before. However, there was no significant difference in the problem solving process score (t=1.53, p=.127). Conclusion: This study showed that knowledge and clinical nursing skills were significantly improved by the simulation-based practice. Further research would be required to identify how the problem solving process that uses simulation-based practice could be developed further.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.1
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• pp.37-44
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• 2009

Purpose: The purpose of this study was to investigate the relationship between professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. Method: Data was collected from convenient sample of 407 nurses in 3 cities. The questionnaire measured the level of professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient, partial correlation. Result: The mean score of professional self-concept was 2.83(${\pm}.34$) self-efficacy was 3.64(${\pm}.31$), job satisfaction was 3.12(${\pm}.38$). There were significant differences on three variables according to age, a clinical career, level of education. There was a significant positive correlation between professional self-concept and self-efficacy, job satisfaction. The self-efficacy was a significant positive correlation with job satisfaction. Conclusions: From the studies reviewed, it can expect the positive effect to improve the self-efficacy, professional self-concept and job satisfaction when the nurses who have continuous education and organizational support. These findings would be important resource to nurse administrators for clinical implication.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.4
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• pp.448-458
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• 2019

Purpose: The aim of this study was to identify the effect of metacognition, communication skills, and confidence in the performance of core basic nursing skills on clinical competency in nursing students. Methods: A total of 158 students were recruited from two nursing colleges in B metropolitan city. Data were collected by means of self-reported questionnaires from December 3-31, 2018 and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple linear regression with SPSS 21.0. Results: Metacognition, communication skills, and confidence in the performance of core basic nursing skills were higher than normal and the relationship between the variables metacognition (r=.69, p=<.001), communication skills (r=.69, p=<.001), and confidence in the performance of core basic nursing skills (r=.59, p=<.001) were highly positively correlated with clinical performance. Factors influencing these three variables accounted for 64.4% of clinical competency. Conclusion: Further research on the development of the curriculum and intervention program, and the verification of the effect are needed.

• Journal of Korean Clinical Nursing Research
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• v.17 no.1
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• pp.16-26
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• 2011

Purpose: The purpose of this study is to investigate nurses readiness to self-directed learning and its correlations with nursing practice competence in a tertiary hospital in Seoul, Korea. Methods: A cross sectional survey design was utilized to assess nurses readiness to self-directed learning and job performance. The data used in this study were obtained from 286 nurses who have been working on general ward for over 1 year. Data were analyzed by ANOVA, t-test, Pearson's correlation analysis, and multiple regression using SAS 9.1 program. Results: The mean score of the readiness to self-directed learning is 3.56 and that of nursing practice competence is 2.71. The readiness to self-directed learning was statistically different according to level of education, and clinical work experience. Nursing practice competence was also significantly different according to level of education, clinical work experience, marital status, age, and working division. The readiness to self-directed learning and nursing practice competence seem to have significant positive correlation to each other (r=.555, p<.001). The readiness to self-directed learning explains 32.0% of nursing practice competence (F=20.20, p<.001). Conclusion: These findings indicate that program development for enhancing the readiness to self-directed learning is needed to improve nursing practice competence. We also need continuous efforts to improve nurses initiatives and creativity.

• The Journal of Korean Academic Society of Nursing Education
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• v.27 no.1
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• pp.29-38
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• 2021

Purpose: The purpose of this study was to describe the meaning of incivility experienced by nursing students in relations with nurses during clinical practice. Methods: This is a descriptive qualitative study that included thirty participants using convenience sampling in universities in S, J, Ch, and C provinces. Data saturation was achieved and methodological rigor was established. Qualitative content analysis was used to inductively determine categories. Results: The four categories derived from analysis were 'left alone at clinical field', 'treated as an assistant', 'not respected as a person' and 'ignored future dreams'. Conclusions: Nursing students continue to carry out repetitive, low-risk tasks, for which they are not properly trained due to the lack of practical guidance in clinical practice. During clinical practice, they are not respected as persons by nurses and are negatively influenced by nurse professionals. A solution to this requires organic cooperation and policy preparation at universities and hospital sites to improve practical training of nursing students.