• Title/Summary/Keyword: Clinical Nursing Performance

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Determination the nursing student's clinical competency based on new nurses' job analysis (신규간호사의 직무분석을 통한 간호학생의 실무수행 능력수준 결정)

  • Kang, Ik-Wha;Lee, Eun-Ja;Lee, Kyu-Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.497-509
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    • 2001
  • The purpose of this study was to examine frequency of job performance, level of urgency, index of importance experienced by 138 new nurses who were working at 6 hospitals that had over 400 bed in Incheon and Bucheon. The data were analyzed using a SPSS program for descriptive statistics [numbers of job performance, level of urgency, index of importance(job performance+1/4 level of urgency)]. Some of the most frequent job performance were application of aseptic technique, application of principle of infection control, and medication (IV, PO, IM, supply fluid and electrolyte). Some of the most uncommon job performance were activity as a lecturer in nursing department, activity of arrangement of community resources, and participation in multidisciplinary conference. Some of the highest level of urgency were use of aseptic technique, CPR, application of principle of infection control, defibrillation for dysrhythmia, blood transfusion, observation of patient's status in procedure (operation), v/s check, intervention for improvement of respiratory function and medication of antihypertensives. Some of the lowest level of urgency were activity as a lecturer in nursing department, preceptor's activity, supervisor and delegation of job to nurse aids, attendance at nursing conference, activity of arrangement of community resources, participation in clinical teaching practice, participation in multidisciplinary conference, and delegation of patient care. Those were indirect patient care. The order was physiologic integration(60.99%), safety and effective nursing environment, psychosocial care, and health maintenance and improvement. The most importance item in maintenance of physiologic integration was medication. Some of the highest index of importance were aseptic technique and application of principle of infection control, v/s check, observation of patient's status in operation and medication. Some of the lowest index of importance were activity as a lecturer in nursing department, preceptor's activity, activity of arrangement of community resources, participation in multidisciplinary conference, nursing conference, participation in clinical teaching, and delegation of job to nurse aids.

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Development and effects of a high-risk pregnancy emotive role-play program for nursing students: a quasi-experimental study

  • Bo Gyeong Lee;Sun-Hee Kim
    • Women's Health Nursing
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    • v.28 no.4
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    • pp.317-328
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    • 2022
  • Purpose: This study aimed to develop an emotive role-play program for nursing students focusing on high-risk pregnancy and analyze its effects on communication skills, clinical performance, and emotional intelligence. Methods: A quasi-experimental nonequivalent comparison group design was adopted with 83 nursing students (experimental group, 45; comparison group, 38) who participated voluntarily in an extracurricular program. The preliminary survey was conducted on November 3 and November 4, 2020, and the follow-up survey was conducted on November 12, 2020, for the comparison group and on November 27, 2020, for the experimental group. A program that included five role-play scenarios related to induced labor, preeclampsia, premature rupture of membranes, preterm labor, and infertility was developed by a group of experts and presented to the experimental group over 11 total hours across 3 days. Each student participated in a role-play scenario as a patient, family member, or nurse and observed three other scenarios. The comparison group received a workbook after the follow-up evaluation. The independent t-test was performed to analyze changes in communication skills, clinical performance, and emotional intelligence. Results: Communication skills (t=1.84, p=.035) and clinical performance (t=2.75, p=.004) significantly increased in the experimental group compared to the comparison group. A significant difference was not observed between the experimental and comparison groups for emotional intelligence (t=1.36, p=.088). Conclusion: The emotive role-play program concerning high-risk pregnancy was effective in improving nursing students' communication skills and clinical performance and can be used in nursing education related to high-risk pregnancy and childbirth.

Comparison of Nursing Performance by Career Levels in a Nurse Career Ladder System (경력개발시스템 경력단계별 수술실 간호사 업무수행능력 비교)

  • Kim, Myoung-Sook;Park, Sung-Ae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.2
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    • pp.284-292
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    • 2012
  • Purpose: This study was to compare nursing performance by career levels in a career ladder system. Methods: This survey was conducted with 140 OR staff nurses. Ten unit managers evaluated their own staff with a performance evaluation tool composed of 51 items. Data were analyzed by frequency, t-test, one-way ANOVA, ${\chi}^2$-test, and ANCOVA. Results: In career level CN II, nursing performance showed differences by personal characteristics. However, there was no significant difference in level CN III. CN IIIs' nursing performance was significantly higher than CN IIs' in all domains. Nursing performance of CN III was significantly higher than CN IIs' in 5 to 10 years of clinical experience. Although there was no significant difference in other clinical experience groups, CN IIIs' scores were always higher than CN IIs' Conclusion: The results indicate that nursing performance improves with career ladder advancement. Organizations should encourage advancement to higher levels and eliminate obstacles.

The Effects of Emotional Intelligence, Nursing Work Environment on Nursing Work Performance in Clinical Nurses (임상간호사의 감성지능과 간호근무환경이 간호업무성과에 미치는 영향)

  • Park, So-Hee;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.16 no.4
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    • pp.175-184
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    • 2018
  • This study aimed to identify the effect of emotional intelligence, nursing work environment on nursing performance in clinical nurses. Data were collected through a self-report questionnaire for 222 subjects and analyzed using descriptive statistics, t-test, ANOVA, and multiple regression with SPSS WIN 22.0 program. The results showed that nursing performance had significant correlations with emotional intelligence and nursing work environment. Also, the influencing factors on nursing performance were emotional intelligence, age, nursing satisfaction, nursing work environment, and nursing unit. These factors explained 50.0% of variance. Therefore, emotional intelligence, age, nursing satisfaction, nursing work environment, and nursing unit should be considered in developing and applying an nursing interventions program to improve the nursing performance among clinical nurses.

Development and Psychometric Testing of the Clinical Nursing Competency Scale for Clinical Preceptor Use (CNCS-CP) (임상간호실습 현장지도자용 임상간호역량 평가도구 개발)

  • Kwak, Eunmi;Oh, Heeyoung
    • Journal of Korean Academy of Nursing
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    • v.48 no.4
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    • pp.419-431
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    • 2018
  • Purpose: The purpose of this study was to develop and establish the psychometric properties of a clinical nursing competency evaluation tool to be utilized by clinical preceptors. Methods: The initial items were identified through in-depth literature review and field interviews based on a hybrid model. Content validation of the items was evaluated through three rounds of content validity testing. Participants were 34 clinical preceptors and 443 nursing students participating in clinical practice. Data were analyzed using exploratory and confirmatory factor analysis, convergence and discriminant validity, internal consistency and inter-rater reliability. Results: The final scale consisted of 23 items and four factors, fundamental nursing skills performance, critical thinking skills based on the nursing process, basic nursing knowledge, and professional attitude; these factor explained 69.7% of the total variance. The analysis with multi-trait/multi-item matrix correlation coefficients yielded 100.0% and 95.7 % convergence and discriminant validity, respectively. Cronbach's alpha for the total items was .95. The four subscale model tested by confirmatory factor analysis was satisfactory. Inter-rater reliability ranged from .912 to .967. Conclusion: This scale was found to be a reliable and valid instrument that clinical preceptors can apply for evaluating the clinical nursing competency of nursing students in clinical settings.

The Influence of Nursing Professionalism, Learning Agility, and Nursing Practice Environment on Nurses' Performance in Small and Medium Hospitals (중소병원 간호사의 간호전문직관, 학습민첩성, 간호근무환경이 간호업무성과에 미치는 영향)

  • Kim, Hye-Young;Lim, Su-Jin
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.197-207
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    • 2023
  • Purpose: This study attempted to discern the factors that influence nursing professionalism, learning agility, and the nursing practice environment on the performance of nurses. Methods: Data were collected from 202 clinical nurses who both consented to participate and who have worked for more than one year in one of five small- and medium-sized hospitals located in three regions of Korea. The data were analyzed using the SPSS/WIN 26.0 statistical programs. Results: The nurses' performance showed a statistically significant correlation with nursing professionalism (r=.50, p<.001), learning agility (r=.54, p<.001), and nursing practice environment (r=.37, p<.001). Factors affecting the results of nurses' performance in relation to the subjects are those of learning agility (β=.33, p<.001), nursing professionalism (β=.25, p<.001), clinical career (β=.24, p=.001), education level (β=.16, p=.011), and nursing practice environment (β=.15, p=.016). Conclusion: To improve the performance of nurses in medium-sized hospitals, it is necessary to develop a nursing practice environment, programs, and strategies for enhancing nursing professionalism and learning agility.

The Effectiveness of Clinical Practice Education using Checklist on Performance of Delirium Care for Nursing Students (간호학생 대상의 체크리스트를 활용한 임상실습교육이 섬망간호 수행에 미치는 효과)

  • Oh, Hyo-Sook
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.289-299
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    • 2018
  • The purpose of this study was to identify the effects of clinical practice education using delirium checklist for nursing students. The study was used pretest-posttest design with single group with 91 fourth year nursing students. The study measured the delirium knowledge, self-confidence and performance of delirium care using structured questionnaire from August 14 to September 30, 2017. The delirium education was composed of one hour lecture and clinical practice. Clinical practice was applied checklists of delirium assessment and prevention care. In result, significant improvements were found in delirium knowledge(t=-11.23, p<.001), self-confidence(t=-11.00, p<.001) and performance(t=-5.31, p<.001) of delirium care. Based results of this study, it was found that delirium education using checklist improved delirium knowledge, self-confidence and performance levels of delirium care for nursing students.

The Frequency of Job Performance of the Korean Professional Medical Support Staff at Medical Institutions over 500 Beds (500병상 이상 의료기관에서의 전문지원인력의 직군별 업무 수행빈도 분석)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.15-27
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    • 2018
  • Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

Comparison of Professional Self-Concept, Clinical Nursing Competence, and Practicum Satisfaction between Nursing Students with and without Pediatric Nursing Clinical Preceptorship (아동간호 임상프리셉터십 경험 유무에 따른 간호학생의 전문직 자아개념과 임상수행능력 자신감, 실습 만족도 비교)

  • Bang, Kyung-Sook;Chae, Sun-Mi;Yu, Ju Youn;Song, Min-Kyung;Lee, Ji-Hye
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.3
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    • pp.396-404
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    • 2013
  • Purpose: The purpose of this study was to compare professional self-concept, clinical nursing competence, and practicum satisfaction between nursing students with and without pediatric nursing clinical preceptorship. Methods: This study used a comparative research design. A total of 85 junior nursing students participated in the study, and data from 76 students were analyzed using SPSS WIN 20.0. Among them, 44 students experienced pediatric nursing clinical preceptorship. Results: The students with clinical preceptorship showed a significantly higher score in nursing skill related items of professional self-concept and the confidence in knowledge of injection preparation and administration compared to the counterpart students. Practicum satisfaction was also significantly higher in the students with clinical preceptorship than in the other students. There were significant positive correlations among professional self-concept, performance confidence, and practicum satisfaction. Conclusion: The study findings suggest that clinical preceptorship is an effective educational method to teach clinical practicum of pediatric nursing. The use of clinical preceptorship needs to be considered to motivate nursing students actively involved into the clinical practicum. The roles of clinical preceptors should be clearly identified in clinical education.

Relationship among Sense of Humor, Self-esteem, and Performance in Nurses (간호사의 유머감각, 자존감과 간호업무성과와의 관계)

  • Choi, Jin-Yi;Hwang, In-Young;Park, Young-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.1
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    • pp.10-17
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    • 2012
  • Purpose: The study was done to identify relations among sense of humor, self-esteem, and performance in nurses. Methods: Data were collected by questionnaires from 198 nurses in Seoul and Gyeonggi province. Measures were sense of humor, self-esteem, and performance. Data were analyzed using Pearson correlation coefficients, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 13.0 version. Results: This study shows that performance of nurses has significant difference according to age, marriage, education level, income and clinical experience. The performance of nurses has positive correlation with their sense of humor and self-esteem. The higher clinical experience, sense of humor, and self-esteem they have, the better performance they make. The factors that affect performance of nurses are clinical experience, sense of humor and self-esteem. The degree of explanation is 36.5%. Conclusion: Knowing that sense of humor and self-esteem of nurse are significant factors which can cause nurses' better performance, we suggest an education program that can help nurses to develop and manage their sense of humor.