• Title/Summary/Keyword: Clinical Nursing Performance

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Comparison of Teacher's and Students' Evaluations on OSCE Performance among College Nursing Students (객관화된 구조화 임상시험의 학생평가와 교수자 평가 간의 차이 비교 및 영향 요인)

  • Iikura, Atsumi;Suh, Eunyoung
    • Perspectives in Nursing Science
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    • v.11 no.2
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    • pp.153-161
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    • 2014
  • Purpose: This study was aimed to compare and contrast the evaluation scores on students OSCE performance between the instructors and students according to the Bloom's taxonomy. Methods: A total of sixty six students in a nursing college in Seoul, Korea and four instructors were recruited in the study. The 28 sophomore students were assigned to an OSCE on intravenous injection, whereas 38 junior students on tracheostomy care. Knowledge levels were measured by the students using the researcher developed knowledge questionnaires, and the attitudes and skills by the students and instructors by the modified clinical performance checklists. The data were analyzed by SPSS 22.0 program. Results: For knowledge, the higher GPA of the previous semester was only significant factor of higher knowledge scores. There were statistically significant differences in scores of total (t=-2.740, p=.008) and skill (t=-2.528, p=0.014), but not in attitude between the instructors and students' evaluations. The students evaluated their skill scores significantly higher than those of the instructors. For knowledge, the higher GPA of the previous semester was the only significant factor of higher knowledge scores. In attitude scores, the students in higher grade significantly overestimated themselves (t=3.076, p=.003). Conclusion: Clinical performance assessment requires methodological validity and reliability for student to attain necessary clinical skills properly and efficiently. The findings of this study mandate various assessment methods for nursing simulation evaluations to be valid.

The Effects of Simulation-based Delivery Nursing Practice on Proactivity of Problem-solving, Clinical Performance and Team Efficacy in Nursing College Students (시뮬레이션기반 분만간호 실습이 간호대학생의 문제해결의 적극성, 임상수행능력, 팀효능감에 미치는 효과)

  • Eun Hee Seo
    • Journal of Industrial Convergence
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    • v.21 no.8
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    • pp.129-136
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    • 2023
  • The purpose of this study was to test the effects of simulation-based delivery nursing practice on proactivity of problem-solving, clinical Performance and team efficacy in nursing college students. This study conducted with a quasi-experimental one group pretest-posttest design. The subjects of the study were those who participated in the pretest-posttest survey among third graders in nursing who took a simulation-based delivery nursing practice class at S university in D city, and finally, data from 78 students who completed the survey were analyzed. Data collection was conducted from August 30, 2022 to October 28, 2022, and data were analyzed using SPSS 27.0 program. The findings suggest that simulation-based delivery nursing practice had a positive effect by significantly increasing on problem-solving proactivity, clinical performance ability, and team efficacy. However, There are limitations in generalizing the study results. therefore based on a sufficient number of samples, the effects should be verified through randomized controlled pre-and post-test and, To determine whether the effects are consistent, it will be necessary to follow up in the long term.

The influence of social support and health promotion behaviors on nursing work performance among nurses (간호사가 지각하는 사회적 지지, 건강증진행위가 간호업무성과에 미치는 영향)

  • Choi, Eunbi;Yoo, Kyung Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.333-341
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    • 2021
  • Purpose: The purpose of this study was to examine the predicting factors of nursing work performance. Methods: The participants in this study were 148 nurses working in S university hospital in P city. The scales included social support, health promoting lifestyle profile-II (HPLP-II), and nursing work performance. A descriptive analysis and stepwise multiple regression were used for data analysis. Results: Significant correlations were found among social support, health promotion behaviors and nursing work performance. The significant predictive factors of nursing work performance were the emotional support subscale of social support (β=.31, p<.001) and the interpersonal relations subscale of health promotion behaviors (β=.32, p<.001). These two subscales explained 27% of nursing work performance. Conclusion: Nursing education programs should include an emphasis on developing methods of emotional support and interpersonal relations in order to improve nursing work performance among clinical nurses.

Influence of Nurses' Self-leadership on Individual and Team Members' Work Role Performance (간호사의 셀프리더십 수준이 개인과 팀의 직무역할 수행에 미치는 영향)

  • Kim, Se Young;Kim, Eun-Kyung;Kim, Byungsoo;Lee, Eunpyo
    • Journal of Korean Academy of Nursing
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    • v.46 no.3
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    • pp.338-348
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    • 2016
  • Purpose: The purpose of this study was to examine correlations between nurses' self-leadership and individual work role performance and correlations between self-leadership in nursing units and team members' work role performance. Methods: Participants were 202 conveniently selected general nurses from 5 general hospitals in Korea. The study was carried out on 35 nursing units. Data were collected during February 2015 with self-report questionnaires. Results: For factors affecting individual work role performance, self-expectation, self-goal setting, constructive thought, clinical career in the present nursing unit and marital status accounted for 44.0% of proficiency, while self-expectation, self-goal setting, constructive thought, and marital status accounted for 42.3% of adaptivity. Self-expectation, self-goal setting, constructive thought, self-reward, clinical career in the present nursing unit and position accounted for 26.4% of proactivity. In terms of team members' work role performance, self-reward and self-expectation in nursing units explained 29.0% of team members' proficiency. Self-reward and self-expectation in nursing units explained 31.6% of team members' adaptivity, and self-reward in nursing units explained 16.8% of team members' proactivity. Conclusion: The results confirm that nurses' self-leadership affects not only individual self-leadership but also team members' work role performance. Accordingly, to improve nurses' work role performance in nursing units of nursing organizations, improvement in nursing environment based on self-leadership education is necessary and nurses' tasks rearranged so they can appreciate work-autonomy and challenges of work.

Path Analytic Modeling of Clinical Nurses' Nursing Performance: Focused on Positive Affective Events (임상간호사의 간호업무성과 모형의 경로분석: 긍정정서사건을 중심으로)

  • Younghee Jeong;Yoonjeong Lee;Moonkyoung Park
    • Journal of Industrial Convergence
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    • v.21 no.4
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    • pp.101-109
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    • 2023
  • The aim of this study is to verify the relationships of factors affecting nursing performance of clinical nurses focused on positive affective events. The subjects of this study were 275 clinical nurses from secondary and tertiary general hospitals. Data collection was conducted for two months from May 2021 through an online survey through snowball sampling. Data analyzed was using SPSS 26.0 and AMOS 26.0. The variables affecting job satisfaction included direct effect of positive affective events (β=.65, p<.001), and direct effect of positive affectivity (β=.10, p=.038). Job satisfaction (β=.47, p<.001) had statistically significant direct effects on nursing performance. Positive affective events (β=.32, p=.003) and positive affectivity (β=.05, p=.039) had statistically significant indirect effects on nursing performance. These variables explained for 22% of nursing performance. However, emotional labor had no significant effect on job satisfaction and nursing performance. The results indicate that positive affective events and positive affectivity result in high degree of job satisfaction. Job satisfaction would increase the level of nursing performance. Therefore, in order to improve nursing performance, it is necessary to provide educational opportunities and interventions that can promote positive work environment and positive affectivity.

A Delphi Survey on Performance Indicators of Korean Advanced Practice Nurses (전문간호사 성과지표에 관한 델파이 조사)

  • Kim, Keum Soon;Kang, Ji Yeon;Kim, Bok Ja;Lee, Young Hee;Lee, Eun Nam
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.131-143
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    • 2010
  • Purpose: The purpose of this survey was to identify a set of performance indicators for Korean APNs (Advanced Practice Nurses). Methods: A convenience sample of 78 APNs working in 2 leading hospitals in south Korea participated in the three-round Delphi survey. In the first round, subjects were asked to propose performance indicators to evaluate the effectiveness of their practice. They rated the relevancy of each indicator during the second round. In the final round of survey, subjects rated the relevancy of indicators again in the light of second round's overall results and they also were asked to check on current and future use of indicators. Results: After 5 months of three-round Delphi survey, 60 performance indicators were identified. In regard to relevancy, the 10 highly ranked indicators were patient satisfaction, self-care ability, expertise of service, family satisfaction, nurse satisfaction, satisfaction in nursing education, advanced nursing service count, education for patient/ family, education for nurse, and compliance. Advanced nursing service count, education for patient/ family, and education for nurse are currently used as indicators by more than 70% of respondents. Conclusion: Additional research is needed to identify subsets of performance indicators for specialized areas and to determine the validity and sensitivity of indicators.

Effects of COVID-19 related Peritraumatic Distress and Job Stress on the Nursing Performance of Clinical Nurses (임상간호사의 COVID-19 관련 트라우마 스트레스와 직무스트레스가 간호업무성과에 미치는 영향)

  • Lee, Joohyun
    • Journal of Korean Public Health Nursing
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    • v.36 no.3
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    • pp.334-346
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    • 2022
  • Purpose: This survey was conducted to investigate the level of coronavirus disease 2019 (COVID-19)-related peritraumatic distress and job stress among clinical nurses and evaluate their effects on nursing performance. Methods: The participants were 115 nurses from 5 hospitals in 3 regions in Korea. The peritraumatic distress index (PDI), job stress, and nursing performance scales were used for the analysis. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multivariate regression analysis. Results: The level of peritraumatic distress of nurses was scored at 22.8 ± 9.26 (range 0 to 45). The level of job stress was scored at 2.69 ± 0.51 (range 1.3 to 3.7). The level of nursing performance was scored at 3.73 ± 0.51(range 1.76 to 5.0). Peritraumatic distress was observed to be positively correlated with job stress (r=.408, p<.001). However, peritraumatic distress and job stress were not correlated with nursing performance. In multivariate regression, the only variable seen to affect nursing performance was the work experience of the nurses. Work experience levels of five to fifteen years were observed to have a significant positive effect on nursing performance. Conclusion: The work experience of nurses directly influenced nursing performance during the pandemic period. Thus, to retain more nurses and to improve nursing performance, it would be necessary to develop various strategies to decrease their peritraumatic distress and job stress caused by the pandemic.

Effects of Empowerment and Regarding Standard Precautions for Healthcare associated Infection Control in Nursing Students Experiencing Clinical Practice on Performances (임상실습을 경험한 간호대학생의 임파워먼트와 의료관련감염 관리 표준주의지침 인지도가 수행도에 미치는 요인)

  • Jung, Mi-Ra;Jeong, Eun
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.259-267
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    • 2019
  • The purpose of this study was to examine relationships among empowerment, awareness and performance on standard precautions and identify the factors that affect performance of standard precaution in nursing students experiencing clinical practice. The data were collected from 168 nursing students who experienced clinical practice in the two colleges located Jeonnam. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 20.0 program. The result of the stepwise multiple regression indicates the awareness predict 77.7% (F=579.84, p<.001) in the performance of standard precaution. Therefore, it is necessary to develop awareness of the standard precaution strategy program for improving the performance of standard precautions in nursing students experiencing clinical practice.

Effects on Knowledge and Performance in Clinical Nursing of Education on Nursing Recording Focusing on Legal Aspects (법적인 측면에서의 간호기록 작성방법 교육이 임상간호사의 간호기록작성 지식과 이행에 미치는 효과)

  • Kim, Eun-Young;Yi, Yeo-Jin
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.3
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    • pp.277-283
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    • 2011
  • Purpose: The purpose of this study was to examine the effects on knowledge and performance in clinical nurses who participated in education on nursing recording focusing on the legal aspects. Method: The participants were working in medical departments in one hospital. There were 32 nurses in the experimental group and 25 in the control group. Pre-test was conducted on the two groups before education, and, in order to examine the effects of education, a post-test was conducted after three weeks. For the experimental group, the education on nursing recording focusing on legal aspects was provided as a lecture-led one-to-one training. Results: Significant differences were found between the experimental and control groups in knowledge (F=15.728, p<.001), and performance (F=42.454, p<.001). Conclusions: The results of this study indicate that education on nurse recording enhances the knowledge and performance of the nurses. Thus education on nurse recording focusing on legal aspects should be required in the area of nursing science.

The Effects of Simulation Education for New Nurses on Emergency Management Using Low-fidelity Simulator (저충실도 시뮬레이터를 활용한 신규간호사의 응급상황관리 시뮬레이션 교육의 효과)

  • Lee, Young Hee;Ahn, Hye Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.3
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    • pp.331-343
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    • 2019
  • Purpose: This study focuses on investigating the effectiveness of simulation education on emergency management using a low-fidelity simulator as related to clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in new nurses. Methods: A pre-post test experimental design of nonequivalent control group was applied. Fifty-five new nurses were recruited, 28 nurses for the experimental group and 27 nurses for the control group. A simulation education for emergency management comprising knowledge lecture, team learning, skill education, team simulation, and debriefing was developed and implemented from Feb. 14 to 27, 2015. Data were analyzed with percentage, average, and standard deviation, chi-square, and t-test using SPSS. Results: The experimental group showed significantly higher knowledge (t=5.81, p<.001), clinical skill performance (t=10.08, p<.001), self-confidence (t=-6.24, p<.001), critical thinking disposition (t=2.42, p=.019), and learning satisfaction (t=4.21, p<.001) for emergency management compared with the control group who had traditional lecture education. Conclusion: The results indicate that a simulation education using a low-fidelity simulator is an efficient teaching method for new nurses to deepen their clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in learning emergency management.