• Title/Summary/Keyword: Clinical Nursing Performance

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Analysis of the Performance and Need of Professional Nursing Care in Nurses: Focusing on the Department of Neurosurgery in a Tertiary Hospital in Gangwon Province (임상간호사의 전문 간호업무 수행도와 필요도 분석 - 강원도 상급병원 신경외과 영역을 중심으로)

  • Kim, Hyun Su;Hwang, Ju Hee;Lee, Hyun Jung
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.151-159
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    • 2022
  • Purpose: This study was conducted to identify the performance and need of professional nursing care among nurses in a neurosurgery department at a tertiary hospital. Methods: This study used a descriptive design using a questionnaire with 77-item. The participants were 58 nurses with more than 3 years of clinical experience in both the neurosurgery intensive care unit and ward at a tertiary hospital in Gangwon province. Data collection was conducted from January to February of 2021. The performance and need for each workforce were analyzed with the mean and standard deviation, and the effectiveness of the difference between the performance and the need were analyzed with a paired t-test using SAS 9.4. Results: The recognition for work performance level was in order of direct nursing activities (3.20±.54), consultation and coordination (3.18±1.15), education (2.55±.85), administration (1.92±.86), and research (1.57±.89). The recognition for need level was in order of consultation and coordination (3.95±.83), education (3.91±.87), direct nursing practice (3.83±.55), research (3.49±.87), and administration (3.45±.54). The results showed a statistically significant differences between work performance and need (p<.001). Conclusion: It is required to hire professional nursing personnel who can bridge the gap between the performance and need of professional nursing workforce in a neurosurgery department at a tertiary hospital. A professional nurse may be a good alternative.

A Study on the nurses' job stress (간호사의 직무스트레스에 대한 연구)

  • Kim, Suck-Joon
    • Journal of Industrial Convergence
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    • v.11 no.1
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    • pp.31-44
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    • 2013
  • This study was to identify the relationships among the autonomy, job stress, and job performance of nurses. For general characteristics, there was no difference was a difference in the job stress of the subjects in accordance with their ages and clinical nursing career. In conclusion, in order to enhance nursing specialty by offering qualitative nursing, To amerliorate job performance, it is necessary to improve the autonomy of nurses and to manage their job stress properly.

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Simulation-based education program on postpartum hemorrhage for nursing students (산후출혈 산모 간호 시뮬레이션 교육 프로그램의 효과)

  • Kim, Miok;Ha, Juyoung
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.19-27
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    • 2020
  • Purpose: This study was conducted to develop a simulation-based postpartum care education program for women with postpartum hemorrhage and to verify the effects of the program on postpartum care. Methods: This program was developed according to the ADDIE model of instructional system design, which consists of analysis, design, development, implementation, and evaluation phases. This quasi-experimental study used a non-equivalent control group pre- and post-test design, and data were collected from April 23 to May 4, 2015. To verify the effects of the program, 33 nursing students in the experimental group participated in a simulation program, whereas 31 students in the control group were given a case study. Results: The experimental group had statistically significantly higher scores for clinical performance (t=-4.80, p<.001), clinical judgment (t=-4.14, p<.001), and learning satisfaction (t=-10.45, p<.001) than the control group. Conclusion: The results of this study indicate that the simulation-based postpartum care education program for women with postpartum hemorrhage was effective for developing students' competency, implying that a similar program should be integrated into the clinical training component of the maternal nursing curriculum.

The Clinical Experiences of Newly-qualified nurses (신규 간호사의 임상 경험)

  • Hwang, Seon-Young;Lee, Eun-Joo;Na, Duk-Mi;Lee, Gwang-Sook;Sun, Gwang-Soon;Lee, Chung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.261-271
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    • 2002
  • Purpose: This phenomenological study is aimed at illuminating the lived experiences of newly-qualified nurses who working in general hospitals in C province. Method: The data was collected through unstructured, in-depth interviews with 10 new nurses from April to June 2001, and analysed by Colazzi' methodology. Results: Thematic content analysis identified 6 central themes in this experience-difficulties m making interpersonal relationship, negative feelings, fatigue and unskilled work performance, self-reflection, a sense of accomplishment, identity formation as a nurse. Also, this themes were constructed into 6 constructs explaining new nurses' experience. The results may contribute to a better understanding of what new nurses experienced and how their negative conflicts could be managed. Conclusion: New nurses need to get more education and supportive empowerment regarding diverse conflicts during training period. Educational programs like a preceptorship or individual counselling should be developed and adopted to all clinical settings.

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Effects of critical thinking disposition, stress of clinical practice and self-confidence in performance of core nursing skill on nursing student's adapting to clinical practice (간호대학생의 비판적 사고성향, 임상실습 스트레스 및 핵심기본간호술 자신감이 임상실습 적응에 미치는 영향)

  • Jang, Young-Mi;Park, YeonHee
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.77-86
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    • 2020
  • This study is a descriptive research study to grasp the critical thinking tendency, clinical practice stress, core basic nursing confidence, and degree of adaptation to clinical practice in nursing students. From June to July 2019, 207 students in the fourth year of nursing college were surveyed through their own questionnaire. Collected data were analyzed by t-test, ANOVA and multiple regression analysis using SPSS/WIN v24.0. The negative correlation between clinical practice stress and critical thinking tendency(r=-.18, p=.010). The core self-confidence practice self-confidence showed a positive correlation with critical thinking tendency(r=.25, p<.001), and a negative correlation with clinical practice stress(r=-.17, p=.017). Adaptation to clinical practice showed a positive correlation with clinical practice stress(r=.44, p<.001), and the factor influencing clinical practice adaptation was stress(β=.40) (F=18.34, p<.001), and the explanatory power was about 23.1%. As mentioned above, stress brings a positive change to clinical practice, so it is necessary to identify stress factors received from clinical practice of nursing college students and reflect them in curriculum development.

Factors Influencing Confidence in Patient Safety Management in Nursing Students (간호대학생의 환자안전관리 수행자신감에 영향을 미치는 요인)

  • Jeong, Hyun-Sook;Kong, Jeong-Hyeon;Jeon, Mi-Yang
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.121-130
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    • 2017
  • The purposed of this study was to identify the factors that affect Confidence in Performance Patient Safety Management targeted nursing students. The study subjects were 228 nursing students. The nursing students experienced patientl safety accidents in the fall (50.0%), needle puncture (18.5%), Patient identification error (12.0%), injection medication error (7.5%) and oral medication errors (4.3%). In the logistic regression analysis, Attitude of Patient Safety Management(t=6.09, p<.001), Clinical Decision Making(t=3.97, p<.001) and gender(t=2.56, p=.011) were significant factors related to Confidence of Performance Patient Safety Management. Based on the results of this study, we propose to develop a convergence education program that considers patient safety management attitude, clinical decision making ability, and gender in order to improve confidence of performance patient safety management of nursing students.

Clinical Application of Objective Structured Clinical Examination (OSCE) for Novice Nurses (신규간호사의 실무능력평가를 위한 OSCE(객관적구조적임상수기평가) 개발과 적용)

  • Cheung, Nam-Youn;Song, Young-Shin
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.334-342
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    • 2006
  • Purpose: The purpose of this study was to develop and examine the feasibility of OSCE for novice nurses. Method: The study was designed using a methodological design. Data were collected from January to February, 2005. Nine stations were developed for the examination. Five minutes was allowed for each station. The examination was administered to 2 groups of novice nurses. Results: OSCE for clinical performance improvement which consisted of nine 5-minute long stations, was developed. Those stations were tested by 79 beginning nurses who were divided into 2 groups. Reliability ranges for Cronbach's alpha were $0.399{\sim}0.811$ and the mean value was 0.797. Total mean score for the OSCE was 66.75. Total score for the 2nd group was significantly higher than the 1st group. The nurses were satisfied with the OSCE method and process. Conclusion: The OSCE can be an effective tool for evaluating clinical nursing skills in novice nurse. More reliable and valid stations need to be developed and then repeated evaluation of the nurses can be done.

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Clinical Nurses' Experience of Positive Organizational Culture (임상간호사가 경험한 긍정적인 간호조직문화)

  • Yom, Young-Hee;Noh, Sang Mi;Kim, Kyung Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.5
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    • pp.469-480
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    • 2014
  • Purpose: This study was conducted to explore clinical nurses' experience of positive organizational culture in order to provide data for effective strategies of acquisition and retention of competent nurses. Methods: In this qualitative study, interviews with four focus groups of four to six nurses, 19 in total, were held. Compositional factors in groups included clinical experience, age, work place, and position. Interviews proceeded until data were saturated. Results: Fifteen sub-themes, categorized into six themes, emerged. Positive organizational culture themes included "Helping nurses to be organization members", "Allowing nurses to communicate with one another", "Helping nurses take an initiative to lead organization", "Having competent leader take charge of organization", "Enabling nurses to achieve organizational changes", and "Leading nurses to accomplish organizational performance." Conclusion: Results indicate that positive organizational culture is related to increases in occupational satisfaction and decreases in turnover through supportive organizational culture which makes it possible to reinvest expenses required for training new members to promoting quality growth in the organization and the prestige of professional nurses. In order to improve occupational satisfaction and sustained growth in nurses, it is necessary to provide nurses with positive work environments and require members to make active efforts leading to strategic changes.

Factors Influencing Nursing Students' Performance of Standard Precaution for Healthcare-Associated Infection Control (간호대학생의 의료관련감염관리를 위한 표준주의 수행도에 미치는 영향요인)

  • Yoon, Eun-Joo;Park, Young-Mi
    • Journal of Convergence for Information Technology
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    • v.8 no.5
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    • pp.19-27
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    • 2018
  • The goal of this study was to survey the degree of nursing students' knowledge of standard precaution, intention about performance, attitude toward performance, safety climate, performance of standard precaution and to identify factors influencing performance. A cross-sectional survey was implemented with samples of 296 nursing students. We collected the data from June 15 to 30, 2018 and analyzed by SPSS 21.0 program. There were significant correlation between intention about performance, attitude toward performance, safety climate and performance. The factors that affecting performance of standard precaution among nursing students are intention about performance and safety climate, which explained 20% of the variances. Therefore, It needs to develop an infection management education program and to prepare an safe nursing practice environments in hospitals for nursing students to improve their implementation of standard precautions for preventing clinical infection.

The Effects of Clinical Education Program for Nurses in Regional Public Hospital (공공보건의료인력 임상교육효과 평가: 지역거점공공병원 간호사 대상)

  • Shin, Yoonhee;Park, Kwanjun;Byun, Eunkyung;Lee, Dongwon;Ju, Woong
    • Health Policy and Management
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    • v.26 no.4
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    • pp.373-381
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    • 2016
  • Background: The purpose of this study is to evaluate the outcomes of clinical education program for nurses in regional public hospital, utilizing the Kirkpatrick's model. Methods: Kirkpatrik's 4-level model was applied to this study. Trainees were asked to fill out questionnaires in the middle and at the end of the program. Also administrators of excellent trainees were asked to fill out the questionnaires regarding nursing management performance after 1-2 months from the end of the training course. Results: All trainees had positive reactions to the clinical education program. Not only the results of individual level (satisfaction and achievement scores, academic achievement scores, practical application rate, and educational transition factors) but also the scores of organization level (nursing management performance scores) are improved. Conclusion: By showing a correlation between the effectiveness factors we need to verify the relationship between these factors in a future study. In addition, development of quantitative and qualitative performance indicators are needed. To establish a long-term education system, it is required to applying the excellent trainee's successful experiences.