• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.3
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• pp.330-340
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• 2017

Purpose: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. Methods: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. Results: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were $36.44{\pm}4.82$, $13.44{\pm}1.71$, and $42.32{\pm}5.05$, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. Conclusion: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.4
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• pp.419-429
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• 2016

Purpose: The purpose of this study was to examine the effects of a intensive clinical training program for nursing practice on the clinical competence, state anxiety, clinical practice stress in nursing students who were beginning their first clinical practice. Methods: This practice has been processed as a 'Pre-Post design with a non-equivalent control group'. The participants were 177 students in a college of nursing. The students were divided into two groups: 89 students in the experimental group and 88 students in the control group. Results: The experimental group showed significant improvement in their clinical competence scores compared to the control group. The difference between the two groups was also significant. State anxiety in the experimental group significantly decreased compared to the control group. However, scores for stress during practice were not significantly different. Conclusion: The findings in this research reveal that the program, 'Close clinical practice training for nursing students' practice entry, contributes to improving students' overall ability and performance, and reduces anxiety of nursing students as they start their first clinical practice. These findings can be utilized in helping nursing students improve the quality of their performance.

• Journal of Korean Clinical Nursing Research
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• v.23 no.3
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• pp.341-349
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• 2017

Purpose: Focusing manner is very powerful mind-body self-help and self-awareness competence. So focusing manner may affect nurses' emotional labor and nursing performance, but few are known about it to date. The purpose of this study was to identify the degree of focusing manner, emotional labor, nursing performance of clinical nurses, and the factors that affect nursing performance. Methods: In order to collect data, structured questionnaires were administered to 212 nurses who worked at 2 university hospitals located in D city. Data were analyzed by t-test, ANOVA, correlation and multiple regression using SPSS/WIN 20.0. Results: Nursing performance had positive relationship with focusing manner (r=.45, p<.001), and negative relationship with emotional labor (r=-.25, p<.001). And the most prediction factor influencing nursing performance was focusing manner (${\beta}=.41$, p<.001) and the other factors were age (${\beta}=.30$, p=.002), and emotional labor (${\beta}=.14$, p=.012). The total variance was 37.1% by those predictors (F=25.87, p<.001). Conclusion: Based on the results of this study, it is necessary to develop and educational program on focusing manner-oriented psychotherapy in order to improve the nursing performance. Also, the management system for controlling emotional labor needs to be set up for nurses in clinical settings.

• Journal of the Korea Convergence Society
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• v.9 no.2
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• pp.19-32
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• 2018

The purpose of this study was to identify the convergence that resilience has on clinical performance ability and stress in clinical practice in order to prepare effective educational materials for clinical practice. The results showed that satisfaction of university life, satisfaction of nursing major and satisfaction of clinical practice had significant effects on resilience, clinical performance ability and stress in clinical practice. Also the correlation between the resilience and clinical performance ability of nursing students was positive(r=.510). And the correlation between the resilience and stress in clinical practice was negative(r=-.153). These findings indicate that there is a need to improve resilience of nursing students to promote the clinical performance ability and to lessen stress in clinical practice. The results should be reflected in the development of effective programs.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.2
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• pp.203-211
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• 2014

Purpose: This study was conducted to compare the effects of simulation-based training on knowledge, self-efficacy and clinical performance, underwent before or after the clinical practice for the nursing students. Method: A comparison group design was established with pre-clinical practice group (n=34) and post-clinical practice group (n=34). Both groups participated in simulation-based training before or after the clinical practice at the recovery room. Chi-square test, t-test and paired t-test were performed to analyze the data. Results: Both groups showed significantly higher post-test scores in knowledge and self-efficacy than pre-test scores (p<.001). The group with simulation training performed before their clinical practice (pre-clinical practice group) showed significantly higher self-efficacy (p=.044) than the group with simulation training done after their clinical practice (post-clinical practice group). However, there was no significant difference in the knowledge (p=.922) and clinical performance (p=.887). Conclusion: These findings of the study suggest that simulation based training in pre-clinical practice is effective to enhance the self-efficacy and to improve knowledge and clinical performance of the nursing students.

• The Journal of Korean Academic Society of Nursing Education
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• v.28 no.3
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• pp.236-247
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• 2022

Purpose: The COVID-19 pandemic has increased the importance of nurses' clinical performance, and accordingly, nursing educators have emphasized students' clinical practice and performance. This study developed a Clinical Practice Self-Efficacy Scale for nursing students and examined its psychometric properties. Methods: The authors reviewed instruments for selecting items for the scale in the areas of clinical skills, communication, infection control, safety, and nursing process. After preliminary items were selected, ten experts consisting of nursing professors and clinical nurses reviewed the items considering Korean clinical and educational situations. The data for the psychometric evaluation was collected from 257 nursing students in their 2nd, 3rd, and 4th years and then analyzed. Results: The confirmatory factor analysis showed that the goodness of fit of this scale with five factors represented by 40 items was appropriate. The significant positive correlations with general self-efficacy indicated sound construct validity. The senior nursing students showed higher scores than others, as we expected. Cronbach's alpha was .94. Conclusion: The Clinical Practice Self-Efficacy Scale is appropriate for measuring Korean nursing students' self-efficacy of clinical practice. It is expected to act as a good tool to measure the effects of clinical practice education.

• The Korean Journal of Health Service Management
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• v.14 no.2
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• pp.41-54
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• 2020

Objectives: The purpose of this study was to identify the influences of nursing professionalism and emotional intelligence on the clinical performance ability of nursing students. Methods: The subjects of this study included 234 nursing students from three universities located in two regions of South Korea. Data were collected from June 15 to 30, 2018 by using self-reported questionnaires. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis using the IBM SPSS 21.0 program. Results: The factors which influenced the clinical performance ability in nursing students were self-concept of the profession(β=.28, p<.001), roles of nursing service (β=.22, p<.001), use of emotion (β=.22, p<.001), self-emotional appraisal (β=.18, p=.002), regulation of emotion (β=.16, p=.004), and grade (β=.16, p=.002) which explained 51.7% of the variance. Conclusions: These results suggest that to improve clinical performance ability in nursing students, an intervention that enhances their nursing professionalism and emotional intelligence should be considered.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.7
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• pp.220-227
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• 2016

This descriptive study was conducted to investigate the relationship between clinical practice stress, satisfaction with clinical practice, and clinical performance ability of nursing college students and the nursing profession. Data were collected from 240 students in the nursing college. Clinical performance ability (F=1.888, p=0.048) and the nursing profession (F=1.976, p=0.046) showed statistically significant differences depending on the satisfaction of majors. The nursing professional institution contained more population groups that were dissatisfied than satisfied with the majors. Additionally, clinical practice stress was reported to affect satisfaction by 41% of the respondents. Overall, stressful clinical practice, clinical practice satisfaction and clinical performance were found to significantly affect the degree of satisfaction by nursing students. Accordingly, the level of stress experienced during clinical training also affects the performance of clinical practice, and can therefore lead to mistakes. Thus, there is a need to develop future interventions that could reduce the stress experienced by clinical practice nursing students.

• Journal of the Korea Convergence Society
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• v.9 no.12
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• pp.495-507
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• 2018

This study was done to develop and validate a path model for the causal relationship of nursing information literacy competency and problem solving, self-direct learning, and clinical performance ability of nursing students. Subject were 208 nursing students in the fourth grade of nursing school. Data were collected from June 4 to June 18, 2018. The nursing information literacy competency of nursing students showed direct effects on problem solving ability (${\gamma}=.70$, p<.001) and direct effects on self-directed learning ability (${\gamma}=.53$, p<.001). Nursing information literacy competency showed direct (${\gamma}=.31$, p<.001) and indirect effects (${\gamma}=.31$, p=.007) on clinical performance ability. These variables explained for 46.2% of clinical performance ability. Therefore, it is recommended to develop an education program that can enhance the nursing information literacy competency for improving the problem solving, self-directed learning, and clinical performance ability of nursing students.

• Journal of Korean Clinical Nursing Research
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• v.15 no.1
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• pp.133-147
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• 2009

Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.