• Title/Summary/Keyword: Clinical Nursing Practice Competency

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A Preliminary Study on Development and Evaluation of Home Health Care Nurse Clinical Practice Program -Focused on Postoperative Orthopedic Patients- (가정간호사 임상실무 훈련프로그램 개발과 평가를 위한 사전 연구 -정형외과 수술 환자를 중심으로-)

  • 서영숙
    • Journal of Korean Academy of Nursing
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    • v.26 no.1
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    • pp.15-32
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    • 1996
  • The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed include confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient /family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who have had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.

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Ego Resilience, Problem Solving Process and Clinical Practice Competency in Nursing Students (간호대학생의 자아탄력성, 문제해결과정 및 임상수행능력)

  • Park, Yeong Sook;Kwon, Yunhee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.3
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    • pp.341-350
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    • 2013
  • Purpose: This study was done to identify the relationship among ego resilience, the problem solving process and clinical competency in nursing students. Methods: Data were collected by questionnaires from 265 nursing students in D city. Measures were ego resilience, problem solving process and clinical competency. Data was analyzed using frequency analysis, t-test, one-way ANOVA, person's correlation coefficients, and multiple regression analysis with SPSS/WIN 19.0 version. Result: The Ego resilience score of subjects was 2.80 out of a perfect score of 4, the problem solving process score of subjects was 3.12, and the clinical competency score of subjects was 3.49 out of a perfect score of 5. There was a significant positive correlation among ego resilience, problem solving process and clinical competency. The significant predictors of problem solving process and clinical competency were ego resilience. Conclusion: These findings indicate that there is a need to increase ego resilience to improve the problem solving process and clinical competency of nursing students. The results should be reflected in the development of effective curricula.

Factors of Influencing Empathic ability, Nunchi and Learning Flow on Clinical Competency in Nursing Students -Focusing on Online Clinical practice Students during the COVID-19 (간호대학생의 공감능력, 눈치, 학습몰입이 임상수행능력에 미치는 영향)

  • Kang, Seung-Ju;Shim, Chung-sin
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.405-413
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    • 2021
  • The purpose of this study was to investigate empathic ability, Nunchi, learning flow and clinical competency, and to identify the influencing factors on clinical competency of nursing students. Method: There were 179 nursing students as participants in K city, who were surveyed between May 10 and May 14, 2021, using a self-report questionnaire. Data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation, multiple regression using SPSS Win 21.0. Result: There was a positive correlation between empathic ability and Nunchi(r=.148, p=.048) and between learning flow and clinical competency(r=.605, p<.001). In the multiple regression, Academic achievement(𝛽=.129, p=.049), Age(𝛽=-.116, p=.014) and satisfaction of clinical practice(𝛽=-.242, p<.001) were associated with clinical competency. These factors accounted for 38.4% of the total variance in clinical competency. Therefore, to improve clinical competency of online nursing practice of nursing college students, it is necessary to develop a specific strategy to improve academic achievement and to develop various activities and programs to immerse students in satisfaction of online practice.

Effects of Clinical Nurses' Grit, Social Support, Job Crafting, and Evidence-Based Practice Competency on Job Satisfaction (임상간호사의 그릿, 사회적 지지, 잡 크래프팅, 근거기반 실무역량이 직무만족도에 미치는 영향)

  • Seo, Bo Ram;Kang, Kyoungrim;Park, Kyo Yeon
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.1
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    • pp.54-64
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    • 2024
  • Purpose: This descriptive survey study aimed to examine the effects of grit, social support, job crafting, and evidence-based practice competency on job satisfaction among nurses. Methods: The participants of this study were 211 clinical nurses with experience of more than six months. Data were collected using through an online survey from February 1 to February 17, 2023. The questionnaires was consisted of general characteristics, grit, social support, job crafting, evidence-based practice competency, and job satisfaction. Data were analyzed using descriptive statistics(frequency, percentage, mean, and standard deviation), t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis with the SPSS/WIN 28.0 program. Results: The average scores of the main variables were 3.08±0.44 out of four for grits, 3.67±0.52 out of five for social support, 4.20±0.64 out of five for job crafting, 4.84±0.71 out of seven for evidence-based practice competency, and 3.72±0.55 out of five for job satisfaction. In the regression model, the factors affecting the nurses' job satisfaction were grit (β=0.66, p<.001) and social support (β=0.11, p=.046), which explained 78.7% of the variance in job satisfaction. Job crafting and evidence-based practice competency were correlated with job satisfaction; however, there was no statistically significant effects of these variables on job satisfaction. Conclusion: Based on the findings of this study, grit and social support showed the most significant effects on the job satisfaction of nurses. Therefore, active support is needed to develop a strategy to improve nurses' grit and to create a supportive work environment, which would be helpful to increase their job satisfaction.

The Effects of Hybird simulation practice program for Nursing students using Complex Scenario (간호대학생을 위한 Hybrid 시뮬레이션 실습교육 프로그램의 효과: 복합 시나리오 적용)

  • Moon-Ji Choi;Kyeng-Jin Kim;MinJi Kim
    • Journal of Industrial Convergence
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    • v.22 no.8
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    • pp.73-83
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    • 2024
  • The study attempted to examine the effects of hybrid simulation practice program on critical thinking disposition, self-efficacy, communication competency, and clinical competency of nursing students. The study was one group pre-test and post-test design. Data were collected between April 24 to May 5, 2023 from 35 nursing students. The collected data was analyzed using the SPSS 25.0 program, frequency analysis, mean, standard deviation, and paired t-test. Research results showed that nursing students' critical thinking disposition(t=7.01, p<.001), self-efficacy(t=2.17, p=.037), communication competency(t=2.70, p=.011), and clinical competency(t=6.60, p<.001) were improved after the simulation program. The hybrid simulation practice program is significant in that it applies various learning tools, including high-fidelity-low-fidelity-role play to strengthen the connection between nursing students' theory and practice.

An Analysis of Research on Nursing Practice Education in Korea (간호학 실습교육에 대한 국내 연구현황 분석)

  • Jho, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.2
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    • pp.239-248
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    • 2010
  • Purpose: This study was done to propose the developmental direction of study related to nursing practice education by grasping the trend of study in fundamental and clinical practice. Method: A total of 48 research articles which were published on nursing practice education in Korea from 2002 to 2009 were analyzed with structured analysis forms. Result: Most research was related to clinical practice (n=40). A high percentage of non-experimental research design was related to fundamental practice (75%) and clinical practice (65%). Qualitative research was only used in clinical practice (n=8). Nursing students were predominantly selected as an object of research in fundamental practice (n=6) and clinical practice (n=32). In addition, many of the areas in clinical practice were a general clinical setting without any classification of the specific area. The concepts of research in fundamental practice were related to competency in basic nursing skill and most concepts of research in clinical practice were associated with satisfaction, stress, experience, critical thinking and problem solving ability of the nursing student. Conclusion: There's something to be desired in nursing research related to instructor methods, teaching-learning methods and nursing education programs. Therefore, more specific and continuous research focused on these topics to improve clinical nursing competence of the nursing student is needed.

The Effects of Cooperative Clinical Nursing Education Program on the Competency and Satisfaction of Nursing Students in Clinical Practice (학교-병원 협력실습교육 프로그램이 간호학생의 임상실무수행능력과 만족도에 미치는 효과)

  • Cho, Hee;Roh, Young-Sook;Boo, Eun-Hee;Ahn, Kum-Hee;Kang, Yoon-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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    • pp.13-20
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    • 2006
  • Purpose: The purposes of this study were to examine the effects of the Cooperative Clinical Nursing Education Program on the competency and satisfaction of nursing students in clinical practice. Method: The research design was a quasi-experimental pretest-posttest design with a convenience sample of 107 nursing students who were at one College of Nursing located in Seoul. Data were collected using a self-administered questionnaire. Results: Nursing students participated in the program reported higher nursing skills and total satisfaction than control group after completing education program. Conclusion: Cooperative clinical nursing education program for nursing students had positive effects on nursing skills and satisfaction of clinical practice.

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Awareness and Competency of Multi-Drug Resistant Organisms Infection Control in Nursing Students with Clinical Practice (임상실습을 경험한 간호대학생의 다제내성균 감염관리 인식과 감염관리역량)

  • Ryu, Dajung;Ryu, Eunjung
    • Journal of Korean Biological Nursing Science
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    • v.21 no.4
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    • pp.283-291
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    • 2019
  • Purpose: The aim of this study was to identify awareness and competency for Multi-Drug Resistant Organisms (MDRO) infection control in nursing students with experience of clinical practice. Methods: This cross-sectional descriptive study was conducted from March 2019 to May 2019 by including 231 nursing students in four nursing schools located in Seoul, Gyeonggi-do and Chungcheongnam-do. The data were collected using self-report questionnaires. Results: The awareness and the competency for Carbapenem-Resistant Enterobacteriaceae (CRE) infection control were lower than that of Methicillin-Resistant Staphylococcus aureus (MRSA). The agreement between the awareness and the competency of MDRO infection control in participants was low with regard to isolation, contact precautions, and disinfection for MRSA. Also, it was low with respect to disinfection, isolation, contact precautions, and carrier identification for CRE. The awareness and the competency of MDRO infection control exhibited significant positive correlation. Conclusion: The infection control competency is required to prevent MDRO infection. In order to enhance the infection control competency, it is important to raise awareness about MDRO infection control by providing education based on the guidelines and the principles of infection control.

Development of an Integrated Clinical Nursing Practice Course for Improvement of Nursing Competency among Nursing Students (간호학생의 간호수행능력 향상을 위한 통합실습평가 프로그램 개발)

  • Shin, Yun-Hee;Hur, Hea-Kung;Park, So-Mi;Song, Hee-Young;Kim, Gi-Yon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.32-40
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate an integrated clinical evaluation program to increase the competency of senior nursing students. Method: A cross-sectional one group test design was utilized. Based on a framework derived from the prior studies, an integrated clinical evaluation program was developed. In order to assess the effect of the developed program, the senior students' experience with the program was measured. The participants were senior nursing students and the program was performed on November, 2005 after their semester was all finished. Result: The evaluation score for ability in application of nursing process was 83.87 and nursing skill was 85.69 by evaluators. The students reported that the program provided a chance to relearn and practice basic nursing skills and it was helpful in increasing decision making competency and their ability to apply the nursing process. Conclusion: This study suggests that the integrated clinical evaluation program contributes to cultivating a nurse with comprehensive nursing competencies and to improve the nursing students' knowledge, attitude, and skill.

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Effectiveness of Self-directed Learning on Competency in Physical Assessment, Academic Self-confidence and Learning Satisfaction of Nursing Students

  • Shin, Yun Hee;Choi, Jihea;Storey, Margaret J.;Lee, Seul Gi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.3
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    • pp.181-188
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    • 2017
  • Purpose: Competency in physical assessment is an important component of nursing practice. However, some physical assessment skills are not being utilized within the current teacher-centered, content-heavy curriculum. This study was conducted to identify the effects of student-centered, self-directed learning in the physical assessment class. Methods: An experimental study with a post-test only control group design was used to compare an intervention group that was provided self-directed learning classes and a control group that was provided traditional lecture and practice classes. Competency in physical assessment, academic self-confidence, and learning satisfaction were evaluated. Collected data were analyzed using $x^2$-test (Fisher's exact test) and independent t-test. Results: Competency in physical assessment was significantly higher in the experimental group. However, academic self-confidence and learning satisfaction were not significantly different between the groups. Conclusion: The findings in this study indicate that self-directed learning can improve nursing students competency in physical assessment and that self-directed learning is a good education method to improve nursing students' competency in physical assessment during clinical practice and perform quality patient care by making active use of physical assessment skills.