• Title/Summary/Keyword: Clinical Nursing Practice Research

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Effects of Simulation-based Practice Education for Core Skill of Maternity Nursing (분만간호 핵심술기에 대한 시뮬레이션 실습교육의 효과)

  • Song, Young A;Son, Young Ju
    • Korean Parent-Child Health Journal
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    • v.16 no.1
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    • pp.37-44
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    • 2013
  • Purpose: The purpose of this study is to analyze the effectiveness of maternity nursing education-knowledge, skills and attitude among the third year students who have completed maternity nursing, practice at the college, clinical practice and core skill practicum. Methods: This is the descriptive research to verify the effectiveness of simulation-based practice education for core skill of maternity nursing. Third year nursing students who have completed maternity nursing related theories and practice have been selected as population. Total of 202 surveys have been used for analysis. Data analysis is done by using SPSS/WIN 18.0. Results: Self-confidence of core skill in maternity nursing is experimental group 4.52 and control group 4.37 score (p<.05). Performance competence in childbirth care is experimental group 4.53 and control group 4.35 score (p<.05). The students who have maternity nursing related clinical practice and core skill practicum experience show high core skill evaluation score. Conclusion: Therefore, it is recommended that current maternity nursing core skill curriculum should be reviewed and improved, and the students should be provided variety of simulation techniques to gain essential knowledge and core nursing skills.

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Job Performance of Advanced Practice Nurses, Perceived Difficulty and Importance, and Willingness to Legally Delegate Clinical Practices to Advanced Practice Nurses by Health Care Professionals (전문간호사의 업무 수행 빈도 및 의료인이 인식하는 업무 난이도와 중요도, 법제화 시 업무 위임 의향)

  • Choi, Aeng Ja;Choi, Su Jung;Kim, Eun Sook;Park, Joo Hee;Won, Sun Young
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.217-231
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    • 2020
  • Purpose: To identify the clinical role of Advanced Practice Nurses (APN), and evaluate how other medical personnel perceive their work(difficulty, importance). Methods: A questionnaire survey was performed with 277 health care providers (APN 52, nurses 88, and medical doctors 137 [professors 51, fellows 44, & residents 42]) in a single, tertiary hospital. The questionnaire was categorized into 6 domains (total 40 tasks): 6 tasks on identifying health issues (A); 3 tasks on prescribing and conducting diagnostic tests (D); 18 tasks on disease treatment (T); 4 tasks regarding prescribing medicine (M); 3 tasks regarding medical collaboration (C); 6 tasks regarding patient education (E). The survey measured the frequency, difficulty, and importance of APN's clinical tasks, and evaluated the willingness of authorizing clinical tasks to APN. Results: The most frequent tasks for APN were A domain, lowest were T domain. The scores for perceived job difficulty were lower than those for job importance in all groups. The proportion of willingness to legally delegate clinical practices to APN was higher in A and E domains, but lower in D and T domains. However, professors, who spent the most time with APN, showed a higher willingness to legally delegate clinical practice. The participants favored medical doctors as substitutes for tasks which were not legislated for delegated job performance. Conclusion: In this study identified clinical roles that medical doctors considered possible for legal delegation to APN were identified. The results can be used as evidence for the legalization of the practice of APN.

Factors Influencing the Professional Self-Concept among Nursing Students (간호학생의 간호전문직 자아개념과 임상실습만족, 자아존중감 간의 관계)

  • Sung, Mi-Hae
    • Journal of East-West Nursing Research
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    • v.18 no.1
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    • pp.18-24
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    • 2012
  • Purpose: The purpose of this study was to identify the factors influencing nursing students' professional self-concept. Methods: This study was conducted through a survey on 365 nursing students. The data were collected by self-reporting questionnaires and analysed by the SPSS WIN 17.0 program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: The mean score of professional self-concept was 2.83. Professional self-concept showed that there were differences according to grade, satisfaction on college life, motivation on choice of nursing, satisfaction on nursing, school work credit, interpersonal relationship, health status. There was a significant positive correlation between professional self-concept and between satisfaction with clinical practice. Significant positive correlations between professional self-concept and self-esteem, satisfaction with clinical practice and self-esteem were found. The significant factors influencing professional self-concept were self-esteem, satisfaction on clinical practice, satisfaction on nursing, interpersonal relationship, which explained 45.1% of the variance. Conclusion: This study suggests that a strategy increasing self-esteem is needed to enhance nursing students' professional self-concept.

Updates of Evidence-Based Nursing Practice Guidelines for Pressure Injury (근거기반 욕창간호 실무지침 개정)

  • Kim, Jung Yoon;Park, Kyung Hee;Park, Ok Kyoung;Park, Joo Hee;Lee, Yun Jin;Hwang, Ji Hyeon
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.12-23
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    • 2023
  • Purpose: This study was conducted to update the previous evidence-based nursing clinical practice guidelines for pressure injury. Methods: The guideline was revised in 22 steps based on the international standards. Results: The updated nursing practice guideline for pressure injury consisted of four domains and 494 recommendations. The numbers of recommendations in each domain was: 31 hospital policy, 64 assessment, 386 prevention and management, and 13 education. The recommended grade was 10.3% for A, 13.8% for B, and 75.9% for C. Of these, the major revision was done in 40 recommendations (8.1%). A total of 55 recommendations (11.0%) were newly added. 25 recommendations had minor revisions such as changes or additions for some words, and only one recommendation was deleted. Conclusion: The revised nursing practice guidelines for pressure injury are expected to serve as an evidence-based practice guideline for pressure injury in Korea. This guideline will provide healthcare providers, patients, and caregivers with information to help prevent and manage pressure injuries, leading to improving patient outcomes.

The Relationship between the Satisfaction with Clinical Practice and Clinical Competence by Types of Self-directed Learning Ability of Nursing Students (간호대학생의 자기주도적 학습유형에 따른 임상실습만족도와 임상수행능력)

  • Lee, Ji Hyun;Jun, So Yeun;Kim, Jung Hee;Woo, Kyung Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.1
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    • pp.118-130
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    • 2017
  • Purpose: The purpose of this study was to identify the relationship between the satisfaction with clinical practice and clinical performance ability by types of self-directed learning ability of nursing students. Methods: This was a triangular study that was conducted to understand clinical performance ability. The subjects were 260 junior and senior students from a university in P city. The data were collected from April 22 to December 30, 2015. Data were collected by Q-card, Q-block an assessment tool, a structured self-reporting survey and a questionnaire. Results: We classified the self-directed learning abilities into four types: Type 1: a self-reflective person; Type 2: a person who prepares for the future; Type 3: a person with a sense of responsibility and obligation; and Type 4: an enthusiastic learner. We found that clinical performance ability was higher for Type 4 than Type 3. We found that clinical performance satisfaction with clinical practice was also higher for the Type 4 individual than a Type 3 person. Conclusion: To improve students' clinical performance ability, we need plans and support to lead students toward becoming an 'enthusiastic learner' type of person with self-directed learning ability. It is necessary to increase students' satisfaction with clinical practice.

Nursing Education between South and North Korea through Verbal Evidence from Defecting North Korean Medical Personnels (탈북 의료인의 증언을 바탕으로 본 북한 간호교육의 제도와 교과과정 조사 연구)

  • 신경림;김일옥
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.169-179
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    • 2001
  • Recently, there has been an increasing interchange between South Korea and North Korea. Accordingly, there has been active research to understand the society and culture of North Korea, it has been attempted to have comparative study about nursing education to increase understanding between South and North Korea. In the current educational system, 12 years of education is required for entering a nursing college or university in South Korea, but there are only 10 years for entering nursing college in North Korea. After finishing undergraduate studies one can enter graduate school for a masters degree and or a doctoral degree, but there is a longitudinal relation to medical education in North Korea. Regarding the number of nursing educational institutions, there are 50 BSN programs & 61 Diploma programs in South Korea and 11 Diploma programs in North Korea. In regards to curriculum, South Korea has diverse subjects for general education for freshmen, then is subjects to basic specialities sophomore year, and speciality subject and clinical practices from junior year corresponding to the student's intentions. North Korea has minor subjects for general education and basic specialities in freshmen, speciality subjects sophomore year, speciality subjects and clinical practice in the junior year that may not correspond with the student's intentions. The most outstanding difference in the curriculum is North Korea has various subjects for oriental medicine with clinical application. North Korea also does not teach computer science and English is at a very low level. In clinical practice, South Korea has various settings for clinical practice including community health institutions under the nursing professor or clinical instructor. However, North Korea has limited settings for clinical practice (general hospitals) under a doctor's instruction. Also both South and North Korea have a similar licensing system. Therefore, there must be many more studies regarding North Korea, especially in nursing and nursing education in order to decrease differences and confusion between the Koreas and to prepare for a future unification.

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The Differences of Nurses' Perception of the Code of Ethics, Degree of Application of Nursing Ethics and Biomedical Ethical Consciousness according to Nursing Students' Clinical Practice Experience, Ethical Values and Biomedical Ethics Education (간호대학생의 임상실습, 윤리적 가치관 및 생명의료윤리교육에 따른 간호사 윤리강령인식, 윤리강령 적용정도 및 생명의료윤리의식의 차이)

  • Jeong, Gye-Seon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.3
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    • pp.300-310
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    • 2018
  • Purpose: This study was conducted to investigate the differences of the Code of Ethics, level of application of the Code of Ethics and consciousness of biomedical ethics of nurses about clinical practice experience, ethical values and biomedical ethics education experience of nursing students. Methods: A descriptive research design, t-test and one-way ANOVA were used. The data were collected 1st June to 31st August 2016 from two large cities. The participants were 246 nursing students with a mean age of 22.57 years. Among them, 209 (84.6%) were female, 94 (38.2%) had clinical practice experience, 155 (63.0%) listed their ethical value as different depending on the situation, and 127 (51.6%) had biomedical ethics education experience. Results: The scores were: awareness of the Code of Ethics of Nurses $4.29{\pm}0.60$; application of the Code of Ethics of Nurses $4.24{\pm}0.6$4; and consciousness of biomedical ethics $2.91{\pm}0.19$. There were significant differences in application of the Code of Ethics of Nurses (t=-1.97, p=.050); consciousness of biomedical ethics (t=-2.25, p=.025) related to clinical practice experience; and consciousness of biomedical ethics related to biomedical education experience (t=2.67, p=.007). Conclusion: Clinical practice and biomedical ethics education experience contributed to enhance the level of application of the Code of Ethics of Nurses and consciousness of biomedical ethics of nursing students.

Influence of Professional Self-concept and Self-leadership on Clinical Competence in Nursing Students (간호대학생의 전문직 자아개념과 셀프리더십이 임상수행능력에 미치는 영향)

  • Dong, Hwa Jin;Choi, Mi Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.4
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    • pp.373-382
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    • 2016
  • Purpose: This study was done in order to identify nursing students' professional self-concept, self-leadership and clinical competence and to analyze the correlation among the variables and the factors influencing clinical competence. Methods: The research participants were 294 senior nursing students in the nursing departments of 3 universities located in Jeollabuk-do. The students had completed 3 semesters of clinical practice. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and Multiple Regression. Results: Participants' scores for professional self-concept, self-leadership, clinical competence were $2.78{\pm}0.36$, $3.63{\pm}0.47$, $3.80{\pm}0.40$ respectively. Professional self-concept, self-leadership and clinical competence had positive correlations. Factors influencing nursing students' clinical competence included professional self-concepts in professional practice, self-expectations in self-leadership, constructive thinking, self-compensation and self-criticism in that order, and these variables explained 48%of the variance in clinical competence. Conclusion: Based on these results, it is important to develop and apply educational programs to increase professional self-concept and self-leadership in order to improve nursing students' clinical competence.

Korean Critical Care Advanced Practice Nurses' Work Experience: A Focus Group Study (중환자전문간호사들의 실무경험: 포커스 그룹 연구)

  • Kim, Keum-Soon;Kim, Bok-Ja;Yi, Young-Hee;Kang, Ji-Yeon
    • Journal of Korean Critical Care Nursing
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    • v.4 no.2
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    • pp.1-14
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    • 2011
  • Purpose: This study was aimed to understand and describe the Korean critical care advanced practice nurses' work experience. Methods: Data was collected through 2 focus group interviews that were held in two different university hospitals in Seoul, Korea. All interviews were recorded and transcribed, and data were analysed using modified qualitative content analysis. Results: Ten themes were drawn from data analysis. They are "Various and complex tasks", "Excellency of advanced nursing practice", "Pressure and responsibility accompanied with pride", "Role identity confusion", "Role conflict", "Leaping and evolving role", "Gap between role and outcome evaluation", "Underestimated outcomes", "Where are my outcomes?" "Searching for outcomes: publicize the role". Conclusion: The results of this study help to understand the role of Korean critical care advanced practice nurses and to guide to outcome evaluation of their role effectiveness. Developing qualitative outcome indicators, cost-effectiveness ananlysis of Korean critical care advanced practice nurses' role, and accumulation of evidences through researches on outcome evaluation will be needed to successfully settle down advanced practice nursing in Korea.

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Learning Experience of Nursing Students on Community Health Nursing Clinical Placements (간호대학생의 지역사회간호학실습경험)

  • Chin, Young Ran;Song, Yeon Yi;Kim, Young Mi
    • Journal of Korean Academy of Rural Health Nursing
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    • v.13 no.2
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    • pp.25-41
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    • 2018
  • Purpose: In this study undergraduate nursing students' experiences of learning in community health nursing clinical placements was explored on order to develop a more effective practice teaching method. Methods: Focus group interviews (FGI) were held with 11 nursing students in junior or senior year. The interviews were audio-taped semi-structured interviews and were analyzed using content analysis. Results: Nursing students felt that the education system for practice was incomplete in considering the nursing that was needed for their on-site practice. Also they were aware of the totality of the community and voluntarily tried to provide for the expansion of knowledge. Conclusion: Findings indicate a need to establish a cooperative plan between nursing schools and practice agencies and collaborative development in the community health nursing practice guidelines.