• 제목/요약/키워드: Clinical Nursing Practicum

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간호대학생이 인지하는 유전학에 대한 지식과 태도 및 유전간호 역량 (Undergraduate Nursing Students' Perceived Knowledge and Attitudes Toward Genetics and Nursing Competencies for Genetics)

  • 최현경
    • Journal of Korean Biological Nursing Science
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    • 제16권2호
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    • pp.69-79
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    • 2014
  • Purpose: The purpose of this descriptive, cross-sectional study was to examine Korean undergraduate nursing students' perceived knowledge and attitudes toward genetics. Nursing competencies for genetics among nursing students were also assessed. Methods: Two hundred eighty-six Korean junior and senior undergraduate nursing students who went through their clinical practicum completed a packet of self-report questionnaires exploring opinions about the integration of genetics into the nursing curriculum, as well as their perceived knowledge, attitudes, and nursing competencies toward genetics. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA. Results: Overall, Korean undergraduate nursing students reported limited genetic knowledge, but most of them were comfortable with drawing pedigree. In general, nursing students were competent in providing genetic nursing. Their genetic nursing competencies were significantly different depending on the level of general understanding of genetics. There was no significant difference between juniors and seniors regarding knowledge, attitudes, and competencies toward genetics. More than 60% of nursing students reported the need for genetic nursing, and the majority considered lectures to be the most effective method to learn genetic knowledge. Conclusion: It is imperative to integrate genetics into nursing curriculum in order to improve nursing students' genetic nursing competencies as well as genetic knowledge.

표준화 환자를 이용한 관절질환 간호사정 실습교육의 평가 (Evaluation on the Practicum Using Standardized Patients for Nursing Assessment to Articular Disease)

  • 이여진;임난영;이은희;한혜자;김주현;손행미;박영숙;강현숙;조경숙;김동옥;권성복;이인옥
    • 근관절건강학회지
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    • 제14권2호
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    • pp.137-148
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    • 2007
  • Purpose: This study was performed to evaluate of practicum by using standardized patient(SP) for nursing assessment. Method: This study had 2 steps. The 1st-step was pre-intervention stage including selection of a learning title, formation of case scenario, training of SP and developing the evaluation tools for students' clinical competence to assessment, 6 categories 29 items. The 2nd-step consisted of intervention and evaluation stages. 34 nursing students divided 2 groups participated in assessing the SP. Evaluation of each group was performed by 2 nursing professors. All students recorded their feelings after assessing the SP. The SP also evaluated about nursing students' attitude toward the SP. Results: ICC(Interclass correlation coefficient) between 2 groups was over 0.7 all categories. Students' assessing score(range 0-1) was muscular-joint function status(0.41), nutritional status(0.39), history taking(0.38), IADL(0.18), ADL(0.15), and emotional status (0.07). The mean scores of the nursing students' attitude by SP was 4.03(range 1-6). Also most students showed positive reactions to the education using SP because they had the chance to experience what they could not practice in clinical setting. Conclusion: The evaluation tool revealed high reliability. Nursing students' clinical competence was below average. But they took a good attitude to SP. We recommended further research using SP with various disease.

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간호대학생의 비판적 사고능력에 영향을 미치는 개인요인과 학교요인 (Individual and School Factors Affecting Critical Thinking Ability among Nursing Students)

  • 신수진;박인희;황은희;정덕유;김건희
    • 의학교육논단
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    • 제20권1호
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    • pp.44-50
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    • 2018
  • The purpose of this study was to investigate factors associated with the critical thinking ability of nursing students at the individual and school levels. The study adopted a descriptive design and recruited 465 nursing students from four nursing schools from November 2014 to September 2015 through convenience sampling. The Clinical Critical Thinking Skill Test was used to measure critical thinking ability, and the data were analyzed with the SAS ver. 9.4 program (SAS Institute Inc., Cary, NC, USA) for descriptive statistics, t-test, analysis of variance, and multi-level model. The results showed that clinical practicum experience (${\beta}=-0.72$, p=0.025), taking critical thinking courses (${\beta}=0.63$, p=0.010), and taking simulation courses (${\beta}=0.56$, p=0.035) improved critical thinking ability in the individual level model. In the school level model, the interaction effect between the years of clinical practice done by the student and the presence of full-time clinical instructors was significant (${\beta}=1.29$, p=0.011). These results suggest that critical thinking ability improves with the more years of clinical practice individual nursing students have, and this improvement is greater with the presence of full-time clinical instructors in the school. Therefore, it is recommended that nursing students undergo critical thinking and simulation courses to develop their critical thinking ability, and dedicated clinical instructors in nursing schools should play a vital role.

간호대학생의 저혈당 응급관리 시뮬레이션 실습 수행 평가를 위한 임상판단 루브릭 적용 (Evaluation of Lasater Clinical Judgment Rubric to Measure Nursing Student' Performance of Emergency Management Simulation of Hypoglycemia)

  • 허혜경;박소미;김기경;정지수;신윤희;최향옥
    • 중환자간호학회지
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    • 제5권2호
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    • pp.15-27
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    • 2012
  • Purpose: To evaluate the applicability of Lasater Clinical Judgment Rubric (LCJR) as an evaluation tool for hypoglycemia simulation practicum on Korean nursing students. Methods: The methodological study was done to evaluate the reliability and validity of the LCJR. Based on Benner's 4 levels of nursing grading rubric, ten items of the LCJR was evaluated for interrater reliability and internal consistency. The content validity was tested by eight experts and concurrent validity was done by Clark (2006)'s clinical simulation grading rubric. Fifty five video-taped cases of senior nursing students in Y University were used for the reliability and concurrent validity of the LCJR. Results: The interrater reliability was r=.90 (p<.001); Kendall tau b=.87 (p <.001), and Cronbach's alpha was .90. A value of item content validity index of the LCJR was .97 and correlation coefficient between the LCJR and Clark's instrument was .90 (p<.001). The mean (${\pm}SD$) of the nursing students' clinical judgment was 2.04 (${\pm}50$). Conclusion: The LCJR is a useful tool to examine the simulation performance evaluation for improving competency among nursing students. The results indicated that the LCJR may provide valuable information regarding clinical judgment of nursing students and thus, suggested to use to develop a simulation-based education program.

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간호학생의 임상수행능력과 임상의사결정: 다중요소 실습기반교육의 효과 (Nursing Students' Clinical Competence and Decision-Making: Impact of a Multiple-components Practice-based Learning)

  • 고현기;이윤정;박문경
    • 산업융합연구
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    • 제22권3호
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    • pp.79-89
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    • 2024
  • 본 연구는 단일그룹 사전-사후 실험설계를 통해 다중요소 실습기반교육의 간호학생의 임상수행능력과 임상의사결정에 대한 효과를 탐색하는 것을 목적으로 하였다. 2020년 5월 4일부터 29일까지 임상실습 경험이 없는 간호학과 3학년 학생 총 60명이 2팀으로 나누어 2주씩 다중요소 실습기반교육에 참여했고, 최종 51명의 자료가 분석에 포함되었다. 연구결과 임상수행능력, 임상의사결정 자신감은 실습교육전에 비해 유의미하게 상승하였고, 임상의사결정에 대한 불안은 유의미하게 감소하였다. 간호학생을 위한 다중요소를 포함한 실습교육은 환자 간호를 위한 수행 자신감을 향상시키고, 임상적 의사결정에 대한 자신감을 증가와 불안 완화의 교육방법으로 적용될 수 있다.

간호대학생의 임상실습중 언어폭력경험과 임상실습 스트레스와의 관계연구 (A Study on the Relationship between Experience of Verbal Abuse and Clinical Practice Stress during Clinical Practicum of Nursing Students)

  • 양승애
    • 사물인터넷융복합논문지
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    • 제7권2호
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    • pp.31-40
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    • 2021
  • 본 연구는 간호대학생의 임상실습중 경험하는 언어폭력, 감정반응, 간호전문직관, 임상실습 스트레스 정도를 파악하고 임상실습 스트레스에 영향을 미치는 요인들을 확인하기 위하여 시도되었다. 연구 대상은 4년제 간호대학 4학년에 재학중인 간호대학생 106명이였으며 측정 도구는 언어폭력, 감정반응, 간호전문직관, 임상실습스트레스에 관한 문항으로 구성되었다. 언어폭력, 감정반응, 간호전문직관, 임상실습스트레스 정도는 기술통계로 분석하였고 언어폭력, 감정반응, 간호전문직관, 임상실습스트레스간의 상관관계는 Pearson correlation coefficients, 임상실습스트레스에 영향을 미치는 요인은 다중 선형 회귀분석(Multiple linear regression)을 적용하였다. 임상실습스트레스는 언어폭력, 감정반응과 유의한 정적상관성이 있는 것으로 나타났다(r=.683, r=.573). 유의미한 영향요인으로 언어폭력(𝛽=.487), 감정반응(𝛽=.240)순으로 임상실습스트레스의 49%를 설명하였다. 본 연구의 결과를 토대로 간호대학생들이 임상실습중 언어폭력에 대처하고 임상실습스트레스를 관리하기 위한 전략개발에 기초자료를 제공하고자 한다.

시뮬레이터와 표준화 환자를 이용한 간호 시뮬레이션 교육의 이론적 기틀 개발 (Development of a Conceptual Framework for Nursing Simulation Education Utilizing Human Patient Simulators and Standardized Patients)

  • 서은영
    • 한국간호교육학회지
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    • 제18권2호
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    • pp.206-219
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    • 2012
  • Purpose: Incorporating simulation modalities into nursing education is known to be effective in enhancing education outcomes. Standardizing the nomenclature of simulation modalities and developing a comprehensive conceptual framework for guiding the development of simulation modules are mandated given the prevalence and disorganization of simulation education. This article, thus, was aimed to summarize literature and propose a conceptual framework for structuralizing simulation education in Korea. Methods: A comprehensive literature review on CINAHL, PubMed, RISS, KISS, DBpia and renowned Korean nursing journals was conducted including articles from 2002 to 2011. Results: The nomenclature of simulation modalities was clarified and summarized. Twenty-eight studies on the effects of simulation education were summarized in a table demonstrating the state of the science in simulation research. In addition, 'a conceptual framework for three-dimensional nursing simulation education' was proposed, described in detail, and diagramed. According to 'the 3D simulation framework', each three axes, i.e., the scope of practice, complexity, and student competency, has three phases in accomplishing a high level of competency. Conclusion: The proposed '3D simulation framework' is hoped to be a theoretical guide in designing a clinical curriculum utilizing simulation and developing detailed simulation modules in clinical practicum courses.

가상현실을 이용한 모아간호 실습교육이 간호 대학생의 실습역량에 미치는 영향: 체계적 문헌고찰 (The effects of maternal-child nursing clinical practicum using virtual reality on nursing students' competencies: a systematic review)

  • 황성우;김현경
    • 여성건강간호학회지
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    • 제28권3호
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    • pp.174-186
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    • 2022
  • Purpose: This study aimed to investigate the effects of virtual reality used in maternal-child nursing clinical practicums on nursing students' competencies through a systematic review. Methods: The inclusion criteria were peer-reviewed papers in English or Korean presenting analytic studies of maternal-child nursing practicums using virtual reality. An electronic literature search of the Cochrane Library, CINAHL, EMBASE, ERIC, PubMed, and Research Information Sharing System databases was performed using combinations of the keywords "nursing student," "virtual reality," "augmented reality," "mixed reality," and "virtual simulation" from February 4 to 15, 2022. Quality appraisal was performed using the RoB 2 and ROBINS-I tools for randomized controlled trials (RCTs) and non-RCTs, respectively. Results: Of the seven articles identified, the RCT study (n=1) was deemed to have a high risk of bias, with some items indeterminable due to a lack of reported details. Most of the non-RCT studies (n=6) had a moderate or serious risk of bias related to selection and measurement issues. Clinical education using virtual reality had positive effects on knowledge, skills, satisfaction, self-efficacy, and needs improvement; however, it did not affect critical thinking or self-directed learning. Conclusion: This study demonstrated that using virtual reality for maternal-child nursing clinical practicums had educational effects on a variety of students' competencies. Considering the challenges of providing direct care in clinical practicums, virtual reality can be a viable tool that supplements maternal-child nursing experience. Greater rigor and fuller reporting of study details are required for future research.

임상실습 전 객관화된 구조화 임상수행평가(OSCE)가 간호대학생의 지식, 핵심기본간호술 자신감 및 자기효능감에 미치는 효과 (The Effects of Preclinical Objective Structured Clininal Examination(OSCE) on Knowledge, Nursing Students Confidence in Core Fundamental Nursing Skills and Self-Efficacy)

  • 손유림;박필남;고순희
    • 한국임상보건과학회지
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    • 제5권2호
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    • pp.850-863
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    • 2017
  • Purpose. The purpose of this study was to investigate effects of preclinical OSCE(Objective Structured Clinical Evaluation) on knowledge, confidence in their Core fundamental nursing skills and self-efficacy in nursing students. Method. The research design was a one group pretest-posttest design and it was done to assess changes in knowledge, confidence in core fundamental nursing skills and self-efficacy from pre to the post-test which was given after the OSCE. Data were collected from March 5 to April 7, 2016 from 37 nursing students who were taking the 15-hours using OSCE learning module at one Gyeongbuk-do, P-city. This practicum was composed of 4 core fundamental nursing skills and 5 other fundamental nursing skills. The knowledge consisted of a 10-item by researchers and the confidence of core fundamental nursing skills consisted of an 9-item NRS and the self-efficacy consisted of a 17-item 5-point scale and measured in both the pretest and posttest. The collected data were analyzed with SPSS IBM 20.0 program for the frequency, percentage, x2-test, and paired t-test. Rusult. The results showed that although scores of knowledge of OSCE learning module were significanlty increased from 5.22 to 7.03(t=5.30, p<.001). There were significantly increased in scores of confidence in core fundamental nursing skills from 5.13 to 7.27(t=10.01, p<.001), In the sub-scales of each core fundamental nursing skills was scored the highest. otherwise, there was no significant difference in self-efficacy(t=1.42, p=.161). Conclusions. Based on the results, this study suggests that OSCE module development activities for nursing students in nursing education-learning in order to improve nursing skills.

종합선택실습이 간호대학생의 임상실무수행능력에 미치는 영향 (The Effect of Advanced Clinical Practicum on Clinical Competence for Nursing Student)

  • 김지수;김영숙;김혜순;조현숙;이은자;이여진;김윤미;박광희
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2011년도 춘계 종합학술대회 논문집
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    • pp.381-382
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    • 2011
  • 본 연구는 4주간의 종합선택실습이 간호대학생의 임상수행 능력 변화에 미치는 영향을 파악하기 위한 것으로 4주간의 종합선택실습을 이수한 4학년 간호 대학생 128을 대상으로 하였고 임상실무수행능력 평가도구를 이용하여 실무능력변화를 측정하였다. 연구 결과 종합선택실습 전의 임상실무능력이 70.4점에서 실습 후에는 124.8점으로 증가(p<.001)되었고 직접간호활동과 간접간호활동의 모든 하위 영역에서 실습 후의 임상실무수행능력이 유의하게 증가되었다. 또한 상위 성적 30% 학생의 종합선택실습 후의 임상실무수행능력이 중간 40%의 학생에 비해 더 유의하게 증가한 것으로 나타났다(p=.047).

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