• Title/Summary/Keyword: Clinical Nursing Practicum

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The Influence of Online Psychiatric Nursing Practicum including Virtual Simulation on Goal Commitment, Self-Efficacy, Critical Thinking Disposition and Problem-Solving Ability (가상 시뮬레이션을 포함한 온라인 정신간호학실습이 목표몰입, 자기효능감, 비판적 사고성향 및 문제해결능력에 미치는 영향)

  • Park, Keumok;Chung, Su Kyoung
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.60-67
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    • 2021
  • The purpose of this study is to investigate the effect of online psychiatric nursing practicum including virtual simulation on goal commitment, self-efficacy, critical thinking disposition, and problem solving ability of nursing students in the COVID-19 situation with difficult clinical practice. The subjects of this study were collected using an online questionnaire for third-year nursing students located in A city, and 31 students participated in the final. The results of this study showed that goal commitment and critical thinking disposition were improved in the post-test compared to the pre-test, but were not statistically significant. Self-efficacy (t=4.222, p<.001) and problem solving ability (t=6.807, p<.001) were signifincantly improved after than before online practicum. This findings indicate that online psychiatric nursing practicum including virtual simulation is effective in improving self-efficacy and problem solving ability. As it is difficult to perform nursing practice directly in the clinical field due to the recent COVID-19, it is expected that the limitations of online practicum can be overcome by utilizing various online contents including virtual simulations in online psychiatric nursing practicum.

A Study on Plans for Improvement of RN-BSN Curriculum Based on the Needs of the Students (RN-BSN 학생 요구에 근거한 교육과정 개선방안 연구)

  • Shin, Yun-Hee;Hyun, Myung-Sun;Jeong, Geum-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.2
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    • pp.151-161
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    • 2006
  • Purpose: The purpose of this study was to assess the needs of RN-BSN students concerning the RN-BSN curriculum and make suggestions for improvement in the curriculum based on the needs of the students. Method: A descriptive survey study was used. Data were collected from 707 RN-BSN senior students in 21 universities. The research instrument, which was developed after in-depth interviews with 13 RN-BSN students, consisted of 10 curriculum objectives, 34 cultural courses, 48 major courses, three questions on clinical practicum, and teaching methods for 5 required courses. Result: The curriculum objectives selected by the RN-BSN students were problem solving, clinical applicability, critical thinking, creative thinking, and decision making. They wanted cultural courses such as English, understanding of human behavior, social welfare, women's studies, psychology, nutrition science, leadership, recreation, computer applications, exercise and health. They wanted major courses to include the nursing process, nursing research, health assessment, advanced adult nursing, infection control, spiritual/hospice nursing, and nursing of cancer patients. They responded that a clinical practicum was not necessary. They wanted to experience various teaching methods according to particular characteristics of subject being taught. Conclusion: This study suggests some recommendation for improvement of the curriculum based on the needs of RN-BSN students.

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Study on the Present Status of Practicum of Fundamentals of Nursing and Test for Competency of Nursing Skills (기본간호학 실습교육현황과 실기능력 평가방법에 관한 조사)

  • Kim, Jong-Im;Kim, Kyung-Hee;Paik, Hoon-Jung;Sohng, Kyeong-Yae;Eom, Mi-Ran;Oh, Sei-Young;Lee, Woo-Sook;Chang, Ock-Ja;Jeon, Hyen-Sook;Lee, Dong-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.3
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    • pp.362-370
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    • 2010
  • Purpose: In this study the present status of the practicum in Fundamentals of Nursing and test for student competency in nursing skills were surveyed. Method: Participants included 72 nursing schools. A structured questionnaire was used for data collection and SPSS 17.0 for data analysis. Results: Credits for Fundamentals of Nursing, credits for practicum and hours per credit were 2.93, 7.34, and 2.14 respectively. Number of students per practice unit, full time assistants and students per assistant were 28.6, 0.6, and 20.2 respectively. Utilization of CPX room and OSCE room for practice was 5.6%, and 9.7% respectively. Of the school, 32.0% included clinical practice in the practicum. 90.3% provided an open lab but only 48.4% had full-time assistants for these clinical practice areas. Testing for nursing skill competency was performed twice a semester in most schools. Utilization of standard patients and high fidelity models for testing was 8.3%, and 23.6% respectively. The test was thought to be inappropriate in 33.4% of the schools. Conclusions: The results suggest that to improve the outcomes, the practicum for Fundamentals of Nursing needs to be changed to include expansion of facilities and human resources, utilization of standard patients and high fidelity models and development of appropriate test methods.

Levels of Clinical Practice Stress and Coping Strategies according to Nursing Students' Personality/Behavior Types (간호대학 실습생들의 성격/행동유형과 임상실습 스트레스 양상 및 대처 방식간의 관계)

  • Jang, Suyeon;Kim, So Jeong;Kim, Yeong Ji;Suh, In Young;Song, Chearim;Oh, Hong Kum;Lee, In Jae;Lee, Ji Yun;Lee, Ji Eun;Hong, Da Hye;Kim, Jeongeun
    • Perspectives in Nursing Science
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    • v.14 no.2
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    • pp.81-89
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    • 2017
  • Purpose: This study was performed to identify levels of clinical practice stress and coping strategies according to the personality/behavior types of nursing students. Methods: The subjects of this study were 143 third- and fourth-grade nursing students in 14 nursing colleges who had experienced clinical practice. The questionnaire consisted of instruments to identify Dominance, Influence, Steadiness, and Conscientiousness (DISC) personality/behavior types, clinical stress, and stress coping strategies. The data were analyzed using Cronbach's ${\alpha}$, descriptive statistics, and ANOVA, using the SPSS 24.0 program. Results: The DISC pattern showed high priority in Steadiness (48.3%), followed by Conscientiousness (21.0%), Influence (16.1%), and Dominance (14.7%), in that order. The steadiness type showed the lowest level of stress among four patterns. Conclusion: This study found that the personality/behavior types of nursing students differ. Additionally, different personality/behavior types can be attributed to stress levels and stress coping behaviors. Based on these results, different personality and behavior types of nursing students should be considered to manage their stress levels related to the clinical practicum experience.

Clinical Practicum Experiences of Local Nursing College Studentsat a University Hospital in the Seoul Metropolitan Area (일 지방 간호대학생의 수도권 대학병원 임상실습 경험 )

  • Jo, Hyun-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.651-661
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    • 2021
  • This study was conducted to examine the experiences of nursing students during a clinical practicum at a university hospital in the Seoul metropolitan area. The participants of the study were 12 senior nursing students from J city, and the data was collected from September 29 to October 12, 2017, using interview questionnaires. The collected data was analyzed using Colaizzi's phenomenological analysis method. As a result of this study, there were three categories and nine theme clusters. In the category of 'high-quality practical education', 'the participants had high expectations prior to the practicum' and 'satisfaction with the practical instruction of education' as well as identified 'the opportunity to consider for future career'. In the category of 'experiences with independent social life', the participants described about their 'freedom away from everyday life', 'challenges of problem-solving alone', and identifying 'the importance of human relationships' in unfamiliar surroundings. In the category of 'lack of support system in practicum', the participants reported 'difficulties in preparing for practicum due to lack of information', 'lack of financial support' and 'the fear of living in an unsafe environment'. The results of the study will be used to as a basic data to find a high-quality clinical practice education environment by identifying what clinical practice students experience at university hospitals in the metropolitan area.

Effectiveness of Simulation Integrated with Problem Based Learning on Clinical Competency and Self-efficacy in Nursing Students (문제기반학습 연계 시뮬레이션 교육이 간호대학생의 임상수행능력 및 자기 효능감에 미치는 효과)

  • Lee, Mijin;Ahn, Youngmee;Cho, Insook;Sohn, Min
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.123-131
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    • 2014
  • Purpose: This study was conducted to examine the effects of simulation education integrated with problem based learning (SIM-PBL) on clinical competency and self-efficacy in post operation nursing care for children. Methods: This study was a quasi-experimental design. Thirty six students in the third year of a 4-year baccalaureate nursing program were recruited conveniently and assigned to the control or intervention groups using time difference. Students were all in a pediatric nursing clinical practicum. The control group received the regular clinical practicum in a hospital setting. For the intervention group, a SIM-PBL education replaced 150 minutes of their clinical practicum. Results: The intervention group showed greater improvement in two areas of clinical competency compared with the control group; physical assessment (t= 3.019, p=.005) and post operation advice (t=2.428, p=.021). However, no statistically significant differences in improvement in any areas of self-efficacy were found between two groups. Conclusion: The results indicate that the SIM-PBL education is effective in improving some areas of clinical competence, but not self-efficacy in post operation nursing care for children. Further study is needed to develop SIM-PBL programs for various clinical topics and evaluate the effectiveness on the learning outcomes.

Development and effects of a labor nursing education program using a high-fidelity simulator for nursing students (간호대학생 대상의 고충실도 시뮬레이터를 이용한 분만 간호 교육 프로그램의 개발 및 효과)

  • Park, Seo-A;Kim, Hye Young
    • Women's Health Nursing
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    • v.26 no.3
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    • pp.240-249
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    • 2020
  • Purpose: This study was conducted to investigate the effects of an education program using a high-fidelity simulator of labor and delivery on nursing knowledge, critical thinking, and clinical performance among nursing students who had not yet experienced clinical practicum. Methods: The development of a 5-week maternity nursing education programs using high-fidelity simulators included modules containing case-oriented scenarios, knowledge, and skills required for maternity care. A randomized controlled study was conducted to verify the effects of the developed program. Data were collected from October 21 to December 9, 2019. The experimental group (n=36) participated in a 5-week high-fidelity simulation program on care for the woman in labor, whereas the control group (n=36) received standard education as lecture and practice with delivery model. The collected data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the Chi-square test, Fisher exact test, and t-test. Results: For participants who received education using the high-fidelity simulation program, nursing knowledge (t=2.33, p=.011), critical thinking (t=3.73, p<.001), and clinical performance (t=2.53, p=.006) were significantly higher than in the control group. Conclusion: Even for students with no clinical experience, high-fidelity simulation-based nursing education was effective in improving nursing knowledge, critical thinking, and clinical performance among nursing students. Nurse educators will be able to use this high-fidelity simulator effectively, especially in situations where direct clinical practicum may not be feasible.

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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Analysis of Patient Outcome using Nursing Outcomes Classification(NOC) (Nursing Outcomes Classification(NOC)를 이용한 일부 입원환자의 간호결과에 대한 분석)

  • Kim, Su-Hyun;Son, Jung-Tae;Lee, Eun-Joo
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.181-188
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    • 2006
  • Purpose: The purpose of study was to determine differences in patient outcomes that exists in terms of Nursing Outcomes Classification (NOC) during hospital days of neurosurgical and respiratory patients. Method: Before starting clinical practicum, nursing students were received two hours' lecture on how to apply NOC to patient care plan and they were required to evaluate patient condition using NOC at the beginning and at the end of their clinical practicum. Data were extracted from 62 neurosurgical patients and 66 respiratory patients and analyzed by frequency and paired t-test. Results: The most frequently used NOC were Pain Level (37.1%), Mobility Level (25.8%), and Bowel Elimination (19.4%) in neurosurgical patients and Nutritional Status (37. 9%), Respiratory Status: Ventilation (37.9%) and Pain Level (25.8%) in respiratory patients. The numbers of outcomes used were 75 and 46 neurosurgical and respiratory patients respectively. During the hospital days, the level of patient outcomes increased significantly in all patient groups. Conclusion: The finding clearly suggests that nursing interventions make differences in patient outcomes and make contribution to the patient health achieved. To more effectively use NOC, however, nursing information system should be developed and included standardized nursing languages regarding nursing diagnoses and interventions.

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Factors Affecting Nursing Students'Activeness in Clinical Education (임상실습교육에서 간호학생의 적극성에 영향을 미치는 요인)

  • Kim, Su Mi
    • Perspectives in Nursing Science
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    • v.14 no.1
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    • pp.32-36
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    • 2017
  • Purpose: The purpose of this study is to analyze the factors influencing students' active practice in clinical nursing education and to find ways to improve them. Methods: In this study, the factors affecting students' practice in nursing clinical practice were reviewed and their opinions were discussed. Results: A limited clinical practice environment, lack of a role model of leading and independent nurse interferes with the active practice of nursing students and negatively affects the image of nurses. On the other hand, semantics that links practice to students'life supports active practice. Conclusion: Clinical practicum educators should actively carry out the role of introducing students to rational of their practice, and arrange meetings with nurses and students who carry out nursing care independently with leadership. In addition, the clinical nursing education should include courses that allow students to discuss the various issues they have in the nursing practice.