• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.3
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• pp.355-365
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• 2016

Purpose: This study explores the moral distress that nursing students experience during their clinical practice in Korea. Methods: Data were collected using focus group interviews, and analyzed using qualitative content analysis. Participants were recruited from three nursing schools in three different cities; each focus group interview lasted between one to two hours. Results: Twenty-two nursing students with more than one year of clinical practice experience participated. Three categories and ten themes were extracted. The following situational categories: "unprotected patients' right and dignity," "clinical settings in which standards of care are not upheld," "disrespectful hospital culture," and "inconsistent and unsystematic clinical education" caused moral distress. Types of responses to moral distress included: "shock and confusion over the gap between reality and moral standards," "powerlessness when cannot advocate patients," "fear and doubts about nursing career," and "moral desensitization and disappointment in oneself." "Expressions of moral distress and the need for advice" and "a search for meaning and hope" were identified as coping strategies. Conclusion: These results demonstrate the need for systematic clinical practicum and education programs to minimize moral distress. These programs may offer opportunities for students to turn moral distress into opportunities for learning and growth in the future.

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.3
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• pp.376-386
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• 2011

Purpose: The purpose of this study was to analyze the importance and usability of the curriculum of the oriental nursing educational program among clinical nurses who completed the program. Methods: The study employed a cross-sectional descriptive survey design. Data were collected from March 1, 2010 to April 25, 2010 from 68 oriental or allied hospital nurses who completed the oriental nursing educational program. A70-item questionnaire of importance and usability of the program curriculum and as an instrument of knowledge of oriental nursing were used. Data were analyzed by SPSS 18.0 program. Results: The majority of participants (69.1%) experienced difficulties in clinical practice due to lack of oriental nursing knowledge and skill. In knowledge of oriental nursing, meridian points had the most negative responses (51.5%), followed by oriental documentation (42.7%) and oriental herbal medicine (20.6%). The highest ranked course in importance was oriental fundamental nursing with clinical practicum in usability. The scores of usability items were significantly lower than those of importance items. Conclusion: This study suggests that the clinical job description and role of oriental nurses should be organized. The oriental nursing educational program needs to include more unique clinical nursing content.

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.3
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• pp.536-544
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• 2011

Purpose: The purpose of this descriptive study was to investigate the level of nursing professionalism and influencing factors of professionalism in nursing students. Method: A convenience sample of 207 subjects were recruited from two universities in I city and one university in S city. The subject for this survey were senior students who finished all clinical practicum to be done before graduation. Results: The mean scores of the nursing professionalism and the satisfaction with clinical practice were 3.43 and 3.28 individually. The mean of self-efficacy and image of nurses were 3.60 and 3.71 individually. Mean of major satisfaction score was 3.88. There were significant correlations among nursing professionalism, satisfaction with clinical practice, self-efficacy, image of nurses and major satisfaction. The most strong factor affecting nursing professionalism was the image of nurses and accounted 52.0 percentage of the variance. Sixty point one percentage of the variance was explained by image of nurses, major satisfaction, religion and satisfaction with clinical practice. Conclusion: To make students have more positive nursing professionalism, strategies enhancing the positive nurse image, clinical satisfaction, and major satisfaction need to be developed during school years.

• Journal of Korea Entertainment Industry Association
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• v.15 no.1
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• pp.131-142
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• 2021

Purpose: Clinical practicums via non-face-to-face methods were inevitable due to the COVID-19 pandemic. We developed an online program for emergency nursing care and identified the feasibility of the program and the learning achievements of students. Methods: This was a methodological study. The program was developed by three professors who taught theory and clinical practicum for adult nursing care and clinical experts. Students received four hours of video content and two task activities every week in four-week program. Real-time interactive video conferences were included. Qualitative and qualitative data were collected. Results: A total of 96 students participated in the program. The mean score for overall satisfaction with the online program was 4.72(±1.02) out of 6. Subjects that generally had high learning achievement scores were basic life support care, fall prevention, nursing documentation, infection control, and anaphylaxis care. As a result of a content analysis of 77 reflective logs on the advantages of this program, students reported that "experience in applying nursing process," "case-based learning and teaching method," and "No time and space constraints" were the program's best features. Conclusion: Collaboration between hospitals and universities for nursing is more important than ever to develop online content for effective clinical practicum.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.3
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• pp.322-333
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• 2012

Purpose: The purpose of this study was to evaluate the effects of a newly developed Introduction to Clinical Nursing (ICN) program on critical thinking skills, communication competence, self-efficacy, and clinical performance self-confidence in nursing students in their third year. Methods: One group pre-test and post-test design was used with three data collection time points (pre-test, post-test1 and post-test2). Participants were 74 third year nursing students approaching their first clinical practicum. The new program included (a) simulated clinical encounters regarding situations of assessing hospitalized patents and caring for patients with oxygenation needs, (b) objective structured clinical examination of skills, (c) lectures, and (e) field trips. Data were analyzed using paired t-tests. Results: After the ICN course, critical thinking skills(significant only between pretest and post-test2), communication competence, and clinical performance self-confidence improved significantly (p<.05). There was no improvement in the self-efficacy total score but there was significant improvement in the subscale, self-regulatory efficacy. Conclusions: The study results indicate that the ICN course may be effective in increasing critical thinking skills, communication competence, and clinical performance self-confidence in nursing students. However, the effect size was very small and modifications of this program should be considered to develop more cost-effective educational programs.

• Women's Health Nursing
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• v.27 no.3
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• pp.256-264
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• 2021

Purpose: This study investigated the impact of coronavirus disease 2019 (COVID-19) on women's health nursing clinical practicums in undergraduate nursing schools in Korea during the spring 2020 semester. Methods: A cross-sectional online survey on clinical practicum teaching experiences in the spring 2020 semester was distributed to members of the Korean Society of Women Health Nursing (KSWHN) who taught undergraduate nursing. One faculty member from each of 203 institutions was requested to respond and there were no duplicate participants. Seventy-nine participants (38.9%) responded and 74 responses were analyzed. Descriptive statistics were presented for all survey items. Results: Fifty-two faculty members (70.3%) belonged to universities and 22 (29.7%) taught at colleges. Thirty-eight (51.4%) answered that their institutions had affiliated teaching hospitals. More than half (52.7%) conducted hospital-based clinical practicums either entirely (n=20) or partially (n=19), whereas the rest of them (47.3%) conducted clinical practicums at school or home via online teaching. The typical teaching methods for offline or online education were case conferences, tests or quizzes, scenario studies, nursing skill practicums, (virtual) nursing simulations, and simulated patient education. Most of faculties (93.2%) supported the development of an educational platform to share educational materials and resources, such as case scenarios. Conclusion: Nursing faculty members utilized various teaching methods to enhance clinical skills and mitigate limited clinical exposure during the early stage of the COVID-19 pandemic. The KSWHN should move forward to develop an education platform and modalities for members who face many challenges related to the accessibility and quality of nursing education contents.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.1
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• pp.120-130
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• 2012

Background: The purpose of this study was to examine relationships among self-assessment, self-efficacy, and satisfaction after OSCE(Objective Structured Clinical Examination) using smart phone. Methods: The convenience sample was consisted of 90 nursing college students. The data were collected from November 15 to November 18 in 2011. The data were analyzed using SPSS win 19.0 program. Data were analyzed with descriptive statistics including t-test, ANOVA and Pearson's correlation coefficient to compare self-efficacy and satisfaction by subject's general related characteristics and to examine the relationships among variables. Results: The level of self-efficacy was 3.48(${\pm}0.27$). The level of satisfaction was 4.01(${\pm}0.54$). Self-efficacy was significant relationship satisfaction with practice education (r=.380, p=.045), satisfaction with the method of practical tests (r=.270, p=.009), and satisfaction with major (r=.250, p=.015). There was significant relationship between satisfaction with major and satisfaction with practice education (r=.240, p=.020). Conclusion: Comprehensive intervention promoting self-efficacy, interpersonal relationship, and perceived image of nurses after practicum is needed to improve self-efficacy and satisfaction, for those who can not better interpersonal relationships, perceived image of nurses after practicum.

• The Journal of the Convergence on Culture Technology
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• v.9 no.4
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• pp.445-455
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• 2023

This study aimed to identify academic stress factors of nursing students who have experienced COVID-19. The subjects of this study were 172 nursing students from three universities in Gyeongsangnam-do. Data were collected at November 2022 and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, Hierarchical regression by SPSS/WIN 21.0. As a result of the study, the degree of academic stress 2.09 points and the factors affecting nursing students' academic stress were major satisfaction, satisfaction with alternative clinical practicum, emotion-focused coping, problem-focused coping, self-efficacy, perceived health status, and depression due to COVID-19, and the total explanatory power was 62.3%. Based on these research results, we need to prepare a systematic education plan to reduce the academic stress of nursing students in future disasters and infectious diseases by preparing measures to increase nursing students' major satisfaction and satisfaction with alternative clinical practicum.

• Journal of Korean Public Health Nursing
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• v.27 no.1
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• pp.40-49
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• 2013

Purpose: To describe nursing students' perceptions of their experiences on the home visiting simulation in community health nursing practicum. Methods: Descriptive survey method was used to evaluate students' experiences from the home visiting simulation. Results: The simulation was divided into three sections: orientation, facilitating the scenario and debriefing. The orientation was held for fifteen minutes, and four sessions of the simulation were implemented for 180 minutes. Sixty-one nursing students participated (91.8% female) and the mean age was $21.4{\pm}2.4$ years. No one had prior simulation experiences. Participants experienced reflective thinking during the scenario implementation and debriefing session. They perceived the home visiting simulation as an active learning and realistic training environment. However, participants expressed difficulties in focusing on the simulation when their peers played a patient role. In addition, peer patient role-players expressed the role burden. Conclusion: The home visiting simulation is a feasible and effective method for attaining goals a community health nursing clinical course for students. It can be used as a part of an orientation before the clinical rotation or as an evaluation after the clinical rotation. To provide a realism, we recommend using standardized patients. And further research on the effects of using standardized patients is recommended.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.1
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• pp.5-14
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• 2014

Purpose: The purpose of this study was to determine undergraduate students' level of knowledge, attitude, and confidence toward patient safety. Methods: A descriptive survey design was used. The subjects consisted of 932 senior nursing students who have had clinical practice in nursing schools in a metropolitan city in Korea. The data were collected from March 4th to 28th in 2011. Knowledge, attitude, and confidence on patient safety were measured using self administered questionnaires. Data were analyzed with SPSS 18.0 using descriptive statistics, t-test, One-Way ANOVA, and Pearson correlation coefficient. Results: Knowledge of patient safety was relatively low and attitude and confidence were at moderate level. There were statistically significant differences in knowledge, attitude, and confidence toward patient safety according to gender, educational system, grades, satisfaction with nursing major or clinical practice, and experience of patient safety education or patient safety campaign. There was a significant positive correlation among knowledge, attitude and confidence on patient safety. Conclusion: The study findings suggests that concept and skills on patient safety need to be educated systematically during undergraduate curriculum linked with clinical practicum.