• Korea Journal of Hospital Management
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• v.14 no.1
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• pp.62-98
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• 2009

A systematic review of the literatures was conducted to evaluate the effect of clinical practice guideline. The 77 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and Blackwell synergy from January, 1997 to October, 2007. The main search terms were "clinical practice guideline" and "effectiveness", "clinical practice guideline" and "impact", "clinical practice guideline" and "evaluation". These studies were assessed the Quality twice by one Qualified expert and converted into weighted scale. The 63 studies were eligible inclusion criteria and subdivided into type of effect. Final indicator using for policy effect of clinical practice guidelines were classified as 4 categories; "improvement of outcomes" in 81 studies, "betterment in practice patterns" in 68 studies, "rationalization in resource utilization" in 84 studies and "cost containment" in 31 studies. The vote-counting method, one of meta-analysis method, was applied to summarized the effect of clinical practice guidelines and test statistically. From results of meta analysis, all indices were statistically significant. In conclusion, this meta-analysis showed that introduction of clinical practice guidelines were resulted positive outcomes in health policy.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.05a
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• pp.402-405
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• 2022

The purpose of this study was to investigate the satisfaction of clinical practice for university students in the physical therapy department. 163 students participated in the study. The subjects completed an online survey that consisted of 36 clinical practice satisfaction questions and 5 questions of general characteristics. The collected data was analyzed by using frequency analysis, independent t-test, one-way ANOVA and Scheffe post hoc analyses with a significant level of 0.05. The students' satisfaction of clinical practice was 3.84 in average on a scale of 5. The students' satisfaction was the highest for the item 'Satisfaction after clinical practice', and the lowest for the item 'Internal conflict in clinical practice' and 'Evaluation of clinical practice'. The students' satisfaction of clinical practice showed significant differences according to the satisfaction of the major (p<.001), however, no significant difference according to gender, grade, training period and practice institution.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.605-614
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• 2023

The purpose of this study is to understand the difference in nursing process competence, critical thinking disposition, and SBAR technique knowledge of nursing students according to practical methods. The subjects of the study were 20 students who participated in clinical practice and 18 students who participated in alternative clinical practicum. The collected data were analyzed by t-test, Mann-Whitney U-test, and Kruskal Wallis test. As a result of the study, there was no significant difference between nursing students' nursing process competence, critical thinking disposition, SBAR utilization ability, and perception of use depending on clinical practice and alternative clinical practicum. In clinical practice, nursing process competence and SBAR technical knowledge were significantly higher when college life satisfaction was high. In in-school practice, which is an alternative clinical practicum, critical thinking disposition and SBAR technical knowledge were high when nursing major satisfaction was high, and critical thinking disposition was high when grade were high. In preparation for future pandemic situations, a systematic clinical alternative practicum education plan should be prepared to improve nursing process competence, critical thinking tendency, and SBAR technique knowledge.

• The Journal of Korean Academic Society of Nursing Education
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• v.11 no.2
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• pp.222-231
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• 2005

Purpose: The purpose of this study was to identify the relationship between critical thinking disposition and clinical competency of nursing students. Method : The sample consisted of 151 nursing students, who have ever had clinical practice. Data were collected by self reporting questionnaire for 13 days from April 18-30, 2005. The data were analyzed by descriptive statistics, t-test, ANOVA, Duncan test, Pearson Correlation Coefficient with SPSS Programs. Result : The result of this study were as follows : 1. The total mean score of critical thinking dispositions in the nursing students was moderately(3.50). There was a statistically significant difference in critical thinking disposition according to satisfaction with the nursing major(F=5.563, p=.005). 2. The total mean score of clinical competency in the nursing students was slightly high(3.37). There was a statistically significant difference in clinical competency according to adaptation with the nursing major(F=5.202, p=.007), satisfaction with clinical practice(F=3.172, p=.045). 3. A significant positive correlation between critical thinking disposition and clinical competency was founded(r= .421, p<.000). Conclusion : In conclusion, this study revealed that critical thinking disposition influences clinical competence. Therefore, the finding of this study may provide significant basic data for nursing education and nursing practice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.1
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• pp.669-678
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• 2017

This study aimed to identify the mediating effect of resilience on the relationship between stress during clinical practices and clinical competence in nursing students. A total of 137 senior nursing students in three different universities located in C city were included. The study period was between October 15 and November 15, 2016, and the data were collected using by structured questionnaires. Collected data were analyzed by descriptive analysis, t-test, ANOVA, Pearson's correlation, and Multiple regression using the SPSS 22.0 statistical program. The average score of stress in clinical practice, clinical competence, and resilience were $3.09{\pm}0.43$, $3.54{\pm}0.45$ of 5 and $4.93{\pm}0.66$ of 7. There were significantly negative correlations between stress in clinical practice and resilience (r=-.24, p=.005), as well as stress in clinical practice and clinical competencies (r=-.21, p=.012), while there were significantly positive correlations between resilience and clinical competencies (r=.59, p<.001). Resilience had a full mediated effect between stress in clinical practices and clinical competencies, which showed the significance upon Sobel test (Z=-3.02, p=.003). Therefore, it is suggested that various training courses and programs for strengthening resilience should be developed and applied to nursing curriculum.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.85-92
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• 2019

This study was a descriptive study conducted to identify factors that had an influence on clinical competency of core basic nursing skills(CBNS) during the clinical practice in nursing students. Data were collected from 3rd and 4th grade 190 nursing students in G city using self-report questionnaire, and analyzed using descriptive statistics, the t-test, one way ANOVA, multiple regression with SPSS 23.0 program. This study found that the number of experience CBNS below 5 was 51.1%, and the number of observation CBNS over 11 was 78.4%. Clinical competency according to general characteristics, clinical practice satisfaction and the level of CBNS experience increased with male, increase age and grade, and major subject satisfaction and clinical practice satisfaction, especially, as the number of experience CBNS increased, clinical competency increased(p<0.001). But clinical competency did not differ according to the number of observation CBNS(p=0.463). The factors affecting the clinical competency of nursing students were age, grade, clinical practice satisfaction and the number of experience CBNS. Therefore, it is important to increase the opportunity to directly experience the various CBNS in clinical practice of nursing students in the nursing education curriculum, and it is necessary to find ways to actively use simulation education.

• Korean Parent-Child Health Journal
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• v.15 no.2
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• pp.71-79
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• 2012

Purpose: This study was conducted to examine the effects of simulation-based practice using standardized patients for the care of woman with postpartum hemorrhage as related to clinical performance competence and critical thinking deposition of nursing students. Methods: A nonequivalent control group pre-post test experimental design was used. Fifty four third year students were recruited, 29 students for the experimental group and 25 students for the control group. The simulation-based practice about nursing care related to postpartum hemorrhage included skill training, team-based practice, and debriefing. It was implemented with the experimental group for about 30 minutes in October 6, 2011. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability, and t-test using the SPSS/WIN program. Results: The experimental group who had the simulation-based practice showed significantly higher knowledge and skills of clinical performance competence than the control group (t=2.19, p=.003). But the experimental group who had the simulation-based practice did not show significantly higher critical thinking deposition than the control group (t=-0.32, p=.748). Conclusion: The results indicate that a simulation-based practice is an effective teaching method to improve knowledge and skills for clinical performance competence of nursing students. Further study is needed to identify the effect of a simulation-based practice on nursing attitudes.

• Journal of the Korea Convergence Society
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• v.7 no.6
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• pp.55-65
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• 2016

The aim of this study was to identify the convergence factors contributing to clinical practice satisfaction in Korean nursing students. Data were collected using self-administered questionnaires from April 1 to May 15, 2015. The participants were 83 nursing students, and a mid-sized private university school of nursing in the Korea was selected. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 22.0 program. Satisfaction in major significantly differed by age. Clinical practice satisfaction was positively correlated with satisfaction in major and clinical competence. The factors that significantly influenced clinical practice satisfaction were clinical competence and satisfaction in major, which together explained 26% of the total variance. To improve satisfaction in major and clinical competence among Korean nursing students, it will be necessary to provide nursing students with clinical adaptation programs and preceptor education.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.11
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• pp.314-323
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• 2019

This study examined the factors affecting clinical practice adaptation to provide basic data for the improvement of clinical practice adaptation for the first year of clinical practice. The subjects were 153 nursing students and medical students in G-do. Data were collected from April 1 to April 30, 2019, and analyzed using a t-test, ANOVA, Pearson correlation coefficient, and multiple regression using IBM SPSS WIN/21.0. The mean of college adjustment, character, interpersonal competence, communicative competence, and clinical practice adaptation was 3.37 points, 3.82, 3.61, 3.56, and 3.54, respectively. Clinical practice adaptation was related to college adjustment, character, interpersonal competence, and communicative competence (p<.001). The most influential factor in clinical practice was interpersonal competence (β=.502, p<.001), followed by department adaptation (β=-.215, p<.001) and college adjustment (β=.174, p=.010), respectively. The explanatory power was 41.1% (F=34.11, p<.001). Therefore, a way to improve interpersonal competence is needed to advance clinical practice adaptation. In the character building program for adjustment to college life, systematic education is needed, including the opportunity to think about and understand oneself, continuous meeting to understand and accept others. In addition, repeated communication training to improve interpersonal competence is needed.

• Journal of Industrial Convergence
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• v.22 no.8
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• pp.63-72
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• 2024

This study attempted to explore the impact of sense of humor and stress coping styles among nursing students on adaptation to clinical practice. The study included 180 nursing students as participants, and data collection was conducted using self-administered questionnaires from April 15 to 26, 2024. The collected data underwent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis. The research findings revealed that the sense of humor scored 3.52, stress coping styles scored 3.40, and adaptation to clinical practice scored 3.46. Adaptation to clinical practice according to general characteristics showed statistically significant differences based on major satisfaction (F=29.80, p<.001), clinical practice satisfaction (F=40.46, p<.001), relationships with peers in clinical practice (F=5.05, p<.001), and personality (t=-3.41, p<.05). Adaptation to clinical practice showed statistically significant positive correlations with sense of humor (r=.31, p<.001) and stress coping styles (r=.43, p<.001). The factors influencing adaptation to clinical practice were clinical practice satisfaction(β=.34, p<.001), stress coping styles (β=.29, p<.001), and major satisfaction (β=.23, p<.05), explaining 42% of the total variance.