• 제목/요약/키워드: Clinical Practice Test

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간호대학생의 완벽주의 성향과 임상실습현장지도자의 돌봄에 대한 지각이 임상실습 중 경험한 무례함에 미치는 영향 (The influence of nursing students' perfectionism tendency and perception of instructor caring on incivility experienced by nursing students)

  • 이은남;김나경
    • 한국간호교육학회지
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    • 제27권4호
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    • pp.436-446
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    • 2021
  • Purpose: The purpose of this study was to identify the influences of nursing students perfectionism tendencies and their perception of instructor caring on incivility experienced by nursing students during clinical practice. Methods: A descriptive correlational study was conducted. The participants were 244 nursing students from five universities in B city. Data were analyzed using an independent t-test, ANOVA, Pearson's correlation coefficient, Scheffé test and a stepwise regression analysis. Results: The mean score for incivility in nursing students was 2.61 out of 5 points. The explanatory power of the model for incivility was in nursing students 52.8% of the variance in training in student's university hospital (𝛽=-.15, p=.002), total period of clinical practice (𝛽=.17, p<.001), confidence through caring (𝛽=-.23, p<.001), respectful sharing (𝛽=-.15, p=.005), supportive learning climate (𝛽=-.15, p=.005), self-oriented perfectionism (𝛽=.14, p=.004), and socially prescribed perfectionism (𝛽=.18, p<.001). Conclusion: The research results suggest that instructor caring is an important factor in regard to the incivility of nursing students. Organizational efforts and institutional devices will be needed to improve the incivility in clinical environments. By communicating with students and showing them respect, clinical nurses will help nursing students cope with incivility and recognize the clinical practice education environment positively.

간호학생 임상실습 교육에서 실습 지도자 활용(preceptorship)의 교수 효율성과 임상실습 만족도 (The Teaching Effectiveness of Preceptorship and Satisfaction of Student for Clinical practice on Nursing Education)

  • 최공옥;조현숙;김정엽;김병연;장순자
    • 간호행정학회지
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    • 제8권1호
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    • pp.73-83
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    • 2002
  • To identify the effects of preceptorship on teaching effectiveness at clinical nursing education, a group of nursing students who participate in program under the instruction of the preceptors was compared with the other group of nursing students trained by head nurses.The data were collected from 14 Mary. 2001 to 8 June 2001. The subjects of this study were 85 nursing students trained by the preceptors in the G. medical college hospital in Inchon, and 122 nursing students trained by head nurses at several hospitals in Inchon and Puchon, Korea. The scale for measuring the teaching effectiveness and satisfaction of student for clinical practice developed by Kim, Miae and Lee, Sookja were employed as the tool for the study. The data collected were analysed with SPSS on the teaching effectiveness items, then mean value and SD were evaluated. The t-test were also employed to compare the teaching effectiveness and satisfaction of student for clinical practice of the both groups. The relation of teaching effectives and satisfaction of student for clinical practice were analysed with Pearson's correlation coefficient. The following findings were carried out from this study. 1) The group trained by preceptors showed significant higher teaching effectiveness statistically than the group trained by head nurses, scored mean value of 3.46 and 3.04 respectively in the item of teaching effectiveness. 2) The respective item showing high score of teaching effectiveness in both groups was 'smooth and reasonable dealing on the issues occurred in the wards'. But the items of 'help nursing students to familiarize with other staffs quickly'and 'help always at near' showed low scores. 3) For 5 causal factors classified on the teaching effectiveness, the factor of 'professional knowledge and capability' got the highest score, but 'availability as a supporter' showed the lowest score in both groups. 4) The group trained by preceptors showed significant higher students' satisfaction of clinical practice than the group trained by head nurses, scored mean value of 3.54 and 3.17. 5) Total teaching effectives were posive correlation with students' satisfaction of clinical practice significantly (r=0.603)

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물리치료학과 학생들의 임상실습 중 대인관계에 대한 연구 (A Study on Interpersonal Relations on Clinical Practice of Physical Therapist Students)

  • 김지선;장은미;전혜진;최영은;안덕현;김용권
    • 대한물리치료과학회지
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    • 제10권2호
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    • pp.173-183
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    • 2003
  • The purpose of this study was to provide information for making positive interpersonal relations by understanding the degree of difficulties of interpersonal relations that physical therapist students may have on clinical practice. The survey results of 175 students who completed clinical practice for the first term of 2003. The survey was conducted through mail or e-mail between July 20 and August 20, 2003. The data were analyzed frequency, percentage, t-test, and one-way ANOVA using the SPSS/PC Ver. 10.0 (${\alpha}=0.05$). The results were as follows; 1. The mean score for the level of points interpersonal relations was 41.06 points in full 80 points. Therefore most students had a little problem on interpersonal relations. 2. More difficulties of interpersonal relations were felt by students in the following order; clinical instructors, patients, other students, and other department staffs in the hospital. 3. Between students and clinical physical therapist in the hospital, most students were satisfied with a instructor's attitude toward there (61.1%). 4. Between students and other department staffs in the hospital, most students were felt convenient when faced with other staffs(61.8%). 5. Between students and patients in the hospital, most students didn't uncomfortable when they made a rapport(69.2%). 6. Between students and other college students, most students were didn't inconvenient when they were practicing together(69.8%). 7. The students with higher marks in major felt more difficulties for forming personal relations with other department staffs in hospital, patient, and other students(p<0.05). 8. The students showed more felt inconveniences over 8 weeks practicing than below 7 weeks itperiods of clinical practice(p<0.05). 9. The number of practice place were significantly difference according to relation of patients, other college students(p<0.05). More less practice place were made difficult of interpersonal relations. The further studies would be made in viewpoints to clinical instructors, patients, students, others department staffs in the hospital so that we could compare our results with theirs.

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치위생(학)과 학생들의 임상만족도와 수행경험과의 관계 (Relationship between Degree of Clinical Satisfaction and Experience on Performance for Dental Hygiene Students)

  • 최옥선;안광숙;김혜진
    • 치위생과학회지
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    • 제15권2호
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    • pp.182-189
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    • 2015
  • 본 연구는 치위생과학생의 실습특성에 따른 임상실습만족도와 임상수행경험과의 관계를 규명하기 위해 2014년 11월에서 12월까지 현장실습 경험이 있는 치위생(학)과 2~4학년에 재학 중인 480명을 대상으로 연구의 목적을 설명을 하고 동의한 자에 의해 조사를 실시하여 분석한 결과 다음과 같은 결론을 얻었다. 임상실습기관별 만족도에서는 저학년보다 고학년으로 갈수록 임상실습기관만족도(p<0.001)와 임상수행경험(p<0.001)에서의 만족도도 높은 것으로 나타났고, 전공에 대한 만족도도 비교적 높게 나타났다. 임상실습만족도와 임상수행경험은 기관별로는 치과병(의)원이, 실습기관 결정에서는 치과병(의)원일 경우 학교에서 결정할 경우 점수가 높게 나타났고(p<0.002), 실습기간은 종합병원이나 대학병원인 경우 '늘여야 한다'(p<0.001)가, 실습지도는 종합병원에서는 전담치과위생사일 경우(p<0.009)가 치과병(의)원에서는 기관장(p<0.010)이 점수가 높게 나타났다. 임상실습만족도와 임상수행경험에 영향을 미치는 요인으로는 전공만족(p<0.001), 실습기간(p<0.01)으로 나타났다. 학생들의 임상실습에 대한 만족도를 높이기 위해서는 임상실습기관별 특성을 고려하는 실습운영 시스템을 구성하고 교육을 전담하는 치과위생사로 하여금 능동적인 실습기간으로 운영될 수 있도록 하며 기관에서는 학교와의 지속적인 연계를 통해 끊임없이 교육내용을 개선 및 보완을 해야 할 것으로 생각된다.

코로나19 팬데믹 상황에서 간호대학생의 아동간호학 임상실습유형별 만족도, 학습만족도와 임상수행능력 (Nursing students' satisfaction and clinical competence by type of pediatric nursing practicum during the COVID-19 pandemic)

  • 주현옥;이정화
    • 한국간호교육학회지
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    • 제30권1호
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    • pp.29-38
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    • 2024
  • Purpose: This study aimed to investigate student nurses' satisfaction by type of clinical practicum and to determine predictors of clinical competence in pediatric nursing. Methods: A total of 189 Junior and Senior student nurses across seven colleges in the Busan Metropolitan City were enrolled in the study. The participants completed a structured questionnaire containing items about their learning satisfaction with different types of pediatric nursing practicums and their clinical competence. Data were analyzed using the mean, standard deviation, independent t-test, ANOVA, and multiple regression analysis. Results: Regarding satisfaction with each type of clinical practicum, the mean satisfaction score (out of 10) was 8.18±2.26 for on-site clinical rotations and 7.35±2.20 for alternative practicums. Among the different types of alternative practicum approaches, those with a satisfaction score of 7 or higher included fundamental nursing skills, watching videos, simulation etc., while those with a satisfaction score of less than 6 were virtual simulation and problem-based learning. The predictors of clinical competence in pediatric nursing were learning satisfaction with practice, school year, and alternative practicum, accounting for 35.0% of the variance in clinical competency. Conclusion: It would be helpful to combine on-site clinical rotations with alternative practicum approaches and to develop various alternative practice programs using simulation practice, virtual reality, immersive interactive systems, and standardized patients to enhance students' clinical competency.

남자 간호대학생의 간호전문직관과 영향요인 (Factors Influencing Nursing Professionalism in Male Nursing Students)

  • 강다해솜
    • 보건의료산업학회지
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    • 제13권1호
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    • pp.43-53
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    • 2019
  • Objectives: This study aimed to explore and describe the factors that influence nursing professionalism in male nursing students. Methods: Participants were 172 male nursing students. Data were collected with structured questionnaires from November 1 to November 19, 2018. Data were analyzed IBM SPSS Statistics version 21 software for descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression. Results: Nursing professionalism in male nursing students was significantly correlated with gender stereotypes (r=-.337, p<.001) and self-leadership (r=-639, p<.001). Moreover, the significant factors of nursing professionalism in male nursing students were gender stereotypes (${\beta}=-.188$, p=.002), self-leadership (${\beta}=-.584$, p<.001), and clinical practice experience (${\beta}=-.116$, p=.046), which explained 45.3%. Conclusions: The result of this study, indicate that in order to increase nursing professionalism in male nursing students, it is necessary to develop nursing intervention programs that can improve self-leadership, reduce stereotypes, and provide positive images of clinical practice.

중소병원 간호사의 근거기반 통증 관리 지식과 수행 및 근거기반 실무에 대한 태도 (Nurses' Evidence-Based Pain Management Knowledge, Performance and EBP Attitude in Small-medium Sized Hospitals)

  • 홍인화;은영
    • 한국임상보건과학회지
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    • 제3권4호
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    • pp.476-489
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    • 2015
  • Purpose. The purpose of this study was to investigate the evidence-based pain management knowledge, performance and Evidence-Based Practice(EBP) attitude of nurses at small-medium sized hospitals. Methods. The sample of this study were 214 nurses. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression using SPSS/Win 21.0 Results. Evidence-based pain management knowledge score averaged $3.95{\pm}0.43$, with significant differences depending on clinical experiences. Performance score averaged $3.77{\pm}0.51$. EBP attitude score averaged $3.21{\pm}0.57$, and significant differences were evident depending on hospital division and clinical setting. Evidence-based pain management knowledge and EBP attitude were significant predictors of evidence-based pain management performance. Conclusions. This result indicates that education and training programs to facilitate evidence-based pain management knowledge, performance, and EBP attitude are needed among nurses.

일부 임상실습을 경험한 치위생(학)과 학생들의 동기면담 교육 필요성 인식도와 동기면담교육 참여의사에 미치는 영향 (The effect of recognition of need and participation intent of motivational interviewing education in dental hygiene students experiencing clinical practice)

  • 김선영
    • 한국치위생학회지
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    • 제16권5호
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    • pp.807-814
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    • 2016
  • Objectives: The purpose of the study was to investigate the effect of recognition of need and participation intent of motivational interviewing education in dental hygiene students experiencing clinical practice. Methods: A self-reported questionnaire was completed by 261 dental hygiene students in Gwangju and Jeonnam from June 6 to August 8, 2016. The questionnaire comprised general charactieristics of the subjects and Motivational interviewing (MI) in health care including philosophy, principle, and method. Data were analyzed by Mann-Whitney U test, Spearman's correlation analysis, and stepwise multiple regression analysis using SPSS 21.0 program. Results: Recognition on need for MI education was positively correlated with participation intent for the education. MI method showed the highest correlation among MI educations(r=0.329, p<0.001). Participation intent for motivation interviewing(MI) education was higher in those having stronger recognition on need for MI method education and satisfaction with clinical practice. Conclusions: It is necessary to develop motivational interviewing education curriculum that will promote participation intent for motivational interviewing in clinical field.

Importance-Performance Analysis와 Borich 요구도 분석 방법을 활용한 임상간호실무 교육 요구도: 일개 상급종합병원 일반병동 간호사 대상 (Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital)

  • 이미라;김지영;김보연;박유연;한지유;이승희;이현주
    • 한국간호교육학회지
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    • 제29권2호
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    • pp.124-137
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    • 2023
  • Purpose: This study's aim was to confirm the importance and performance of the clinical practice of nurses working in the general wards of a tertiary hospital and to analyze their educational needs. Methods: The study employed a descriptive research design, and a self-reported questionnaire was developed and used for nurses in a tertiary hospital. Data were collected from July 22 to July 29, 2022, analyzed by an independent t-test, paired t-test, and one-way ANOVA for the importance and performance of each clinical nursing practice according to general characteristics, and then a post hoc verification was performed by Scheffé's test. An Importance-Performance Analysis and Borich needs assessment model were used to analyze clinical nursing education needs. Results: Clinical nursing practice performance showed a significant difference according to length of total clinical career, time working in current department, and preceptor experience. According to the results of the Importance-Performance Analysis, neurological evaluation, and nursing intervention, artificial respirator and high-flow oxygen inhalation nursing, chemotherapy, emergency nursing, and cardiopulmonary resuscitation were identified as belonging to the "concentrate here" quadrant. All these items ranked in the top 10 in the Borich needs assessment model. Conclusion: Based on these results, the current education system should be reviewed, and short and long term education strategies based on educational needs should be established to strengthen the competence of nurses.

바이오휘드백을 이용한 점진적 근육이완훈련이 스트레스반응과 면역반응에 미치는 효과 (The Effect of Progressive Muscle Relaxation using Biofeedback on Stress Response and Natural Killer Cell in first Clinical Practice of Nursing Students)

  • 김금순
    • 기본간호학회지
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    • 제7권1호
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    • pp.109-121
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    • 2000
  • Increasingly nursing science is embracing the concepts and methodology derived from psycho-neuroimmunology. It has been previously shown that stress increases and immune function declines in students undergoing examinations. To date, however, no many studies have been reported on stress levels, immune function and interventions in Korean students undergoing their first clinical nursing rotation. It was proposed that nursing students during their first clinical rotation experience increase in stress because of the novelty of the situation and their lack of clinical knowledge. It was also hypothesized that biofeedback and progressive relaxation, methods of self-regulation of involuntary autonomic nervous system responses, would reduce the stress response. The purpose of this study is to test the effectiveness of progressive muscle laxation using biofeedback The effectiveness of the experimental methods was tested by measuring the degree of symptoms of stress (SOS) and the values of ephinephrine, pulse rate, blood pressure and natural killer cells. The subjects of this study were thirty nursing students divided into two groups: experimental group was progressive muscle relaxation group using biofeedback and control group. This study was conducted for 8 weeks of clinical practice. Biofeedback training was done by software developed by J&J company (1-410 form for progressive muscle training). Progressive muscle relaxation training according to Jacobson's Theory was done by messaged word from biofeedback. The data was analyzed using Chronbach' ${\alpha}$ and t-test of the SPSS program and the significance level of statistics was 5%. The results of the study were : 1) The progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress(t=-4.248, p<.001) under clinical practice stress conditions. 2) The progressive muscle relaxation training using biofeedback was not effective for the values of epinephrine(t=-1.294, p=.206). 3) The progressive muscle relaxation training using biofeedback was effective for the reduction of systolic blood pressure (t=-2.757, p=.01). 4) The progressive muscle relaxation training using biofeedback was effective for the reduction of diastolic blood pressure (p=-2.032, 0=.05). 5) The progressive muscle relaxation training using biofeedback was not effective for the reduction of pulse rate(t=-15, p=.988). 6) The progressive muscle relaxation training using biofeedback was effective for the maintenance of natural killer cells (t=2.381, p=02). The first clinical rotation for student nurses is a stressful experience as seen by the rise in the SOS in the control group. Biofeedback using progressive muscle relaxation were effective in preventing the rise of symptoms of stress and the blood pressure means when comparing the pre to post clinical experience, The mean natural killer cell count was depressed in the control group but not significantly different in the experimental groups, It is proposed here that stress via the hypothalamic - pituitary - adrenal axis suppressed the NK cell count whereas the relaxation methods prevented the rise in stress and the resulting immune depression. We recommend relaxation techniques using biofeedback as a health promotion technique to reduce psychological stress. In summary. the progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress under clinical practice stress conditions.

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