• Title/Summary/Keyword: Clinical Skills

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The Effects of a Self-Management Course on Self-Efficacy, Fatigue, Coping Skills and Self-Care Activities in Patients with Systemic Lupus Erythematosus (자기관리과정이 루푸스 환자의 자기간호활동에 미치는 영향)

  • Sohng Kyeong-Yae;Kang Sung-Sil
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.324-333
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    • 2001
  • Purpose: A quasi-experimental study was conducted to identify the effects on Self-efficacy, Fatigue, Coping Skills and Self-care Activities by Korean patients following a Systemic Lupus Erythematosus Self-Management (SLESM) Course. Methods : A two group pre-test and post-test design was used. The participants in the study were forty-one people with Systemic Lupus Erythematosis of which 21 subjects were assigned to the experimental group and 20 to the control group The experimental group received six weekly 2-hour group sessions, while the control group did not receive any intervention Outcome measures included self-efficacy, fatigue, coping skills and self-care activities. Baseline demographic and clinical variables did not differ between the two groups. Results : Patients who Participated in the self-management course showed significant decrease in fatigue (p= .038), improvement in self-efficacy (P= .001) and coping skills (p= ,048), increase in self-care activities (p= .003), and in the number of types of self-care activities(P= .048). Conclusion: Self-efficacy, coping skills and self-care activities improved and fatigue was reduced following the SLESM course. This study showed that a SLESM course is a good nursing intervention that can be offered in community settings.

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Application of Counseling in Sasang Constitutional Medicine (사상의학진료에서 상담기법의 활용)

  • Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.4
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    • pp.311-316
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    • 2017
  • Objectives The purpose of this study was to investigate the relationship between counseling skills and Sasang constitutional medicine(SCM). Methods Reviewing the texts relevant to SCM, comparison between counseling skills and the excerpt from the relating books was conducted in terms of the attitude of the counselor, the observation method, the evaluation of the counselee, the relationship between the counselor and counselee, and the counseling method. Results As the attitude of the counselor, many kinds of attitudes and skills including respecting the counselee and reciprocal belief were needed. The excerpt from "Gyeokchigo" meant that the counselor or a doctor should have the virtue of Truth. To evaluate the patient's problems in SCM and the counseling, diet, digestion, and sleep could be asked, but questions about the emotions such as Joy, Anger, Sorrow and Pleasure should be more carefully modified in a modern way, when applying clinical practices. Empathy as the main principle of the counseling could be attributed to the main idea of Dongmu Lee Jema, in which all the people could be in the same status in a natural way reflecting that they like the virtue and dislike the evil. Recommendations of regimen and directives could be followed according to SCM Conclusions Several items of counseling skills and SCM coincide but some of the modern counseling skills are still needed to apply SCM to make the patients with psychiatric problems treated efficiently.

A structural model of nursing students' performing communication skills (간호대학생의 의사소통기술 수행 구조모형)

  • Gil, Cho Rong;Sung, Kyung Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.2
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    • pp.148-160
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    • 2023
  • Purpose: The purpose of this study was to construct and test a structural model of nursing students' performing communication skills. Methods: The data collection was conducted from October 13 to October 20, 2020. The participants were 286 students from nursing colleges located in three cities. The data analysis method was a covariance structure analysis with using IBM SPSS statistics version 23.0 and AMOS 21.0 statistical programs. Results: The hypothetical model showed a proper fit with the data: root mean square error of approximation=.08, standardized root mean square residual=.06, adjusted goodness of fit=.85, normed fit index=.91, and comparative fit index=.94. The model fit indices were normed to fit index=2.96. Statistically significant explanatory variables for the performing communication skills of nursing students were peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. The variables accounted for 66.1% of the performing communication skills of nursing students. Conclusion: Based on the above results, it appears necessary to develop strategies for improving the performing communication skills of nursing students, and having positive effects on health outcomes of the subjects by considering the variables of peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. Such strategies could potentially have positive effects on the health outcomes of the patients.

Effects of Simulation Training on Communication Ability, Learning Self-Efficacy and Clinical Reasoning among Nursing Students (시뮬레이션 교육이 간호대학생의 의사소통능력, 학습자기효능감, 임상추론역량에 미치는 효과)

  • Jiyeong Lee;Kyoung Hee Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.1
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    • pp.353-361
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    • 2024
  • Simulation education is a method that allows learners to learn repeatedly in realistic simulated situations. It solves the limitations of clinical practice that lacks direct nursing performance and is useful for acquiring and developing the knowledge, nursing skills, communication skills, learning self-efficacy, and clinical reasoning required for nursing students. The purpose of this study was identify the effects of High fidelity simulation-based education on communication ability, learning self-efficacy and clinical reasoning of nursing students. The subjects were 84 nursing students who were enrolled in the senior who had received simulation training using dysphagia patient care scenario. Data were analyzed using SPSS/WIN 22.0. As a result, There was a statistically significant difference in the communication ability, learning self-efficacy, clinical reasoning. And the mean score of simulation effectiveness is 2.64 points (a perfect score of three). Therefore, In order to improve the communication ability, learning self-efficacy and clinical reasoning of nursing students, it is necessary to develop and apply realistic scenarios that reflect various clinical situations.

Development and Testing of a Mastery Learning Program of Nursing Skills for Undergraduate Nursing Students (간호수기 완전학습 프로그램 개발 및 평가)

  • Park, SoMi;Hur, Hea Kung;Kim, Ki Kyong;Song, Hee-Young
    • Journal of Korean Academy of Nursing
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    • v.47 no.4
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    • pp.526-539
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    • 2017
  • Purpose: This study was undertaken to develop and test a mastery learning program of nursing skills for undergraduate nursing students. Methods: In this methodological study, first, the preliminary draft of a mastery learning program to provide training for nursing skills was developed based on Bloom's framework for mastery learning. Second, to test the developed program, a single-blinded, nonequivalent control group nonsynchronized study was conducted on 50 senior nursing students in a University selected by convenient sampling. Thirteen students were assigned to a control group; 13, 12, and 13 of them were assigned to intravenous therapy, transfusion, and patient transfer groups, respectively. The achievement levels and performance scores of the selected nursing skills were measured before and after the completion of the program in all the groups. Lastly, the final program was confirmed based on the results of the program testing. Results: Intravenous therapy, transfusion, and patient transfer were selected as essential nursing skills for the program based on the priorities rated by clinical instructors and staff nurses. The achievement levels of selected nursing skills were determined by Angoff scores. After participating in the program, the proportion of passers and performance scores of the nursing skills in the experimental groups were significantly higher than those in the control group. The final program was confirmed which included a diagnostic test, enrichment activities for the passers and three repetitions of corrective activities and formative assessments for non-passers. Conclusion: The results suggest that a mastery learning program for undergraduate students can lead to better improvement and performance of essential nursing skills.

Influence of Job Crafting on Evidence-Based Practical Skills of Dental Hygienists

  • Min-ji Kim;Kyu-ri Kim;Yun-ji Kim;Seo-yeon Im;You-bin Cho;Ru-by Choi;Hee-jung Lim
    • Journal of dental hygiene science
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    • v.23 no.4
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    • pp.330-342
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    • 2023
  • Background: As the medical knowledge base grows at an accelerating rate, evidence-based clinical performance becomes increasingly important for providing quality care. Previous studies have highlighted the need to promote job crafting to actualize evidence-based practical skills in the medical field. This study aimed to investigate the degree of evidence-based practice among dental hygienists and assess the impact of job crafting on the evidence-based practical skills of dental hygienists. Methods: Dental hygienists working at dental hospitals and clinics in Seoul and Gyeonggi Province were surveyed between February 28 and April 6, 2023. The sample was comprised of 267 participants. The hypotheses were tested independent t-tests, one-way analysis of variance, Pearson's correlation coefficients, and multiple regression analyses using SPSS 29.0. Results: The degree of job crafting by dental hygienists demonstrated significant differences based on educational attainment, workplace size, and workplace type. Evidence-based practical skills exhibited significant variations based on educational attainment and job position. All job crafting subfactors demonstrated positive correlations with evidence-based practical skills. The job crafting subfactors affecting the evidence-based practical skills of dental hygienists were 'increasing structural job resources' and 'increasing challenging job demands,' which together explained 38.7% of the variance in evidence-based practical skills. Conclusion: This study demonstrates that job crafting was positively and significantly correlated with evidence-based practical skills. To strengthen the job crafting ability of dental hygienists, improving environmental conditions and fostering an organizational culture that motivates continued participation in education is necessary. The development and promotion of programs that enable learning of the latest evidence should be actively pursued. Additionally, regular attendance at workshops and participation in organizational evidence-based practice education programs are necessary.

Clinical Judgment Force and Nursing Performance Satisfaction by Application of Simulation-based Myocardial Infarction Education (시뮬레이션 기반한 심근경색증 상황 교육 적용에 따른 임상판단력과 간호수행자신감)

  • Shin, Seung-Ok
    • Journal of the Korean Society of Industry Convergence
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    • v.22 no.6
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    • pp.721-727
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    • 2019
  • The purpose of this study is to investigate the relationship between clinical judgment and nursing performance based on myocardial infarction simulation applied to nursing students. Method: 39 fourth grade nursing students participated in this explanatory study with sampling of accommodations. The Lasater Clinical Judgment Rubric has been used in self-reported clinical trials and satisfaction with judging practices. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficient using SPSS WIN 19. Results: Scenarios with myocardial infarction were scored by self-reported clinical judgment. Total mean score of clinical judgment and total mean value of clinical judgment is 4.17 ± 0.80. Correlation Between Variables After Simulation Practice is highly significant for providing positive clinical judgment and satisfaction with nursing performance. Conclusion: The simulation-based practice associated with adult nursing in myocardial infarction was useful for clinical judgment and nursing performance satisfaction, which improved the core basic skills of nursing students.

Convergence Study on the Effects of Core Fundamental Nursing Skills Education on Clinical competence (핵심기본간호술 실습교육이 간호학생의 임상수행능력에 미치는 영향에 관한 융합연구)

  • Park, Gong-Ju
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.47-54
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    • 2019
  • This study is a descriptive research study to investigate the effect of core basic nursing practice education on clinical competence of nursing students. The data was collected from 169 3rd and 4th grade students in the Department of Nursing, College of Nursing, G province. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, multiple regression. Core experience is negatively correlated with performance confidence (r=.446, p<.001) was negatively correlated with clinical performance (r=-.206, p=.001). It was found to have a negative correlation with (r=-.346, p<.001). In this study, the factors affecting clinical performance were self-confidence (${\beta}=-.317$, p<.001), and clinical performance was 11.3%. Therefore, effective practical education program for improving clinical performance is needed for smooth practical education of nursing students.

Effects of Empathy, Communication skills and Resilience on the Adaptation of Clinical Practice in Nursing College Student (간호대학생의 공감능력과 의사소통능력, 회복탄력성이 임상실습적응에 미치는 영향)

  • Kim, Mi Young;Byun, Eun Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.1
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    • pp.105-113
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    • 2022
  • This study was attempted to provide basic data for preparing a learning strategy for effective clinical practice education by examining the effects of empathy, communication ability, and resilience on adaptation to clinical practice for nursing students. Participants in this study were 244 nursing students from 3 universities in B city. Data analysis was performed using SPSS 21.0 program with real number, percentage, mean, standard deviation, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. The subjects' empathy ability was 3.49±.44 points, communication ability 3.86±.85 points, resilience 3.63±.56 points, and clinical practice adaptation 3.63±.52 points. Factors affecting adaptation to clinical practice were empathy, communication ability, and resilience, and the explanation power was 39.9%. Through the results of this study, it is necessary to prepare an educational program to improve empathy, communication ability and resilience that affect the adaptation to clinical practice of nursing students.

Development and Evaluation of the Life Respect Enhancement Program for Nursing Officers (간호장교를 대상으로 한 생명존중 역량강화 프로그램 개발과 평가)

  • Hwang, Sunyoung;Choi, Heeseung
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.599-610
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    • 2020
  • Purpose: The present study was conducted to develop the Life Respect Enhancement Program and test its effectiveness on suicide knowledge, suicide intervention skills, self-efficacy in suicide prevention, and gatekeeper behaviors among nursing officers. Methods: The program was developed according to the ADDIE model and finalized after practical need analysis, expert verification, and a preliminary study. The present study used a concurrent embedded mixed-method research design. To compare the effects of the Program and the control group on the outcome variables, a quantitative study was conducted using a nonequivalent control group with a pretest-posttest design. Quantitative data were analyzed using χ2-tests, t-tests, and RM-ANOVA. A qualitative study was conducted using FGI with six members of the experimental group 3 months after intervention completion. Results: In total, 56 nursing officers participated in the 3-month follow-up test. Compared to the control group, the experimental group showed significant improvements in suicide knowledge, suicide intervention skills, and self-efficacy in suicide prevention scores at post-test. The significant group differences in suicide knowledge and suicide intervention skills were maintained at 3 months. The gatekeeper behavior scores of the experimental group were also significantly higher than those of the control group at 3 months. Qualitative analysis of the participants' experiences with the Program yielded two themes and seven sub-themes. Conclusion: The newly developed Life Respect Enhancement Program demonstrates significant effects on suicide knowledge, suicide intervention skills, and gatekeeper behaviors. Thus, this program is recommended to promote suicide prevention competencies among nursing officers in military clinical settings.