• 제목/요약/키워드: Clinical Skills

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간호대학생의 눈치와 학습몰입도가 의사소통능력에 미치는 영향 (Influence of Nunchi and Learning Flow on Communication Skills in Nursing Students)

  • 김영미;심정신;강승주;신혜진
    • 문화기술의 융합
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    • 제6권4호
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    • pp.445-452
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    • 2020
  • 본 연구의 목적은 간호대학생의 눈치와 학습몰입도. 의사소통능력 간의 상관관계와 의사소통능력에 미치는 요인을 파악하기 위하여 실시되었다. 자료수집은 K광역시에 소재한 일 간호대학에 재학 중인 260명을 대상으로 연구기간은 2019년 3월 5일부터 4월 17일까지 구조화된 설문지를 이용하여 실시하였다. 자료분석은 SPSS WIN21을 이용하여 빈도, paired t-test. ANOVA, Pearson's correlation coefficients, 다중회귀분석을 이용하였다. 연구결과 간호대학생의 눈치와 학습몰입도는 유의한 순 상관관계를 보였으며(r=.502, p<.001), 눈치와 의사소통능력(r=.619, p<.001), 학습몰입도와 의사소통능력(r=.567, p<.001)에서도 유의한 순 상관관계가 있는 것으로 나타났다. 간호대학생의 의사소 능력에 영향을 미치는 요인은 눈치(β=.381, p<.001)와 학습몰입도(β=.243, p<.001), 실습만족도(β=.107, p<.028) 순으로 나타났다. 또한 이들 변수의 의사소통능력에 대한 설명력(R2)은 47.4% 이었다. 따라서 간호대학생의 의사소통능력 향상을 위한 눈치와 학습몰입도 강화 프로그램 개발 및 전략이 필요하다.

Comparative study between an intensive small group teaching and a 1-year clinical practice on OSCE

  • Kim, Sinjae;Park, Minhwan;Seo, Ji-Hyun;Woo, Hyang-Ok;Youn, Hee-Shang;Park, Jung Je;Jeon, Sea-Yuoug;Hwa, Jung Seok;Mullan, Patricia;Gruppen, Larry D.
    • 고신대학교 의과대학 학술지
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    • 제33권2호
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    • pp.181-190
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    • 2018
  • Objectives: Our school introduced a new curriculum based on faculty-directed, intensive, small-group teaching of clinical skills in the third-year medical students. To examine its effects, we compared the mean scores on an OSCE between the third- and fourth-year medical students. Methods: Third- and fourth-year students did rotations at the same five OSCE stations. They then completed a brief self-reporting questionnaire survey to examine the degree of satisfaction with new curriculum in the third-year students and clinical practice in the fourth-year students, as well as their perception of confidence and preparedness. We analyzed the OSCE data obtained from 158 students, 133 of whom also completed the questionnaire. Results: Mean OSCE scores on the breast examination and wet smear stations were significantly higher in the third-year group (P < 0.001). But mean OSCE scores of motor-sensory examination and lumbar puncture were significantly higher in the fourth-year group (P < 0.05). The mean OSCE scores had no significant correlation with satisfaction. In addition, the self-ratings of confidence had a high degree of correlation with satisfaction with new curriculum (r = 0.673) and clinical practice (r = 0.692). Furthermore, there was a moderate degree of correlation between satisfaction and preparedness in both groups (r = 0.403 and 0.449). Conclusions: There is no significant difference in the effect on the degree of clinical performance and confidence between an intensive-small group teaching and a 1-year clinical practice. If combined, intensive small group teaching and clinical practice would be useful to improve the degree of ability and confidence in medical students.

'임상간호연구' 학술지 게재논문(1995-2008년)의 연구동향 분석 (Research Trend of Studies Published in Journal of Korean Clinical Nursing Research, 1995-2008)

  • 최명애;정재심;임경춘;김주현;김금순;권정순;김성재;김경희;곽찬영;박광옥;이경은;김을순;이경숙
    • 임상간호연구
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    • 제16권2호
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    • pp.95-105
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    • 2010
  • Purpose: The purpose of this study was to identify the research trend of 341 studies published in Journal of Korean Clinical Nursing Research from 1995 to 2008. Methods: This study was conducted from May to November, 2009. The tool for analysis developed through literature reviews and discussions of researchers consisted of 7 categories such as characteristics of researchers, research designs, subjects, data collection methods, ethical consideration, nursing interventions, and dependent variables. Data were analyzed by frequency and percentage. Results: The mean number of author per study was 4.7, and clinical nurses were the most frequent as the first author (79.7%) and as a corresponding author (67.1%). Quantitative study was 97.6% and nonexperimental study was 51.7%. The most frequently used research designs were quasi-experimental study (73.9%) among experimental studies and survey study (79.1%) among nonexperimental studies. Patients were the most frequent subjects for studies (55.8%). 46.1% of studies gathered data with questionnaire, 57.7% of studies had consent from patients, and 44.3% of studies used nursing skills for nursing interventions, and 60.0% of studies used clinical end points for dependent variables. Conclusion: The research trend of clinical nursing studies shows that clinical nurses mostly perform quasi-experimental researches to solve patients' problem and frequently use nursing skills for nursing intervention and explore the effect of nursing interventions on clinical end points.

학교와 병원 영양사 인적특성의 비교: 중요도와 빈도를 중심으로 (Comparison of Human Attributes for School and Hospital Dietitians : by Importance and Frequency Scale)

  • 송은승;김명소
    • 대한지역사회영양학회지
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    • 제3권2호
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    • pp.281-291
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    • 1998
  • Job analysis was done by the method of interview and survey to find out the human attributes needed for dietitans' job performance. The knowledge, skills, abilities and other characteristics including personality were major items in the questionnaire. The questionnaire was distributed to 340 schools and hospital dietitians. Among these, 201 were compeletely filled out, returned and statistically analyzed according to the frequency scale and importance scale respectively. The results were as follows : 1) The age, education, job experience and monthly pay of hospital dietitians were higher than those of school dietitians. This was partly due to the reflection of short chronicle of school foodservice. 2) The most important human attributes for rwo groups were commonly shown as sincere and faithful personality, good human relationship and responsibility for business outcome. 3) Computer skill and menuplanning ability were human attributes of the most frequently used by school dietitians, whereas knowledge of diet therapy, clinical nutrition, and pathology of disease were frequently used by hospital dietitians. 4) The correlation coefficients between two groups were as follows : Spearman's rho value of personality, skills and abilities, and knowledge were 0.806, -0.432,-0.203 respectively, according to the importance scale. 5) An overall view from t test between two groups, various human attributes, especially knowledge were more frequently used by hospital dietitians.

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신규간호사를 위한 홀 브레인 모델 기반 교육프로그램 개발 및 효과검증 (Development and Evaluation of an Education Program Based on Whole Brain Model for Novice Nurses)

  • 조무용
    • 한국간호교육학회지
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    • 제26권1호
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    • pp.36-46
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    • 2020
  • Purpose: This study was conducted to develop and implement an education program based on the Whole Brain Model for novice nurses, and to evaluate its effects on work performance, interpersonal skills and self-efficacy. Methods: A pretest-posttest quasi-experimental design was used with an experimental group (n=20) and a control group (n=21). The experimental group participated in an education program based on the Whole Brain Model for seven sessions over 4 weeks. An independent t-test, χ2-test, and Mann-Whitney U test were performed to analyze the data. Results: There were statistically significant differences in work performance (p=.015), interpersonal skills (p=.014) and self-efficacy (p=.021) between the experimental and the control group. Conclusion: This program was an effective learning strategy to enhance nursing competence for novice nurses. The novice nurses who participated this program were able to reflect deeply on themselves, improve interpersonal skills, and induce whole-brain integrated thinking in learning how to solve the problems caused by changes in patient conditions that can be experienced in clinical practice. Therefore, this program can be recommended for regular continuing education for novice nurses.

Perceived Competency, Frequency, Training Needs in Physical Assessment among Registered Nurses

  • Oh, Heeyoung;Lee, Jiyeon;Kim, Eun Kyung
    • 성인간호학회지
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    • 제24권6호
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    • pp.627-634
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    • 2012
  • Purpose: The purpose of this study was to identify registered nurses learning needs about physical assessment. Specifically, what are the perceived competency, frequency of skill use and the unmet training needs. Methods: The study was an exploratory survey study. The sample was 104 registered nurses. Data were collected through three instruments: The Perceived Competency in Physical Assessment Scale, the Frequency of Physical Assessment Scale, and the Training Needs of Physical Assessment Scale which incorporated 30 core Physical Assessment skills. Descriptive statistics, t-test, and Pearson's correlation coefficient were used to analyze the data. Results: Auscultation of heart and lung sounds and inspection of the spine were rated by the subjects as physical assessment skills they feel least competent and also were less frequently performed. The most competent area for physical assessment was neurological system. The respiratory and abdominal system was identified as two systems that more education would be needed. Nurses with less than one year of working experience reported needing more training. Nurses with more than five years of clinical work experience performed physical assessment more frequently than nurses with less than five year of work experience. The perceived competency was positively related to the frequency of physical assessment. Conclusion: Continuing education is necessary to further train registered nurses regarding physical assessment skills and the program needs to be focused on the area which nurses are less competent for and have high training need.

간호대학생들의 임상실습 스트레스, 대처방식 및 자아존중감과의 관계 (Relationship among Stress, Coping Strategies, and Self-esteem in Nursing Students Taking Clinical Experience)

  • 이종은;김순례
    • 한국간호교육학회지
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    • 제11권1호
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    • pp.98-106
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    • 2005
  • The study to identify the relationship among stress associated with clinical experience, coping strategies and self-esteem in nursing students and to provide basic information which is useful for nursing students' learning experience in clinical setting were surveyed using self-reported questionnaires. The findings were summarized : 1. Senior students showed a higher level of stress than junior students. A higher stress level was observed in the unsatisfied group, compared with the neutral group. By class and clinical schedule, students who followed the 3-week class and 3-week clinical schedule showed a higher level of stress than those who followed the 8-week class and 8-week clinical schedule. 2. Senior students had a higher mean coping strategy score than junior students. And the satisfied group showed higher self-esteem, compared with the neutral and unsatisfied group. 3. There was a positive correlation between stress associated with clinical learning experience and coping strategies. But a negative correlation was seen between stress and self-esteem in nursing students. 4. Nursing students used more coping mechanisms as their stress levels increased but showed low self-esteem. The results suggest the need for developing more effective teaching methods and strategies that could improve students' ability to solve problems and sustain their self-esteem even under a stressful circumstance.

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간호에서의 임상적 비판적 사고능력에 대한 개념분석 (Concept Analysis on the Clinical Critical Thinking Ability in Nursing)

  • 신경림;황지원;신수진
    • 성인간호학회지
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    • 제20권5호
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    • pp.707-718
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    • 2008
  • Purpose: The present study was designed to understand the conceptual definition and attributes of the clinical critical thinking ability(CCTA) in nursing and to grasp the characteristics of clinical critical thinking abilities. Methods: The data were analyzed using the Hybrid model of Schwartz-Barcott and Kim(2000). Results: Having the skills and dispositions to think critically, CCTA refers to something that implies the cognizant ability to interpret contextual meanings, analyze the relationships between materials or circumstances, draw out the best conclusions, predict things using relevant information and evaluate the reliability of information and the strength of inference on the one hand and the emphatic disposition to be curious, open-minded, intellectually integral, systematic and creative and to reflect on things in contextual terms on the other. Conclusion: CCTA is characterized by clinical circumstances, such as guessing the reasons for facts, predicting things, connecting theory to practice and approaching individual situation in total terms as well as by the Korean circumstances, such as taking another person's perspective. Hence, this study proposes developing the tools to measure the clinical critical thinking ability and the strategies to improve the clinical critical thinking ability and seeking to verify their validity, on the basis of the findings.

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간호학생의 OSCE모듈 개발 및 실기평가의 경험 (A Clinical Skill Test using OSCE Modules Developed by Nursing Students)

  • 한미현
    • 간호행정학회지
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    • 제12권3호
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    • pp.365-372
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    • 2006
  • Purpose: OSCE, Objective Structured Clinical Examination, is a good way to evaluate clinical skills of nursing students. To do this, we need modules, evaluators, persons to run the examination, as well as models and standardized patients if necessary. Author coached nursing students to develop modules and ran the examination by themselves. Method: 24 third-year and 4 first-year students volunteered; third-year students developed 5 modules, and organized and ran the examination. First-year students played patient role. 60 2nd-year students participated as examinees. Modules were duplicated to finish examination in a given time. The relationship between OSCE score, conventional clinical evaluation score and credit of students was compared. Effect of module duplication on score was tested. And responses of examinees were collected. Results: There was no correlation between OSCE and conventional clinical evaluation score (r=0.07), and credit (r=0.27), And there was no difference of OSCE score between duplicated modules $(53.77{\pm}7.61$ vs $55.33\pm7.74).$ Response of examinees to OSCE was favorable. Examinee did not expressed resistance for the evaluation by OSCE developed and ran by students. Conclusion: Nursing students successfully developed and ran OSCE, which was accepted favorably by examinees. Student-developed OSCE may play a role in evaluation of clinical performance.

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트라이앵귤레이션 방법에 의한 기본간호 현장실습교육 평가 (An Evaluation of the Fundamental Nursing Practice in Clinical Settings by Triangulation Method)

  • 김춘미;김은만
    • 한국간호교육학회지
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    • 제17권2호
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    • pp.235-245
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    • 2011
  • Purpose: The purpose of this study was to identify effectiveness of fundamental nursing practices in clinical settings. Method: This study adopted the triangulation method. Using one group pre-post test design, this study identified differences in self efficacy between pre and post clinical practice. The study was also designed to describe the nursing student's experience of clinical practice by using content analysis Results: 1) All students experienced bedmaking, BST check, V/C check, positioning, transferring, assisting with moving and positioning, and ROM. Sixty percent of students experienced giving oral care, and forty percent experienced shampooing patient's hair. 2) While the mean score of self efficacy was 3.88 in the pre-test, it decreased to 3.76 in the post-test. They were statistically different from each other. 3) Seven categories were elicited from the result of content analysis on the nursing student's experience, which were 'ignorant stranger', 'facing the gap between theory and practice', 'resolving the uncertainty of clinical setting', 'getting used to fundamental nursing practice', 'motivated by a desire to study and self-development', 'understanding the nursing profession's job', and 'being helpful for the future career'. Conclusion: Fundamental nursing practice in clinical settings is a useful strategy that improves fundamental nursing skills and motivates student's self-development.