• 한국간호교육학회지
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• 제24권2호
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• pp.168-180
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• 2018

Purpose: The purpose of this study was to explore preceptees' experience among nursing students in the Clinical Nursing Practice program as integral practice. Specific aims were to identify problems students face as preceptees at a clinical practice and how they interact with preceptors and others. Methods: Grounded theory methodology was utilized. Data were collected from interactive field notes and transcribed notes with individual in-depth interview from 12 senior nursing students who had experiences as a preceptee in the Clinical Nursing Practice. Results: Through constant comparative analysis, a core category emerged as "Being refined while taking a firm stand with lack." The process of "Being refined while taking a firm stand with lack" consisted of four phases: sailing phase, adaptation phase, achievement phase and wistful returning phase. Conclusion: The findings of the study indicate that there is a need for nursing students to understand the limitations and strengths to learning experiences in preceptorship. In addition, the Clinical Nursing Practice as an integral practice program is needed to improve nursing capacity and for proper adaptation to real clinical environment among graduating students.

• 임상간호연구
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• 제20권1호
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• pp.40-52
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• 2014

Purpose: This study was done to develop an evidence-based nursing clinical practice guideline (PU CPG) for pressure ulcer prevention and management in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by Gu et al. (2012) which consists of three main phases and 9 modules including a total of 24 steps. Results: The newly developed PU CPG included the introduction, pressure ulcers, summary of recommendations, recommendations, references, appendices, and glossary. The total number of recommendations was 148 in 4 sections (organizational policy, assessment, pressure ulcer prevention and management, and education) and 16 domains. Of the recommendations 4.7% were graded A, 16.9%, B, and 78.4%, C. Conclusion: Results indicate that this new PU CPG is an evidence-based practice guidance for pressure ulcer prevention and management and can be recommended for dissemination and utilization by nurses nationwide to improve the quality of pressure ulcer prevention and management. Regular revision is recommended.

• 대한간호학회지
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• 제31권6호
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• pp.988-997
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• 2001

This study aimed at uncovering the experience of adaptation of the new nursing staff in hospital setting. Methods: For this study, 15 new graduate nurses participated. The data was collected through the in-dept interviews and analysed in terms of Strauss and Corbin′s grounded theory methodology. Results: The core category was identified with "entering orbit". The new graduate nurses, who experienced the taeoom because of their unskilled professions, tried to enter orbit by overcoming difficult situations through reducing stress, maintaining good interpersonal relationship, grasping, compensating, persisting, and introspecting. Noticeably, in the process of adaptation, negative image of nursing, conflict of interpersonal relationship and the educational program for the new nursing staff had effect on the intervening factors. Finally, this study confirmed that the processes of new nurses′ adaptation are confusing, confrontating, becoming a member and settling in hospital setting. Conclusion: Therefore, the educational programs reflecting new nursing staffs′ experiences should be developed.

• 한국임상보건과학회지
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• 제8권2호
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• pp.1417-1425
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• 2020

Purpose: The purpose of this study was to check the stress, stress and coping ability of nursing college students and to identify factors that influence college life adjustment. Method: This study was a descriptive research study to confirm the correlation between stress, stress response, coping ability, and college life adaptation of nursing college students, and to analyze the factors that influence college life adjustment. The data collection period was from August 17 to 23, 2020, for one week, the researcher directly explains the purpose and purpose of the study to 221 nursing college students nationwide, and online surveys to those who have agreed to participate in the study. The collected data were analyzed using SPSS Win 20.0 program. Results: Adaptation to college was negatively correlated with stress (r=-.285, p<.001), stress response (r=-.258, p<.001), and coping ability (r=.512, p<.001) had a positive correlation. The most significant factor influencing the study subjects' adaptation to college life was coping ability (β=.473, p<.001), followed by stress (β=-.185, p=.002) in the order of The explanatory power of the factors affecting the subject's adaptation to college life was 28.9%. Conclusion: As a result of this study, it means that nursing students' adaptation to college life has less stress and stress response, and higher coping ability increases college life adaptation. The factor that influenced the adjustment to college life was the most significant factor, followed by stress. In order for nursing students to adjust to college life smoothly, it is thought that coping measures to reduce stress and stress responses and overcome them are necessary.

• 한국간호교육학회지
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• 제21권2호
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• pp.182-189
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• 2015

Purpose: The purpose of this study was to determine the degree of undergraduate nursing student adaptation to college life and investigate the factors that influenced that adaptation. Methods: First-year (undergraduate) students attending three nursing colleges were surveyed from November 24 through December 5, 2014; and data from 206 respondents were analyzed. For data analysis, multiple regression analysis was performed using the SPSS WIN 18.0 program. Results: The findings showed that age (p=.002), emotional intelligence (p<.001), and self-efficacy (p<.001) were significant variables that influenced first-year undergraduate nursing student adaptation to college life. Undergraduate nursing student adaptation was explained by self-efficacy (${\beta}=.327$, p<.001), emotional intelligence (${\beta}=.222$, p=.001), satisfaction with education in their academic major (${\beta}=-.217$, p<.001), and academic achievement (${\beta}=.136$, p=.018); and, the explanatory power of these variables was 41.2%. Conclusion: To facilitate undergraduate nursing student adaptation to college life prior to clinical practice, developing and apply programs to improve self-efficacy, emotional intelligence, satisfaction with education in their major, and academic achievement is deemed necessary.

• 대한치과교정학회지
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• 제19권2호
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• pp.155-163
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• 1989

Indirect bonding is done by placing the brackets on a model in the laboratory and using a template or tray to transfer the laboratory positioning to the teeth. The advantages of this technique are 1. decreased chair time 2. less patient discomfort 3. accuracy of a attachment placement 4. good adaptation of attachment to tooth contour 5. occlusal relationship of brackets and opposing teeth can be checked The disadvantages of the technique are 1. complex laboratory procedure 2. sometimes difficult on very short clinical crowns 3. teeth with crowns, large buccal restoration will not bond 4. may not be fitted close, if poor adaptation 5. likely to be disturbed setting Several indirect bonding techniques have proved reliable in clinical practice. However, they differ in the way the brackets are attached temporarily to the model, the type of transfer tray or other mechanism used, the adhesive or sealant employed, whether segmented or full bonding used, and the way the transfer is removed so as not to exert excessive force on a still maturing bond.

• 디지털융복합연구
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• 제12권4호
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• pp.443-454
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• 2014

본 연구의 목적은 종합병원 신규간호사의 실무적응에 대한 주관성을 유형을 파악하고자 Q방법론을 적용하였다. 연구 대상자는 종합병원 신규간호사 40명을 대상으로 개별 면담을 실시하고 Q방법론을 적용하였다. 진술문은 자신의 의견에 따라 +4점(가장 긍정하는 진술문)에서부터 0(중립) -4(가장 부정하는 진술문)을 선택하여 9점 척도상에 강제 분포하도록 하였다. 자료 분석은 PC QUANL program을 이용하였으며, 분석결과 eigenvalue 1.0이상을 가진 값을 가지고 5가지 유형이 나타났으며 변량은 62.38%이었다. : (1) 새로운 업무 부담형, (2) 흥미, 책임감형, (3) 상황개선형, (4) 지식, 기술 부족형, 그리고 (5) 과도한 업무 부담형의 5가지 유형으로 분류되었다. 이 차이점으로 보았을 때 종합병원 신규간호사의 실무적응유형을 볼 수 있었으며, 이 연구 결과 효과적인 교육과 개별화된 임상실무전략을 개발해야 할 것이다.

• 산업융합연구
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• 제18권4호
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• pp.77-86
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• 2020

본 연구는 간호대생의 비판적 사고성향, 임상실습 스트레스, 핵심기본간호술 자신감, 임상실습 적응 정도를 파악하는 서술적 조사연구이다. 2019년 6월부터 7월까지 간호대학생 4학년 207명에게 자가설문지를 통해 조사하였다. 수집된 자료는 SPSS/WIN v24.0을 이용하여 t-test, ANOVA와 다중회귀분석을 시행하여 분석하였다. 임상실습 스트레스와 비판적 사고성향은 음의 상관관계(r=-.18, p=.010)로 나타났다. 핵심기본간호술 수행자신감은 비판적 사고성향과 양의 상관관계(r=.25, p<.001), 임상실습 스트레스와 음의 상관관계(r=-.17, p=.017)를 나타냈다. 임상실습 스트레스는 임상실습 적응과 양의 상관관계(r=.44, p<.001)를 보였고, 임상실습 적응에 가장 큰 영향을 미치는 요인(β=.43)으로 나타났으며(F=18.34, p<.001), 설명력은 약 23.1%였다. 이상과 같이 임상실습 스트레스는 임상실습 적응에 영향을 미치는 요인으로, 간호대학생의 임상실습에서 받는 스트레스 요인들을 파악하고 교육과정 개발에 반영할 필요가 있다.

• 대한간호학회지
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• 제34권7호
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• pp.1298-1306
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• 2004

Purpose: The purpose of this study was to explore the relationships of family strain, perceived social support, family hardiness, and family adaptation and identify the family resiliency factors for the adaptation of families who have a child with congenital heart disease. Method: The sample consisted of 90 families who had a child diagnosed with congenital heart disease and completed surgical treatment. Data was collected from parents using a questionnaire. Results: Results from path analyses revealed that family strain had a direct effect on both perceived social support and family hardiness, and an indirect effect on family adaptation. Also, the findings revealed that perceived social support had a direct effect on both family hardiness and family adaptation, and family hardiness had a direct effect on family adaptation. Thus, these results indicated that perceived social support and family hardiness had a mediating effect on family strain. Conclusion: Findings provide the evidence for the theoretical and empirical significance of perceived social support and family hardiness as family resiliency factors for family adaptation. Clinical implications of these findings might be discussed in terms of family-centered nursing interventions for the families who have a child with congenital heart disease based on an understanding of family resiliency for adaptation.

• 임상간호연구
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• 제19권3호
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• pp.309-320
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• 2013

Purpose: This study was conducted to identify relationships among circadian types, sleep quality, and adaptation to night shifts among nurses working on two or three day night duties. Methods: The participants were 199 ward nurses from two university hospitals in Gyeongnam province. Each nurse worked on two or three day night duties. Data were collected between September 24 and October 14, 2012 and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson correlation, and multiple regression with SPSS/WIN 14.0 program. Results: Mean scores for sleep quality and adaptation to night shifts was $4.92{\pm}1.46$ on a 10-point scale and $2.66{\pm}0.47$ on a 5-point scale respectively. There were no significant differences in sleep quality and adaptation to night shifts according to circadian types of nurses. There were significant correlation between sleep quality and adaptation to night shifts (r=.25, p<.001). Factors affecting adaptation to night shifts were preference for night shifts, and subjective health status, which together explained about 35% of the total variance. Conclusions: Nurses working on two or three day night duties had low level of sleep quality and adaptation to night shifts. It is necessary to improve preference for night shifts and subjective health status for improving adaptation to night shifts of nurse.