• Title/Summary/Keyword: Clinical nursing competency

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Influential Factors Associated with Nursing Competency of Nurses in Long-term Care Hospitals (요양병원 간호사의 간호역량 영향요인)

  • Kim, Youn Jung;Park, Jung Suk
    • Journal of East-West Nursing Research
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    • v.25 no.1
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    • pp.81-89
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    • 2019
  • Purpose: This study aimed to investigate influencing factors on nursing competency of nurses in long-term care hospitals. Methods: A descriptive research design was used with a convenience sample of 150 nurses. Data were collected from Feb 15 to Mar 8, 2017 using self-reported questionnaires and analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 18.0 program. Results: The mean scores of self-efficacy, organizational citizenship behavior and nursing competency were 3.84 out of 5, 3.77 out of 5 and 3.80 out of 5, respectively. Nursing competency was positively correlated with self-efficacy (r=.63, p<.001) and organizational citizenship behavior (r=.64, p<.001). Factors influencing on nursing competency were self-efficacy (${\beta}=.38$, p<.001), organizational citizenship behavior (${\beta}=.37$, p<.001) and Clinical career(${\beta}=.14$, p=.011), which explained 51% of the variance. Conclusion: Based on the finding of this study, it is necessary to develop education and intervention programs in order to increase the nursing competency for nurses in long-term care hospitals.

The Factors Influencing on Disaster Nursing Competency of School Health Teachers (보건교사의 재난간호역량에 미치는 영향요인)

  • Yujin Kang;Mikyung Moon
    • The Journal of Korean Society for School & Community Health Education
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    • v.24 no.4
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    • pp.1-11
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    • 2023
  • Objectives: This study aims to identify influencing factors of disaster nursing competency among school health teachers. Methods: Data were collected from 110 school health teachers at the offfice of education in G province using a convenience sampling method. Data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients, and multiple regression analysis. Results: There was a significant difference in disaster nursing competency according to the general characteristics of the subjects in terms of clinical nurse work experience (t=3.40, p=.001) and disaster education experience (t=2.80, p=.006). Disaster perception and disaster nursing competency showed a significant positive correlation (r=.43, p<.001). In final analysis, disaster perception (𝛽=.35, p<.001), career as a nurse (𝛽=.23, p=.009), experience in disaster education (𝛽=.17, p=.048) was found to have a significant effect on disaster nursing competency. Conclusions: Based on the results of this study, disaster perception should be raised to improve the disaster nursing competency of school health teachers. Speicalized disaster nursing & health education based on their experience before appointing school health teachers and disaster response simulation training tailored to school field conditions should be regularly conducted.

Effectiveness of Self-directed Learning on Competency in Physical Assessment, Academic Self-confidence and Learning Satisfaction of Nursing Students

  • Shin, Yun Hee;Choi, Jihea;Storey, Margaret J.;Lee, Seul Gi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.3
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    • pp.181-188
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    • 2017
  • Purpose: Competency in physical assessment is an important component of nursing practice. However, some physical assessment skills are not being utilized within the current teacher-centered, content-heavy curriculum. This study was conducted to identify the effects of student-centered, self-directed learning in the physical assessment class. Methods: An experimental study with a post-test only control group design was used to compare an intervention group that was provided self-directed learning classes and a control group that was provided traditional lecture and practice classes. Competency in physical assessment, academic self-confidence, and learning satisfaction were evaluated. Collected data were analyzed using $x^2$-test (Fisher's exact test) and independent t-test. Results: Competency in physical assessment was significantly higher in the experimental group. However, academic self-confidence and learning satisfaction were not significantly different between the groups. Conclusion: The findings in this study indicate that self-directed learning can improve nursing students competency in physical assessment and that self-directed learning is a good education method to improve nursing students' competency in physical assessment during clinical practice and perform quality patient care by making active use of physical assessment skills.

Influence of Self-efficacy, Emotional Intelligence, and Nurse-Parent Partnership on the Nursing Competency of Pediatric Nurses (아동간호사의 자기효능감과 감성지능 및 환아부모와의 파트너십이 간호역량에 미치는 영향)

  • Mun, Hye Mi;Yoo, Myung Sook
    • Journal of Home Health Care Nursing
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    • v.27 no.2
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    • pp.146-155
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    • 2020
  • Purpose: This study aimed to examine the influence of self-efficacy, emotional intelligence, and nurse-parent partnership on the nursing competency of pediatric nurses. Methods: This study recruited 114 pediatric nurses working in one tertiary general hospital and two general hospitals in the city. Data were collected using self-reported questionnaires from August 26 to September 16, 2019, and were analyzed using the statistical package IBM SPSS 22.0. Results: Statistically significant correlations were found between self-efficacy, emotional intelligence, nurse-parent partnership, and nursing competency. The nursing competency of these nurses was affected by significant predictors such as emotional intelligence, nurse-parent partnership, work duration in pediatrics, and self-efficacy. These variables explained 60.6% of nursing competency of pediatric nurses. Conclusion: To improve the nursing competency of pediatric nurses, we should develop an intervention that can enhance the nurses' emotional intelligence, self-efficacy, and nurse-parent partnership. Furthermore, greater consideration of nursing careers is needed.

A Study on Participation in Clinical Decision Making by Home Healthcare Nurses (가정전문간호사의 임상적 의사결정 참여도에 관한 연구)

  • Kim, Se-Young
    • Journal of Korean Academy of Nursing
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    • v.40 no.6
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    • pp.892-902
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    • 2010
  • Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. Results: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. Conclusion: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses’ participation in clinical decision making in cases where they can identify and solve the patient health problems.

Educational Need of Nursing Managerial Competency in the Hospitals (병원에서의 간호관리역량 교육요구도)

  • Kim, In-Sook;Kim, Eun-Hyeon;Jung, Ja-Ne;Kang, Kyeong-Hwa;Lee, Tae-Wha
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.1
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    • pp.113-121
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    • 2006
  • Purpose: This study was aimed to investigate educational need of nursing managerial competency in the hospitals. Method: The data were collected from 296 nurses(nurse manager and nurse) who had worked in 9 hospitals using the structured questionnaires. Data was analysed by the SPSS for Windows 12.0 program. Results: Educational needs of the nurse managerial competency development were very high. Most of items in the areas of 'human resource management', 'leadership', 'ethic/ law responsibility' and 'quality improvement' were needed for nurse managerial competency development. Current level of the nurse managerial competency level in practice was lower than education need. However nurses had moderate level ability in the areas of 'ethic/ law responsibility', 'human resource management' and 'nursing information management'. There were significant differences in current level and need of the nurse managerial competency(p=.000). Education needs of the nurse managerial competency were influenced by age, clinical career, position, education level, experience of nurse manager education(p<.05). 5) Education program operations were preferred to 'the theme course', 'lecture', 'external education institution'. Conclusion: Education program of the nursing managerial competency development is urgently needed for nurses who have worked in a hospital.

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The Effect of Nurse's Competency Empowerment and Boss' Job Competency Recognition Level on Work Performance (간호사의 간호역량과 상사의 직무역량 인식정도가 업무성과에 미치는 영향)

  • Kim, Hye Sook;Min, Soon;Im, Sun Im
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.2
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    • pp.75-82
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    • 2013
  • Purpose: This study is to investigate the effect of nurse's competency empowerment and boss' job competency recognition on work performance. Methods: 216 nurses participated for data collection which was conducted from September 1, 2011 to September 10, 2011. The collected data were analyzed with SPSS/WIN 16.0 and with frequency test, ANOVA, Scheff$\acute{e}$ test and Multiple regression. Results: Firstly, the work performance in accordance with subject's general characteristics was found to be significant in the 50s, graduate school or higher education, Roman Catholic, charge nurse and 21-years or older. Secondly, the correlation among nurse's competency empowerment, boss' competency recognition and work performance was found to be positively related (r=.501~.639, p<.001). Thirdly, competency empowerment was found to be the most effective factor for work performance, followed by boss' competency recognition and career year, and these factors accounted for 63.5%. Conclusion: As the results show that the work performance is highly affected by the nurse's competency empowerment, boss' competency recognition level and career level in clinical environment, effective education programs are required to provide an appropriate experience to both entry-level and experienced nurses, as well as to enhance boss' competency empowerment at the same time.

A Correlation Study on Self-Efficacy, Disposition to Critical Thinking and Nursing Competency of New Nurses (신규간호사의 기본간호 업무에 대한 자기효능감과 비판적 사고성향 및 간호실무능력간의 상관성 연구)

  • Song, Young-Shin
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.56-63
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    • 2009
  • Purpose: The purpose of this study was to identify self-efficacy, disposition to critical thinking and level of nursing competency in new nurses and to exam the correlation among these variables. Method: The sample was composed of 286 new nurses who had worked at E hospital for 1 year. Descriptive and correlation analysis using the SPSS program were used to analyze the data. Results: The mean score for self-efficacy was 67.10, disposition to critical thinking, 3.01 and nursing competency, 3.02. There were significant differences in scores for 3 variables between nurses with College degrees and nurses with Baccalaureate degrees. There was a significant positive correlation between disposition to critical thinking and nursing competency scores. Conclusion: Further study of the various components that influence nursing competency is necessary. Also based on the disposition to critical thinking, there is a need to develop education programs to strengthen curiosity and other related variables. The results of this study confirmed the necessity of developing a clinical model of nursing competency ability.

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Development of the Core Task and Competency Matrix for Unit Managers (병원 간호단위관리자의 핵심직무 ­- 핵심역량 매트릭스 개발)

  • Lee, Tae Wha;Kang, Kyeong Hwa;Lee, Seon Heui;Ko, Yu Kyung;Park, Jeong Sook;Lee, Sae Rom;Yu, Soyoung
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.189-201
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    • 2017
  • Purpose: The aim of this study was to develop the nursing management core task and competency matrix for hospital unit managers. The perceived level of importance and performance of identified core competencies by unit managers were also investigated. Methods: Literature review and expert survey identified nursing management core task and competencies. Subsequently, the core task and competency matrix was developed and validated by expert panel. A survey of 196 nurse managers from 3 cities identified perceived importance and performance of core competiences. Results: Thirty-eight nursing management core task and thirty-seven nursing management core competencies were identified comprising five categories; Clinical practice knowledge, Evidence-based practice, Employee development, Strategic planning and Initiative. Based on the core task and competencies, the task and competency matrix for unit managers was developed. In the analysis of importance and performance of core competencies, the mean score of importance ($3.50{\pm}0.30$) was higher than the mean score of performance ($3.03{\pm}0.34$). Conclusion: The development of core task and competencies for unit managers in hospitals provides a guide for the development and evaluation of programs designed to increase competence of unit managers.

Development and Validation of the Core Competency Evaluation Tool for New Graduate Nurse's Preceptor (신규간호사 프리셉터의 핵심역략 평가도구 개발)

  • Kwon, In-Gak;Jung, Kyoung-Hee;Cho, Hye-Sool;Hwang, Ji-Won;Kim, Ji-Young;Jeon, Kyoung-Ok;Sung, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.4
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    • pp.535-549
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    • 2002
  • Purpose : The purpose of this study was to develop a core competency evaluation tool of the preceptors training new graduate nurses and to determine the validity of the developed instrument. Method : This study was conducted in 2 phases. In phase I, preceptor's core competency list was developed through literature review, focus group interview, and review by nursing directors and nurse managers. In phase II, 60 preceptors were evaluated with the developed instrument and categorized into excellent, good & poor core competency groups. For validation of the instrument, new graduates' clinical performance improvement and satisfaction with preceptor were compared between excellent and poor group. Result : The data were analyzed by SPSS P.C and the results were as follows. 1) Preceptor's core competencies were classified into three domains; Role model(10 items), Socialization facilitator(8 items), and Educator(16 items), and each item had four point system of "strongly agree" to "strongly disagree". Cronbach'${\alpha}$ of the instrument was.9416. 2) Comparison of clinical performance improvement and satisfaction with preceptor of the new graduates trained by excellent and poor preceptors revealed that new graduates' clinical performance improvement(p=.015) and satisfaction with the preceptor(p=.005) were significantly higher in the excellent core competency preceptor group than the poor core competency preceptor group. Conclusion : The validity of the preceptor's core competency evaluation tool developed in this study was confirmed. Therefore, this tool can be effectively utilized for education and evaluation of new graduates' preceptors in clinical settings.

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