• Title/Summary/Keyword: Clinical nursing competency

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Factors Influencing Professional Competencies in Triage Nurses Working in Emergency Departments (응급실 간호사의 중증도분류 전문역량에 영향을 미치는 요인)

  • Kim, Myoung Soo;Kang, Minkyeong;Park, Keun Hee
    • Journal of Korean Biological Nursing Science
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    • v.24 no.2
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    • pp.122-130
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    • 2022
  • Purpose: This study was conducted to identify the professional competency of nurses working in emergency medical institutions that use the Korean Triage Acuity Scale (KTAS), and to identify factors that affect them. Methods: This study collected data from 105 nurses working in emergency medical institutions from June to August 2020. For data analysis, descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression were performed using the SPSS 25.0 program. Results: As for the professional competency in triage, the higher the self-efficacy (β= 0.58, p< .001), the more experience they have in triage-related education (β= 0.30, p< .001), 2-4 years of clinical experience in emergency department (β= 0.19, p= .002), in case of triage alone (β= 0.24, p< .001), the higher the level of education a nurse has (β= 0.19, p= .003), the higher the professional competency in triage. These variables explained professional competency in a total of 64.2% of the participants (F = 38.30, p< .001). Conclusion: To improve nurses' professional competence in triage, introducing manpower expansion, financial support, and the provision of appropriate places is suggested. In addition, it is necessary to repeatedly provide educational opportunities in an environment similar to actual clinical practice by developing various scenarios and introducing simulations and web-based formats.

The Relationship among Menopausal Symptoms, Competency of Self-Care Agency and Social Support in Middle-aged Woman (중년 여성의 폐경 증상경험과 자가관리 역량, 사회적 지지와의 관계)

  • Choi, Seong Mi;Ko, Il Sun;Choi, Mo Na;Jang, Yeon Soo
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.1
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    • pp.105-115
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    • 2015
  • Purpose: This descriptive correlational study was intended to analyze the relationship among menopausal symptoms. competency of self-care agency and social support in middle-aged women. Methods: Participants in the study were 140 women who were 45-60 years of old. Data were collected using structured questionnaires and analyzed using descriptive statistics., t-test, ANOVA, $Scheff{\grave{e}}^{\prime}s$ test and Pearson correlation coefficients. Results: The frequency and discomfort of menopausal symptom were low, but the mean discomfort score were higher than frequency score. Middle-aged women with lower competency of self care experienced more frequent menopausal symptoms (t=-0.28, p=.001) and more discomfort (t=-0.24, p=.004). However, There was no significant difference in menopausal symptoms according to social support. Conclusion: Nursing interventions to enhance competency of self-care agency in middle-aged women are required in order to reduce the discomfort of menopausal symptoms.

Nursing students' confidence in clinical competency and job readiness during the COVID-19 pandemic era (코로나19 팬데믹 상황에서 간호대학생의 임상수행능력 자신감과 취업준비도)

  • Bang, Kyung-Sook;Kang, Jeong Hee;Nam, Eun Sook;Hyun, Mi Yeul;Suh, Eunyoung;Chae, Sun-Mi;Choi, Heeseung;Shin, Da-Ae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.4
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    • pp.402-411
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    • 2021
  • Purpose: This study explored nursing students' experiences of attending clinical practicum courses in 2020 during the COVID-19 pandemic era, focusing on their confidence in clinical competency and job readiness. Methods: The data for this study were collected using online questionnaires that were uploaded to a free online survey website and distributed via a link to the survey to 334 nursing students attending four-year nursing colleges at four national universities. Data analysis was done with descriptive statistics, independent t-tests, and ANOVA. Results: The participants were mostly female (83.2%) college seniors (78.1%). About 60% of the participants practiced between 40% to 100% of their clinical practicum hours in alternative ways. Almost a third of the participants reported that they were not ready for a job (30.2%). However, participants' confidence in clinical competency and job readiness was not related to the rate of alternative practice, but rather to both achievement of educational outcomes and satisfaction in the nursing practicum. Conclusion: Due to COVID-19, it is evident that effective and efficient materials and ways of delivering clinical courses are constantly to be sought and developed. In particular, recently graduated nurses who experienced abrupt and considerable alterations in their clinical practicum courses due to COVID-19 are in need of attention while they strive to make clinical adaptations.

Study on Self-efficacy, Communication competency, Critical thinking disposition and Clinical performance ability of nursing students (간호대학생의 자기효능감, 의사소통능력, 비판적 사고성향 및 임상수행능력에 관한 연구)

  • Kim, Mi-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.609-617
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    • 2016
  • This study examined the influence of self-efficacy, communication competency and critical thinking disposition on the clinical performance ability in nursing students. A convenience sample of 274 subjects were recruited from four colleges, and the survey was conducted from September 1st to 20th 2015. The data were collected by questionnaires and analyzed with the SPSS WIN 21 program, using descriptive statistics, Pearson's correlation coefficient and multiple regression. Significant positive correlations among the self-efficacy, communication competency, critical thinking disposition, and clinical performance ability were found. The regression model explained 40.8% of the clinical competency. Self-efficacy, communication competency, critical thinking disposition, and image for the nurse were factors influencing clinical performance ability. Therefore, it is necessary to develop an educational program to improve the self-efficacy, communication competency, and critical thinking disposition of nursing students.

The Effects of Clinical Convergence Self-directedness Practice Learning Program on Self-directedness and Competency in Fundamental Nursing Skills in Undergraduate Nursing Students (임상융합 자기주도적 실습교육 프로그램이 간호대학생의 자기주도성 및 기본간호술기 수행능력에 미치는 영향)

  • Park, Jihyun
    • Journal of the Korea Convergence Society
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    • v.7 no.4
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    • pp.51-58
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    • 2016
  • The purpose of this study was to examine the effects of clinical convergence self-directedness practice learning program on self-directedness and competency in fundamental nursing skills in undergraduate nursing students. The study design was a non-equivalent pre-post quasi-experimental design. The participants were 80 nursing students in D city. The experimental and control groups were randomly assigned with 40 participants in each group. Interventions for the experimental group were visiting clinical practice, video recording and students' self-debriefing of what they did over the 5 days. Self-directedness and competency in fundamental nursing skills were measured 2 times (pre-, and post-intervention) over the 5 days. Independent t-test, Mann-Whitney U test and chi-square test were used for data analyses. There was statistically significant difference for self-directedness(t=12.93, p=.001) and competency in fundamental nursing skills(t=8.34, p=.021). Results indicate that self-debriefing method using video recording is an effective learning way to improve Self-directedness and competency in fundamental nursing skills in nursing students.

The Core Competency and Career Commitment of the Preceptors (프리셉터의 핵심역량과 경력몰입에 관한 연구)

  • Yang, Nam-Young;Han, Sung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.2
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    • pp.211-218
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    • 2004
  • Purpose: The purpose of this study was to examine the core competency and career commitment of the preceptors to identify utility of the preceptorship as career management program. Method: The subjects were 107 clinical nurses who were working in one university hospital composed of the head nurses(n=27), non-preceptors(n=28), new graduate nurses(n=26) and preceptors(n=26). Demographic characteristics, core competency and career commitment were measured. The core competency was evaluated by the head nurses, non-preceptors, new graduate nurses, and preceptor themselves. And the career commitment was compared between the preceptors and non-preceptors. For data analyses, percentage, mean, t-test, ANOVA were adopted with the use of SPSS WIN 10.0. Result: The results of this study showed that the core competency of the preceptors was evaluated excellently by all subjects. In three domains, there were no significant difference in role model, socialization facillitator and educator except for learning experience planning between the head nurses, non-preceptors, new graduate nurses and preceptors. The career commitment was significant difference between the preceptors and non-preceptors. Conclusions: The finding above indicated that the preceptorship utilized the improvement of the core competency and career commitment of the preceptors as career management program. therefore, continually, the effort and interest for development of the preceptorship can be a remarkable contribution for nurses' career management in nursing organization.

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Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities (임상간호사의 비판적 성찰 역량, 전문직 자부심, 인간중심간호 수행이 환자안전간호활동에 미치는 영향)

  • Lee, Subin;Shin, Sujin
    • Journal of Korean Critical Care Nursing
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    • v.16 no.3
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    • pp.87-98
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    • 2023
  • Purpose : This descriptive survey investigated the effects of clinical nurses' critical reflection competency, professional pride, and person-centered care practices on patient safety management activities. Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey's HSD, Pearson's correlation coefficient, and multiple regression using SPSS 29.0. Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p =.010), education level (t=-2.56, p =.013), total work experience (F=3.87, p =.010), and the number of healthcare accreditation system experiences (F=5.22, p =.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p <.001), professional pride (r=.271, p <.001), and person-centered care practices (r=.399, p <.001). The results indicated that person-centered care practices affected patient safety management activities (𝛽=.358, p <.001) with the explanatory power of 22.5%. Conclusion : To improve clinical nurses' patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

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

  • Ju, Hyeon Ok;Lee, Jung Hwa
    • The Journal of Korean Academic Society of Nursing Education
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    • v.30 no.1
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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.

The development and effects of metaverse-based core nursing skill contents of vital signs measurements and subcutaneous injections for nursing students (간호학생을 위한 메타버스기반 활력징후측정과 피하주사 핵심간호술 콘텐츠 개발 및 효과 검증)

  • Ahn, Min Kweon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.4
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    • pp.378-388
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    • 2022
  • Purpose: The purpose of this study was to evaluate the effects of Metaverse-based core nursing skill contents (CNSC) developed for undergraduate nursing students. Methods: A nonequivalent control group was sampled with a non-synchronized design. Seventy-two participants (experimental group 34, control group 38) were recruited from May to June 2022 in Gwangju metropolitan city. The CNSC consisted of scenarios of vital sign measurements, and subcutaneous injections (including blood sugar tests). The data were analyzed using SPSS version 25 for Windows. Results: At the completion of the CNSC, statistically differences were found between groups in knowledge of core nursing skills (t=6.20, p<.001), confidence in core nursing skills performance (t=5.71, p<.001), and clinical competency (t=3.32, p=.001). Conclusion: These results indicate that the CNSC developed for undergraduate nursing students is effective in improving knowledge of core nursing skills, confidence in core nursing skills performance, and clinical competency for nursing students.

Effect of palliative care practical training on nursing students' attitudes toward death, end-of-life care nursing attitude, and spiritual nursing competency (말기 환자간호 실습교육이 간호대학생의 죽음에 대한 태도, 임종간호 태도, 영적간호역량에 미치는 효과)

  • Kim, Kyung Ah
    • Journal of Home Health Care Nursing
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    • v.30 no.3
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    • pp.276-286
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    • 2023
  • Purpose: This study aimed to assess the effect of palliative care practical training for nursing students. Methods: This quasi-experimental study included 38 third-grade nursing students form one university. Practical training, develooed by experts, was provided for 2 weeks (90 h) in a palliative care hospital. Participants received education on palliative care but no clinical practical experience. Collected data were analyzed using independent t-test, χ2 test and paired t-test using the WIN SPSS 23.0 program. Results: Students showed significant pretest-posttest differences in attitude toward death (t=-2.43, p=.021), end-of-life nursing attitude (t=3.90, p=<.001) and spiritual nursing competency (t=3.82, p=.001). Conclusion: The study results revealed that palliative care practical training was an effective learning method to improve nursing attitude, toward death, end-of-life nursing attitude and spiritual nursing competency. Further studied are needed to assess the effects of various education programs of palliative care.