• Title/Summary/Keyword: Clinical nursing competency

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Systematic Review on the Patient Safety Education for the Improvement of Patient Safety Competency of Nursing Students (간호학생의 환자안전역량 향상을 위한 환자안전교육에 관한 체계적 문헌고찰)

  • Seo, Eun-Ju;Seo, Young-Sun;Hong, Eun-Hee
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.5
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    • pp.255-266
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    • 2020
  • This study conducted a systematic literature review on nursing students to find out the types and composition of patient safety-related education programs. The research was conducted systematically using PRISMA. The patient was a nursing college student, and the intervention was patient safety education. The outcome was either numerical or descriptive reports of the results measured using the tool. The types of research were carried out including randomized design, quasi-experimental design, one-group design, survey and qualitative research. The paper was searched through Medline, Embases, CINAHL, DBpia, Riss and KISS. A total of 2,468 papers were searched in the search results, and nine papers were used for analysis as a result of extracting data according to PICO. The characteristics of patient safety education of nursing college students were classified according to the teaching method, period, result variables and measurement tools. As a result, patient safety education consisted of a variety of subjects, and was being taught through lectures, clinical practice, laboratories, and simulations. The period of education also varied. The resulting variables were mainly checked for knowledge, attitude, and skill, and the tools used to measure them varied. Patient safety education for nursing college students was conducted through various topics, methods and periods at home and abroad. Therefore, continuous research is needed to establish consistent and integrated patient safety education in educational institutions and working institutions to produce nursing personnel with patient safety capabilities.

Psychometric Evaluation of a Six Dimension Scale of Nursing Performance and Student Nurse Stress Index Using an Objective Structured Clinical Examination - Modules for Asthma and Type 1 Diabetes (객관구조화 임상시험을 활용한 간호수행능력의 Six Dimension Scale과 간호학생 스트레스 평가지수의 도구 평가-천식 및 1형 당뇨 모듈을 중심으로)

  • Park, Kyong-Ok;Ahn, Young-Mee;Kang, Na-Rae;Lee, Mi-Jin;Sohn, Min
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.85-93
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    • 2013
  • Purpose: The study purposes were to describe the process of developing the Korean versions of the Six Dimension Scale of Nursing Performance (Six-D) and Student Nurse Stress Index (SNSI) and psychometric evaluation of the two measurements. Methods: This was a methodology study using a descriptive cross-sectional design with 51 nursing students in 4th year of university. Internal consistency reliability was assessed using Cronbach alphas. Construct validity was determined by exploring correlations among Six-D, SNSI, objective structured clinical examination (OSCE), self-efficacy and grade point average (GPA). Results: Internal consistency reliability of Six-D and SNSI was acceptable with Cronbach's ${\alpha}$ of .95 and .82. Correlation analysis to determine construct validity revealed that Six-D presented positive correlations with OSCE (r=.109~.272) and self-efficacy (r=.005~.161) and negative correlation with GPA (r=-.246~-.394), although all were not statistically significant. SNSI presented all negative correlations with OSCE (r= -.007~-.238), self-efficacy (r=-.246~-.394), and GPA (r=-.092~-.426) and were mostly statistically significant except OSCE. Conclusion: Six-D needs more evidence to confirm validity to predict observed clinical competency and theoretical relationships with self-efficacy and GPA. However, SNSI presented trends of expected relationships with relevant variables. Therefore, further research is recommended in testing validity of Six-D with other student populations.

Current Status of End-of-Life Care Education in Undergraduate Nursing Curriculum (간호학부 말기환자간호 교육 현황)

  • Kwon, So-Hi;Cho, Yeon-Su
    • Journal of Hospice and Palliative Care
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    • v.22 no.4
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    • pp.174-184
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    • 2019
  • Purpose: The aim of this study was to analyze the current status of end-of-life (EoL) care education of the undergraduate nursing curriculum and senior students' EoL care experience and competency. Methods: A survey was conducted with 41 nursing schools and 622 senior nursing students on June 2018. The questionnaire consisted of 38 items on teaching regarding EoL care and 17 items on EoL care competencies based on the suggestions made by the American Nurses Association. Results: Only 20% among 41 nursing schools opened an EoL care course as an elective, and the course was taken by 5.1% students. Of 622 students, 70.7% witnessed death of patients during their clinical training, but 74.8% received no or little education on EoL care from their clinical training instructors. Two of 38 education contents on EoL care were taught in class for over 80% of the students. All students scored below 3 points (2.31±0.66) for all 17 competencies, which means that they cannot perform EoL care. Conclusion: This study showed that there was a serious deficiency in undergraduate nursing education on EoL care. Accordingly, most nursing students who would graduate soon considered themselves incapable of performing EoL care. Nurses experience death and dying as a part of their practice and should be prepared to provide adequate EoL care. Therefore, it is urgent to improve EoL care training in the undergraduate nursing education.

Opinion on the legalization of the actual duties of clinical dental hygienists (임상치과위생사의 실제적 업무의 법제화에 대한 견해)

  • Ryu, Hae-Gyum
    • Journal of Korean Clinical Health Science
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    • v.6 no.2
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    • pp.1115-1125
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    • 2018
  • purpose : The purpose of the study is to investigate opinion on the legalization of the actual work of clinical dental hygienists. Methods : A self-reported questionnaire was completed by 171 dental hygienists in Busan and Gyeongnam from December 1, 2017 to January 31, 2018. Structured questionnaires were uesd for analysis. The collected data was analyzed using IBM SPSS. Statistic 20.0. Results : The first, assist of dental treatment, Second, dental health care education and consulting duties, and third priority preventive duties were found to be the most important duties in the dental office. Currently, it was investigated perform in a lot of workplace. Preventive treatment tasks include scaling, teeth polishing, applying fluoride and assist of dental treatment include preparation for medical care, preparation for implant surgery, preparation for oral surgery, implant surgery assistant and patient care training, and preparation for periodontal surgery. Conclusion : As a result, the dental hygienist performing a lot of dental assist tasks, oral health education counseling and preventive duties. Nonetheless, clinical dental hygienists are outlaws due to the disparity between practical and legal duties. Therefore, it is urgent to legislate actual duties of dental hygienist so that experts can fully exercise the competency of the public in promoting dental health. Relevant governments and related organizations should take reasonable measures to solve this problem.

The Effects of an Evidence-based Nursing Course Using Action Learning on Undergraduate Nursing Students (액션러닝을 활용한 근거기반간호 수업운영의 효과)

  • Jang, Keum-Sung.;Kim, Eun A;Park, Hyunyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.1
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    • pp.119-128
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    • 2015
  • Purpose: This study was conducted to evaluate the effectiveness of an evidence-based nursing (EBN) course using action learning-based team learning in undergraduate nursing students. Methods: A quasi-experimental pretest-posttest control group design was employed. The participants who consented were 45 second-year nursing students (22 in the experimental, 23 in the control group) from a university in G-city, Korea. The intervention included lectures, practicals, team activities and reflection on overviewing EBN, formulating clinical questions, searching the evidence, and criticizing the research articles. At the beginning and the end of the 7-week EBN course, the participants completed self-reported questionnaires. Frequencies, $x^2$-test, t-test, and ANCOVA with the SPSS program 18.0, were used to analyze the data. Results: The experimental group showed significantly higher scores on EBN competency (F=25.80, p<001), information literacy (F=13.75, p=.001), and proactivity in problem solving (F=5.32, p=.026) than the control group. Conclusion: This study provides evidence that an EBN course improves undergraduate nursing students' EBN competencies, information literacy, and proactivity in problem solving. Team learning in EBN education can be an effective teaching strategy.

Influencing Factors of Empathic Competence and Occupational Stress of Nurses on Their Ego-resilience (간호사의 공감역량과 직무스트레스가 자아탄력성에 미치는 영향)

  • Lee, Joo Yeon;Lee, Mi Hyang
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.1
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    • pp.19-26
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    • 2019
  • Purpose: This descriptive survey study assesses the extent of empathic competence, occupational stress, and ego-resilience of nurses, and confirms factors that affect ego-resilience in order to provide basic data for the competency development program for nurses. Methods: Data obtained from the questionnaire survey conducted with 193 nurses were analyzed by means of t-test, ANOVA, and Pearson correlation coefficient and Multiple Regression. Results: Empathic competence, in accordance with the general characteristics of nurses, displayed statistically significant differences in terms of final academic background. Further, occupational stress and ego-resilience displayed statistically significant differences related to the nurses' department of employment, age, and total clinical experiences, respectively. Empathic competence and ego-resilience have a significant positive correlation, and age and empathic competence were found to be the factors that impart influence on ego-resilience. Conclusion: The enhancement of empathic competence of nurses has affirmative effects on the satisfaction of patients with their nurses, and it also improves the ego-resilience of nurses. Therefore, it is necessary to develop and apply career training program aimed at enhancing the empathic competence of nurses as an in-service educational program.

Experiences of Health-care Providers about Advanced Practice Nurses: Focusing on the Perspectives of Physicians and Advanced Practice Nurses (전문간호사 업무에 대한 의료인의 경험: 전문의와 전문간호사를 중심으로)

  • Kang, Young-Ah;Lim, Kyung-Choon;Kim, Joo Hyun;Jeoung, Jae Sim;Han, Ji Eun
    • Journal of muscle and joint health
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    • v.26 no.3
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    • pp.290-306
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    • 2019
  • Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea. Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed. Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service. Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.

Factors Influencing Objective Emergency Nursing Performance of Nursing Students on Simulation Practice (시뮬레이션 실습에서 간호학생의 객관적 응급간호 임상수행능력에 영향 미치는 요인)

  • Choi, Eun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.296-303
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    • 2020
  • This study examined the factors affecting the emergency nursing performance of nursing students during a simulation. The variables related to the simulation were the objective and subjective emergency nursing performance, critical thinking, program outcome, simulation satisfaction, simulation confidence, and simulation immersion. The participants were 92 senior students who provided informed consent with an explanation about attending the study. The general characteristics and simulation-related data were obtained from the students before and after the simulation. An assessor evaluated the objective emergency nursing performance during the simulation and program outcome through a report reviewed after the simulation. Data analysis was performed using the number, percentage, mean, standard deviation, X2-test, one-way ANOVA, Pearson correlation, and progressive regression through the SPSS/WIN 22.0 program. Emergency nursing performance by the assessor was negatively associated with the satisfaction of clinical practice (r=-.31, p=.005) and positively related to the subjective clinical performance (r=.23, p=.036). The affecting rate was just 12%, which was low for explaining the objective emergency nursing performance during the simulation. Further studies will be needed to explore other factors affecting the emergency nursing performance.

Development of Evidence-based Guidelines for Nursing Home's Infection Control in Korea (한국형 노인요양시설 근거중심 감염관리 가이드라인 개발)

  • Park, Yeon-Hwan;Lee, Seong Hyeon;Yi, Yu Mi;Lee, Chi Young;Lee, Min Hye
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.135-147
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    • 2018
  • Purpose: The purpose of this study was to develop evidence-based guidelines for infection control in nursing homes in Korea (ENIK). Methods: Three steps were planned for the development which were developing a draft and testing the content validity. First, the draft was based on evidence and developed through focus group interviews with nurses in nursing homes, a comprehensive review of international guidelines and literature, and systematic reviews of interventions for infection control and outbreaks in long-term care facilities. Clinical applicability was established through reviews of nursing records and job assignments in one nursing home. The final step consisted of experts evaluating the content validity. The ENIK was revised to fit Korean nursing homes. Results: The ENIK consisted of recommendations in 9 compositions and a one-page practical algorithm. The principles of infection control were presented by statements and specific strategies were recommended in resident care programs. The infection control practical algorithm was organized into 3 steps: screening at admission, prevention, and control at the early stage. The practice to control infection was composed of a 5-step process. Conclusion: The ENIK will contribute to improving the competency of infection control practice because it provides standardized practice and is tailored to Korean nursing homes.

Assessing educational needs in the development of a simulation-based convergence training program on mental health nursing (시뮬레이션 융합 프로그램 개발을 위한 정신건강간호 교육요구도 조사)

  • Kim, Sun-Kyung
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.425-432
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    • 2020
  • This study was to identify the educational needs for mental health nursing among undergraduate nursing students, prioritizing the areas where require extensive convergence learning via simulation. One hundred and forty students completed the survey where data accrued from between March-May 2020. The educational needs for mental health nursing and nursing care schizophrenia patients were assessed using a self-reporting questionnaire, which included 19 and 15 items, respectively. Additional three essay questions were used to obtain information regarding previous simulation education experience. Higher educational needs in nursing care for schizophrenia were identified and the highest-priority need is communication skills. Factors, including realistic experience with standardized patients, teamwork, and feedback from the lecturers, affect positive experiences in mental health nursing simulation. The findings suggest that educational programs to improve communication skills are necessary for better mental health nursing competency. Well-designed and convergence based simulation programs providing real-like clinical experience would ensure optimal learning outcomes.