• Title/Summary/Keyword: Clinical nursing practice

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Effect of Simulation-based Practice on Clinical Performance and Problem Solving Process for Nursing Students (시뮬레이션을 활용한 실습교육이 간호학생의 간호수행능력과 문제해결 과정에 미치는 효과)

  • Lee, Myeong-Sun;Hahn, Suk-Won
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.226-234
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    • 2011
  • Purpose: The purpose of this study was to identify the effect of a simulation-based practice on clinical performance and problem solving processes for nursing students. Method: The study used a one group pre-post test design. Students experienced a simulation-based practice that included team base learning, skill training, taking a high-fidelity simulation with SimMan 3G, and also being debriefed for 12 weeks (August 2010 to December 2010). The pre-test and post-test were conducted to compare the differences in knowledge, clinical nursing skills, and problem solving processes. Result: After students had received the simulation-based practice, they showed statistically significant higher knowledge (t=14.73, p<.001) and clinical nursing skills (t=15.47, p<.001) than before. However, there was no significant difference in the problem solving process score (t=1.53, p=.127). Conclusion: This study showed that knowledge and clinical nursing skills were significantly improved by the simulation-based practice. Further research would be required to identify how the problem solving process that uses simulation-based practice could be developed further.

The Effect of Readiness to Self-Directed Learning on Nursing Practice Competence (간호사의 학습 관련 자기주도성이 간호실무 수행능력에 미치는 영향)

  • Choi, Jun-Hee;Jeong, Jeong-Hee
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.16-26
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    • 2011
  • Purpose: The purpose of this study is to investigate nurses readiness to self-directed learning and its correlations with nursing practice competence in a tertiary hospital in Seoul, Korea. Methods: A cross sectional survey design was utilized to assess nurses readiness to self-directed learning and job performance. The data used in this study were obtained from 286 nurses who have been working on general ward for over 1 year. Data were analyzed by ANOVA, t-test, Pearson's correlation analysis, and multiple regression using SAS 9.1 program. Results: The mean score of the readiness to self-directed learning is 3.56 and that of nursing practice competence is 2.71. The readiness to self-directed learning was statistically different according to level of education, and clinical work experience. Nursing practice competence was also significantly different according to level of education, clinical work experience, marital status, age, and working division. The readiness to self-directed learning and nursing practice competence seem to have significant positive correlation to each other (r=.555, p<.001). The readiness to self-directed learning explains 32.0% of nursing practice competence (F=20.20, p<.001). Conclusion: These findings indicate that program development for enhancing the readiness to self-directed learning is needed to improve nursing practice competence. We also need continuous efforts to improve nurses initiatives and creativity.

The Effects of Imagery Training on Outcomes of Clinical Competence, Voluntary Practice Time and Nursing Skills (이미지 상상훈련을 적용한 핵심기본간호술 실습교육이 간호대학생의 임상수행능력, 자율실습시간에 미치는 효과)

  • Kim, Su youn
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.1
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    • pp.76-85
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    • 2017
  • Purpose: The aim of this study was to explore the effects of imagery training on outcomes of clinical competence, voluntary practice time and basic nursing skills performance during a core basic nursing skills course. Methods: The design was a pre-post test design with two groups consisting of 88 nursing 3rd-year students. Clinical competence was assessed with a pre-post test, and basic nursing skills' performance and voluntary practice time were assessed at the post-test point. Data were collected from March, 2016 to June, 2016. Results: The pre-post differences of all subcategories of clinical competence were significantly improved in the experimental group (p<.05). but the control group did not show significant differences in the teaching/coordinating and professional development areas (p>.05). The experimental group practiced 1.33 hours more than the control group in voluntary practice. The two groups showed no significant difference in basic nursing skills' performance (p>.05). Conclusion: Imagery training during a core basic nursing skills course showed positive effects on nursing students' clinical competence improvement and increase of voluntary practice time.

Impact of Academic Self-efficacy and Clinical Practice Satisfaction on Professional Identity among Nursing Students (간호대학생의 학업적 자기효능감 및 임상실습 만족도가 전문직 정체성에 미치는 영향)

  • Ryu, Eun Jin;Choi, So Eun
    • Journal of Home Health Care Nursing
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    • v.29 no.1
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    • pp.50-59
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    • 2022
  • Purpose: Establishing a professional identity is important for nurses in providing quality nursing care and adapting to changing roles in various clinical settings. The aim of this study was to investigate the effects of nursing students' academic self-efficacy and clinical practice satisfaction on their professional identity. Methods: A total of 180 nursing students were recruited using convenience sampling from a university in G city in July, 2021. Results: The professional identity scores were higher than the average, and differed significantly according to nurses' academic grade, department satisfaction, interpersonal relations, and subjective health status. Professional identity showed a significant positive correlation with academic self-efficacy (r=.69, p<.001), major satisfaction (r=.72, p<.001), and clinical practice satisfaction (r=.71, p<.001). The factors affecting professional identity were clinical practice satisfaction (ß=.42, p<.001) and academic self-efficacy (ß=.38, p<.001). Conclusion: Our finding suggest that nursing students should be encouraged to develop their professional identity by improving clinical practice satisfaction and academic self-efficacy. Therefore, it is necessary to provide nursing education programs that increase their pride as nurses and establish their professionalism in nursing.

Influence of Satisfaction with Clinical practice and Image of nurses on Nursing professionalism of Nursing students (간호대학생의 임상실습만족도와 간호사 이미지가 간호전문직관에 미치는 영향)

  • Lim, Kyoung-Min;Jo, Eun-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.556-566
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    • 2016
  • This study examined the influence of satisfaction with clinical practice and the image of nurses on the nursing professionalism of nursing students. The subjects were 184 nursing students in B city who had experienced clinical practice. The data were collected from November 15 to December 15, 2014 and, analyzed using a t-test, ANOVA, Scheff's test, Pearson's correlation coefficients and multiple regression. Significant differences in the nursing professionalism by gender, religion, age, and school record were observed. Nursing professionalism was positively related to the satisfaction with clinical practice. In addition, there was a positive correlation between the nursing professionalism and image of nurses. Meaningful variables that influenced the nursing professionalism were satisfaction with the contents of clinical practice, image of nurses, satisfaction with the course of clinical practice, satisfaction with the environment of clinical practice, and school record. These factors comprised 75.8% of the total variance in the nursing professionalism of nursing students, and the satisfaction with contents of clinical practice was the most influential factor. In conclusion, to increase the nursing professionalism of nursing students, it is necessary to develop educational programs and institutional strategies to improve the satisfaction with clinical practice and the image of nurses.

An Evaluation Study on Home Care Clinical Practicum (일 가정간호 실습교육 평가 연구)

  • Kang, Kyu-Sook;Kim, Cho-Ja;Seo, Mi-Hye;Baek, Hee-Chong;Margaret, Storey
    • Journal of Home Health Care Nursing
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    • v.6
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    • pp.78-87
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    • 1999
  • From 1990 to 1997 Home Care Education Programs have been offered at 11 Home Care Education Institutes. But there have been no revisions in the program. Especially in the clinical practicum, the Ministry of Health and Welfare proposed 248 hours as 'Family Nursing and Practice'. But each of institutes has developed their own program, and the clinical practicum is very different. Institutions for home care practice have been very limited and even now only 40 hospitals started home care in the second demonstration project. A few community-based institutions have also been offering home care services. This study was conducted to analyze home care clinical practicum offered at Y university, and plan for a revised home care clinical practicum. Y university clinical practicum was revised to include 'visits to community institutions', 'laboratory practice', 'hospital practice', 'discharge planning and home care practice', and 'home care specialty practice'. The results of the evaluation and plan for a revision are as follows: 'Visits to community institutions' is a practice that helps the students understand community resources which are available to home care nurses, and as an orientation to institutions for practice. 'Laboratory practice' is to used to improve nursing skills that are applicable to home care. Problems that the students identified in the laboratory practice were 'lack of opportunity for individual practice', and 'inadequate theoretical preparation for practice'. To address these problems the basic nursing skills laboratory was open and could be used freely by the home care students, and practice could be done after the theoretical lectures. 'Hospital practice' is a practicum in which the students apply nursing skills to patients and to obtain assessment skills for discharge planning. Using a preceptorship, five days for hospital practice should be offered. 'Discharge planning and home care practice' was done at Wonju Christian Hospital. This institute is too far away that this practice should be provided at different institutions as soon as it is possible to contract with home care institutions. Patients groups in different home care institutions are very different, so the 'Home care specialty practice' should be done after analyzing patient groups and choosing specialty areas. These areas are' care of patients with respiratory dysfunction', 'care of patients with neurologic dysfunction', 'care of cancer patients', 'care of patients on dialysis', and 'wound care'. This practice should be offered with a preceptorship, so preceptors, clinical directors, and students should meet for home visit orientation.

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Quality Improvement of Clinical Practice in Nursing Students : Focused on Delivery Room Clinical Practice (간호대학생의 분만실 임상실습 질 향상 방안)

  • Chun, Nami;Noh, Gie-Ok
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.513-521
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    • 2016
  • Purpose of this study was to provide strategies to improve quality in clinical practice by identifying the nursing student contents of clinical practice, performance level and satisfaction in the delivery room setting and correlations between the performance level and satisfaction. As the result, Nursing students were mostly rely on observational experiences with very limited experiences of performance and assist. Nursing students' clinical practice satisfaction were relatively low with 69 percentile score. The women's health clinic group showed higher score on frequency of clinical observation, clinical practice satisfaction than the tertiary hospital group. Correlations among frequencies of observation, assist and satisfaction were identified. Simulation based clinical practice as alternative ways to enhance students' performance level, utilizing community based speciality healthcare facilities for clinical practice, increasing observational experiences in the clinical field were suggested as strategies to improve quality of nursing clinical practice and ultimately to improve quality of healthcare services.

The Relationships between Patient Education Experience, Satisfaction with Clinical Nursing Practice and Self-Efficacy in Nursing Students (간호학생의 대상자 교육후 교육경험 만족도, 실습만족도 및 자기효능감 정도)

  • Sim, MiJung
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.17-25
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    • 2018
  • The purpose of this study was to identify student's patient education experience, satisfaction with clinical nursing practice and self-efficacy in Maternity nursing practice. As the result, The nursing students had difficulties in accessing the patient, education time, and lack of self-confidence. There was a statistically significant difference in satisfaction of patient education experience with method of education, time of practice, and satisfaction of maternity nursing, satisfaction with clinical nursing practice with attitude of students, satisfaction of clinical practice, practice place, self-efficacy with grades, satisfaction of maternity nursing, practice place. In order to overcome the difficulties and limitations of maternal nursing practice, we maintain close cooperation with the hospital staff and propose it as a strategy of teaching method and practice guidance reflecting the needs of nursing students.

A Study on the Relationship between Perceived Family Support and Satisfaction of Clinical Practice by Nursing Students (간호학생이 지각한 가족지지와 임상실습만족도와의 관계)

  • Gu, Hye-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.2
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    • pp.205-215
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    • 2008
  • Purpose: This study was to identify the relationship between the degree of family support and the degree of satisfaction in clinical practice by nursing students. Method: This study was designed to measure the level of satisfaction according to the content, guidance, circumstance, hours, and the evaluation of clinical practice. Four hundred sixty-five nursing students from 4 nursing colleges, and 1 baccalaureate program in G area were randomly sampled. An instrument consisting of 64 questions, developed by the researcher and a nursing professor, was used to gather data from March 10 through 31, 2008. The data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson Correlation, using the SPSS 14.0 program. Result: The results were summarized as follows : Family support of nursing students showed a significant difference by religion (t=2.104, p=0.036) and satisfaction of major (F=8.010, p<0.001). The satisfaction degree of clinical practice by nursing students showed a significant difference by university or college (t=2.636, p=0.012), residence type (t=2.098, p=0.036), and satisfaction of major (F=5.779, p=0.003). The relationship between generally perceived family support correlated with the degree of satisfaction in clinical practice of nursing students (r=.199, p<0.001). Conclusion: It was found that a higher degree of satisfaction in clinical practice depends on a higher degree of family support. Therefore, nursing faculty should plan interventions to inspire satisfaction level of clinical practice by family support.

The Effects of a Communication Program on Incivility, Critical Thinking, and Clinical Practice Stress Experienced by Nursing Students (간호대학생이 임상실습에서 경험하는 무례함, 비판적 사고성향, 임상실습스트레스에 의사소통 프로그램이 미치는 효과)

  • Kim, Soon Ae;Lee, So Young;Hong, Eunhee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.2
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    • pp.197-205
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    • 2019
  • Purpose: To identify the effects of a communication program on nursing students' incivility, critical thinking, and clinical practice stress. Methods: A randomized control group pretest-posttest study was conducted. Fifty randomly selected nursing students were divided into experimental and control groups. A 160-minute communication program was applied to the experimental group and a second survey was conducted two weeks later, shortly after their clinical practice. Results: There was a statistically significant difference in the incivility experienced in the clinical practice after application of the communication program, and refusal in the sub-categories of incivility was statistically significant in this group. Conclusion: It is necessary to foster communication skills for nursing students. Communication programs reduce incivility. Therefore, nursing educators need to recognize the importance of communication during clinical practice and consider incorporating it into their regular curricula.