• 제목/요약/키워드: Clinical nursing practice

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Development of a Clinical Nursing Practice Training Simulation Program using Standardized Patient for Nursing Students Focused on Infectious Respiratory

  • Hur, Jung
    • International Journal of Advanced Culture Technology
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    • 제9권4호
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    • pp.169-179
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    • 2021
  • This study was conducted to develop and apply clinical nursing practice training simulation program using Standardized Patient for Nursing Students focused on infectious respiratory disease. This study is descriptive methodological study. Through prior consideration of documents and educational task of infectious respiratory disease was conducted with interview of clinical specialists of infection control managers. Development of educational task for infectious respiratory disease for Nursing Students went through the content validity. Finally, 10 educational tasks are developed 'knowledge of respiratory infections disease', 'hand washing', 'put on mask', 'lead to put on mask to patients and caregiver', 'intravenous injection via 3way', 'surgical aseptic technique', 'sterilization medical instrument', 'management of contaminated linen', 'infected personnel management manual'. The infectious respiratory disease simulation program was developed based on the ADDIE model and proceeded to 4 steps of analysis, design, development, implementation. The infection control education program included lectures (20 min), skill training (20 min), simulation using standardized patient (20 min), and debriefing (40 min), The collected data were analyzed by descriptive statistics with SPSS program for version 23.0. The results of this study confirmed that the clinical nursing practice training simulation program using standardized patients was effective in infectious respiratory disease of the nursing college students in knowledge of infectious respiratory disease and clinical nursing performance. we found this practical training program for nursing college students to improve knowledge and clinical competency of infection control. we expected that this developed program could be applied to practical training for various infectious control.

간호학생의 임상실습 스트레스 경험유형 : Q방법론적 접근 (Stress Experience of Nursing Students to Clinical Practice : Q-methodological Approach)

  • 장혜숙;김순애;김흥규
    • Child Health Nursing Research
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    • 제5권1호
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    • pp.5-17
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    • 1999
  • This study was designed to determine the schemata and their characteristics of stress experience the subjectivity of stress experience(structure of subjectivity) would be a basic step for the effective clinical education through the stress management for characteristics of these types. Q-methodological method was used for that purpose. The research method statements were collected prior to the study through indepth interviews. For the study, 31 Q-statements were selected. There were 34 nursing students as subjects for the research. The 34 nursing students sorted the 31 statements using the principal of forced normal distribution. The principle of forced normal distribution, which has 9 scales to measure the individual opinions, was called. Q-factor analysis by using PC QUANL program supply the material. According to the outcomes of this study, there were 3 types of special opinion about the stress experience of clinical practice. The first type is called 'Influence of practical atmosphere type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The second type is called 'conflict of nursing role type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The third type is called 'Lack of confidence type'. Members of this type experienced stress because of a lack of confidence for their own nursing knowledge and skill. As a result, we now need further study to identify individual psychological aspects of stress for clinical practice. The findings will guide the development in effective approaches for clinical education. Finally, the result of the study will provide us the need for developing systematic and integrated practice education program for students and active involvement of clinical instructor.

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간호대학생의 대인관계, 임상실습 스트레스 및 임상실습 만족도 간의 관계 (Relation of interpersonal relationship, clinical stress and satisfaction of clinical practice in nursing students)

  • 곽혜원;이지은
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.147-155
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    • 2016
  • 본 연구의 목적은 간호대학생의 대인관계, 임상실습 스트레스 및 임상실습 만족도를 파악하고, 제 변수의 상관관계를 조사하기 위해 시도되었다. 본 연구는 대구 경북 지역 3개 대학교 간호학과에 재학 중인 3,4학년생 261명을 대상으로 2015년 9월 7일~18까지 설문조사하였고, 기술통계, t-test, ANOVA, Pearson correlation coefficients, Stepwise multiple regression으로 분석하였다. 연구결과 대상자의 대인관계는 평균 $3.74{\pm}0.39$점, 임상실습 스트레스는 $3.21{\pm}0.54$점, 임상실습 만족도는 $3.44{\pm}0.45$점이었다. 대인관계는 연령(F=3.12, p=.046), 간호학 전공만족도(F=15.84, p<.001), 대인관계 중요성(F=4.76, p=.001), 학업성적(F=3.80, p=.011)에 따라 유의한 차이가 있었다. 임상실습 스트레스는 연령(F=8.05, p<.001), 간호학 지원동기(F=4.55, p=.001), 간호학 전공만족도(F=2.69, p=.046)에 따라 유의한 차이가 있었다. 임상실습 만족도는 간호학 전공만족도(F=3.24, p=.022), 대인관계 중요성(F=3.01, p=.019), 학업성적(F=5.24, p=.002)에 따라 유의한 차이가 있었다. 대인관계와 임상실습 만족도(r=.24, p<.001)는 유의한 순 상관관계가 있었으며, 임상실습 만족도에 영향을 미치는 요소는 대인관계(${\beta}=.21$, p<.001), 학업성적(${\beta}=.12$, p=.045)이었다. 결론적으로 간호대학생의 임상실습 만족도를 높이기 위해서 간호대학생의 대인관계능력을 향상시키기 위한 중재 방안이 필요하다.

간호대학생의 임상실습 스트레스와 간호전문직관과의 관계에서 정서조절력의 효과 (The effects of emotional regulation between clinical practice stress and nursing professionalism in nursing students)

  • 장인순
    • Journal of the Korean Data and Information Science Society
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    • 제27권3호
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    • pp.749-761
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    • 2016
  • 본 연구는 간호대학생의 간호전문직관에 영향을 미치는 요인과 임상실습 스트레스가 간호전문직관에 영향을 미치는데 정서조절력이 조절변수로서 효과를 가지는지 규명하고자 실시하였다. 간호대학생 192명의 자료를 사용하였고, 2015년 9월부터 11월까지 자료를 수집하였다. SPSS 21.0 프로그램을 활용하여 기술통계분석, t-test, ANOVA, 상관분석, 위계적 회귀분석을 하였다. 간호전문직관은 임상실습 스트레스와 음의 상관관계를 (r=-.40, p<.001), 정서조절력과는 양의 상관관계 (r=.55, p <.001)가 있었다. 그리고 정서조절력은 임상실습 스트레스 (r=-.20, p <.001)와 음의 상관관계가 있었다. 간호전문직관에 교수지지, 전공만족도, 임상실습 스트레스, 정서조절력이 유의한 영향을 미치는 요인으로 나타났고, 정서조절력은 임상실습 스트레스와 간호전문직관의 관계에서 조절효과는 없는 것으로 나타났다. 본 연구 결과는 간호대학생의 간호전문직관을 높이기 위해 지지체계 구축과 임상실습 스트레스 관리와 정서조절력 훈련 개발의 중요함을 보여준다.

간호학생을 대상으로 한 통합(모성-아동) 시뮬레이션 프로그램 개발 및 효과 (Development and Effects of Integrated Simulation Program (Maternal-Child) for Nursing Students)

  • 박현정;이선희
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.293-301
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    • 2015
  • Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

간호대학생의 실습소진에 미치는 영향요인 (Factors Influencing Clinical Practice Burnout in Student Nurses)

  • 조헌하;강정미
    • Child Health Nursing Research
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    • 제23권2호
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    • pp.199-206
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    • 2017
  • Purpose: The purpose of this study was to explore perception of the clinical learning environment, resilience and perfectionism in relation to practice burnout and to identify factors influencing practice burnout in student nurses. Methods: A descriptive correlational study was conducted. The participants were 313 student nurses from three universities in B and U city. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient, $Scheff{\acute{e}}s$ test and multiple regression analysis. Results: Mean score for practice burnout in student nurses was 2.92 out of 5 points. Practice burnout explained 44.7% of the variance in perfectionism (${\beta}=.245$, p<.001), satisfaction with college life (${\beta}=.232$, p<.001), resilience (${\beta}=-.228$, p<.001), clinical learning environment (${\beta}=-.193$, p<.001), satisfaction with major (${\beta}=.180$, p=.001), practical relationships with peers (${\beta}=.128$, p=.005), and satisfaction with clinical practice (${\beta}=.124$, p=.039). Conclusion: Research results suggest that the important variable for student nurses' practice burnout is perfectionism. Therefore education is needed to develop strategies to manage perfectionism and reduce practice burnout.

코로나19 팬데믹 시기에 간호대학생의 웹 기반 시뮬레이션 실습을 포함한 임상 실습 경험 (Clinical Practice Experience including Web-based Simulation Practice of Nursing Students during the COVID-19 Pandemic)

  • 김경숙;박지민
    • 융합정보논문지
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    • 제12권2호
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    • pp.81-93
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    • 2022
  • 본 연구의 목적은 코로나 팬데믹 시기에 웹기반 시뮬레이션 실습을 포함한 임상 실습 경험의 의미를 파악하는 것이다. 웹기반 시뮬레이션 실습과 임상 실습 경험을 포커스그룹 인터뷰를 통하여 자료를 수집하고 내용분석 방법에 따라 분석하였다. 포커스 그룹에 의한 심충 면담내용을 분석한 결과, 2개의 구성요소와 7개의 주제 묶음, 18개의 주제로 나타났다. 첫 번째 구성요소로, 임상 실습은 4개의 주제 묶음으로 '팬데믹 상황에서의 불안한 실습의 출발', '다양한 사례에 의한 직접 경험', 미래 간호사로서 준비하는 훈련 기회', ' 수행의 부담감 및 제한적 경험'이었다. 두 번째 구성요소인 웹기반 시뮬레이션 실습은 3개의 주제 묶음으로 '미완성의 간호실습', '가상공간에서의 임상 간호에 대한 간접경험', '통합 실습 모델의 요구'로 분류되었다. 간호교육과정에서 임상 실습은 매우 중요한 부분이나 학생들이 실제로 현장에서 수행할 수 있는 간호는 매우 제한적이다. 따라서 관찰 위주의 임상 실습의 단점을 보완하고, 실습 교육의 질적 수준을 높이기 위하여, 웹기반 시뮬레이션 실습을 포함한 혼합 실습 모델 등을 고려할 필요가 있다.

간호대학생의 임상수행능력, 임상실습 만족도 및 감성지능이 간호전문직관에 미치는 융복합적 영향 (The Convergence Influence of Clinical Performance Ability, Clinical Practice Satisfaction, and Emotional Intelligence on Nursing Professionalism of Nursing Students)

  • 김가야
    • 융합정보논문지
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    • 제12권2호
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    • pp.63-71
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    • 2022
  • 본 연구의 목적은 간호대학생의 임상수행능력, 임상실습 만족도 및 감성지능이 간호전문직관에 미치는 융복합적 영향을 파악하기 위한 서술적 조사연구이다. 2021년 11월 10일부터 11월 20일까지 간호학과 4학년 132명을 편의표집으로 조사하였고, 수집된 자료는 SPSS Statistics 25.0을 이용하여 기술통계, t-test와 ANOVA, Scheff'e test, Pearson correlation coefficient, multiple regression analysis으로 분석하였다. 연구결과 간호전문직관에 영향을 미치는 요인으로 감성지능(β=.46, p<.001), 임상수행능력(β=.18, p=.033), 임상실습 만족도(β=.18, p=.027)이었으며, 간호전문직관의 설명력은 52%이었다. 따라서 간호전문직관에 영향을 미치는 요인을 통하여 간호학과 학생들의 간호전문직관을 향상시킬 수 있는 프로그램의 기초자료로 활용될 것으로 기대된다.

임상실습에서 간호대학생이 경험하는 간호사의 무례함, 대처가 소진에 미치는 영향 (Effect of Nurses' Incivility Experienced by Nursing Student, Coping on Burnout in Clinical Practice)

  • 홍윤경;김영혜;손현미
    • 간호행정학회지
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    • 제22권4호
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    • pp.323-331
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    • 2016
  • Purpose: The purpose of this study was to identify the effects of nurse's incivility experienced by nursing students and coping against incivility on burnout in clinical practice. Methods: A cross-sectional correlation study design was used. The subjects were 120 nursing student from four universities in Busan and Yangsan, South Korea. A self-report questionnaire was used to collect data on incivility, coping, and burnout. Finally total 117 nursing students' data was analyzed except 3 nursing students who had never experienced nurse's incivility for clinical practice. Data analyzed using descriptive statistics, Pearson correlation coefficient, independent t-test, ANOVA, and multiple regression. Results: 97.5% of subjects (n=120) experienced incivility. Incivility was positively correlated with seeking social support coping, avoiding focused coping and burnout. Incivility and avoiding focused coping had a significant positive effect on burnout. The explained variance for burnout was 10.0% and avoiding focused coping was the most significant factor in burnout. Conclusion: Most of nursing students experience the nurses' incivility. Judging incivility as a difficult problem to solve, students use more avoiding focused coping strategy and burnout is increased. Therefore education is needed to improve the coping strategies at incivility. Additionally colleges and hospitals should establish the formal reporting system to handle the incivility.

완전학습모델기반 간호 미생물학 이론 및 실습프로그램의 개발과 효과평가 (The Development and Evaluation of a Clinical Practice Nursing Students' Microbiology Program Based on the Mastery Learning Model)

  • 김보환;장선주;최정실
    • Journal of Korean Biological Nursing Science
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    • 제15권2호
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    • pp.90-98
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    • 2013
  • Purpose: The purpose of this study was to develop a clinical practice nursing students' microbiology program based on the mastery learning model, and to evaluate the effects of the program on nursing students' knowledge, self-efficacy, performance, and satisfaction related to the nursing students' microbiology program. Methods: The program was developed by using the processes of the mastery learning model. The pre-experimental research design involved a one group pretest-posttest design. The setting was a university located in Incheon, Korea. A total of 130 nursing students participated in the program including a theoretical lecture, clinical practice, and formative and summative evaluation. Results: Using the program that was designed and developed, results for the total score of self-efficacy, knowledge, and performance in the post-test application were significantly higher than in the pre-test application (p<.05). The satisfaction of hand hygiene and disinfection/contaminated hand microbial culture and disinfection test received the highest ratings. Conclusion: The application of a clinical practice nursing students' microbiology program was effective, and can be expanded to other nursing students. Future research with other study designs was warranted in order to prove the effect of a microbiology program based on the mastery learning model.