• Title/Summary/Keyword: Clinical practicum

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Comparison of Student′s Clinical Competency in Different Instructional Methods for Fundamentals of Nursing Practicum (기본간호학 실습교육방법에 따른 학생들의 간호수행능력의 비교)

  • 유문숙;유일영;박연옥;손연정
    • Journal of Korean Academy of Nursing
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    • v.32 no.3
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    • pp.327-335
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    • 2002
  • The main purpose of this study was to compare the clinical competency in different instructio nal methods for funda- mentals of nursing practicum, standardized patients methods story as text method ,and traditional lecture/model method. Method: The study was designed as a quasi-experimental, nonequivalent control group post-test design with three separate classes of sophomore students attending fundamentals of nursing classes at one baccaleureate nursing school located in metropoli tan Seoul area. Control group was taught by traditiona lecture/ model method and two experimental groups were taught by standardized patients method and story as text method. Data were collected from September, 1999 to June 2001. There were 36 students in the standardized patient method group, 38 students in story as text group, and 40 students in the control group. Data analysis was done using SPSS WINDOW 9.0. Result: The results showed that the standardized patients method and story as text method groups were significantly better in clinical judgement and communication skills than the traditional lecture/model method group. The standardized patients method group was significantly better in clinical nursing skills performance than two other groups. However, there was no significant difference among the three groups in student satisfaction. Conclusion: The standardized patients method is an effective in teaching clinical cometency for student nurses. It is necessary to explore more efficient way to develop standardized patients cases for wider areas of nursing education. Also, it is recommended to develop more research projects with many nursing programs.

Analysis of the Contents and Importance of Clinical Practicum Education in Adult Health Nursing According to Nursing Intervention Classification (NIC) System (간호중재분류체계(NIC)에 따른 성인간호학 임상실습 내용 및 중요도 분석)

  • Kim, Eun Jung;Kim, Gwang Suk;Sung, Kyung Mi;Shin, Hyunsook;Shin, Hae Kyung;Lee, Yujeong;Jeong, Seok Hee;Kim, Nahyun
    • Health Communication
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    • v.13 no.2
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    • pp.205-216
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    • 2018
  • Background: The purpose of the study was to analyze the contents and importance of clinical practicum education in adult health nursing. Methods: This is a descriptive study using content analysis for identifying the items of clinical nursing checklists gathered from 13 university nursing programs accredited by Korean Accreditation Board of Nursing Education. Items in the checklist were standardized in accordance with the Nursing Intervention Classification (NIC) and categorized into simple-technical skill, complex-technical skill, and disease-specific care. The perceived significance of each item was examined by surveying nurses who in charge of nurse education from various clinical setting. Results: A total of 182 items in the clinical practicum contents were analyzed, and the terminologies of each item were variously described among nursing schools. Fifty percent of the total items were categorized into simple-technical skill. In terms of clinical importance, expert validity results showed that nurses considered infection control, infection protection, and fall prevention as the most significant items, which was not the same as the most common items in the clinical nursing checklist. Conclusion: These findings suggest that standardized nursing terminologies are needed to describe a nursing practicum checklist. Clinical importance of each item in the checklist should be taken into consideration in developing a clinical nursing checklist to assist the students in achieving the competencies as a clinical nurse.

Perceived Confidence in Practice of Core Basic Nursing Skills of New Graduate Nurses (신규졸업간호사가 지각한 핵심기본간호술 수행 자신감)

  • Kim, Yeon-Ha;Hwang, Seon Young;Lee, Ae-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.1
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    • pp.37-46
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    • 2014
  • Purpose: This study was to measure and identify the differences of perceived confidence in practice of core basic nursing skills performed by new graduate nurses in Korea. Methods: The tool used in this study was a questionnaire for measuring the confidence in 20 items of core basic nursing skills which was structured based on Korean Accreditation Board of Nursing Education tool. 231 new graduate nurses participated in this study. The reliability of this questionnaire had Cronbach's ${\alpha}$ .918. Results: Subjects who experienced simulation education and standard patient education were 86.6% and 35.9%, respectively. Item enema intervention, tracheostomy care, and blood transfusion showed low practice confidence level. These items showed significant differences on whether the subjects experienced simulation and clinical practicum or not. Conclusion: Developing and managing clinical education program under deep cooperation between practicum agency and clinical instructor are needed. Simulation practicum will complement insufficient core basic nursing skills between newly graduated nurses before they allocate at the clinical department.

Effects of a Neonatal Nursing Practice Program on Students' Stress, Self-efficacy, and Confidence

  • Kim, Yunsoo;Park, Horan;Hong, Sung Sil;Chung, Hee Jin
    • Child Health Nursing Research
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    • v.24 no.3
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    • pp.319-328
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of a neonatal nursing practice program for nursing students on students' stress, self-efficacy, and confidence. Methods: A 1-group pre- and post- study design was used. The participants consisted of 64 nursing students who were in a pediatric nursing clinical practicum at a nursing college in Seoul from September 2015 to May 2016. The program consisted of 3 stages-orientation, practice, and debriefing-and was conducted for 3 hours during a 2-week period of the pediatric nursing clinical practicum. The dependent variables were neonatal nursing practice stress, self-efficacy, and confidence. Data were analyzed using the paired t-test, the Pearson correlation coefficient, the $x^2$ test, and descriptive statistics with SPSS for Windows version 22.0. Results: The neonatal nursing practice program was effective at decreasing clinical practice-related stress and increasing confidence and self-efficacy regarding neonatal nursing practice. Conclusion: The neonatal nursing practice program may effectively promote the integration of theoretical knowledge and practice. In the future, we propose to develop various educational programs that reinforce basic nursing skills for neonates as part of an effective pediatric nursing clinical practicum.

Effects of a Simulation Practicum using Standardized Patients on Communication Skills, Critical Thinking Disposition and Clinical Competency in Nursing Students: Diabetic Care (표준화 환자를 활용한 당뇨병 간호 시뮬레이션 실습교육이 간호대학생의 의사소통능력, 비판적 사고성향 및 임상수행능력에 미치는 효과)

  • Kim, Bo Young;Lee, Eun Sook
    • Journal of East-West Nursing Research
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    • v.24 no.2
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    • pp.91-100
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    • 2018
  • Purpose: This study was conducted to identify the effects of a simulation practicum using standardized patients on nursing student's communication skills, critical thinking disposition and clinical competency. Methods: A one group pretest-posttest design was used. The participants consisted of 45 fourth year nursing students at G university. This study developed 2 scenarios for patients with diabetes mellitus and the simulation was conducted for an average of approximately 14 hours. Data were analyzed with descriptive analysis, t-tests and Cronbach's ${\alpha}$ using SPSS 21.0 program. Results: Communication skills, clinical competency and self-confidence for diabetic care were statistically improved; however, critical thinking disposition was not improved compared to that of pretest. Conclusion: Simulation practicum using standardized patients may be effective in enhancing communication skills, clinical competency and self-confidence for diabetic care among nursing students. In addition, standardized patients simulation program to promote the critical thinking needs to be developed and further research related to standardized patients simulation is in need.

Clinical Practicum Experiences of Local Nursing College Studentsat a University Hospital in the Seoul Metropolitan Area (일 지방 간호대학생의 수도권 대학병원 임상실습 경험 )

  • Jo, Hyun-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.651-661
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    • 2021
  • This study was conducted to examine the experiences of nursing students during a clinical practicum at a university hospital in the Seoul metropolitan area. The participants of the study were 12 senior nursing students from J city, and the data was collected from September 29 to October 12, 2017, using interview questionnaires. The collected data was analyzed using Colaizzi's phenomenological analysis method. As a result of this study, there were three categories and nine theme clusters. In the category of 'high-quality practical education', 'the participants had high expectations prior to the practicum' and 'satisfaction with the practical instruction of education' as well as identified 'the opportunity to consider for future career'. In the category of 'experiences with independent social life', the participants described about their 'freedom away from everyday life', 'challenges of problem-solving alone', and identifying 'the importance of human relationships' in unfamiliar surroundings. In the category of 'lack of support system in practicum', the participants reported 'difficulties in preparing for practicum due to lack of information', 'lack of financial support' and 'the fear of living in an unsafe environment'. The results of the study will be used to as a basic data to find a high-quality clinical practice education environment by identifying what clinical practice students experience at university hospitals in the metropolitan area.

Lived Experience of Clinical Nursing Instructors' Role in Clinical Practicum (간호대학 임상실습 교육자의 역할 경험)

  • Lim, Sarah;Hong, Soomin;Kim, Sanghee;Kim, Sookyung;Kim, Yielin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.4
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    • pp.484-495
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    • 2019
  • Purpose: The purpose of this study was to explore the role of clinical nursing instructors' lived experience in clinical practicum. Methods: Data were collected from 11 clinical nursing instructors by in-depth interviews. The data were analyzed using content analysis of Downe-Wamboldt (1992). Results: Four themes and twelve subthemes were extracted. 1) Recognizing and conducting the roles of clinical nursing instructor: 'Helping and providing support for successful clinical practicum', 'Coordinating clinical activities in daily practice', 'Providing mentoring as an elder in life'; 2) Participating in improving integrative nursing competency: 'Helping to improve cognitive competency', 'Helping to improve functional competency', 'Contributing to form desirable professionalism', 'Helping to deliberate the nature of nursing'; 3) Experiencing difficulties in performing the role of clinical nursing instructor: 'Facing with difficulty from institutional limits', 'Recognizing difficulty from lack of personal knowledge and experience'; 4) Experiencing value of clinical nursing instructor and accomplishing personal growth: 'Making efforts to widen personal knowledge and experience', 'Developing one's own educational competency', 'Making a chance to reflect oneself'. Conclusion: Despite the distinctive features of clinical nursing instructors, little is known of the characteristics. The results of this study could be used as a reference to improve the quality of clinical nursing education.

Role Transition of Senior Year Nursing Students: Analysis of Predictors for Role Transition (간호대학 4학년생이 지각한 간호사로의 역할 이행과 영향 요인)

  • Lee, Worlsook;Uhm, Ju-Yeon;Lee, Taewha
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.2
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    • pp.187-194
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    • 2014
  • Purpose: The purpose of this study was to identify the perception of role transition from a student nurse to a registered nurse among senior year nursing students and to examine factors affecting their role transition. Methods: A descriptive survey with convenience sampling was conducted in four nursing colleges in Seoul, South Korea. Data were collected using a self-administrated questionnaire. Four instruments including role transition, self-esteem, interpersonal relationships and anxiety during clinical practicum were used and the students'demographics were also collected. A multiple logistic regression was used to identify predictors for the role transition. Results: A total of 233 nursing students were surveyed and final analysis was conducted utilizing 226 participants. Mean point of perceived role transition (5 point scale) was $3.34{\pm}0.44$. In a multiple regression model, high self-esteem, good interpersonal relationships, low anxiety during clinical practicum, and high satisfaction in college life were significant predictors of a smooth transition (Adj. $R^2$=.32, F=22.28, p<.001). Conclusion: The findings suggest that role transition from a student nurse to a registered nurse is facilitated through the establishment of programs to improve self-esteem and interpersonal relationships and to reduce anxiety during clinical practicum.

A Study on Clinical Reasoning Ability and Academic Achievements in Nursing Students (간호대학생의 임상추론 능력과 학업성취도)

  • Kim, Jeong Ah;Ko, Ja-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1874-1883
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    • 2015
  • The purpose of this study was to verify clinical reasoning of nursing students as well as clarify the relevance between clinical reasoning and academic achievement. 87 students broke into 30 groups of two or three. The students performed post operative care for adult patients in the simulation practicum course of their final semester. Data were collected by evaluating the video-recorded nursing practicum using the clinical reasoning rubric. Clinical reasoning of 61(70.1%) students was limited to the beginning level and that of 6(6.9%) students of the highest scoring was at the third level among the four levels of ability. There was no significant correlation between clinical reasoning and the final cumulative GPA, while there was low level of significant correlation between clinical reasoning and GPA of adult health nursing course or adult health nursing practicum course. Therefore, it is necessary to improve the nursing curriculum to enhance nursing students' clinical reasoning.

The Effects of Teamwork and Nursing professionalism on Clinical Practicum Adaptation of the Nursing Students (간호대학생의 팀워크와 간호전문직관이 임상 실습 적응에 미치는 영향)

  • Chung, Chong Hee;Hong, So Hyoung;Oh, Suk Hee;Song, Myeoung hi
    • Journal of Convergence for Information Technology
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    • v.10 no.9
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    • pp.53-61
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    • 2020
  • This study is to Influencing factors of nursing students' teamwork and nursing professionalism on clinical practicum adaptation. From August 5, 2019 to August 30, data were collected for students in the 4th grade at J University Nursing Department, and 115 copies were used for the final analysis. Independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression were performed on the collected data using the SPSS 23.0 program. As a result of the study, the factors influencing the adaptation of clinical practice were teamwork, temporary housing type in clinical practice, and satisfaction with clinical practice. These variables showed 67% of the total variance and the most Influencing factors in adaptation to clinical practice was teamwork. appear. Therefore, it is necessary to recognize the importance of teamwork for nursing students to adapt to clinical practice, and to develop and apply a program that can strengthen teamwork.