• Perspectives in Nursing Science
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• v.9 no.2
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• pp.111-118
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• 2012

Purpose: This study investigated the effects of simulation-based nursing education (for the care of congestive heart failure patients) on self-directed learning competency, clinical knowledge and problem-solving ability among nursing students. Methods: A one-group, pre-post design was utilized with 87 nursing students as the subjects. The scenario of simulation-based nursing education was created using a high-fidelity patient stimulator, and consisted of four states ((1) assessment, (2) reviewing laboratory data and administering medications and treatments, (3) managing increased dyspnea and decreased urine output, and (4) handling the "getting better" state). The simulation-based nursing education included orientation, team-based learning, team-based practice, and debriefing. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and paired t-tests. Results: The scores on the factors for self-directed learning competency (t=-2.57, p= .011), clinical knowledge (t=-6.85, p<.001), and problem-solving ability (t=-3.01, p= .003) increased significantly after the education intervention. Conclusion: Simulation-based nursing education is useful in improving self-directed learning competency, clinical knowledge, and problem-solving ability in nursing students.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.1
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• pp.26-36
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• 2009

Purpose: This study was undertaken in order to investigate the relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. Method: A convenience sample of 221 registered nurses were obtained from one hospital in Seoul. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe' test, Pearson correlation coefficient using SPSS WIN 14.0 program. Results: There were a statistically significant difference in the critical thinking disposition according to age, marital status, career length, and department. There were a statistically significant difference in professional nursing competence according to role, age, career length, current position, and department. There were a statistically significant difference in job satisfaction according to age, marital status, career length, and department. A significant positive correlation between critical thinking disposition and professional nursing competence, and job satisfaction was found. Conclusion: Critical thinking disposition, professional nursing competence and job satisfaction of clinical nurses are significantly related. To improve professional nursing competence and job satisfaction of clinical nurses, it need to use actively the critical thinking disposition with resonable salary. And it need to prepare the nursing education and strategy to increase the job satisfaction of clinical nurses.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.1
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• pp.37-44
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• 2009

Purpose: The purpose of this study was to investigate the relationship between professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. Method: Data was collected from convenient sample of 407 nurses in 3 cities. The questionnaire measured the level of professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient, partial correlation. Result: The mean score of professional self-concept was 2.83(${\pm}.34$) self-efficacy was 3.64(${\pm}.31$), job satisfaction was 3.12(${\pm}.38$). There were significant differences on three variables according to age, a clinical career, level of education. There was a significant positive correlation between professional self-concept and self-efficacy, job satisfaction. The self-efficacy was a significant positive correlation with job satisfaction. Conclusions: From the studies reviewed, it can expect the positive effect to improve the self-efficacy, professional self-concept and job satisfaction when the nurses who have continuous education and organizational support. These findings would be important resource to nurse administrators for clinical implication.

• The Korean Journal of Health Service Management
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• v.14 no.2
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• pp.41-54
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• 2020

Objectives: The purpose of this study was to identify the influences of nursing professionalism and emotional intelligence on the clinical performance ability of nursing students. Methods: The subjects of this study included 234 nursing students from three universities located in two regions of South Korea. Data were collected from June 15 to 30, 2018 by using self-reported questionnaires. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis using the IBM SPSS 21.0 program. Results: The factors which influenced the clinical performance ability in nursing students were self-concept of the profession(β=.28, p<.001), roles of nursing service (β=.22, p<.001), use of emotion (β=.22, p<.001), self-emotional appraisal (β=.18, p=.002), regulation of emotion (β=.16, p=.004), and grade (β=.16, p=.002) which explained 51.7% of the variance. Conclusions: These results suggest that to improve clinical performance ability in nursing students, an intervention that enhances their nursing professionalism and emotional intelligence should be considered.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.4
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• pp.448-458
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• 2019

Purpose: The aim of this study was to identify the effect of metacognition, communication skills, and confidence in the performance of core basic nursing skills on clinical competency in nursing students. Methods: A total of 158 students were recruited from two nursing colleges in B metropolitan city. Data were collected by means of self-reported questionnaires from December 3-31, 2018 and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple linear regression with SPSS 21.0. Results: Metacognition, communication skills, and confidence in the performance of core basic nursing skills were higher than normal and the relationship between the variables metacognition (r=.69, p=<.001), communication skills (r=.69, p=<.001), and confidence in the performance of core basic nursing skills (r=.59, p=<.001) were highly positively correlated with clinical performance. Factors influencing these three variables accounted for 64.4% of clinical competency. Conclusion: Further research on the development of the curriculum and intervention program, and the verification of the effect are needed.

• Journal of muscle and joint health
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• v.28 no.3
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• pp.242-251
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• 2021

Purpose: The aim of this study was to examine the relationship between calling, clinical performance, role conflict, and organizational socialization and to evaluate the factors associated with organizational socialization of new nurses. Methods: This study design was cross-sectional correlational study. The participants of this study were new nurses 171 at general hospitals in Jeollabuk-do. Data was collected between August 1 to 20, 2018 from questionnaire responses and were analyzed with descriptive statistics, independent t-test, one-way ANOVA, pearson's correlation coefficient, and multiple regression analysis. Results: The average calling rating was 2.47±0.59 (rated on a scale of 1~4), clinical performance rating was 3.55±0.52 (rated on a scale of 1~5), role conflict rating was 3.29±0.59 (rated on a scale of 1~5), and organizational socialization rating 3.19±0.41 (rated on a scale of 1~5). Calling, clinical performance, role conflict, gender, and work in the desired unit were the significant factors influencing organizational socialization of new nurses. Conclusion: These findings indicate that strategies are needed to improve organizational socialization of new nurses to ensure effective management of personnel. Moreover, it is necessary to develop a program to cultivate the nursing calling, enhance clinical performance, and resolve role conflicts among new nurses.

• Journal of Korean society of Dental Hygiene
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• v.19 no.2
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• pp.221-229
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• 2019

Objectives: The purpose of this study was to confirm job satisfaction, job performance, and turnover intention according to dental hygienists' clinical assistance and preventive work. Methods: The collected data (N=380) were analyzed with independent t-tests and Pearson correlations using SPSS Statistics ver. 21.0 (IBM Co., Armonk, NY, USA). Results: The results indicated that the higher the overall job satisfaction of the dental hygienist, the higher their job performance and the lower their turnover intention (p<0.05). The results of the comparison of job satisfaction showed that preventive work was higher than dental hygienists' clinical assistance in all items except "I was pleased with work" (p<0.05). The results of the comparison of job performance showed that preventive work was higher than dental hygienists' clinical assistance in all items except "I have never complained, even if things go wrong" (p<0.05). The results of the comparison of turnover intention showed that clinical assistance was higher than dental hygienists' preventive work in all items (p<0.05). Conclusions: Our results demonstrate that job satisfaction, turnover intentions, and job performance have positive effects for preventive work. Therefore, dental clinics need to improve the actual environment so that dental hygienists can focus on preventive work.

• Women's Health Nursing
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• v.25 no.1
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• pp.86-98
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• 2019

Purpose: The purpose of the study was to determine effect of incivility, resilience, and social support experienced by nursing students on burnout in clinical practice. Methods: Subjects were 140 nursing students who agreed to participate in this study. Collected data were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation and stepwise multiple regression with SPSS WIN 23.0 program. Results: Burnout showed significantly positive correlation with incivility but significantly negative correlations with resilience and social support. Factors affecting burnout were satisfaction with major-dissatisfaction, satisfaction with major-average, social support, grade, and relationship with peers. Satisfaction with major (dissatisfaction) had the greatest effect on burnout, explaining 41% of the total variance. Conclusion: According to this study, dissatisfaction with major was identified as the most significant factor influencing burnout of nursing students in clinical practice. Therefore, it is important to develop and implement programs that can reduce dissatisfaction with major and increase social support and relationship with peers in order to lower burnout of nursing students. In addition, a systemic management of fourth-grade students with a high level of clinical practice is necessary to reduce the level of clinical practice. The authors declared no conflict of interest.

• Journal of Korean Biological Nursing Science
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• v.20 no.4
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• pp.228-235
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• 2018

Purpose: This study aimed to investigate the clinical alarm occurrence and management of nurses toward clinical alarms in the intensive care unit (ICU). Methods: This observational study was conducted with 40 patients and nurses cases in two ICUs of a university hospital. This study divided 24 hours into the unit of an hour and conducted two times of direct observation per unit hour for 48 hours targeting the medical devices applied to 40 patients. Data were analyzed using IBM SPSS Statistics 23. Results: On average, 3.8 units of medical devices were applied for each patient and the ranges of alarm settings were wide. During 48 hours, 184 cases of clinical alarm were occurred by four types of medical devices including physiological monitors, mechanical ventilators, infusion pumps, and continuous renal replacement therapy. Among them, false alarm was 110 cases (59.8%). As for the alarm management by ICU nurses, two-minute alarm mute took up most at 38.0% (70 cases), and no response was second most at 32.6% (60 cases). When valid alarm sounded, nurses showed no response at 43.2%. Conclusion: The findings suggest that a standard protocol for alarm management should be developed for Korean ICU settings. Based on the protocol, continuous training and education should be provided to nurses for appropriate alarm management.

• Toxicological Research
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• v.35 no.4
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• pp.319-330
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• 2019

Adverse drug reactions (ADRs) constitute key factors in determining successful medication therapy in clinical situations. Integrative analysis of electronic medical record (EMR) data and use of proper analytical tools are requisite to conduct retrospective surveillance of clinical decisions on medications. Thus, we suggest that electronic medical recording and human genetic databases are considered together in future directions of pharmacovigilance. We analyzed EMR-based ADR studies indexed on PubMed during the period from 2005 to 2017 and retrospectively acquired 1161 (29.6%) articles describing drug-induced adverse reactions (e.g., liver, kidney, nervous system, immune system, and inflammatory responses). Of them, only 102 (8.79%) articles contained useful information to detect or predict ADRs in the context of clinical medication alerts. Since insufficiency of EMR datasets and their improper analyses may provide false warnings on clinical decision, efforts should be made to overcome possible problems on data-mining, analysis, statistics, and standardization. Thus, we address the characteristics and limitations on retrospective EMR database studies in hospital settings. Since gene expression and genetic variations among individuals impact ADRs, pharmacokinetics, and pharmacodynamics, appropriate paths for pharmacovigilance may be optimized using suitable databases available in public domain (e.g., genome-wide association studies (GWAS), non-coding RNAs, microRNAs, proteomics, and genetic variations), novel targets, and biomarkers. These efforts with new validated biomarker analyses would be of help to repurpose clinical and translational research infrastructure and ultimately future personalized therapy considering ADRs.