• 제목/요약/키워드: Nursing, Practical

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Types of Coping with a Mistake in Clinical Practice of Nursing Students

  • Jung, Yun;Jung, Sun Young
    • 한국컴퓨터정보학회논문지
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    • 제24권6호
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    • pp.141-149
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    • 2019
  • This study was attempted to contribute to enhancing the quality of practical education by using Q-methodology to find out how nursing students cope with a mistake during clinical practice. From October 3rd to 26th, 2016, 30 Q-statements were selected through in-depth interviews and prior papers to identify response patterns for mistakes in the 3rd to 4th grade of the Department of Nursing at K University. The analysis using the QUANL program has four types. the first type was named the frankness type, the second type was named the forwardness type, the third type was named the evasion type, the fourth type was named the anxiousness type. In this paper we proposed that the practical guidance instructor and the field instructor need to understand the individual recognition style of each student and to develop coping strategies considering the individuality and to cooperate with education and guidance. In addition, in order to establish a positive cognitive formation and coping method in case of a mistake, it is necessary to educate management about mistakes in systematic nursing student clinical practice.

Clinical Experience of Nurses in a Consultative Hospice Palliative Care Service

  • Sinyoung Kwon;Jinyee Byun
    • Journal of Hospice and Palliative Care
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    • 제27권1호
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    • pp.31-44
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    • 2024
  • Purpose: The purpose of this qualitative study was to employ Colaizzi's phenomenological research method to elucidate and understand the essence of practical experiences among consultative hospice palliative care nurses working in hospice institutions. Methods: The participants in the study were 15 consultative hospice palliative care nurses with over 1 year of work experience in institutions located in S City, I City, and K Province in South Korea. Data were collected from 23 in-depth interviews and analyzed using Colaizzi's phenomenological qualitative method. Results: The practical experiences of consultative hospice palliative nurses were categorized into five categories, 10 theme clusters, and 25 themes. The five categories included "being aware of patients' situations at the time of transition to hospice palliative care," "empathizing with patients and their families by putting oneself in the other's shoes," "providing patient and family-centered end-of-life care," "experiencing difficulties in practical tasks," and "striving to improve hospice service quality." Conclusion: This study is significant in that it provides practical data for understanding the experiences of consultative hospice palliative care nurses caring for terminally ill patients. This could enhance our understanding of care solutions that effectively tackle the challenges consultative hospice palliative care nurses encounter while fulfilling their roles.

간호학생을 위한 방문간호 비위관 관리교육 시뮬레이션 모듈 평가와 적용 효과: NLN Jeffries 시뮬레이션 이론 적용 (Evaluation and Application Effect of a Home Nasogastric Tube Feeding Simulation Module for Nursing Students: An Application of the NLN Jeffries Simulation Theory)

  • 백희정;이영란;이종은;이진화;김형선
    • 지역사회간호학회지
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    • 제28권3호
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    • pp.324-333
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    • 2017
  • Purpose: The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training. Methods: The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training. Results: The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education. Conclusion: We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.

임상실습 교육을 위한 간호학 교수의 실무참여에 관한 연구 (A Study of Faculty Practice for Clinical Teaching)

  • 김문실
    • 한국간호교육학회지
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    • 제1권1호
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    • pp.5-16
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    • 1995
  • Nurse educators are being encouraged to intergrated the role of faculty practice into the role expectations of the education institutes. Schools of nursing are faced with challenge of the faculty who wishes to adopt facilitating practical role. Also directors of nursing department in hospitals point out the lack of competences for nursing care of new graduated nurse. This survey study was conducted to clarify the factors that faculty who engages on practice in the clinical teaching are to facilitate or inhibit. In this study, 55 head nurses of university hospital and 30 professors of nursing school were assigned to complete the questionnaire. Results of this study are as follows : 1) Head nurse : The most actively participated nursing activities in student's clinical teaching are medication, injection, vital sign checking and bed making. The problems of clinical leaching are lack of direct care of Professors, overloaded work of head nurses, passive learning attitudes of nursing students and less priority about clinical teaching of academic administrator's perception. 2) Nursing professor Facilitators of faculty practices are negative perception about clinical practice of both nursing professor and academic administrator. Inhibitors of faculty practice are negligence of the clinical teaching, lack of the practicing capability and lack of administration system on practical education by head of the school. There, following strategies are suggested for facilitating faculty practice : 1. Faculty practice focused on clinical teaching must be emphasized for academic administration. 2. Nurse educators must keep continuing clinical practice in their specific area. 3. Collaboration between school of nursing and hospital promotes effectiveness of the clinical practice for nursing students.

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노인의 섬망 사정을 위한 도구의 임상적 사용 용이성에 관한 연구 (Comparison of Delirium Screening Instruments for the Elderly)

  • 이영휘;장성옥;공은숙;김남초;김춘길;김희경;송미순;안수연;조명옥;최경숙
    • 성인간호학회지
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    • 제25권6호
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    • pp.655-664
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    • 2013
  • Purpose: This study was undertaken to identify which delirium screening instrument would be more useful in clinical practice. Methods: Data were collected from 118 nurses from six hospitals in five provinces in Korea. For the delirium screening three instruments were compared: NEECHAM Confusion Scale (NEECHAM), Nursing Delirium Screening Scale (Nu-DESC), Delirium Observation Scale (DOS). The MMSE-K was used for concurrent validity. The nurse subjects were surveyed as to the practical clinical value of each instrument. Cronbach's ${\alpha}$ coefficient and Kuder-Richardson 20 were used to confirm the reliability. Results: The range of three scales reliability was .70~.82 and the range of correlation coefficient was .63~.82 with MMSE-K. For sensitivity of NEECHAM, Nu-DESC and DOS was 1.00, 1.00 and 0.81 respectively and specificity NEECHAM, Nu-DESC and DOS was 0.88, 0.89 and 0.89 respectively. Nurses rated the practical use of the DOS scale as significantly easier to use than the NEECHAM and Nu-DESC. Conclusion: NEECHAM, Nu-DESC and DOS scales were acceptable in terms of reliability, validity, sensitivity and specificity. However, nurses rated the DOS scale as easier scale to use and had more relevance to their practice.

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

  • 박연환;이성현;이유미;이지영;이민혜
    • 근관절건강학회지
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    • 제25권2호
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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.

노인장기요양인력 확보 방안: 간호사와 간호조무사 중심으로 (Manpower Acquisition Strategies of Long-term Care: Focused on Nurses and Nurse Aides)

  • 임지영;김주행;임정미;박영숙
    • 가정∙방문간호학회지
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    • 제27권1호
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    • pp.64-81
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    • 2020
  • Purpose: The purpose of this study was to identify manpower acquisition strategies of nurse and nurse aide in long-term care Method: The study was proceed using following three stages: to explore workforce status and labor environment with database analysis, literature reviews, to explore the best practices, practical experiences with expert interviews, with focus group interview, to identify problems and present acquisition strategies Results: Acquisition strategies were increasing of pay, improvement of working condition, development of practical educational program, diversification of entry paths, establishing clear roles for nursing staffs, diversification of training program. Conclusion: We found that the acquisition strategies of nurse and nurse aide can be as an useful methods to increase manpower in long-term care for higher quality of services and care.

간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도 (Cognition and Practice of Safe Handling of Cytotoxic Drugs in University Hospital Nurses)

  • 김매자;전명희;최진선;박종순
    • 종양간호연구
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    • 제4권2호
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    • pp.154-165
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    • 2004
  • Purpose : To provide basic data for establishing the policy of safe handling of cytotoxic drugs and for building training materials and clinical guidelines for nurses handling cytotoxic drugs. Methods: 255 nurses in Seoul and 257 nurses in D metropolitan area participated in the study. Questionnaires were based on the safe handling guideline for cytotoxic drugs issued by OSHA and ONA. Results: Nurses in Seoul scored higher in the cognition for safe handling guidelines of cytotoxic drugs in preparation, administration. as well as total score compared with nurses in D metropolitan area. The practical score also showed higher in nurses in Seoul in administration, disposal and total score. But both groups showed low level of practical score. The answers why they could not follow the guideline for cytotoxic drugs were "don't have", "busy", and "don't know", etc Conclusion: Handling of the cytotoxic drug is very common and important. The study findings suggest that hospitals especially in D metropolitan area should educate the nurses and supply equipments for safe handling of cytotoxic drugs. Thus, repetitive and continual education of all nurses including experts is needed. In addition, it is necessary to supply enough protective equipment for preventing exposure to the cytotoxic drugs.

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Jigsaw 협동학습을 적용한 수업이 자기주도적 학습능력, 자기효능감, 학습성과에 미치는 영향 (The Effect of Jigsaw Model of Cooperative Learning on Self-directed Learning Ability, Self-efficacy, and Learning Outcomes)

  • 권경자;양정하
    • 한국학교보건학회지
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    • 제35권3호
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    • pp.113-122
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    • 2022
  • Purpose: The purpose of this study was to identify the effects of applying jigsaw cooperative learning to basic nursing practicums on self-directed learning ability, self-efficacy, and learning outcomes. Methods: This study was based on a non-equivalent control group design, and the subjects were nursing students. The study allocated 30 people in the experimental group and 30 people in the control group, and jigsaw cooperative learning was applied to the experimental group for 2 hours every week for a total of 8 weeks. The traditional educational method was applied to the control group. The collected data were analyzed using SPSS v26.0. Results: The experimental group to which jigsaw cooperative learning was applied showed statistically significant differences in self-directed learning ability (F=4.49, p=.038), self-efficacy (F=6.15, p=.016), and learning outcomes (F=19.48, p<.001) compared to the control group. Conclusion: By applying jigsaw cooperative learning to basic nursing practicums, this study confirmed its effect not only on the effective domain such as self-directed learning ability and self-efficacy, but also on learning outcomes in the practical domain. We propose future studies apply jigsaw cooperative learning to various practice classes to achieve learning outcomes that focus on cultivating students' practical capabilities.