• 중환자간호학회지
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• 제15권2호
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• pp.1-13
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• 2022

Purpose : The study aimed to identify relationship among intensive care unit (ICU) nurses' critical thinking disposition, medication error risk level of high-alert medication, and medication safety competency, as well as the factors affecting medication safety competency. Methods : The participants were 266 ICU nurses of one higher-tier general hospital and one general hospital in Province. The data were collected using structured self-administered questionnaire from August 10 to August 31, 2021. Measurements included the critical thinking disposition questionnaire, nurses's knowledge of high-alert medication questionnaire, the medication safety competency scale. Data were analyzed using hierarchical multiple regressions using SPSS/WIN 28.0. Results : In the multiple regression analysis, the medication safety competence has a statistically significant correlation with the working department, the critical thinking disposition, and medication error risk level of high-alert medication. Conclusion : Based on the results of this study, it is suggested to develop and apply an educational strategy that can strengthen the knowledge and skills of critical thinking disposition and medication error risk level of high-alert medication to improve the ICU nurse's medication safety competency.

• Child Health Nursing Research
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• 제21권2호
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• pp.151-159
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• 2015

Purpose: The purpose of this study was to develop and evaluate the effect of a cultural competency promotion program for nurses in obstetrics-gynecology and pediatrics. Methods: The cultural competency promotion program was developed through the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) steps. In this quasi-experimental study, 30 nurses in obstetrics-gynecology and pediatrics were assigned to the experimental group and 34 nurses were assigned to the control group. The experimental group received this program once a week for four weeks and each class lasted one hour. Data were analyzed using descriptive statistics, t-test, ${\chi}^2$-test and Fisher's exact test with the IBM SPSS Statistics version 21.0 program. Results: After attending the program, cultural competency (t=8.30, p<.001) increased significantly in the experimental group compared to the control group. There were also significant differences between two groups in cultural awareness (t=7.53, p<.001), cultural attitude (t=6.41, p<.001), and cultural knowledge & skills (t=7.79, p<.001) as components of cultural competency. Conclusion: The results of this study indicate that this cultural competency program is effective and efficient for nurses in obstetrics-gynecology and pediatrics and can help nurses provide appropriate multicultural nursing care in multicultural society.

• 성인간호학회지
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• 제27권6호
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• pp.665-672
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• 2015

Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (${\geq}65$) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p<.001) and poorer medication adherence (67.7 vs 91.8, $x^2=14.06$, p<.001) than adults (<65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.

• 한국직업건강간호학회지
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• 제29권4호
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• pp.354-362
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• 2020

Purpose: This study aimed to define and clarify learning transfer in nursing. Methods: This study used a hybrid model to analyze the concept of learning transfer in nursing through three phases. For the theoretical phase, learning transfer attributes were identified through a scoping literature review. In the fieldwork phase, in-depth focus group interviews were conducted to develop attributes. Purposive sampling was performed with ten participants(five nursing students, two nurses, three nursing faculty members). In the analysis phase, the attributes and final analysis of learning transfer in nursing were extracted and integrated from the previous two phases. Results: According to the analysis, learning transfer was represented in two dimensions with eight attributes. The development of competency dimension had three attributes: 1) theory acquisition, nursing skills, professional attitude, 2) integration, and 3) analysis competency. The competency change dimension had five attributes: 1) appropriateness in patient care, 2) proficiency in patient care, 3) satisfaction, 4) achievement, and 5) confidence. Conclusion: The concept analysis might provide a basic understanding of learning transfer, a development framework toward a measurement of nursing learning transfer and effective educational nursing strategies.

• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.274-289
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• 2017

본 연구는 직업기초능력에 영향을 미치는 변인으로 행동의 선택과 지속성을 유지하는 자기효능감의 영향관계와 자기효능감과 직업기초능력의 관계에서 간호전문직관의 매개효과와 간호전문직관에 대한 인식을 통해 형성되는 주도적인 학습능력이 직업기초능력에 미치는 영향관계를 실증적으로 검증하는데 목적을 두었다. 이를 위해 J도 소재 3개 전문대학의 간호학과 학생 396명을 대상으로 편의표집 하였다. 각각의 잠재변인은 직업기초능력, 자기효능감, 간호전문직관, 자기주도학습능력을 설정하여 측정하였다. 수집된 자료는 구조방정식모형(Structural Equation Modeling)을 이용하여 분석하였으며, 구체적인 연구결과는 다음과 같다. 첫째, 간호대학생의 직업기초능력과 자기효능감, 간호전문직관 및 자기주도학습능력 간의 인과모형의 적합도가 양호한 것으로 나타나 변인 간의 인과관계를 타당하게 예측하였다. 둘째, 간호대학생의 자기효능감은 직업기초능력에 직접적으로 영향을 주지 않고 간호전문직관과 자기주도학습능력을 완전매개로 간접적으로 정적인 영향을 미쳤다. 셋째, 간호전문직관은 직업기초능력에 직접적으로 영향을 미쳤으며 자기주도학습능력을 매개로 간접적으로 정적인 영향을 미쳤다. 넷째, 자기주도학습능력은 직업기초능력에 직접적으로 정적인 영향을 미쳤다.

• 대한간호학회지
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• 제22권3호
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• pp.407-415
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• 1992

The purpose of this study was to survey the use of a evaluation tools of clinical competency for nursing students. The sample consisted of the departments of nursing in 14 universities and 20 Junior colleges of nursing. Data analysis was done by frequency, percentages and factor analysis. The results of the study were as follows : 1. A common measurement tools for evaluation in the clinical area was used by 74.4% of universities and Junior colleges of nursing. Only 0-4.5% of Junior colleges of nursing and 1.5-7.4% of universities used a evaluation tools developed according to their major. 2. Theoretically, 3% of those sampled applied the nursing process as an instrumental means of nursing practice. Bloom's theory was applied by 35.8% of the schools. Most of them used their own measurement tools for evaluating their students. 3. One half of them used quantitative scales, the other half used others. 4. Professional attitudes wire included in their contents bvy 93.9% of universties and 94.1% of Junior colleges of nursing. The major areas of evaluation were knowledge, skills, attitudes and interpersonal relationships in that order. Results ; From this study can be concluded that regardless of the number of academic years of nursing and professional area, common standard evaluation tools for nursing competency were found to be needed. Theoretically, an evaluation scheme which applies the nursing process should be required. Knowledge, skill, attitude and interpersonal relationship would be essential elements to be evaluated. Maximizing the clinical competency and minimizing the conflict elements for nursing students is important. Nursing, education, students and environmental aspects must be consider in the goal of clinical education. A diagram, a checklist and a anecdote note in addition to the quantitative scale are necessary for efficient evaluation.

• 디지털융복합연구
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• 제20권4호
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• pp.779-790
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• 2022

본 연구의 목적은 간호정보역량에 대한 국내 연구의 동향을 파악하고 간호정보역량과 관련된 후속 연구 방향을 제시하기 위해 시행되었다. 본 연구는 주제범위 문헌고찰 연구로 Arskey와 O'Malley의 방법론적 기틀을 사용하였다. 전자 데이터베이스를 이용하여 2000년부터 2021년까지 출판된 연구를 대상으로 하였다. 최종 분석에 포함된 연구는 총 18편으로, 분석틀은 연구의 일반적 특성과 주제분석으로 구성하여 분석하였다. 간호정보역량에 대한 연구는 2010년 이후 증가하였으며, 간호사 대상의 양적연구가 대부분을 차지하였다. 간호정보역량에 영향을 미치는 일반적 특성은 교육 정도와 직위였으며, 관련 핵심 변수는 업무수행능력, 셀프리더십, 직무만족, 간호업무성과, 간호조직문화, 간호근무환경이었다. 본 연구는 주제범위 문헌고찰 방법을 적용하여 국내 간호정보역량 연구를 체계적으로 고찰하고 후속 연구방향을 제시했다는 의의가 있다. 간호사, 간호대학생의 간호정보역량 향상을 위해서 보건의료시스템과 간호업무환경의 변화를 반영하고, 간호정보역량 향상 교육프로그램을 지속적으로 개발하여 적용하는 후속연구를 제언한다.

• 기본간호학회지
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• 제11권1호
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• pp.13-20
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• 2004

Purpose: This study was conducted to evaluate the effect of open laboratory self-directed practice in improving nursing skill competency. Method: This study was a one group posttest only design that examined the competency in basic nursing skills after traditional education and open laboratory self-directed practice. Students participated in traditional education and open laboratory practice through self-study. Whenever practice was done, the item of practice and time were measured and documented. Collected data were analyzed by frequency, percentages, averages and standard deviations, and Pearson correlation coefficients. Result: 1 The average number of students who participated in the open lab self-directed practice was 53.9 (64.2%) and the total number of hours of participation was 1567.5 minutes per year. Each student participated for an average of 29.1 minutes per year. 2. Analysis showed a statistically positive correlation between practical skill and open laboratory self-study (r=0.252, p=0.048).

• 대한간호학회지
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• 제48권4호
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• pp.419-431
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• 2018

Purpose: The purpose of this study was to develop and establish the psychometric properties of a clinical nursing competency evaluation tool to be utilized by clinical preceptors. Methods: The initial items were identified through in-depth literature review and field interviews based on a hybrid model. Content validation of the items was evaluated through three rounds of content validity testing. Participants were 34 clinical preceptors and 443 nursing students participating in clinical practice. Data were analyzed using exploratory and confirmatory factor analysis, convergence and discriminant validity, internal consistency and inter-rater reliability. Results: The final scale consisted of 23 items and four factors, fundamental nursing skills performance, critical thinking skills based on the nursing process, basic nursing knowledge, and professional attitude; these factor explained 69.7% of the total variance. The analysis with multi-trait/multi-item matrix correlation coefficients yielded 100.0% and 95.7 % convergence and discriminant validity, respectively. Cronbach's alpha for the total items was .95. The four subscale model tested by confirmatory factor analysis was satisfactory. Inter-rater reliability ranged from .912 to .967. Conclusion: This scale was found to be a reliable and valid instrument that clinical preceptors can apply for evaluating the clinical nursing competency of nursing students in clinical settings.

• 한국간호교육학회지
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• 제22권1호
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• pp.63-71
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• 2016

Purpose: This study was done in order to identify the effectiveness of open laboratory self-directed practice on knowledge, self-confidence, skill competency, and satisfaction of intravenous infusion in nursing students. Methods: This is a quasi-experimental study using a non-equivalent control pre-posttest design. The participants were 32 students comprising an experimental group and 30 students comprising a control group. The experimental group was allowed to perform open laboratory self-directed practice only. Pretest and posttest was performed through questionnaires of knowledge and self-confidence, and competence and satisfaction were assessed using checklists at posttest. Results: The score of Knowledge in the posttest showed no significant difference between both groups (F=1.28, p=.290), and those of self-confidence (F=3.87, p=.014) and competency (F=9.55, p<.001) of the experimental group were significantly higher than those of the control group. Conclusion: Open laboratory self-directed practice was effective in improving nursing students' self-confidence and competency of intravenous infusion. Therefore, students should be encouraged to actively participate in open laboratory self-directed practice and the effective strategies should be developed.