• 한국콘텐츠학회논문지
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• 제12권6호
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• pp.390-401
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• 2012

의료분야의 전문화와 정보화로 간호사에게 요구되는 지식과 간호기술은 증가하고 복잡해진 반면, 임상에서의 실습교육이 위축되면서 기본간호학 실습 교육과 방법의 강화 및 개선에 대한 다양한 요구와 도전에 직면하게 되었다. 본 연구는 간호학생의 기본간호수행능력과 관련된 영향요인을 분석하기 위한 횡단적 조사연구이다. 본 연구는 4년제 간호학과에서 기본간호학 과목을 수강하는 2학년 학생 중 연구참여에 동의한 총 106명을 대상으로 하였으며, 구조화된 설문지를 이용하여 자기기입식 질문지법으로 자료수집하였다. 수집된 자료는 SPSS WIN 19.0 프로그램을 이용하여 분석하였다. 대상자의 일반적 특성 중 대인관계, 성적 및 실습실 개방 자율실습 여부에 따라 기본간호수행능력에서 차이가 나타났다. 간호학생의 기본간호수행 능력에 영향을 미치는 요인은 학습만족도, 의사소통능력과 자기주도성 이었으며, 이들 변인은 기본간호수행능력 총 변량의 49.9%를 설명하였다. 이상의 결과를 바탕으로 간호학생에서 기본간호수행능력을 증진시키기 위해서는 실습실 개방 자율 실습방법을 적용하고 간호학생의 지각된 대인관계 정도와 성적 특성을 고려하며, 자기주도성, 전문직 자아개념, 의사소통능력 및 학습만족도를 증진시킬 수 있는 교육방법으로서 blended learning을 제언한다.

• 성인간호학회지
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• 제20권6호
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• pp.932-940
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• 2008

Purpose: The purpose of this descriptive study was to compare ways of coping and physical symptoms of realistic optimist with unrealistic optimist in university students. Methods: The participants for this study were students from three university, located in Seoul and Gangwon province. The data were collected by a questionnaire given to the students. Results: The most frequently used coping skills of realistic/unrealistic optimist was the pursuit of social support. Realistic optimists are likely to use not only active coping skills but also passive coping skills, on the other hand unrealistic optimists tend to less use all coping skills. But in physical health, it doesn't show a significant differences except gastro-intestinal symptoms between two group. Conclusion: Based on the finding of this study, it is needed nursing intervention for strengthening realistic optimism for helping university students cope with stress and health.

• 대한간호학회지
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• 제49권4호
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• pp.495-504
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• 2019

Purpose: Nursing students experience a high degree of perceived stress during skills training. The resulting academic sentiment is worthy of research. This study examined the learning motivation as a mediator in the association between perceived stress and positive deactivating academic emotions in nursing students undergoing skills training. Methods: A survey was conducted on 386 third-year undergraduate nursing students at a university in Changchun, China, in 2017. The survey included the items on perceived stress, learning motivation during nursing skill training, and general academic emotion. There were 381 valid responses (response rate=98.7%). Based on the results of partial correlation and stepwise multiple regression equations, the study examined the mediation model between perceived stress, learning motivation and positive-deactivating academic emotions using process 2.16 (a plug-in specifically used to test mediation or moderation effect in SPSS). Results: There was a significant negative correlation between students' perceived stress and learning motivation during nursing skills training and positive-deactivating academic emotions. Nervousness, loss of control, and interest in developing reputation had significant predictive effects on positive-deactivating academic emotions. The mediating model was well supported. Conclusion: Learning motivation during nursing skills training lessened the damage of perceived stress on positive-deactivating academic emotions. Improving students' motivation to learn could reduce their perceived stress and build more positive emotions. Positive emotions during learning played an important role in helping nursing students improve skills and enhance their nursing competence.

• 한국간호교육학회지
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• 제23권1호
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• pp.27-36
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• 2017

Purpose: The purpose of the non-equivalent control group pretest-posttest study was to test the effects of self-directed nursing practice using peer-tutoring, on the level of confidence, performance and learning satisfaction of nursing students in practicing core nursing skills. Methods: The data were collected from 80 junior nursing students at a nursing college in Daejeon before and after 3 weeks of intervention on practicing six core nursing skills, according to the highest order of priority. The subjects were divided into the peer-tutoring practice group (PTPG, n=40) and the lecturer-guided practice group (LGPG, n=40). The data were analyzed using mean, frequency, and t-test. Results: The PTPG scored statistically higher than the LGPG on the performance of 'indwelling urinary catheterization' and 'wearing protection equipment while entering quarantine room & disposing waste'. The PTPG scored statistically higher than the LGPG on the confidence of 'indwelling urinary catheterization' and 'inserting intravenous catheterization'. The PTPG scored statistically higher on learning satisfaction than LGPG. Conclusion: The results showed that self-directed nursing practice using peer-tutoring could be effective for nursing students in improving proficiency in core nursing skills and might be applied to core nursing skills training.

• 동서간호학연구지
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• 제28권2호
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• pp.104-111
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• 2022

Purpose: This study aimed to investigate factors affecting the problem solving ability of nursing students. Methods: The data in this study was collected through structured questionnaires from September 1st to October 30th, 2021. Study participants were 172 fourth grade nursing students at four departments of nursing located in B and K city. IBM SPSS WIN v 21.0. program with t-test, ANOVA, Scheffe' test, Pearson's correlation coefficients, and hierarchical regression was used for data analysis. Results: The mean scores of academic self-efficacy was 3.88±051, empathy was 3.76±0.33, communication skills were 3.94±0.48, and problem solving ability was 3.70±0.40. There were significantly positive correlations between problem solving ability and academic self-efficacy (r=.45, p=<.001), empathy (r=.51, p=<.001), communication skills (r=.52, p=<.001), Factors affecting participants' problem solving ability were empathy (β=.31, p=<.001), and communication skills (β=.23, p=.006), which explained about 38.4% of the problem solving ability. Conclusion: In this study, it is necessary to develop curricular and non curricular nursing program that can strengthen empathy and good communication skills together when developing programs that increase problem solving ability.

• 한국간호교육학회지
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• 제21권1호
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• pp.75-85
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• 2015

Purpose: The purpose of this study was to investigate the effects of preclinical clinical performance examination (CPX) on nursing students' confidence in their nursing skills and critical thinking competence. Methods: The design of this research was one-group pretest-posttest, and the participants were 112 nursing students. The preclinical CPX consisted of a clinical examination, patient-nurse relationship, oral test of related knowledge, written test of the nursing process, and debriefing using comprehensive scenarios based on real patient cases. The confidence of nursing skills consisted of an 8-item NRS and the critical thinking competence consisted of a 12-item 4-point scale developed by researchers and measured in both the pretest and posttest. The collected data were analyzed using paired t-tests, ANOVA, and Pearson correlation coefficients. Results: The score for confidence in nursing skills (t=10.60, p<.001) and that for critical thinking competence (t=7.03, p<.001) increased significantly after preclinical CPX. Conclusion: This study showed that preclinical CPX was effective in improving nursing students' confidence in their nursing skills and critical thinking competence. Therefore, preclinical CPX is expected to be utilized in nursing practice education. Additional studies including those on control groups are recommended to compare differences between the preclinical CPX group and control group.

• 한국산학기술학회논문지
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• 제20권9호
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• pp.351-361
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• 2019

본 연구는 동료평가를 활용한 핵심기본간호술의 실습교육평가방법이 졸업반 간호학생의 핵심기본간호술 수행능력, 학습태도, 비판적사고 및 셀프리더십에 미치는 효과를 파악하고자 하였다. 연구대상자는 핵심기본간호술 교과목 수강자 4학년 학생으로 총 326명이었으며, 자료수집은 2018년 한 학기동안 실시하였다. 자료는 AMOS 20.0과 SAS 9.3 프로그램을 이용하였으며 t-test, ANOVA, Pearson correlation coefficient, Scheffe test로 분석하였다. 연구결과로, 동료평가를 활용한 핵심기본간호술 수행능력의 평균평점은 3.77(${\pm}.62$)점, 학습태도 3.17(${\pm}.47$)점, 비판적 사고는 3.44(${\pm}.41$)점, 셀프리더십은 3.60(${\pm}.49$)점으로 나타났다. 핵심기본간호술 수행능력은 성별, 간호학 전공만족도, 핵심기본간호술 실습만족도, 동료평가 전 사전학습여부, 동료평가 만족도에 따라 유의한 차이를 나타냈다. 핵심기본간호술 수행능력은 학습태도(r=.295, p<.001)와, 비판적사고는 핵심기본간호술 수행능력(r=.384, p<.001), 학습태도(r=.623, p<.001)와, 셀프리더십은 핵심기본간호술 수행능력(r=.353, p<.001), 학습태도(r=.529, p<.001), 비판적사고(r=.690, p<.001)와 유의한 순상관 관계를 나타냈다. 핵심기본간호술 수행능력에 영향을 미치는 요인은 구조방정식 모형을 적용하였으며 비판적사고, 셀프리더십으로 나타났다. 따라서 이러한 연구결과를 바탕으로 핵심기본간호술 수행능력 향상을 위해 학습태도, 비판적사고 및 셀프리더십을 고려한 핵심기본간호술 실습교육프로그램 개발이 필요할 것이다.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.392-400
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• 2021

핵심기본간호술은 간호사가 환자를 효과적으로 돌보기 위해 반드시 가져야하는 기술이다. 본 연구는 모바일 기반의 성찰일지를 활용하여 교내실습 과정을 소개하고, 핵심기본간호술을 수행할 때 학생들이 직면하는 어려움을 측정하였다. 본 연구는 Kolb의 경험적 학습 과정을 기반으로 교내 실습을 진행한 후 분석되었다. 분석 자료로 학생들이 각 수업에 대하여 작성한 모바일 기반의 온라인 성찰일지를 활용하였다. 성찰일지의 내용을 분석하여 핵심술기 수행에 있어 어려움을 지식, 기술(수행), 태도로 구분하여 파악하였고, 핵심기본간호술에 대한 난이도, 중요도, 자신감도 평가하였다. 핵심기본간호술 평가 결과 학생들은 특히 기술적인 부분에서 다양한 측면의 어려움을 겪고 있었으며, 정맥수액주입 및 유치도뇨와 같이 핵심술기 난이도 "상"에 해당하는 항목에서 자신감이 부족한 것으로 나타났다. 또한 50% 이상의 학생들이 정맥수액주입 및 활력징후 측정을 가장 중요한 핵심기본간호술로 간주하였다. 향후 학생들의 핵심술기 수행 시 겪는 어려움을 해결하기 위해 다양한 콘텐츠 개발 및 교수법의 적용과 관련한 지속적인 연구가 필요할 것으로 사료된다.

• 중환자간호학회지
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• 제5권1호
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• pp.12-22
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• 2012

Purpose: This study was conducted to evaluate the learning outcomes of simulation-based practice on emergency care for patients with dyspnea in nursing students. Methods: One group pre-post experimental design with 28 nursing students was used. Simulation-based practice on the basis of SimMan Human Patient Simulator including academic lectures, simulation lab exercises and debriefing was applied for four and half hours. The learning outcomes were assessed by measuring knowledge, critical thinking, problem solving process of cognitive skills, self-confidence and learning attitudes of affective domain. Furthermore, self reported clinical performance ability of psychomotor skills was examined. Results: After the completion of simulation-based practice, there was a significant increase in the mean of following measured variables: knowledge, critical thinking, problem solving process of cognitive skills, self-confidence, learning attitudes of affective domain and clinical performance ability of psychomotor skills. Significant positive relationships were found among learning outcome measurement variables. Conclusion: Simulation-based practice is an effective method to improve cognitive skills, affective domain and psychomotor skills of nursing students. Hence, Simulation-based practice should be applied for improving current limited emergency care training for nursing students and enhancing students' competency in clinical situations.

• 대한간호학회지
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• 제39권2호
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• pp.249-258
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• 2009

Purpose: The purpose of this study was to develop a multimedia learning program for patients with diabetes mellitus (DM) diet education using standardized patients and to examine the effects of the program on educational skills, communication skills, DM diet knowledge and learning satisfaction. Methods: The study employed a randomized control posttest non-synchronized design. The participants were 108 third year nursing students (52 experimental group, 56 control group) at K university in Seoul, Korea. The experimental group had regular lectures and the multimedia learning program for DM diet education using standardized patients while the control group had regular lectures only. The DM educational skills were measured by trained research assistants. Results: The students who received the multimedia learning program scored higher for DM diet educational skills, communication skills and DM diet knowledge compared to the control group. Learning satisfaction of the experimental group was higher than the control group, but statistically insignificant. Conclusion: Clinical competency was improved for students receiving the multimedia learning program for DM diet education using standardized patients, but there was no statistically significant effect on learning satisfaction. In the nursing education system there is a need to develop and apply more multimedia materials for education and to use standardized patients effectively.