• 간호행정학회지
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• 제19권1호
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• pp.95-107
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• 2013

Purpose: The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing. Methods: Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis. Results: During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations. Conclusion: The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.

• 성인간호학회지
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• 제23권6호
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• pp.605-614
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• 2011

Purpose: The purpose of this study was to investigate the relationship among loneliness, life satisfaction, social support and perceived health status, and further to identify factors affecting loneliness among hospitalized patients with pneumoconiosis. Methods: This study was a cross-sectional descriptive survey. A sample of 205 hospitalized patients with pneumoconiosis was recruited from August 10 to 27, 2011. The data were collected using structured questionnaire and were analyzed with SPSS/WIN 17.0 program. Results: The mean score of loneliness was very high (46.5). The levels of loneliness depended on several factors including the duration of coalworker caregiver, personality, exercise, hobbies and reported complications. The reported loneliness was significantly correlated with life satisfaction (r=-.204, p=.003). family support (r=-.220, p=.002), professional medical team support (r=-.303, p<.001) and perceived health status (r=-.175, p=.012). The influential factors affecting loneliness were professional medical team support, life satisfaction, and personality, perceived health status, complication and family support, which explained about 21.8% of the variance. Conclusion: The results of this study indicate that nursing intervention is needed to reduce loneliness, and to improve the perceived health status, social support and life satisfaction in the hospitalized patient with pneumoconiosis. These results can provide for evidence of nursing intervention to facilitate reduction of loneliness.

• 한국응급구조학회지
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• 제18권3호
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• pp.91-104
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• 2014

Purpose: This study aimed to confirm the effects of a simulation-based program on knowledge and clinical performance in the post-operative management of emergency patients. Methods: This was a pre- and post-research design with a nonequivalent control group and randomly sampled 29 experimental and control groups, respectively from nursing department juniors for 4 weeks from September of 2014. The experimental group received lectures, team study, team simulation, and debriefing in post-operative management of simulation-based emergency patients and control group conducted in the traditional lecture-type setting. Educational learning effects were measured by using the knowledge and clinical performance measurement tools of 15 and 20 items, respectively. Data were analyzed by using the SPSS program, including frequency, ratio, and results from the Chi-square test, Fisher's exact test, Kolmogorov-Smirnov test, t-test. Results: Our research results indicate that, the experimental group showed significantly higher knowledge and clinical performance score compared with the control group. Conclusion: We confirmed that education on post-operative management of simulation-based emergency patients was an effective educational method to improve the knowledge and clinical performance of nursing students.

• 한국간호교육학회지
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• 제25권3호
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• pp.331-343
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• 2019

Purpose: This study focuses on investigating the effectiveness of simulation education on emergency management using a low-fidelity simulator as related to clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in new nurses. Methods: A pre-post test experimental design of nonequivalent control group was applied. Fifty-five new nurses were recruited, 28 nurses for the experimental group and 27 nurses for the control group. A simulation education for emergency management comprising knowledge lecture, team learning, skill education, team simulation, and debriefing was developed and implemented from Feb. 14 to 27, 2015. Data were analyzed with percentage, average, and standard deviation, chi-square, and t-test using SPSS. Results: The experimental group showed significantly higher knowledge (t=5.81, p<.001), clinical skill performance (t=10.08, p<.001), self-confidence (t=-6.24, p<.001), critical thinking disposition (t=2.42, p=.019), and learning satisfaction (t=4.21, p<.001) for emergency management compared with the control group who had traditional lecture education. Conclusion: The results indicate that a simulation education using a low-fidelity simulator is an efficient teaching method for new nurses to deepen their clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in learning emergency management.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.7098-7108
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• 2015

본 연구는 간호대학생들의 기초간호과학 해부학교육에 팀기반 학습이 학습태도, 학습동기와 자기주도적 학습력에 미치는 효과를 측정하기 위해 시행된 방법론적 트라이앵귤레이션 연구이다. 해부학 교과목을 수강한 145명을 6~7명의 팀을 나누어 팀기반 학습을 12주간 시행하여 교과목 수강전후 설문조사와 팀기반 학습에 대한 적용에 대한 반구조적인 면담술을 하였다. 양적연구는 SPSS WIN 18.0 을 이용하여 빈도, paired t-test, Pearson Correlation Coefficient으로, 질적연구는 내용분석을 시행하였다. 연구결과 간호대학생들의 학습동기(t=-2.97, p<.003)와 자기주도적 학습력(t=-2.40, p<.018)이 유의하게 증가하였다. 또한, 학습태도, 학습동기와 자기주도적 학습력 간에 유의한 상관관계가 있었다. 따라서 팀기반 학습을 해부학 수업에 효과적인 교육법이며 추후 타 교과목에서의 팀기반 학습 적용에 대한 지속적인 연구가 필요하다.

• 한국간호교육학회지
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• 제27권4호
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• pp.423-435
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• 2021

Purpose: The purpose of this study is to identify the educational needs of a severe trauma treatment simulation program based on mixed reality which combines element of both virtual reality and augmented reality. Methods: Focus group interviews were conducted with ten military hospital nurses on February 4 and 5, 2021. The collected data were analyzed using a qualitative content analysis. As a framework for data analysis, the educational needs were clustered into the following four categories: teaching contents, teaching methods, teaching evaluation, and teaching environment. Results: The educational needs for each category that emerged were as follows: three subcategories including "realistic education reflecting actual clinical practice" and "motivating education" for teaching contents; five subcategories including "team-based education," "repeated education that acts as embodied learning," and "stepwise education" for teaching methods; six subcategories including "debriefing through video conferences," "team evaluation and evaluator in charge of the team," "combination of knowledge and practice evaluation" for teaching evaluation; six subcategories including "securing safety," "similar settings to real clinical environments," "securing of convenience and accessibility for learners," and "operating as continuing education" for teaching environment. Conclusion: The findings of this study can provide a guide for the development and operation of a severe trauma treatment simulation program based on mixed reality. Moreover, it suggests that research to identify the educational needs of various learners should be conducted.

• 여성건강간호학회지
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• 제22권4호
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• pp.221-232
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• 2016

Purpose: The purpose of this study was to examine the applicability of a flipped learning course in Women's Health Nursing for nursing students. Methods: A total of 200 senior nursing students participated in flipped learning class of pregnancy, delivery and postpartum area, which included team-based learning and self-reflection for 8 weeks. One group pre-post test design was adopted and the changes in learning motivation and satisfaction were examined. In addition, reflective journals of the students were analyzed by making a qualitative content analysis. Results: Students showed a significant increase in score of learning motivation in the posttest (t=-4.47, p<.001). They had a mean of 3.90 in learning satisfaction out of possible five points. As a result of content analysis, three themes were selected: 'Improved attitude toward active learning', 'Burden caused by excessive workload', and 'Valuing to the team-based activity' To be specific, six sub-themes were selected, with three positive and three negative categories: 'improved class attention and understanding', 'positive class participation by preparing lessons in advance', 'peer interactions through discussion', 'A lot of time and effort consuming', 'stress caused by the burden of preparing lessons', and 'difficulties in cooperative activities'. Conclusion: This study supports and confirms that the flipped learning can be a creative instructional model of positive teaching-learning strategy in clinical nursing courses to enhance students' learning motivation.

• 의학교육논단
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• 제21권2호
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• pp.112-122
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• 2019

The purpose of this study was to identify the current status of the new graduate nurses' education system, to establish guidelines for the education of new graduate nurses, and to provide dates for the improvement of the education system. Eighty-nine hospitals participated in the survey from July to August 2018. The questionnaires consisted of 24 items including general characteristics, new graduate nurses' education system, operation of nursing education teams, and preceptorship programs. The average duration of education/training for new graduate nurses was 57.3 days, and 26.6%-58.5% of general hospitals, hospitals, and long-term care hospitals had less than 30 days of new graduate nurses education/training, which is shorter than the education/training period of tertiary hospitals. There were new nursing education guidelines in 88.8% of all medical institutions and 58.6% of them had nursing education teams. Most of the personnel in charge of nursing education were not dedicated to education. A total of 87.6% of the all participating medical institutions had preceptorship programs, while 23.1%-33.3% of hospitals and long-term care hospitals did not. The breakdown of preceptorship programs showed 68.4% as "preceptor and preceptee are in charge of one team, and preceptor is teaching preceptee," and 19.7% were "preceptor and preceptee are in charge of each team, and preceptor is teaching preceptee at the same time." These results show that standardization and management of new graduate nurses' education programs is necessary. For the standardization and management of new graduate nurses' education programs, joint efforts of nurses' associations and support from the government should be encouraged.

• Journal of Hospice and Palliative Care
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• 제11권1호
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• pp.12-29
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• 2008

목적: 본 연구는 의사, 간호사, 사회복지사, 사목자, 자원봉사자로 구성된 호스피스팀원들이 각자의 전문영역에서 중복되지 않으면서 필요한 정보를 효과적으로 공유할 수 있는 표준화된 기록지를 개발하여 호스피스 대상자들에게 적절한 돌봄을 제공하는데 도움을 주고자 수행되었다. 방법: 초기 개발된 기록지를 근거로 문헌 고찰과 전문가 집단의 자문을 통해 수정 보완하는 델파이 기법을 이용한 방법론적 연구이다. 결과: 각 전문가별로 총 27명의 자문가의 의견을 수렴하여 최종 11가지 가정 호스피스 팀 기록지가 개발되었다: 등록기록지, 초기 평가기록지 (의사용), 경과기록지(의사용), 방문 기록지 (간호사용, 봉사자용), 영적돌봄 초기 면담지, 방문 기록지 (사목자용),사회적 돌봄 면담지 (사회복지사용), 사별가족 초기 면담지, 사별가족 돌봄 기록지, 종결 기록지. 결론: 본 연구를 통해 개발된 11종의 호스피스 팀 기록지는 가정호스피스 팀원간의 의사소통을 원활히 하고 질 높은 서비스를 제공하는데 기여할 수 있으리라고 기대된다.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2023년도 제68차 하계학술대회논문집 31권2호
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• pp.675-678
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• 2023

본 연구는 팀기반학습을 활용한 교과목을 수강한 간호대학생 56명을 대상으로 동료평가와 학업성취도와의 관계에서 수업몰입의 매개효과를 검정하였다. 매개효과 분석은 PROCESS macro Program의 model 4를 부트스트래핑(bootstrapping)을 이용하여 검정하였다. 분석 결과는 첫째, 동료평가, 수업몰입과 학업성취도 간에 유의한 정적 상관이 있는 것으로 나타났다. 둘째, 수업몰입은 동료평가가 학업성취도에 미치는 영향을 부분매개 하는 것으로 확인되었다. 동료평가가 간호대학생을 위한 TBL 과정에서 수업몰입과 팀워크를 촉진하고 궁극적으로 학업성취도를 향상시키는 효과적인 도구가 될 수 있음을 시사하며, 교수자가 학생의 학습성과를 개선할 수 있는 보다 효과적인 교육 전략 및 개입을 개발하는 데 도움이 될 수 있다.