• Korean Journal of Clinical Pharmacy
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• v.32 no.4
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• pp.336-351
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• 2022

Background: Prader-Willi Syndrome (PWS) is a rare genetic disorder. To improve the health deterioration of PWS, investigating optimal treatment options for PWS is required. Thus, we aimed to evaluate the efficacy of pharmacotherapies compared with supportive care or placebos in patients with PWS. Methods: PubMed and EMBASE databases were used to search for randomized controlled trials (RCTs) evaluating the efficacy of pharmacotherapy in PWS patients. Only RCTs that evaluating the efficacy of pharmacotherapy in PWS patients were retrieved. Results: A total of 26 studies were included to evaluate body composition, hormones, glucose levels and hyperphagia behavioral status. Pharmacological treatment group showed a significant decrease of body fat (mean difference (MD): -6.32, 95% confidence interval (CI): -10.58 to -2.06, p=0.004), a significant increase of lean body mass (LBM) (MD: 1.86, 95% CI: 1.43 to 2.30, p<0.00001) and insulin-like growth factor 1 (IGF-1) levels (MD: 241.62, 95% CI: 68.59 to 414.64, p=0.006) compared with the control group. Nevertheless, based on other outcomes evaluated by the current systematic review, pharmacological options showed different efficacy in treating PWS. Conclusion: Pharmacological therapies were effective to decrease significantly in body fat and increase significantly on LBM and IGF-1 levels in patients with PWS. However, still, individualized therapies should be considered in real-world practice in PWS treatment.

• Journal of East-West Nursing Research
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• v.20 no.1
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• pp.21-28
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• 2014

Purpose: This study was to identify the extent of and the relationships among self-efficacy, spiritual well-being, and job stress in clinical nurses. Methods: The subjects were 201 clinical nurses from three different general hospitals in B city. Data were collected from May 26 to August 9, 2012 and analyzed by using descriptive statistics, independent t-test, One-way ANOVA, Sheff$\acute{e}$ test, and Partial correlation coefficients. Results: The mean scores of self-efficacy, spiritual well-being, and job stress were moderate, 3.50, 3.58, and 3.44 respectively. There were statistically significant relationships between marital status, influence of religion, the number of night shifts per month, motives for choosing nursing as a career, job satisfaction and self-efficacy. Spiritual well-being was found to be significantly related to all participants' general characteristics, and job stress was significantly related to marital status and type of religion. There was a significantly weak positive correlation between self-efficacy and spiritual well-being, and a weak negative correlation between self-efficacy and job stress. There was no significant correlation between job stress and spiritual well-being. Conclusion: This study suggests that effective strategies to foster spiritual well-being is needed to enhance clinical nurses' self-efficacy, which should equip clinical nurses to better deal with job stress in their work places.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.4
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• pp.115-124
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• 2023

Purpose : This study investigated the effects of nursing students' emotional intelligence and interpersonal competence on their caring efficacy. Methods : This study surveyed 217 junior and senior nursing students from City B in South Korea between June 1 and June 30, 2023. The SPSS 22.0 program was employed to analyze the collected data by computing the frequency, percentage, mean, and standard deviation, as well as by conducting t-test, ANOVA test, Scheffe's test, Pearson correlation coefficient, and a multivariate regression analysis. Results : The nursing students exhibited an average emotional intelligence of 5.31±.78, interpersonal competence of 3.47±.56, and caring efficacy of 4.02±.62. The students' emotional intelligence showed significant differences in terms of satisfaction with their major (p<.001), satisfaction with the clinical practice (p<.001), satisfaction with their relationship with clinical practice instructors (p=.001), and the standard of living (p=.021). Furthermore, a significant difference in interpersonal competence was observed in terms of the students' satisfaction with their major (p=.003), satisfaction with the clinical practice (p=.001), satisfaction with their relationship with clinical practice instructors (p=.002), and subjective mental health (p=.005). Meanwhile caring efficacy demonstrated a significant difference with regard to the grade level (p=.001), satisfaction with the major (p<.001), satisfaction with the clinical practice (p<.001), satisfaction with their relationship with clinical practice instructors (p=.007), subjective mental health (p<.001), and subjective physical health (p=.047). The factors that affected the caring efficacy included interpersonal competence (p=.002), grade level (p<.001), satisfaction with the major (p=.004), and emotional intelligence (p=.020), all of which together accounted for an explanatory power of 22.3 %. Conclusion : Based on the results of this study, it is evident that further research related to the emotional intelligence, interpersonal competence, and caring efficacy of nursing students must be encouraged in the future. Furthermore efforts should be made to develop appropriate programs aimed at enhancing nursing students' caring efficacy by accounting for their emotional intelligence and interpersonal competence.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.3
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• pp.343-350
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• 2006

Purpose: This study was done to identify the relationship between self-efficacy and clinical skill competence of nursing students. Method: The participants in the study were 375 student nurses enrolled in 3rd & 4th year of a BSN program in Seoul and Gyeongi province, Korea. Data were collected from December 12, 2004 to November 30, 2005 using a structured questionnaire. Data were analyzed using SPSS 11.0 Win program. Results: The average score for self-efficacy was $3.21{\pm}0.60$, and for clinical skill competence $2.80{\pm}0.42$. The self-efficacy score showed a significant difference according to student's year in college (t=2.494, p=0.013), and GPA score (t=4.299, p=0.000). The clinical skill competence score showed a significant difference according to year in college (t=5.351, p=0.000), GPA score (t=2.997, p=0.003) and satisfaction with course (F=5.214, p=0.006). There was a significant positive correlation between self-efficacy and clinical skill competence (r=0.224, p=0.000). Conclusion: These findings show that there is a need to develop strategies to improve self-efficacy for student nurses in Korea. And also, it is recommended that programs to improve clinical skill competence need to be included in nursing curricula.

• Journal of Korean Academy of Rural Health Nursing
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• v.19 no.1
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• pp.35-43
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• 2024

Purpose: This study aimed to explore the influence of knowledge, problem-solving processes, and self-efficacy on the clinical competency of nursing students in the home health nursing management of diabetes mellitus (DM). Methods: The subjects of this study were 136 nursing students. Data were collected from April 18 to April 29, 2022, and analyzed using the SPSS 23.0 program. Results: The total mean scores of nursing students' knowledge, problem-solving process, self-efficacy, and clinical competency in DM home health nursing management were 71.24, 3.92, 7.47, and 4.09, respectively. Clinical competency was significantly and positively correlated with the problem-solving process (r=.60, p<.001) and self-efficacy (r=.48, p<.001) but not with knowledge (r=.09, p=.311). The problem-solving process was also positively correlated with self-efficacy (r=.41, p<.001). Regression analysis revealed a 41.4% variance in the nursing student's clinical competency with problem-solving process (β=.47, p<.001) and self-efficacy (β=.28, p<.001). Conclusion: The results of this study provide valuable evidence for the development of educational interventions aimed at enhancing the clinical competency of nursing students in relation to home-visit healthcare services for DM management.

• Korean Journal of Adult Nursing
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• v.22 no.2
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• pp.221-228
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• 2010

Purpose: The purpose of this study is to identify the relationship among clinical competence of diabetic diet education on standardized patients, self-efficacy, communication skill, learning satisfaction, and professional values of nursing students. Methods: The present study was a descriptive research. The participants were 144 junior nursing students in a university. The clinical competence on diabetic diet education was assessed by trained evaluators when nursing students performed diabetic diet education using the standardized patients. The students' self-efficacy, communication skill, professional values, and learning satisfaction were measured by themselves using the questionnaires. Results: The clinical competence on diabetic diet education showed positive correlations with communication skill and learning satisfaction, while the competence was not correlated to self-efficacy and professional values. Conclusion: The results of this study suggest that clinical competence on diabetic diet education may be more related to communication skills and learning satisfaction than self-efficacy and professional values. Promoting communication skills and learning satisfaction using a standardized patient may increase nursing students' competence on diabetic diet education.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.4
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• pp.539-547
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• 2008

Purpose: This study is done to identify how a clinical practice orientation program would affect anxiety, self-esteem and self-efficacy in college students in nursing. Method: Data was collected from 127 nursing students in February, 2008. The collected data were analyzed with the SPSS/Win 12.0 program, using t-test, ANOVA, paired t-test and Pearson's correlation coefficients. Results: The total mean scores were; anxiety 53.22/80, self-esteem 29.51/40 and self-efficacy in 59.76/85. Self-esteem and self-efficacy level were significantly different according to the level of Fundamentals practice and satisfaction with nursing as a major satisfaction(p=.001). The effect of the orientation program on clinical practice were a significantly increased in self-esteem and self-efficacy (p=.000). But in terms of anxiety, the effect was the opposite. So study to identify other factors causing anxiety and strategies to reduce the anxiety need to be considered. Conclusion: It is important to improve self-esteem and self-efficacy and the study results indicate that an orientation program is one strategy that needs to be developed to meet these needs for college students in nursing.

• The Journal of the Convergence on Culture Technology
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• v.10 no.1
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• pp.353-361
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• 2024

Simulation education is a method that allows learners to learn repeatedly in realistic simulated situations. It solves the limitations of clinical practice that lacks direct nursing performance and is useful for acquiring and developing the knowledge, nursing skills, communication skills, learning self-efficacy, and clinical reasoning required for nursing students. The purpose of this study was identify the effects of High fidelity simulation-based education on communication ability, learning self-efficacy and clinical reasoning of nursing students. The subjects were 84 nursing students who were enrolled in the senior who had received simulation training using dysphagia patient care scenario. Data were analyzed using SPSS/WIN 22.0. As a result, There was a statistically significant difference in the communication ability, learning self-efficacy, clinical reasoning. And the mean score of simulation effectiveness is 2.64 points (a perfect score of three). Therefore, In order to improve the communication ability, learning self-efficacy and clinical reasoning of nursing students, it is necessary to develop and apply realistic scenarios that reflect various clinical situations.

• Journal of Korean Clinical Nursing Research
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• v.19 no.2
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• pp.275-284
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• 2013

Purpose: This study was aimed to find out the effect of core competency and teaching style on preceptor self-efficacy among preceptors. Methods: One hundred twelve nurses working at four university hospitals with previous preceptor experience participated in the survey. The data were analyzed by t-test, ANOVA, Pearson correlation coefficients and multiple regression. Results: The preceptors used 'judgment-initiative' teaching style most frequently, and reported the highest scores in the role model dimension of core competency. There were significant positive relations between age (r=.266, p=.005), clinical experience (r=.274, p=.004), preceptorship experience (r=.204, p=.032), core competency (r=.593, p<.001) and preceptor self- efficacy. But preceptor self-efficacy was not significantly different depending on the teaching style (F=0.72, p=.54). The most predictive factors of the preceptor self-efficacy were core competency and teaching style (judgment)(F=31.849, p<.001). The explained variance for preceptor self-efficacy was 35.9% in the model. Conclusion: The preceptor self-efficacy is essential for the preceptors' successful teaching experience and the clinical competency improvement of the entry level nurses. Management for an effective preceptor training program needs to focus on the improvement of core competency of preceptors, which will lead to strengthen their self-efficacy.

• Journal of Digital Convergence
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• v.18 no.12
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• pp.469-479
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• 2020

This study was attemted to grasp the factors affecting the caring efficacy of senior nursing students. Data were collected from 173 nursing students at J university in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. Caring efficacy was positively correlated with clinical learning environment (r=.42, p<.001), field practice adaptation (r=.53, p<.001), nursing professionalism (r=.42, p<.001), and negatively correlated to clinical practice powerlessness (r=-.46, p<.001). The most influential factor on the subjects' caring efficacy was field practice adaptation (β=.330, p<.001), followed by nursing professionalism (β=.188, p=.005), clinical learning environment (β=.176, p=.015), introvert (β=-.146, p=.018), and extrovert (β=.134, p=.035). The explanatory power was 41.8%. Therefore, systematic nursing programs that can enhance caring efficacy are needed. Also, the following data can be utilized as basic data to help develop caring efficacy programs.