• 기본간호학회지
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• 제21권3호
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• pp.283-291
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• 2014

Purpose: This study was done to explore clinical competence and factors related to competence in nursing students. Methods: Data were collected using structured questionnaires from 210 students in three different schools located in D, B and P metropolitan cities, Korea. Data were using PASW (SPSS) 18.0 program, and included t-test, one-way ANOVA, Pearson correlations coefficients, and multiple regression analyses. Results: There were positive correlations between clinical competence and ego-resilience (r=.40. p<.001), critical thinking dispositions (r=.58, p<.001), and self-leadership (r=.14, p=.043). Variables such as critical thinking dispositions, ego-resilience, satisfaction with clinical practice education, health status and academic performance explained 48% of variance in clinical competence. Conclusion: According to the above results, a specific education program for clinical competence of student nurses is needed to increase critical thinking dispositions, ego-resilience, satisfaction with clinical practice education, health status and academic performance.

• 한국치위생학회지
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• 제10권1호
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• pp.197-213
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• 2010

Objectives : This research identified the frequency and satisfaction level of the observation and performance practice during the clinical practice process conducted by dental hygiene students. With the goal of providing base data required for the development and operation of increasingly effective clinical practice program and for the improvement of the existing clinical practice training. Methods : The subjects in this study were 278 students of a university located in Masan. Survey comprised of 49 questions in 10 clinical practice domains was conducted. Results : 1. As for the observation practice by each grade, there was significant difference in oral radiology, pediatric dentistry, periodontology, oral surgery(p<0.05). As for the performance practice executed for each grade, there was significant difference in the oral radiology, preventive dentistry and oral surgery(p<0.05). As for the satisfaction level for each grade, there was significant difference in basic medical service(p<0.05). 2. As for the observation practice by each clinical practice institution, there was significant difference in oral medicine, oral radiology, preventive dentistry, prosthodontics, pediatric dentistry, orthodontics and oral surgery(p<0.05). As for the performance practice executed by each practice institution, there was significant difference in basic medical service, oral medicine, oral radiology, operative dentistry, prosthodontics, orthodontics, oral surgery(p<0.05). As for the satisfaction level by each practice institution, there was significant difference in the oral radiology, preventive dentistry, operative dentistry, prosthodontics, orthodontics, oral surgery(p<0.05). Conclusions : As for the satisfaction level for the clinical practice, basic medical service is the crimary care clinical practice which is most basic and that is executed the most in a dental clinic. Satisfaction level was the highest in the domains where there were extensive observation and practice frequency. By conducting observation and practice frequency in the clinical practice process by each clinical practice domain in a broad and diverse manner, it would be possible to improve the ability of the clinical practice trainees who improve their clinical work execution capability and satisfaction level on the clinical practice.

• 융합정보논문지
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• 제9권11호
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• pp.47-54
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• 2019

본 연구는 핵심기본간호술 실습교육이 간호학생의 임상수행능력에 영향을 미치는 요인을 알아보기 위한 서술적 조사연구이다. 자료수집은 G도에 소재한 전문대학 간호학과 3, 4학년 학생 169명을 대상으로 수집하였으며, 수집된 자료는 SPSS 25.0 프로그램을 활용하여 t-test, ANOVA, Pearson's correlation coefficient, multiple regression으로 분석하였다. 핵심기본간호술 경험은 수행자신감(r=.446, p<.001)과 정적상관관계를 임상수행능력(r=-.206, p=.001)과 부적상관관계를 수행자신감은 임상수행능력(r=-.346, p<.001)과 부적상관관계를 갖는 것으로 나타났다. 본 연구에서 임상수행능력에 미치는 영향 요인은 수행자신감(${\beta}=-.317$, p<.001)으로 나타났으며, 임상수행능력 설명력은 11.3%인 것으로 나타났다. 따라서 간호대학생의 원활한 실습교육을 위해 임상수행능력 향상을 위한 효과적인 실습교육 프로그램이 필요할 것이다.

• PNF and Movement
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• 제9권2호
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• pp.45-53
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• 2011

Purpose : Many researchers have attempted to identity the reliability used in clinical examination of balance and gait performance for individuals of hemiparetic stroke. The study aims to evaluate whether the reliabilities of three popular clinical measures of balance and gait performance was consistency regardless of applicate experience of those clinical measures compared with previous studies for persons with hemiparetic stroke. Methods : A total of three hemiparetic stroke populations and twenty-six physical therapists were recruited from Glory hospital, Inchen, Korea in this study. The three clinical measures, involving Berg balance test (BBT), dynamic gait index (DGI), and Tinetti performance-oriented mobility assessment (POMA), were assessed in two sessions that were seven days apart. Results : The POMA was showed a good intrarater and interrater reliabilities in people with hemiparetic stroke regardless of measure's experience in clinical field. However BBT and DGI were showed below moderate intrarater and interrater reliabilities. Conclusion : The POMA could be a reliable measure to evaluate functional postural stability and gait performance in hemiparetic stroke patients compared with other two clinical measures regardless of measure's experience of physical therapists.

• 간호행정학회지
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• 제9권4호
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• pp.515-527
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• 2003

Purpose: The purpose of this study was to examine the work stress and nursing performance of clinical nurses' and to identify relationship between work stress and nursing performance. Method: This descriptive study queried 316 clinical nurses, selected by convenient sampling from four hospitals. Demographic characteristics, work stress and Nursing performance were measured. Descriptive statistics, t-test, ANOVA were performed to identify relationship between work stress and nursing performance on SPSS WIN 10.0. Result: The study subjects reported that the younger they were, the higher work stress they experienced and the lower nursing performance they behaviored. Also, the longer they worked as a nurse, the lower work stress they experienced and the higher nursing performance they hehaviored. The nurses working at ICU experienced more work stress. The nurses working at pediatric ward reported higher nursing performance. The married nurses' nursing performance was higher than unmarried nurses'. There was significant negative correlation between work stress and nursing performance among nurses. Conclusion: These results suggest that the nurse who experience higher work stress couldn't perform optimistic leveled nursing performance. Strategic planning for nursing administer and avoidance of work stress were discussed.

• 임상간호연구
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• 제18권3호
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• pp.381-390
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• 2012

Purpose: This study was conducted to examine the effects of simulation-based infection control training on the ICU nurses' perception, clinical performance, and self-efficacy of infection control. Methods: Thirty-eight nurses were assigned into two groups using a career stratified randomization. In the experimental group, the subjects received a simulation-based infection control training, whereas the control group participated in a conventional lecture-based training. Two weeks after the completion of the training sessions, the participants were evaluated for perception, clinical performance, and self-efficacy regarding the infection control. Results: The experimental group that received simulation-based infection control training showed an improvement in perceiving the infection control compared to that of the control group, but the difference was not statistically significant. In terms of the clinical performance, the experimental group and the control group scored $26.05{\pm}3.22$ and $18.53{\pm}3.37$ points respectively, demonstrating a statistical significance (p<.001). There was no significant difference between the two groups in regards to the self-efficacy. Conclusion: The developed simulation-based infection control training showed positive effects in improving clinical performance of infection control over conventional lecture-based training, confirming that a simulation-based training is an effective method in advancing the practical performance of ICU nurses.

• 한국융합학회논문지
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• 제9권12호
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• pp.495-507
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• 2018

본 연구는 간호대학생의 간호정보활용역량과 문제해결능력, 자기주도적 학습능력, 임상수행능력의 인과관계에 대한 경로모형을 구축하고 검증하기 위해 시도되었다. 간호학과 4학년에 재학 중인 208명을 대상으로 설문지를 이용하여 2018년 6월 4일부터 6월 18일까지 자료를 수집하였다. 연구결과 간호대학생의 간호정보활용역량은 문제해결능력(${\gamma}=.70$, p<.001)), 자기주도적 학습능력(${\gamma}=.53$, p<.001)에 유의한 직접효과를 나타내고, 임상수행능력에 유의한 직접(${\gamma}=.31$, p<.001) 및 간접효과(${\gamma}=.31$, p=.007)를 나타냈다. 이들 변수들의 임상수행능력에 대한 설명력은 46.2%였다. 따라서 간호대학생의 문제해결능력, 자기주도적 학습능력 및 임상수행능력을 향상시키기 위해서는 간호정보활용역량을 강화시킬 수 있는 교육프로그램 개발을 권장한다.

• 임상간호연구
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• 제15권1호
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• pp.133-147
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• 2009

Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.

• 산업융합연구
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• 제21권10호
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• pp.159-166
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• 2023

본 연구는 간호대학생의 핵심간호술 수행자신감과 임상수행능력의 관계에서 문제해결능력의 매개효과를 확인하기 위한 서술적 조사연구이다. D시에 소재한 S대학의 간호대학생 211명을 대상으로 2023년 8월 14일부터 2023년 8월 18일까지 자가 기입식 설문지로 자료수집하였다. 수집된 자료는 R.4.2.2를 이용하여 기술통계, Pearson 상관계수로 분석하였다. 매개효과는 lavaan package의 sem function, multilevel package의 sobel function을 활용하여 분석하였다. 본 연구에서 핵심간호술 수행자신감, 문제해결능력, 임상수행능력 간의 양의 상관관계가 있는 것으로 나타났으며, 핵심간호술 수행자신감과 임상수행능력의 관계에서 문제해결능력은 부분매개 효과가 있는 것으로 확인되었다. 따라서 간호대학생의 임상수행능력을 향상시키기 위해서는 핵심간호술 수행자심감과 문제해결능력을 향상시켜야 한다.

• 한국콘텐츠학회논문지
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• 제11권4호
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• pp.312-320
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• 2011

이 논문에서는 일개 POC(Point Of Care) 시스템을 사용하는 의료기관을 중심으로 의약품 처방조제지원 시스템(Clinical Decision Support System, CDSS)과 조직성과와의 관계를 규명하는 것에 목적을 두고 있다. 이를 위하여 정보시스템 평가요소에 대해 정의를 내리고, CDSS의 성과 평가 모형을 제시하여 설문조사 분석을 통해 의약품 처방조제지원시스템의 도입 효과를 밝히고자 하였다. 분석결과 시스템 품질을 제외하고는 각 평가 영역들 사이에 인과성이 존재하는 것으로 분석되었으며, 통계적으로 유의하게 지지되는 것으로 분석되었다. 평가모형 검증결과 의약품처방최적화를 위한 CDSS의 시스템 품질이 사용자 만족도에 영향을 미친다는 근거를 발견할 수 없었다. 그러나 정보품질이 사용자의 만족도에 긍정적인 영향을 미치며 사용자 만족은 조직성과에 긍정적인 영향을 미치는 것으로 나타났다.