• 제목/요약/키워드: clinical skills training

검색결과 171건 처리시간 0.022초

임상간호사의 직무스트레스 요인과 반응에 관한 메타분석 (Meta Analysis about the Causal Factors and the Effect of Job-stress of Clinical Nurses)

  • 최서란;정혜선
    • 한국직업건강간호학회지
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    • 제14권1호
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    • pp.71-82
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    • 2005
  • Purpose: This study analyzed domestic articles that studied job-stress of nurses using Meta Analysis to evaluate the responses resulted from job-stress and the factors affecting them. Method: To conduct this study, data were collected primarily from database of "richis" and additionally from 8 nursing journals and 5 theses for a degree on job-stress of clinical nurses. Result: As a result of Meta Analysis casual factor of job-stress, the result represented that two reasons; personal factor was the age, occupational factor were ward, duration of employment and position. By the result of analysis of effect of job-stress, satisfaction of the job, exhaustion, health status and immersion of the job were strongly related to job-stress. According to the general solution against job-stress that referred from job-stress related theses, there are several; Imagination Therapy, Assertive Training and Value Clarification Training could bring significant result. Conclusion: This study showed that because job-stress of clinical nurses had nothing to do with personal factors, job-stress management plans for nurses are needed to focus on occupational factors. Also the study suggested that various coping skills that proved to be effective are needed to be used to relieve job-stress and that's responses on nurses.

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융합 액션러닝 기반 가상 시뮬레이션 프로그램이 간호대학생의 문제해결 능력, 비판적 사고, 의사소통 능력, 임상수행 능력에 미치는 효과 (The Effects of Virtual Simulation Program based Convergence Action Learning on Problem-Solving, Critical Thinking, Communication Skills, and Clinical Competency of the Nursing students)

  • 김경진;하영선;박용경
    • 한국융합학회논문지
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    • 제13권5호
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    • pp.489-499
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    • 2022
  • 본 연구는 융합 액션러닝 기반 가상 시뮬레이션 프로그램이 간호대학생의 문제해결 능력, 비판적 사고, 의사소통 능력, 임상수행 능력에 미치는 영향을 검정하기 위해 수행되었다. K시 소재 일 간호대학생 54명에게 비동등성 대조군 사전·사후 유사 실험연구으로 진행하였다. 자료수집 기간은 2021년 4월 12일에서 6월 18일까지이며, 수집된 자료는 IBM SPSS 23.0 program을 이용하여 분석하였다. 융합 액션러닝 기반 가상 시뮬레이션 프로그램 시행 결과, 실험군이 대조군보다 의사소통 능력, 임상수행 능력에 효과가 있는 것으로 나타났다. 본 연구를 통해 간호대학생을 대상으로 다빈도로 활용되는 시뮬레이션 교육을 적용함에 있어 다양한 교수법을 접목한 프로그램이 적극 활용될 필요성이 있으며, 융합 액션러닝 기반 가상 시뮬레이션 프로그램은 시뮬레이션의 효과를 향상시키는 방법으로 사용될 수 있을 것이다.

일선 간호관리자를 위한 리더십 훈련 프로그램 개발 (A Study on the development of leadership training program for first-line nurse managers)

  • 고명숙;한성숙
    • 간호행정학회지
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    • 제6권3호
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    • pp.333-345
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    • 2000
  • The health care environment becomes more competitive every day. It has fallen to nurse managers - from vice presidents of patient care to nurse managers and their assistants - to recruit and develop a workforce that successfully meets the needs of both patients and the organization. This means employees who demonstrate advanced critical thinking skills, creative problem solving, and sound decision making skills combined with clinical skills and patient advocacy. The environment which nurse managers create and the way they relate to their workforce, are pivotal to organizational viability. Especially leadership of first -line nurse managers contributes to the success of their organizations. First-line nurse managers are deserved to be one of the most administrative supervisors through the middle stratum in a hospital organization as being a manager in the field service if assessed from the overall aspects of hospital, as being an interim managers in the nursing department as well as being a supreme supervisor in a unit in terms of an organizational structure in the hospital. Similarly, as a compete leader, the first-line nurse managers have not only a professional which is qualified to perform a role of appropriate coordination with medical staff and key personnel but also hold an important key position a being responsible for performing his or her given role. The first-line nurse manager is expected to manage human and fiscal resources in ways not required before. While an identified need for well-prepared first-line nurse manager continues to plague the profession, first-line nurse managers often have difficulty providing the leadership required. The need leadership training to function effectively in their positions. But we hardly find a useful leadership training program for first-line nurse managers, therefore the purpose of this study was to developed the leadership training program for them. The steps of leadership program development were below: 1st step, 2 studies were done before develop a leadership program. One was done to ask to first-line nurse managers what they want to learn through leadership training, the other one was to ask the staff nurses what their opinions are for their first-line nurse managers leadership. 2nd step was searching other leadership programs contents. The results of this study were below: The total amount of hours is 24. Leadership training program contents are : Future of nursing profession (210min), understanding basic factor's of leadership and leadership theories(310 min), self understanding as first- line nurse managers(320 min), basic principle and practice of interpersonal relationship(210 min), assertiveness training, conflict management (180min), and group study(210min). This is challenging time to be a leader, especially in nursing. As nurse managers look toward the new millennium, it seems as through the same struggles are ahead that are behind. So nurse managers need to embrace change with a positive attitude. They need to demonstrate risk taking and support it in their staffs. All these things are possible that after they participate the leadership training program.

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시뮬레이션을 활용한 급성 흉통환자간호 실습교육의 효과 (Effects of High-fidelity Simulation-based Education on Nursing Care for Patients with Acute Chest Pain)

  • 한상영
    • 한국산학기술학회논문지
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    • 제15권3호
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    • pp.1515-1521
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    • 2014
  • 본 연구는 간호학생의 급성 심근경색증 간호에 대한 시뮬레이션 기반 교육을 적용하고 비판적 사고, 문제해결력 및 학업성취도의 효과를 규명한 단일군 전후 원시실험설계이다. 대상자는 총 137명이었으며 중재기간은 2011년 9월부터 10월까지 총 6주간 시뮬레이션 기반 교육을 시행하고 중재 전후를 평가하였다. 자료분석은 SPSS Win17.0을 사용하였고, 평균과 표준편차, Paired t-test, 피어슨 상관계수를 이용하였다. 연구 결과 시뮬레이션 기반 교육프로그램은 비판적 사고, 문제해결력 및 학업성취도를 향상시키는 것으로 나타났다. 비판적사고가 증대될수록 문제해결력은 향상되는 것으로 나타났다. 반면 비판적사고 능력과 문제해결력은 학업성취도와 유의한 차이가 없었다. 시뮬레이션 기반 교육프로그램은 간호학생의 실무능력을 향상시키기 위해 유용한 학습방법임을 알 수 있었고, 임상현장에서 흔히 접할 수 있는 다양한 사례의 시나리오를 개발하여 실습교육에 적극 활용할 필요가 있다. 이를 위해서는 더 다양하고 적절한 실습교육방법에 대한 개발과 운영이 필요할 것으로 보인다.

치위생과 학생의 비판적 사고 성향과 문제해결능력 (Critical Thinking Disposition and Problem-Solving Ability of Dental Hygiene Students)

  • 김지희;성희경;김혜진
    • 치위생과학회지
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    • 제14권3호
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    • pp.356-363
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    • 2014
  • 본 연구는 치위생과 학생의 비판적 사고성향과 문제해결능력 정도를 측정하고 이들 간의 관계를 규명하기 위해 시도한 연구이다. 2013년 4월에서 5월까지 부산과 울산 지역에 소재하는 3년제 치위생과 학생 649명을 연구대상으로 다음과 같은 결과를 얻었다. 비판적 사고성향은 총 평점 5점 만점에 3.20점이었으며, 1학년, 학업성적이 높은 학생, 대인관계가 좋은 학생, 전공만족도와 임상실습만족도가 높은 학생, 임상실습경험이 없는 학생이 비판적 사고성향이 높았다. 문제해결능력은 총 평점 5점 만점에 3.06점으로 나타났으며, 문제해결능력은 학업성적이 높은 학생, 대인관계가 좋은 학생, 전공만족도와 임상실습만족도가 높은 학생이 높게 나타났다. 학생들의 비판적 사고성향과 문제해결능력도 순 상관관계가 있는 것으로 나타났다. 비판적 사고성향에 영향요인은 문제해결능력, 대인관계, 전공만족이며, 문제해결능력에 영향요인은 비판적 사고성향, 학업성적으로 나타났다. 이와 같이 학업성적이 높은 학생, 대인관계가 좋은 학생, 전공만족도와 임상실습만족도가 높은 학생이, 비판적 사고성향과 문제해결능력이 높은 것으로 나타났다. 그러므로 문제 중심의 학습이나 근거 중심의 치위생과정 등의 다양한 교수학습 전략과 교육과정 개발을 통한 비판적 사고성향과 문제해결능력을 강화시킬 필요가 있다고 본다.

치위생과 학생의 현장임상실습교육에 관한 교수효율성 (Teaching Efficiency of Clinical Practice Education for Students in the Department of Dental Hygiene)

  • 이성숙;조명숙
    • 치위생과학회지
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    • 제10권5호
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    • pp.403-409
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    • 2010
  • 본 연구에서는 경기도 지역 치위생과 학생들의 현장임상실습교육에 있어 교수효율성을 파악하기 위하여 2010년 4월 12일부터 4월 26일까지 경기도에 소재한 7개 대학의 치위생과 3학년 학생 371명을 대상으로 자기기입식 설문법을 실시하였으며, SPSS WIN 12.0 프로그램을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 치위생과 학생의 임상실습교육 교수효율성은 '중' 정도인 것으로 나타났고, 교수효율성 요인에 대한 평가는 역할모델 요인이 3.40점으로 가장 높았다. 2. 임상실습기관 규모에 따른 교수효율성은 통계적으로 유의한 차이가 없었고, 교수효율성 하위영역에서는 전문적 지식요인이 대학병원에서 가장 높았고, 통계적으로 유의한 차이를 보였다(p=.005). 3. 치위생 전공만족도에 따른 교수효율성은 전공만족도가 높을수록 교수효율성이 높았고(p=.001), 교수효율성 하위영역에서는 대인 관계술, 원조자로서의 기능, 공정한 평가, 교과에 대한 조직력(p=.005), 격려와 지지, 교수법, 교과에 대한 전문적 지식(p=.001), 의사소통술, 좋은 역할모델, 치과직원과의 협조(p=.000)에서 통계적으로 유의하였다. 4. 현장임상실습 교수유형에 따른 교수효율성은 통계적으로 유의한 차이가 없었고, 교수효율성 하위 영역에서는 격려와 지지 항목에서만 통계적으로 유의하였다(p=.005). 이상의 결과를 종합해 볼 때 현장임상실습교육에 관한 교수효율성은 '중' 정도인 것으로 나타났고, 전공만족도가 높을수록 교수효율성이 높음을 알 수 있으므로, 교수효율성을 높이기 위해서는 다양한 교수법 및 체계적인 실습프로그램이 개발되어 임상실습교육의 질을 높여야 할 것이다.

간호수기 완전학습 프로그램 개발 및 평가 (Development and Testing of a Mastery Learning Program of Nursing Skills for Undergraduate Nursing Students)

  • 박소미;허혜경;김기경;송희영
    • 대한간호학회지
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    • 제47권4호
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    • pp.526-539
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    • 2017
  • Purpose: This study was undertaken to develop and test a mastery learning program of nursing skills for undergraduate nursing students. Methods: In this methodological study, first, the preliminary draft of a mastery learning program to provide training for nursing skills was developed based on Bloom's framework for mastery learning. Second, to test the developed program, a single-blinded, nonequivalent control group nonsynchronized study was conducted on 50 senior nursing students in a University selected by convenient sampling. Thirteen students were assigned to a control group; 13, 12, and 13 of them were assigned to intravenous therapy, transfusion, and patient transfer groups, respectively. The achievement levels and performance scores of the selected nursing skills were measured before and after the completion of the program in all the groups. Lastly, the final program was confirmed based on the results of the program testing. Results: Intravenous therapy, transfusion, and patient transfer were selected as essential nursing skills for the program based on the priorities rated by clinical instructors and staff nurses. The achievement levels of selected nursing skills were determined by Angoff scores. After participating in the program, the proportion of passers and performance scores of the nursing skills in the experimental groups were significantly higher than those in the control group. The final program was confirmed which included a diagnostic test, enrichment activities for the passers and three repetitions of corrective activities and formative assessments for non-passers. Conclusion: The results suggest that a mastery learning program for undergraduate students can lead to better improvement and performance of essential nursing skills.

응급구조사 교육 분야에서 의료 시뮬레이션의 활용 방안 모색 (An Exploration on the Use of Medical Simulation in Emergency Medical Technician Education)

  • 김지희
    • 한국화재소방학회논문지
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    • 제21권3호
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    • pp.104-112
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    • 2007
  • 교육, 훈련, 연구에 사용된 의료 시뮬레이션 교육으로서 마네킹 시뮬레이터(mannequin simulator)의 개발은 오랜 시간에 걸쳐 이루어지고 있으며, 심폐소생술, 심장 수술, 마취 임상 수기, 위기관리(crisis management)에 대한 효율성 평가로 이어졌다. 최근 한국의 여러 의과대학에서 시뮬레이션 교육을 도입하여 임상 수기 교육을 하고 있으며, 시뮬레이션 센터를 설립하고 있다. 선진국의 응급의학분야에서 응급구조사의 역할이 매우 중요하게 대두되고 있으며, 한국에서 응급구조사의 효율적인 교육과 역할 수행을 위해 마네킹 시뮬레이터를 이용한 교육이 매우 중요하다. 본 연구는 이러한 의학 분야 시뮬레이션이 의과대학 교육뿐 아니라 구조구급 분야에 종사하는 소방공무원, 간호사, 응급구조사 양성 교육 등 의료의 여러 영역에서 다양하게 이용되는 의료시뮬레이션 진화와 교육에 대해 소개하고자 한다.

임상실습 스트레스와 실습 만족도의 관계에 미치는 적극적 스트레스 대처의 매개효과 (Mediation Effect of a Positive Stress Coping Strategy in the Relationship between Clinical Practice Stress and Clinical Practice Satisfaction)

  • 이선영;전선영;김윤영
    • 보건의료산업학회지
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    • 제10권2호
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    • pp.193-204
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    • 2016
  • Objectives : The purpose of this study was to identify the mediation effect of a positive stress coping strategy between clinical practice stress and clinical practice satisfaction in nursing students. Methods : In this study, data was collected from 248 nursing students at K University in South Korea from October of 2015 to November of 2015. The collected data was analyzed using the SPSS 22.0 Statistics Program. Results : Clinical practice stress and a positive stress coping strategy were significant predictors of clinical practice satisfaction (${\beta}$=.442, p<.001). The explanatory power of the measure of clinical practice satisfaction was increased to 29.3% (p<.001) with solely clinical practice stress, and it reached 44.2% (p<.001) when a positive stress coping strategy was reflected. The results of this study confirmed that a positive stress coping strategy has a mediation effect on clinical practice stress and clinical practice satisfaction levels. Conclusions : It is necessary to develop a program to take advantage of positive stress coping skills so that nursing college students can smoothly overcome stress during their clinical training and thus improve their clinical practice experience.

The Effect of Dental Hygienists' Empathy the Elderly on their Communication Skills

  • Hyoung-Joo KIM;Han-Na GU;Na-Yeon TAK;Jun-Yeong KWON;Hee-Jung LIM
    • 웰빙융합연구
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    • 제6권4호
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    • pp.41-50
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    • 2023
  • Purpose: As life expectancy increases and interest in oral health increases, the opportunity to visit the dentist increases. To provide safe dental care for elderly patients and accurately identify their needs. We aim to understand the impact of knowledge, image, and empathy for the elderly on communication skills. Research design, data, and methodology: This study conducted an online survey using a convenience sample of 201 dental hygienists working in dental hospitals and clinics from October 4 to October 6, 2023. The purpose of the survey was explained and consent was obtained in the research consent form before being conducted. Results: Differences in knowledge, image, empathy, and communication skills among the elderly include age, clinical experience, need for elderly-related education, and confidence in oral care in elderly patients with systemic diseases (p<0.05, p<0.01, p<0.001). The factor affecting communication skills toward the elderly was empathy (t=15.416(0.000***)). Conclusions: Through this study, the communication skills with the elderly is a basic quality and attitude that dental hygienists must have. Therefore, it is essential to develop and implement empathy and communication skills training programs for dental hygienists, which can significantly contribute to fostering a positive trust-based relationship between elderly patients and dental professionals. This proactive measure is crucial in preparing for the upcoming era of an increasingly aged society.