국군간호사관학교 2018-2021 교육과정 개발

최주영 ( Choi Ju-young ),권영훈 ( Kwon Young Hoon ),정유미 ( Jung Yoomi ),곽용녀 ( Kwoak Yong Ney ),고은자 ( Ko Eun Ja ),이동제 ( Lee Dong-jae ),이수진 ( Lee Su Jin ),이순영 ( Lee Soon Young ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.1

Purpose : This study aimed to develop a curriculum for cadets who enter Korea Armed Forces Nursing Academy from 2018 to 2021. Methods : Using the competency-based curriculum development process, the authors reviewed literature, interviewed focus groups, and conducted modified-Delphi method. Focus group interviews were done with faculty and cadets at KAFNA, middle managers and junior officers in military healthcare settings. Modified Delphi method has been implemented to verify the validity of the developed curriculum with a panel of 14 experts. The curriculum was finalized through a public hearing and the steering committee of education in KAFNA. Results : The curriculum of 146 credits was developed with six core competencies, six educational objectives, and eight program outcomes linked to one another. The Delphi for the newly developed curriculum demonstrated the average content validity ratio (CVR) of .86, a convergence level of .91, and a consensus degree of .21. Conclusion : The curriculum was successfully developed with high consensus. However, it should continue to be renewed and updated to educate and train the cadets as excellent nursing officers, as the society, the military, and the healthcare environment will not stop changing.

국군간호사관생도와 민간간호대학생의 자아탄력성, 자기효능감과 소명의식의 비교

정원주,조순영,김수현,신다은,오효진,이은주,김동호 국군간호사관학교 군건강정책연구소 2023 군진간호연구 Vol.41 No.2

Purpose: The purpose of this study was to investigate the comparison of self-resilience, self-efficacy, and vocation of Korea Armed Forces Nursing academy (KAFNA) cadets and civilian nursing college students. Methods: This study was a descriptive comparative study. 121 KAFNA cadets and 117 civilian nursing college students participated in this study. Data were collected from July 1 to July 22 using structured questionnaires. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients. The structured questionnaire consisted of 32 questions of self-resilience, 23 questions of self-efficacy and 24 questions of vocation. Results: The mean of self-resilience was 3.71±0.35 for KAFNA cadets and 3.37±0.48 for civilian nursing college students (t=5.64, p<.001). In addition, the mean of KAFNA cadets' self efficacy was 3.42±0.53 which was higher than 3.11±0.48 score of civilian nursing college students (t=4.81, p<.001). And the mean of vocation for KAFNA cadets' and civilian nursing college students was 2.89±0.60, 2.39±0.62 respectively (t=6.32, p<.001). Finally, the degrees of self-resilience, self-efficacy, and vocation for KAFNA cadets' were higher than that of civilian nursing college students. There was a statistically significant difference between the degrees of self-resilience, self-efficacy, and vocation for KAFNA cadets' and that of civilian nursing college students. Conclusion: Based on this study results, in order to strengthen the self-resilience, self-efficacy, and vocation, it is necessary to develop educational nursing curriculums for disasters or emergencies. Therefore these education can lead to the development of professional nursing capabilities as well as disaster nursing capabilities.

국군간호사관생도의 재난인식, 재난준비도와 재난간호역량1

서송화 ( Seo Songhwa ),서은영 ( Suh Eun Young ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.1

Purpose : The aim of this study was to investigate disaster perception, disaster preparedness and disaster nursing competency among Korea Armed Forces Nursing Academy (KAFNA) cadet and to identify factors influencing disaster nursing competency. Methods : A cross-sectional study was done with a convenience sample of 322 cadets from KAFNA. Data were collected through self-reported questionnaires during July and August, 2017. 313 valid questionnaires were statistically analyzed using t-test, ANOVA, descriptive statistics, Pearson’s correlation coefficient, and multiple regression. Results : The item mean scores for disaster perception, disaster preparedness, and disaster nursing competency were 3.32±6.47, 8.21±2.91, and 3.34±0.80 respectively. There were significant positive correlations between disaster preparedness and disaster nursing competency(r=.694, p<.001). Disaster preparedness and disaster nursing education showed to be significant factors in disaster nursing competency(F=147.65, p<.001). Conclusion : It is important to introduce items which help learners prepare for disasters to improve their disaster nursing competency into the KAFNA curriculum. A future study with regard to comparison between Korea Armed Forces Nursing Cadets and civilian nursing school students would be useful.

국군간호사관학교 생도의 간호역량과 군인정신이 재난대비역량에 미치는 영향

서혜주,권다혜,남윤주,박선진,송부경,유희주,황신우 국군간호사관학교 군건강정책연구소 2022 군진간호연구 Vol.40 No.1

Purpose: The purpose of this study was to investigate the influence of nursing competencies and military spirit on disaster preparedness among Korea Armed Forces Nursing Academy (KAFNA) cadets. Methods: This descriptive study was conducted from the 3rd and 4th grade KAFNA cadets. The data were collected from August 17 to 20, 2021. The structured questionnaire consisted of 106 questions about nursing competencies, military spirit, disaster preparedness, and general characteristics of participants. Results: The average score of nursing competencies, military spirit, and disaster preparedness were 3.92±0.48, 3.71±0.61 and 3.35±0.60 out of 5. Disaster preparedness was positively correlated with nursing competencies (r=.62, p<.001) and military spirit (r=.38, p<.001). There was significantly positive correlation between nursing competencies and military spirit. (r=.51, p<.001). The significant influencing factors on disaster preparedness were ‘nursing competencies’ (β=0.51, p<.001) and ‘4th grade’ (β=0.59, p<.001). Conclusion: To enhance the disaster preparedness of cadets in response to disasters, an education program for KAFNA cadets should be focused to improve the nursing competencies based on disaster nursing education.

국군간호사관생도의 수면의 질, 수면위생이 생도생활적응에 미치는 영향

정태연,곽혜민,임선우,장근창,조현정,최지민,박윤진,이진이 국군간호사관학교 군건강정책연구소 2020 군진간호연구 Vol.38 No.3

Purpose: The aim of this study is to investigate the influence of sleep quality, sleep hygiene on cadet life adjustment in Korea Armed Forces Nursing Academy (KAFNA). Methods: This study was conducted from August 5 to October 31, 2019, using a self-reported questionnaire among 257 KAFNA cadets. Results: KAFNA cadet sleep quality was 3.02±0.43, sleep hygiene was 4.80±0.56 and cadet life adjustment was 3.57±0.44. KAFNA cadets showed lower quality of sleep and sleep hygiene than emergency medical workers and shift nurses. The lower sleep quality and sleep hygiene were negatively correlated with cadet life adjustment with statistical significance. These two factors accounted for 31.8% of cadet life adjustment. Conclusion: The cadets cope with low sleep quality and low sleep hygiene to cadet life adjustment, and those actions can be perceived as adjustment. It is necessary to search for various variables related to sleep, which will contribute to the improvement of sleep and cadet life adjustment.

국군간호사관생도의 조직몰입, 간호즉응력 및 간호전문직관

최주영 ( Choi Ju-young ),이순영 ( Lee Soonyoung ),전윤경 ( Jeon Yungyong ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.2

Purpose: The purpose of the study is to investigate the level of institutional commitment, nursing professionalism, and nursing readiness of Korea Armed Forces Nursing Academy (KAFNA) and to analyze correlations among variables. Methods: This study was a cross-sectional descriptive study. Data were collected from 299 cadets from all student years. The self-reported questionnaire is composed of items about general features, institutional commitment, nursing readiness, and nursing professionalism. Results: The mean score of institutional commitment, nursing readiness, and nursing professionalism was 3.93, 3.43, and 3.64 respectively. The level of institutional commitment, nursing readiness, and nursing professionalism was significantly different according to the general features, commonly to ‘student year’. Institutional commitment and nursing readiness were significantly correlated among upper years of cadets but not in lower years. Institutional commitment and nursing professionalism had significant correlation among all student years. Conclusion: Based on the results, it is suggested that KAFNA’s relevant personnel consider the grade year of cadets when developing an education or training program. Furthermore, Educational opportunities must be provided for cadets that as they go up in years they maintain their level of institutional commitment. Lastly, support and educational intervention are essential for senior cadets in order to maintain the high institutional commitment even after they graduate from KAFNA.

국군간호사관학교 학년별 간호전문직관 워크숍의 효과

정유미,황신우,김수정,한선옥,이주희 국군간호사관학교 군건강정책연구소 2023 군진간호연구 Vol.41 No.1

Purpose: This study is a mixed methods research conducted to verify the effectiveness of the Nursing Professionalization Workshop program for cadets, military nursing students, at the Armed Forces Nursing Academy. Methods: Nursing professionalism scores were measured by questionnaires before, after, and two weeks after the workshops, and qualitative data were collected through focus group interviews. The subjects' general characteristics and level of nursing professionalism were analyzed using descriptive statistics. The difference in the level of nursing professionalism before and after the workshop was analyzed by paired t-test and repeated measures ANOVA. Qualitative data were analyzed using the framework method. Results: Nursing professionalism scores increased significantly before and after the workshops, but there was no interaction between groups * time. By analyzing the data obtained from the focus group interview, 307 codes were extracted, analyzed, and organized to derive ten sub-themes and four themes. The main themes of this study were 'Establishing an identity for nursing', 'Development of nursing professionalism', 'Preparation for future nursing officers', and 'Awareness and request for the redesign of Nursing Professionalism Workshop'. Conclusion: It was found that the Nursing Professionalism Workshops affected the formation of positive nursing professionalism among cadets. It was confirmed that it was necessary to develop various educational topics and teaching methods according to the opinions presented by the cadets.

국군간호사관학교 졸업생의 재난간호역량 영향요인 : 그릿, 직무만족, 교육목표 달성도를 중심으로

김혜원,김수연,원영주,조순영 국군간호사관학교 군건강정책연구소 2023 군진간호연구 Vol.41 No.4

Purpose: The aim of this study was to identify the effects of grit, job satisfaction, and graduating achievement on disaster nursing competency of Korea Armed Forces Nursing Academy (KAFNA) graduates with less than 5 years of working experience. Methods: The study design was a descriptive correlational survey with 204 KAFNA graduates participating. Data on grit, job satisfaction, graduating achievement, and disaster nursing competency were collected using an online survey. The data were analyzed with descriptive statistics, independent t-test, Man-Whitney test, one-way ANOVA, Kruskal-Wallis test, Pearson correlation coefficient, and multiple regression by using the SPSS program. Results: The mean scores of grit, job satisfaction, graduating achievement, and disaster nursing competency were 3.42±0.53, 3.85±0.65, 4.16±0.42, and 4.59±0.60 respectively. The factors affecting disaster nursing competency were grit, job satisfaction, graduating achievement, and workplace with 56.6% of explanatory power. Conclusion: It is recommended to improve grit, job satisfaction, and graduating achievement to promote the disaster nursing competency of KAFNA graduates. It is also suggested to enhance KAFNA graduates' disaster nursing competency during their training period and maintain that competency throughout their service.

국군간호사관생도의 가상현실(VR) 기반 핵심간호술 실습교육 경험

이미정,최주영,한선옥 국군간호사관학교 군건강정책연구소 2023 군진간호연구 Vol.41 No.3

Purpose: This study was conducted to describe the lived experience of the VR core nursing skills training program from the learner's perspective among cadets in Korea Armed Forces Nursing Academy. Methods: The VR training program using a head-mounted device and hand motion tracking technology. Twenty cadets from third- and fourth-year were asked to use the program and respond to semi-structured questions using a reflection journal. The data were analyzed using content analysis techniques. Results: Among 339 statements, 249 meaningful sentences were derived by integrating similar contents. Seven categories of 'Experiencing immersion and fun with new technology', 'Considering the training as thinking practice, not memorization procedure', 'Feeling psychological comfort from virtual reality', 'Feeling physical effects of wearing equipment', 'Practicing skills repetitively without additional cost', 'Experiencing limits of untouchable virtual reality technology', and 'Expecting the future progress' were identified. Conclusion: The VR core nursing skills training program enables independent practice at the learner's own pace and is useful for learning step-by-step theoretical evidence. It is necessary to develop a core nursing skills training program in the future which may complement the advantages and disadvantages of current VR training nursing programs.

국군간호사관학교 교육목표 달성도 평가도구 개발

조순영,최선영,김혜원 국군간호사관학교 군건강정책연구소 2020 군진간호연구 Vol.38 No.2

Purpose: The purpose of this study is to develop the scale for assessing the education goal achievement of Korea Armed Forces Nursing Academy (KAFNA). Methods: Initial items were drawn from relevant literature reviews and focus group interview with 21 participants. Content validity index about initial items was reviewed by 9 experts. Exploratory and confirmatory factor analysis was conducted between May and June in 2019, with data collected from 316 nursing officers who have not passed 5 years since graduation of KAFNA. Results: Exploratory factor analysis showed 7 factors (Basic nursing skill, evidence based practice, loyalty & leadership, military nursing, health promotion, patient centered nursing, nurse professionalism) including 31 items with 62.6% of the total variance. Confirmatory factor analysis revealed 31 items in the 7-factor structure. Reliability was Cronbach α .93. Conclusion: These results of statistical analysis indicate that the scale proposed may be used as an objective tool for the effectiveness of KAFNA's educational goals. It is expected that the scale offers quantitative indicators which can be used improving competency-based nursing curriculum of KAFNA.