국군간호사관학교 군 응급 및 외상간호 교과목 교수-학습안 개발

전윤경,이미정 국군간호사관학교 군건강정책연구소 2024 군진간호연구 Vol.42 No.4

Purpose: This study aimed to develop a teaching-learning plan for emergency and trauma nursing courses by identifying learning concepts through an analysis of clinical demands and priorities, and to utilize such plan for Korea Armed Forces Nursing Academy (KAFNA) undergraduate nursing course. Methods: Based on a needs assessment survey, the study identified educational priorities for junior military nursing officers and developed a teaching-learning plan including didactic and practical components. Nursing officers who graduated from KAFNA within 3 years were asked to identify and prioritize the education needs. A panel of experts conducted a content validity evaluation. Results: A review on statistical data on emergency and trauma patient cases during the last 3 years identified 54 educational contents. To assess the educational needs for these 54 contents, a survey was conducted with 53 military nursing officers. The priority of these needs was determined using the Borich Needs Assessment Model. The contents that fall within the top 40% were selected. The core nursing skills required to achieve the educational goals were also added. A teaching-learning weekly plan was created and its content validity was verified by a panel of experts, leading to the formation of a 15-session teaching-learning plan. Conclusion: This study provides a teaching-learning plan that reflects real-world clinical demands, which will enhance the practical skills of military nursing students. The teaching-learning plan is expected to improve the adaptation of military nurses to emergency and trauma situations, ultimately contributing to advancement of patient safety and healthcare quality.

국군간호사관생도 인성 측정 도구 개발

이성원 ( Lee Sung-won ),강점숙 ( Kang Jum-sook ),조순영 ( Joe Seun-young ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.1

Purpose: This study is to develop a questionnaire to measure personalities for Korea Armed Forces Nursing Academy (KAFNA) cadet and test the validity and reliability of the questionnaire. Methods: The first draft of the questionnaire was prepared after conduction of a literature review and focus group interviews with total 30 KAFNA cadets in their 1st, 2nd, 3rd and 4th year at KAFNA. Then, 8 experts with minimum 2-year experience in teaching cadets discipline at KAFNA validated the 90 items of the first draft. To test the validity and reliability of the final questionnaire, data were collected from 327 cadets. exploratory factor analysis and internal consistency test were performed. Result: The final questionnaire with 52 items consists of 14 domains (patriotism, morality, leadership, passion, communication ability, cooperation, responsibility, honor, creativity, courage, patience, devotion, consideration, and leading by example), which explained 66.92% of the total variances. Chronbach's alpha for the total items was .90. Conclusion: This questionnaire could be used in the development and the evaluation of personality educations to teach and produce the right people for the best nursing officers.

ICNP 기반의 군병원 전자간호기록 시스템 개발

정유미 ( Yoo Mi Jung ),이은화 ( Eun Hwa Lee ),방연주 ( Yeon Ju Bang ),황선영 ( Sun Young Hwang ),전윤경 ( Yun Gyong Jeon ),김영아 ( Young Ah Kim ),김명자 ( Myung Ja Kim ) 국군간호사관학교 군건강정책연구소 2012 군진간호연구 Vol.30 No.2

연구목적: 본 연구는 군병원 간호장교의 간호기록을 질적·양적으로 향상시키기 위하여 확장성과 표현성을 인정받고 있는 간호용어체계인 ICNP 기반의 전자간호기록 시스템을 개발하기 위해 수행되었다. 연구방법 :본 연구는 ICNP 기반의 군병원 전자간호기록 시스템을 개발하기 위한 서술적 연구이며, 시스템 수명주기 모델(System development life cycle model)을 근거로 하였다. 개발단계는 1단계 표준간호진술문의 pool 구성및 ICNP 매핑과, 2단계 사용자 화면 구성의 두 개 단계를 주요 과정으로 하였다. 1단계는 2011년 3월 시작되어 2012년 2월 현재 계속 진행 중이며, 2단계는 2011년 3월부터 2012년 1월 말까지 수행·완료되었다. 연구결과: 총 113개의 간호진단을 도출하였으며, 간호사정 진술문 총 22,471개와 간호중재 진술문 총11,805개로 표준간호진술문 pool을 구성하였으며, 간호평가의 지표가 되는 간호결과 진술문은 간호사정진술문에 포함되었다. ICNP 매핑은 간호사정 진술문의 56.1%, 간호중재 진술문의 31.2%가 완료되었고 프로그램을 시범 운영하면서 지속 시행할 계획이다. 사용자 화면은 사용자들이 간호과정을 준수하며 작성할 수 있도록 구성하였고, 입·퇴원, 검사 및 시술 등 절차 기술을 위한 간호기록은 프로토콜 메뉴를 이용하여 간략하게 작성할 수 있도록 구성하였다. 결론: 본 연구는 ICNP 기반의 군 병원 전자 간호기록 체계를 개발하였으며 이를 통해 간호장교들이 보다 효과적·효율적으로 간호기록을 할 수 있을 것으로 기대한다.

국군간호사관학교 생도의 간호수행능력 영향요인

전윤경,김혜원,서양숙 국군간호사관학교 군건강정책연구소 2023 군진간호연구 Vol.41 No.2

Purpose: The purpose of this study was to understand the influencing factors of clinical nursing performance competency among Korea Armed Forces Nursing Academy (KAFNA) cadets with the aim of providing foundational data to enhance clinical nursing performance. Methods: This study was a descriptive study, with a sample size of 122, 3rd and 4th year cadets at KAFNA. Data was collected through a self-reported online survey platform from July 5, 2021 to November 2, 2021. The collected data were analyzed using SPSS. Results: The level of clinical reasoning competency, nursing process competency, communication skills, and clinical nursing performance competency of KAFNA cadets was found to be moderate or above compared to general nursing students. The clinical nursing performance competency of the cadets showed a positive correlation with clinical reasoning competency (r=.84, p<.001), nursing process competency (r=.78, p<.001), and communication skills (r=.58, p<.001). According to the results of a stepwise multiple regression, clinical reasoning competency (β=.63, p<.001), nursing process competency (β=.11, p=.297), communication skills (β=.17, p=.005), and satisfaction with nursing major (β=.34, p=.042) were significant, and these factors explained 73.8% of the variance in clinical nursing performance competency, which was statistically significant (F=82.38, p<.001). Conclusion: Based on these research results, it is suggested that in order to improve the clinical nursing performance competency of KAFNA cadets, educational programs should be operated to enhance their clinical reasoning competency, nursing process competency, and communication skills.

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 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.

국군간호사관학교 재난간호교육과정 운영추이 분석

조순영,정유미,김혜원,황선영,전윤경 국군간호사관학교 군건강정책연구소 2022 군진간호연구 Vol.40 No.1

Purpose: The purpose of this study was to analyze the operation trend of the Disaster Nursing Education Course (DNEC), developed by Korea Armed Forces Nursing Academy. Methods: This study analyzed learning concept, teaching methods, class time, and achievement of participants' educational objectives in DNEC. In addition, the relevance was identified by comparing the achievement of educational objectives with International Council of Nurses (ICN) Disaster Core Competency Version 2. Results: The learning concept of DNEC was identified as five major categories of 'disaster overview, disaster preparation, disaster response, disaster recovery, and Chemical, Biological, Radiological, Nuclear and Explosive (CBRNE)', and nine teaching methods were used. Among the major categories, 'disaster response' and 'CBRNE' accounted for the most class hours. On the trend line of class hours, 'CBRNE' showed an increasing trend, and the remaining four categories showed a decreasing trend. Among the teaching methods, lecture and group discussions occupied the most time. In the trend analysis, teaching with high fidelity simulators and standardized patients showed an increasing trend. Participants' achievement level of educational objectives was 4.13 out of 5 points on average. DNEC educational objectives achievement items were consistent with 28 of the 35 of ICN disaster core competency. Conclusion: This study is meaningful in analyzing operational trends for the first time. The processed data would contribute to improving the future DNEC, and provide implications for development direction of disaster nursing education in Korea.

수요자 요구에 근거한 국군간호사관학교 훈육프로그램 개발

조순영 ( Seun Young Joe ),이미영 ( Mi Young Lee ),이호진 ( Ho Jin Lee ),김연제 ( Yeon Je Kim ) 국군간호사관학교 군건강정책연구소 2014 군진간호연구 Vol.32 No.1

Purpose : A purpose of this study was to examine the demands of discipline program and develop the program suitable to cadets. Methods : This study was conducted in methodological study with the analysis and the design steps of Analysis, Design, Development, Implementation and Evaluation(ADDIE) among instructional design models. First, on the analysis step, in order to examine the necessity of the discipline program, focused group interview of 16 novice nursing officers and 8 experienced nursing officers who were in charge of disciplinary action was conducted. Secondly, on the design step, analysis of discipline programs of 4-military academy including Armed Forces Nursing Academy (AFNA) was held. Then, content validity of the program was verified with six of current officers. Results : The developed discipline program suggested 19-specific programs and management methods. And the guiding course for discipline program and 4 extra programs were added to the original. Conclusion : This study has a great significance in the aspect of presenting diverse characteristics and practical needs to the discipline program at AFNA.

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 그릿(Grit) 측정도구 개발

이인숙 ( Lee Insook ),조순영 ( Joe Seunyoung ),권오영 ( Kwon Oh-young ),송진 ( Song Jin ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.1

Purpose : The aim of this research is to develop a questionnaire to measure the grit of cadets in Korea Armed Forces Nursing Academy (KAFNA) and test the validity and reliability of the scale. Methods : The initial items were identified through a literature review and 4 focus groups of 17 cadets in their 3rd and 4th year at KAFNA. Content validation of the initial questionnaire with 53 items was evaluated by 10 experts which were 5 professors and 5 discipliners in KAFNA. To test the validity and reliability of the final questionnaire with 51 items, 320 cadets in their 1st to 4th year at KAFNA were surveyed. Furthermore, convergent validity, exploratory factor analysis and internal consistency test were performed. Results : The final questionnaire with 26 items are categorized into 5 domains (feeling recognized, perceiving the priorities, finding the meanings, motivating myself, having an interest), which explained 61.7% of the total variances. Cronbach's alpha for the total items was .94. Conclusion : This questionnaire could be used in the development and evaluation of educations and counseling to improve Grit.