게임 기반 가상시뮬레이션 실습이 간호대학생의 지식, 자기효능감, 임상수행능력에 미치는 효과

한진희 ( Jinhui Han ),차지영 ( Chiyoung Cha ) 이화간호과학연구소 2024 Health & Nursing Vol.36 No.1

Purpose: The purpose of this study is to develop a virtual simulation game for nursing students to learn to care for COVID-19 patients and to test its effectiveness. Methods: A non-equivalent pre-posttest study design was adopted. From October 11 to October 22, 2021, 3rd-and 4th-year nursing students were recruited and sequentially assigned to the experimental group and the control group. The experimental group underwent two rounds of virtual simulation game-based practice of COVID-19 patients, and the control group listened twice to a video lecture on COVID-19 patient care. The COVID-19 knowledge, self-efficacy, and clinical performance of the two groups were assessed. Results: The study found that a virtual simulation game-based practicum did not significantly improve nursing students’ knowledge of COVID-19 patient care compared to video lectures, although both groups showed increased knowledge scores. However, self-efficacy and clinical performance were significantly better in the virtual simulation group than in the video lecture group. Conclusion: This study provides foundational data for alternative nursing training methods and improving training environments. Ongoing development of evidence-based virtual simulation games for diverse clinical scenarios is recommended. Nursing colleges should incorporate virtual simulation games in education to enhance students’ knowledge, self-efficacy, and clinical performance.

간호사의 비판적 사고성향과 간호근무환경이 투약안전 역량에 미치는 영향

홍지혜 ( Ji-hye Hong ) 이화간호과학연구소 2022 Health & Nursing Vol.34 No.2

Purpose: The purpose of this study was to examine the impact of nurses’ critical thinking disposition and nursing practice environment on medication safety competency. Methods: A total of 189 nurses who directly performed medication administration at a tertiary referral hospital in Seoul volunteered to participate in this study. Data collection was conducted using online surveys and was analyzed through technical statistics, t-test, one-way ANOVA, Scheffē test, Pearson’s correlation coefficient, and multiple linear regression. Results: The results revealed that both critical thinking disposition (β=0.498, p<.001) and nursing practice environment (β=0.212, p=.001) were significant predictive factors of medication safety competency. Conclusion: Critical thinking disposition and nursing practice environment were important factors affecting medication safety competency. Therefore, in order to increase critical thinking disposition, it is necessary to develop various teaching methods and apply them in nurse education programs as a way to indirectly improve medication safety competency. In addition, in terms of nursing practice environment, hospitals will need to improve working conditions and provide sufficient material support to maintain nursing workforce. Likewise, it is necessary to prepare and implement a nursing policy to increase the nursing workforce.

노인 간호에 대한 종합병원 간호사의 지식, 태도, 수행에 관한 연구

차정연 ( Jungyeon Cha ),정덕유 ( Dukyoo Jung ) 이화간호과학연구소 2019 Health & Nursing Vol.31 No.1

Purpose: The purpose of this study was to compare Emergency Department (ED) and ward nurses' knowledge, attitude and practices in geriatric nursing. Method: The subjects were ED and ward nurses working at three general hospital in Seoul. The research instruments was translated, modified and used as part of the older patients in acute care survey. Result: In terms of knowledge about geriatric nursing, ED nurses were more knowledgeable than ward nurses in a knowledge item that the joints of older patients are stiff(t =-2.353, p =.020). In terms of attitude about geriatric nursing, ED nurses agreed more than ward nurses that older patients could make decisions about their treatment(t =-1.991, p =.049). ED nursed agreed more than ward nurses that too many older patients receive life-sustaining treatments(t =-2.162, p =.032). In terms of practice about geriatric nursing, ward nurses thought it was more difficult than ED nurses to care older patients(t =-1.983, p =.049) and spent more time to prepare and older patients for discharge(t =-2.992, p =.003). In addition, there were differences in other 9 items between ED and ward nurses. Conclusion: Current findings support a need to develop strategies for ED nurses to raise the knowledge, attitudes and practices of geriatric nursing.

간호대학생의 시험불안, 문제음주, 우울, 수면의 질의 관계 -고카페인 음료 섭취를 중심으로-

한정진 ( Jungjin Han ),김세민 ( Semin Kim ),전혜리 ( Hyeri Chun ),유지호 ( Jiho Yu ) 이화간호과학연구소 2020 Health & Nursing Vol.32 No.2

Purpose: The purpose of this study was to investigate the test anxiety, problematic drinking, depression, and quality of sleep between high caffeine drink intake and non-intake group and identify factors influencing the quality of sleep among nursing students. Methods: The design of this study was a descriptive correlational study. 180 participants of 1th to 4thgrade nursing students completed the questionnaire. Data were analyzed by the SPSS/WIN22.0 using descriptive statistics, independent t-test, chi-square test, ANOVA, Pearson’s correlation and multiple regression. Results: The mean scores of test anxiety, problematic drinking, depression, and quality of sleep in the high caffeine drink intake group were significantly high compared to those of the non-intake group. Sleep quality showed a positive correlation with test anxiety and problematic drinking. High caffeine drink intake and problematic drinking were the influential factors predicting quality of sleep. Conclusion: This implies that health education and policies on managing sleep quality and intake of high caffeine drinks should be essential to promote the health of nursing students.

간호·간병통합서비스 병동과 일반 병동의 근골격계 질환으로 수술을 받은 대상자의 간호진단-간호중재-간호결과 연계체계 분석 및 비교

고정은 ( Jung Eun Koh ) 이화간호과학연구소 2019 Health & Nursing Vol.31 No.2

Purpose: The purpose of this study is to compare the NANDA-I(nursing diagnosis), NIC(nursing intervention), and NOC(nursing outcome) for musculoskeletal surgical participants between the comprehensive nursing care service ward and the general ward, and to identify the NANDA-NIC-NOC linkage to provide proper care. Methods: Data were obtained from the nursing records of participants. A total of 700 patents’ records were analyzed to describe the frequency and percentage of NANDA-I diagnosis, NIC interventions, and NOC outcomes for musculoskeletal patients. Collected data were analyzed using SPSS v23.0. Results: Comparison between the comprehensive nursing care service ward and the general ward, results of a t-test showed statistically significant results for age(t=-13.628, p=<.001), and chi-square test showed for gender(x2=15.290, p<.001), underlying diseases(x2=65.728, p<.001). The result of NANDA-I-NOC-NIC linkage for musculoskeletal surgical participants is as follows: Risk for infection-Medication management-Infection severity, Acute pain-Pain management-Pain control, Deficient knowledge- Teaching:preoperative-Knowledge: disease process. Conclusion: Registered nurses in the Comprehensive nursing care service ward provided more professional nursing process using the standard nursing language system. In the future, it is necessary to develop and apply NANDA-NIC-NOC linkage for patients with specific disease, and also for providing individual nursing care in various clinical fields.

Work Experience of Pregnant Shift Nurses: A Qualitative Study

( Dayoung Kim ),( Chiyoung Cha ) 이화간호과학연구소 2021 Health & Nursing Vol.33 No.1

연구목적: 본 연구의 목적은 임신한 교대근무 간호사의 근로경험을 기술하는 것이다. 연구방법: 본 질적연구에서는 국내의 4개의 상급종합병원에 근무하는 임신한 교대근무 간호사를 대상으로 2016년 1월부터 2017년 3월까지 자료수집을 수행하였다. 눈덩이 굴리기 기법을 이용하여 자료의 포화상태가 이루어질 때까지 18명의 참여자를 대상으로 비구조적이고 개방적인 질문을 통하여 면대면 인터뷰를 수행하였다. 인터뷰 내용은 필사 후 전통적 내용분석 방법을 이용하여 분석하였다. 연구결과: 자료분석 결과 4개의 주제와 10개의 카테고리가 도출되었다. 도출된 주제는 신체적 피로, 죄책감. 동료의 지지, 경력경로의 교차로이다. 결론: 교대근무를 하는 임신한 간호사의 모성보호를 위하여 조직차원의 체계적인 지지체계가 필요하다. 또한 간호사의 임신 및 출산에 맞추어 다양한 복지제도를 제공하여 간호인력이 간호전문직으로서 경력경로를 개발할 수 있도록 기반을 마련하여야 한다.

종합병원 간호·간병통합서비스병동 간호사와 일반병동 간호사의 직무만족 관련 요인

이현숙 ( Hyun-sook Lee ),박진화 ( Jin-hwa Park ) 이화간호과학연구소 2022 Health & Nursing Vol.34 No.1

Purpose: This study aimed to analyze and compare job satisfaction and its related factors of nursing care integrated service and general unit nurses. Methods: The participants were 345 nurses from 8 general hospitals working in the Kyungsang area. Data were collected from August through September 2018, by a structured self-administered questionnaire measuring general characteristics, nursing practice environment, emotional labor, nursing professionalism, and job satisfaction. The data were analyzed with IBM SPSS Statistics 25 program. Results: The participants were 170 nurses working in the nursing care integrated service unit and 175 nurses working in the general unit. The factors associated with job satisfaction in integrated service unit nurses were total years of clinical experience (β = -.11, p = .047), nursing practice environment (β = .52, p < .001), and nursing professionalism (β = .22, p = .009), which explained 51.0% of the variance. The factors of job satisfaction in general unit nurses were nursing practice environment (β = .55, p < .001) and emotional modulation efforts (β = .18, p = .006), explaining 51.0% of the variance. Conclusion: In order to increase the job satisfaction of nurses, a good work environment should be created through the efforts of associated units.

간호대학생의 영적안녕과 죽음에 대한 태도가 임종간호태도에 미치는 영향

이창관 ( Chang Kwan Lee ) 이화간호과학연구소 2022 Health & Nursing Vol.34 No.1

Purpose: This study aimed to explore the influences of spiritual wellbeing and attitude toward death on terminal care attitude among Korean nursing students. Methods: The participants were 146 nursing undergraduates from two nursing schools in Korea. The students responded to a self-report questionnaire that included demographics, spiritual wellbeing, attitude toward death and terminal care attitude. Results: In total, 71.9% of the participants were religious, 95.2%, and 67.8% had hospice education. The mean score of spiritual wellbeing of the students who were religious was significantly higher than among those who were not. Regression analysis indicated that existential spiritual wellbeing, attitude toward death, and Christian schooling were the most significant predictors of terminal care attitude. These explained 39.6% of variation in terminal care attitude. Conclusion: Death-related education is needed throughout the nursing curriculum including to develop a positive terminal care attitude. In this way, nursing undergraduates will be better prepared to cope positively and constructively with the suffering and death they will encounter and thus may minimize the distress they experience with patient death. may also create a significant positive increase in nurses’ terminal care attitude.

플립러닝을 활용한 산업간호 수업의 설계

변미진 ( Mijin Byun ),양숙자 ( Sookja Yang ) 이화간호과학연구소 2021 Health & Nursing Vol.33 No.1

Purpose: The purpose of this study is to develop instructional design for occupational health nursing education using flipped learning. Methods: The instructional design for occupational health nursing developed in this study combined the ADDIE (Analysis, Design, Development, Implementation, Evaluation) and PARTNER (Preparation, Assessment, Relevance, Team activity, Nub lecture, Evaluation, Reflection) models. Results: In the analysis step, course analysis, learner analysis, and environmental analysis are performed. In the design step, chapter lesson-plans, chapter lesson-material development plans, and session-specific lesson plans are included. In the development step, pre-learning materials, lesson materials, and evaluation materials are developed for each session. In implementation, teaching and learning activities are performed for each session of pre-class (preparation, assessment), in-class (relevance, team activity, nub lecture, evaluation), and post-class (reflection). Finally, in the evaluation step, learner evaluation and instructor self-evaluation are conducted. Conclusion: This study provides guidelines and reference materials for occupational health nursing education using flipped learning, as well as for the long-term, future development of nursing education. Therefore, the application and effect of flipped learning in occupational health nursing education should be studied.

투석실 간호사의 환자식이 자가간호 교육 경험

송현영 ( Hyunyoung Song ),황원선 ( Wonsun Hwang ),김원정 ( Won Jeong Kim ) 이화간호과학연구소 2019 Health & Nursing Vol.31 No.1

Purpose: This study describes experiences of nurses on self-diet education for hemodialysis patients and understandings of the role of nurses' on the education.. The results of this study will provide understanding for hemodialysis nurses and patients. Method: Research data were collected from interviews with five nurses and each interview was conducted separately. Five participants were interviewed until the data reached saturation point. Data were analyzed using van Manen's hermeneutic phenomenological analytic method. Result: Eight themes were identified in the first stage of data analysis and finally categorized into four essential themes. Each title of 4 essential themes are ‘Awareness of educational limitations’, ‘Understanding the individual differences among patients’, ‘Partner role in the tedious and isolated disease process’, and ‘The role of nursing guide by providing personalized educationto help self-care’. Conclusion: The results will be helpful for improving education skills for nurses at hemodialysis centers and provide in-depth information about the self care diet therapy for hemodialysis patients.