국내 간호학사 임상실습교육 개선을 위한 탐색적 연구 -미국 3개 대학 간호학사 임상실습교육 중심으로-

양경희(Kyung Hee, Yang),최귀윤(Gui Yun, Choi),조은희(Eun Hee, Jo),Park Suna 한국간호연구학회 2019 한국간호연구학회지 Vol.3 No.2

Purpose : This study was conducted to investigate clinical nursing practice hours and framework of three universities programs in the United States in order to provide basic data to improve nursing clinical practice education in Korea. Methods : Three BSN programs were selected by convenience and the data were collected for the comparison analysis. Data collection was conducted based on the website of the designated BSN programs and interviews with nurse practitioners, nurses and students at the nursing field in a university hospital from November 2018 to March 2019. Results : Clinical practice hours were between 660 and 990 hours in the three US nursing programs. In comparison to the Korean standard(1,000 hours), clinical hours in the US nursing programs were up to 340 hours less. Clinical practice instructors were university faculties, nurse practitioners or field nurses. The clinical instructors taught and guided the students in small groups of 6 to 7 students. Senior students experienced the role of a professional nurse by following a clinical nurse like a shadow and receiving one-on-one guidance during clinical practice. Conclusion : In Korea, more comprehensive and effective standards for BSN clinical practice are required and systems should be established in which competent and experienced nurses in nursing fields guide students as clinical instructors.

임상간호사의 공감능력과 간호조직문화인지가 임상의사결정능력에 미치는 영향

황혜정 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.18

Objectives This study investigates the influence of clinical nurses' empathy ability and Cognition of nursing organizational culture on clinical decision-making ability. Methods Data collection was conducted on 198 clinical nurses at two general hospitals at P City from February10 to February 28th, 2023. The data responded to the survey were analyzed using descriptive analysis, t-test, One-way ANOVA, Pearson's correlation coefficient, and Hierarchical Multiple Regression Analysis. Results As results of this study, empathy ability scored 5.01 out of 7, Cognition of nursing organizational culture 3.47 out of 5, decision-making ability score was 3.56 out of 5. Empathy ability was significantly higher when the woker higher departmental experience (F=2.567, p<.05), the higher position (F=3.662, p<.05). Cognition of nursing organizational culture increased woker higher departmental experience (F=2.753, p<.05) and higher the position (F=3.234, p<.05). Clinical nurses' of clinical decision-making ability was correlated with empathy ability(r=.568, p<.001) and there was a correlation with Cognition of nursing organizational culture (r=.467, p<.001), there was a correlation with also correlated with empathy ability(r=.370, p<.001). Empathy ability(β=.457, p<.001) and Cognition of nursing organizational culture (β=.298, p<.001) had an effect on clinical decision-making ability, explaining 39.9% of the variance. In other words, it was results show that higher levels of empathy ability and Cognition of nursing organizational culture were associated with enhanced clinical decision-making ability. Conclusions Based on the results of this study, there is a need of the development and application of programs to clinical decision-making ability improvement program to strengthen clinical competency of Clincal nurses.

임상간호사의 간호전문직관이 임상의사결정능력에 미치는 영향: 비판적 사고성향과 핵심간호술 수행자신감의 이중매개효과

정미현,서요한,이관수,최병란 한국응용과학기술학회 2024 한국응용과학기술학회지 Vol.41 No.4

본 연구는 임상간호사의 간호전문직관과 임상의사결정능력 간의 관계에서 비판적 사고성향과핵심간호술 수행자신감의 이중매개효과를 검증하여 임상의사결정능력 향상을 위한 기초자료로 활용하기위해 실시한 서술적 조사연구이다. 연구대상자는 일 지역의 종합병원 임상간호사 173명이며, 2023년 9월15일~10월 13일까지 자료수집을 하였다. 자료분석은 SPSS/AMOS 23.0 프로그램을 이용하여 연구변인들간의 인과적 관계 분석과 부트스트래핑 추정방식으로 매개효과를 검증하였으며, t-test, ANOVA, Scheffe’s test, Pearson's correlation coefficient, hierarchical regression을 실시하였다. 연구결과, 첫째, 임상간호사의 간호전문직관, 임상의사결정능력, 비판적 사고성향과 핵심간호술 수행자신감 간의 인과모형의적합성은 타당하게 성립하였다. 둘째, 간호전문직관에서 임상의사결정능력에 대한 영향관계에서 비판적 사고성향은 부분매개효과를 나타냈다. 셋째, 이중매개효과를 검증한 결과, 비판적 사고성향의 간접효과가 비판적 사고성향과 핵심간호술 수행자신감의 간접효과보다 크게 나타나 이중매개효과보다는 단일매개 효과가 큰 것으로 나타났다. 따라서 임상간호사들의 높은 간호전문직관의 함양은 임상의사결정능력을 향상시킬수 있으며, 특히, 비판적 사고성향을 강화시키는 것이 더 효율적임을 검증하였다 This study is a descriptive research study conducted to verify the dual mediating effect of critical thinking disposition and core nursing skill performance confidence in the relationship between clinical nurses' nursing professionalism and clinical decision-making ability and to use it as basic data for improving clinical decision-making ability. The study subjects were 173 clinical nurses at a general hospital in a region, and data were collected from September 15 to October 13, 2023. Data were analyzed using the SPSS/AMOS 23.0 program to verify the mediating effect by analyzing the causal relationship between the research variables and the bootstrapping estimation method, and t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and hierarchical regression were performed. The results of the study include: First, the appropriateness of the causal model between clinical nurses' nursing professionalism, clinical decision-making ability, critical thinking disposition, and core nursing skill performance confidence was valid. Second, critical thinking disposition showed a partial mediating effect in the relationship between nursing professionalism and clinical decision-making ability. Third, as a result of verifying the dual mediating effect, the indirect effect of critical thinking disposition was greater than the indirect effect of critical thinking disposition and core nursing skill performance confidence, indicating that the single mediating effect was greater than the dual mediating effect. Therefore, it was verified that fostering high nursing professionalism in clinical nurses can improve clinical decision-making ability, and in particular, strengthening critical thinking disposition is more effective.

간호대학생의 실무역량 강화를 위한 현장실습 개선방안: 포커스 그룹 인터뷰 연구

신수진,탁영란,송라윤,권소희,송준아,김진선 질적연구학회 2022 질적연구 Vol.23 No.2

Purpose: To determine the current status and demand for innovation of clinical nursing practicum and to suggest strategies to improve clinical nursing education to strengthen clinical nursing competencies. Methods: Focus group interviews were conducted with 21 participants who could provide sufficient information on nursing practice education. Collected data were analyzed using content analysis. Results: The following four main themes were identified: ‘revision of nursing curriculum to demonstrate competencies as a nurse after graduation’, ‘activating clinical nurses’ participation in undergraduate education’, ‘strengthening education and training after obtaining a license to demonstrate clinical competencies of new nurses’, and ‘institutional support for the introduction of various clinical practice systems’. Conclusion: Results of this study showed that curriculum revision to improve clinical nursing competencies should be based on integrated clinical practice model. Securing sufficient clinical nurse educators belonging to the practice institution is most important. In addition, political and financial support should be provided to strengthen academic-practice partnership.

임상과 임상시험을 경험한 간호사의 직무만족에 관한 연구

강천국 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.1

This study was undertaken is to improve the working conditions by improving the job satisfaction of clinical research nurses and clinical nurses involved in and conducting clinical trials. The survey was conducted from November 6 to December 6, 2017 for 100 nurses working in Seoul and Gyeonggi-do. The accumulated data were analyzed by frequency analysis, reliability verification, and t-test using the SPSS program. Our results reveal that job satisfaction was higher for clinical nurses (2.94 ± 0.609 points) as compared to clinical research nurses (2.89 ± 0.620 points). Also, the satisfaction level of salary received was higher amongst the clinical nurses than the clinical research nurses. Furthermore, although career decision was relatively lower for the clinical nurse than the clinical research nurse, the importance of job performance and job stability ranked high. Considering importance of the role of clinical research nurses in clinical trials, it is necessary to enhance their job satisfaction by improving the clinical trial environment such as appropriate treatment and professional role, and the working environment including remuneration, professional status, and administrative work to establish their jobs. 본 연구는 임상간호사를 경험하고 임상시험 연구간호사 직무를 수행하고 있는 임상시험 연구간호사의 직무만족을 통하여 근무여건을 개선하기 위하여 서울, 경기지역에 근무하는 간호사 100명을 대상으로 2017년 11월 6일부터 12월 6일까지 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 이용하여 빈도분석, 신뢰도검증, t-test를 실시하였다. 분석결과 다음과 같다. 첫째, 직무만족도는 임상간호사는 2.94±.609점으로 임상시험 연구간호사 2.89±.620점보다 직무만족도가 높게 나타났다. 둘째, 보수 만족도에 있어 임상간호사가 임상시험 연구간호사에 비해 상대적으로 높게 나타났고, 행정업무, 자율성 만족도는 임상간호사가 임상시험 연구간호사에 비해 낮게 나타났다. 셋째, 진로결정에서는 임상간호사는 임상시험 연구간호사에 비해 상대적으로 낮게 나타났지만, 수행업무의 중요성, 직업의 안정성은 임상간호사가 임상시험 연구간호사에 비해 상대적으로 높게 나타났다. 국내외 임상시험에 대한 수요가 증가하고 있고 이에 따라 임상시험 연구간호사에 대한 수요도 꾸준히 증가할 것이다. 임상시험에 있어 임상시험 연구간호사의 역할이 중요하기 때문에 임상시험 연구간호사의 직무만족을 높이기 위해서는 보수, 전문직 지위, 행정업무 등 경력에 맞는 적절한 처우, 전문적 역할 및 근무환경조성 등 임상시험 환경에 맞는 직무가 확립되도록 개선 방안이 마련되어야 할 것이다.

한국 임상간호사 역할정립에 관한 연구 Ⅱ : 한국 임상간호사 역할의 타당성 연구 A study on the validity of the clinical nurse's role

김주현,강현숙,권성복,김동옥,박영숙,서문자,손영희,손행미,이여진,이은희,임난영,조경숙,한혜자,성영희,박정원,이계숙 병원간호사회 2005 임상간호연구 Vol.10 No.2

Purpose: This study examined the validity of 40 roles of a clinical nurse guided from 'A study on the establishment of the nurse's role in Korea', and describes the classification, definition, and work of each role. Thus, this performed to provide basic material which is necessary for establishing developed nursing policy and nursing law. Method: This study was composed of four procedures, the first step was to examine the validity of first contents; the second step was to examine the validity of second contents; the third step was to finally figure out the role of a nurse from the total information; and the fourth step was to suggest the definition of nurse's roles and work. In order to support the procedure, researcher panel discussion, clinical practitioner panel discussion, and researcher team workshop with clinical practitioners and finally researcher team workshop were carried out. Result: In the first step of examining the validity of contents, we reorganized 761 conducts of nursing role, 80 classifications of nursing role, and 40 roles of nursing. In the second step of examining the validity of contents, we classified 40 roles of nursing in a simple and important sequence if possible, and corrected the terms to be clear, unified, and not overlapped. In the third step of examining the validity of contents, we figured out 689 conducts of nursing role, 82 classifications of nursing role, and 18 roles of nursing by incorporating process and roles of nursing in a sequence from general to unique, and specific through panel discussion and workshop of researchers. Conclusion: This study examined the validity of 40 roles of a clinical nurse guided from 'A study on the establishment of the nurse's role in Korea', and describes the classification, definition, and work of each role. Accordingly, it is expected that this study can be used as necessary material for building a policy in establishing the role of a clinical practitioner.

간호사가 지각하는 전문직 자아개념, 수간호사의 리더십과 간호사 업무수행 능력간의 관계

김영진,송현경,이미애 한국간호과학회 간호행정학회 2011 간호행정학회지 Vol.17 No.1

Purpose: This study was performed to investigate the perceived relationship among professional self-concept, head nurse's leadership, and nursing clinical competency by clinical nurses. Methods: This study was a cross-sectional survey. Participants were 601 nurses working at the five general hospitals in four provincial cities, Gyeungbuk, Korea. Data were collected from July 14, 2010 to August 31 and analyzed by SPSS/PC ver 18.0 programs. Results: Professional self-concept and head nurse's leadership were slightly above the middle average, but nursing clinical competency was good. According to participants' age, marital status, job satisfaction, and length of service, there were perceptional differences in professional self-concept, head nurse's leadership, and nursing clinical competency. Nursing clinical competency could be explained by head nurse's leadership, professional self-concept, job satisfaction and length of service. Head nurse's leadership was independent variable affecting nursing clinical competency, professional self-concept was partial mediating variable, and job satisfaction and length of service were extraneous variables. Conclusion: It is concluded that head nurse's leadership is more important than professional self-concept to improve nursing clinical competency. Nursing managers should plan various strategies to improve head nurse's leadership and professional self-concept, to increase clinical nurses' job satisfaction and length of service.

간호대학생을 위한 임상수행 자기효능감 척도 개발 및 타당도, 신뢰도 검증

최희정,김수은,정하림 한국간호교육학회 2022 한국간호교육학회지 Vol.28 No.3

Purpose: The COVID-19 pandemic has increased the importance of nurses' clinical performance, and accordingly, nursing educators have emphasized students' clinical practice and performance. This study developed a Clinical Practice Self-Efficacy Scale for nursing students and examined its psychometric properties. Methods: The authors reviewed instruments for selecting items for the scale in the areas of clinical skills, communication, infection control, safety, and nursing process. After preliminary items were selected, ten experts consisting of nursing professors and clinical nurses reviewed the items considering Korean clinical and educational situations. The data for the psychometric evaluation was collected from 257 nursing students in their 2nd, 3rd, and 4th years and then analyzed. Results: The confirmatory factor analysis showed that the goodness of fit of this scale with five factors represented by 40 items was appropriate. The significant positive correlations with general self-efficacy indicated sound construct validity. The senior nursing students showed higher scores than others, as we expected. Cronbach’s alpha was .94. Conclusion: The Clinical Practice Self-Efficacy Scale is appropriate for measuring Korean nursing students' self-efficacy of clinical practice. It is expected to act as a good tool to measure the effects of clinical practice education.

간호중재분류체계(NIC)에 따른 성인간호학 임상실습 내용 분석 및 중요도 분석

김은정,김광숙,성경미,신현숙,신혜경,이영자,정석희,김대란 대한의료커뮤니케이션학회 2018 의료커뮤니케이션 Vol.13 No.2

Background: The purpose of the study was to analyze the contents and importance of clinical practicum education in adult health nursing. Methods: This is a descriptive study using content analysis for identifying the items of clinical nursing checklists gathered from 13 university nursing programs accredited by Korean Accreditation Board of Nursing Education. Items in the checklist were standardized in accordance with the Nursing Intervention Classification (NIC) and categorized into simple-technical skill, complex-technical skill, and disease-specific care. The perceived significance of each item was examined by surveying nurses who in charge of nurse education from various clinical setting. Results: A total of 182 items in the clinical practicum contents were analyzed, and the terminologies of each item were variously described among nursing schools. Fifty percent of the total items were categorized into simple-technical skill. In terms of clinical importance, expert validity results showed that nurses considered infection control, infection protection, and fall prevention as the most significant items, which was not the same as the most common items in the clinical nursing checklist. Conclusion: These findings suggest that standardized nursing terminologies are needed to describe a nursing practicum checklist. Clinical importance of each item in the checklist should be taken into consideration in developing a clinical nursing checklist to assist the students in achieving the competencies as a clinical nurse.

Trends in research on clinical reasoning in nursing over the past 20 years: a bibliometric analysis

유영미,한숙원 한국과학학술지편집인협의회 2022 Science Editing Vol.9 No.2

Purpose: Clinical reasoning is an essential component of nursing education. This study aimed to identify the trends in research on clinical reasoning in nursing over a 22-year period.Methods: The Web of Science Core Collection was used as the target database, with the search terms “clinical reasoning,” “clinical judgement,” and “clinical decision.” The scope of the search included the subject, abstract, author’s keywords, and Keywords Plus for each article. Our literature search included journal articles from 2000 to 2021, with the subject area restricted to nursing. A total of 4,675 articles met the inclusion criteria after the removal of duplicates using digital object identifier. We used bibliometric analyses to conduct quantitative and statistical analyses of publication trends, the journals and countries with the most publications, the most productive authors, the most globally cited documents, and the most frequent keywords.Results: In nursing, studies related to clinical reasoning have increased significantly since 2000. The most prolific country has been the United States. The journal with the most publications was the Journal of Clinical Nursing. The most productive author was Considine J, with 23 publications. The most widely cited author was Tanner CA, with 614 citations. The most frequent keywords in the literature related to clinical reasoning were “care,” “nurses,” and “decision-making,” in that order.Conclusion: This study examined the quantitative analysis and statistics of publications related to clinical reasoning in nursing in the past 20 years using bibliographic information. This study can help guide future research on clinical reasoning for nurse educators.