Development of Domains for Improving the Resilience of Unmarried Mothers to Prevent Child Abuse 양육 미혼모의 아동학대 예방을 위한 극복력 증진 영역 개발
박일태 Park Il Tae , 오원옥 Oh Won-oak
DOI:10.14370/jewnr.2020.26.2.109
Abstract
Purpose: We aimed to develop domains for the resilience improvement of unmarried mothers to prevent child abuse based on a nursing model of resilience. Methods: We conducted a literature review and in-depth interviews with unmarried mothers. Results: Based on Polk’s nursing model of resilience, we derived 4 patterns, 10 domains, and 24 sub-domains for improving the resilience of unmarried mothers. Philosophical pattern includes the domain of parenthood preparation and dispositional pattern includes the domains of emotional support, control of emotions, and child abuse awareness correction. Situational pattern includes the domains of maternal health promotion, understanding of child development and improvement of parenting skills, and assessment of the domestic environment and modification of risk factors. Relational pattern includes the domains of enhancement of mother-infant attachment, family support, and social support. Conclusion: We identified domains for enhancing resilience based on the situational and personal characteristics of unmarried mothers. The results of this study may contribute to child abuse prevention by promoting the resilience of unmarried mothers.
Simulation Nursing Education Research Topics Trends Using Text Network Analysis 텍스트네트워크분석을 적용하여 탐색한 국내 시뮬레이션간호교육 연구주제 동향
박찬숙 Park Chan Sook
DOI:10.14370/jewnr.2020.26.2.118
Abstract
Purpose: The purpose of this study was to analyze the topic trend of domestic simulation nursing education research using text network analysis(TNA). Methods: This study was conducted in four steps. TNA was performed using the NetMiner (version 4.4.1) program. Firstly, 245 articles from 4 databases (RISS, KCI, KISS, DBpia) published from 2008 to 2018, were collected. Secondly, keyword-forms were unified and representative words were selected. Thirdly, co-occurrence matrices of keywords with a frequency of 2 or higher were generated. Finally, social network-related measures―indices of degree centrality and betweenness centrality―were obtained. The topic trend over time was visualized as a sociogram and presented. Results: 178 author keywords were extracted. Keywords with high degree centrality were “Nursing student”, “Clinical competency”, “Knowledge”, “Critical thinking”, “Communication”, and “Problem-solving ability.” Keywords with high betweenness centrality were “CPR”, “Knowledge”, “Attitude”, “Self-efficacy”, “Performance ability”, and “Nurse.” Over time, the topic trends on simulation nursing education have diversified. For example, topics such as “Neonatal nursing”, “Obstetric nursing”, “Pediatric nursing”, “Blood transfusion”, “Community visit nursing”, and “Core basic nursing skill” appeared. The core-topics that emerged only recently (2017-2018) were "High-fidelity”, “Heart arrest”, “Clinical judgment”, “Reflection”, “Core basic nursing skill.” Conclusion: Although simulation nursing education research has been increasing, it is necessary to continue studies on integrated simulation learning designs based on various nursing settings. Additionally, in simulation nursing education, research is required not only on learner-centered educational outcomes, but also factors that influence educational outcomes from the perspective of the instructors.
Effects of Team-based Simulation Training on Patient Safety Confidence and Nursing Competency among Nursing Students 팀 기반 시뮬레이션 실습교육이 간호학생의 환자안전 자신감과 간호역량에 미치는 효과
Effects of Team-based Simulation Training on Patient Safety Confidence and Nursing Competency among Nursing Students 팀 기반 시뮬레이션 실습교육이 간호학생의 환자안전 자신감과 간호역량에 미치는 효과
김은정 Kim Eun Jung , 남경아 Nam Kyoung A
DOI:10.14370/jewnr.2020.26.2.130
Abstract
Purpose: This study aimed to evaluate the effects of team-based simulation training (TBST) on patient safety confidence and nursing competency among nursing students. Methods: This study used a one group pretest-posttest design. Among the senior nursing students enrolled in an academic course in one nursing school, the convenience sample of 114 students was recruited. Participants received 15-session TBST (2 hours per session) over 8 weeks and completed the patient safety confidence and nursing competency scales, and a questionnaire of participants’ responses to TBST. Data were analyzed using a descriptive statistics test, a paired t-test, and Pearson correlation coefficients. Results: The results of this study showed that patient safety confidence and nursing competency significantly improved after TBST and there was a positive correlation between these variables. Conclusion: The findings indicate that TBST is effective for improving nursing students’ patient safety confidence and nursing competency, and thus, team-based strategies can be useful to attain the goals of nursing education. Furthermore, the results of this study suggest further research to refine the relations between patient safety and nursing competency.
The Effects of Self-leadership, Professional Self-concept, and Positive Psychological Capital of Operating Room Nurses on Nursing Performance 수술실 간호사의 셀프리더십, 전문직 자아개념, 긍정심리자본이 간호업무성과에 미치는 영향
The Effects of Self-leadership, Professional Self-concept, and Positive Psychological Capital of Operating Room Nurses on Nursing Performance 수술실 간호사의 셀프리더십, 전문직 자아개념, 긍정심리자본이 간호업무성과에 미치는 영향
문현숙 Moon Hyun Sook , 신성희 Shin Sung Hee
DOI:10.14370/jewnr.2020.26.2.139
Abstract
Purpose: This study was conducted to determine the effects of self-leadership, professional self-concept, and positive psychological capital on the performance of operating room nurses. Methods: The participants were 148 operating room nurses with more than a year of experience in one of the general hospitals in Seoul, Korea. Data were collected from 18 to 29 November 2019 and were analyzed by descriptive statistic methods, t-test, ANOVA, Pearson’s correlation coefficient analysis, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: The self-leadership, professional self-concept, and positive psychological capital of operating room nurses showed a positive correlation with nursing performance. The performance of operating room nurses was the most affected by professional self-concept (β=.32, p=.002), followed by operating room career (β=.22, p=.037) and positive psychological capital (β=.20, p=.039), which together accounted for a nursing performance of up to 42.9% (F=12.06, p<.001). Conclusion: Based on these findings, it is necessary to develop education and intervention programs to enhance the operating room nurses’ professional self-concept and positive psychological capital.
Effects of the Heated-Humidified Breathing Circuit Applied on the Body Temperature, Shivering, and Thermal Comfort of General Anesthesia Patients 가온가습호흡회로 적용이 전신마취 환자의 체온, 전율, 온도 편안감에 미치는 효과
Effects of the Heated-Humidified Breathing Circuit Applied on the Body Temperature, Shivering, and Thermal Comfort of General Anesthesia Patients 가온가습호흡회로 적용이 전신마취 환자의 체온, 전율, 온도 편안감에 미치는 효과
손원미 Son Won Mi , 박정숙 Park Jung Suk
DOI:10.14370/jewnr.2020.26.2.149
Abstract
Purpose: The purpose of this study was to identify the effects of the heated-humidified breathing circuit applied on the body temperature, shivering, and thermal comfort of general anesthesia patients. Methods: The participants were patients who received general anesthesia at University Hospital K located in City B, with 25 patients in the experimental group and 25 patients in the control group. The period of this study was from Mar 19 to Apr 26, 2019. The experimental equipment included a heated-humidified breathing circuit, which connects the intubation tube with the anesthesia machine for mechanical ventilation after airway intubation in general anesthesia patients. Results: The body temperature, shivering, and thermal comfort after surgery were significantly different between the two groups (p<.001). However, the body temperature during surgery was slightly different between the experimental group and the control group. Conclusion: A heated-humidified breathing circuit may be actively used in a warming method to prevent the hypothermia of general anesthesia patients.
Relationship between the Transcultural Self-efficacy and Cultural Competence of Nursing Students 간호대학생의 다문화 자기효능감과 문화적 역량과의 관계
전혜경 Jeon Hye Kyung , 고영 Ko Young
DOI:10.14370/jewnr.2020.26.2.157
Abstract
Purpose: This study was conducted to identify the relationship between the transcultural self-efficacy (TSE) and cultural competence of nursing students. Methods: This study was a cross-sectional study. A total of 352 nursing students were recruited from two universities in Incheon and Gyeonggi. The data were analyzed using descriptive statistics, t-test, ANOVA with Scheffe’s test, correlation coefficient, and hierarchical multiple regression analysis. Results: The mean score of TSE was 6.20 (out of 10). The mean score of cultural competence was 4.98 (out of 7). TSE was positively correlated with cultural competence (r=.47, p<.001). The practical domain (β=.18, p=.001) and affective domain (β=.35, p<.001) of TSE had a significant effect on cultural competence. TSE accounted for 22.3% of cultural competence. Conclusion: Educational programs for improving cultural competence should include contents to improve the affective and practical domains of TSH. It is also helpful for subjects with various cultural backgrounds to learn interview skills and nursing skills through practice to reinforce cultural competence.
Key Words
Self efficacy, Cultural competence, Cultural diversity, Student, Nursing, 자기효능감, 문화적 역량, 문화적 다양성, 간호, 학생
Factors Influencing Nursing Students’ Social Distancing for COVID-19 Prevention 간호대학생의 COVID-19 감염 예방을 위한 사회적 거리두기 영향요인
조은비 Jo Eun Bi , 황초롱 Hwang Cho Rong , 유재옥 Yu Jae Oak , 신현진 Shin Hyeon Jin , 김유진 Kim Yu Jin , 최아론 Choi A Ron , 이한나 Lee Hanna
Factors Influencing Nursing Students’ Social Distancing for COVID-19 Prevention 간호대학생의 COVID-19 감염 예방을 위한 사회적 거리두기 영향요인
조은비 Jo Eun Bi , 황초롱 Hwang Cho Rong , 유재옥 Yu Jae Oak , 신현진 Shin Hyeon Jin , 김유진 Kim Yu Jin , 최아론 Choi A Ron , 이한나 Lee Hanna
DOI:10.14370/jewnr.2020.26.2.167
Abstract
Purpose: This study aims to understand the effect of attitudes toward COVID-19, subjective norms, and intentions toward social distancing as a preventative measure for COVID-19 in nursing university students, and to provide basic data for COVID-19 prevention. Methods: A cross-sectional study design was used in this study. The participants included 169 nursing students at a university in G city. Data were collected from 22 May 2020 to 1 June 2020. A self-report questionnaire was used. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyses with the IBM/SPSS 26.0 for Window Program. Results: Intention was the most influential factor on social distancing (β=.29, p=.002), followed by the number of breakfasts per week (β=.18, p=.005), school grade (β=-.16, p<.001), and smoking status (β=-.13, p=.046). These variables explained 35.0% of factors influencing social distancing (F=12.24, p<.001). Conclusion: The results of this study are meaningful and present a direction for nursing students and future medical personnel to effectively perform social distancing. It is necessary to educate nursing students so that they can practice proper health care habits and intentions for social distancing.
Key Words
COVID-19, Cross-Sectional Studies, Nursing, Students, 단면조사 연구, 간호, 학생
Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students 간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향
Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students 간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향
안주현 Ahn Ju Hyun , 김명숙 Kim Myoungsuk
DOI:10.14370/jewnr.2020.26.2.176
Abstract
Purpose: The purpose of this study was to investigate the influence of nursing students' self-reflection and insight, and academic selfefficacy on their clinical reasoning competence. Methods: Data were collected from 147 third- and fourth-year nursing students who had more than 6 months of clinical training experience. Clinical reasoning competence, self-reflection and insight, and academic self-efficacy were measured using self-reported questionnaires. Data analysis was conducted with IBM SPSS 25.0 using one-way ANOVA, independent t-test, Pearson correlation coefficient, and multiple regression analysis. Results: Clinical reasoning competence was positively correlated with self-reflection and insight (r=.24, p=.003) and academic self-efficacy (r=.30, p<.001). Academic self-efficacy (β=.23, p=.011), dissatisfaction with major (β=-.17, p=.034), and 5∼8 case studies (β=-.39, p=.027) were identified as factors influencing clinical reasoning competence (adjusted R2=.15). Conclusion: To improve the clinical reasoning competence of nursing students, it is necessary to develop the academic self-efficacy of complex cases and provide critical inquiries, debriefing tailored to clinical reasoning, and sufficient reflection during clinical and simulation practice.
Factors Affecting Patient-centered Nursing in Regional Public Hospital 지방의료원 간호사의 환자중심간호에 미치는 영향요인
이재숙 Lee Jaesook , 김근면 Kim Geun Myun , 김은주 Kim Eunjoo , 장수정 Chang Soo Jung
DOI:10.14370/jewnr.2020.26.2.185
Abstract
Purpose: This study examines the factors affecting patient-centered nursing among regional public hospital nurses, with a focus on communications, professionalism, organizational culture, and teamwork. Methods: We included 162 nurses working at five regional public hospitals in G province. Data were collected from October 7 through October 19, 2019 using self-report questionnaires. Data were analyzed using descriptive statistics, t-test or ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression analysis using SPSS (Version 24.0). Results: The factors affecting patient-centered nursing included an innovation-oriented culture, working in an intensive care unit, hierarchy-oriented culture, and nursing professionalism. These variables explained 43% of patient-centered nursing. Conclusions: These results suggest that enhancing an innovation-oriented culture is necessary for patient-centered nursing and to improve nurses’ awareness about the importance of patient-centered nursing. Moreover, organizational efforts are required to increase nurses’ professionalism through suitable educational programs in regional public hospitals.
Key Words
Patient-centered care, Communication, Professionalism, Organization, Culture, 환자중심간호, 의사소통, 전문직관, 조직, 문화
Analysis of Participation Status in Clinical Nursing Education and Needs for Continuing Education among Clinical Nurses according to Hospital Type 의료기관 종별 간호사의 임상간호교육 참여 현황과 보수교육 요구 분석
Analysis of Participation Status in Clinical Nursing Education and Needs for Continuing Education among Clinical Nurses according to Hospital Type 의료기관 종별 간호사의 임상간호교육 참여 현황과 보수교육 요구 분석
Purpose: This study investigates the participation status in clinical nursing education and nurses’ continuing education needs to develop educational programs. Methods: Participants were 227 nurses working in medical institutions where nursing students practiced, and the selection criteria were nurses with more than two years of clinical education experience; data were collected using structured questionnaires. Results: More than half of the clinical nurses had completed a preceptor training program for clinical nursing education, and the subjects mainly educated by nurses were new graduate nurses and nursing students. The obstacles to clinical nursing education were lack of compensation, lack of manpower, lack of patient nursing time, excessive workload, and lack of knowledge as educators. The educational methods preferred in continuing education were small-group workshops and online education. The desired educational topics in continuing education were current nursing practice standards, simulation nursing education, and the role of clinical nursing educators. Conclusion: Based on our results, it is necessary to understand the importance of clinical nursing education, which is essential for clinical nurses, to prepare a specific system for them and to develop and operate a systematic education program according to medical institutions’ characteristics.
