This study aimed to develop the Traumatic Event Experience Scale in Perioperative Nurses (TEE-PON) and assess its validity and reliability. The TEE-PON underwent two distinct phases: scale development and scale evaluation. In the scale development phase, an initial set of 26 preliminary items was formulated through a comprehensive literature review and a focus group interview. Content validity was assessed by six experts, resulting in a refined total of 16 items after eliminating 10 items and modifying six others. In the scale evaluation phase, a survey was administered to 109 perioperative nurses. Following item analysis and exploratory factor analysis, the final scale emerged with four distinct factors encompassing 15 items. These factors were identified as ‘Conflict and violence in interpersonal relationships,’ ‘The death of a patient,’ ‘Witnessing the patient’s damaged body,’ and ‘Limitations of the work environment’. Correlation analysis between these sub-factors and post-traumatic stress, compassion fatigue, and job satisfaction confirmed the concurrent validity of the scale. The Cronbach’s α for the internal consistency of the finalized scale was 0.89, with sub-scales exhibiting values ranging from 0.69 to 0.87. The TEE-PON can be used as a valuable tool for assessing traumatic events experienced by perioperative nurses. Additionally, it can contribute to the development of intervention programs aimed at preventing post-traumatic stress disorder and compassion fatigue while concurrently enhancing job satisfaction.

Purpose: This study utilizes a phenomenological research method to understand the nature of role adaptation experience of PA nurses. Methods: This was a qualitative study that applied Colaizzi’s phenomenological research method to understand the nature of role adaptation experience of PA nurses. The study participants were thirteen PA nurses (three men and ten women) with over five years of experience. For data collection, individual in-depth interviews were conducted, each about 50 to 90 minutes long. Individual interviews were conducted once or twice. Colaizzi’s method was used to analyze data. Results: The result of this study had 11 clusters of themes and 4 major themes were derived from the analysis: “parallel lines of conflict,”“anxiety about unclear future,”“disorganization of identity,”and “my own way to learn about myself.”These four major themes are structured chronologically to the extent possible but are not mechanically segmented based on time. Conclusion: This study recognizes the seriousness of PA nurses’problems in the absence of research on PA nurses’role adaptation experience and recommends that appropriate research is necessary. Standardized work guidelines and positive awareness of the role of PA nurses are necessary and are supported by PA nurses to establish their position as professionals.

본 연구는 한국과 중국 간호대학생의 문화적 역량을 평가 및 비교하고 문화적 역량과 관련된 일반적 특성을 파악하는 것을 목적으로 한다. 자 기주도형 설문조사에는 간호학과 3, 4학년생 총 180명(한국 간호대학생 82명, 중국 간호대학생 98명)이 참여하였다. 자료분석은 SPSS 24.0 프 로그램을 이용하여 기술통계, 독립표본 t-검정, 다중회귀분석을 실시하였 다. 전반적인 문화적 역량 정도는 두 나라 간호대학생 사이에 유의한 차 이가 없었다. 문화적 인식과 문화적 감수성은 중국 간호대학생들보다 한 국 간호대학생들이 유의하게 높았다. 문화적 지식과 경험은 한국 간호대 학생보다 중국 간호대학생이 유의하게 높았다. 한국 간호대학생의 문화 적 감수성은 외국어 회화 능력 및 다문화 교육 경험과 관련이 있었다. 문화적 능력은 여학생 및 외국어 회화 능력과 관련이 있었다. 중국 간호 대학생의 문화적 지식은 여학생 및 4학년과 관련이 있었다. 간호대학생 의 문화적 역량을 향상시키기 위해서는 다문화와 관련된 이론과 임상실 습을 포함한 교육과정이 필요하며, 다문화 관련 지역사회 자원의 활용이 중요하다.

Purpose: This study aimed to development and test the effects of patient safety/infection control simulation program based on a brain-based learning framework for nursing students. Methods: This pilot study used a one group pre-post test design. The study was conducted in one university in Korea. Participants were recruited using a convenience sample. Fifteen nursing students participated in this study. Results: The levels of perception of importance of patient safety management (Z=3.41, p=.001), confidence on patient safety (Z=3.30, p=.001), attitude toward personal protective equipment (Z=3.10, p=.002), and efficacy of personal protective equipment (Z=3.35, p=.001) were significantly increased. Conclusion: The application of brain-based learning framework in nursing simulation could be an effective education for nursing students.

Purpose: In this study, we developed an integrated simulation practicum and investigated the effectiveness of the practicum for senior nursing students. Methods: Sixty-seven senior nursing students from a university were enrolled in this study and assigned into two groups: experimental (n = 31) and control (n = 36). We developed and applied a 60-hour integrated simulation practicum that spans a 3-week period. The control group performed a traditional clinical practicum. The outcome measures were critical thinking disposition, clinical competence, and practicum satisfaction and the data were analyzed using the SPSS 23.0 software. Results: After the intervention, both experimental and control groups showed significant improvement in critical thinking disposition (p = .017) and clinical competence (p < .001) compared to those of the baseline. Regarding practicum satisfaction, the experimental group showed significantly higher satisfaction than the control group (p = .003). Conclusion: The integrated simulation practicum was an effective program that improved critical thinking, clinical competence, and practicum satisfaction in senior nursing students. To effectively improve critical thinking and acquire clinical competence, which are essential for prospective nurses, nursing students should be exposed more to simulation practicum that reflect environments similar to actual clinical settings for various patients with complex health problems.

Purpose: This study analyzed domestic studies on blended learning among nursing students to identify research trends and future directions. Methods: This scoping review was conducted following the process suggested by Arksey and O’Malley: 1) identifying the research questions; 2) searching for relevant studies; 3) study selection; 4) charting the data; 5) collating, summarizing, and reporting the results; and 6) optional consultation. Relevant studies were searched using the keywords “blended learning” and “nursing” in the domestic databases RISS, KISS, and DBpia. The selection and exclusion criteria were applied to 203 articles, and 34 were finally selected. Results: The final 34 studies included 30 quantitative and four qualitative studies. Most of the studies were experimental studies. In undergraduate nursing education, blended learning was utilized more in the classroom than in the lab or clinical setting. Furthermore, it was mainly applied by combining online and offline approaches. It improved learning satisfaction, critical thinking, clinical performance, and self-directed learning ability. Conclusion: Research on blended learning in nursing education has increased over time. Blended learning positively affects learning satisfaction and learning ability in nursing students; thus, it is expected that this could be effectively utilized in both the classroom and lab or in clinical teaching for nursing students. Therefore, future studies using various research methods should be expanded, and systematic reviews and meta-analyses are recommended.

Nursing ethics, which is an ethical norm of nursing practice, is basic to the professionalism of nurses, and ethical education is important in building the professional virtues. The study aimed to identify the needs of nursing ethics education targeting a group of nursing professionals in South Korea. This study adopted descriptive survey design via online survey. The questionnaire items consisted of the experience of ethical issues and the needs related to the subject of ethics education in nursing. 53 questionnaires were finally analyzed by descriptive statistics and correlation coefficients. The results showed that 40 of the study participants had more than 5 years of total clinical experience(69.8%). 48 of them previously participated in nursing ethics education(90.6%). The most frequently experienced ethical issues were ‘conflicts between colleagues’, ‘protecting of patient rights’ and ‘informed consent’. In relation to nursing ethics education, ‘ethical decision making and moral distress’, ‘shared decision making’ and ‘end-of-life care’ showed high needs for education. Overall, the higher the level of experience on ethical issues, the more educational needs for nursing ethics education(r=.360, p<.01). In addition, satisfaction with previous nursing ethics education was statistically significant positive correlation with the needs for the overall nursing ethics education topic(p.<01). In conclusion, the high level of experience on ethical issues shows the demands for continuity of ethical education and systematic improvement to improve the working environment of clinical nurses, and to meet the needs of nursing ethics education, a venue for discussion and education using case-based method should be provided.

본 연구는 병원간호사의 조직몰입 및 관련요인에 대한 선행연구를 체계적으로 고찰하고 메타분석을 시행하고자 한다. 이를 통해 병원간호사의 조직몰입에 대한 연구동향과 유효한 변수를 규명하고자 하 며, 간호사의 조직몰입 향상을 위한 전략 및 중재개발의 기초를 제공하고자 한다. 본 연구는 2008~2018년 발표된 연구에 대한 문헌고찰과 메타상관 분석을 실시하여 병원간호사의 조직몰입과 관 련된 요인들을 분석하였다. PRISMA표를 활용하여 연구에 대한 스크리닝과 질적 평가를 시행하였고, 최종 144개의 논문을 추출하였다. 조직몰입과 관련해서는 45개의 변수가 유의미하게 분류되었으며, Schaufeli’s Energy Compass Model에 따라 이 변수들을 6개 그룹(직무요구, 직무자원, 참여형 리더 십, 개인적 자원, 피고용인의 웰빙, 직무성과)으로 분류하였다. 이들 중 직무요구를 제외한 5개 범주가 조직몰입과 일정 정도의 강한 상관관계를 보였다. 또한, 조직몰입과 긍정적인 직무성과 간에는 강한 정(+)적 상관관계가 발견되었다. 본 연구 결과, 병원간호사의 조직몰입과 직무자원 간에는 상관관계가 존재한다는 것이 규명되었다. 본 연구 결과는 향후 병원간호사의 조직몰입을 높이기 위한 프로그램 개발 및 연구에 기초자료로 활용될 수 있을 것이다

본 연구는 심폐소생술 교육경험이 있는 간호대학생의 심폐소생술의 지식과 수행능력을 파악하 고 이들 간의 관계를 탐색하기 위한 서술적 상관관계 연구로 수행되었다. 연구 참여자는 2018년 10월 18 일부터 10월 30일까지 G광역시에 소재한 2개 대학교 간호학과 4학년에 재학 중인 간호대학생 204명을 대 상으로 하였다. 수집된 자료는 IBM SPSS Win 21.0 version Program을 이용하였다. 심폐소생술 지식과 심 폐소생술 수행능력은 양의 상관관계(r=.22, p=.01)로, 심폐소생술 지식이 높을수록 심폐소생술 수행능력이 높아지는 것으로 나타났다. 본 연구는 G광역시 2개 대학의 간호학과 학생들을 편의 추출하였으므로 본 연구 결과를 일반화하는데 제한이 있을 수 있어 추후 대상자의 지역적 확대를 통한 반복 연구가 필요하며, 심폐소생술 수행능력의 측정이 수행능력 전체를 관찰하여 측정하는 직접 측정이 아니라 자가보고식 간접 측정으로 이루어져 대 상자의 주관이 반영되며, 교육의 효과가 객관적으로 측정되지 않았을 우려가 있다. 그러므로 심폐소생술 수행능력의 직접 측정 도구를 사용한 추후 연구가 필요하다.

Purpose: This study aimed to identify research trends by applying the scoping studies method to articles published from the establishment of the Korean Society for Nursing Simulation in 2011 to June 2021, and to suggest the direction for future research. Method: A total of 73 articles were reviewed by applying the six steps and recommendations for scoping studies as suggested by Arksey and O'Malley. Results: Focusing on the subjects, research topics were classified comprehensively into the experience of nursing students, nurses, professors, and office workers. As a result of analyzing the research process characteristics, practical teaching and learning using simulation technology resources were conducted during most of the research, and a systematic curriculum for learning promotion was devised and applied. Furthermore, nursing performance ability was evaluated, learning situation was identified, and simulation education situation and necessity of clinical field were identified. The keywords “applied technology,” “teaching-learning method,” “environment,” “cognition,” “attitude,” “affect,” “patient status,” “nursing,” and “nursing performance” were identified as eight categories. Conclusion: The post-coronavirus era has provided an opportunity to expand the scope of Korean nursing simulation research, which is going to further contribute to nursing development.

The purpose of this study was to examine the current satisfaction levels with nurse uniforms at Taizhou General Hospital in China and to find areas for improvement in order to develop nurse uniforms with improved comfort, fit and convenience. To investigate satisfaction with nurse uniforms, a survey was conducted of 150 nurses. The general characteristics of the nurses, uniform conditions, feelings of satisfaction, fit, preferred designs, inconvenient aspects of the uniforms, and areas for improvement were analyzed. Eight materials of cotton/polyester blended fabrics were selected according to Chinese nurse uniform regulations, and the physical properties of the materials were tested along with the materials used in current nurse uniforms. Four new nurse uniforms with increased aesthetics, functionality, and comfort were developed based on the survey results. Materials with excellent absorption, moisture permeability, and ventilation were used as main fabrics. According to the preferred designs of nurses at Taizhou City General Hospital, China, 4 types of nurse uniforms designed, consisting of design 1 (shirt and pants), design 2 (shirt and pants), design 3 (dress), and design 4 (shirt and skirt). The new nurse uniforms offered better functionality with an improved fit at the armpits, waist, hips, and knees based on product measurements.

This study aimed to explore research trends of nursing ethics in Korea applying text network analysis and topic modelling. 306 articles published in KCI journals from 1998 to 2021 were identified and 516 author-provided keywords were collected. A co-occurrence matrix with 123 keywords, which appeared at least in two articles, were developed based on the Jaccard coefficient. Degree centrality and betweenness centrality were calculated and LDA topic modelling were performed using NetMiner software. The largest number of the articles (70, 23%) were published in Korean Journal of Medical Ethics. The most critical core-keywords, defined as the top 30 keywords in degree centrality and betweenness centrality, were ‘nursing students’ and ‘moral sensitivity’. The other core-keywords included ‘attitude,’ ‘awareness,’ ‘professionalism,’ ‘knowledge,’ and ‘critical thinking.’ related to ethical competence, ‘death,’ ‘hospice,’ ‘euthanasia,’ and ‘research ethics’ related to bioethical issues, and ‘job satisfaction,’ ‘burn out,’ ‘stress,’ ‘organizational culture,’ ‘ethical leadership,’ and ‘ethical climate’ related to organization and leadership. Five topics were identified and named as a) bioethics education for nursing students, b) knowledge and attitudes for bioethical issues, c) awareness and values of bioethics, d) ethical conflicts of RNs, and e) nursing ethics education. This study found that bioethics was the main topics in Korean nursing ethics research and suggested nursing research should focus on ethical issues RNs frequently experience in patient care. Also, research gaps were inferred in multiple topics including nurse-to-nurse relationships, theoretical perspectives of virtue ethics and care ethics, or witnessing healthcare professionals’ unethical behavior.

Purpose: This study was to identify the perception of death in nursing students. Methods: This study adopted the triangulation method. The participants was third grade nursing students. Quantitative data was analyzed using descriptive statistics. Qualitative data was analyzed using qualitative content analysis. Results: Among the participants' perception of death, the highest score was the respect for life, and the lowest was anxiety about death. The participants believed that there was a relatively happy and unfortunate death, and that well-dying was achieved through acceptance, reflection, and rigorous preparation in life. Well-dying was possible only when well-being was proceeded. Nursing students perceived death as the end stage of life that needed preparation. Conclusion: It is necessary for nursing students to have opportunities to reflect on death when they observe a patient’s death in clinical practice. Also, they need to have death-related education for them to grow as competent nurses to deal with life and death journey of their patients in future.

본 연구는 응급실 간호사의 폭력경험, 자아탄력성과 직무스트레스정도를 확인하고 관계를 확인하기 위한 서술적 조사연구이다. 본 연구대상은 D시 소재의 4곳과 C시 소재 2곳의 500병상 이상의 응급실에서 근무 중인 경력 1년 이상의 간호사 143명을 대상으로 하였으며, 자료수집기간은 2018년 11월 6일 부터 15일까지이었다. 대상자의 폭력경험은 4점 만점에 평균평점 1.26±1.31점이었고, 자아탄력성은 4점 만점에 2.50±0.55점, 직무스트레스 정도는 5점 만점에 3.62±0.49점이었다. 폭력경험과 직무스트레스 하위영역별 상관관계에서 언어적 폭력 경험은 간호업무(r=.194, p=.010), 역할갈등(r=.158, p=.030) 스트레스와 유의한 양의 상관관계가 있었고, 신체적 위협 경험은 간호업무(r=.200, p=.008), 역할갈등(r=.162, p=.027), 의사와의 갈등(r=.145, p=.042) 스트레스와 양의 상관관계가 있었다. 자아탄력성과 직무스트레스 하위영역별 상관관계에서 간호업무 스트레스는 자아탄력성의 강인함(r=-.189, p=.012), 인내력(r=-.165, p=.025), 낙관성(r=-.186, p=.013) 영역과 음의 상관관계가 있었으며 전문지식 스트레스는 강인함 (r=-.230, p=.003), 인내력(r=-.195, p=.010), 낙관성(r=-.194, p=.010) 영역과 음의 상관관계가 있었고, 간호사 대우 스트레스는 영성(r=.154, p=.033) 영역과 양의 상관관계가 있었다. 폭력경험과 자아탄력성과의 하위영역별 상관관계에서 강인함은 신체적 위협(r=-.150, p=.037) 경험과 음의 상관관계가 있었으며, 인내력은 신체적 위협(r=-.138, p=.050) 경험과 음의 상관관계가 있었고, 낙관성은 신체적 폭력(r=-.151, p=.036) 경험과 음의 상관관계가 있었다. 이상의 결과로 볼 때 응급실 간호사의 직무스트레스 감소를 위해 폭력이 발생하지 않는 안전한 근무 환경을 조성하고, 폭력상황 발생 시의 대처방법에 관한 지속적인 교육 및 스트레스 대처방법, 자아탄력성을 높이기 위한 프로그램개발 및 중재가 필요하다.

Purpose: The purpose of this study was to describe nurses' experiences on patient safety incidents in special departments. Methods: Data were collected from June 1 to July 31, 2019 through in-depth interviews with 8 nurses who worked in tertiary hospitals. Data were analyzed using Braun & Clarke's thematic analysis method. Results: Four themes and fourteen sub-themes emerged. Four themes are as follows: ‘Incidents occurred by missing confirmation in the operating room’, ‘Unexpected incidents in ICU’, ‘Incidents related to difficult intravenous cannulation in pediatric patients’, ‘Nurses are near to patient safety’. Conclusion: The findings provided valuable information on the hospital nurses' experiences on patient safety incidents in special departments, which may have serious consequences and have not been easily addressed. Programs to sustain patient safety and nursing systems to guard against these incidents should be developed.

본 연구는 2009년부터 2018년 최근 10년간 대한간호학회지와 분과학회지에 게재된 개념분석 연구의 통합적 문헌고찰 연구이다. 총 30편의 논문을 간호의 메타패러다임, 개념의 종류, 개념분석 방법, 활용정도 등 분석하였다. 결과로 간호의 메타패러다임은 인간 23편, 간호 5편, 건강 1편, 환경 1편으로 인간이 가장 많았으며, 개념의 종류는 모두 추상적인 개념으로 확인되었다. 개념 분석 방법으로는 워커 & 아벤트가 13편, 하이브리드 방법이 10편, 진화론적 방법이 7편으로 워커 & 아벤트 방법이 가장 많았으나 2018년도 이후에는 모두 하이브리드 방법이었다. 도구개발로의 진행은 확인되지 않았다. 연구 결과를 토대로 간호패러다임의 다양성과 이를 바탕으로 한 도구 개발도 필요하다.

Purpose: The purpose of this study was to describe nurses' experiences of patient safety incidents. Methods: Data were collected from June 1 to August 31, 2019 through in-depth interviews with 10 nurses who worked in tertiary hospitals. Data were analyzed using Braun & Clarke’s thematic analysis method. Results: Four themes and eighteen sub-themes emerged as follows. ‘Falls resulted in fatal consequences, the importance of precaution education’, ‘Errors occurred due to incompliance to verification protocol’, ‘Responsibility for catching other people's errors’, ‘Hospital environment from the viewpoint of patient safety’. Conclusion: The findings provided valuable information on the nurses’ experiences of patient safety incidents, which may have serious consequences and are not easily addressed. Programs to prevent patient safety incidents and systems to guard against these incidents should be established. Organizational safety culture also needs to be improved.

Purpose: The purpose of this study is to explore the turnover experience of nurses who moved from a tertiary medical institution to a general hospital and to understand the meaning of the move for them. Methods: This is a phenomenological qualitative study using Colaizzi's (1978) method. Semi-structured, open-ended questions and in-depth interviews were conducted to 11 nurses within 3 years after turnover to a general hospital at a tertiary medical institution, between April, 2018 to September, 2018. Results: The four theme clusters and thirteen themes emerged. The core theme licited I was “the journey to find-balance and leave.” Four theme clusters were; “advance to a dream job”, including ‘expectation for my work’, ‘my confidence and family pride’, “unstable my dream job” including ‘stand alone in a desert’, ‘crushed by extra work’, ‘torn protection’, ‘invisible future’, “my job that I wish to keep” including ‘unconditional patience for growth’, “I can't be a loser” is desperate selfinspiration’, ‘leaning on comfort and support', and finally “my place I found again.” including ‘being prepared to be by my side’, ‘restoring work-life balance’, ‘revealed my existence’, and ‘unsatisfied with new work’. Conclusion: Participants choose of turnover for physical and psychological well-being, instead of the romance of the tertiary medical institution. This showed the characteristics of the millennial generation that values the comfort and relaxation in one's life prior to professional vision of nursing care as a nurse, and success. The result is meaningful as an understanding of effective job management for current-generation clinical nurses.

Purpose: The purpose of this study was to analyze trends in articles published in the Journal of Korean Society for Simulation in Nursing (KSSN) and to provide future directions for improvement. Method: The study analyzed data collected from 57 research articles published in KSSN between 2013 and 2018. A descriptive analysis was conducted with a focus on frequency and percentage for quantitative data. Results: The proportion of articles on quantitative research was 80.7%, while the proportion of articles on qualitative research was 15.8%. The majority of the quantitative research was focused on experimental study (47.4%). The prevailing data collection settings were school (75.4%), and for the data analysis, descriptive statistics (71.9%), t-test (50.1%), ANOVA (19.3%) and chi-square test (17.5%). The analysis results based on the simulation education research showed that the most frequently used scenario topics were delivery care and postpartum hemorrhage. The most frequently used variables measured were clinical performance (43.8%), problem-solving process (31.3%), self-confidence (31.3%), and self-efficacy (28.1%). Conclusion: Especially in the case of simulation nursing, there is a need to encourage research into utilizing a variety of research methodologies and simulations.

본 연구는 간호학생의 연구수행능력을 파악하고, 간호연구 교과의 교육효과를 확인하여 연구역량을 증진시킬 수 있는 교육과정 개발과 비교과활동을 통해 연구수행능력을 향상시킬 수 있는 프로그램을 개발하는데 기여하고자 하였다. 연구의 대상은 일 대학의 간호학과 3학년 학생 161명이었다. 일반적 특성 에 따른 비판적 사고성향, 문제해결능력 및 간호연구 학습성과는 t-test와 ANOVA를 시행하였으며, 간호 연구 학습성과 관련요인은 Linear regression을 시행하였다. 연구결과 간호연구 교과는 문제해결능력과 비판적 사고성향의 하위요소 중 지적열정, 체계성, 지적공정성을 향상시켰고, 연구계획서 평가와 비판적 사고 성향 중 객관성과 관련이 있는 것으로 나타났다. 본 연구의 결과를 토대로 간호연구수행능력을 향상시키기 위해 연구계획서 작성을 적극적으로 활용할 필요가 있으며, 연구의 전체적인 수행과정을 경험할 수 있는 다양한 교육프로그램 및 교수학습방법을 적용한 운영이 필요하다.