Purpose: This study aimed to identify and analyze the experience of passing and repealing the Nurses Act in Parliament. Methods: This qualitative study used content analysis. The data were collected through in-depth interviews October 16 to November 23, 2023. Results: The qualitative content analysis revealed five themes and 16 subthemes. The themes included: “Learning the Nurses Act through different channels”, “The Nurses Act’s passage, which strengthens the professionalism and legitimacy of the nursing profession”, “Looking back and feeling the joy and frustration of the process of getting it through the Congress and getting it repealed”, “An abandoned nursing practice due to bullying”, “Nevertheless, moving toward the re-enactment of the Nurses Act with hope”. Conclusion: Nurses expected the Nurses Act to recognize their expertise and clarify legal nursing practices; however, they were outraged and perplexed when the president vetoed the Nurses Act, and they felt sorry for the Nurses Act, which was turned into a political tool in the conflict between medical professions. Nevertheless, they hoped that the Nurses Act would be re-promoted through opinions and discussions with various professions and public awareness activities by developing nurses’ political capabilities and preparing a basis for the Nurses Act.

Purpose: The study aim was to understand the experiences of intensive care unit (ICU) nurses in labor union activities. Methods: A descriptive qualitative study and content analysis were conducted. The participants included nine ICU nurses who shared their experiences with labor union activities. The data were collected through in-depth interviews. Results: The experiences of ICU nurses with labor union activities encompassed five themes: “The Initial Step in Union Activities”, “Benefits Derived from Union Participation”, “Concerns Regarding Union Activities”, “The Non-Omnipotence of Unions”, and “Achieving Mutual Benefits through Union Activities”. Conclusion: The study findings revealed that ICU nurses strive to improve their work and the nursing environment through labor unions, despite facing negative perceptions of union involvement.

Purpose: This study aimed to identify and describe the experiences of new nurses trained by clinical nursing educators. Methods: Data were collected through focus groups and in-depth interviews conducted between July 27 and August 12, 2021. The collected data was qualitatively analyzed through content analysis. Results: Six themes and 19 subthemes emerged. The themes included: “Worried about not adjusting to work”, “Not feeling at ease with the preceptor”, “Experiencing the benefits of working with the clinical nurse educator”, “Getting practical support from the clinical nurse educator”, “Receiving mental and emotional support from the clinical nurse educator”, and “Appreciating successful adjustment”. Conclusion: This study confirmed the importance of the educator’s role in helping new nurses adjust to the workplace and develop competence.

이 연구의 목적은 우즈베키스탄으로 귀환한 비전문취업노동자의 질병 과 사고의 경험, 의료기관의 이용, 안전 및 건강의 관리 실태를 살펴보 고, 연구결과를 바탕으로 국내 이주노동자의 건강 증진과 보건의료 서비 스의 향상을 위한 정책적 시사점을 도출하는데 있다. 연구대상은 국내에 서 노동을 하고 우즈베키스탄으로 귀환한 비전문취업노동자 15명이며, 현지를 방문하여 인터뷰조사를 통해 자료를 수집·분석했다. 주요 연구 결 과는 첫째, 우즈베키스탄 귀환 이주노동자의 질병과 사고는 대부분 근골 격계와 호흡기계 분야에서 발생했다. 둘째, 국내 의료기관 이용은 전반적 으로 만족도가 높았고, 의사와 간호사의 충분하고 친절한 설명과 진료에 대해 만족했다. 셋째, 우즈베키스탄 귀환 이주노동자의 안전관리는 회사 내에서 안전 교육이 비교적 잘 이루어지고 있었다. 넷째, 우즈베키스탄 귀환 이주노동자의 건강 관리는 한국인과 유사하게 종합영양제를 복용하 거나 비정기적이지만 산책, 낚시, 헬스, 축구 등을 통해 이루어졌다. 마 지막으로, 국내 이주노동자의 전반적인 건강실태 파악을 위해 연구대상 자의 확대와 양적연구방법을 활용한 후속연구를 진행할 필요가 있다.

코로나19(COVID-19) 상황으로 감염예방과 관리지침에 따라, 정신간호학 실습을 대면으로 진행할 수가 없어, 긴급하게 온라인 실습으로 전환되었다. 이에 본 연구는 간호대학생의 정신간호학 현장실습 대체 온라인 실습에서 성찰일지를 내용분석하여 온라인 실습 교육과정의 질적인 향상을 위한 기초 자료로 활용 하고자 하였다. 연구 참여자는 2021년 정신간호학 온라인 실습에 참여한 간호대학 3학년 학생 31명의 성찰일지를 분석대상으로 하였다. 참여자의 실습이 종료된 2022년 4월 4일부터 5월 31일까지 자료 수집하 였고, 크리펜도르프(Krippendorff, 2019)의 내용분석에 따라 분석하였다. 정신간호학 온라인 실습 성찰일지 를 내용분석한 결과, ‘자기인식의 중요성을 확인함’, ‘정신건강의 가치를 알게 됨’, ‘정신질환자의 회복에 대해 생각함’, ‘치료적 의사소통 향상에 노력함’, ‘정신질환자에 대한 편견이 감소됨’, ‘온라인 실습에 대한 양가감정이 듦’의 6개의 범주로 도출되었다. 본 연구결과를 토대로 정신간호학 온라인 실습에서의 간호대 학생의 성찰의 의미를 파악할 수 있었고, 이러한 성찰일지를 대면 실습 혹은 정신건강전문가 양성과정에도 활용하여 연구하기를 제안한다.

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.

This study was conducted to in-depth understand and describe the thoughts and experiences of nursing students in the practice of the intensive care unit. Data was collected through focus group interviews with 14 nursing students who voluntarily participated in the study targeting students who practiced the intensive care unit and analyzed by the content analysis. As a result of the study, two themes, 'ethical challenges faced in intensive care unit practice' and 'incomplete reflection, were derived. The categories included in the former were 'feeling wrong in the appearance of a nurse', 'thinking about a good nurse', 'thinking about the cause of the wrong practice', and the categories included in the latter were ''fear of being assimilated', and 'pledge oneself by put yourself in someone else's shoes’. Based on these results, it is necessary to develop ethics education to become a nurse who can form correct ethical comfortment, including ethics education in clinical practice instruction as well as classroom instruction.

Healthcare disparities that occur depending on where an individual lives cause health inequities which is an important task that the government must solve to guarantee the people's right to health. In this study, three main aspects were proposed to address regional healthcare disparities; strengthening public health care, establishing a system for citizen participation in the process of establishing the community health plan, and utilizing the primary health care post. To address the urgent issue of medical gaps or vulnerability in essential medical services, practical alternatives were suggested by enhancing public health care and efficiently utilizing private medical resources. The use of surveys in the planning stages of regional health projects to gather resident opinions has limitations in capturing diverse and in-depth perspectives. Therefore, it is proposed to institutionalize resident participation to establish a foundation for applying varied opinions throughout the entire process of the community health plan. Lastly, to improve medical service accessibility for residents in medically vulnerable areas, it is recommended to expand and enhance the quantity and quality of the primary health care post. It is anticipated that these measures will alleviate health inequities caused by regional healthcare disparities and ultimately enhance the overall health of the population.

How will machines affect humans, can humans be leading in machine problems, or can humans present new possibilities beyond human-machine confrontation? This study attempts to reflect on the relationship between the high-tech revolution and convergence by focusing on the 'care problem'. First of all, in order to proceed with this study, I would like to discuss how artificial intelligence robots based on the Fourth Industrial Revolution are revealing their effectiveness in caring problems. In the interaction between humans and artificial intelligence emotions, it is emphasized that the question of right and wrong as to whether the other person's emotions are properly understood is not important, and that more valid justification can be secured for humans and artificial intelligence robots to reconcile and establish a relationship through emotional exchange. If this is the case, rather than discussing whether artificial intelligence robots can interact with humans through empathy, it should be focused on the fact that caring patients who require physical and mental care through artificial intelligence robots can achieve quite effective treatment effects through artificial intelligence robots.

이 연구는 간호대학생을 대상으로 인터넷 중독과 가족 의사소통간의 관계 정도를 파악하고, 인터넷 중독과 관련된 영향 요인을 알아보려는 목적의 서술적 조사연구이다. 연구 대상자는 J시에 소재한 대학의 간호학 부 재학생 251명이었다. 자료수집은 구조화된 자가 보고식 설문지를 이 용하였으며, 수집된 자료는 SPSS/WIN 프로그램을 이용하여 기술통계, t-test, ANOVA, 피어슨의 상관관계, Multiple regression으로 분석하였 다. 연구 결과로 간호대학생의 인터넷 중독 평균 점수는 34.8점, 가족 의사소통 평균 점수는 62.1점 이었고, 인터넷 중독 고위험 사용자군은 9.2%로 나타났다. 인터넷 중독과 가족 의사소통은 유의한 음의 상관관계 가 있었다. 다중 회귀분석 결과 가족 의사소통, 건강 저하, 수면 부족은 인터넷 중독에 영향을 미치는 요인이며, 설명력은 23.6%(F=4.52, p<.001)이었다. 따라서 본 연구 결과를 토대로 간호대학생의 인터넷 중 독을 감소시키기 위해 가족 의사소통을 증진시킬 수 있는 중재 프로그램 을 개발하여 적용하기를 제안한다.

본 연구는 코로나 19시기 간호대학생의 대면 비대면 학생상담 경험을 확인하기 위해 수행되었 다. 2022년 12월부터 2023년 4월까지 경기도 소재 S 여자대학교 학생 10명을 대상으로 인터뷰를 통해 데 이터를 수집하였다. 기록된 모든 자료는 귀납적 내용분석 방법으로 분석하였다. 연구결과는 ‘상담의 촉진’ 요인, ‘상담의 비촉진 요인’ 2개의 주제, 4개의 범주, 8개의 하위범주가 도출되었다. 첫 번째 주제의 범주는 ‘새로운 상담 방법의 적응’, ‘MZ 세대로서의 편리성 추구’, 두 번째 주제의 범주는 ‘상담에 대한 거부감’, ‘상호관계에 대한 갈망과 괴리’로 도출되었다. 본 연구를 통해 간호대학생들을 위해서 학생상담이 필수적이 며, 가장 적합하고 유용한 상담법이 무엇인지 이해하는 데 도움이 되었다. 또한, 본 연구는 성별, 전공에 따 른 연구 참여들 간의 대면 비대면 상담에 대한 비교 연구의 기반을 마련하는데 중요한 근거자료를 제공하 다. 더 나아가 간호대학생을 위한 학생상담 프로그램을 개발하고 그 효과를 확인하는 연구를 제언한다.

본 연구는 COVID-19 팬데믹 상황에서 보건소 간호사로 근무한 경험을 심층적으로 이해하고, 본질을 규명하고자 시도되었다. C도의 3개 군 보건소에서 COVID-19 팬데믹 기간 동안 1년 이상 근무한 경험이 있는 대상자를 연구참여자로 선정하여 Colaizzi가 제안한 현상학적 방법에 따라 분석하였다. 연구결 과 ‘COVID-19에 대한 부정적 감정’, ‘직업적 소명의식 고취’, ‘신종 감염병 대응 체계 구축에 앞장’의 3가 지 주제모음이 도출되었다. 이를 바탕으로 간호사들을 위한 심리적 문제 지원 강화, 편중된 업무의 개선, 전문 인력 지원, 체계적 교육 지원, 적정 수준의 보상체계 마련 등의 필요성을 확인하였다. 따라서 본 연구 결과를 토대로 보건의료 체계 내 주요 인력인 간호사의 지지체계를 마련하고, 효율적인 감염병 대응 전략 을 마련하기 위해 다각도의 관심을 가지고 활발한 논의가 이루어져야 할 것이다.

본 연구의 목적은 간호대학생의 성격 5요인과 그릿이 학업소진에 미치는 영향요인을 확인하기 위한 서술적 조사연구이다. 대상자는 S시 소재 E대학 간호학과에 재학 중인 간호대학생 285명으로 2023년 4월 11일부터 2023년 6월 13일까지 자가보고형 설문지를 통해 자료를 수집하였다. 수집된 자료는 SPSS/WIN 29.0 프로그램을 이용하여 descriptive statistics, t-test, ANOVA, Pearson’s correlation, multiple regression 분석을 실시하였다. 연구결과, 학업소진은 그릿(r=-.425, p<.001), 친화성 성격 (r=-.330, p<.001)과 음의 상관관계를 보였다. 반면, 신경증 성격과는 양의 상관관계를 보였다(r=.384, p<.001). 간호대학생의 학업소진에 두 가지 성격 요인(신경증, 친화성), 전공만족도, 그릿이 유의한 영향을 미치는 것으로 나타났다. 따라서 간호대학생의 성격 5 요인을 활용하여 학업소진을 예방할 수 있는 상담법 개발과 전공만족도와 그릿을 높이고 학업소진을 감소시킬 수 있는 프로그램 개발이 필요하다.

본 연구는 간호대학생의 진로적응력을 증진하기 위한 고려로 낙관성과 진로적응력 간 관계에서 학습몰입의 매개 효과를 파악하고자 수행된 서술적 조사연구이다. 연구대상은 G시와 M시의 4년제 대학 간호학과에 재학 중인 학생이며, 자료는 2023년 4월부터 5월까지 수집하였다. 자료 분석을 위해 기술적 통 계, Pearson 상관계수, Baron과 Kenny의 회귀분석을 실시하였다. 연구결과, 첫째, 낙관성은 학습몰입에 정 적인 영향을 나타냈다. 둘째, 낙관성은 진로적응력에 정적인 영향을 나타냈다. 셋째, 학습몰입은 낙관성과 진로적응력 사이에서 부분 매개효과를 나타냈다. 이로써 간호대학생의 진로적응력을 증진하기 위해서는 낙 관성과 학습몰입을 촉진하기 위한 전략들이 간호교육현장에서 필요함을 알 수 있다.

본 연구의 목적은 간호대학생을 대상으로 스트레스대처와 감사성향이 대인관계능력에 미치는 영향을 확인하기 위해 수행하였다. 연구대상자는 D시에 소재한 일개 간호대학 재학 중인 127명의 학생이다. 자료수집 기 간은 2023년 7월 1일부터 7월 31일까지였으며, 온라인 자기보고식 설문 지를 이용하여 자료를 조사하였다. 수집된 자료는 SPSS/WIN 26.0 프로 그램을 이용하여 기술통계, 독립표본 t검정, 일원분류 분산분석, 피어슨 의 상관관계, 다중 회귀로 분석하였다. 연구결과 대인관계능력에 미치는 영향 요인은 감사성향, 스트레스대처와 전공만족도 순이었으며, 이들 변 수의 설명력은 41.0%였다. 따라서 간호대학생의 대인관계능력을 향상시 키기 위해서는 감사성향, 스트레스대처 능력을 향상시킬수 있는 전략과 프로그램 개발이 필요하다.

This study aimed to explore nursing students' experience of learning cardiopulmonary resuscitation (CPR) in a web-based virtual simulation (vSim) through analysis of the reflection journals. Method: From June to July 2020, data were collected from 48 fourth-year nursing students who performed the simulation by reviewing prompt feedback on their CPR performance. The contents of the reflection journals were analyzed using NVivo qualitative data analysis software. Results: Nursing students experienced unfamiliarity with the English-based virtual environment as well as psychological pressure and anxiety about emergencies. Incorrect interventions were identified in the following order of frequency: violation of defibrillator guidelines, missing fundamental nursing care, error in applying an electrocardiogram monitor, inadequate initial response to cardiac arrest, insufficient chest compression, and inadequate ventilation. Lastly, the participants learned the importance of embodied knowledge, for knowing and acting accurately and reacting immediately, and their attitudes as nurses, such as responsibility, calmness, and attentiveness. Learning strategies included memory retention through repetition, real-time feedback analysis, pre-learning, and imagining action sequences in advance. The level of achievement, time required, CPR quality, and confidence improved with behavior-modification strategies developed through self-reflection. Conclusion: Educational interventions that are based on understanding accurate algorithms can strengthen selfawareness of mistakes to improve efficient imparting of CPR education.

We aimed to develop and analyze the effectiveness of a “Room of Errors” simulation program for educating nursing students in patient safety management. Methods: This study used a quasi-experimental method (two group, before and after evaluation) and enrolled 35 nursing students as the participants. Data were collected using a self-reported questionnaire and analyzed through descriptive statistics and the independent t-test and Mann-Whitney U test using SPSS/WIN Statistics version 25.0. Results: After completing the “Room of Errors” simulation program, the participants’ score of intention and confidence in performance for patient safety management in the experimental group were significantly higher than those in the control group. Conclusion: A “Room of Errors” simulation education program for nursing students effectively increased the intention and confidence in performance of nursing students in patient safety management.

An “online respiratory infectious disease nursing simulation course” was developed to strengthen the nursing competency in respiratory infectious disease. Methods: In this methodological study, an “online respiratory infectious disease nursing simulation course” was developed using the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model and evaluated using a one-group pre-post quasi-experimental design to ascertain the respiratory infectious disease knowledge, performance confidence, and clinical performance of 37 nursing students. Results: The online course comprised 17 sessions categorized as follows: seven theory, five at-home laboratory training, two case study, and three simulation sessions. All the nursing students engaged in the course successfully fulfilled its requirements by attending all 17 sessions and passing the clinical performance examination. The knowledge, confidence, and clinical performance (t=-6.60, -10.62, and –6.36, respectively; p<.001 for all) pertaining to respiratory infectious disease significantly increased among participants after the concluding simulation session, compared with their pre-scores obtained prior to the course participation. Conclusion: The “online respiratory infectious disease nursing simulation course” significantly improved the nursing knowledge, performance confidence, and clinical performance ability of nursing students in managing respiratory infectious diseases.

The study aim was to develop and test the effects of integrated simulation pertaining to patients with schizophrenia using a hypertensive crisis module for nursing students. Methods: This pilot study with seven undergraduate nursing students used a single group, pre-post test design. Integrated simulation pertaining to patients with schizophrenia using a hypertensive crisis module was developed based on the ADDIE model (i.e., Analysis, Design, Development, Implementation, and Evaluation), expert meetings with subject professors, a literature review, a preliminary survey, and focus group interviews. Data were collected and measured for general characteristics of the study participants, critical thinking disposition, problem-solving, clinical judgment, self-efficacy, simulation design, and simulation effectiveness. Qualitative contents were analyzed through focus group interviews. Results: No statistically significant differences were found in class design, critical thinking disposition, problem-solving, clinical judgment, and self-efficacy after applying the integrated simulation module. Based on the data obtained from the focus group interviews of study participants, the following four categories were established: “Integrating knowledge and applying it to practice,” “Nursing in unexpected situations,” “Challenged to be an expert,” and “Ensuring receptive and psychological safety in simulation practice.” Conclusion: An integrated simulation module was developed to integrate the nursing problems associated with individual subjects beyond the scope of one subject, and the effect was verified by applying it

This study aimed to investigate the impact of implementing team-based learning (TBL) in postpartum nursing simulation practical education for nursing college students. Methods: The study design was a non-equivalent control group pretest-posttest quasi-experimental design. 128 nursing students divided into two groups: 61 in the experiment group and 67 in the control group. During the winter break in January 2023, students participating in simulation practicals were assigned to the control group, while students participating in simulation practicals during the regular semester (April 2023) were assigned to the experimental group, to prevent crossontamination between the groups due to experimental treatment. Both groups completed selfdministered questionnaires to assess self-directed learning abilities, collaborative self-efficacy, academic achievement, and learning satisfaction. Results: The experimental group showed significantly better compared to the control group, the experimental group showed higher levels of academic achievement and learning satisfaction. Conclusion: It was evident that TBL applied to postpartum nursing simulation practical education is a pedagogical teaching strategy that enhances academic achievement and learning satisfaction. It is necessary to develop and apply team-based simulation practical education not only for challenging obstetric cases but also for labor and delivery nursing, antepartum nursing, and other related areas in clinical practice.