Purpose This study aimed to develop and evaluate a simulation-based autotransfusion device training program to enhance the clinical performance, performance confidence, and educational satisfaction of post-anesthesia care unit (PACU) nurses. Methods: A single-group pretestposttest study was conducted with 30 PACU nurses. The program, based on the ADDIE model, included orientation, simulation training, and debriefing. Data were collected using validated tools before and after the program and analyzed using the Wilcoxon signed-rank test. Results: Clinical performance improved from a median of 30.00 to 43.00 (Z =−4.78, p < .001). Performance confidence increased from 31.00 to 47.50 (Z =−4.71, p < .001), while educational satisfaction rose from 26.00 to 40.00 (Z =−4.73, p < .001). Conclusions: The simulation-based program effectively enhanced the clinical performance, performance confidence, and education satisfaction of PACU nurses. These findings underscore the value of simulation-based training for enhancing nurses’ competence in using complex, high-risk medical devices.

Purpose: This study evaluated the impact of a nursing simulation learning module for caring for patients with chronic obstructive pulmonary disease (COPD) on nursing knowledge, clinical competence, team psychological safety, and learning satisfaction among nursing students. Methods: A non-equivalent control-group pretest–posttest quasi-experimental design was used with 36 students (18 per group) assigned to either a simulation group or a lecture group. Data collected from June 8 to July 13, 2024, were analyzed using SPSS 27.0. Results: Nursing knowledge showed no significant between-group difference (F=1.32, p=.260) but improved over time (F=8.24, p=.007). Clinical competence showed a significant group-by-time interaction (F=58.33, p<.001). Team psychological safety (t=2.70, p=.012) and learning satisfaction (t=2.27, p=.030) were higher in the simulation group. Conclusion: These findings provide foundational data for developing simulation-based educational strategies in nursing curricula. The module may also be applied to the training of novice nurses in clinical settings, thereby contributing to enhanced nursing education and improved clinical practice.

Purpose: This study aimed to examine the effects of a disaster nursing education program using the Korean Triage and Acuity Scale (KTAS) on nursing students’ competency in emergency patient triage, core competencies, confidence in disaster nursing, and self-efficacy in disaster response. Methods: This study utilized a nonequivalent control group design. The experimental group (n=25) participated in a disaster nursing education program that incorporated the KTAS, whereas the control group (n=27) did not receive any intervention. Data were analyzed using descriptive statistics and t-tests. Results: The two groups differed significantly in both competency in emergency patient triage (t=3.47, p=.001) and confidence in disaster nursing (t=2.51, p=.015). Conclusions: This study indicates that a disaster nursing education program using the KTAS, a tool currently employed in clinical practice, rather than theory-based instruction alone, contributed to enhancing nursing students’ practical competencies. Such training can improve the emergency patient triage and confidence in disaster nursing required in emergency situations, ultimately enabling future nurses to better protect the lives and health of individuals affected by disasters.

Purpose: This study aimed to evaluate the effects of simulation education in patient safety nursing on nursing students’ attitudes toward patient safety, confidence in patient safety, academic self-efficacy, and academic engagement. Methods: The study was conducted from April to May 2022 with 69 nursing students enrolled in a fundamental nursing practice course. Two simulation scenarios were developed to enhance the patient safety competencies. Each scenario was implemented in two sessions, each lasting 90 minutes. Data were collected using self-report questionnaires, which measured attitudes toward patient safety, confidence in patient safety, academic self-efficacy, and academic engagement before and after the simulation education. Data were analyzed by employing descriptive statistics and paired t-tests using SPSS Statistics Version 26.0. Results: After participating in the simulation program, students showed statistically significant improvements in their attitudes toward patient safety (t=9.11, p<.001), confidence in patient safety (t=15.66, p<.001), academic self-efficacy (t=6.03, p<.001), and academic engagement (t=9.28, p<.001). Conclusion: The findings suggest that simulation education in patient safety nursing is an effective nursing education strategy. The study highlights the need to develop and expand diverse simulation-based learning programs in nursing education.

Purpose: This study examined the effects of clinical nurses' communication skills, critical reflection, and professional self-efficacy on medication safety competency. Methods: The participants were 150 clinical nurses with at least 12 months of experience in a tertiary hospital. Validated scales for assessed communication skills, critical reflection, professional self-efficacy, and medication safety competency. Data were analyzed using SPSS 29.0 with descriptive statistics, t-tests, ANOVA, correlation, and regression analyses. Results: The mean medication safety competency score was 4.24 ± 0.49, with the highest subscale scores observed in crisis management, patient-centered medication management, and problem-solving. Nurses aged 36 years and older and with over 6 years of experience demonstrated significantly higher medication safety competency. Medication safety competency showed positive correlations with communication skills (r = .68, p <. 001), critical reflection (r = .70, p < .001), and professional self-efficacy (r = .61, p <. 001). Regression analysis revealed these factors as significant predictors, collectively accounting for 57.5% of the variance. Conclusion: Communication skills, critical reflection, and self-efficacy significant determinants of nurses’ medication safety competency. Educational programs targeting theses domains are essential to improve medication safety. Further research is needed to assess and refine such interventions, thereby supporting continuous professional development and improved patient outcomes.

Purpose: This study aimed to develop and implement a multi-patient simulation (MPS) program for nursing students with no prior clinical practice experience. It also examined the effects of the program on the students’ communication competence and clinical reasoning ability. Methods: A one-group pretest-posttest design was used. The MPS program, consisting of four patient scenarios was applied to second-year nursing students with no prior clinical practice experience. Communication competence, clinical reasoning ability, and the perceived effectiveness of the multi-patient simulation program were measured using structured tools before and after the program. Results: Communication competence significantly improved after the MPS program, whereas clinical reasoning did not show a statistically significant difference. Perceived effectiveness of the MPS program was generally high, with the debriefing component scoring the highest. Confidence scores were relatively low, suggesting the need for level-appropriate scenario. Conclusion: The MPS program was effectively enhanced communication competence among preclinical nursing students. Although clinical reasoning scores did not improve significantly, the study highlights the importance of introducing realistic simulation experiences early in nursing education. Future research should focus on developing suitable clinical reasoning assessment tools for early year students and conducting randomized controlled trials to validate the effectiveness of customized MPS programs.

Purpose: This study aimed to develop and evaluate a simulation-based nursing education program for respiratory emergencies in critically ill, extremely low birth weight infants (ELBWIs). Methods: A single-arm quasi-experimental study was conducted with 32 neonatal intensive care unit (NICU) nurses. The program was developed systematically using the ADDIE model, incorporating needs assessment, real-case scenario development, and pilot testing. Data were collected before and after the intervention and were analyzed using paired and independent t-tests, as well as a one-way analysis of variance (ANOVA) with Scheffé post-hoc tests. Results: The results showed statistically significant improvements in participants’ problemsolving ability (t = -3.49, p = .001), clinical performance confidence (t = -4.64, p < .001), and overall clinical performance competency (t = -13.79, p < .001) following the training. The clinical relevance and feasibility of the program were supported by pilot testing and positive evaluations of the practicality and educational usefulness of the simulation scenarios. Conclusion: These findings suggest that the simulation-based program was effective in enhancing NICU nurses’ clinical competence in managing respiratory emergencies in ELBWIs and can be used as a practical alternative to traditional on-the-job training.

Purpose: This study was conducted to confirm the effects of patient safety simulation education on nursing students’s attitude of patient safety, confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control, and nursing professionalism. Methods: In this study, 89 students from the 4th grade of the nursing department at one university participated, and the data collection period was from August 20 to August 30, 2023. The collected data were analyzed using R 4.3.2 version and by descriptive statistics, independent t-test, Pearson’s correlation coefficients. Results: After education, the subjects' nursing professionalism(t=-5.95, p<.001), attitude of patient safety(t=-3.59, p<.001), confidence in performance of patient safety(t=-3.90, p<.001), and confidence in performance multidrugresistant bacterial infection control(t=-5.55, p<.001) increased statistically significantly. After education, there was a positive correlation between nursing professionalism, attitude of patient safety(r=.43, p<.001), confidence in performance of patient safety(r=.64, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.41, p=<.001). The relationship between attitude of patient safety, confidence in performance of patient safety(r=.47, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.37, p=<.001) showed a positive correlation. Confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control(r=.80, p<.001) showed a positive correlation. Conclusion: Through this study, in order to strengthen effective patient safety management behavior, it is necessary to find ways to increase immersion and proactiveness in education by developing and applying various scenarios related to patient safety in nursing management simulation education.

간호교육자로 알려진 김수지 선교사는 국제 나이팅게일재단에서 주는 간호계의 노벨상인 국제간호대상의 제2회 수상자이며, 자신의 ‘사람돌봄이론’을 UNDP 프로젝트를 통해 세계에 알렸다. 간호교육자 로서 교육과 연구 외에도 지역사회의 정신질환자, 홈리스, 부랑자 등을 위해 헌신하며 생활 속에서 선교하였으며, 교직 은퇴 후 해외 선교를 하였다. 세계 최빈국 말라위의 지역보건을 확립하고, 농업환경 을 개선하고, 간호대학을 설립함으로써 돌봄 문화의 선순환 기반을 확립하며 하나님을 증거하였다. 간호교육자이자 선교사인 김수지의 선교사역은 돌봄이 바탕이 된 동행 선교, 교육이 바탕이 된 공유 선교, 섬김과 봉사가 바탕이 된 통전적 선교로 정의할 수 있다. 김수지라는 이름은 간호학자, 간호교육자로만 알려져 있고 그나마 학계의 기억 속에서도 사라질 위기에 처해있다. 간호라는 영역에서의 큰 업적과 함께 간호선교사로서의 김수지의 일생과 사역의 특징을 세상에 드러냄 은 선교역사에도 의미 있는 일이 될 것이며, 미래의 간호선교사와 의료선교사 그리고 돌봄 선교의 일선에 서게 될 선교자들에게 하나의 이정표로 자리매김할 것이다.

본 연구는 Q방법론을 활용하여 간호대학생들이 간호사의 전문직 정체 성에 대해 가지는 인식 유형을 탐구하였다. 연구의 목적은 첫째, 간호대 학생들이 간호사의 전문직 정체성을 어떻게 인식하는지 유형화하는 것이 며, 둘째, 간호사의 핵심 역할에 대한 인식을 분석하는 것이다. 연구 결 과, 간호대학생들이 인식하는 간호사의 전문직 정체성은 세 가지 주요 유 형으로 분류되었다. 첫째, 환자 중심 및 전문적 지식과 기술 중심형은 간 호사가 환자와의 신뢰 관계 형성, 정서적 지지, 전인적 접근을 강조하면 서도 최신 의료 기술과 전문적 지식 습득에 중점을 두는 유형이다. 둘째, 환자 중심형은 간호사가 환자와의 신뢰 관계를 구축하고, 효과적인 의사 소통을 통해 공정하고 평등한 간호를 제공하는 데 초점을 둔다. 셋째, 환 자 중심 및 윤리와 가치관 중심형은 간호사의 윤리적 책임, 환자 권리 보 호, 공정한 간호 제공을 중시하며, 간호사가 사회적 책임을 수행해야 한 다는 점을 강조하는 유형이다. 본 연구는 간호대학생들이 간호사의 전문 직 정체성을 어떻게 이해하고 있으며, 각 역할을 어떻게 인식하는지를 체 계적으로 분석함으로써 간호 교육과정에서 환자 중심 접근, 전문적 지식 과 기술 습득, 윤리적 가치관 함양을 균형 있게 반영할 필요성을 제시하 였다. 연구 결과는 간호 교육 및 임상 실습 과정에서 간호사의 핵심 역할 을 효과적으로 강화할 수 있는 방향을 마련하는 데 기여할 것이다.

본 연구는 해외 단기 연수 프로그램에 참여한 간호대학생들의 연수 경 험과 그들이 인식하는 교육적 효과를 탐색하고, 이를 바탕으로 해외 단 기 연수 프로그램이 나아가야 할 방향을 조명하는 데 목적이 있다. 이를 위해 해외 단기 연수에 참여한 간호대학생들을 대상으로 포커스 그룹 인 터뷰와 개별 인터뷰를 병행하였다. 포커스 그룹 인터뷰는 4명의 학생으 로 구성된 그룹을 대상으로 진행되었으며, 모든 인터뷰는 반구조화된 질 문을 기반으로 진행되었으며, 참여자들의 자유로운 발화를 유도하여 그 들의 경험을 심층적으로 탐색하였다. 연구 결과, 총 6개의 주제와 17개 의 의미가 도출되었다. 학생들은 해외에서의 전공 연수에 대한 기대감과 계획적인 준비 과정을 통해 더 넓은 세상을 바라보게 되었으나, 영어 실 력 부족으로 인해 원활한 의사소통에 어려움을 겪으며 아쉬움을 느꼈다. 또한, 한국에서의 바쁜 학업과 비교하여 자유롭고 여유로운 현지 학생들 의 생활 방식에 부러움을 느끼고, 다양한 문화 체험을 통해 오랜만에 여 유를 즐길 수 있었다. 이번 연수를 통해 학생들은 자신의 새로운 가능성 을 발견하고, 더 나은 세상을 향해 나아가고자 하는 열망이 강하게 형성 되었으며, 이는 삶에 대한 태도의 변화를 유발하고 새로운 목표 설정으 로 이어졌다. 또한, 현지인들의 친절함과 순수함을 경험하면서 문화적 차 이를 이해하고 수용하는 태도를 함양하는 계기가 되었다. 본 연구 결과 를 종합해 볼 때, 해외 단기 연수 프로그램은 학생들에게 긍정적인 변화 를 유도하는 중요한 경험으로 작용하며, 열망, 동기부여, 자신감 향상 등 의 측면에서 긍정적인 영향을 미치는 것으로 나타났다.

Purpose: This study aimed to understand the meaning and essence of college life experiences of mature-aged male nursing students. Methods: Data were collected between November 2024 and December 2024 through in-depth, face-to-face interviews with ten older male nursing students. Data were analyzed using Colaizzi’s seven-step phenomenological analysis method. Results: The results comprised four theme clusters and 17 themes. Participants experienced “A tough start,” “Multidimensional obstacles,” “Source of strength,” and “Turning point in life.” Participants entered nursing school after overcoming challenging entrance exams in pursuit of stable employment during periods of economic instability and job scarcity. Additionally, they encountered dual barriers, both in terms of age and gender over the study period. They struggled because of their financial instability, academic stress, conflicts in social relationships, and insufficient university support services. However, despite these hardships, they persisted in their academic journey, encouraged by the joy of learning, with informal social support from family and friends and determined to complete their college courses. Ultimately, they perceived college life as a transformative phase through positive change, growth, and professional development in their journey toward becoming nurses. Conclusion: It is necessary to identify the individual needs of older male nursing students and provide university support services from a gender-equity perspective.

Purpose: This study was aimed to explore and analyze the experiences of nurses regarding department transfers following the sudden closure of a ward due to the collective resignation of residents. Methods: Data were collected from November 1 to 29, 2024, and a qualitative content analysis was employed. The participants were 11 nurses who were transferred to different departments following a ward’s sudden closure owing to the residents’ collective resignation. Results: A total of six themes and 24 sub-themes were identified. the first theme is ‘After the resident left, the ward was closed’. The second theme is ‘Various job placements were assigned after the ward’s unfortunate closure’. The third theme is ‘Difficulty adjusting to the new environment and leaning to adapt’. The fourth theme is ‘Changes in the nurse-physician relationships’, and the subtheme is ‘Surprised by doctors seeking nurses' opinions due to the absence of residents. The fifth theme is ‘Become an expert at adapting’. The sixth theme is ‘Worries about the future and a faint glimmer of hope’. Conclusion: This study highlights the challenges nurses encountered in adjusting to new departments following the unprecedented mass resignation of residents and the ensuing ward closure. Nurses initially faced difficulties, feeling expendable in the new environment. However, through the support and collaboration of their colleagues, they demonstrated resilience and adapted effectively. The study also noted that, despite the absence of residents, direct communication between medical staff and patients continued to function smoothly, facilitating their involvement in treatment planning alongside specialists and professors. Although departmental transfers can lead to increased job stress for nurses, successful adaptation during these transitions fosters professional growth by enhancing their knowledge, skills, and influence. Furthermore, knowledge sharing among nursing staff contributes to the overall development of the organization. To promote both personal growth and organizational advancement, nursing managers must actively listen to nurses’ perspectives about departmental transfers and provide compassionate support to assist in their adaptation. Creating an organizational culture that recognizes and values the contributions of colleagues who have undergone transfers is essential. By establishing a systematic approach that facilitates successful adaptation and fostering a positive, accepting nursing culture, departmental transfers can be transformed into an effective strategy for enhancing the professionalism and capabilities of nursing staff.

Purpose: This study explored emergency nurses’ perception of and experiences with infection control in the emergency department (ED). Methods: This qualitative study employed focus group interviews and conventional content analysis. The participants were 19 nurses working in the ED of three general hospitals in the metropolitan area, and the data collection period was from July 1, 2024, to August 30, 2024. Four focus group interviews were conducted with each group consisting of 4~5 participants. Interviews were conducted for approximately 80 minutes per group. The interviews were audio-recorded and transcribed verbatim immediately afterward. Data were analyzed using conventional content analysis. Results: A total of 167 meaningful statements were extracted from the interviews. Five main themes and 15 subthemes were identified through interview analysis. 1) Limited information with “Limited information at the entrance of the ED” and “Challenges in sharing information”; 2) The gap between guidelines and reality with “Difficulty in adhering to guidelines due to a shortage of isolation rooms”, “Underestimating protective isolation”, “Skepticism due to practical limitations” and, “The need for infection control guidelines to fit ED circumstances”; 3) Application of guidelines that deviated from the principles with “Different nursing practice based on visual judgment”, “Guidelines that were overlooked in emergency situations” and, “Justifying the avoidance of tedious work by claiming to help prevent infection”; 4) Insensitivity to infection with “Performing only pretended infection control”, “Overlooking the importance of protective equipment”, and “Being became insensitive to infection”; and 5) The need to strengthen the organizational culture of infection control with “Interpreting the same guideline differently by individuals”, “The need for support from senior nurses to comply with the guidelines”, and “The need for practical training that reflects the reality of the ED”. Conclusion: ED nurses faced challenges in complying with infection control guidelines in the ED. These challenges were attributed to a combination of physical, structural, and personal factors. A unique feature of this study is its emphasis on the organizational culture of infection control. To improve compliance with infection control guidelines among emergency nurses, it is imperative to improve their physical and structural environment and provide regular practical training. This approach aims to foster an organizational culture that places a strong emphasis on infection control.

In April 2023, the Ministry of Health and Welfare announced a plan to address the nursing workforce shortage by introducing the Accelerated Bachelor of Science in Nursing (ABSN) program. This accelerated program, designed to shorten the traditional three-year nursing bachelor's degree program to two years, allows individuals with prior bachelor's or master's degrees in another field to earn the nursing license. While the number of nursing professionals is increasing, there is still a shortage compared to the OECD average, particularly in clinical settings. The ABSN program offers the advantages of supplying nursing workforce rapidly and cultivating interdisciplinary nursing professionals who can easily adapt to the demands of the Fourth Industrial Revolution. However, there are also drawbacks, including an increased academic workload due to differences from the regular curriculum and confusion over academic identity. Moreover, given the limited availability of clinical practice sites and the ongoing shortage of clinical nurses, concerns remain about whether the ABSN program can effectively achieve its goal of training high-quality nursing professionals. To address these concerns, it is recommended to conduct a comprehensive evaluation of the ABSN program and clarify its objectives, distinguishing it from the current bachelor's transfer system.

Purpose: The purpose of this study was to investigate the level of cultural competence of hospital nurses and identify factors influencing cultural competence based on general and cultural characteristics. Methods: This study used a cross-sectional descriptive design and 167 nurses who had been caring for foreign patients for past 1 year. Cultural competence, which is composed of four sub-dimensions (values related to cultural perception, cultural knowledge, cultural sensitivity, and cultural skills), personal and cultural characteristics were measured. Results: The participants were all women, with the mean age of 31.81±6.88 years, and clinical career was 8.76±6.81 years. Cultural competence score was 5.28±0.63 out of 7. Having a foreign friends, position, participation in foreign language classes, and working place had significant influence on hospital nurses’ cultural competence. The explained variance for cultural competence was 21.8%. Conclusion: The findings of this study indicate that nurses provide care by understanding patients with diverse cultural backgrounds and their health-related needs. To enhance the cultural competence of hospital nurses, systematic practical education and active organizational support based on standardized guidelines for caring for foreign patients are necessary.

Purpose: This study aimed to examine the impact of resilience and learning agility on organizational commitment among nurses who experienced job rotation. Methods: This descriptive correlational study was conducted with a convenience sample of 180 nurses who experienced job rotation within one year at a university hospital in C city. Data were collected from July to August 2022. A total of 176 valid responses were analyzed using scales measuring organizational commitment, resilience, and learning agility. Data analysis included descriptive statistics, Pearson's correlation coefficients, and multiple regression using the SPSS 27.0 program. Results: The results demonstrated that resilience emerged as the most significant predictor of organizational commitment among nurses who experienced job rotation, followed by satisfaction with their current department and the reason for departmental change. Conclusion: The results indicate that resilience significantly influences organizational commitment among job-rotated nurses. Future research should focus on developing and implementing programs to enhance resilience among nurses who experience job rotation, thereby improving their organizational commitment.

Purpose: This study aimed to measure the level of patient advocacy (the core attribute), nursing professionalism and ethical climate perceived by hospital nurses in Korea, and to identify factors influencing patient advocacy (the core attribute). Method: This study was conducted on 234 full-time nurses who had been working for more than 1 year at a general hospital located in a provincial city in Korea. Data were collected from November 15 to 30, 2024, using questionnaires. The collected data were analyzed using IBM SPSS/WIN 27.0. Results: Among patient advocacy, ‘safeguarding patients’ autonomy’ was explained by 30.0% by professional self-concept, patients, and professional identity in nursing, ‘acting on behalf of patients’ was explained by 34.0% by professional self-concept, role of nursing practice, patients, originality of nursing, and professional identity in nursing, and ‘championing social justice’ was explained by 36.0% by professional self-concept, patients, and managers. Conclusion: In order to improve patient advocacy of hospital nurses, it could be concluded that improving professional self-concept among the sub-factors of nursing professionalism and improving patients among the sub-factors of ethical climate are very effective. Therefore, nursing managers need to make managerial efforts to improve nurses’ professional self-concept and awareness of patients.

본 연구는 G시의 간호학과 학생을 대상으로 비판적 사고성향과 사회적 지지가 학습몰입에 미치 는 영향을 확인하기 위하여 시행된 서술적 조사연구이다. 본 연구의 자료 분석은 기술적 통계, t검증, ANOVA, Pearson 상관계수, 회귀분석을 실시하였다. 본 연구결과는 다음과 같다. 비판적 사고성향(β =.578, p<.001)와 사회적 지지(β=.464, p<.001) 모두 학습몰입에 정적인 영향을 나타냈으며, 연구모형은 학습몰입을 42.7% 설명하는 것으로 나타났다. 이러한 연구 결과는 간호대학생의 학습몰입 증진을 위해 비 판적 사고성향과 사회적 지지를 증진시키기 위한 방안들이 필요함을 시사한다.

본 연구는 간호대학생의 게임 기반 시뮬레이션 학습 경험을 분석하여 그 의미를 도출한 질적 연구이다. 연구 참여자는 총 18명으로, 게임 기반 시뮬레이션 수업에 참여한 간호대학생이었다. 연구 자료 는 2023년 6월부터 7월까지 포커스 그룹 인터뷰를 통해 수집되었으며, 질적 내용분석 방법을 사용하여 분 석하였다. 연구 결과, 재미, 몰입, 경쟁, 협력, 학습성과 총 5개 주요 영역에서 10개의 범주와 18개의 유의 미한 진술이 도출되었다. 결론적으로, 게임 기반 시뮬레이션 수업은 간호학생들의 재미를 통해 학습 몰입 과 동기 부여를 높이고, 실제적 협력을 경험하게 하며, 다각적인 학습성과를 거두게 하였다. 따라서 본 연 구는 간호교육에서 게임 기반 시뮬레이션을 기존 시뮬레이션 학습의 대안으로 활용할 가능성을 제시하며, 게임 기반 학습성과를 심층적으로 검증하기 위한 후속 연구를 제언한다.