본 연구의 목적은 간호대학생이 임상실습 기간 동안 경험하는 감정노동과 임상실습 스트레스 간의 관계를 규명하는 것이다. 아울러 간호대학생들이 실습교육과정에서 겪게 되는 감정노동 및 스트레스를 경감시키고 관리할 수 있는 프로그램 마련을 돕는 것이다. 즉 임상실습 스트레스와 감정노동을 경감시킬 수 있는 교육 프로그램을 개발하는 데 기초자료를 제공하고자 한다. 본 연구는 서울지역 A 대학의 간호대 학생 170명을 대상으로 진행되었으며, 감정노동과 임상실습 스트레스에 관한 내용으로 설문조사를 실시 하였다. 연구결과, 간호대학생은 임상실습 기간에 높은 스트레스를 경험하고, 감정노동을 강하게 경험하 는 것으로 나타났으며, 감정노동과 임상실습 스트레스 간에는 유의미한 상관관계가 있는 것으로 나타났 다. 이 같은 연구결과를 토대로 본 연구는 간호대학생 대상의 ‘감정노동･임상실습스트레스 관리 프로그램’이 조속히 도입되어야 한다고 주장한다.

본 연구는 OECD 국가와 우리나라 간호인력의 현황 및 변화추이를 비교분석하여 간호인력의 수급 방향 을 제시코자 한다. 2000년부터 2015년까지의 자료를 분석한 결과, OECD 국가들은 크게 두 가지 방식 을 취하고 있었다. 첫째, 면허인력(11.6%) 보다는 활동 간호인력(19.2%) 증가에 초점을 맞추고 있었고, 활동 간호인력을 증가시키기 위한 방법으로 면허인력을 증가시키기 보다는 병상 수를 꾸준히 감소 (-15.8%)시켰다. 그 결과 간호인력의 높은 노동강도와 이직의 주요 요인으로 작용하는 ‘100병상 당 간호 인력 수’가 증가(33.7%)하였고, 이는 활동 간호사의 증가로 이어졌다. 둘째, OECD 국가들은 양질의 간 호서비스 제공을 위해 활동 간호인력 중 ‘간호사 대비 간호보조 인력의 비율’을 20% 수준으로 유지해왔 다. 반면, 우리나라는 면허 간호인력(62.2%)과 병상 수(148.0%)를 지속적으로 늘려 왔다. 그 결과 ‘100병 상 당 간호인력’이 OECD 국가 중 가장 적고, ‘인구 1000명 당 활동 간호사수’는 OECD 평균(6.93명)의 50% 이하 수준(3.1명)에 머무르고 있다. 그리하여 ‘간호사 대비 간호조무사 비율’은 OECD 평균의 2배 이상인 상황이다. 따라서 향후 간호인력 수급 정책의 방향은 양적 확대―간호대학의 입학정원 증원을 통한―보다는 간호인력 보유와 적정 간호인력 구성에 초점을 맞추어야 할 것으로 사료된다.

The purpose of this study was to assess the correlation between attitude of Patient Safety Management(PSM) and practice of PSM and clinical practice satisfaction of nursing students, also identified how these factors attitude and practice of PSM influence on clinical practice satisfaction, eventually aimed to develop education programs to strengthen practice of PSM in nursing students. A descriptive design was used in the study. The multiple regression was used for the study to prove the factors how the attitude and practice of PSM were affected to the clinical practice satisfaction. The study subjects were 226 nursing students. The results show that attitude of PSM mean was 3.71, practice of PSM mean 3.97, the clinical practice satisfaction mean 3.31. Among the general characteristics, clinical practice satisfaction showed significant differences in satisfaction of major(F=5.10, p=.001), the existence of role model(t=2.64, p=.009). Significant positive correlation was found between attitude of PSM, practice of PSM and the clinical practice satisfaction. Practice of PSM(β=.39) was shown as the most important factor to affect on the Satisfaction on clinical practice, also the explanation power of value for this study was found 41.1%. Consequently, this study indicates to develop the education program to strengthen practice of PSM. Also process the additional study for the nursing students in other areas.

Purpose: This study was conducted to evaluate simulation-based asthma pediatric care among nursing students. Methods: One group post design was utilized. A total of 148 nursing students were recruited as participants. The data were collected from February 22to June10, 2016. Seven hours of simulation-based asthma pediatric care was conducted. Results: The total mean knowledge score for asthma pediatric care was 3.8, and simulation-based performance score was 8.0. In simulation-based performance, the highest mean score was 2.4 for “oxygenation” category and the lowest mean score was 1.5 for “nursing recording.” There was no statistically significant difference in the level of clinical performance using simulation for the upper, middle, and lower groups according to the theoretical knowledge level. Additionally, no statistically significant correlation was found between the theoretical knowledge score and simulation-based clinical performance score. Conclusion: The findings suggest that simulation-based care involving various scenarios and integrated evaluation tools for clinical nursing performance are required to improve asthma pediatric care among nursing students.

Purpose: The purpose of this study was to examine the impact of a problem-based simulation education program on nursing student’s academic achievement, academic efficacy, and clinical performance skills. Methods: This study examined a group of nursing students using the pretest-posttest test design. Second year pediatric nursing students studying the practical subject Integrated Simulation at S University in K region were asked to complete a self-administered questionnaire before and after using a problem-based simulation education program. In addition to using SPSS/WIN 21.0 for descriptive analysis, the data was analyzed using independent t-test, repeated measures ANOVA and Pearson- correlation. Results: After completing the simulation education program, participants showed statistically higher academic achievement (t = -5.795, p < .001) and clinical performance skills (t = -3.835, p = <.001) than before. However, there was no significant difference in academic efficacy score(t=-.217, p=.829). Conclusion: The results from this study indicate that lessons with various methods and content should be developed to –evaluate both theoretical knowledge and clinical performance skills. In addition, there is a need to develop a standard evaluation.

Purpose: The goal of this study was to develop a simulation scenario for patients with increased intracranial pressure(IICP) and a simulation education program based on Goal-based Scenario(GBS). Methods: The first stage of this study was to investigate GBS, based on which a simulation scenario was developed using the modified Bay Area Simulation Collaborative scenario template. A team of experts was asked to evaluate the scenario. Results: The simulation education program was creasted, which included educational goals, missions, scenarios, roles, scenario operations, resources, and feedback. The scenarios were analyzed on the basis of 4 algorithm: initial assessment, neurologic assessment, IICP nursing assessmnet, reassessment of IICP signs, and monitoring vital signs. Conclusion: The simulation scenarios developed in this study can provide students with opportunities to practice nursing for patients with IICP, Further, this scenario may provide instructors with a systematic and sustainable simulation education model for an instructor.

Purpose: This research involved a review of studies that examined the effectiveness of simulation-based nursing for clinical nurses in Korea. Methods: This is a methodological study for the identification of the simulation based educational interventions applied to nurses. Existing literature on simulation-based nursing education was searched using KISS, RISS, and Google Scholar electronic data bases and the keywords were “simulation,” “nurse,” “debriefing,” and “effect.” A total of 6 studies were included in the analysis. Results: Identified studies were conducted between 2010 and January 2017. All of the studies were randomized controlled trials(RCT). Scenario subjects were “communication skill,” and “emergency care.” Information about debriefing was largely absent from the studies. Conclusion: The findings suggest that activation of simulation–based nurse education is required. This study proposed that choice of measurement variables considering objectivity is needed.

Purpose: The purpose of this study was to investigate the effect of simulation training using video debriefing on the self-efficacy, problem solving ability, and learning satisfaction of nursing students. Method: The study design was control group pre-and post-test non-synchronized experimental design. The sample included two teams of 138 nursing students. The experimental group provided feedback after the simulation was run, and then the team was debriefed through the video recorded video in the debriefing room, and the control group performed the oral debriefing. This study was conducted from November 10, 2015 to December 10, 2015, using descriptive statistics, χ²-test and t-test. Results: The scores of the self-efficacy, problem- solving process performance, and learning satisfaction were higher than those of the group who received the video debriefing (experimental group) than those who received the oral debriefing training (control group). Conclusion: It has been found that debriefing using video in the simulation training has a positive effect on self-efficacy, ability to perform problem solving process and improvement of learning satisfaction, so it can be utilized as an effective teaching and learning strategy and also helps strengthen nursing capacity.

Purpose: This study aimed to examine the effects of simulation-based training for nurses on nursing stress and clinical competency of cardio-pulmonary emergency care at general wards. Method: A nonequivalent control group, with a pretest-posttest design was used. The experimental group (n=34) received a lecture and team simulation. The control group (n=36) received only lectures without simulation. Data were analyzed using Chi-square and t-test with SPSS program. Results: The participants in the experimental group reported significantly lower death and dying 13.14±1.50 (t=7.19, p<.001), conflict with physicians 7.06±2.51 (t=5.82, p<.001), inadequate preparation 6.16±4.17 (t=4.49, p<.001), problems with peers 13.33±7.05 (t=4.09, p<.001), problem relating to the supervisor 13.51±4.03 (t=2.09, p=.030), workload 17.08±6.19 (t=5.76, p<.001), uncertainty concerning treatment 12.13±6.45 (t=2.21, p=.020), patients and their families 16.37±6.38 (t=3.34, p<.001), discrimination 5.66±2.79 (t=2.39, p=.013) and higher clinical performance ability (t=5.14, p<.001) compared with the control group. Conclusion: This suggests that simulation-based training for cardio-pulmonary emergencycare for nurses at general wards is useful to decrease nursing stress and improve clinical competency.

Purpose: This study evaluates the clinical judgment levels of nursing school students in simulation practice of diabetic ketoacidosis and score differences in clinical judgment levels based on academic record grades. Methods: The clinical judgment levels of 149 nursing students (3rd grade) who received a lecture on simulation practice for diabetic ketoacidosis simulation were evaluated during the period from March 3 to June 20, 2014. Data were collected and measured for the general characteristics, clinical judgment levels of nursing students in simulation of diabetic ketoacidosis, and difference in scores of clinical judgment levels according to grades. Results: Clinical judgment levels of these test participants was 2.82 points on average out of a full score of 4 points, and it was represented in the order of noticing (3.01), interpretation (2.86), response (2.79), and reflection (2.60) for each area. In addition, score differences in clinical judgment levels based on academic record grades were significantly higher in the upper ranks than in the lower ranks in all the areas. Conclusion: In simulation practice of this study, through observation by rubric education method, an objective recognition could be assessed and the importance of nursing knowledge was implied.

Purpose: This study aimed to compare students’ and examiner’s assessment scores of students’ simulated performance. Methods: For two years, 46 teams of 183 senior nursing students participated in simulated emergency. The examiner assessed the students’ reactions during simulation using the Nursing Competency Scale in Simulation (NCSS). The students assessed their own performance using the same scale after participating in the simulation. Data were analyzed using descriptive statistics, a paired t-test, a one-way ANOVA, a Kruskal-Wallis test, an independent t-test, and a Mann-Whitney U test. Results: The students’ NCSS scores were significantly higher than those of the examiner. The difference of students’ self-rated and examiner’ scores was larger in the lower third group of actual NCSS scores as compared to the difference for those in the upper third group. The students’ self-assessment accuracy improved after exposure to the NCSS, but the change was not significant. Conclusion: The findings can be suggest various strategies to promote more realistic self-appraisals among students.

경제적인 여유와 기대수명의 증가로 건강에 대한 관심이 증대되면서 최근 보완대체요법인 명상, 요가 , 기공 등 심신수련 프로그램이 질병의 예방과 치료에 활용되고 있다. 그 중에서 요가는 어느 한 가지 요가자세 또는 적절한 호흡조절만 가지고도 많은 육체적인 것뿐만 아니라 정신적으로도 긍정적인 효과를 얻을 수 있는 특징이 있다. 요 가의 치료적 효과로는 스트레스와 긴장을 감소시키고, 통증, 심혈관계 질환, 면역기능 등 신체적 효과와 우울, 불 안, 수면 등 심리적 효과로 대별할 수 있다. 본 연구는 요가가 건강의 중요한 지표로 작용하는 여러 가지 요인 중 정신과 신체를 포함한 전인적 간호의 실현 이라는 목표에 다가가는 방안을 모색하는데 그 목적이 있다. 요가에 관한 간호연구에서는 생애주기 별 대상자에게 적용하여 긍정적인 자아를 형성할 수 있도록 구성된 교육 과 일반적인 관심의 대상인 요가를 간호학적 시각 속에서 신체적, 심리적 특성이 반영된 요가운동으로 구성하여 현대인들의 스트레스 대처법의 개발에 기여 할 수 있을 것이다. 또한 간호실무 차원에서 요가운동은 움직임이 반 복적이고 단순하여 배우기 쉽고, 개인의 건강요구에 맞게 동작과 시간을 조절할 수 있어서 요가운동에 숙련된 간 호사가 임상현장이나 지역사회 보건소 등의 다양한 간호현장에서 대상자의 특성과 요구에 맞는 건강증진 프로그 램으로 재구성하고 적용하여 널리 활용할 수 있을 것으로 사료된다.

Purpose: The purpose of this study was to investigate the effects of communication simulation based on for elderly sensation disorders patient. the elderly population is growing about hearing loss, cataracts on this communication simulation for a nursing student is required. Methods: A nonequivalent control group pretest-posttest design was used. A total of 46 subjects (undergraduate students) participated in they were assigned to two groups: the experimental group(n=24) the control group (n=22). Data - gathering structured questionnaires that included communication competence, academic self-efficacy, and attitude about the elderly. The data were collected and statistical analyses were conducted with x2 test and independent t-test using the SPSS 22.0 program. Results: there was significant improvement in communication competence in the experiment group (t=2.05, =.046) and attitude about the elderly (t=-2.26, p=.033). However, there was no statistically no significant in academic self-efficacy(t=1.17, p=.247) Conclusion: communication Simulation should continue to be developed further for better sensation disorders with elderly patient. Integrated education in particular using a high-fidelity simulator will contribute to improvement in nursing competence.

Purpose: This study was conducted to evaluate outcome-based delivery care with simulation in nursing student. Methods: One group pre-post design was utilized. 155 participants consisting of nursing students was recruited. The data were collected from august 25 to december 5, 2015. Five hours thirty minutes of outcome-based delivery care with simulations was operated. Results: The item showing the lowest mean score was ‘verbal communication’, the highest mean score was ‘core basic nursing skills’. Conclusion: The findings suggest that it would be useful to use the outcome-based delivery care with simulation in nursing students.

Purpose: The purpose of this study was to identify effect of visiting nursing simulationbased training for community nursing. Methods: Participants for this study were 56 nursing college students in Busan. Data were collected and measured for the general characteristics, students’ responses regarding simulation experience, students’ self-assessment, self-confidence, and problem solving ability. Results: In nursing college students, the scenario experience in community - based nursing simulation training was the most lacking communication area with the subject, so it was necessary to supplement it. The experience of the visiting nursing simulation scenario showed satisfactory results in all areas. The confidence of the nursing college students after learning the simulation training was 7.6 points out of ten. As a result of comparing the degree of problem solving ability before and after the simulation training, the degree of problem solving ability of the nursing college students after the training was increased compared to before the simulation training. Conclusion: Simulation training before clinical practice contributes to improvement of nursing assessment, performance, confidence and problem solving ability. Through simulation training, students will be able to provide qualitative nursing care and coping with problems from an integrated perspective.

Purpose: The purpose of this research was to explore the experiences of simulation education to undergraduate nursing students who have defected from North Korea. Methods: Individual in-depth interviews with nine students were conducted using semi-structured interview and open question. Data were collected December 2014 to April 2015 and analyzed using Colaizzi phenomenological method. Results: Three essential themes were extracts that were as follows 1) Confronting another barrier 2) Reflecting on nursing competency through simulation education 3) Beginning of adaptation to the nursing education Conclusion: The results can contribute to an understanding of the simulation education experience of undergraduate nursing students who have defected from North Korea. In addition, these results will provide foundational data in establishing simulation education strategies to improve nursing competency, helping them adapt to nursing education in Korea.

Purpose: The purpose of this study is to develop a faculty development program for nursing simulation educators. Methods: This study developed one-day education program based on the ADDIE model. Data were collected using self-report questionnaires to investigate learners’ needs and participants’ evaluation of the pilot program. The data were analyzed using EXCEL with descriptive statistics. Results: The participants’ satisfaction with the program showed an overall high level of satisfaction. Two types of faculty development were developed based on the needs assessment. In addition, a review of the existing programs, namely, basic and advanced courses, were conducted based on the learning needs hierarchy. Conclusion: The development and pilot testing of a faculty development program for nursing simulation educators are feasible. Further research should focus on the short- or long-term evaluation of the program using the experimental research design.

본 논문은 노인의료복지시설 간호 인력의 경쟁가치기반 간호인력 조직문화와 직무몰입이 조직시민행동 에 미치는 영향력을 밝히는데 목적을 두고 연구하였다. 연구대상은 노인의료복지시설 간호 인력 523명을 대상으로 설문조사를 실시하여 수집된 자료는 상관관계 분석과 다중회귀분석을 통해 분석하였다. 연구의 주요 결과는 조직문화와 직무몰입이 조직시민행동에 긍정적인 영향을 미치는 것으로 나타났다. 조직시민 행동 중 자발적 참여에 대한 기대를 높이기 위해서는 관계 지향적, 혁신 지향적 조직문화를 조성하고 직 무수행능력을 높일수록 자발적 조직시민의 참여행동이 증가하는 것으로 나타났으며, 조직시민행동 중 이 타적 행동을 높이기 위해서는 관계 지향적, 위계 지향적 조직문화를 조성하고 직무의 중요성과 수행능력, 영향력을 높여야 할 것으로 나타났다. 또한 조직시민행동 중 상호촉진작용을 증가시키기 위해서 위계 지 향적, 혁신 지향적, 과업 지향적 조직문화를 조성하고 직무 중요성과 직무 수행력, 자기결정력을 높여야 할 것으로 나타났다. 따라서 노인요양시설 간호 인력에서 조직 공동목표를 추구하면서 동시에 조직 내 관 계적, 혁신적, 위계적, 과업적 분위기를 조성하고, 이와 더불어 이들 경쟁 가치기반의 조직문화가 정착될 때 직무몰입과 동시조직 시민 행동의 긍정적인 영향력을 높일 수 있는 기제임을 시사해주었다.