본 연구의 목적은 간호대학생이 임상실습에서 경험하게 되는 임상실습 스트레스와 자아탄력성, 임상수행능력 간의 관계를 탐구하는 것이다. 이를 통하여 임상수행능력 관련 요인을 파악하고, 나아가 임상수행능력이 뛰어난 간호사를 양성하는 데 필요한 교육프로그램의 개발을 도울 수 있는 기초자료를 제공코자 한다. 본 연구의 조사는 2014년 9월부터 2014년 12월까지 임상실습 경험을 한 간호대학생 3-4학년 213명을 대상으로 이루어졌으며 설문조사는 자아탄력성, 임상실습 스트레스, 임상수행능력에 관한 내용으로 이루어졌다. 본 연구의 연구결과, 임상수행능력과 자아탄력성은 정의 상관관계를 보였다. 임상수행능력에 영향을 미치는 요인으로는 임상실습 만족도, 간호전공 만족도, 자아탄력성 등으로 나타났으며, 그 중에서도 가장 중요한 영향요인은 자아탄력성인 것으로 나타났다. 이 같은 연구결과를 봤을 때 간호대학생의 임상수행능력 증진을 위해서는 자아탄력성의 증진이 매우 중요하다는 것을 알 수 있었다. 따라서 교육프로그램의 개발 역시 이런 사실을 반영하여야 하며, 특히 비(非)교과프로그램의 제공을 통해 전문 간호사로서의 역량을 함양해야 할 것이다.

장기기증은 장기부전환자를 위한 최선의 치료방법임에도 불구하고 국내의 기증비율은 무척 낮은 편이다. 장기기증에 대한 지식과 태도를 개선하여 장기기증 의향과 실천으로 연결시키는 효과적 교육과 대중의 인식이 요구된다. 이에 본 연구는 일(一) 간호대학생의 장기기증에 대한 지식 및 태도를 포함한 비판적 사고 성향을 알아보고, 학년 간 차이 및 상관성을 분석하여 장기기증에 대한 교육과 참여 활성화에 기여하고자 한다. 비판적 사고 성향 측정도구는 총 27문항, 장기기증에 대한 지식 측정도구는 총 17문항, 태도 측정도구는 긍정적 태도 29문항과 부정적 태도 16문항으로 이루어졌다. 총 대상자 352명(1학년 208명, 3학년 144명)의 평균나이는 20.74세(±2.86)였고, 전공간호학 교육과 임상실습경험이 있는 3학년(12.56±1.86, 68.5%)이 1학년(11.64±2.08, 73.9%)보다 장기기증에 대해 높은 수준의 지식(p<.001)과 긍정적인 태도(p=.002)를 가지고 있었다. 한편, 비판적 사고 성향이 증가할수록 장기기증에 대해 높은 지식수준(r=0.126, p=.018)과 긍정적인 태도(r=.113, p=.034)를 보였으나, 학년 간 교육정도에 따른 비판적 사고 성향에서는 유의미한 차이를 보이지는 않았다(p=.739). 그러나 장기기증에 대한 지식과 태도가 정적인 상관관계를 보이며(r=0.117, p=.030), 장기기증 의향에 따라 장기기증 태도의 차이가 유의하게 나타났다(p<.001). 따라서 장기기증에 대한 윤리적 태도에 초점을 둔 간호교육을 통해 장기기증 인식 변화를 꾀할 수 있을 것으로 기대된다. 생명의료 윤리의식은 비판적 사고를 통해 도덕적 차원의 검토를 실행하는 것이라고 할 때, 비판적 사고의 함양을 통해 장기기증에 대한 윤리적 태도와 지식을 고취할 수 있는 교육을 시행해야 할 것이다.

Purpose: The purpose of this study is to analyze the level of satisfaction and clinical competence on simulation-based practice in woman’s hospital and to figure out the factors that level of satisfaction affect to clinical competence. Method The subjects in the experimental group were 93 students who did simulation-based practice and subjects in the control group were 70 students who practiced in woman’s hospital. Data was analyzed using ex post factor experimentation during second semester in 2013. Results: There was statistically no significant difference between the two groups, but positive correlation between the main variables. The most significant affecting factors to clinical competence in experimental group were satisfaction of contents and duration(R2=.24). The most significant affecting factors to clinical competence in control group were satisfaction of evaluation and practice stressor (R2=.32). Conclusion Since there was no difference between the two groups, once the difficult part in clinical practice of maternity nursing is practiced repeatedly, student’s competence can be improved. Hence the continual study was required.

Purpose: This study was to develop a clinical competence scale to assess competence of nursing students in postpartum bleeding care in the simulation-based clinical situations. Methods: The assessment items developed with 12 items of 3 point scale. An expert panel of 3 maternity professor reviewed the scale for content validity by using the CVI(Content Validity Index). Following the establishment of content validity, 12 items of the checklist were developed. The simulation-based postpartum hemorrhage nursing education that consisted of four sessions for 6 hours lecture and practice was provided to 32 small groups. Result: The total mean score of clinical competence in postpartum hemorrhage care was 17.34. Items with the highest mean score was 1.88 with ‘introduce myself to the patient'. Items with lowest mean score was 0.19 with 'assess the general conditions'. Reliability of between two evaluation using Cronbach's alpha was .86. Conclusion: This results show postpartum hemorrhage access tool developed this study had reliability and validity. Further studies are needed to determine property of tool in postpartum hemorrhage access tool.

Animal therapy uses animals, mostly dogs, to aid in healing patients holistically. Dogs have an overwhelming gratitude and exuberance for life and this effect on people is astounding. Furthermore, animal-facilitated therapy has been researched and its effectiveness on patients’ outcomes and healing is documented, yet it continues to be a standing controversial topic in nursing and health care. With a soaring trend of the incorporation of complementary therapies into the mainstream of health care, animal-facilitated therapy has become a popular interest for the health care team to integrate into a patient’s plan of care. This systematic literature summarizes the current research on the use of animal therapy in several patient populations and provides nursing implications for practice.

Purpose: The purpose of this study was to explore instructor's experience on nursing simulation education Methods: The participants in this study were 10 instructors at a university in Korea. They had teaching experience of simulation education in various parts of curriculum. Data were collected from October, 2014 to December, 2014, through in-depth interviews and were analyzed on the basis of Colaizzi’s phenomenological methodology. Results: Four essential themes were extracts that were as follows 1) Came across obstacles about use of the simulator 2) Need of instructors’ preparation for the simulation education is required 3) The simulation education conditions are in need of improvement 4) Need of efforts required to strengthen competency as professional nurses Conclusion: Even though at times the education was not carried out smoothly from simultor and education condition, the instructors felt the need for the simulation education in nursing and realized that instructors preparation and simulation education conditions were in need of improvement. Furthermore, the instructors thought the need of further efforts for the students to strengthen their nursing competency as professional nurses. Such understanding of the instructors’ experience, therefore, will be applied to the course of education, which will help maximize the effects of the simulation education and contribute to the necessary improvement required through the curriculum.

Purpose: The purpose of this study were to find out effects of situated learning to problem solving of nursing students. Method: Subjects were 210 nursing students and analyzed by frequency, mean and t-test. Results: Experimental group who experienced situated learning was significantly higher problem solving than control group who didn't experience that. Conclusion: This study found that situated learning in nursing students was effective educational method to develop problem solving. So it is needed to develop various educational methods to improve problem solving according to curriculum.

The purpose of this study includes: Firstly, to examine the effects of procedural justice and job significance on value of work, psychological ownership, and job satisfaction. Secondly, to examine the mediating effect of the value of work, psychological ownership on the relationship between procedural justice, job significance and job satisfaction. For the study, the data was collected from convenient sample of 273 nurses at university hospital in a city to test theoretical model and its hypotheses. All data collected from the survey were analyzed using with SPSS 18.0 and AMOS 18.0. This study reports findings as followed: first, the relationship between the procedural justice and the value of work is positively related. Second, there was also a positive correlation between the procedural justice and the psychological ownership. Third, there was also a positive correlation between the job significance and the value of work. Fourth, the relationship between the job significance and the psychological ownership is positively related. Fifth, there was also a positive correlation between the value of work and the psychological ownership. Sixth, there was also a positive correlation between the procedural justice and the job satisfaction. Seventh, the relationship between the job significance and the job satisfaction is positively related. Eighth, there was also a positive correlation between the value of work and the job satisfaction. Ninth, there was also a positive correlation between the psychological ownership and the job satisfaction. Finally, the value of work and psychological ownership played as a partial mediator on the relationship between procedural justice and job satisfaction. Also, the value of work and psychological ownership played as a partial mediator on the relationship between job significance and job satisfaction. Based on these findings, the limitations of the study and some directions for future studies were presented.

Purpose: The purpose of this study was to identify the differences in learning flow and problem solving ability by simulation-based fundamentals of nursing practice program depending on the level of self-efficacy of nursing students. Methods: This study was a one group pre-post design. This study involved 254 second grade nursing students at T university in D city. Data were collected from October 28th to November 29th in 2013. Data were analyzed with frequency, percentage, descriptive statistics, paired t-test, ANOVA and post hoc test with using IBM SPSS WIN version 18.0. Results: There was a statistically significant increase in learning flow(F=14.328, p <.001) and problem solving ability(F=4.315, p=.014). There were significant differences on 11.12 score of learning flow and 7.20 score of problem solving ability with answer ‘Low’ by the level of self-efficacy. Conclusion: The result showed that the simulation-based fundamentals of nursing practice program improve learning flow and problem solving ability of low self-efficacy students. Therefore, it is an effective learning method.

Purpose: The purpose of this study was to explore the first learning experiences of undergraduate nursing students in team based high-fidelity simulation. Methods: The participants in this study were 13 undergraduate students at a university in Korea. The students were place in a setting of high-fidelity simulation to manage neurological patients. Data were collected from August, 2013 to September, 2013, through in-depth interviews and were analyzed on the basis of Colaizzi’s phenomenological methodology. Results: Five essential themes were extracts that were as follows 1) Thoughts about patients through the training manikin 2) Feeling of being engaged in practical training 3) Recognition of the importance of the team and teammates 4) Evaluation and analysis of the education content 5) Prospects of improving the capacity for nursing practice. Conclusion: Although the students experienced simulation practicum for the first time, it was noticeable that they tried to actively utilize their theoretical knowledge on the training high-fidelity manikin during simulation practicum. Also, it was observed that they recognized the importance of cooperating with their teammates through team role-playing, assuming a professional attitude as a result. Furthermore, analysis on the content of the education and self-evaluation would help foster the capacity to provide total care for patients.

Purpose: The purpose of this study was to verify the effect of student-generated rubrics on learning motivation and academic achievement in simulation education. Methods: Student-generated rubrics was developed through the negotiation process between teacher and students, content validity has been verified. The participants were 122 undergraduate nursing students recruited from the one university in G city. The participants were given the simulation education for 15 weeks from 2011 to 2012. Experimental group were presented to student-generated rubrics before course starting was not presented to the control group. The data were analyzed by t-test with SPSS win 18.0 program. Results: Student-generated rubrics presented simulation education was to improve learning motivation and academic achievement. Conclusion: Student-generated rubrics with high reliability and validity in a number of areas to be developed and there is a need to be refined and ensure objectification of simulation education.

Purpose: The purpose of this study was to investigate the effect of debriefing learning using peer feedback after blood transfusion nursing simulation practice. Methods: This study is a mixed method research to investigate the effect of debriefing using peer feedback on learning. The subjects of this study were third-year nursing students, and 23 of them were allocated to the control group and 19 to the experimental group. The experimental treatment was performed for about three hours, and the debriefing using peer feedback was not performed with the control group. The effect of the debriefing was measured in terms of the knowledge, attitude, and confidence in the performance with regard to blood transfusion nursing. The qualitative data about cognitive learning experience during the debriefing were analyzed. The quantitative data were analyzed by a t-test, a x² test, and a paired t-test by using IBM Statistics SPSS 19.0 software. Results: The results showed that the knowledge was significantly increased in both the control group and the experimental group (paired t=-6.411, p<.001; paired t=-5.759, p<.001), that the attitude toward the blood transfusion nursing was not significantly changed in both groups (paired t=-0.639, p=.530; paired t=-0.631, p=.536), and that the confidence in the performance was significantly increased in both groups (paired t=-5.124, p<.001; paired t=-4.747, p<.001). The qualitative data analysis of the cognitive learning experience during the debriefing showed that the content was divided into four subjects: “My errors are clearly seen as I reflect on myself,” “I can understand how to say and perform,” “I could make the knowledge my own by reviewing what I have done,” and “I could have see the big picture of nursing skills.” Conclusion:. The results of this study showed that the debriefing using peer feedback after the simulation had the learning effects of repeated learning and experiential learning of specific nursing skill, indicating that it is a useful education tool in nursing education.

Purpose: This study was conducted to examine the effects of Clinical practice learning using a web-based e-book on nursing students' learning motivation, knowledge achievement and satisfaction with clinical practice. Methods: The participants in this study were 69 third-year nursing students (34 in the experimental and 35 in the control group) from a C-university in G-city, Korea, who were engaged in one-week clinical practicum in a gastroenterology ward. The data were analyzed by x²-test, Fisher's exact test, and t-test with the SPSS program 20.0. Results: After intervention, compared to the control group, the experimental group reported significant difference in Learning motivation (t=-3.61, p<.001), knowledge achievement(t=-2.92, p<.001), and satisfaction with clinical practice (t=-8.78, p<.001) in the training course using Mosby's nursing skills. Conclusion: These results identified that clinical practice learning using Mosby’s Nursing Skills was effective for the improvement of learning motivation, knowledge achievement and satisfaction with clinical practice. These results indicate that the implementation of an e-Learning needs to be continued as an effective educational tool. Also, it is needed to research more for better ways to implement e-Learning on students’ practicum.

Purpose: The purpose of this study was to identify the effect of simulation-based education for nursing students. Methods: One group pre-post test of quasi-experimental design was used. Forty-four nursing students participated in the study. The instruments used for this study were critical thinking disposition scales and problem solving process scales, clinical competency scales. Data were analyzed using the SPSS 18.0 program with descriptive statistics, paried-test. Results: There were significant increases in critical thinking(t=5.958, p<.001), problem solving process(t=3.331, p=.002) and nursing clinical(t=2.226 p=.031). Conclusion: In conclusion, the simulation-based education program was effective in contributing towards the development of critical thinking, problem solving process and clinical competence. Further study is needed to develop of clinical based learning modules and determine the effect of simulation method, learning times, team size on learrning.

Purpose: The purpose of this study was to understand how team performance was related to team efficacy, interpersonal understanding, positiveness in problem solving, and class satisfaction, after applying simulation education using team based learning. Methods: Study objects were the students in C college who learn through simulation using team based learning for 4 weeks(March 2012 to June 2012). Team efficacy, interpersonal understanding, and positiveness in problem solving were developed by Kwon (2010). Class Satisfaction was developed by Kim (1998) and team performance was designed by professors. SPSS/WIN 21.0 was used for descriptive analysis, pearson correlation. Results: In this study, team performance score was related to interpersonal understanding (score=3.84, r=.620, p<.001), team efficacy(score=3.73, r=.510, p<.001), positiveness in problem solving(score=3.56, r=.468, p=.001), and class satisfaction(score=3.55, r=.448, p=.002), respectively. Conclusion: There findings indicate that there is a need to increase team efficacy,interpersonal understanding, positiveness in problem solving and class satisfaction to improve team performance of nursing students

Purpose: Clinical training for nursing students is limited to obstetrical nursing to avoid potential risks. This study was conducted to examine the effects of a simulation-based learning for obstetrical nursing. The study examines knowledge of obstetrical nursing, performance ability and self-confidence between experimental group (nursing student who participated in the simulation-based learning discussing case studies and comparing to their own experience) and control group. Methods: The study was designed using a nonequivalent control group pretest-posttest design. Twenty nursing students were assigned to experimental group and participated in the simulation-based learning. The data were analyzed using the SPSS 18.0 program to perform χ2-test and t-test. Results: The experimental group showed significantly higher posttest scores in knowledge, performance ability and self-confidence than those of control group. Conclusion: The study results indicate that a simulation-based learning was effective in increasing knowledge, performance ability and self-confidence for nursing students.

Purpose: This study examined the effects of simulation-based education on knowledge, self-confidence and satisfaction about maternity core nursing practicum in senior nursing students. Methods: One group, pre-post design, was utilized with 77 students. The simulation -based maternity core nursing practicum that consisted of two sessions each 2 hours long for intrapartum and postpartum care was provided to 6 small groups. Core items of knowledge about and self-confidence in maternity core nursing practicum were measured with 18 items before and after the sessions. Results: The knowledge, self-confidence and satisfaction scores in maternity nursing care showed a significant change in the post-test (t=-13.99, p<.001, t=-21.14, p<.001). Conclusion: The simulation-based maternity core nursing practicum was useful in improving the knowledge, self-confidence and satisfaction scores for childbirth and postpartum care in nursing students. In conclusion, We recommend for maternity core nursing practicum to empower the competency of the students.