Purpose: This study aimed to understand the effect of extra-corporeal membrane oxygenation (ECMO) preparation education implemented with smart glasses in augmented reality on the performance ability, performance confidence, and educational satisfaction of clinical nurses. Method: The participants were clinical nurses at B hospital—27 in the experimental group and 25 in the control group. The measurement tools were performance ability (24 items), performance confidence (11 items), and educational satisfaction (9 items). The experimental group intervention used augmented reality with smart glasses, and the control group used video resources. The collected data were analyzed by t-test, x2-test, and ANCOVA using the SPSS Statistics for Windows, version 25.0. Results: The performance was significantly higher in the experimental group than in the control group (F = 104.83, p < .001). Performance confidence was considerably higher in the experimental group than in the control group (F = 2.09, p = .041). Finally, educational satisfaction was significantly higher in the experimental group than in the control group (F = 4.52, p < .001). Conclusion: It was confirmed that ECMO education implementing augmented reality with smart glasses is an effective method for improving performance ability, performance confidence, and educational satisfaction among clinical nurses.

Purpose: This study examined the effect of the blended learning method during self-practice of transfusion therapy on nursing students’ academic achievement in transfusion therapy, confidence in performing transfusion therapy, self-directed learning ability, and satisfaction with self-practice. Methods: The study design was a non-equivalent control group pretestposttest quasi-experimental design. The participants were 75 nursing students divided into two groups: 38 in the experiment group and 37 in the control group. The blended learning method, combined with face-to-face and online learning, was applied to the experimental group’s self-practice from October 12 to 30, 2020. For the control group’s self-practice, face-to-face learning without online learning was employed. Results: The experimental group showed significantly better academic achievement than the control group. There were no significant differences in confidence in performance, self-directed learning ability, and satisfaction with self-practice between the two groups. Conclusion: This study showed that the blended learning method combined with face-to-face learning and online learning in self-practice significantly affected academic achievement. Further studies are needed to identify effective online learning methods for nursing practice.

지금까지 간호사 교육프로그램들은 개별적으로 다양하게 연구되었으나, 그 연구를 종합하여 그 효과성을 보여주는 연구가 없었다. 그래서 개별적인 연구를 종합하여 효과성을 검정하는 연구가 필요하다. 본 연구의 목적은 간호사 교육프 로그램을 주제로 2002~2021년까지 20년간 국내에서 연구된 학술논문 22편(효과 크기 38개)에 대한 메타분석을 통해 효과성을 검정하는 것이다. 그 결과는 다음과 같다. 첫째, 전체 효과크기는 1.1196로 나타나 유의미한 효과성을 보여주었으며, 효과크기의 동질성보다는 이질성(Q값에 대한 유의확률 p=0.0001, I2 =86.2%)이 확인되어 랜덤효과모델로 해석되었다. 둘째, 효과변인 간의 동질성 검정 결과는 Q =12.07(df=5, p<0.0338), Q-df>0이므로 연구 간 분산이 실제 존재함을 보여준다. 셋째, 조절변인(Alpha와 ST)로 메타회귀분석을 한 결과 유의미한 설명력을 보여주지 못했다. 넷째, 효과변인 간의 효과크기 차이는 지식(7 개)에서 Hedges’ g=1.7434, 수행능력(6개)에서 Hedges’ g=1.7294, 자기효능감(8 개)에서 Hedges’ g=1.1666, 의사소통능력(5개)에서 Hedges’ g =0.6835, 스트레스 (7개)에서 Hedges’ g =0.6674, 태도(5개)에서 Hedges’ g =0.5648 순으로 나타났으며, 지식의 효과크기가 가장 컸고, 태도의 효과크기가 가장 낮았다. 출판편향을 분석하기 위해 깔때기 그림, Egger의 회귀분석, 안정성계수, 절삭-과-보충, 보정된 깔때기 그림 등을 분석해 본 결과를 살펴보았을 때, 본 연구의 출판편향의 문제는 없었다. 마지막으로 본 연구 결과의 의미와 시사점에 대해 논의하였다.

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.

Purpose: This study explored and described the lived experiences of nurses in taking care of patients during COVID-19 pandemic in Korea. Methods: Data were collected through individual in-depth interviews with 10 nurses who involved in COVID-19 patient care. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis. Results: Qualitative data analysis revealed three categories: ‘standing in front of the pandemic’, ‘harsh experience of caring for COVID-19 patients’, and ‘finding a way for better COVID-19 patients care’. The lived experience of nurses in caring of patients with COVID-19 infection was ‘finding the best way to provide proper care in unfamiliar and difficult pandemic situation’. Conclusion: The results illustrated the motivation, meaning, and value of pandemic care from the nurses’ perspective. Nurses felt proud of being a part of dedicated hard-working team but distressed by crumbling death without dignity and pressured by being thrown at the front-line in the COVID-19 battle. The advanced practice nurses’ hidden supports and advices were helpful for them to reinforce nursing capacity for optimal care. Nursing professionalism should be enhanced by establishing the scope of practices and providing systematic support with appropriate rewards.

Purpose: The purpose of this study is to understand the general nurses's experiences of missing patient identification. Methods: Participants were 12 nurses who experienced missing patient identification in general wards in hospitals. Data were collected with focus group interviews and individual in-depth interviews and data were analyzed using qualitative content analysis. Results: As the results of this study, 128 statements, 4 themes and 13 sub-themes were derived. The four themes derived were ‘Situations that we had not to check patient identification properly’, ‘Fear and pressure from the result of missing patient identification’, ‘Feeling guilty to the results of missing patient identification’and ‘Efforts to reassuring patient identification’. Conclusion: In order to prevent the failure of patient identification, we need specialized programs to cultivate patient safety culture not only for nurses, also patients and caregivers, and all departments of hospital. We also need institutional efforts and effective hospital investment and supports for accomplishing the goal.

본 연구는 간호대학생이 지각한 간호사 이미지와 전공몰입 정도를 파악하고, 이들의 관계를 규명하여 간호대학생의 전공몰입 향상에 필요한 방안을 마련하고자 시도되었다. 본 연구에는 7개 간호대학에 재학 중인 간호대학생 185명이 참여하였으며, 수집된 자료는 SPSS/WIN 24.0 프로그램으로 통계분석하였다. 본연구결과는 다음과 같다. 연구대상자들이 인식한 간호사 이미지는 3.79점. 전공몰입은 3.52점으로 평균 이상의 점수를 보였으며, 대상자가 지각한 간호사 이미지가 긍정적일수록 전공몰입이 높은 것으로 확인 되었다. 또한, 전공몰입에 영향을 미치는 요인에는 전공만족도, 간호에 대한 인식, 간호사 이미지, 간호학과 선택 동기 중 적성과 흥미 순으로 확인되었고 전체 설명력은 42%였다. 이상의 결과를 토대로 볼 때, 간호 대학생이 긍정적인 간호사 이미지를 형성하고 전공에 대해 만족감을 증진할 수 있는 교과 및 비교과 프로그램을 개발하고 적용할 필요가 있다.

The purpose of this study is to understand the relation of peer group caring interaction, Professional self-concept, and Nurses’ Retention. The subjects of this study are 133 nurses who have worked for more than three months at five general hospitals with more than 300 beds in S city. As a result of the study, nurses’ retenstion was higher than those of under 25 years of age between 30 and 35(F=3.313, p=.039).The professional self-concept of hospital nurses has been identified as an influence factor of intent to serve. Professional self-concepts have been shown to be better with higher peer-care and consideration(r=.397, P=.004). The peer group caring interaction behavior can occur not only between colleagues but also between managers. Therefore, it is necessary to proceed with the manager's group caring interaction as a follow-up study.

본 연구는 간호대학생의 임상실습 동안 적용한 SBAR 보고교육이 의사소통명확성, 의사소통 만족도, 보고자신감, 의사소통능력에 미치는 영향요인을 파악하고자 실시되었다. 자료수집기간은 2019년 12월 1일부터 12월 20일까지이며 2개 대학교에서 임상실습을 6주 이상 완료한 3학년을 편의 추출하였다. 대상자 수는 SBAR 보고교육을 받은 103명과 교육을 받지 않은 113명이다. 자료분석은 SPSS 21.0 프로그램을 이용하여 t-tests, one-way ANOVA, Pearson’s correlation coefficient 등으로 분석하였다. 의사소통명 확성과 의사소통능력은 양의 상관관계(r=.52, p<.001)가 있었고, 보고자신감은 의사소통만족도와 양의 상관관계(r=.53, p<.001)가 있으며, 의사소통능력은 보고자신감과 양의 상관관계(r=.46, p<.001)가 있었다. 의사소통능력은 의사소통명확성(β=.29, p<.001), 의사소통만족도(β=.43, p<.001), 보고자신감(β=.15, p=.009)이 유의한 영향요인이었으며, 설명력은 49.0%로 나타났다. 결론적으로 간호대학생에게 임상실습 중 실무능력을 파악하여 보고체계를 강화하기 위한 교육적 제도와 교수방법의 프로그램 개발이 필요하다.

본 연구는 SNS 중독 경향성 및 대인관계가 간호대학생의 대학생활적응에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 본 연구는 2019년 10월 01일부터 10월 04일까지 G시 1∼3학년의 간호대학 재학생 228명을 대상으로 실시되었다. 결과분석은 기술통계, ANOVA, Pearson correlation coefficients, Multiple regression을 이용하였다. 연구결과, 대학생활적응은 성별(t=5.26, p<.001), SNS 일 평균 사용시간(F=8.07, p<.001), 현실에서의 교류 친구 수(F=2.87, p=.037)와 유의한 차이가 있었다. 변수 간의 상관관계로 대학생활적응은 SNS 중독 경향성(r=-.31, p<.001) 및 대인관계(r=.52, p<.001) 간에 유의한 상관관계가 있었으며, SNS 중독 경향성과 대인관계에서도 유의한 상관관계가 있었다(r=-.17, p=.011). 대학생활적응에 영향을 미치는 요인으로는 대인관계(β=.477, p<.001), 성별(β=-.198, p=.001), SNS 일 평균 사용시간(β=-.177, p=.003)으로 나타났으며 설명력은 37.8%였다. 본 연구결과를 토대로 간호대학생의 대학생활적응을 향상시키기 위해 긍정적인 SNS를 활용한 긍정적인 대인관계 형성을 위한 프로그램 개발이 필요하리라 사료된다.

본 연구는 PETTLEP 모델 기반 심상훈련을 기본간호학실습 교육에 적용하여 핵심기본간호술 수행자신감 및 수행능력, 자율실습 참여도에 미치는 효과를 규명하기 위한 비동등성 대조군 전후 유사실험연구 이다. 연구대상은 K도 소재 U대학교 간호학과 2학년 재학생 중 연구목적을 이해하고 연구참여에 자발적으로 동의한 74명을 무작위로 실험군과 대조군에 배정하여 자료 수집하였다. 수집된 자료는 SPSS Statistics 23.0 프로그램을 이용하여 대상자의 일반적 특성은 빈도와 백분율, 정규성검정은 왜도와 첨도를 이용하였으며, 실험처치의 효과측정을 위한 종속변수 검정은 paired t-test로 분석하였다. 연구결과 PETTLEP 모델 기반 심 상훈련은 핵심기본간호술 수행자신감(t=4.18, p<.001), 핵심기본간호술 수행능력(지식(t=2.241, p=.032), 간호술기(t=8.402, p<.001)), 자율실습 참여도(t=6.822, p<.001)에 통계적으로 유의한 차이가 있었다. 본 연구 결과를 토대로 PETTLEP 모델 기반 심상훈련은 기본간호학실습 교육에 적용 가능한 교수학습방법이 될 수 있음을 확인하였다. 따라서, 핵심기본간호술 중 난이도가 높은 항목의 수행능력 향상을 위해 PETTLEP 모델 기반 심상훈련을 활용할 수 있을 것으로 기대된다.

본 연구에서는 병원간호사의 직장 내 괴롭힘을 지각한 간호대학생의 전공만족도와 주도적으로 진로를 결정하고 직업환경에서의 변화에 대처할 수 있는 준비성인 진로적응성에 어떠한 영향을 미치는지 규명하기 위해 실시하였다. 연구 대상자는 서울과 충청권 거주 간호대학생으로 2020년 2월 1일부터 4월 15일까지로 총 187부의 자료를 t-test, ANOVA, Pearson’s Correlation Coefficient, Multiple regression analysis로 최종 분석하였다. 연구결과는 학년과 학과 지원동기, 병원간호사의 직장 내 괴롭힘 지각의 영향 유무 및 진로적응성을 예측변수로 간호대학생의 전공만족도를 설명하는 선형회귀모형은 통계적으로 유의하였고(F=10.821, p<.001), 회귀모형의 설명력은 전공만족도 총 변화량의 33.1%를 설명하고 있다. 학년, 학과지원동기, 직장 내 괴롭힘 지각과 전공만족도를 예측변수로 간호대학생의 진로적응성을 설명하는 선형 회귀모형은 통계적으로 유의하였고(F=10.242, p<.000), 회귀모형의 설명력은 자기주도성 총 변화량의 28.9%를 설명하고 있다. 따라서 본 연구결과를 바탕으로 직장 내 괴롭힘 문화에 대한 지각 및 인식개선을 위한 상담과 비교과 교육 프로그램개발 및 활성화를 위한 기초자료로 활용할 수 있을 것이다.

본 연구는 종합병원에서 근무하는 초보간호사의 임상수행능력에 영향을 주는 요인을 알아보고자 실시하였다. 초보간호사 155명을 대상으로 2020년 9월 11일부터 9월 30일까지 설문조사 하였으며, 수집된 자료는 SPSS 프로그램을 이용하여 t-test, ANOVA, Scheffe test, Person’s correlation coefficients, 다중회귀분석을 하였다. 월경곤란증은 2.77점, 임상수행능력은 3.44점 이었고 월경곤란증과 임상수행능력은 유의한 음의 상관관계를 보였다(r=-.226, p=.002). 임상수행능력에 유의한 영향을 준 것은 자율신경계 반응이고(β=-.261, p= .001) 설명력은 22.1%였다. 따라서 초보간호사의 임상수행능력을 증진시키기 위해 월경곤란증의 자율신경계 반응 완화를 위한 중재 교육 프로그램이 필요하다.

본 연구는 간호대학생의 메타인지, 학습 동기가 문제해결력에 어떠한 영향을 주는지 확인하고, 이를 통해 간호대학생의 문제해결력을 효과적으로 강화할 수 있는 학습전략 마련에 기초자료를 제공하고자 시행되었다. 연구자료 수집을 위해, 2개 간호대학에 재학 중인 간호대학생 160명에게 2021년 1월 20일 부터 3월 10일까지 설문을 통해 조사한 후, SPSS/WIN 24.0 프로그램을 활용하여 통계로 분석하였다. 연구결과, 간호대학생의 문제해결력은 메타인지(r=.44, p<.001), 학습 동기(r=.45, p<.001)와 유의한 양의 상관관계가 있었다. 또한 간호대학생의 문제해결력에 영향을 주는 요인은 학습 동기, 메타인지 순으로 전체 설명력은 32%였다. 본 연구의 결과를 토대로, 간호대학생의 문제해결력을 증진할 수 있는 간호대학생 맞춤형 비교과 프로그램들이 개발·적용되기를 바란다.

Nurses in an intensive care unit (ICU) often play key roles to improve the quality of end-of-life care. During those times, many nurses report they feel ambivalent in the caring between life and death. The purpose of this study was to analyze the concept of ambivalence that ICU nurses often experienced in end-of-life care. As a method, this study was conducted with the concept analysis using the hybrid model Schwartz-Barcott and Kim (1986) presented, naming the complex and dual feelings nurses experience during end-of-life care in ICU as ambivalence. In the theoretical phase and from the literature review, characteristics of ambivalence were identified. During the fieldwork phase, in-depth interviews were conducted with five nurses. In the final phases, a theoretical description was extracted of ambivalence in ICU nurses during end-of-life care. In terms of results, external factors (i.e., realistic context, contradictions in nursing activities themselves) and internal factors (i.e., personal tendencies, conflicting perceptions of dying, occupational awareness of nurses, role conflicts) were derived as antecedents of ICU nurses’ ambivalence during end-of-life care. Attributes were divided into intrinsic and existential dimensions. Intrinsic dimensions resulted in "coexistence of opposing equivalent values," "uncertainty," "hiddenization," "value confrontation may occur sequentially," and "absence of willingness to resolve." In existential dimensions, the following conflicts were derived: "pressure on work versus sympathy about family grief," "helplessness due to failure of medical care versus sadness for patient death" and "role as a nurse versus sadness felt during end-of-life care.” The results are organized into negative assessments of oneself and adaptations to ambivalence. In conclusion, through this concept analysis, the hope is that ICU nurses will be able to prevent progressing to burnout by accurately and actively facing and managing their own feelings during end-of-life care. Furthermore, this research is expected to serve as the cornerstone of developing theories for clinicians who provide end-of-life care.

This study is a descriptive correlation study to explore the intention of nursing for patients with COVID-19 among nurses in a tertiary hospital in Seoul, and to identify factors influencing the nursing intention. Data were collected from 239 nurses with more than 6 months of working experience from December 1, 2020 to December 31, 2020. Data were analyzed by t-test, ANOVA, Scheffé test, Pearson's correlation coefficient, and Hierarchical multiple regression using the SPSS WIN 24.0 program. According to a result of this study, the score of participant's nursing intention for patients with COVID-19 was an average of 4.48 points out of 7 points. Factors influencing the nursing intention were control beliefs, position, positive behavior beliefs, negative behavior beliefs, and normative beliefs: Among the factors influencing nursing intentions, control beliefs have been shown to have the greatest influence. These variables accounted for 65.2% of the variance in the nursing intention. Therefore, to increase the nursing intention for patients with COVID-19, it is necessary to educate and train nurses to strengthen their confidence in caring the patients. In addition, repeated studies were suggested with extended sample in other settings and to find other factors influencing the nursing intention.

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.

The Life-sustaining Treatment Decisions Act has became enforced in 2018. Patients' decision-making on life-sustaining treatments can change according to their health status and situations and thus should be understood as the process requiring continuous care. Therefore, it is necessary to build a support system to help patients' decision-making at end-of-life care including life-sustaining treatments. Nurses provide continuous care at the bedside and play a significant role in supporting patients' and their families' decision-making about end-of-life care. Based on reviewing literature and the enforcing process of the Life-sustaining Treatment Decisions Act, this paper described nurses' nursing care activities to support decision-making on life-sustaining treatments. The nursing care activities are 'empathetic support for the decision-making,' 'respect for patients and families as agents for the decision-making,' and 'support for the decision-making as a counselor.' It can emphasize the importance of a nurse's role as a support system for patients’ and their families' decision-making about end-of-life care.

본 연구는 자가간호프로그램이 요추간판제거술 환자의 운동이행 자기효능감, 자가간호지식, 자가간호이행에 미치는 효과를 확인하기 위한 실험연구이다. 대상자는 D광역시 소재 일개 척추전문병원 입원환자 중 미세현미경 요추간판제거술을 받은 환자로 실험군 26명, 대조군 27명이다. 수집된 자료는 SPSS 25프로그램을 이용하여 평균, 백분율, 표준편차, t-test, χ2-test, t-test, repeated measures ANOVA로 분석하였다. 연구결과 자가간호프로그램 중재를 받은 실험군은 제공받지 않은 대조군에 비해 시간이 경과함에 따라 보조기 관리지식(p=.001)과 일상생활관리지식점수(p=.005)가 더 높아 지지되었다. 또한 자가간호 프로그램을 제공받은 실험군은 제공받지 않는 대조군보다 보조기 관리이행도(p=.011), 일상생활 이행도 (p=.007), 유해생활 습관관리 이행도(p=.011)가 높아 지지되었다. 따라서 자가간호프로그램은 요추간판제 거술 환자의 수술 전후 적용을 통해 운동이행 자기효능감, 자가간호지식 및 자가간호이행도를 향상시켜 보다 빠른 회복을 도울 수 있는 프로그램이라고 할 수 있다.