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.

본 연구는 간호대학생의 자기결정성과 진로포부와의 관계에서 간호전문직관의 매개효과를 규명 하기 위해 시행되었다. 연구 대상자는 J도와 G시에 소재한 3개 대학교의 간호학과 재학생 4학년 180명이 다. 수집된 자료는 SPSS 27.0 프로그램을 이용하여 기술통계, t-test, ANOVA, 피어슨 상관계수 및 회귀분 석을 시행하였고, 매개효과 검증을 위해 Sobel test를 실시하였다. 연구결과, 간호전문직관은 자기결정성과 진로포부 사이에서 부분매개효과를 나타냈고(Z=2.81, p=.005), 자기결정성(β.=.38, p<.001)과, 간호전문 직관(β=.25, p<.001)이 높을수록 진로포부 수준이 높아지며, 진로포부를 설명하는 설명력(R2)은 30%이었 다. 따라서 간호대학생의 진로포부를 향상시키기 위한 방안으로 자기결정성과 간호전문직관의 함양을 위한 실제적인 전략이 필요함을 시사한다.

본 연구는 자연치유 진단을 위한 대상자의 간호 진단 중재를 적용한 사례 연구로, 대상자의 치유 과정을 이해하고 지원하기 위한 접근 방식이다. NANDA(North American Nursing Diagnosis Association, 북미간호진단 협회)의 간호 진단 분류 체계를 기반으로 한 간호 과정을 수행하고 평가하는 시스템을 통해 자연치유를 선택하는 대상자들의 건강을 돕고자 하였다. 이 사례를 통해 자연치유 진단, 자연치유 수행, 결과, 평가까지 도출하는 과정을 서술적 보고 형식으로 제시하였다. 연구 대상자가 겪고 있는 건강 문제인 불 안에 대해 주관적 및 객관적인 사정 자료를 통해 파생된 건강 문제들을 간 호 진단, 요인 분석, 대상자의 행동 특성 등으로 분류하고, 중재 목표를 설 정하였다. 목표에 대한 결과를 도출하기 위한 중재 요법으로, 몸의 관절 가 동 범위를 넓혀주는 원심도와 싱잉볼 이완 요법을 간호 중재로 선택하여 긍 정적인 결과를 도출하였으며, 이는 앞으로 유사한 환자들에게도 적용할 수 있는 모델이 될 수 있다고 사료된다. 향후 다양한 질환 군에 대한 간호 체계 분류를 적용한 자연치유 중재 효과에 대한 양적 연구의 확대와 장기적인 자 연치유 과정과 그 결과를 평가하기 위한 후속 연구가 필요하다고 보여진다.

Purpose: This study aimed to analyze the reviewers’ evaluations of papers submitted to the Journal of the Korean Society for Simulation in Nursing between 2019 and June 2024. Methods: We analyzed 117 quantitative (69 published and 48 unpublished) and 16 qualitative (11 published and five unpublished) studies. The reviewers’ checklist-based evaluations were analyzed using means and standard deviations. The scope method was used to examine the reviewers’ subjective evaluations. Results: For quantitative studies, the highest average score among published papers was in the “Research Theme” category (3.64±0.73). Contrastingly, the lowest average scores were in the “Discussion” category, with 3.32±0.74 for quantitative studies and 3.23±0.74 for qualitative studies. In rejected papers, the “Discussion” category recorded the lowest scores, at 2.35±0.74 for quantitative studies and 1.92±0.76 for qualitative studies. Conclusion: The results demonstrated the research characteristics of this journal and focus of the review by providing information on the reviewers’ evaluations. Structured scientific research based on these results will contribute to improving the academic quality of journals by reinforcing the openness and systematicity of academic communication.

Purpose: This study employed a non-equivalent controlled pre-post experimental design to create educational content on basic cardiopulmonary resuscitation(CPR) and defibrillators using augmented reality smart glasses and determine its impact on nursing students' clinical competence, self-efficacy, and satisfaction. Method: The participants were nursing students from “S” University. The experimental and control groups comprised 33 and 29 participants, respectively. The dependent variables are clinical competence, self-efficacy, and satisfaction. The experimental group utilized augmented reality smart glasses, while the control group watched videos on a tablet PC. The collected data were analyzed using t-tests, -tests, and ANCOVA through the SPSS 25 program. Results: Clinical competence was significantly higher in the experimental group (1.86±0.01) than in the control group (1.75±0.01; F=31.76, p<.001). Self-efficacy was significantly higher in the experimental group (9.00±0.11) than in the control group (7.94±0.12; F=39.04, p<.001). Similarly, satisfaction was significantly higher in the experimental group (4.95±0.09) than in the control group (4.69±0.30; t=4.494, p<001). Conclusion: Augmented reality-based CPR and defibrillation training is effective in Improving nursing students’ clinical competence, self-efficacy, and satisfaction.

Purpose: This study aimed to explore the effects of immersion, satisfaction, and confidence in nursing competence after simulation practice. Methods: A descriptive survey was administered to 138 senior nursing students. Data were analyzed using descriptive statistics, Pearson’s correlation, stepwise multiple regression, and Cronbach’s alpha coefficient using SPSS/WIN 27.0. Results: Immersion, satisfaction, confidence, and nursing competence scored 85% of the overall scores. Nursing competence was positively correlated with immersion, confidence, and satisfaction. Only immersion had a significant effect on nursing competence, explaining 55.8% of variance. Conclusion: The level of immersion must be increased to enhance nursing competence in simulation. Further studies are needed to examine the effects of immersion on nursing competencies.

Purpose: This study aimed to identify the need for simulation education to strengthen patient safety competencies in nursing practice field experience and explore and analyze improvements in simulation education. Methods: Data were collected through focus group interviews with 31 participants from four groups of fourth-year nursing students and one group of new nurses from August 7, 2023 to February 11, 2024. Interview data were systematically reviewed by qualitative content analysis. Results: Five major themes were identified; (1) awareness of patient safety competencies among nursing students and new nurses, (2) awareness of patient safety education among nursing students and new nurses, (3) simulation education topics for strengthening patient safety competencies, (4) interfering factors of simulation education for strengthening patient safety competencies, and (5) facilitating factors of simulation education to strengthen patient safety competencies. Accordingly, 15 categories were derived, and the current status of simulation education for patient safety, educational needs, and improvements were reported. Conclusion: This study attempted to reflect on the needs of learners before developing a simulation education program and derive educational content to strengthen patient safety competencies.

Purpose: This single-group pre-post experimental study aimed to develop and apply a simulation-based infection control education program for neonatal intensive care unit (NICU) nurses to verify its effectiveness and provide baseline educational materials to strengthen NICU nurses’ infection control competencies. Methods: The educational program was developed according to the five phases of analysis, design, development, implementation, and evaluation models, with scenarios based on the educational needs of NICU nurses. To verify the program’s effectiveness, a study was conducted on 28 NICU nurses of general and tertiary hospitals. NICU nurses’ infection control knowledge, performance confidence, critical thinking disposition, and satisfaction with the education were surveyed after applying the education program. Results: The simulation-based NICU infection control educational program was effective for NICU nurses’ infection control knowledge (t=−7.35, p < .001), performance confidence (t=−6.30, p < .001), and critical thinking disposition (t=−5.12, p < .001). Conclusions: The infection control educational program can contribute to infection prevention and patient safety by improving the NICU nurses' infection control competencies and be used as a baseline educational material for infection control education.

This study aims to examine whether social support has a mediating effect on the relationship between optimism and learning flow as a strategy to promote learning flow in nursing students. The subjects of the study were first-, second-, third-, and fourth year students enrolled in the department of nursing at a four-year university located in city G. Data collection was conducted from September to October 2024. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and Baron and Kenny's regression analysis. The results of the correlation analysis between the variables in this study are as follows. Optimism and social support (r=.372, p<.001), social support and learning flow (r=.445, p<.001), and optimism and learning flow (r=.437, p<.001) all showed positive correlations. The results of the mediating effect of social support on the relationship between optimism and learning flow according to Baron and Kenny's regression analysis are as follows. In step 1, optimism showed a positive effect on social support (β=.372. p<.001). In step 2, optimism showed a positive effect on learning flow (β=.437. p<.001). In step 3, social support showed a partial mediating effect between optimism and learning flow (β=.315. p<.001, β=.328. p<.001). Overall, these findings suggest that strategies that promote optimism and social support are needed to enhance learning flow among nursing students.

Purpose: This mixed methods study aimed to investigate the anxiety and nursing satisfaction levels and experiences among users of a general health checkup center. Methods: A total of 152 participants completed a questionnaire to assess their pre-checkup anxiety and post-checkup nursing satisfaction levels. Additionally, 11 participants were individually interviewed to determine their pre-checkup anxiety and post-checkup nursing satisfaction experiences. Survey data were analyzed using SPSS software, while qualitative data were analyzed using content analysis. Results: The mean anxiety scores were 2.80±2.24 on the Visual Analog Scale for Anxiety and 44.06±9.55 on the State-Trait Anxiety Inventory (STAI) scale. Education level was a significant factor influencing the STAI scores. Participants with a college education or higher had significantly lower STAI scores(p<.005), indicating the association between higher education levels and lower STAI scores. The mean nursing satisfaction score was 36.49±8.84, with male participants reporting higher nursing satisfaction levels. The pre-health checkup anxiety experience included three themes: “contrasting expectations about checkup results,” “various emotions felt during the checkup process,” and “physical and mental reactions.” The health checkup nursing satisfaction experience included four themes: “satisfaction with nurses’ support and care,” “comfort during the checkup process,” “dissatisfaction due to nurses’ habitual responses,” and “expectations for nurses’ emotional support and communication.” Conclusion: Providing comprehensive nursing information is essential to reduce user anxiety and improve nursing satisfaction. Moreover, integrating advanced technologies, such as virtual reality, augmented reality, and metaversing, into information delivery can enhance educational effectiveness and better address the experiences and needs of checkup users.

Purpose: To highlight the experiences of nurses who are promoted through a career development system that recognizes and rewards their expertise based on their clinical experience. Methods: This study involved 11 nurses who voluntarily participated at Clinical Nurse III level or above from a tertiary hospital. Data were collected through individual in-depth interviews from March 4 to 28, 2024, using semi-structured and open-ended questions. Analysis was performed using the Colaizzi' phenomenological method. Results: The results of the study were derived into 32 themes, 13 theme clusters, and 5 categories: ‘The promotion process you chose to grow as a leader’, ‘A rugged climb to professional recognition’, ‘Glorious CN III title’, ‘Reborn as a professional nurse’, and ‘The career ladder system needs improvement but it is essential’. Conclusion: This study revealed the experiences of CN III nurses who were promoted through the career development system. Nurses hope that this system will allow them to articulate their expertise more clearly and be rewarded for their valuable experiences. By assessing the career development needs of the nurses, we aimed to better recognize their skills and enhance the significance of their experiences.