This study was conducted to in-depth understand and describe the thoughts and experiences of nursing students in the practice of the intensive care unit. Data was collected through focus group interviews with 14 nursing students who voluntarily participated in the study targeting students who practiced the intensive care unit and analyzed by the content analysis. As a result of the study, two themes, 'ethical challenges faced in intensive care unit practice' and 'incomplete reflection, were derived. The categories included in the former were 'feeling wrong in the appearance of a nurse', 'thinking about a good nurse', 'thinking about the cause of the wrong practice', and the categories included in the latter were ''fear of being assimilated', and 'pledge oneself by put yourself in someone else's shoes’. Based on these results, it is necessary to develop ethics education to become a nurse who can form correct ethical comfortment, including ethics education in clinical practice instruction as well as classroom instruction.

본 연구는 코로나 19시기 간호대학생의 대면 비대면 학생상담 경험을 확인하기 위해 수행되었 다. 2022년 12월부터 2023년 4월까지 경기도 소재 S 여자대학교 학생 10명을 대상으로 인터뷰를 통해 데 이터를 수집하였다. 기록된 모든 자료는 귀납적 내용분석 방법으로 분석하였다. 연구결과는 ‘상담의 촉진’ 요인, ‘상담의 비촉진 요인’ 2개의 주제, 4개의 범주, 8개의 하위범주가 도출되었다. 첫 번째 주제의 범주는 ‘새로운 상담 방법의 적응’, ‘MZ 세대로서의 편리성 추구’, 두 번째 주제의 범주는 ‘상담에 대한 거부감’, ‘상호관계에 대한 갈망과 괴리’로 도출되었다. 본 연구를 통해 간호대학생들을 위해서 학생상담이 필수적이 며, 가장 적합하고 유용한 상담법이 무엇인지 이해하는 데 도움이 되었다. 또한, 본 연구는 성별, 전공에 따 른 연구 참여들 간의 대면 비대면 상담에 대한 비교 연구의 기반을 마련하는데 중요한 근거자료를 제공하 다. 더 나아가 간호대학생을 위한 학생상담 프로그램을 개발하고 그 효과를 확인하는 연구를 제언한다.

This study aimed to explore nursing students' experience of learning cardiopulmonary resuscitation (CPR) in a web-based virtual simulation (vSim) through analysis of the reflection journals. Method: From June to July 2020, data were collected from 48 fourth-year nursing students who performed the simulation by reviewing prompt feedback on their CPR performance. The contents of the reflection journals were analyzed using NVivo qualitative data analysis software. Results: Nursing students experienced unfamiliarity with the English-based virtual environment as well as psychological pressure and anxiety about emergencies. Incorrect interventions were identified in the following order of frequency: violation of defibrillator guidelines, missing fundamental nursing care, error in applying an electrocardiogram monitor, inadequate initial response to cardiac arrest, insufficient chest compression, and inadequate ventilation. Lastly, the participants learned the importance of embodied knowledge, for knowing and acting accurately and reacting immediately, and their attitudes as nurses, such as responsibility, calmness, and attentiveness. Learning strategies included memory retention through repetition, real-time feedback analysis, pre-learning, and imagining action sequences in advance. The level of achievement, time required, CPR quality, and confidence improved with behavior-modification strategies developed through self-reflection. Conclusion: Educational interventions that are based on understanding accurate algorithms can strengthen selfawareness of mistakes to improve efficient imparting of CPR education.

We aimed to develop and analyze the effectiveness of a “Room of Errors” simulation program for educating nursing students in patient safety management. Methods: This study used a quasi-experimental method (two group, before and after evaluation) and enrolled 35 nursing students as the participants. Data were collected using a self-reported questionnaire and analyzed through descriptive statistics and the independent t-test and Mann-Whitney U test using SPSS/WIN Statistics version 25.0. Results: After completing the “Room of Errors” simulation program, the participants’ score of intention and confidence in performance for patient safety management in the experimental group were significantly higher than those in the control group. Conclusion: A “Room of Errors” simulation education program for nursing students effectively increased the intention and confidence in performance of nursing students in patient safety management.

An “online respiratory infectious disease nursing simulation course” was developed to strengthen the nursing competency in respiratory infectious disease. Methods: In this methodological study, an “online respiratory infectious disease nursing simulation course” was developed using the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model and evaluated using a one-group pre-post quasi-experimental design to ascertain the respiratory infectious disease knowledge, performance confidence, and clinical performance of 37 nursing students. Results: The online course comprised 17 sessions categorized as follows: seven theory, five at-home laboratory training, two case study, and three simulation sessions. All the nursing students engaged in the course successfully fulfilled its requirements by attending all 17 sessions and passing the clinical performance examination. The knowledge, confidence, and clinical performance (t=-6.60, -10.62, and –6.36, respectively; p<.001 for all) pertaining to respiratory infectious disease significantly increased among participants after the concluding simulation session, compared with their pre-scores obtained prior to the course participation. Conclusion: The “online respiratory infectious disease nursing simulation course” significantly improved the nursing knowledge, performance confidence, and clinical performance ability of nursing students in managing respiratory infectious diseases.

본 연구는 만학도 간호대학생의 교수-학생 상호작용, 진로몰입이 자기주도학습능력에 미치는 영향요인을 규명하기 위해 시행되었다. 연구대상자는 G광역시, J도에 소재한 4개 대학교의 25세 이상 64 세 이하에 입학한 간호학과 재학생 162명이며, 자가설문방법으로 조사하였다. 수집된 자료는 SPSS 24.0 프 로그램을 이용하여 t-test, ANOVA, Pearson's correlation 및 multiple regression으로 시행되었다. 연구결 과, 자기주도학습능력에 영향을 미치는 요인은 진로몰입, 교수-학생 상호작용, 대학진학의 동기 순이며, 변 인들은 만학도 간호대학생의 자기주도학습능력을 29.5% 설명하는 것으로 나타났다. 따라서 만학도 간호대 학생의 진로몰입과 교수-학생 상호작용의 수준의 향상을 통해 자기주도학습능력을 촉진할 수 있는 프로그 램개발이 필요하다.

Purpose: This study aimed to examine the effect of tabletop disaster simulation of nursing students’ disaster preparedness and core competencies on disaster nursing. Methods: This study employed a nonequivalent control group multiple time-series design. The experimental group (n=27) underwent a lecture and nursing simulation education program on disaster nursing. Control group (n=27) underwent only lecture a review on disaster nursing. Data were analyzed by using descriptive statistics and repeated ANOVA and Bonferni test. Results: Disaster preparedness showed significant differences in groups by time (F=47.25, p<.001). Competencies on disaster nursing showed significant differences in groups by time (F=19.38, p<.001). Conclusion: This study showed that disaster nursing tabletop simulation education program was significantly effective in increasing disaster preparedness and core competencies on disaster nursing in nursing students.

Purpose: This study aimed to perform an integrated literature review to identify evidence for developing a problem-based learning (PBL) method based on a simulation education program for nursing students. Methods: In May 2022, 10 electronic databases were used to conduct a literature search using the keywords simulation, PBL, nursing, and education in Korean and English. Finally, 21 studies were selected. Results: There were more single-type simulation studies than studies using a hybrid model that combined two simulation types. Most simulation studies were for a single domain of adult nursing rather than for various integrated domains. Four studies (19%) applied a theory during debriefing, but most did not conduct a systematically structured debriefing. All studies selected attitude and competency as the outcome variables to study the effects of the intervention. Two variables (attitude and competency) or three variables (knowledge [or skill], attitude, and competency) were typically selected, and their effects were measured. Conclusion: PBL based on simulation education can be effective in improving nursing practice competency in nursing students. Future studies ought to develop interprofessional education programs based on PBL simulations through multidisciplinary cooperation.

Purpose: In this study, we developed an integrated simulation practicum and investigated the effectiveness of the practicum for senior nursing students. Methods: Sixty-seven senior nursing students from a university were enrolled in this study and assigned into two groups: experimental (n = 31) and control (n = 36). We developed and applied a 60-hour integrated simulation practicum that spans a 3-week period. The control group performed a traditional clinical practicum. The outcome measures were critical thinking disposition, clinical competence, and practicum satisfaction and the data were analyzed using the SPSS 23.0 software. Results: After the intervention, both experimental and control groups showed significant improvement in critical thinking disposition (p = .017) and clinical competence (p < .001) compared to those of the baseline. Regarding practicum satisfaction, the experimental group showed significantly higher satisfaction than the control group (p = .003). Conclusion: The integrated simulation practicum was an effective program that improved critical thinking, clinical competence, and practicum satisfaction in senior nursing students. To effectively improve critical thinking and acquire clinical competence, which are essential for prospective nurses, nursing students should be exposed more to simulation practicum that reflect environments similar to actual clinical settings for various patients with complex health problems.

Purpose: This study analyzed domestic studies on blended learning among nursing students to identify research trends and future directions. Methods: This scoping review was conducted following the process suggested by Arksey and O’Malley: 1) identifying the research questions; 2) searching for relevant studies; 3) study selection; 4) charting the data; 5) collating, summarizing, and reporting the results; and 6) optional consultation. Relevant studies were searched using the keywords “blended learning” and “nursing” in the domestic databases RISS, KISS, and DBpia. The selection and exclusion criteria were applied to 203 articles, and 34 were finally selected. Results: The final 34 studies included 30 quantitative and four qualitative studies. Most of the studies were experimental studies. In undergraduate nursing education, blended learning was utilized more in the classroom than in the lab or clinical setting. Furthermore, it was mainly applied by combining online and offline approaches. It improved learning satisfaction, critical thinking, clinical performance, and self-directed learning ability. Conclusion: Research on blended learning in nursing education has increased over time. Blended learning positively affects learning satisfaction and learning ability in nursing students; thus, it is expected that this could be effectively utilized in both the classroom and lab or in clinical teaching for nursing students. Therefore, future studies using various research methods should be expanded, and systematic reviews and meta-analyses are recommended.

본 연구는 국내 간호대학생에게 적용한 플립러닝 교수법의 효과에 관한 연구를 체계적 고찰을 통해 통합적으로 규명하기 위한 메타분석연구이다. 자료수집은 2022년 11월 20일에서 12월 20일까지 코 크란 연합의 체계적 고찰 보고지침을 준수하여 진행하였다. 국내 데이터베이스를 통해 검색된 논문은 RISS 72건, KISS 11건, Dbpia 46건 총 129편이었으며, 중복논문 제거 및 선정기준에 따라 최종 9편의 연구를 선정하였다. 국내 간호대학생을 대상으로 플립러닝 수업을 적용한 결과 플립러닝이 간호대학생의 비판적 사고성향 0.91(Z=8.36, p<.001), 학업적 자기효능감 0.35(Z=2.62, p=.009), 자기주도적 학습능력 0.81(Z=6.53, p<.001), 학업성취도 0.60(Z=5.18, p<.001), 자기효능감 0.66(Z=4.79, p<.001) 향상에 효과 적인 것으로 나타났다. 본 연구결과를 토대로 플립러닝은 국내 간호교육 현장에 적용 가능한 효과적인 교 수법임을 확인하였고, 플립러닝 수업설계 방향성에 객관적인 근거를 제시하였으며, 향후 플립러닝에 긍정 적인 효과를 주는 다양한 결과 변인들의 효과를 통합적으로 분석하는 반복연구를 제언한다.

Purpose: This quasi-experimental study used a non-equivalent control group pretest-posttest design to understand the effects of intradermal injection practice education. Practical augmented reality (AR) based educational interventions were conducted on clinical competence, self-efficacy, and educational satisfaction in nursing students. Method: Participants were nursing students at “S” university. There were 37 students in the experimental group and 36 students in the control group, for a total of 73 students. The measurement scales were clinical competence, self-efficacy, and educational satisfaction questionnaires. The intervention in the experimental group was conducted using AR with smart glasses; the intervention in the control group was conducted using a tablet PC. The collected data were analyzed by t-test, χ2-test, and ANCOVA using the SPSS 25 program. Results: Clinical competence was significantly higher in the experimental group (90.99±0.23) than in the control group (70.43±0.23; F=3745.89, p<.001). Self-efficacy was significantly higher in the experimental group (55.56±1.32) than in the control group (42.50±1.32; F=46.15, p<.001). Educational satisfaction was statistically significantly higher in the experimental group (40.81±6.58) than in the control group (32.56±7.74; t=4.52, p<.001). Conclusion: The results of this study can be utilized to develop effective nursing competency teaching strategies and as basic data for improving learning and nursing education.

Purpose: Room of Errors is a little-known method in Korea, effective for patient safety education. This study aimed to examine nursing students’ recognition of pre-staged medical errors while working as individuals or in a team. Methods: Thirty-four errors for a pre-op care scenario and thirty errors for a post-op care scenario were pre-set in two simulated patient rooms. Fifty-six nursing students randomly participated as individuals or as a team in one of two “Room of Errors” to find as many errors as possible within a certain time. The evaluation of error detection and debriefing occurred immediately following the simulation. Results: “Wrong patient name on wrist band” (77-100%) and “bedside rails down” (91-100%) were the most frequently identified errors by both individuals and teams. Few students found “injection of a drug to which the patient is allergic” (0-9%) and “administration of a contraindicated drug to the patient” (0-7.7%). The performance of students working in a team was much better than those working alone. Conclusion: This study found that “Room of Errors” provided very experiential and practical learning to nursing students in identifying simulated patient threats. The method is also useful for interprofessional patient safety education to develop teamwork and communication.

본 연구의 목적은 간호문제 해결과 보호자 및 동료들과의 업무수행에 필수적으로 요구되는 언 어적 의사소통 향상을 위한 기초자료로 활용하기 위해 간호대학생이 성장기 동안 경험하는 언어폭력을 van Manen의 해석학적 현상학적 질적연구 방법을 바탕으로 심층적으로 조명하고자 하였다. 이를 위해 경 기도에 있는 A 대학 간호학과에 재학 중인 10명의 간호학생을 연구 참여자로 선정하여 이들과의 심층 면 담을 통하여 자료를 수집하였다. 자료는 체험의 본질에 집중하고자 실존적 탐구 과정을 통해 분석하였으며, 5가지의 연구결과를 도출하였다. 다섯 가지 주제 문항은 ‘사소한 대화로 시작하기’, ‘혼란스러운 마음 얻 기’, ‘나 자신을 반성하는 계기가 되기’, ‘생각의 틀 바꾸기’, ‘성숙한 나를 만들기’였다.이들의 경험을 바탕 으로 상대방을 존중하는 언어사용과 개인역량 강화의 필요성을 확인하였다. 이러한 연구결과를 바탕으로 효과적인 의사소통 기법을 위해서는 공감이나 자기긍정적 효과에 대한 후속 연구가 필요함을 제언한다.

본 연구는 간호대학생이 지각한 부모의 양육태도, 감성지능, 문제해결능력의 변수 간 관계를 파 악하고 간호대학생이 지각한 부모의 양육태도가 감성지능, 문제해결능력에 미치는 영향을 조사하기 위한 서술연구이다. 연구대상자는 C도 J대학교에 재학 중인 간호대학생을 대상으로 2021년 11월 29일~12월 13일까지 총 2주 동안 총 134부를 회수하여 그 중 126부의 자료를 SPSS/WIN 22.0 program을 이용하여 분석하였다. 연구결과, 부모의 양육 태도 중 애정적 양육태도가 감성지능(β=.349, p=.001), 문제해결능력 (β=.255, p=.018)에 영향을 미치는 것으로 나타났으며 각각 25.1%, 22.3%의 설명력을 보였다. 따라서 부 모를 대상으로 교육할 때 부모의 양육태도 중 애정적 양육태도가 미래 간호사인 자녀의 감성지능과 문제해 결능력을 향상시키는데 중요한 요소임을 알리고 바람직한 부모 역할 수행을 위한 부모교육의 기초 자료로 활용할 수 있겠다.

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.

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.

Purpose: The purpose of this study was to identify trends in disaster nursing education and conduct a systematic review of the characteristics of simulation-based disaster education programs for nursing students. Method: In May 2020, 12 electronic databases were used to conduct a literature search using Korean and English keywords. Simulation, disaster, nursing, and education were among the search keywords. Fourteen studies were selected. The risk of bias assessment tool for non-randomized studies was used to assess study quality. Results: A total of 14 non-randomized studies were selected. Simulation was mainly conducted using high-fidelity simulators and virtual reality simulations. Disaster scenarios included situations such as a bus crash, earthquake, tornado, and toxic chemical exposure in mass casualty incident nursing or disaster drills. There were differences in the methods of simulation interventions, and we found that disaster related nursing competencies such as disaster knowledge, disaster preparedness, disaster performance, confidence, self-efficacy, and ethical reasoning improved in nursing students after the intervention. Conclusion: Disaster nursing education aims to improve nursing students’ disaster competencies. Future research should examine significant risk of bias control for confounding variables, attrition bias, and outcome evaluation.

Purpose: This study was conducted to confirm the effects of self-directed practice using augmented reality simulation on nursing students' confidence in nursing skills, ability to apply them, and satisfaction with self-study. Method: This was a quasi-experimental study with a non-synchronized pretest/posttest nonequivalent control group design. The study participants were 58 second-grade nursing students (29 in the experimental group and 29 in the control group) from Y city. The questionnaire was used to evaluate the confidence in nursing skills (16 questions), performance ability (23 questions), and satisfaction with self-practice (17 questions). The experimental group intervention was an autonomous practice using augmented reality simulation, and the control intervention was an autonomous practice using video-based interventions. The collected data were analyzed by t-test, x2-test, and ANCOVA (Analysis of Covariance) using the SPSS 25.0 program. Results: The experimental group outperformed the control group in terms of nursing skill confidence (F=25.79, p<.001), nursing skill performance ability (F=67.10, p<.001), and self-study satisfaction (F=14.10, p=.001). Conclusion: Self-directed practice using augmented reality simulation was confirmed to be an effective method to increase confidence, ability and practice satisfaction in nursing skills.

This study was aimed to develop morality improvement education program (MIEP) and to evaluate the effects of MIEP among nursing students by quasi experimental design. Theoretical framework is based on Ajzen’s theory of planned behavior and Rest's Four-Component Model: moral sensitivity, moral judgement, moral motivation, and moral implementation. Research design used a nonequivalent control group pre-post test. Participants were 75 undergraduate nursing students recruited from S college, assigned to either an experimental group (38 students) or a control group (37 students). The two hour education was provided once a week for eight weeks from March to June, 2013. Self-reported questionnaires were given to the students before and after the education. The data were analyzed using t-test, Chisquare-test, paired t-test, unpaired t-test, ANOVA, and MANCOVA with SPSS Windows 18.0 program. The results as follows: 1. The experimental group showed a more significant increase on the 4 components affecting morality improvement compared to the control group. 2. There was no significant differences on moral sensitivity and moral judgment between experimental group and control group. 3. The experimental group showed a more significant increase on moral motivation and moral implementation compared to the control group. Based on these results, this MIEP was effective in improving morality improvement, and especially increasing moral motivation and moral implementation among nursing students. MIEP developed in this study could be used for improving nursing students' morality.