The purpose of this study was to determine the effect of simulation-based Korea advanced life support training on new nurses' knowledge, clinical performance ability, performer confidence, and learning satisfaction. Methods: This is a non-equivalent controlled pre-post quasi-experimental study. A simulation-based CPR training program was applied to 37 new nurses. Results: The experimental group scored lower on emergency management knowledge (83.65±7.61) than the control group (84.55±9.22), which was not significant (t=-4.46, p=.657). However, the clinical performance ability score was significantly higher in the experimental group (109.59±9.98) than in the control group (100.24±11.87) (t=3.581, p <.001). Performer confidence was significantly higher in the experimental group (23.43±3.29) than in the control group (19.90±3.85) (t=3.69, p〈.001). In addition, the learning satisfaction score of the experimental group (96.16±5.64) was significantly higher than the control group (88.42±11.13) (t=3.72, p< .001). Conclusion: This study confirmed that simulation training is an efficient way to improve new nurses' clinical performance ability, and performer confidence. Therefore, applying simulation training in scenarios can improve new nurses' work competence and contribute to improving the quality of patient care.

This study is a descriptive research study attempted to identify factors influencing depression of new nurses, focusing on job stress, self-efficacy, resilience, and social support factors of new nurses. The subjects of this study were 174 new nurses with less than one year of nursing experience, who worked at five university hospitals in the metropolitan area. A self-report questionnaire was used for the data collection of this study. The collected data were subjected to stepwise multiple regression to analyze the factors affecting depression using the SAS 9.4 program. As a result of the study, the average score of depression of the subjects was 13.01 out of 80, Factors influencing the subject's depression were identified including job stress(p<.001), self-efficacy(p=.044), resilience(p=.013), social support(p=.012), work department(p=.021), and work type(p=.001). It was found that the higher the job stress of the subject, the higher the degree of depression, while the higher the self-efficacy, resilience, and social support of the subject, the lower the degree of depression. In this study, it was confirmed that job stress, self-efficacy, resilience, and social support were factors influencing the depression of new nurses. In order to prevent depression of new nurses and actively manage with depression, it is suggested that arbitration programs for new nurses will be needed to reduce job stress of new nurses, strengthen self-efficacy, resilience and social support. It is also thought that strategies supporting for new nurses at the organizational level, such as the establishment of various social support systems, are needed

With a focus on the aspect of recruitment within “nurse manpower management,” this study examined the status and characteristics of employment of new graduate nurses in tertiary hospitals of Korea. It also explored the recruitment process and characteristics of new graduate nurses in foreign countries by referring to case studies. The new graduate nurse recruitment was carried out as an open hiring as a consequence of an analysis of recruitment announcements at 45 tertiary hospitals in Korea. The recruitment process began with document screening, followed by competency test, interviews, and physical examination. Around 80% of the institutions surveyed started document screening between June and August, and the timing of joining the hospital was determined by grades and hospital conditions. In other countries, new graduate nurses were hired by each ward throughout the year, and various forms of employment were used. In some countries, preceptorship programs or pre-hospital field trip programs were running. In Korea, recruitment of new graduate nurses is carried out by hospitals instead of wards. Therefore, it is essential to plan and implement a manpower allocation strategy to represent the desired department of the nurse as much as possible when assigning new graduate nurses. In addition, it is necessary to establish flexible employment options and working environment to encourage long-term service. Instead of manpower management policies focused on increasing the supply of nurses, it is necessary to come up with measures to address the actual causes of turnover, such as wage gaps, organizational culture, and improvement of working environment.

Purpose: The aim of this study investigated the transition experience of novice nurses working in a tertiary hospital, focusing on the difference between nursing school education and clinical nursing practice. Methods: The data were collected through an unstructured, in-depth interview with 14 recently employed nurses from October 2020 to January 2021. The data were analyzed by qualitative content analysis. Results: The main theme of the transition experience perceived by new graduate nurses was confirmed as ‘reality shock’. In the process of identifying the main themes, five categories, sixteen sub- categories, and sixty-two concepts were derived. The five categories were, ‘Clinical field different from school education setting’, ‘Nursing school education in need of change’, ‘Strengths and limitations of clinical training in schools and hospitals’, ‘Difficulty in establishing relationships and communicating’, and ‘struggling to stand alone’. Conclusion: To minimize the reality shock experienced by novice nurses, nursing schools should innovate their traditional teaching methods based on the changing characteristics of the novice nurses and the clinical environment. In nursing practice, hospitals should grant more time to the nurses for adaptation and diversify mentoring programs comparable to internships for novice nurses.

본 연구는 신규간호사를 대상으로 환자안전동기, 환자안전관리태도, 환자안전관리행위 정도와 상관관계를 확인하고 환자안전관리행위에 영향을 주는 요인을 알아보고자 실시하였다. 신규간호사 127명 을 대상으로 2020년 9월 11일부터 9월 30일까지 설문조사 하였으며, 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, Scheffe’s test, Person’s correlation coefficients, 다중회귀분석을 하였다. 환자 안전동기는 환자안전관리태도, 환자안전관리행위와 양의 상관관계를 보였으며, 환자안전관리태도는 환자안 전관리행위와 양의 상관관계를 보였다. 환자안전관리행위에 가장 유의한 영향을 준 요인은 환자안전동기, 환자안전관리태도, 환자안전관리 교육경험 이었다. 따라서 신규간호사의 환자안전관리행위 능력을 증진시 키기 위해 환자안전동기, 환자안전관리태도를 포함한 환자안전교육 프로그램의 개발과 적용을 제안한다.

Purpose: This study aims to identify the degree of intention to hand hygiene and hand hygiene behavior in new nurses based on education experience on infection control. Method: The participants comprised 108 new nurses working in a general hospital in S city, Korea. Data were collected from September to December, 2020. Data were analyzed using descriptive statistics, independent t-test, analysis of variance (ANOVA), and Pearson correlation with SPSS 26.0 program. Results: There were statistically significant differences in intention to hand hygiene (F=3.39, p=.021) and hand hygiene behavior (F=3.33, p=.022) depending on education experience related to infection control during undergraduate courses. Hand hygiene intention (F=4.41, p=.008) and hand hygiene behavior (F=4.13, p=.008) showed statistically significant differences depending on educational satisfaction with infection control during undergraduate courses. There were significant positive correlations between intention to hand hygiene and hand hygiene behavior (r=.21, p=.026). Conclusion: This suggests that education in infection control can reinforce intention to hand hygiene and hand hygiene behavior in new nurses.

Purpose: The aim of this study was to explore workplace bullying and turnover intention among new nurses whose career was less than 12 months. Method: Survey was performed using structured questionnaire which consisted of general characteristics, workplace bullying and results, turnover intention. Study participants were new nurses from a University hospital located in G-district. Total 163 questionnaires out of 180 were analyzed using descriptive statistics, t-test, ANOVA, correlation, multiple regression as appropriate. Results: Overall bullying level was rather low, yet it was true that at least some new nurses were bullies. One factor affecting both bullying and turnover intention consistently was ward assignment. Working period, working ward, mistrust were predictive factors of turnover intention among new nurses. Conclusion: Factors revealed from this study and previous studies need to be into account when developing strategies to help new nurses in adjusting working environment. In addition, qualitative studies are called for further insight regarding the context of bullying and turnover intention.

본 연구의 목적은 회복탄력성 증진을 위한 코칭프로그램을 개발하여 신규간호사의 자기조절능력, 대인관계능력, 긍정성을 높이는 데 있다. 본 연구에서는 문헌 고찰, 신규간호사의 회복탄력성의 인식 및 요구도 조사, 전문가를 대상으로 한 포커스 그룹 인터뷰 등 다양한 방법을 통해 프로그램 1차 시안을 개발하였고, 전문가의 적절성 검토 및 예비연구를 거쳐 프로그램의 최종안을 개발하였다. 본 연구에서 개발된 프로그램은 교육, 적용, 활용의 단계 12회기로 구성되어 있으며, 회복탄력성의 하위요인으로는 자기조절능력, 대인관계능력, 긍정성을 기반으로 한 활동들로 구성하였다. 교육내용은 신규간호사의 회복탄력성을 증진할 수 있도록 강의, 모델링, 코칭실습, 프리셉터십 등 다양한 방법들을 도입하고, 각 회기마다 경청하기, 질문하기, 인정하기 등의 코칭기술을 세부 내용에 맞게 적용하였다. 본 연구에서 개발한 신규간호사의 회복탄력성 증진을 위한 코칭프로그램은 그동안 대부분의 병원에서 제공했던 획일적인 오리엔테이션 교육프로그램에서 벗어나 신규간호사의 회복탄력성을 위한 교육 내용 및 방법의 기초연구로서, 코칭기술과 코칭대화 모델을 접목한 코칭프로그램을 개발하여 회복탄력성을 증진시키고자했다는 점에서 의의가 있다.

Purpose: The purpose of this study was to examine the effects of simulation-based training applying situation-background-assessment-recommendation on self- efficacy and communication skills in new nurses. Method: This study applied a one group pretest-posttest design, with 88 new nurses in a general hospital in S city, Korea. Data were collected from March to November 2017. The participants completed their simulation education program in 4 weeks. Data were analyzed using paired t-test with SPSS program. Results: After SBAR simulation education, self- efficacy (t=-2.40, p=.014) and communication skills (t=-5.24, p<.001) significantly improved. Conclusion: This suggests that simulation-based training applying SBAR, improved self- efficacy and communication skills in new nurses.

Purpose: This study was tried to identify the effects of simulation practice education on the clinical competence, critical thinking disposition and self-confidence of nursing process in new graduated nurses. Methods: This study was one group pre-post test design, participants are 50 new graduated nurses with less than 3 month of working experience. The simulation practice education applied the first semester of the third grade, over 15 weeks with 1 credit per 2 hours per week by two instructors with four scenarios. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Result: There was a significant difference simulation practice education on the clinical competence and critical thinking disposition in the new graduated nurses. There was a correlation between clinical competence and critical thinking disposition. Conclusion: New nurses' capacity can be strengthened by applying simulation practice education that improve the clinical performance by enhance the critical thinking Disposition.