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.

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.

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.

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.

Nurses help patients not lose their humanity to the end in the asymmetrical relationship between medical personnel and patients. Because the nurse's frequent judgments at the clinical site are associated with human dignity, the nurse is required to judge and act ethically, and is responsible for making ethical decisions. Therefore, nurses are trained from nursing colleges to have ethical competence, and such training should be carried out continuously and systematically even after graduation. A Medical Center Nursing Department implements various forms of ethical education to improve the ethical capacity of clinical nurses. Education is divided into four types: lectures, e-learning, workshops and clinical ethics counseling. All education was organized around real-life cases to realize that nursing ethics were not far from the actual work site but the closest problem encountered, and the core theories and issues were repeatedly and continuously exposed so that they could permeate into the nurse's ethical decision-making process. Of course, there are still more tasks to be carried out in the future, such as expanding debate-oriented education, promoting clinical ethics counseling, setting up a forum for sharing opinions on ethical issues such as the Ethics Round, but we hope that it will serve as a foundation for the development of better nursing ethics education programs by sharing specific cases of nursing ethics education currently implemented at a tertiary Hospital.

The purpose of this study was to identify the relationship between bullying, nursing work environment, reality shock and factors of influence on turnover intension. Data were collected from 381 nurses who were under the charge nurse at a hospital with more than 600 beds in Seoul. The collected data were analyzed using the SPSS24.0 program. The mean score for turnover intension was 3.61 ± 0.89. The intension of turnover was correlated with bullying in the workplace (r=0.197, ρ=.001), the nursing work environment (r=-.409, p=.001), and reality shock (r=.572, p=.001). Variables affecting turnover intension were the work department(β=-0.018, ρ=.049), working environment(β=-0.424, ρ<.000), and reality shock(β=0.654, ρ<.000). The total amount of explanation for turnover intension was 37.3%. The degree of turnover intension of nurses was affected by work in general wards, the experience of workplace bullying and the nursing work environment. To reduce turnover intension, nursing work needs to be analyzed and efforts are needed to establish an effective communication system.

본 연구는 인상간호사의 감정노동과 자아탄력성 및 소진간의 상관관계를 파악하고 감정노동과 자아탄력성 이 소진에 미치는 영향을 미치는 주요 변인들을 파악하여 간호 인력을 효율적으로 관리하고 소진을 감소시키기 위한 중재 방안의 기초 자료를 제공하는데 목적이 있다. 연구방법은 서술적 연구로써 일개 대학병원에 근무 하는 일반간호사와 책임간호사 209명이며 자료분석은 SPSS 21.0 프로그램을 이용하여 분석하였다. 주요 연구 결과는 첫째, 연구대상자의 감정노동의 평균점수는 최대 5점 중 3.48점, 자아탄력성의 평균점수는 최대 5점 중 4.84점, 소진 정도는 평균 3.11점으로 나타났다. 둘째, 대상자의 일반적 특성에 따른 소진 정도의 차이는 연령, 결혼상태, 근무형태, 근무부서, 간호직 만족도에 따라 통계적으로 유의하였다. 셋째, 대상자의 감정노동, 자아탄력성과 소진간의 상관관계를 분석한 결과 감정노동은 자아탄력성과의 관계는 유의한 부적 상관관계를 보였고, 자아탄력성과 소진은 유의한 부적 상관관계가 있었다. 대상자의 감정노동과 소진과의 관계는 유의한 정적 상관관계가 있었다. 넷째, 대상자의 소진에 미치는 영향요인으로는 간호직 만족도, 감정노동, 직위, 결혼상태가 영향을 미치는 것으로 소진을 41.3% 설명해 주었다. 임상간호사의 소진을 예방하기 위해서는 감정노동에 대한 관심이 필요하며 감정노동을 줄일 수 있는 중재방안을 찾아야 하며, 소진을 완화시키고 간호직 만족도를 높일 수 있는 긍정적인 조절기전에 대한 체계적인 전략 개발과 대책이 매우 필요하다. 효율적인 간호인력 관리를 위해 감정노동, 소진을 감소시킬 수 있는 자아탄력성 증진 프로그램을 개발하여 적용시킬 필요가 있다. 본 연구 는 임상간호사를 대상으로 감정노동, 자아탄력성과 소진간의 관계 연구를 국내에서는 찾아볼 수 없었기에 의의가 있다고 하겠다.

본 연구는 간호대학생의 간호사 이미지, 임상수행능력, 전공만족도가 간호전문직관에 미치는 영향을 파악하기 위해 2018년 10월 15일부터 19일까지 G시의 간호대학 2, 3학년을 대상으로 설문조사하였다. 자료분석은 기술통계, t-test, ANOVA, 다중회귀 분석방법을 이용하였다. 연구결과, 간호전문직관은 간호사 이미지(r=.70, p<.001), 임상수행능력(r=.23, p<.001), 전공만족도(r=.62, p<.001)와 유의한 양의 상관 관계가 있었다. 임상수행능력은 간호사 이미지와 양의 상관관계가(r=.14, p=.015) 전공만족도는 간호사 이미지(r=.55, p<.001), 임상수행능력(r=.14, p=.012)과 양의 상관관계가 있었다. 간호전문직관에 영향을 미치는 요인으로는 전공만족도(β=.32, p<.001), 사회적 이미지(β=.31, p<.001), 전문적 이미지(β=.21, p<.001), 임상수행능력(β=.09, p=.018) 순이었으며 설명력은 59.9%이었다. 따라서 간호대학생의 긍정적 간호전문직관 확립을 위해서는 간호사 이미지, 전공만족도 및 임상수행능력 향상을 위한 다양하고 체계적인 교육프로그램 개발이 필요하리라 생각된다.

Purpose: The purpose of this study is to explore the turnover experience of nurses who moved from a tertiary medical institution to a general hospital and to understand the meaning of the move for them. Methods: This is a phenomenological qualitative study using Colaizzi's (1978) method. Semi-structured, open-ended questions and in-depth interviews were conducted to 11 nurses within 3 years after turnover to a general hospital at a tertiary medical institution, between April, 2018 to September, 2018. Results: The four theme clusters and thirteen themes emerged. The core theme licited I was “the journey to find-balance and leave.” Four theme clusters were; “advance to a dream job”, including ‘expectation for my work’, ‘my confidence and family pride’, “unstable my dream job” including ‘stand alone in a desert’, ‘crushed by extra work’, ‘torn protection’, ‘invisible future’, “my job that I wish to keep” including ‘unconditional patience for growth’, “I can't be a loser” is desperate selfinspiration’, ‘leaning on comfort and support', and finally “my place I found again.” including ‘being prepared to be by my side’, ‘restoring work-life balance’, ‘revealed my existence’, and ‘unsatisfied with new work’. Conclusion: Participants choose of turnover for physical and psychological well-being, instead of the romance of the tertiary medical institution. This showed the characteristics of the millennial generation that values the comfort and relaxation in one's life prior to professional vision of nursing care as a nurse, and success. The result is meaningful as an understanding of effective job management for current-generation clinical nurses.

Purpose: The purpose of this study was to understand the nurse’s experiences of ‘work flow interruption’ in hospital settings. Methods: Data were collected by in-depth interviews with 6 nurse in General wards or in the ER of tertiary hospitals. Qualitative content analysis method was used to analyze the data. Results: The following three categories were elicited; ‘acceptable interruptions’, ‘unacceptable interruption’, ‘nursing work environment interrupting work flow’. Conclusion: The findings provided interruptions are occurring in systemic structure and relationships within the hospital, taking into account the aspect of providing quality nursing care as profession. This confirms that nurses have negative effect on workload rather than positive ones. Based on the findings, it needs to be of interest to the nurses at the organizational level in order to relieve the burden and fatigue due to overloaded work.

본 연구는 건강신념모형을 적용하여 임상에서 근무하는 간호사의 손씻기 수행도를 분석하기 위한 서술적 조사연구이다. 본 연구의 대상은 G 광역시에 위치한 일개 병원에 근무하는 임상 간호사 162명이다. 자료수집은 2017년 9월 1일부터 2017년 10월 31일까지였다. 수집된 자료는 SPSS (SPSS Version 20.0, IBM, US)를 이용하여 빈도분석, 백분율, 일원분산분석, t-검정, pearson 상관계수분석 및 다중회귀 분석으로 통계처리 하였다. 일반적 특성에 따른 손씻기에 대한 수행도는 모든 영역에서 평균은 3.1점으로 높았으나 통계적으로 유의한 차이는 보이지 않았다. 일반적 특성에 따른 손씻기에 대한 건강신념은 연령에서는 지각된 유익성 영역에서 유의한 차이를 보였으며(p<0.05), 근무연수에서는 지각된 유익성, 지각된 장애성 영역에서 유의한 차이를 보였다(p<0.05). 다섯 개의 하위영역간의 상관관계를 분석한 결과는 지각된 유익성과 지각된 장애성은 부의 상관관계를 나타냈으며, 수행을 위한 동기는 정의 상관관계를 보였다. 본 연구의 결과를 통해 손씻기에 대한 건강신념을 고려한 지속적인 병원에서의 감염관리교육과 올바른 손씻기 교육을 진행한다면 손씻기 수행도가 높아질 것으로 판단된다.

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.

Purpose: This study aimed to examine the effects of simulation-based training for nurses on nursing stress and clinical competency of cardio-pulmonary emergency care at general wards. Method: A nonequivalent control group, with a pretest-posttest design was used. The experimental group (n=34) received a lecture and team simulation. The control group (n=36) received only lectures without simulation. Data were analyzed using Chi-square and t-test with SPSS program. Results: The participants in the experimental group reported significantly lower death and dying 13.14±1.50 (t=7.19, p<.001), conflict with physicians 7.06±2.51 (t=5.82, p<.001), inadequate preparation 6.16±4.17 (t=4.49, p<.001), problems with peers 13.33±7.05 (t=4.09, p<.001), problem relating to the supervisor 13.51±4.03 (t=2.09, p=.030), workload 17.08±6.19 (t=5.76, p<.001), uncertainty concerning treatment 12.13±6.45 (t=2.21, p=.020), patients and their families 16.37±6.38 (t=3.34, p<.001), discrimination 5.66±2.79 (t=2.39, p=.013) and higher clinical performance ability (t=5.14, p<.001) compared with the control group. Conclusion: This suggests that simulation-based training for cardio-pulmonary emergencycare for nurses at general wards is useful to decrease nursing stress and improve clinical competency.