Nursing ethics, which is an ethical norm of nursing practice, is basic to the professionalism of nurses, and ethical education is important in building the professional virtues. The study aimed to identify the needs of nursing ethics education targeting a group of nursing professionals in South Korea. This study adopted descriptive survey design via online survey. The questionnaire items consisted of the experience of ethical issues and the needs related to the subject of ethics education in nursing. 53 questionnaires were finally analyzed by descriptive statistics and correlation coefficients. The results showed that 40 of the study participants had more than 5 years of total clinical experience(69.8%). 48 of them previously participated in nursing ethics education(90.6%). The most frequently experienced ethical issues were ‘conflicts between colleagues’, ‘protecting of patient rights’ and ‘informed consent’. In relation to nursing ethics education, ‘ethical decision making and moral distress’, ‘shared decision making’ and ‘end-of-life care’ showed high needs for education. Overall, the higher the level of experience on ethical issues, the more educational needs for nursing ethics education(r=.360, p<.01). In addition, satisfaction with previous nursing ethics education was statistically significant positive correlation with the needs for the overall nursing ethics education topic(p.<01). In conclusion, the high level of experience on ethical issues shows the demands for continuity of ethical education and systematic improvement to improve the working environment of clinical nurses, and to meet the needs of nursing ethics education, a venue for discussion and education using case-based method should be provided.

본 연구는 간호대학생을 대상으로 강점인식과 셀프리더십이 진로준비행동에 미치는 영향을 규 명하기 위하여 시행된 서술적 조사연구로 G시의 간호학과 학생을 대상으로 하였다. 자료의 분석을 위해 기 술적 통계, t검증, ANOVA, Pearson 상관계수, 통제적 회귀분석을 실시하였다. 연구결과는 다음과 같다. 강점인식(β=.464, p<.001)과 셀프리더십(β=.512, p<.001) 모두 진로준비행동에 정적인 영향을 나타냈으 며, 연구모형은 진로준비행동을 34.1% 설명하는 것으로 확인되었다. 이러한 연구 결과는 간호대학생의 진 로준비행동 증진을 위해 감정인식과 셀프리더십을 증진시키기 위한 방안들이 필요함을 시사한다.

본 연구는 중소병원간호사가 급격하게 변화하는 의료환경에 유연하게 대처할 수 있도록 업무 스트레스 및 회복탄력성, 간호업무성과를 파악하고 영향요인을 확인하기 위한 서술적 조사연구이다. 연구 대상자는 S지역에 소재하는 4개 중소병원에서 근무하는 간호사 219명이었으며, 구조화된 설문지를 이용하 여 조사하였다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson’s 상관관계 분석 및 다중회귀분석을 이 용하여 분석하였다. 중소병원 간호사의 업무 스트레스와 간호업무성과는 음의 상관관계(r=-0.150, p<.05), 업무 스트레스와 회복탄력성은 양의 상관관계(r=0.160, p<.05). 간호업무성과는 회복탄력성과 양의 상관관 계를 보였다(r=0.351, p<.01). 간호업무성과에 영향을 미치는 변수는 회복탄력성(β=.231, p<.01)이였으며, 설명력은 17.4%로 나타났다(Adj.R2=0.174, p<.001). 따라서 간호사의 간호업무성과를 향상시키기 위해서 는 회복탄력성을 증가시킬 필요가 있으며, 이를 위해서는 간호사 개인의 역량에 맞는 다양한 교육 프로그 램을 개발하여 적용할 필요가 있겠다.

본 연구의 목적은 간호대학생의 의료 관련 감염 예방 지식과 감염관리 자신감, 표준주의 실행도 간의 관계를 확인하고 표준주의 실행도에 미치는 영향을 파악하기 위한 서술적 연구이다. 자료 수집은 2018년 10월4일부터 10월 12일까지 G 광역시에 소재한 간호대학생 160명을 대상으로 진행되었다. 연구 결과 표준주의 실행도는 감염예방 지식(r=.27, p<.001), 감염관리 자신감(r=.52, p<.001)과 정의 상관관계 가 있는 것으로 나타났고, 감염예방 지식은 감염관리 자신감((r=.27, p=012)과 유의한 상관관계가 있는 것 으로 나타났다. 간호대학생의 표준주의 실행도에 영향을 미치는 요인은 감염관리 자신감(β=0.45, p<.001), 피부 접촉 경험이 없는 경우(β=0.18, p<.004), 감염예방 교육을 받은 경우(β=-2.65, p<.009), 감염예방 지식(β=0.15, p<.019) 순으로 나타났으며 모형의 설명력은 35%로 나타났다. 본 연구 결과를 토 대로 간호대학생의 표준주의 실행도를 높이기 위하여 감염예방 지식과 감염관리 자신감을 높일 수 있는 표 준주의 프로그램을 개발하여 시행하는 것이 필요하다.

본 연구의 목적은 코로나19 시대 간호대학 신입생의 성장마인드셋, 교수지지, 학교생활적응의 관계를 확인하고, 학교생활적응에 영향을 미치는 요인을 파악하기 위한 서술적 연구이다. 연구 대상자는 G 광역시 소재 간호대학 신입생 248명으로 자료수집은 2022년 10월 4일에서 10월 31일까지 진행되었다. 수 집된 자료는 SPSS/WIN 28.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson 상관계수, 다중회 귀분석으로 분석하였다. 연구결과, 학교생활적응은 성장마인드셋(r=.51, p<.000), 교수지지(r=.54, p<.000) 와 유의한 양의 상관관계가 있었다. 간호대학 신입생의 학교생활적응에 영향을 미치는 요인은 교수지지(β =.38, p<.001), 전공만족도에서 매우 만족이라고 답한 대상자(β=.31, p<.001), 성장마인드셋(β=.26, p<.001), 전공만족도에서 만족이라고 답한 대상자(β=.16, p=.015), 여학생(β=.14, p=.005) 순으로 나타 났으며, 이들 요인은 학교생활적응을 44.0% 설명하였다. 이러한 연구결과는 간호대학 신입생의 학교생활 적응을 증진시키는 전략을 개발하는데 유용하게 활용될 것이다. 향후 대상자를 확대하여 간호대학 신입생 의 학교생활적응을 설명할 수 있는 후속 연구를 제언한다.

본 연구는 간호대학생의 평가염려 완벽주의, 속박감 및 우울 정도를 파악하고, 우울에 영향을 미치는 요인을 규명하고자 시행된 서술적 조사연구이다. 연구대상자는 G시 2개의 간호학과에 재학 중인 학생을 대상으로 하였다. 자료 분석을 위해 기술적 통계, t-test, ANOVA, Pearson 상관계수, 다중회귀분 석으로 분석하였다. 연구결과, 간호대학생의 우울에 미치는 영향요인은 외적속박감(β=.414, p<.001), 사회 부과적 완벽주의(β=.174, p<.001)였고, 대상자의 우울정도를 24.9%를 설명하였다. 특히 외적속박감이 22.7%로 가장 큰 영향을 미치는 것으로 나타났다. 이에 본 연구결과를 토대로 간호대학생의 우울감을 낮 추고 조기 예방하기 위해 우울을 관리할 수 있는 외적속박감, 사회부과적 완벽주의을 감소시킬 수 있는 다 양한 비교과 프로그램을 개발하여 지속적인 관심을 두고 관리할 필요가 있다.

본 연구는 코로나19를 경험한 간호대학생의 학업 스트레스, 대인관계 및 대학생활적응 정도를 파악하고, 대학생활적응에 영향을 미치는 요인을 규명하고자 시행된 서술적 조사연구이다. 연구대상자는 G 시 3개의 간호학과에 재학 중인 2학년 학생을 대상으로 하였다. 자료 분석을 위해 기술적 통계, t-test, ANOVA, Pearson 상관계수, 다중회귀분석으로 분석하였다. 연구결과, 학업 스트레스와 대학생활적응은 유 의한 음의 상관관계(r=-.584, p<.001), 대인관계와 대학생활적응은 유의한 양의 상관관계(r=.505, p<.001) 을 나타냈다. 대학생활적응에 영향요인을 확인하기 위한 회귀모형은 유의한 것으로 나타났다(F=64.462 p<.001). 학업 스트레스(β=-.542, p<.001), 대인관계(β=.339, p<.001), 주거형태(β=.199, p<.001)가 유 의한 예측요인으로 나타났고 이들 변수의 설명력은 54.6%이었다. 본 연구 결과를 통해 대학생활적응을 위 해 학업 스트레스 감소와 긍정적이고 원활한 대인관계 향상, 정서적 지지 관계 향상을 위한 교육프로그램 개발의 기초자료를 제공할 수 있을 것이다.

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.

Purpose: This study aimed to explore nursing simulation training needs and the educational environment of instructors. Method: This study was conducted according to the inductive method of qualitative content analysis. An online focus group interview was conducted with six instructors with experience operating a nursing simulation. Data were collected in July 2021. Results: First, “nursing simulation practice operations” required simulation design elements, practical operations, and curriculum integration. Second, the “educational environment” showed a lack of human and physical resources, and there was a need for standard education reflecting the domestic nursing education environment. Third, for “instructor competencies”, the facilitator role, step-by-step education for strengthening instructor competencies, and cooperation with clinical experts were derived. Fourth, it was found that “learner competencies” should meet the nursing professionals’ needs; self-directed learning competency and unique human competency should also be strengthened. Conclusion: This study is meaningful because it seeks to understand the instructor’s needs for nursing simulation training and the educational environment. Moreover, it identifies considerations for instructor and learner competencies in the nursing simulation operator training programs.

Purpose: This study aimed to develop a faculty development program for nursing simulation on perceived knowledge, confidence, and competence, and then evaluate its effects. Method: A one-group pretest–posttest design was used. The eight-hour program covered simulation education theory, scenario design and development, simulation design and operation using patient simulators and standardized patients, debriefing, curriculum integration, simulation evaluation, and faculty development. Thirty-eight participants completed a self-administered questionnaire. Data were collected in August 2021. The study used paired t-tests to analyze differences in perceived knowledge, confidence, and competence before and after the application of the program. Results: The participants were generally satisfied with this program. The results indicated that knowledge, confidence, and competence for nursing simulation significantly improved. Conclusion: The faculty development program positively affected simulation instructors’ knowledge, skill, and attitude. Therefore, this validated and standardized training program can be used for training simulation faculty members at universities and institutions. It can not only reduce the cost and effort required for faculty development at each university but also ultimately contribute to the spread of nursing simulation.

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: This qualitative phenomenological study aims to understand how nursing students interpret their experiences with handover education using concept maps in simulation-based nursing education. Methods: Data were collected from September 18, 2021 to April 6, 2022, through in-depth one-to-one interviews with 11 nursing students. Interviews, which were conducted once or twice, lasted for 30 to 45 minutes per session. The main interview question was “How do you make meaning of your experiences with handover education using concept maps in simulation-based nursing education?” The collected data were analyzed using content analysis. Results: Three categories of were identified: actively engaged with students, addressed the reality of handover education, and there are two sides to handover education. The participants in this study require systematic education on the take-over method and process that can integrate and structure the continuity and thinking necessary for nursing work. Conclusion: Handover education using concept maps in simulation-based methods should be adapted according to the abilities of nursing students and their contextual needs. Future studies using large sample sizes and multiple settings should substantially evaluate the impact of handover education programs using concept maps on clinical outcomes.

Purpose: This study aims to improve nursing students’ competency through evidence-based nursing simulation education. Simulations included blood transfusion care for cancer patients, pneumothorax post-op care, and blood pressure control for hypertension care. Moreover, the study investigated the effects of simulations on anxiety, self-confidence, and student satisfaction with the learning experience. Method: Participants completed a survey on student satisfaction, self-confidence, and anxiety. A prospective, one-group, pre- and post-test design of 135 fourth-grade nursing students was used. A simulation scenario was developed according to the design. It consisted of pre-briefing, practice, serial tests, and debriefing. A simulation of three scenarios comprised blood transfusion care for cancer patients, pneumothorax post-op care, and blood pressure control for hypertension care. Twenty hours of evidence-based nursing simulation practicum consisting of three scenarios dealing with major adult diseases was conducted. Result: Students showed significant improvements over time in self-confidence (t=4.67, p<.001), student satisfaction (t=3.94, p<.001), and anxiety (t=-4.63, p<.001) after the evidence-based nursing simulation. Conclusion: Simulation of evidence-based education may be a useful and effective learning strategy. Nursing educators can design evidence-based simulation programs to improve educational effectiveness.

Purpose: This study reviews trends in the development of nursing simulation evaluation instruments and their characteristics in South Korea. Methods: Published and unpublished studies were analyzed using Korean electronic databases, such as the Research Information Sharing Service, the National Library of Korea, and the Korea Institute of Science and Technology Information. The keywords for the search included “nursing,” “simulation,” “instrument development,” “evaluation,” “validity,” and “reliability.” Results: A total of 16 studies and 17 evaluation instruments from between 2012 and 2022 were included and categorized. The participants included junior or senior undergraduate nursing students. The evaluation was conducted through observation and self-report and classified into cognitive, psychomotor, and affective domains. Only one instrument used for observation was measured for intra-rater reliability. Overall, 35.3% of the instruments integrally evaluated the cognitive, psychomotor, and affective domains, and 23.5% only reported one type of validity. Conclusion: The results indicate that the instruments insufficiently reflect the various learning outcomes of simulation education. Therefore, future research should be conducted to develop simulation evaluation instruments to evaluate integral learning areas according to the learning goals and examine their validity.

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.

Purpose: This was a qualitative study using a phenomenological research method. It was conducted to investigate the essential meaning of nursing students’ experiences participating in simulation education with standardized patients. Methods: This study’s research participants included 16 senior employees in the nursing department of two universities. They had experiences participating in simulation education with standardized patients. This study was conducted from June 1 to December 31, 2021, and the data were analyzed using Colaizzi’s (1978) phenomenological method. Results: After analyzing the meaning of simulation experiences with the standardized patients, 101 meaning formations were deduced. From this, 13 theme, 4 theme clusters and 2 categories—effective lesson, tasks to solve. Conclusion: Simulation with standardized patients is a recent approach that has been actively applied in simulation-based learning in nursing colleges. This study conducted qualitative research on students’ experiences with standardized patients and analyzed essential meaning of the experiences. Therefore, it is recommended that simulation education content with standardized patients is developed. This can be achieved by optimizing the advantages of standardized patients with various clinical cases in other subjects besides psychiatry.

Purpose: This study aimed to identify and understand the experience of entering graduate school in an advanced practice nursing program in the COVID-19 situation. Methods: This qualitative study used content analysis. The data collection using the focus group and in-depth interviews was conducted from February 11 to September 2, 2022. Results: Six themes and 27 subthemes emerged through the qualitative content analysis. The themes included: “Graduate school: The next step”. “Concerns prior to attending grauate school”, “Learning in the COVID-19 era: Differences between expectations and reality”, “Overcoming the challenges of graduate school”, “Education: A stepping stone to becoming a specialist”, “Changes in self and others’ perceptions”. Conclusion: This study confirmed the growth and change of nurses through the experience of entering an advanced practice nursing program in the COVID-19 era.

Purpose: This study aimed to understand nurses' experiences of team effectiveness in nursing units. Methods: Data were collected from May 2 to June 8, 2018 through in-depth interviews with ten nurses who worked at a university hospital and subsequently analyzed using Braun and Clarke's thematic analysis method. Results: Four themes - ‘the leadership of the head nurse that determines the success or failure of the nursing unit’, ‘a special work environment in which shift work is predominant,’ ‘the competency of individual nurses is essential for team effectiveness’, and 'creating a desirable nursing organizational culture’. - emerged, along with 15 sub-themes. Conclusion: The findings provide valuable information on hospital nurses' experiences with team effectiveness in nursing units in both universal and unique Korean hospital environments. Nursing and hospital managers should be aware of team effectiveness in nursing units to achieve organizational goals.

본 연구는 코로나 시대 간호대학생의 건강증진행위와 대학생활적응 간의 관련성을 파악하고 대 학생활적응에 대한 영향요인을 확인하기 위한 서술적 조사연구이다. 연구대상자는 C도에 소재하는 1개 대 학의 간호대학생 191명이었고 구조화된 설문지를 이용하여 조사하였다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson’s 상관관계 분석 및 다중회귀분석을 이용하여 분석하였다. 간호대학생의 건강증진행위 와 대학생활적응은 양의 상관관계가 있었고(r=.379, p<.001), 간호대학생의 대학생활적응에 영향을 미치는 변수는 건강증진행위와 건강상태였으며, 대학생활적응을 19.9% 설명하는 것으로 나타났다(Adj. R2=.199, p<.001). 따라서 간호대학생들의 대학생활적응을 돕기 위해서는 건강증진행위를 높이고 건강상태를 개선 할 수 있는 건강관리 방안이 적절하게 마련되어야 할 것이다.

목적 : 본 연구는 요양시설에 거주하는 65세 이상 노인들을 대상으로 한국형 활동분류카드(Korean Activity Card Sort; K-ACS)를 통해 참여활동수준을 측정하고, 삶의 질에 미치는 요인에 대해 알아보 고자 하였다. 연구방법 : 2021년 7월 1일부터 2021년 8월 31일까지 수도권 요양시설 거주 노인 78명을 대상으로 자 가 보고식 설문지와 평가를 실시하였다. 대상자들의 참여활동수준, 우울, 자기효능감, 일상생활수행능력, 삶의 질과의 관계를 피어슨 상관분석과 다중회귀분석으로 알아보았다. 결과 : 요양시설 거주 노인을 대상으로 참여활동수준을 측정한 결과 전체 참여활동수준 27.8%, 수단적 일 상생활활동수준 26.9%, 여가활동수준 36.5%, 사회활동수준이 21.0%로 나타났다. 전체 참여활동수준은 수단적 일상생활활동수준(r = .937, p < .01), 사회활동수준(r = .858, p < .01)과 높은 상관성을 보 였다. 또한 삶의 질에는 정신적 요소인 우울(β = -.514, p < .001)과 자기효능감(β = .266, p < .05) 이 영향을 미치는 것으로 확인되었다. 결론 : 작업치료사는 노인들의 성공적인 노화를 돕기 위해 시설 내에 다양한 활동프로그램을 마련하고 노 인들이 활동에 참여할 기회를 제공하여야 한다. 이러한 작업치료사의 역할은 시설 거주 노인의 우울감을 완화하고 자기효능감, 참여활동수준을 높임으로써 궁극적으로 삶의 질을 향상시킬 것으로 기대된다.