Purpose: This study aims to develop a simulation module equipped with scenario-based core nursing skills and test the effects after applying the simulation education based on a developed scenario. Method: This was a nonequivalent control group pre-/posttest design study, and 114 nursing students participated from April 1 to August 30, 2018. The applied scenario-based core nursing skills simulation module was developed in the order of planning, development, application, and evaluation according to the Dick and Carye Model’s program development process. Knowledge, self-efficacy, stress, and nursing practice were measured before and after intervention in two groups: an experimental group that performed a simulation after applying the scenario-based core nursing skills, and a control group that performed a simulation after applying core nursing skills. Results: Knowledge (F=23.19, p<.001), self-efficacy (F=25.83, p<.001), and nursing practice (t=9.51 p<.001) increased in the group that performed a simulation after applying the scenario-based core nursing skills, whereas stress (F=40.41, p<.001) decreased. Conclusion: Various education methods should be applied to increase the education effect of the simulation, Simulation performance can be used as an alternative to improve nursing practice during simulation education.

The purpose of this study is to understand the impact of the nursing work environment, job embeddedness, and job esteem on the retention intention in the millennial generation nurses. The subjects of this study are nurses working in general hospitals with more than 300 beds. Among nurses born in the 1980s and early 2000s, 97 agreed to study. As a result of the study, there was a significant difference in academic background.(F=6.74, p=.002) In terms of final education, those with graduate or higher were higher than those with three-year graduation and four-year graduation Retention intention is the degree of job placement (r=.319, p=.001), job respect (r=.331, p=.001) had a positive relationship with the nursing working environment (r=-.252, p=.013) was negatively correlated. Factors affecting the retention intention is 12.9% explanatory skills as a result of the introduction of job embeddedness, nursing work environment, and job esteem. It is necessary to understand the characteristics of the generation in order to increase the retention intention as a millennial generation nurse.

Purpose: This study aims to describe the experience of nursing students who used a virtual simulation program for their nursing practicum. Method: Structured debriefing papers were collected from 65 senior nursing students using a convenient sampling method for this qualitative study. Conventional content analysis method was used for data analysis. Results: The study’s findings derived three theme clusters. The theme clusters were “satisfied by leading role in nursing practice and repetitive training,” “gained nursing responsibility and confidence in applying the learning into clinical practice,” and “recognized the limitations of customized nursing care.” Conclusion: The results of this study provided insight into nursing students' virtual simulation-based practical training experiences in the context of the Coronavirus disease-19 (COVID-19) pandemic.

Purpose: This study was aimed to analyze the research trends by investigating the nursing theories used in research articles in Journal of Korean Academy of Nursing for the last 10 years. Methods: Among the research articles published in the Journal of Korean Academy of Nursing for the past 10 years from 2010 to 2019, the research trends was analyzed by investigating the nursing theories used in the studies. Results: As the results of a survey of 847 papers published in the Journal of Korean Academy of Nursing from 2010 to 2019, 139 studies applied to the theory were extracted. As for the theory, one Grand Theory, Roy’s adaptation model, and 6 Middle Range Theories including Kolcaba’s comfort theory, Pender's health promotion model, King's goal attainment theory, Watson's human caring theory, Reed's self-transcendence theory, Mishel's uncertainty in illness theory. Conclusion: In nursing, more use of nursing theories in research is necessary in the future, not only in quantitative research methods but also in qualitative research.

Purpose: This study was to identify the perception of death in nursing students. Methods: This study adopted the triangulation method. The participants was third grade nursing students. Quantitative data was analyzed using descriptive statistics. Qualitative data was analyzed using qualitative content analysis. Results: Among the participants' perception of death, the highest score was the respect for life, and the lowest was anxiety about death. The participants believed that there was a relatively happy and unfortunate death, and that well-dying was achieved through acceptance, reflection, and rigorous preparation in life. Well-dying was possible only when well-being was proceeded. Nursing students perceived death as the end stage of life that needed preparation. Conclusion: It is necessary for nursing students to have opportunities to reflect on death when they observe a patient’s death in clinical practice. Also, they need to have death-related education for them to grow as competent nurses to deal with life and death journey of their patients in future.

Purpose: The purpose of this study was to explore and analyze the education experiences of nursing graduate students in training simulation educators. Methods: Data were collected using a focus group method with a total of 13 nursing graduate students who ever participated in simulation education for nursing college students. Results: Four theme clusters and 15 sub-themes were emerged through qualitative content analysis. The core theme was “Flapping wings as a novice simulation educator”. The four theme clusters include ‘Confronting myself where expectations and worries coexist’, ‘Experience a new world untrained in the hospital’, ‘Limitation of simulation hard to reach the reality’, ‘Way to become an expert in simulation education’. Conclusion: Nursing graduate students found that the experiences of novice learners as a simulation educator was rewarding and helpful in increasing their self-confidence prior to being placed in an educational setting. Creating a simulation experience for college students could be a daunting task for educators in nursing. Therefore, continued and sustainable efforts are mandated by developing the curriculum for training simulation educators.

본 연구는 간호대학생의 환자안전관리 수행자신감에 미치는 영향요인을 파악하기 위해 실시되었다. 분석결과 환자안전관리 지식 7.0점, 환자안전관리 태도 3.86점, 임상의사결정능력 3.47점, 환자안전관리 수행자신감 4.15점이었다. 환자안전관리 수행자신감은 환자안전관리 지식(r=.216, p<.01)과 환자안전관리 태도(r=.375, p<.01), 임상의사결정능력(r=.467, p<.01)과 양의 상관관계가 있었다. 환자안전관리 수행자신감에 미치는 영향요인은 임상의사결정능력(β=.409, p<.001)과 환자안전관리 태도(β =.198, p=.011) 이었고 설명력은 26.3%이었다.

본 연구는 코로나19 유행 시기 간호대학생의 코로나19에 대한 불안, 위험인식, 정보이해력, 감염예방행위 이행 수준을 파악하기 위해 시도되었다. 본 연구는 서술적 조사연구로 2020년 6월 8일부터 6월 14일까지 간호대학생 224명을 대상으로 온라인을 통해 설문조사를 실시하였다. 수집된 자료는 SPSS 26.0을 이용하여 기술통계, t-test, ANOVA, 상관관계 분석을 하였다. 간호대학생의 불안정도는 6.86점(최대10점)으로 보통 수준이었으며, 위험인식은 8.19점(최대10점), 정보이해력은 3.50점(최대4점), 감염예방행위 수행정도는 4.44점(최대5점)으로 높은 수준이었다. 감염예방행위는 불안정도, 위험인식, 정보이해력이 높을수록 수행정도가 높았다. 코로나19와 같은 신종감염병이 유행할 때는 감염에 대한 불안감과 위험인식이 증가할 수 있으므로 감염병에 대한 충분한 정보제공으로 감염병에 대한 정확한 이해가 필요하다. 신종 감염병에 대한 정확한 이해는 철저한 감염예방행위를 향상 시키므로 감염병 전파 위험을 감소시킬 수 있을 것이다.

본 연구는 COVID-19 상황을 경험한 간호대학생의 회복탄력성, 사회적지지, 커뮤니티 탄력성 및 불안과의 관계를 알아보고자 시도되었다. 연구대상은 경기도 소재의 Y대학교 대학생 252명을 대상으로 구1조화된 설문지를 이용하여 자료 수집을 하였다. 수집된 자료는 SPSS 25.0 program을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficient로 분석하였다. 연구결과 회복탄력성은 5점 만점에 평균 3.10점, 사회적지지는 5점 만점에 4.22점, 커뮤니티 탄력성은 5점 만점에 3.21점, 불안은 4점 만점에 평균은 2.21점으로 나타났다. 회복탄력성은 사회적지지(r=.32, p<.001)와 커뮤니티 탄력성(r=.18, p=.004) 과는 양의 상관관계가 있는 것으로 나타난 반면, 불안과는 음의 상관관계가 있는 것으로 나타났다(r=-64, p<.001). 따라서 대학생들의 회복력을 증진시키기 위해서는 사회적지지와 커뮤니티 탄력성을 강화하고 불안감을 조절하고 대처할 수 있는 프로그램과 현실적인 지원 방안이 필요하다.

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.

Purpose: The purpose of this study was to describe the perception of biomedical ethics in nurses and nurse’s aide of comprehensive nursing care service. Methods: The subjects were 287 registered nurses and 81 nurse’s aides who were working in comprehensive nursing care service. The data were collected from December 2 to 15, 2019 using a 4-point Likert scale questions. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test and Dunnett T3 test, using the SPSS/WIN 23 program. Results: The average score of perception of biomedical ethics in nurses were 2.95±0.25 and nurse’s aides were 3.08±0.25 points. The perception of biomedical ethics by general characteristics related to age and marital status(p=.001), education(p=.007), a total career length and a career length of comprehensive nursing care service(p<.001), job satisfaction(p=.004) of the nurse biomedical ethics score was high and statistically significant. However, the higher the age of nurse’s aide, the higher the score was statistically significant(p=.007). The perception of biomedical ethics by characteristics related to biomedical ethics was statistically higher among nurses saying that the values of biomedical ethics were very firm (p =.002), those who have experience of having issues biomedical ethics (p =.001), those who believed that rules and procedures for biomedical ethics in a hospital were well organized (p =.003), those who believed that biomedical ethics problems would become more complex and increase in the future (p =.017), and those who experienced ethical dilemmas (p =.019). Conclusion: In the future, biomedical ethics education should be provided for nursing service teams.

Purpose: This study examines the effects of clinical nursing simulation education program based on problem-based learning (S-PBL) on clinical reasoning, confidence in handover reports, confidence in nursing performance, and simulation effectiveness in nursing students. Method: We used a one-group pretest-posttest design. The participants were 4th-year university nursing students who had taken a core clinical nursing practice, and 90 students participated in the S-PBL program. Data were collected before and after the S-PBL program and analyzed using descriptive statistics and paired t-tests. Results: The S-PBL program significantly increased clinical reasoning, confidence in handover reports, and confidence in nursing performance. More than 90% of students were satisfied with the education program and the simulation education effectiveness was 2.54 on a 3-point Likert scale. Conclusion: The S-PBL program could be useful in clinical nursing education for nursing students seeking to become clinical nurses. It is necessary to develop various S-PBL programs and apply them to the curriculum.

Purpose: This study aims to understand and describe in-depth the meaning of evidence-based simulation training education experience of nursing students. Method: This is a qualitative study employing a phenomenological approach. Data were collected from eight seniors in Changshin university in Changwon, from November to December, 2019. The analysis was based on the method proposed by Giorgi. Results: A total of 4 components and 12 sub-components were derived from the analysis. The evidence-based simulation training education experience of nursing students was found to be “burdening Because of the new teaching method,” “immersive,” “an experience of a new field of learning,” and “improving the nursing capacity.” Conclusion: Conclusion: Although the simulation training education burdened participants because of new teaching methods, it is expected to contribute to overcoming the limitations of educational effects in clinical practice and enhance practical clinical performance. Evidence-based simulation training education provides an opportunity to decide rationally by considering the best scientific evidence, clinical expertise, patient values and preferences, and available resources. In the furture, improvement in evidencebased nursing practice is expected.

Purpose: This study aims to identify the effects of integrated practice applying core nursing skills among nursing students. Method: Methods: The study employs a single-group time-series design. The data were collected from 118 nursing students of S university in D city between from March and June 2019 and analyzed using paired t-tests and SPSS 23.0. Results: The findings reveal that critical thinking disposition (t=-7.70, p<.001), confidence in performing core fundamental nursing skills (t=-6.32, p<.001), learning attitude (t=-3.29, p<.001), class satisfaction (t=-12.95, p<.001), and confidence of integrated practice (t=-13.49, p<.001) show statistically significant improvements. Conclusion: Results: Conclusion: Integrated practices applying core nursing skills improve the knowledge, skills, and attitudes of nursing students. The results indicate a need to develop practice education strategies such as well-designed subjects and apply fundamental nursing skills to increase the confidence of nursing students.

Purpose: This study seeks to confirm the relationship between learning self-efficacy, learning satisfaction, and transfer motivation among nursing students who complete the integrated simulation practice class. Method: The data for the study were collected through self-report questionnaires administered to 4th year students and were analyzed using the SPSS 18.0 program. Results: The findings show that learning self-efficacy is 6.03±.69 (7 points), learning satisfaction is 4.23±.57 (5 points), and transfer motivation is 5.70±.90 (7 points). The transfer motivation has a positive correlation with both learning self-efficacy and learning satisfaction and learning self-efficacy has a positive correlation with learning satisfaction. The factors influencing the transfer motivation of nursing students are learning self-efficacy (β=.87, p<.001) and learning satisfaction (β=.24, p=.028), which together account for 61.9% of the transfer motivation. Conclusion: The results demonstrate that to enhance the transfer motivation for nursing students, it is necessary to develop a program and curriculum for increasing learning self-efficacy and learning satisfaction.

본 연구는 요양보호사의 긍정심리자본과 직무 열의와의 영향 관계에서 심리적 임파워먼트와 조직신뢰의 매개효과 검증을 목적으로 하였다. 연구의 대상은 서울, 인천, 경기지역에 소재하고 있는 장기요양시설과 재가시설에 종사하는 요양보호사 400명을 대상으로 하였으며, 연구의 결과는 다음과 같다. 첫째, 긍정심리자본은 직무 열의에 유의미한 영향을 미치는 것으로 나타났다. 둘째, 긍정심리자본은 심리적 임파워먼트와 조직신뢰에 유의미한 영향을 미치는 것으로 나타났다. 셋째, 심리적 임파워먼트와 조직신뢰는 직무 열의에 유의미한 영향을 미치는 것으로 나타났다. 넷째, 긍정심리자본과 직무 열의 간의 관계에서 심리적 임파워먼트와 조직신뢰는 매개효과가 있는 것으로 나타났다.

본 연구는 간호대학생을 대상으로 임종간호 관찰경험 여부에 따른 웰다잉에 대한 인식, 사전연 명의료의향서 지식 및 태도와의 차이를 파악하기 위해 시도되었다. 연구대상은 경기도, 충청도, 전라도 소재의 4년제 간호학과 대학생 321명을 대상으로 구조화된 설문지를 이용하여 자료수집을 하였다. 수집된 자료는 SPSS 25.0 program을 이용하여 기술통계, t-test, ANOVA, Scheffe' test, Pearson's correlation coefficient로 분석하였다. 연구결과 임상실습 중 임종간호 관찰경험이 있는 간호대학생이 관찰경험이 없는 학생보다 사전연명의료의향서에 대한 태도가 긍정적으로 나타났고 유의한 차이를 보였다(t=3.011, p<.003). 임종간호 관찰경험이 있는 간호대학생의 웰다잉에 대한 인식(r=.194, p=.008)과 사전연명의료의 향서 지식(r=.201, p=.006)은 사전연명의료의향서 태도와 정적 상관관계가 나타난 반면, 임종간호 관찰경험이 없는 간호대학생은 사전연명의료의향서 태도와 웰다잉에 대한 인식(r=.189, p=.029)에서만 정적 상관 관계를 보였다. 따라서 간호대학생의 좋은 죽음과 사전연명의료의향서에 대한 올바른 인식과 긍정적인 태도를 함양시키기 위한 체계적인 교육이 이루질 수 있도록 표준화된 교육프로그램 개발이 필요하다.

본 연구는 간호대학생의 간호전문직관과 진로준비행동에서 전공만족도 매개효과를 검증하기 위해 시도하였다. 이를 위해 4개 도시에 소재한 4개 간호대학의 간호학과 231명을 대상으로 편의표집하였다. 연구결과, 첫째, 간호대학생의 간호전문직관과 전공만족도는 유의한 영향이 나타났다. 둘째, 간호대학생의 간호전문직관이 진로준비행동에 유의한 영향을 미치는 것으로 나타났고, 통계적으로 유의하였다. 셋째, 간호대학생의 간호전문직관과 전공만족도는 매개효과가 있었으며 통계적으로 유의하였다. 연구결과를 토대로 간호대학생의 간호전문직관과 진로준비행동 강화를 위해 전공만족도를 향상시킬 수 있는 중재프로그램 개발이 필요하다.

본 연구는 예비보육교사의 실습 스트레스 요인과 대처방안에 관해 알아보고자 하였다. 본 연구를 위해 G대학 2학년 23명을 대상으로 설문 조사하고 그 결과를 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 예비보육교사들은 실습기간 6주중 1주에 스트레스가 가장 높은 것으로 나타났고, 새로운 환경의 적응이 가장 큰 이유였다. 둘째, 예비보육교사들의 스트레스 요인 중에서는 예비보육교사 자신이 가장 높은 것으로 나타났고, 세부내용으로는 수업진행에 대한 자신감 부족이 가장 큰 스트레스로 작용하는 것으로 나타났다. 보육실습 환경에스는 휴식 공간 부재와 자유로운 휴식시간이 없는 것, 영유아와의 관계에서는 문제아 지도에 대한 어려움, 시설장과의 관계에서는 보육실습을 노력봉사 하러 온 사람처럼 여기는 것에 스트레스를 받고 있는 것으로 나타났다. 수업계획 및 시행에서는 수업분위기 유지, 실습평가에서는 수업에 대한 미숙함과 자신감 부족으로 인해 스트레스 를 경험하고 있는 것으로 나타났다. 셋째, 예비보육교사들은 문제중심해결 방안 을 가장 많이 사용하는 것으로 나타났다. 예비보육교사들이 스트레스를 극복할 수 있는 방안들에 대해서는 학교, 기관, 자신의 측면에서 공통적으로 끊임없이 소통하고 격려해 주기를 바라는 것으로 나타났다. 이러한 결과를 통해 예비보육 교사들의 스트레스 영향 요인을 미리 예측하고 효율적인 대처방안들을 모색함으로써 성공적인 보육실습 경험을 통해 전문인으로서의 보육교사 성장을 도울 수 있을 것이라 기대한다.

본 연구는 2018년 10월 29일부터 11월 1일까지 G시의 간호대학 3학년 139명을 대상으로 간호대학생의 성격유형, 학업 스트레스 및 스트레스 대처방식이 대학생활 적응에 미치는 영향요인을 파악하기 위하여 실시하였다. 연구결과, 대학생활 적응은 성별(t=-3.55, p=.001), 전공만족도(F=9.38, p<.001), 대인관계 만족도(F=12.24, p<.001), MBTI 선호유형 중 삶의 양식(JP)과 유의한 차이가 있었다(t=2.54, p=.012). 대학생활 적응은 학업 스트레스(r=-.56, p<.001)와 유의한 음의 상관관계가 있었다. 대학생활 적응에 영향을 미치는 요인으로는 학업 스트레스(β=-.40, p<.001), 대인관계 만족도(β=-.27, p<.001), 성별(β=.22, p=.002)로 나타났으며 설명력은 40.6%였다. 본 연구결과를 토대로 간호대학생의 대학생활 적응을 위해 학업 스트레스 감소 및 대인관계 향상을 위한 성격유형을 고려한 맞춤형 교ž내외 프로그램 개발 및 적용이 필요할 것으로 사료된다.