본 연구는 간호대학생의 비판적 사고, 셀프리더십과 학습 몰입 정도를 파악하고, 학습 몰입에 미치는 영향을 확인하고자 시도 되었다. 연구 대상자는 D 광역시, G 광역시에 소재한 2개 간호학과 2학년 학생 196명을 대상으로 하였으며, 2018년 11월 26일부터 12월 7일까지 자료수집하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 기술 통계, t-test, ANOVA, Pearson 상관계수, 다중회귀분석으로 분석하였다. 연구결과 일반적 특성에 따른 학습 몰입은 학교 성적, 전공 만족도, 대인관계에 따라 유의한 차이를 보였고, 학습 몰입은 셀프리더십(r=.738, p<.001)과 유의한 양의 상관관계가 있는 것으로 나타났다. 또한, 학습 몰입에 영향을 미치는 요인은 학교 성적(β=-.212, p=.011), 전공 만족도(β=.248, p=.001), 셀프리더십(β=.598, p<.001)으로 나타났으며, 학습 몰입에 대한 이들 변인의 설명력은 58%로 나타났다. 본 연구 결과를 토대로 간호대학생의 학습 몰입을 향상시키기 위해서는 전공 만족도와 셀프리더십을 증진시킬 수 있는 프로그램 개발이 필요할 것으로 생각한다.

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: This is a group pretest-posttest design study that aim to examine the effect of smart problem-based learning (PBL) teaching method using flipped learning to meta-cognition, academic self-efficacy, and satisfaction level of nursing students. Method: The subjects were 76 students who took basic nursing practice, which is a major subject, from August 29 to December 13, 2018. A questionnaire was used to measure meta-cognition in web-based self-directed learning. The self-efficacy measurement used a scale consisting of self-regulating efficacy, task difficulty preference, and confidence. The measurement of practical satisfaction is a 5-point Likert scale that employs a questionnaire. Flipped learning uploaded a 10-minute lecture video, and the subjects learned through PC or smartphone. PBL teaching was developed in two modules: gavage and indwelling urinary tract. Results: Result showed a significant improvement of meta-cognition after education than before education (t=3.21, p=.043). Academic self-efficacy was not significantly changed before and after education. Practice satisfaction was significantly improved after training than before training (t=-2.19, p=.032). Conclusion: The smart PBL teaching method using flipped learning is an effective teaching and learning strategy for nursing majors. Nursing students with high meta-cognition will be able to perform well in their learning outcomes; therefore, this positive performance experience will enhance self-efficacy.

Purpose: This study examined the effects of simulation-based education for high-risk maternity on evaluating problem-solving process, self-leadership, critical thinking disposition, and selfefficacy of nursing students. Method: This study was a one-group pretest-postest test design with 81 junior nursing students as participants. Data were collected from September 4 to December 11, 2019, after students completed their simulation practice class. Students completed a survey on their problem-solving process, self-leadership, critical thinking disposition, and self-efficacy at the beginning and end of the class. Data were analyzed using descriptive statistics, paired t-test, and Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Results: Students’ problem-solving process (t=-7.06, p<.001), self-leadership (t=-3.08, p=.003), critical thinking disposition (t=-2.12, p=.037), and self-efficacy (t=-6.01, p<.001) showed significant improvement after the simulation-based education for high-risk maternity. There was a positive relation between problem-solving process and self-leadership (r=.52, p<.001), critical thinking disposition (r=.39, p<.001), and self-efficacy (r=.53, p<.001). Conclusion: There is a need to supplement the limitations of clinical practice education by providing a simulation-based education environment similar to a hospital since the experience of clinical practice alone is not sufficient to improve students' knowledge and skills. Results of this study may be used as a basic data for efficiently performing simulation-based education on high-risk maternity.

Purpose: This study is examined the effects of simulation practice education with problem-based learning methods on nursing students' learning attitudes, learning satisfaction, critical thinking disposition, and problem-solving ability. Method: A quasi-experiment single group pretest-posttest design was adopted. Simulation education was conducted by utilizing problem-based learning methods to teach the following topics to nursing students enrolled in 4th grade in S city: respiratory, circulatory, and nervous system. The experiment was conducted for 12 weeks, from September to December, 2019. Paired t-test and Pearson product-moment correlation coefficient were used to analyze the collected data. Results: Learning attitude and problem-solving ability showed significant differences in the experiment. Among the sub-areas of problem-solving ability, there were significant differences in the following: problem recognition (p<.001), information gathering (p<.001), confident thinking disposition (p<.001), acceptance to carry out an adventure (p<.001), evaluation (p=.027), and feedback (p<.001). In addition, learning attitude showed significant positive correlations with learning satisfaction, critical thinking disposition, and problem-solving ability. Conclusion: The findings of this study suggest that, it is necessary to develop a variety of iterative studies and simulation scenarios to confirm the effectiveness of simulation training.

Purpose: Simulation-based education combined with mastery learning is more effective than simulation-based education alone. This study aimed to evaluate its effectiveness with regard to both technical and non-technical skills of simulation-based mastery learning (SBML) in blood transfusion training among undergraduate nursing students. Method: A nonequivalent control group pretest-posttest design was used. Fifty-one second-year students at a college of nursing in W city, South Korea, who had not started clinical practice were selected by convenience sampling and allocated to either the experimental or control group using the zigzag method. SBML program was consisted of a diagnostic test, repeated learning and formative assessments for non-passers. All outcome variables were measured before and after completion of the program. Results: The experimental group showed significantly increased performance scores of blood transfusion as compared to the control group (z=29.50, p＜.001), with better outcomes in number of students achieving minimum passing score (χ2 =20.07, p＜.001), self-confidence (F=17.68, p＜.001), and communication skills (z=166.00, p=.003). Conclusion: This program was effective for undergraduate students to better improvement in performance, self-confidence, and communication skills, which can ensure greater safety in the transfusion. The results suggest that SBML ensures skill acquisition for clinical practice through improved performances in both technical and non-technical skills.

The purpose of this study is to evaluate the application of a web-based cost management competency enhancement program (Web-CMCEP) on nursing students. Medical services are limited and essential for maintenance of human basic life. In order to improve the quality of human life, cost management competency that enable efficient allocation of medical resources are essential. This study adopts a randomized controlled pre/post repeated measure design. The sample comprised 39 nursing students in the web-group and 35 in the textbook-group. Experimental group and control group learned respectively with Web- CMCEP and textbook for 4 weeks. The research variables were measured at 4 times: pre, post, after 4 weeks of intervention, and after 8 weeks of intervention. Data were analyzed using χ2 -test, t-test, paired t-test, repeated measures ANOVA, Friedman test, and Wilcoxon signed rank test. Significant differences were found in cost management knowledge. The web-group showed higher cost management knowledge than the text-group. At different measuring points, the Web-CMCEP led to significant increases in the following: cost management knowledge, cost management attitude, cost management behavior, cost management self-efficacy, and entrepreneurship. Based on the findings, we suggested utilizing the Web-CMCEP as a prototype in developing education programs to improve nursing students’ cost management competency and to support nursing start-ups.

Purpose: The purpose of this study was to identify the effects of learner-directed debriefing based on the clinical judgement model (LDCJM) on nursing students’ critical thinking disposition, selfdirected learning, problem-solving ability, and debriefing experience after simulation. Method: This study used a quasi-experimental design with 38 sophomore nursing students from one university. They were divided into an experimental group (n=20) and a control group (n=18). Collected data were analyzed by the Chi-square, the Mann-Whitney U-test, and the Wilcoxon signed-rank test using the WIN SPSS 22.0 program. Results: The experimental group that had participated in the LDCJM indicated significantly higher self-directed learning (U=23.50, p<.001), problem-solving ability (U=94.50 p=.011), and debriefing experience (U=87.00, p=.006) when compared to the control group. Conclusion: The results indicate that LDCJM is an effective learning strategy to improve self-directed learning, problem-solving ability, and debriefing experience. Further study is needed to identify the effects of various debriefing skills.

Purpose: This study, as presented by Kern, Thomas, and Hughes , aims to verify the effectiveness of clinical inference education through digital storytelling programs based on Smith and Mann’s (2002) mobile education model in accordance with the six stages of the medical course development model. Based on the mobile education model of Smith and Mann (2002), the effectiveness of clinical reasoning education is verified through the mobile education program. Method: A single group pre-post test design that evaluates the clinical reasoning education effects of the mobile education program was used. Results: A statistically significant improvement was observed in clinical inference capacity from before intervention (t=-9.81, p<0.001); there was also a greater difference in the average value after intervention than before intervention in all of the results. Conclusion: This study suggests that while scenarios were constructed around five cases of high-risk Infant with respiratory and mechanical problems, in the future, additional scenarios should be developed to include different body systems.

Purpose: This study aimed to investigate the correlation between self-efficacy in communication, flow, and nursing students’ competence in communication, and examined the effect of self-efficacy on communication, and the effect of flow on competence in communication. Method: Data of 123 fourth-year nursing students were collected using structured self-report questionnaires in simulation-based education. The data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression. Results: Self-efficacy in communication, flow, and competence in communication were positively correlated. The final regression model showed that self-efficacy in communication and flow accounted for 31.4% of the variance in predictions of competence in communication. Additionally, self-efficacy in communication was the most influential factor. Conclusion: The study supports a strategy to improve self-efficacy in communication and flow by improving nursing students’ competence in communication in simulation-based education.

Purpose: This study was conducted to provide simulation training on evidence-based practical training and to examine its effects. Method: Data were collected from 83 students at C University, between October 1, 2018 and December 31, 2018. This training was conducted over a 5-week period. Data were analyzed using descriptive statistics, the Friedman test, the Wilcoxon signedrank test, and Repeated Measure ANOVA, all after the normality test. Results: There was a significant difference between the two groups in evidence-based practice beliefs, competence, nursing profession perspective, critical thinking tendencies, and problem-solving ability (p<.001). More specifically, there was a greater improvement in evidence-based practice knowledge, critical thinking tendency, and problem-solving ability than in the existing simulation exercise. Conclusion: Being effective in enhancing the ability to provide evidence-based practice beliefs, competencies, nursing profession perspectives, and, especially in evidence-based practice knowledge, critical thinking tendencies, and problem-solving skills, it is necessary to link evidence-based education and existing simulation training.

본 연구는 간호 대학생이 느끼는 간호사 이미지와 전공만족도가 간호전문직관에 미치는 영향을 분석하여 간호 대학생이 긍정적인 간호전문직관을 형성할 수 있도록 교육과정편성과 비교과활동의 활성화를 위한 기초자료를 제시하고자 시행하였다. 연구 대상자는 서울과 충청권 거주 대학생으로 2019년 5 월 30일부터 6월 4일까지로 총 184부의 자료를 t-test, ANOVA, Pearson’s Correlation Coefficient, Multiple regression analysis로 최종 분석하였다. 연구결과는 성격, 간호학 선택 동기, 간호직의 미래전망, 간호사 이미지 및 전공만족도를 예측변수로 간호전문직관을 설명하는 선형회귀모형은 통계적으로 유의하 였고(F=43.637, p<.001), 회귀모형의 설명력은 간호전문직관 총 변화량의 63.6%를 설명하고 있다. 따라서 본 연구는 간호 대학생의 간호전문직관을 증가시키기 위해서 긍정적 자아상을 통한 긍정적 이미지를 창출 하고 학습 만족도를 높이기 위한 교육프로그램 개발의 기초자료로 활용할 수 있을 것이다.

본 연구의 목적은 시뮬레이션기반 실습교육이 간호대학생들의 고용가능성, 진로탐색행동 및 진로결정 자기효능감에 미치는 효과를 확인하고자 시도되었다. 비동등성 대조군 전후설계를 적용한 유사실험 설계로 J지역 소재 3학년 학생을 편의표집하여 총 120명의 간호대학생들로, 실험군 60명, 대조군 60명이 연구에 참여하였다. 실험군은 6주간 실험에 참여하였다. 연구결과, 시뮬레이션기반 실습교육은 간호대학생의 고용가능성(t=-2.31, p=.023), 진로탐색행동(t=-3.05, p=.003)을 유의하게 증가시켰으나, 진로결정자 기효능감(t=-.87, p=.387)은 통계적으로 유의한 차이가 없었다. 결론적으로 시뮬레이션기반 실습교육은 간호대학생들의 교육에 유용하므로 강화해야 할 것이다.

This study aimed to investigate the effects of voice recording as a speaking assignment on Korean EFL nursing students’ speaking confidence and perceptions of speaking assignment. The participants of the study were 22 nursing students who took college English course and were divided into two groups. One was an experimental group performing voice recording assignment for speaking practice during 5 weeks and the other was a control group that did not receive treatment by the researcher. Speaking confidence questionnaire and in-depth interview were used to collect the data in this study. The result of this study showed that there was some statistically significant achievement of the participants’ speaking confidence after speaking assignment of voice recording performed by them. In addition, the participants had positive reaction to the experience of the assignment. This suggests that voice recording assignment encourages students to have their speaking confidence and helps them to overcome speaking difficulties in EFL environment.

Purpose: The purpose of this study is to investigate the effect of simulation-based disaster nursing education programs on nursing college students’ disaster nursing knowledge, attitude toward disasters, and basic disaster nursing implementation abilities. Method: This study is similar to an experimental study that applied before-and-after designs for test groups and control groups. It was configured focusing on “earthquakes,” “fires,” “infectious diseases,” and “hospital disaster preparation.” Our simulation-based disaster nursing education program was configured to improve nursing students’ abilities to immediately respond to problems through the integration of nursing courses. Results: The test group that received the simulation-based disaster nursing education program showed a statistically significant increase in disaster nursing knowledge, attitude toward disasters, and basic disaster nursing implementation abilities, compared to the control group. Conclusion: Through the results of this study, simulation-based disaster nursing education programs were found to be effective in improving disaster nursing implementation abilities. Therefore, efforts should be made so that simulation-based disaster nursing educational courses take root to improve the disaster preparedness abilities of college students majoring in nursing.

Purpose: The purpose of this study is to provide basic data for developing strategies to improve the learning effect of simulation by analyzing the reflective journaling after the simulation based learning on the nursing of patients with upper gastrointestinal (UGI) bleeding. Method: From September 19–29, 2016, we conducted a simulation of UGI bleeding patient nursing with fourth-year students in the nursing department of University B in City A, and analyzed the data using content analysis. Results: In this study, reflective journaling can be an effective educational method to strengthen nursing competence, such as the self-reflection of nursing students, evidence-based nursing practice, teamwork, and communication ability. Conclusion: Reflective journaling after practice in simulation-based education is an important process in training critical thinking, situational judgment, and reflection of nursing practice content, and needs to be extended to both on-campus practice and clinical practice.

본 연구는 간호대학생의 내현적 자기애가 간호전문직관에 미치는 영향에서 지각된 사회적 지지와 대인관계능력의 매개효과를 검증하기 위해 시도하였다. 이를 위해 J소재 3개 대학교의 간호대학생 375 명을 대상으로 편의표집하였다. 연구결과, 첫째, 간호대학생의 내현적 자기애, 간호전문직관, 지각된 사회 적 지지, 대인관계능력 간의 인과모형의 적합도가 양호한 것으로 나타나 변인간의 인과관계를 타당하게 예측하였다. 둘째, 간호대학생의 내현적 자기애는 대인관계능력과 지각된 사회적 지지에 직접적으로 영향을 미치는 것으로 나타났고, 이는 통계적으로 유의하였다. 셋째, 대인관계능력은 내현적 자기애와 간호전문직 관과의 관계에서 매개효과를 나타냈다. 넷째, 간호대학생의 대인관계능력은 지각된 사회적 지지와 간호전 문직관에 직접적으로 영향을 미쳤다. 연구결과를 토대로 간호대학생의 간호전문직관을 강화하기 위해 대인 관계능력을 향상시킬 수 있는 중재프로그램 개발이 필요하다.

본 연구는 간호학생의 구강건강에 관해 알아보고자 시행되었고, 207명을 대상으로 자가 보고식 설문을 진행하였다. 연구결과 지난 1년간 치과를 방문한 학생은 64.3% 였고, 치과 방문 이유는 정기검진이 25.9%, 충치치료가 23.5%이었다. 치과를 방문하지 않는 이유는 ‘덜 중요해서’가 12.6%로 가장 많았고, ‘치과 가기가 두려워서’가 10.6%로 나타났다. 하루동안 평균 잇솔질 횟수는 3.1회 이었으며 잇솔질 시간은 2~3분이 56.0%를 차지했다. 그러나 치과 방문 의도에 관한 질문에는 ‘치료 받을 때만’이 51.7%고 가장 많았고, ‘통증이 있을 때만’도 10.1%나 되었다. 구강교육을 받을 용의에 대해서는 54.6%가 ‘그렇다’고 응답하였고, 구강교육 희망내용으로는 ‘미백’이 34.5%로 가장 많았고, ‘구취예방’이 19.2% 이었다. 구강건강정보 획득 경로로는 ‘인터넷’이 42.0%로 가장 많았고, ‘가족이나 친구’가 25.6%로 나타났다. 구강건강신념 중 감수성은 2.47점, 심각성은 2.00점, 유익성은 4.03점으로 나타났다. 치과치료가 필요했지만 치료를 받지 않은 학생에 비해 치료받은 학생에서 구강건강신념이 높게 나타났고(p<.001), 충치가 없는 학생에 비해 충치가 있는 학생에서 구강건강신념이 높게 나타났다(p<.001). 충치 개수와 감수성(r=.330, p=.002), 심각성(r=.25, p=.019)은 유의한 상관관계가 있었다. 본 연구 결과를 토대로 간호대학생의 구강건강을 위한 효과적인 프로그램 개발에 활용할 필요가 있다고 사료된다.

본 연구는 간호학생의 간호수행능력 관련요인을 파악하여 간호수행능력 증진을 위한 학부과정의 교육 방안을 마련하는데 기여하고자 하였다. 연구대상은 일 대학 간호학과의 4학년 학생 227명이었다. 대상자의 일반적 특성, 비판적 사고성향, 핵심기본간호술 성취도에 따른 간호수행능력은 independent t-test, pearson’s correlation coefficient를 실시하였고, 간호수행능력에 영향을 미치는 요인을 확인하기 위해 Linear regression을 시행하였다. 연구결과, 간호학생의 간호수행능력에는 비판적 사고성향의 지적공정성과 핵심기본간호술 난이도 중 및 하의 성취도가 영향을 미치는 것으로 나타났고, 모두 점수가 높을수록 간호수행능력이 높은 것으로 나타났다. 본 연구의 결과를 토대로 간호학생의 지적공정성과 핵심기본간호술 성취도를 높이는 한편 난이도 상의 성취도를 높이는 교육프로그램의 마련이 필요하다.

본 연구는 간호대학생의 학업탄력성, 내현적자기애, 대인관계능력 및 자기효능감의 구조적 관계 및 이들의 경로를 밝히고자 하였다. 이를 위해 J소재 3개 대학교의 간호대학생 460명을 대상으로 편의표집 하였다. 연구결과, 첫째, 간호대학생의 학업탄력성, 내현적자기애, 대인관계능력 및 자기효능감 간의 인과 모형의 적합도가 양호한 것으로 나타나 변인간의 인과관계를 타당하게 예측하였다. 둘째, 간호대학생의 내 현적자기애, 대인관계능력 및 자기효능감은 학업탄력성에 직접적으로 영향을 미치는 것으로 나타났고, 이는 통계적으로 유의하였다. 셋째, 간호대학생의 대인관계능력과 자기효능감은 내현적자기애와 학업탄력성 간의 관계에서 매개효과이지만 경쟁효과인 억제효과로 나타났고, 자기효능감은 대인관계능력과 학업탄력 성간의 관계를 매개하는 것으로 나타났다. 연구결과를 토대로 간호대학생의 학업탄력성과 관련 요인을 고려한 효율적인 교육프로그램 개발의 필요성을 제언하였다.