Purpose: The purpose of this study was to provide basic data to interview programs for assisting male college students adjust to clinical practice by understanding the meaning of stress in such a practice. Method: Individual in-depth interviews using open-ended questions were conducted with students. Data were collected in August 2018, and analyzed using Colaizzi’s phenomenological method. Results: The categories of practical experiences in the interview programs for mediating gender conflicts in male nursing students were clearly recognized as, “experiencing limits of practice on female patients,” “a sense of burden representing practical students,” and “forcing of manhood.” The essential themes of participants' experiences in simulation programs included: “Prejudice and unfairness in having a female-related job,” “Women’s hospital practice is limited,”-“Attention is focused on themsince they are ‘minorities’,” “Uncomfortable interpersonal relations in clinical practice,” “The patience of a discriminative perception that physical labor should be mobilized, requiring forceful leadership,” “Live in a way that society prefers.” Conclusion: This study attempted to understand the meaning and nature of experiencing stress among male college students in clinical practice by applying Colaizzi’s method of analysis in phenomenology nursing research. In order to assist participants understand women's mainstream clinical practice, preparing separate programs is important.

Purpose: The purpose of this research was to explore same-age-tutoring experiences for fundamental nursing practice in peer learners. Method: Content analysis was performed on the collected data. Participants were 14 nursing students. Data were collected from September 19, 2018 to November 2, 2018. Results: Three theme clusters were extracted as follows: 1) autonomous learning environment 2) meeting learning needs 3) motivation to learn. Conclusion: The results can contribute to understanding peer learners’ same-age-tutoring education experiences. Further, they can provide foundational data for establishing same-age tutoring education strategies to improve nursing skills and knowledge, helping nursing students adapt to clinical practice.

Purpose: The purpose of this study was to investigate the effectiveness of pre-briefing in simulation-based learning on nursing students’ satisfaction with simulation. Method: A quasi-experimental post-test study was applied with 174 senior nursing students at a private university in South Korea. The experimental group (n=88) underwent a pre-briefing program, whereas the control group (n=86) did not. During pre-briefing, students had time to study simulation scenarios, discuss nursing processes related to simulation scenarios, and experience a simulation environment before simulation practice. Satisfaction scores were measured using the Satisfaction with Simulation Experience scale(SSE). Results: The mean scores in satisfaction with simulation were higher in the experimental group than in the control group, and the difference was statistically significant (t=-4.23, p<.001). Conclusion: This study emphasizes that pre-briefing in simulation-based learning is important in increasing students’ satisfaction and should be included in the planning of simulation-based learning programs.

Purpose: The purpose of this study was to identify the correlation between emotional intelligence, interpersonal competence, and caring efficacy in nursing students. Method: Data were collected from 227 junior and senior nursing students in May 2017. The study adopted a cross-sectional design. Structured questionnaires were used to collect data. Collected data were analyzed by mean, standard deviation, percentage, t-test, ANOVA, and Pearson's correlation coefficient, using SPSS 23.0. Results: Study results revealed positive correlations between emotional intelligence and interpersonal competence (r=.531, p<.001), interpersonal competence and caring efficacy (r=.556, p<.001), emotional intelligence and caring efficacy (r=.570, p<.001). Conclusion: The results of this study suggest that caring efficacy has a positive correlation with emotional intelligence and interpersonal competence. Therefore, it is important for nursing education programs to facilitate the students’emotional intelligence and interpersonal competence for achieving better results in terms of caring efficacy.

본 연구는 간호대학생과 비 간호대학생의 문화적 역량과 심리적 안녕감 정도를 탐색하기 위한 서술적 조사연구이다. 본 연구를 위해 S와 I지역의 종합대학 간호대학생 127명과 비 간호대학생 124명, 총 251명을 대상으로 자료를 수집하였다. 연구 결과 문화적 역량 정도는 평균 5점 만점에 간호대학생 3.35점, 비 간호대학생 3.23점, 심리적 안녕감 정도는 평균 5점 만점에 간호대학생 3.53점, 비 간호대학생 3.37점으로 나타났으며, 두 군 모두 문화적 역량 및 심리적 안녕감 정도가 ‘중’ 수준 이상으로 나타났으며, 간호대학생이 비 간호대학생보다 유의하게 높았다. 문화적 역량과 심리적 안녕감 간의 관계 분석결과 간호대학생은 문화적 인식, 문화적 지식, 문화적 민감성, 문화적 기술, 문화적 경험, 자아수용성, 환경에 대한 통제, 긍정적 대인관계, 자율성, 삶의 목적, 개인적 성장 모든 항목에서 유의한 정적인 상관관계가 있었다. 따라서 간호대학생의 문화적 역량을 높은 수준으로 유지하도록 정규교육과정에 다문화교과목 편성 및 다문화현장체험, 특강 등 교과외 활동을 병행하여 심리적 안녕감을 가지고 문화적 다양성을 고려한 간호를 제공할 수 있도록 해야 할 것이다.

본 연구는 당뇨환자의 시뮬레이션기반 간호교육이 간호대학생의 당뇨지식, 임상수행능력, 실습 만족도 및 의사소통능력에 미치는 효과를 확인하기 위해 시도되었다. 이 연구는 시뮬레이션 교육 전과 후에 당뇨지식, 임상수행능력, 실습만족도 및 의사소통능력을 파악하기 위해 2013년 10월 21부터 11월 1까지 자료수집을 하였으며, 간호대학생 3학년 75명이 연구대상자로 참여하였다. 연구의 결과는 시뮬레이션 교육을 받은 후 교육 전에 비해 당뇨지식(t=-9.684, p＜.001), 임상수행능력(t=-4.173, p＜.001), 의사소통 능력(t=-7.685, p＜.001) 점수가 높게 나타나 통계적으로 유의하게 나타났으나, 실습만족도(t=-1.144, p=.256)의 변화는 통계적으로 유의하지 않았다. 이상의 연구결과를 토대로 시뮬레이션기반 교육은 대상자의 간호지식, 임상수행능력과 의사소통능력을 강화할 수 있으며, 다양한 교육과정에도 적용될 수 있을 것이다.

본 연구는 간호보건계열 대학생의 전공만족도, 진로성숙도가 취업스트레스에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 본 연구는 G시의 3개학과 간호보건계열 대학생 410명을 대상으로 2017년 9월 26일부터 10월 31일까지 설문조사하였다. 수집된 자료를 토대로 기술통계, ANOVA, ANCOVA, Pearson correlation coefficients, Multiple regression으로 분석하였다. 연구결과, 전공선택 동기에 따라 전공만족도(F=9.856, p<.001) 및 진로성숙도(F=6.005, p=.001)가 유의한 차이가 있었으며, 학점은 진로성숙도(F=2.755, p=.042) 및 취업스트레스(F=3.503, p=.016)와 유의한 차이가 있었다. 또한 토익점수는 전공만족도(F=4.514, p=.004)와 유의한 차이가 있었다. 취업스트레스는 전공만족도(r=-.314, p<.001)와 진로성숙도(r=-.514, p<.001) 간에 유의한 상관관계가 있었으며 취업스트레스에 영향을 미치는 요인으로는 전공만족도(β=-.125, p=.007), 진로성숙도(β=-.459, p<.001) 순으로 나타났다. 이를 토대로 간호보건계열 대학생의 취업스트레스를 줄이기 위해 저학년 때부터 학과별 특성에 맞는 전공지도 프로그램을 마련하고 그에 따른 진로지도가 필요하리라 사료된다.

Purpose: This study aimed to observe coping strategies and career identity in nursing students, and examine the influence of coping strategy on career identity. Methods: Data from 329 third- and fourth-year nursing students was collected using structured self-reports questionnaires for two months. Descriptive statistics were calculated and the data analyzed with independent t-tests, Pearson correlation coefficients, and hierarchical multiple regression. Results: The nursing students scored highest on the passive coping style of hopeful thinking. Positive coping strategies were positively correlated with career identity. The final regression model showed that coping strategy and satisfaction with the participant’s major accounted for 37.6% of the variance in predictions of career identity, with problem-focused coping strategy as the single most influential factor. Conclusion: These findings suggest that a range of active efforts are needed to increase the use of problem-focused coping strategies to improve the career identity of nursing students.

Purpose: This study aimed to clarify the effects of simulation-based practice using a standardized patient on nursing students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance. Methods: We adopted a one-group pretest–posttest experimental design. We examined changes in the students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance before and after simulation-based practice and after clinical practicum. Results: The scores for problem-solving capacity increased from 159.28 before simulation-based practice to 263.02 after it and 161.99 after clinical practicum, but there was no statistical significance(p=.775, p=.339). The scores for self-efficacy for therapeutic communications rose with statistical significance from 120.78 before simulation-based practice to 126.30 after it (p= .017), but fell to 120.52 after clinical practicum. The scores for confidence in clinical performance increased with statistical significance from 54.98 before simulation-based practice to 59.42 after it (p=.008) and 58.50 after clinical practicum (p<.001). Conclusion: We confirmed that simulation-based practice with a standardized patient offers students hands-on experience of a clinical situation and, thereby, enhances their problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance.

Purpose: The purpose of this study was to examine the effect of debriefing program applying patient safety analysis and comparison of knowledge and attitude toward patient safety. Method: A nested design of pretest-posttest control group was used with root cause analysis for debriefing. The participants were 58 undergraduate nursing students recruited from one university in Chungcheong province. They were assigned to either an experimental group (n=28 or a control group (n=30). A structured root cause analysis method for debriefing program offered to the experimental group whereas the control group did not receive any program. The data were analyzed using the PASW 23.0 program with χ2test, t-test, and ANOVA. Results: The participants who had participated in the root cause analysis in the debriefing showed significant difference (p < .001). Conclusion: The result of this study found that the root cause analysis method in the debriefing improved patient safety. Therefore, this program can be widely used in nursing curriculum because it leads to efficient debriefing and improves patient safety through root cause analysis.

본 연구는 간호대학생의 임상실습 전, 스트레스, 불안 및 자아탄력성과의 관계를 분석하기 위한 서술적 조사연구이다. 첫 임상실습을 앞둔 K대학 간호학과 2학년 학생들을 대상으로 설문조사를 실시하였다. 연구결과, 임상실습 전 스트레스는 여학생에게서 높게 나타났으며(t=-5.51, p<.001), 불안은 여학생이 남학생보다(t=-3.30, p=.001), 주관적 건강상태가 나쁘다고 느낄수록(F=3.27, p=.041), 성격이 내성적일수록(t=-3.32, p=.001), 전공만족도가 낮을수록(F=7.25, p=.001) 높게 나타났다. 자아탄력성은 건강상태가 좋다고 느낄수록(F=3.74, p=.026), 성격이 외향적일수록(t=3.19, p=.002) 높게 나타났다. 또한 임상실습 스트레스, 불안 및 자아탄력성과의 상관관계에서 임상실습 전 스트레스와 불안과는 양의 상관관계가 있었으며(r=.211, p=.010), 자아탄력성과 불안은 음의 상관관계(r=-.313, p<.001)가 있는 것으로 나타났다. 이를 토대로 간호대학생의 자아탄력성을 향상시키기 위해 실습 전, 불안을 감소시킬 수 있는 역량프로그램 개발이 필요하리라 생각된다.

본 연구는 일 대학 간호학과 4학년을 대상으로 문제해결능력, 간호사 이미지, 리더십 정도를 살펴보고, 간호관리 실습 전후 문제해결능력, 간호사 이미지, 리더십의 변화에 대해 알아보기 위해 시행 된 서술적 조사연구이다. 연구 대상자는 일 지역 소재 간호학과에 재학 중인 4학생 60명으로 자료수집은 2014년 8월 1일 부터 8월 29일 까지 진행되었다. 수집된 자료의 분석은 SPSS/WIN 21.0 프로그램을 이용하여 기술통계, t 검정, 일원분산분석을 하였다. 연구결과 간호학과 지원동기는 ‘취업용이’가 가장 많았고, 간호사 이미지 형성에 영향을 준 요소는 ‘임상실습시 간호사 모습’이 가장 많았으며 전공만 족도는 ‘보통’ 이상이 83.4%였다. 간호사 이미지는 간호사 친척 유무 및 간호학 전공 만족도에 따라 차이가 있었고, 리더십은 간호학과 지원동기, 간호학 전공 만족도, 성격에 따라 차이가 있었으며, 문제해결 능력은 간호사 친척 유무 및 성격에 따라 차이가 있었다. 실습 전 간호대학생의 문제해결능력은 3.32점, 간호사 이미지는 3.41점, 리더십은 3.62점이었고, 실습 후 문제해결능력(t=-2.15, p=.03), 간호사 이미지 (t=-2.67, p=.01), 리더십(t=-2.20, p=.03)이 유의하게 증가하였다. 본 연구 결과를 토대로 간호학 실습 교육에 활용할 필요가 있다고 사료된다.

본 연구의 목적은 간호대학생이 임상실습 기간 동안 경험하는 감정노동과 임상실습 스트레스 간의 관계를 규명하는 것이다. 아울러 간호대학생들이 실습교육과정에서 겪게 되는 감정노동 및 스트레스를 경감시키고 관리할 수 있는 프로그램 마련을 돕는 것이다. 즉 임상실습 스트레스와 감정노동을 경감시킬 수 있는 교육 프로그램을 개발하는 데 기초자료를 제공하고자 한다. 본 연구는 서울지역 A 대학의 간호대 학생 170명을 대상으로 진행되었으며, 감정노동과 임상실습 스트레스에 관한 내용으로 설문조사를 실시 하였다. 연구결과, 간호대학생은 임상실습 기간에 높은 스트레스를 경험하고, 감정노동을 강하게 경험하 는 것으로 나타났으며, 감정노동과 임상실습 스트레스 간에는 유의미한 상관관계가 있는 것으로 나타났 다. 이 같은 연구결과를 토대로 본 연구는 간호대학생 대상의 ‘감정노동･임상실습스트레스 관리 프로그램’이 조속히 도입되어야 한다고 주장한다.

The purpose of this study was to assess the correlation between attitude of Patient Safety Management(PSM) and practice of PSM and clinical practice satisfaction of nursing students, also identified how these factors attitude and practice of PSM influence on clinical practice satisfaction, eventually aimed to develop education programs to strengthen practice of PSM in nursing students. A descriptive design was used in the study. The multiple regression was used for the study to prove the factors how the attitude and practice of PSM were affected to the clinical practice satisfaction. The study subjects were 226 nursing students. The results show that attitude of PSM mean was 3.71, practice of PSM mean 3.97, the clinical practice satisfaction mean 3.31. Among the general characteristics, clinical practice satisfaction showed significant differences in satisfaction of major(F=5.10, p=.001), the existence of role model(t=2.64, p=.009). Significant positive correlation was found between attitude of PSM, practice of PSM and the clinical practice satisfaction. Practice of PSM(β=.39) was shown as the most important factor to affect on the Satisfaction on clinical practice, also the explanation power of value for this study was found 41.1%. Consequently, this study indicates to develop the education program to strengthen practice of PSM. Also process the additional study for the nursing students in other areas.

Purpose: This study was conducted to evaluate simulation-based asthma pediatric care among nursing students. Methods: One group post design was utilized. A total of 148 nursing students were recruited as participants. The data were collected from February 22to June10, 2016. Seven hours of simulation-based asthma pediatric care was conducted. Results: The total mean knowledge score for asthma pediatric care was 3.8, and simulation-based performance score was 8.0. In simulation-based performance, the highest mean score was 2.4 for “oxygenation” category and the lowest mean score was 1.5 for “nursing recording.” There was no statistically significant difference in the level of clinical performance using simulation for the upper, middle, and lower groups according to the theoretical knowledge level. Additionally, no statistically significant correlation was found between the theoretical knowledge score and simulation-based clinical performance score. Conclusion: The findings suggest that simulation-based care involving various scenarios and integrated evaluation tools for clinical nursing performance are required to improve asthma pediatric care among nursing students.

Purpose: The purpose of this study was to investigate the effect of simulation training using video debriefing on the self-efficacy, problem solving ability, and learning satisfaction of nursing students. Method: The study design was control group pre-and post-test non-synchronized experimental design. The sample included two teams of 138 nursing students. The experimental group provided feedback after the simulation was run, and then the team was debriefed through the video recorded video in the debriefing room, and the control group performed the oral debriefing. This study was conducted from November 10, 2015 to December 10, 2015, using descriptive statistics, χ²-test and t-test. Results: The scores of the self-efficacy, problem- solving process performance, and learning satisfaction were higher than those of the group who received the video debriefing (experimental group) than those who received the oral debriefing training (control group). Conclusion: It has been found that debriefing using video in the simulation training has a positive effect on self-efficacy, ability to perform problem solving process and improvement of learning satisfaction, so it can be utilized as an effective teaching and learning strategy and also helps strengthen nursing capacity.

Purpose: This study evaluates the clinical judgment levels of nursing school students in simulation practice of diabetic ketoacidosis and score differences in clinical judgment levels based on academic record grades. Methods: The clinical judgment levels of 149 nursing students (3rd grade) who received a lecture on simulation practice for diabetic ketoacidosis simulation were evaluated during the period from March 3 to June 20, 2014. Data were collected and measured for the general characteristics, clinical judgment levels of nursing students in simulation of diabetic ketoacidosis, and difference in scores of clinical judgment levels according to grades. Results: Clinical judgment levels of these test participants was 2.82 points on average out of a full score of 4 points, and it was represented in the order of noticing (3.01), interpretation (2.86), response (2.79), and reflection (2.60) for each area. In addition, score differences in clinical judgment levels based on academic record grades were significantly higher in the upper ranks than in the lower ranks in all the areas. Conclusion: In simulation practice of this study, through observation by rubric education method, an objective recognition could be assessed and the importance of nursing knowledge was implied.

Purpose: The purpose of this study was to investigate the effects of communication simulation based on for elderly sensation disorders patient. the elderly population is growing about hearing loss, cataracts on this communication simulation for a nursing student is required. Methods: A nonequivalent control group pretest-posttest design was used. A total of 46 subjects (undergraduate students) participated in they were assigned to two groups: the experimental group(n=24) the control group (n=22). Data - gathering structured questionnaires that included communication competence, academic self-efficacy, and attitude about the elderly. The data were collected and statistical analyses were conducted with x2 test and independent t-test using the SPSS 22.0 program. Results: there was significant improvement in communication competence in the experiment group (t=2.05, =.046) and attitude about the elderly (t=-2.26, p=.033). However, there was no statistically no significant in academic self-efficacy(t=1.17, p=.247) Conclusion: communication Simulation should continue to be developed further for better sensation disorders with elderly patient. Integrated education in particular using a high-fidelity simulator will contribute to improvement in nursing competence.

Purpose: The purpose of this research was to explore the experiences of simulation education to undergraduate nursing students who have defected from North Korea. Methods: Individual in-depth interviews with nine students were conducted using semi-structured interview and open question. Data were collected December 2014 to April 2015 and analyzed using Colaizzi phenomenological method. Results: Three essential themes were extracts that were as follows 1) Confronting another barrier 2) Reflecting on nursing competency through simulation education 3) Beginning of adaptation to the nursing education Conclusion: The results can contribute to an understanding of the simulation education experience of undergraduate nursing students who have defected from North Korea. In addition, these results will provide foundational data in establishing simulation education strategies to improve nursing competency, helping them adapt to nursing education in Korea.

Background: Team-based learning (TBL) strategy have been applied in various nursing education as focusing on what students doing in-class and how learning from their experience. The purpose of this study was to develop and apply the TBL approach to teach pain assessment and management for undergraduate nursing students. Methods: Pain management education using TBL was applied in fundamentals of nursing course and consisted of three sessions for 2nd year nursing students. For developing the TBL, instructors redesigned the course before starting the semester and collected the cases reports from clinical environment. TBL on pain management was then applied into fundamentals of nursing course for 3 weeks. After completion the TBL course, satisfaction and self-confidence were collected. Result: We designed activities in four different points of TBL course such as a) before class begins, b) preparation, c) readiness assurance, and d) application. In before class, students can be identified instructional goal of TBL and activities of each point of course with their team member. The scores of students’ satisfaction and self-confidence in learning were high. Most students were positively described their experience of TBL course on pain management. Conclusion: Based on this development process and application, TBL approach will be applicable in various nursing education for enhancing the knowledge and making a clinical decision of nursing students.