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.

Purpose: This study was tried to identify the effects of simulation program by applying hazard perception training on self-efficacy of patient safety, error recovery and problemsolving process in nursing students. Methods: A nonequivalent control group designed was used. The study was composed of hazard perception training and simulation program. Sixteen teams of a total of 61 nursing students participated in the simulation program using a high fidelity simulator. The collected data were analyzed by descriptive statistics, χ2-test and t-test using PASW 18.0 program. Result: There were statistically signigicant in self-efficacy of patient safety(t=2.55, p=.013), error recovery(t=2.82, p=.007), and problem-solving process(t=3.29, p=.002) in the experimental group. Conclusion: These results indicate that the simulation program by applying hazard perception training is effective in improving self-efficacy of patient safety, error recovery and problem-solving process for nursing students. Further study is recommended to confirm the long-term effects of the simulation program by applying hazard perception training.

Purpose: This study was to identify the effect of siimulation-based educational for delivery nursing program on knowledge, problem solving process and confidence in nursing students. Methods: This study was one group pre-post test design, participants are 51 nursing student. This simulation-based education for delivery nursing program was applied to the subjects from 31th, August to 25th, September, 2015. The program consist of a scenario in which each of the situations presented from first stage of labor to the fourth stage of labor. Data were analyzed using SPSS WIN 19.0 program. Result: There was a significant difference on delivery nursing knowledge, problem solving process and confidence. Conclusion: Therefore, the educational program of labor simulation was effective on improving knowledge, problem solving process and self-confidence among nursing students.

Purpose: The purpose of this study was to find and describe the social adjustment process of nursing students in the clinical practice. Methods: The participants were 19 nursing students who hadmore than 24 weeks clinical practice and agreed with the participation in this research. Data were collected from focused group interviews. The participants were divided into three groups. Data and transcribed notes were analyzed using the grounded theory methodology and it was developed by Strauss & Corbin (1998). Results: Core concept was extracted as “Adapting to the strange environment". And 6 interaction strategies of the social adjustment process of nursing students in the clinical practice were derived. 6 interaction strategies were as follows: 'Inquiring', 'Changing', 'Enduring', 'Accepting', 'Acquiring', and 'Attracting'. Conclusion: The results of this study will be used to develop the programs to support the adjustment of nursing students to the clinical practice. Especially this support program must embody the core concept that is "Adapting to the strange environment". That has been developed by nursing students who adjusted themselves to the strange environment by their own methods.

Purpose: This study was tried to identify the effects of problem-based learning integrated with simulation education on the critical thinking disposition, problem-solving process and self-confidence of nursing process in nursing students. Methods: This study was one group pre-post test design, participants are 47 senior nursing students. We developed the simulation practice by applying problem based learning taking 2 hours per session, once per week for 15 weeks. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 18.0 program. Result: There was a significant difference simulation practice by applying problem based learning on the critical thinking disposition, problem-solving process and self-confidence of nursing process of nursing students. There was a correlation between each other variables. Conclusion: Therefore, suggest that the repeated studies to verify the effects of simulation practice by applying problem based learning.

Purpose: The purpose of this study were to compare the satisfaction in major and work value among the each grade of college nursing students. Methods: This study adopted the descriptive comparative design, Subjects were 225 students from two nursing schools in the Seoul city. The instruments used for this study were a self-report questionnaire. Data were analyzed by descriptive statistics, t-test, one way ANOVA, Duncan post-hoc test, and Pearson correlation coefficient using the SPSS WIN 18.0 program. Results: There were significant differences in major satisfaction and especially, senior students showed the lowest score. There were no significant differences in the work value among the grades. The major satisfaction was correlated significantly with the work value. It showed that higher major satisfaction, more positive work value. Conclusion: Based on the results, major satisfaction had significant correlations with the work value among the students. Which proves that the scores of major satisfaction has its effects on the students’ values of the profession. Therefore, new education system using various learning strategies such as simulation and team-based learning is must needed for each grade in order for students to gain satisfaction in their major, which will improve the nature of future nursing environment and their working values.

Purpose: this study was to investigate the correlation between sleep, self-efficacy and intuition among nursing students. Methods: data were obtained from 144 nursing students with 3rd and 4th during Oct and Dec, 2008. Data were collected using by several measurement tools which were Oh's Korean Sleep scale A, Sherer's General Self-efficacy scale, and Smith Intuition instrument. Results: the results showed that there was difference between the grade and self-efficacy, difference between religion and sleep, between religion and self-efficacy, and between perceived health status and sleep. The correlation between sleep and self-efficacy was positive correlation. Conclusion: it has to develop the nursing intervention program to improve sleep and self-efficacy for nursing students. And then, nursing students will have the competence to reduce stress and anxiety about clinical practicum and overload of studying. For further research, it should to study the relationship between sleep, self-efficacy and intuition among nurses.

본 연구의 목적은 간호대학생이 임상실습에서 경험하게 되는 임상실습 스트레스와 자아탄력성, 임상수행능력 간의 관계를 탐구하는 것이다. 이를 통하여 임상수행능력 관련 요인을 파악하고, 나아가 임상수행능력이 뛰어난 간호사를 양성하는 데 필요한 교육프로그램의 개발을 도울 수 있는 기초자료를 제공코자 한다. 본 연구의 조사는 2014년 9월부터 2014년 12월까지 임상실습 경험을 한 간호대학생 3-4학년 213명을 대상으로 이루어졌으며 설문조사는 자아탄력성, 임상실습 스트레스, 임상수행능력에 관한 내용으로 이루어졌다. 본 연구의 연구결과, 임상수행능력과 자아탄력성은 정의 상관관계를 보였다. 임상수행능력에 영향을 미치는 요인으로는 임상실습 만족도, 간호전공 만족도, 자아탄력성 등으로 나타났으며, 그 중에서도 가장 중요한 영향요인은 자아탄력성인 것으로 나타났다. 이 같은 연구결과를 봤을 때 간호대학생의 임상수행능력 증진을 위해서는 자아탄력성의 증진이 매우 중요하다는 것을 알 수 있었다. 따라서 교육프로그램의 개발 역시 이런 사실을 반영하여야 하며, 특히 비(非)교과프로그램의 제공을 통해 전문 간호사로서의 역량을 함양해야 할 것이다.

장기기증은 장기부전환자를 위한 최선의 치료방법임에도 불구하고 국내의 기증비율은 무척 낮은 편이다. 장기기증에 대한 지식과 태도를 개선하여 장기기증 의향과 실천으로 연결시키는 효과적 교육과 대중의 인식이 요구된다. 이에 본 연구는 일(一) 간호대학생의 장기기증에 대한 지식 및 태도를 포함한 비판적 사고 성향을 알아보고, 학년 간 차이 및 상관성을 분석하여 장기기증에 대한 교육과 참여 활성화에 기여하고자 한다. 비판적 사고 성향 측정도구는 총 27문항, 장기기증에 대한 지식 측정도구는 총 17문항, 태도 측정도구는 긍정적 태도 29문항과 부정적 태도 16문항으로 이루어졌다. 총 대상자 352명(1학년 208명, 3학년 144명)의 평균나이는 20.74세(±2.86)였고, 전공간호학 교육과 임상실습경험이 있는 3학년(12.56±1.86, 68.5%)이 1학년(11.64±2.08, 73.9%)보다 장기기증에 대해 높은 수준의 지식(p<.001)과 긍정적인 태도(p=.002)를 가지고 있었다. 한편, 비판적 사고 성향이 증가할수록 장기기증에 대해 높은 지식수준(r=0.126, p=.018)과 긍정적인 태도(r=.113, p=.034)를 보였으나, 학년 간 교육정도에 따른 비판적 사고 성향에서는 유의미한 차이를 보이지는 않았다(p=.739). 그러나 장기기증에 대한 지식과 태도가 정적인 상관관계를 보이며(r=0.117, p=.030), 장기기증 의향에 따라 장기기증 태도의 차이가 유의하게 나타났다(p<.001). 따라서 장기기증에 대한 윤리적 태도에 초점을 둔 간호교육을 통해 장기기증 인식 변화를 꾀할 수 있을 것으로 기대된다. 생명의료 윤리의식은 비판적 사고를 통해 도덕적 차원의 검토를 실행하는 것이라고 할 때, 비판적 사고의 함양을 통해 장기기증에 대한 윤리적 태도와 지식을 고취할 수 있는 교육을 시행해야 할 것이다.

Purpose: The purpose of this study were to find out effects of situated learning to problem solving of nursing students. Method: Subjects were 210 nursing students and analyzed by frequency, mean and t-test. Results: Experimental group who experienced situated learning was significantly higher problem solving than control group who didn't experience that. Conclusion: This study found that situated learning in nursing students was effective educational method to develop problem solving. So it is needed to develop various educational methods to improve problem solving according to curriculum.

Purpose: The purpose of this study was to identify the differences in learning flow and problem solving ability by simulation-based fundamentals of nursing practice program depending on the level of self-efficacy of nursing students. Methods: This study was a one group pre-post design. This study involved 254 second grade nursing students at T university in D city. Data were collected from October 28th to November 29th in 2013. Data were analyzed with frequency, percentage, descriptive statistics, paired t-test, ANOVA and post hoc test with using IBM SPSS WIN version 18.0. Results: There was a statistically significant increase in learning flow(F=14.328, p <.001) and problem solving ability(F=4.315, p=.014). There were significant differences on 11.12 score of learning flow and 7.20 score of problem solving ability with answer ‘Low’ by the level of self-efficacy. Conclusion: The result showed that the simulation-based fundamentals of nursing practice program improve learning flow and problem solving ability of low self-efficacy students. Therefore, it is an effective learning method.

Purpose: The purpose of this study was to explore the first learning experiences of undergraduate nursing students in team based high-fidelity simulation. Methods: The participants in this study were 13 undergraduate students at a university in Korea. The students were place in a setting of high-fidelity simulation to manage neurological patients. Data were collected from August, 2013 to September, 2013, through in-depth interviews and were analyzed on the basis of Colaizzi’s phenomenological methodology. Results: Five essential themes were extracts that were as follows 1) Thoughts about patients through the training manikin 2) Feeling of being engaged in practical training 3) Recognition of the importance of the team and teammates 4) Evaluation and analysis of the education content 5) Prospects of improving the capacity for nursing practice. Conclusion: Although the students experienced simulation practicum for the first time, it was noticeable that they tried to actively utilize their theoretical knowledge on the training high-fidelity manikin during simulation practicum. Also, it was observed that they recognized the importance of cooperating with their teammates through team role-playing, assuming a professional attitude as a result. Furthermore, analysis on the content of the education and self-evaluation would help foster the capacity to provide total care for patients.

Purpose: This study was conducted to examine the effects of Clinical practice learning using a web-based e-book on nursing students' learning motivation, knowledge achievement and satisfaction with clinical practice. Methods: The participants in this study were 69 third-year nursing students (34 in the experimental and 35 in the control group) from a C-university in G-city, Korea, who were engaged in one-week clinical practicum in a gastroenterology ward. The data were analyzed by x²-test, Fisher's exact test, and t-test with the SPSS program 20.0. Results: After intervention, compared to the control group, the experimental group reported significant difference in Learning motivation (t=-3.61, p<.001), knowledge achievement(t=-2.92, p<.001), and satisfaction with clinical practice (t=-8.78, p<.001) in the training course using Mosby's nursing skills. Conclusion: These results identified that clinical practice learning using Mosby’s Nursing Skills was effective for the improvement of learning motivation, knowledge achievement and satisfaction with clinical practice. These results indicate that the implementation of an e-Learning needs to be continued as an effective educational tool. Also, it is needed to research more for better ways to implement e-Learning on students’ practicum.

Purpose: The purpose of this study was to identify the effect of simulation-based education for nursing students. Methods: One group pre-post test of quasi-experimental design was used. Forty-four nursing students participated in the study. The instruments used for this study were critical thinking disposition scales and problem solving process scales, clinical competency scales. Data were analyzed using the SPSS 18.0 program with descriptive statistics, paried-test. Results: There were significant increases in critical thinking(t=5.958, p<.001), problem solving process(t=3.331, p=.002) and nursing clinical(t=2.226 p=.031). Conclusion: In conclusion, the simulation-based education program was effective in contributing towards the development of critical thinking, problem solving process and clinical competence. Further study is needed to develop of clinical based learning modules and determine the effect of simulation method, learning times, team size on learrning.

Purpose: The purpose of this study was to understand how team performance was related to team efficacy, interpersonal understanding, positiveness in problem solving, and class satisfaction, after applying simulation education using team based learning. Methods: Study objects were the students in C college who learn through simulation using team based learning for 4 weeks(March 2012 to June 2012). Team efficacy, interpersonal understanding, and positiveness in problem solving were developed by Kwon (2010). Class Satisfaction was developed by Kim (1998) and team performance was designed by professors. SPSS/WIN 21.0 was used for descriptive analysis, pearson correlation. Results: In this study, team performance score was related to interpersonal understanding (score=3.84, r=.620, p<.001), team efficacy(score=3.73, r=.510, p<.001), positiveness in problem solving(score=3.56, r=.468, p=.001), and class satisfaction(score=3.55, r=.448, p=.002), respectively. Conclusion: There findings indicate that there is a need to increase team efficacy,interpersonal understanding, positiveness in problem solving and class satisfaction to improve team performance of nursing students

본 연구는 간호대학생의 다문화 인식과 문화적 민감성 수준을 파악하고 두 변수 간의 관 계 및 영향요인을 파악하기 위한 시도되었다. 간호대학생의 다문화 인식과 문화적 민감성 은 5점 척도에서 각각 3.63점과 3.56점으로 선행연구와 유사한 수준으로 나타났다. 다문화 인식은 다문화 관련 자원봉사 경험이 있거나, 외국인 환자를 돌보거나 간호한 경험이 있는 경우 유의하게 높았다. 문화적 민감성은 종교나 외국인 친구가 있거나, 외국인 환자를 돌보 거나 간호한 경험이 있는 경우 유의하게 높았다. 간호대학생의 다문화 인식과 문화적 민감 성은 통계적으로 유의한 순상관관계가 있는 것으로 나타났다. 대상자의 다문화 인식에 영 향을 미치는 변수는 문화적 지식 습득, 문화적 독특성 수용으로 다문화 인식을 44.2% 설명 한다. 대상자의 문화적 민감성에 영향을 미치는 변수들은 다문화에 대한 수용성, 다양성에 대한 개방성, 다문화에 대한 민감성과 차별성, 외국인환자 간호경험, 종교로서 문화적 민감 성을 30.7% 설명한다.

본 연구는 간호대학생의 다문화에 대한 인식, 태도 및 다문화 효능감 간의 관계를 확인하고자 시도되었다. 자료수집 기간은 2014년 6월 1일부터 7월 30일까지였으며, B와 U광역시에 소재하고 있는 2개 간호학과 학생 2, 3, 4학년 258명을 대상으로 하였다. 본 연구 결과 다문화에 대한 인식 정도는 평균 3.55(.43)점, 다문화 태도는 평균 3.70(.57)점, 다문화 효능감은 평균 3.87(.50)점으로 나타났다. 일반적 특성에 따른 다문화 인식은 성별, 다문화관련 기사 관심, 해외체류 경험, 다문화권 출신 친구 유무에 따라 차이가 있었고, 다문화 태도는 학년, 다문화관련 기사 관심, 해외체류 경험, 다문화권 출신 친구 유무에 따라 차이가 있었으며, 다문화 효능감은 학년, 다문화관련 기사 관심, 해외체류 경험, 다문화권 출신 친구 유무에 따라 차이가 있었다. 다문화 인식은 다문화 태도(r=.681, p<.001), 다문화 효능감(r=.601, p<.001)과 정상관관계가 있었고, 다문화 태도는 다문화 효능감(r=.658, p<.001)과 정상관관계가 있었다. 다문화 효능감에 영향을 미치는 변수로는 다문화 태도(β=.449, p<.001), 인식(β=.268, p<.001), 학년(β=-.100, p=.030) 순으로 나타났으며, 이러한 영향 요인들이 다문화 효능감을 50% 설명하였다. 이 연구결과를 바탕으로 간호대학생의 다문화에 대한 올바른 인식 및 태도 함양을 통하여 다문화 효능감을 강화할 수 있는 프로그램 마련이 필요하다고 본다.

This study was conducted in order to determine the relationship between thinking styles and stress of clinical practice among nursing students. Data were collected from 151 nursing students through self-report questionnaires, and analyzed by descriptive statistics, t-test, ANOVA, Scheffe’s Test, and Pearson's correlation using SPSS18.0. The thinking styles were relatively high in ‘hierarchic’ style and ‘clinical practice environment’ was the highest in stress of clinical practice. Relationship between thinking styles and stress of clinical practice showed correlation in the sub-scales. ‘External’ style differed significantly according to ‘undesirable role model’, ‘interpersonal conflict’, and ‘conflict with patient’. ‘Internal’ style was negative significantly different according to ‘interpersonal conflict’. In conclusion, development of nursing intervention for stress of clinical practice which considers thinking styles is needed.