Purpose: This study aims to examine the basic data of online practice nursing education after categorizing the subjective perceptions of online practice among nursing students and closely examining the characteristics of each type using the Q-methodology. Methods: The Q-methodology was used. The 34 Q-statements selected by each of the 40 participants were classified into a shape of normal distribution. Results: The online practice in the nursing practice was classified into the four following types: the “self-development emphasis,” “online practice beneficial,” “cognitive type of difficulty in online practice,” and “fear in case of being employed” types. Conclusion: The practice education content that is most similar to the clinical field training is expected to be developed when supplementing negative aspects and further reinforcing positive aspects in the online practice having been verified in this study.

Purpose: This study verified the effects of simulation-based communication education on the problem-solving process, communication self-efficacy, and communication ability of nursing college students. Methods: As an experimental study of single-group pre- and post-design, data were collected from April 12 to June 18, 2021, using a self-report questionnaire from 55 Year 4 nursing college students in city D. The collected data were analyzed in terms of frequency, paired t-test, and Pearson's correlation coefficients using the SPSS/WIN 23.0 program. Results: Our findings indicated that there were significant differences between the problem-solving process (t=-20.54, p<.001), communication self-efficacy (t=-15.31, p<.001), and communication ability (t=-3.62, p=.001) in communication before and after simulation-based communication education. Following simulation-based communication education, the communication ability of nursing students was evaluated through the problem-solving process (r=.46, p<.01), self-efficacy in communication (r=.37, p<.01), and problem-solving process by a doctor. Furthermore, it was found that there was a significant positive correlation with communication self-efficacy (r=.16, p<.01). Conclusion: It can be expected that the simulation -based communication education will improve nursing students’ problem-solving process, communication self-efficacy, and communication ability and thus contribute to high-quality nursing in related clinical situations. In addition, for a more effective communication education, research that could develop various scenarios in the clinical field and verify the effectiveness is required.

본 연구에서는 간호사의 코칭역량과 직무스트레스가 대인관계의 매개역할을 통해서 간호사의 조직몰입에 미치는 영향을 규명하는데 있다. 간호사 대상으로 총 545부의 설문을 수집하였고, SPSS 25와 AMOS 25 프로그램을 이용하였으 며, 분석 결과는 다음과 같다. 첫째, 간호사들의 코칭역량과 조직몰입 간의 관계에서 모든 측정변인들 간에 통계적으로 유의미한 정적 상관이 있는 것으로 나타났다. 둘째, 간호사들의 직 무스트레스와 조직몰입 간의 관계에서 모든 측정 변인들 간에 통계적으로 유의 미한 부적 상관이 있는 것으로 나타났다. 셋째, 간호사들의 대인관계와 조직몰 입 간의 관계에서 모든 측정변인들 간에 통계적으로 유의미한 정적 상관이 있는 것으로 나타났다. 넷째, 간호사들의 코칭역량과 조직몰입의 관계에서 대인관계 의 매개효과 검증결과와 직무스트레스와 조직몰입의 관계에서 대인관계의 매개 효과 검증결과는 모두 유의미한 것으로 나타나 매개효과가 검증되었다. 본 연구의 결과를 바탕으로 간호현장에서 코칭역량과 직무스트레스로 인해 조직몰입에 영향을 미치며, 대인관계 매개효과로 인한 영향을 미치는 후속 연구 가 진행되기를 기대한다.

Purpose: This study aimed to identify research trends by applying the scoping studies method to articles published from the establishment of the Korean Society for Nursing Simulation in 2011 to June 2021, and to suggest the direction for future research. Method: A total of 73 articles were reviewed by applying the six steps and recommendations for scoping studies as suggested by Arksey and O'Malley. Results: Focusing on the subjects, research topics were classified comprehensively into the experience of nursing students, nurses, professors, and office workers. As a result of analyzing the research process characteristics, practical teaching and learning using simulation technology resources were conducted during most of the research, and a systematic curriculum for learning promotion was devised and applied. Furthermore, nursing performance ability was evaluated, learning situation was identified, and simulation education situation and necessity of clinical field were identified. The keywords “applied technology,” “teaching-learning method,” “environment,” “cognition,” “attitude,” “affect,” “patient status,” “nursing,” and “nursing performance” were identified as eight categories. Conclusion: The post-coronavirus era has provided an opportunity to expand the scope of Korean nursing simulation research, which is going to further contribute to nursing development.

본 연구는 전화코칭을 병행한 운동프로그램이 지역사회 거주 독거노인의 균형능력, 악력 및 우 울에 미치는 효과를 조사하기 위한 단일집단 사전사후 원시실험연구이다. 연구대상자는 경기도 S시에 위치 한 노인복지관에 등록된 독거노인 20명이 참여하였으며, 자료수집기간은 2021년 7월 03일부터 2021년 10 월 14일까지 총 12회기 프로그램을 시행하였다. 프로그램 전후에 대상자 가정에 직접 방문하여 4단계 균형 검사, 근력검사, 악력 및 우울을 측정하였다. 중재 프로그램은 탄력밴드와 악력볼을 이용하여 구성하였으며 매주 전화코칭 중재를 제공하였다. 연구결과, 전화코칭을 병행한 운동 프로그램은 대상자의 4단계 균형기 능(3단계)(t=-2.37, p=.029), 4단계 균형기능(4단계)(t=-2.46, p=.024), 우측 악력(t=-2.18, p=.042), 우울 (t=2.82, p<.001)에서 통계적으로 유의한 차이가 나타났다. 본 연구 결과를 바탕으로 전화코칭을 병행한 운 동프로그램은 독거노인의 균형능력, 악력 향상 및 우울 감소를 위한 간호중재로 활용될 수 있을 것으로 기 대된다.

Purpose: Since the COVID-19 pandemic, virtual simulation practice has been increasingly activated as an alternative to clinical practice in nursing colleges. This study aimed to provide basic data by confirming changes in self-efficacy and nursing knowledge in the virtual simulations of nursing students, and identifying virtual presence, virtual patient learning system evaluation (VPLSE), and practical satisfaction. Methods: This was a single-group pre-post quasi-experimental study. The subjects were 28 third-grade nursing students. Results: Self-efficacy and nursing knowledge increased significantly (p<.001). Virtual presence had a significant positive correlation with VPLSE) (p=.002) and practice satisfaction (p=.011). There was also a significant positive correlation between virtual simulation learning evaluation and practice satisfaction (p<.001). Conclusion: Based on these results, virtual simulation practice can be used with clinical practice as an educational method to improve nursing students' self-efficacy and nursing knowledge in nursing education. Virtual presence was confirmed as a significant variable to improve practice satisfaction and VPLSE. It is necessary to develop a virtual simulation program that can improve virtual presence through collaboration with virtual reality technology experts.

Purpose: This study aims to investigate the effect of a simulation-based patient safety performance improvement education program on caregivers’ knowledge, attitude, and performance toward safety. Methods: This study adopted a quasi-experimental design that applied before-and-after designs for the test and control groups. It was configured focusing on “infectious disease,” “fires,” “falls,” and “drug abuse.” Results: There was a significant difference in knowledge and patient safety performance between the experimental group and the control group. However, there was no significant difference in attitudes toward safety. Conclusion: The results of this study showed that the simulation-based patient safety performance improvement education program is effective in improving patient safety performance. Therefore, it is necessary to continuously apply and evaluate the simulation-based patient safety performance training program to enable caregivers to develop professional prevention and management capabilities within elderly care facilities

Purpose: This study explored the reflective experiences of nursing students through online clinical nursing practicum education. Its specific aims were to identify the reflection experiences that these students subjectively perceive as alternative learning for their clinical practicum because of COVID-19 situations and to identify the strengths and weaknesses of these reflective experiences. Methods: In-depth interviews were conducted face-to-face or by phone with 18 fourth-year nursing students from June to October 2021. Data were analyzed using a thematic analysis. Results: The following five themes were identified: (1) looking back and rethinking, (2) applying memories to prepare for the future practicum, (3) requiring efforts to seek and consider real knowledge, (4) using benefits from emotional relaxation and repetition, and (5) limitations of habitual writing without deep thinking. Conclusion: The results of this study suggest the need for the development of an online practical education that vividly reflects the diverse and practical clinical world, which enables the acquisition of new knowledge and changes while actively receiving support, if possible, in the difficult reflection process experienced by nursing students through a mutual communication method involving faculty and students.

Purpose: This study aimed to gain an in-depth understanding by analyzing and exploring the work experience of infection control nurses (ICNs) in response to the prolonged COVID-19 pandemic. Methods: Data were collected from 14 ICNs, (two in in-depth interviews and 12 in groups of six) from February 19, 2021, to March 20, 2021, and were analyzed according to the content. Results: In the prolonged COVID-19 pandemic, ICNs took the lead in responding to infectious diseases, where they felt pressure in doing everything. In addition, they were confused by a lack of workforce and undetailed job plans. ICNs have been exhausted by insufficient support and system, such as the lack of support in the hospital, communication with health authorities, and difficulties with patients and visitors. However, ICNs settle with the help and encouragement of those around them. For example, pride in the work that only ICN can do, change in the cooperation of hospitals, and development of ICNs’ unique method of perseverance. Conclusion: During the COVID-19 pandemic, ICNs experienced structural, physical, and mental difficulties at work. Nevertheless, the study found that a driving force enabled ICNs to endure, and that to efficiently respond to new infectious diseases in the future, it is necessary to secure ICNs and strengthen them.

Purpose: This study aimed to understand the impact of nurses’ psychosocial experiences in COVID-19 on their mental health and the psychosocial adjustment and growth of patients with COVID-19. Methods: This study used qualitative content analysis. Data were collected through individual in-depth interviews with 10 nurses with COVID-19 from February 24, 2022, to March 17, 2022. Results: Six themes were identified in the qualitative content analysis, including ‘Psychological burden after diagnosis’, ‘Acceptance of confirmed results’, ‘Difficulties caused by change in an unfamiliar environment’, ‘Confusion after returning to daily life’, ‘Mental state after a complete recovery’, ‘Incomplete prevention of infectious disease and control guidelines’. Conclusion: In the context of the COVID-19 pandemic, the physical and mental health of nurses can have a significant impact on the quality of medical care; therefore, an understanding of their psychosocial adjustment will help support nurses adjust better in future pandemic situations.

Purpose: The purpose of this study was to explore the nurses’ experience of the side effects of COVID-19 vaccination and understand its meaning. Methods: This study was a qualitative study using the content analysis method. The data collection period using a focus group was from October 26, 2021 to January 23, 2022. Results: The themes included: “Pressure from mandatory COVID-19 vaccination”, “Feeling relieved because the side effects are mild”, “Severe vaccine side effects cause negative emotions”, “Tolerating side effects and coping personally”, “Confusion and alienation about insufficient coping of side effects”, “Feeling skeptical about the COVID-19 vaccination policy”, “Thinking about how to build trust in the COVID-19 vaccine”. Conclusion: In the future, it is considered important to establish scientific evidence through continuous monitoring and data collection of the side effects of COVID-19 vaccination and to build trust in vaccines through transparent information disclosure.

Purpose: This study aimed to understand the COVID-19 vaccination experience of nursing students and explore its importance. Methods: A descriptive qualitative study and content analysis was conducted. The participants were 14 nursing students who expressed their rejection of COVID-19 vaccination. Data were collected through in-depth interviews from November 24, 2021, to January 30, 2022. Results: The COVID-19 vaccination experience of nursing students included four themes: “nostalgia for everyday life before COVID-19”, “hesitancy to get vaccinated against COVID-19”, “different thoughts about COVID-19 vaccination”, and “future direction of COVID-19 vaccination”. Conclusion: The COVID-19 vaccination experience of nursing students may be due to a lack of trust in COVID-19 vaccination. Therefore, accurate information about COVID-19 vaccination should be provided to lower the vaccination hesitancy of nursing students.

본 연구는 2018년 10월 10일∼13일까지 G시 간호대학 2, 3학년을 대상으로 식행동에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구결과, 식행동은 대상자의 용돈 중 식비(F=5.83, p=.003), 식생활 패턴(F=4.14, p<.001), 편식 정도(F=9.27, p<.001)에 따라 유의한 차이가 있었다. 변수 간 의 상관관계는 식행동은 생활 스트레스(r=-.16, p=.001) 및 식습관(r=.50, p<.001)과 유의한 상관관계가 있었다. 식행동에 영향을 미치는 요인으로는 식습관(β=.42, p<.001), 용돈 중 식비(β=-.14, p=.007), 편 식상태(β=-.14, p=.007), 생활 스트레스(β=-.13, p=.010) 순으로 나타났으며 설명력은 30.6%로 식행동 모형은 유의하였다(F=26.63, p<.001). 본 연구결과를 토대로 건강한 식생활 실천할 수 있는 방법을 모색할 필요가 있으리라 사료된다.

본 연구는 간호사의 장애인에 대한 인식, 장애인 접촉경험, 인권감수성이 장애인에 대한 태도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구의 대상자는 D광역시 소재 2개 대학병원과 C특별 자치시 소재 1개 대학병원에서 근무하는 간호사 181명이었다. 자료는 2021년 9월 2일부터 2021년 10월 6일까지 수집하였다. 수집된 자료는 IBM SPSS 26.0 프로그램을 이용하여 분석하였으며, t-test, ANOVA, Pearson’s Correlation Coefficients, Multiple Regression Analysis로 분석하였다. 대상자의 장애인에 대한 태도에 미치는 영향요인은 장애인에 대한 인식(t=-3.96, p<.001), 장애인환자 접촉유무(t=3.23, p=.001), 인권감수성 중 책임지각능력(t=2.13, p=.035), 장애인인식개선교육 이수 여부(t=2.90, p=.004), 장애인건 강권법 인지 여부(t=2.44, p=.016)이었으며, 30%의 설명력을 보였다(F=9.36, p<.001). 이에 따라 간호사의 장애인에 대한 인식, 인권감수성, 장애인건강권법을 포함한 장애인에 대한 태도를 함양할 수 있는 교육프 로그램 개발이 필요하다.

본 연구는 가상 시뮬레이션기반 노인간호 실습교육 실시 후 간호대학생의 몰입경험과 학습역량 이 학습만족도에 미치는 영향을 파악하기 위한 조사연구이다. 연구 대상자는 간호대학 학생 72명을 대상으 로 하였고, 자료수집은 2021년 4월 2일부터 5월 7일까지 온라인 설문을 통해 수행하였다. 자료분석은 SPSS/WIN 24.0을 이용하여 기술통계, 상관관계 및 다중회귀분석을 사용하였다. 연구결과, 가상 시뮬레이 션 교육 후 간호대학생의 학습만족도는 몰입경험(r=.656, p<.001), 학습역량(r=.672, p<.001)과 유의한 정 적 상관관계를 보였다. 학습만족도에 가장 영향력이 있는 요인은 학습역량(β=.459, p<.001), 몰입경험(β =.413, p<.001)으로 나타났으며 모형의 설명력은 60.9%이었다. 그러므로 가상 시뮬레이션 교육 후 학습만 족도를 향상시키기 위해서 실습에 대한 몰입을 촉진하고 개개인의 학습역량을 향상시킬 수 있는 방안들을 개발할 것을 제언한다.

본 연구는 간호대학생이 지각한 부모의 양육태도, 감성지능, 문제해결능력의 변수 간 관계를 파 악하고 간호대학생이 지각한 부모의 양육태도가 감성지능, 문제해결능력에 미치는 영향을 조사하기 위한 서술연구이다. 연구대상자는 C도 J대학교에 재학 중인 간호대학생을 대상으로 2021년 11월 29일~12월 13일까지 총 2주 동안 총 134부를 회수하여 그 중 126부의 자료를 SPSS/WIN 22.0 program을 이용하여 분석하였다. 연구결과, 부모의 양육 태도 중 애정적 양육태도가 감성지능(β=.349, p=.001), 문제해결능력 (β=.255, p=.018)에 영향을 미치는 것으로 나타났으며 각각 25.1%, 22.3%의 설명력을 보였다. 따라서 부 모를 대상으로 교육할 때 부모의 양육태도 중 애정적 양육태도가 미래 간호사인 자녀의 감성지능과 문제해 결능력을 향상시키는데 중요한 요소임을 알리고 바람직한 부모 역할 수행을 위한 부모교육의 기초 자료로 활용할 수 있겠다.

본 연구는 간호대학생의 월경곤란증 및 스트레스가 수면의 질에 미치는 영향을 파악하기 위한 조사연구이다. 연구 대상자는 간호대학 학생 248명을 대상으로 하였고, 자료수집은 2021년 4월 20일부터 5월 18일까지 수행하였다. 자료분석은 SPSS/WIN 24.0을 이용하여 기술통계, 상관관계 및 다중회귀분석을 사용하였다. 연구결과, 간호대학생의 수면의 질은 월경곤란증(r=.20, p<.001)및 스트레스(r=.24, p<.001)와 유의한 정적 상관관계를 보였다. 간호대학생의 수면의 질에 가장 영향력이 있는 요인은 학년(β=.20, p<.001), 스트레스(β=.19, p=.004), 월경곤란증(β=.15, p=.014)으로 나타났으며 모형의 설명력은 13.4% 이었다. 이에 간호대학생의 수면의 질을 향상시키기 위해서 학년에 따른 스트레스 관리 및 월경곤란증에 대한 평가와 정보제공이 포함된 수면 관련 교육 개발을 제안하는 바이다.

본 연구는 간호대학생의 문제해결능력, 자기주도 학습능력, 비판적 사고성향 간의 관련성을 파 악하고 문제해결능력에 대한 영향요인을 확인하기 위한 서술적 조사연구이다. 연구대상자는 G도와 C도에 소재하는 2개 대학 간호대학생 226명이었고 구조화된 설문지를 이용하여 조사하였다. 수집된 자료는 기술 통계, t-test, ANOVA, Pearson's 상관관계 분석 및 다중회귀분석을 이용하여 분석하였다. 간호대학생의 문 제해결능력의 영향요인을 확인하기 위해 다중회귀분석 결과, 비판적 사고성향(β= .490, p< .001)과 자기 주도 학습능력(β= .355, p< .001)이 영향요인으로 나타났다. 회귀모형의 적합도에 대한 F 통계량은 183.523(p< .001)으로 유의하였고, 설명력은 61.9%인 것으로 나타났다. 따라서 간호대학생의 문제해결능 력 향상을 위해서는 비판적 사고성향과 자기주도 학습능력이 향상될 수 있도록 다양한 교수학습방법을 접 목해야 할 것이다. 본 연구는 간호대학생의 문제해결능력을 향상시키기 위한 교육프로그램을 개발하는데 기초자료로 유용하게 활용될 것이다.

This study was conducted to define the concept of social stigma related to COVID-19 and to identify attributes of nurses with experience in nursing COVID-19 confirmed patients. The study analysis method used the hybrid model of Schwartz-Barcott and Kim, and data was collected from literature related to social stigma and 7 nurses who had experience caring for confirmed COVID-19 patients. As a result of this study, the social stigma related to COVID-19 of nurses who have experience nursing confirmed patients was derived into three attributes. The three areas were derived from undervaluation, discrimination, and negative stereotypes. As a result, social rejection, social isolation, and lack of social support were found. As a primary result, cognitive response to inequality, emotional response to increased stress, increased anxiety, disappointment, alienation, and avoidance appeared. As a secondary result, negative self-concept, destruction of self-integration, self-stigmatization, and job satisfaction were shown. As a result, this study is meaningful in that it provided a practical foundation for a strategy to reduce social stigma related to COVID-19 of nurses who have cared for COVID-19 confirmed patients.

This was written to introduce the case of establishment and implementation of the Disclosure procedure related to patient safety accidents at Hospital A. The process of establishing the Disclosure procedure of Hospital A consisted of a survey of professors in charge of Clinical Performance Improvement, the formation of consensus within the management, the establishment of procedures through discussion in the relevant departments and committees, and the enactment and implementation of regulations. In addition, in order to apply the regulations to the field, various education and public relations strategies for employees, as well as management procedures for cases of violation of the patient safety culture. And now, psychological support programs are being explored to protect the employees who are the second victims. Continuous efforts to improve “communication know-how” should be made by collecting data and analyzing cost effects. Therefore, legal support such as the Apology Act is also needed to activate and protect patient safety communication.