DOI QR코드

DOI QR Code

Changes in Clinical Practice Environment of Nursing Students due to Comprehensive Nursing Care Services

간호·간병통합서비스로 인한 간호대학생 임상실습환경의 변화

  • 김정현 (이화여자대학교 간호대학) ;
  • 신수진 (이화여자대학교 간호대학) ;
  • 이민경 (이화여자대학교 간호대학)
  • Received : 2018.05.15
  • Accepted : 2018.08.20
  • Published : 2018.08.31

Abstract

Purpose: This mixed method study was conducted to analyze the changes in nursing students' practice environment due to comprehensive nursing care services. Methods: For the quantitative study, a checklist and practicum evaluation surveys completed by 85 students were analyzed using SPSS utilizing a Mann-Whitney U test. For the qualitative study, 13 students with experience of practice in comprehensive nursing care service units participated in focus group interviews. The data were analyzed using a content analysis method. Results: From the qualitative findings, four themes and eight sub-themes were identified. The four themes were , , , and . The quantitative findings found that students could observe and perform fewer nursing tasks and the students' satisfaction with practice was lower in the comprehensive nursing care service unit. Conclusion: This study was meaningful in that it analyzed the experiences of nursing students in comprehensive nursing care services.

Keywords

References

  1. Cho, I. (2015). The Relationship of communication skill, communication self-efficacy and communication related educational needs. Journal of the Korea Academia-Industrial Cooperation Society, 16(4), 2593-2601. http://dx.doi.org/10.5762/KAIS.2015.16.4.2593
  2. Cho, M. K., Koo, B. C., Kim, G. R., Cheon, H. S., Lee, J. Y., Lee, H. H., ... & Jin, H. A. (2017). Perception on nursing practice of total care service in nursing students. Perspectives in Nursing Science, 14(2), 70-80. https://doi.org/10.16952/pns.2017.14.2.70
  3. Choi, S. H., & Lee H. (2015). Factors affecting nursing students' practice of patient safety management in clinical practicum. Journal of Korean Academic Nursing Administration, 21(2), 184-192. https://doi.org/10.11111/jkana.2015.21.2.184
  4. Elo, S., & Kyngas, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  5. Farquharson, B., Bell, C., Johnston, D., Jones, M., Schofield, P., Allan, J., ... & Johnston, M. (2013). Frequency of nursing tasks in medical and surgical wards. Journal of Nursing Management, 21(6), 860-866. https://doi.org/10.1111/jonm.12110
  6. Hwang, E., & Shin, S. (2017). Factors impacting nursing professionalism among nursing students. Journal of Korean Academy of Public Health Nursing, 31(1), 97-108. https://doi.org/10.5932/JKPHN.2017.31.1.97
  7. Jeong, H. S., & Yoo, Y. S. (2010). Image of nurses as perceived by nursing students and image determinants. Journal of Korean Academy of Public Health Nursing, 24(1), 29-38.
  8. Kang, M., & Jeong, K. (2017). A Comparison of the nurses image according to clinical practice experience of nursing students. Journal Of The Korea Contents Association, 17(4), 342-349. https://doi.org/10.5392/JKCA.2017.17.04.342
  9. Kim, H. S. (2002). A study on relationship between stress of clinical practice and clinal competency in nursing students. Journal of Korean Academy of Public Health Nursing, 16(1), 64-76.
  10. Kim, J., Kim, S., Park, E., Jeong, S., & Lee, E. (2017). Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration, 23(3). 312-322. https://doi.org/10.11111/jkana.2017.23.3.312
  11. Kim, M. (2006). On the mixed method research from the perspective of a qualitative researcher. Korean Journal of Sociology of Education, 16(3), 43-64.
  12. Krueger, R. A., & Casey, M. A. (2015). Focus groups: a practical guide for applied research (5th ed.). CA: Sage.
  13. Kwag, W. H. (2015) Contents and problems of the comprehensive nursing service pilot project. Research Institute for Healthcare Policy Korean Medical Association, 13(2), 50-55.
  14. Lasater, K. B., & McHugh, M. D. (2016). Nurse staffing and the work environment linked to readmissions among older adults following elective total hip and knee replacement. International Journal for Quality in Health Care, 28(2), 253-258. https://doi.org/10.1093/intqhc/mzw007
  15. Lee, E., & Chang, S. S. (2016). Factors influencing depression of nurses among comprehensive nursing care service ward. Korean Journal of Occupational Health Nursing, 25(4), 340-351. https://doi.org/10.5807/kjohn.2016.25.4.340
  16. Lee, M. K., & Jung, D. Y. (2015). A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. Journal of Korean Academy of Nursing Administration, 21(3), 287-296. https://doi.org/10.11111/jkana.2015.21.3.287
  17. Lee, S. S., & Yu, S. (2017). Comparison analysis between integrated nursing care service and non integrated nursing care service through electronic nursing documentation. Journal of Health Informatics and Statistics, 42(2), 170-176. https://doi.org/10.21032/jhis.2017.42.2.170
  18. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry (Vol. 75). CA: Sage.
  19. MacLean, S., Kelly, M., Geddes, F., & Della, P. (2017). Use of simulated patients to develop communication skills in nursing education: an integrative review. Nurse Education Today, 48, 90-98. https://doi.org/10.1016/j.nedt.2016.09.018
  20. Ministry of Health and Welfare. (2016, October). Providing integrated nursing and nursing services Number of beds, 2 times larger than last year. Retrieved May 15, 2018, from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=334758&page=1
  21. Morse, J. M. (2003). Principles in mixed methods and multimethod research design. In A. Tashakkori and C. Teddie (Eds.). Handbook of mixed methods in social and behavioral research(pp. 189-208). Thousand Oaks, CA: Sage.
  22. Morse, J. M., & Cheek, J. (2015). Introducing qualitatively-driven mixed-method designs. Qualitative Health Research, 25(6), 731-733. https://doi.org/10.1177/1049732315583299
  23. National Health Insurance Service. (2013, April). Seminar material of comprehensive nursing care hospital pilot project. Retrieved May 15, 2018, from http://bogun.nodong.org/xe/index.php?category=73686&mid=khmwu_6_1&document_srl=240660
  24. National Health Insurance Service. (2016) Impact analysis and system development plan for comprehensive nursing service in 2016 (No. 2016-20-022). Retrieved May 3, 2018, from https://www.nhimc.or.kr/cntFileDownLoad.do?DownLoadDir=/down_data/audit/&FileName=audit05_etc70.pdf
  25. National Health Insurance Service. (2016, September). Policy direction of comprehensive nursing care. Retrieved April 11, 2017, from http://www.nhis.or.kr/bbs7/boards/B0040/21012.
  26. Park, K., Yu, M., & Kim, J. (2017). Experience of nurses participating in comprehensive nursing care. Journal of Korean Academy of Nursing Administration, 23(1). 76-89. https://doi.org/10.11111/jkana.2017.23.1.76
  27. Rochefort, C. M., Buckeridge, D. L., & Abrahamowicz, M. (2015). Improving patient safety by optimizing the use of nursing human resources. Implementation Science, 10, 89. https://doi.org/10.1186/s13012-015-0278-1
  28. Son, H. M. (2014). Analysis of positioning in the nursing students narrative of the experiences of clinical practice. The Journal of Korean Academic Society of Nursing Education, 20(1), 129-137. https://doi.org/10.5977/jkasne.2014.20.1.129
  29. Yang, Y. K. (2018). Influences of communication skill and interpersonal ability on clinical competence of nursing students. Journal of Korean Academy of Fundamentals of Nursing, 25(2), 99-108. https://doi.org/10.7739/jkafn.2018.25.2.99
  30. Yoon, H. S., & Kim, G. H. (2018). The study of comprehensive nursing service practicum of nursing students. Journal of Learner-Centered Curriculum and Instruction, 18(4), 263-279.