Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Core Fundamental Nursing Program on Core Fundamental Nursing Skills Competency, Clinical Competency and Problem Solving Process

핵심기본간호술 교육프로그램이 핵심기본간호술 수행능력, 임상수행능력 및 문제해결과정에 미치는 효과

  • 김영희 (진주보건대학교 간호학부)
  • Received : 2018.06.11
  • Accepted : 2018.09.07
  • Published : 2018.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was pre-experimental research designed to compare the differences between pre-and post the effect of core fundamental education program of senior nursing student′s core fundamental nursing skills, clinical competency and problem solving process for one semester. Core fundamental education program which consists of three steps, 12 session. The subjects of this study were 192 graduates of one nursing college and surveyed from March 20 to June 23, 2017. The data were analyzed using descriptive statistics, the paired t-test, t-test, ANOVA by SAS for Windows(ver. 9.8) and AMOS(ver. 20.0) As a result, pre-post recognition level of core fundamental education program was nursing skills competency pre $(3.42{\pm}.42)$ and post $3.88({\pm}.61)$, clinical competency was pre $3.74({\pm}.47)$ and post $3.98({\pm}.67)$. The core fundamental nursing skills(p=.017), clinical competency(p=.041) increased significantly after education program. Core fundamental nursing skills, clinical competency and problem solving process was significantly different according to male group(p=.003/p=.013/p=.005), high satisfaction group in nursing major(p=<.000/p=.009/p=<.000), confidence improvement group(p=.044/p=.047/p=.004) at the core skill contest. In conclusion, this study showed that the core fundamental nursing education program of senior nursing students had a positive effect on core fundamental nursing skills and clinical competency.

본 연구의 목적은 졸업반 간호학생에게 한 학기 동안 적용한 핵심기본간호술 교육프로그램이 핵심기본간호술 수행능력, 임상수행능력 및 문제해결과정에 미치는 효과를 규명하고자 하는 것이었으며 단일군 사전사후 설계의 원시실험연구였다. 핵심기본간호술 교육프로그램은 3단계로 구성하였으며, 총 12회기로 운영하였다. 연구대상자는 일개 간호대학의 졸업학년 총 192명이었으며 2017년 3월 20일부터 6월 23일까지 실시하였다. 자료는 AMOS 20.0과 S AS 9.3 프로그램을 이용해 기술통계와 paired t-test, t-검정, ANOVA로 분석되었다. 연구결과로, 핵심기본간호술 교육프로그램에 대한 사전사후 인식으로 수기능력 증진 도움 여부는 사전 $(3.42{\pm}.42)$점, 사후 $3.88({\pm}.61)$점, 임상적응력증진 도움 여부는 사전 $3.74({\pm}.47)$점, 사후 $(3.98{\pm}.67)$점으로 나타났다. 핵심기본간호술 수행능력(p=.017)과 임상수행능력(p=.041)은 핵심기본간호술 교육프로그램 후에 통계적으로 유의하게 증가하였다. 대상자의 사후 핵심기본간호술 수행능력은 남성 군(p=.003), 간호학전공 만족도가 매우 만족한 군(p=<.000), 핵심경진대회 참여 목적은 자신감 향상 군(p=.044)에서, 사후 임상수행능력은 남성 군(p=.013), 간호학전공 만족도가 매우 만족한 군(p=.009), 핵심경진대회 참여 목적은 자신감 향상 군(p=.047), 사후 문제해결과정은 남성 군(p=.005), 간호학전공 만족도가 매우 만족한 군(p=<.000), 핵심경진대회 참여 목적은 자신감 향상 군(p=.004)에서 유의한 차이가 있었다. 결론적으로 이 연구는 졸업반 간호학생의 핵심기본간호술 교육프로그램이 핵심기본간호술 수행능력 및 임상수행능력에 긍정적인 영향을 미친 것으로 나타났다.

Keywords

References

  1. J. S. Yi, The Influence of University Student's Self-Leadership on the Employment Strategies, Unpublished master dissertation, Sookmyung Women's University, Seoul, 2012.
  2. Aronof, f.N., Stellrecht, E., Lyons, A.G., Zafron, M.L., Glogowski, M., Grabowski,J., & Ohtake, P. J. "Teaching evidence-based practice principles to prepare health professions students for an interprofessional learning experience", Journal of the Medical Library Association, Vol.5, No.4, pp.376-384. 2017. DOI: https://dx.doi.org/10.5195/jmla.2017.179
  3. Korean Accreditation Board of Nursing Education, From: http://www.kabone.or.kr/kabon02/index04.php
  4. A.K. Han, D.S. Cho, & J.S. Won, "A Study on Learning Experiences and Self-Confidence of Core Nursing Skills in Nursing Practicum among Final Year Nursing Students, Journal of Korean Academy of Fundamental Nursing, Vol.21 No.2, pp.162-173, 2014. DOI: http://dx.doi.org/10.7739/jkafn.2014.21.2.162
  5. S. S. Bang, Relationship among essentials of fundamental nursing skills performance, stress from work and work capability of new clinical nurse, Unpublished master dissertation, University of Sahmyook, Seoul, 2014.
  6. M.S. Jung, & Y.S. Kwon, "The Effects of Convergence-Based Education on Core Basic Nursing Skills on Nursing Students Competence and Confidence, Journal of Digital Convergence, Vol.13, No.4, pp.295-302, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.4.295
  7. Y. H. Kim, "The Effects of Nursing Professional Attitude and Employment Strategy on the Core Fundamental Nursing Education Program of Graduated Grade Students", Journal of the Korean Academia-Industrial cooperation Society, Vol.18, No.10, pp.363-372. 2017. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.10.363
  8. S. O. Kim, Problem-Solving Ability, Self-Directed Learning Ability and Confidence of Core Fundamental Nursing Skill Performance, Unpublished master dissertation, University of Konyang, Daejeon, 2017.
  9. M. Y. Oh, A Study on the Clinical Competence According to Experiences of Core Basic Nursing Skills, Self-Confidence during Clinical Practice in Nursing Students, Unpublished master dissertation, University of Kong Ju, Kongju, 2016.
  10. Zhang, Z., Luk, W., Arthur, D., & Wong, T. "Nursing Competencies; Personal Characteristic contributing to effective nursing performance. Journal of Advanced Nursing, Vol.33, No.4, pp.467-474. 2001. D O I : http://dx.doi.org/10.1046/j.1365-2648.2001.01688.x
  11. Klein, C. J., & Fowles, E. R. "An Investigation of Nursing Competence and the Competence Outcomes Performance Assessment Curricular Approach: Senior Students' Self-Reported Perceptions", Journal of Professional Nursing, Vol.25, No.2, pp.109-121. 2009. DOI: http://dx.doi.org/10.1016/j.profnurs.2008.08.006
  12. Cheng, C.Y., Tsai, H.M., Chang, C.H.. & Liou,S.R."New Graduate Nurses' Clinical Competence, Clinical Stress, and Intention to Leave: A Longitudinal Study in Taiwan", The Scientific World Journal, 2014. DOI: http://dx.doi.org/10.1155/2014/748389
  13. H.S.Park., & J.Y. Han. "Factors Influencing Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol.20, No.4, pp.438-448, 2013. DOI: http://dx.doi.org/10.7739/jkafn.2013.20.4.438
  14. S.Y. Hong, Clinical Performance Competence by Nursing Students Learning Style, Unpublished master dissertation, University of Kyungpook National, Daegu, 2010.
  15. Heidari, M., & Shahbazi1, S. "Effect of training problem-solving skill on decision-making and critical thinking of personnel at medical emergencies", International Journal of Critical Illness & Injury Science, Vol.6, No.4, pp.182-187, 2016. DOI: http://dx.doi.org/10.4103/2229-5151.195445
  16. J. S. Yu., S. H. Hwang, & Y. J. Choi, "Research Article: Factors Influencing Problem Solving Ability among Dental Hygiene Students", Journal of Dental Hygiene Science, Vol.13 No.4, pp.510-517, 2013.
  17. M. S. Choi, A Study on the Relationship between Teaching Effectiveness of Clinical Nursing Education and Clinical Competency in Nursing Students, Unpublished master dissertation, University of Ewha, Seoul, 2005.
  18. Ok. H. Woo, & G. H. Park, "The Effects of PBL(Problem-Based Learning) on Problem Solving Process by Learners Metacognitive Level", Journal of Educational Technology, Vol.15 No.3, pp.55-81, 1999. https://doi.org/10.17232/KSET.15.3.55
  19. Rivaz, M., Momennasab, M., & Shokrollahi, P. "Effect of collaborative testing on learning and retention of course content in nursing students", Journal of Advances in Medical Education & Professionalism, Vol.3, No.4, pp.178-182, 2015.
  20. M. A. Kim, A study of teaching effectiveness on clinical nursing education, Unpublished master dissertation, University of Ewha, Seoul, 1996.
  21. Porter, J., Morphet, J., Missen, K., & Raymond, A. "Preparation for high-acuity clinical placement: confidence levels of final-year nursing students", Advances in Medical Education Practice, Vol.4, pp.83-89, 2013. DOI: http://dx.doi.org/10.2147/AMEP.S42157
  22. Malakooti, N., Bahadoran, P., & Ehsanpoor, S. " Assessment of the midwifery students' clinical competency before internship program in the field based on the objective structured clinical examination", Iranian Journal of Nursing and Midwifery Research, Vol.23, No1, pp31-35, 2018. DOI: https://dx.doi.org/10.4103/ijnmr.IJNMR_181_16
  23. Y. H. Kim, "Learning Motivations, Academic Self-Efficacy, and Problem Solving Processes after Education Evaluation", Journal of the Korean Academia-Industrial cooperation Society, Vol.15, No.10, pp.6176-6186. 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.10.6176
  24. Ghasemi, M., Kordi, M., Asgharipour, N., Esmaeili, H., & Amirian, M. "The effect of a positive reappraisal coping intervention and problem-solving skills training on coping strategies during waiting period of IUI treatment: An RCT", International Journal of Reproductive BioMedicine, Vol.15, No.11, pp.687-696, 2017. https://doi.org/10.29252/ijrm.15.11.687
  25. H.J. Dong, & M.S.Choi, "Influence of Professional Self-concept and Self-leadership on Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol.23, No.4, pp.373-382, 2016. DOI: http://dx.doi.org/10.7739/jkafn.2016.23.4.373