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Objectives: The purpose of this study was to identify cultural competence, professional self-concept and clinical competency and examine their relationship in nursing students. Methods: The participants were 113 nursing students at the nursing college in Gyeonggi-do. The data were collected through self-report questionnaires from September 7th to November 7th, 2022. Data were analyzed using SPSS ver. 17.0 program with descriptive statistics, the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression analysis. Results: The mean score for clinical competency in nursing students was 3.81 points. Clinical competency had significant correlation with cultural competence(r=.420, p<.001) and professional self-concept(r=.706, p<.001). Factors influencing the clinical competency in nursing students were cultural competence(β=.241, p=.001) and professional self-concept(β=.639, p<.001). A total of 53.9% of clinical competency was explained by cultural competence and professional self-concept(F=44.574, p<.001). Conclusions: Based on the results of this study, it is suggested to develop an education program to verify the effectiveness of the curriculum that can improve clinical competency in multicultural nursing clinical field and to establish an attitude toward cultural nursing competency.

이 연구는 임상실습을 경험한 4학년 간호대학생을 대상으로 그릿과 문제해결능력이 임상수행능력에 미치는 영향을 확인하고자 하였다. 이 연구는 서술적 조사연구로 자료수집은 2024년 3월 1일부터 2024년 3월 31까지 시행하였다. 수집된 자료는 SPSS/ WIN 24.0 통계 프로그램을 이용하여 분석하였다. 응답자 총 130명 중 124명이 응답하여 응답률은 95.4%였 다. 연구결과 그릿은 3.11점, 문제해결능력은 3.07점, 임상수행능력은 3.27점으로 나타났다. 그릿과 문제해결능력(r=.510, p<.01), 임상수행능력과 문제해결능력(r=.381, p<.01), 임상수행능력과 그릿(r=.522, p<.01)이 서로 유의한 양의 상관관계가 나타났다. 임상수행능력에 영향을 미치는 요인으로는 학점(β=.240, p=.002), 진학동기(β=-.149, p=.041). 임상실습만족도 (β=-.199, p=.011) 및 그릿(β=.329, p<.001),이었고, 이 요인들의 설명력은 24.4%였다. 따라서 본 연구결과를 통해서 간호 학과 교육 과정에서 학생들의 그릿을 증진시킬 수 있도록 다양한 특성을 고려한 맞춤형 교육 프로그램 설계가 필요하다.

This study aimed to examine the impact of grit and problem-solving skills on clinical competency among fourth-year nursing students who had experienced clinical practice. This descriptive survey research was conducted from March 1, 2024, to March 31, 2024. The collected data were analyzed using the SPSS/WIN 24.0 statistical program. Out of a total of 130 respondents, 124 participated, yielding a response rate of 95.4%. The results showed that grit scored 3.11, problem-solving skills scored 3.07, and clinical competency scored 3.27. There were significant positive correlations between grit and problem-solving skills (r=.510, p<.01), clinical competency and problem-solving skills (r=.381, p<.01), and clinical competency and grit (r=.522, p<.01). Factors influencing clinical competency included grade point average (β=.240, p=.002), motivation for further study (β=-.149, p=.041), satisfaction with clinical practice (β=-.199, p=.011), and grit (β=.329, p<.001), with these factors explaining 24.4% of the variance. Therefore, based on the findings of this study, it is necessary to develop tailored educational programs considering various characteristics to enhance students' grit within the nursing curriculum.

본 연구는 시뮬레이션 기반 신생아간호 교육을 개발・적용하여 의사소통능력, 자기효능감, 임상수행능력에 미치 는 효과를 확인하기 위해 시도되었다. 단일군 사전사후의 실험연구로 D시 소재 일 간호대학생 3학년 122명을 대상으로 하였다. 자료수집은 2021년 5월 3일부터 6월 4일까지 연구의 목적을 이해하고 참여에 서면동의 한 학생에 한해 자가보 고식 설문지를 사용하여 자료를 수집하였다. 시뮬레이션 기반 신생아간호 교육은 3-4명을 한 그룹으로 하여 시나리오 구현을 위한 준비, 시나리오 구현, 디브리핑의 총 3단계의 4.5시간을 적용하였다. 연구결과 시뮬레이션 기반 신생아간 호 교육 전・후 의사소통능력, 자기효능감, 임상수행능력은 유의한 차이가 있는 것으로 나타났다. 본 연구결과를 통해 아동간호학 분야에서 시뮬레이션 기반 교육은 관찰 위주인 아동간호 임상실습을 보완할 수 있는 효과적인 교수학습 방법이 될 수 있음이 확인되었다.

This study aimed to examine the effects of simulation-based neonatal nursing care education on the communication competence, self-efficacy, clinical competency. A one-group pre-and post test design was used. A total of 122 students participate. Data was collected from May 3 to June 4, 2021, using self-report questionnaires only for students who understood the purpose of the study and gave written consent to participate. For the simulation-based neonatal nursing care education, a total of three steps of preparation for scenario implementation, scenario implementation, and debriefing were applied in groups of 3-4 people of 4.5 hours. As a result of this study, it was found that the simulation-based neonatal nursing care education had statistically significant improvement in communication competence, self-efficacy, clinical competency. Through the results of this study, it was confirmed that simulation-based education in the nursing care of children can be an effective teaching-learning method that can supplement the observation-oriented clinical practice of child nursing for nursing students.

Objectives: The purpose of this study was to identify the relationship between nursing character, critical thinking disposition, career decision making self-efficacy and clinical competency, and to examine the factors affection the clinical competency among nursing students. Methods: Participants were 192 nursing students. Data were collected through structured questionnaires from November 1 to November 30, 2019. Data were analyzed IBM SPSS Statistics version 21 software for descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression. Results: Clinical competency was positively correlated with nursing character(r=.601, p<.001), critical thinking disposition(r=.531, p<.001) and career decision making self-efficacy(r=.571, p<.001). Factor affecting the clinical competency were nursing character(β=.405, p<.001), career decision making self-efficacy(β=.276, p<.001), grade(β=.185, p<.001) and religion(β=.131, p=.016). These factors explained 46.4% of variance in clinical competency. Conclusions: Measures to improve nursing personality and career decision making self-efficacy, and individual intervention as per the general characteristics should be sought, to improve the clinical competency among nursing students.

본 연구는 요양병원 간호사의 임상수행능력의 긍정적인 효과를 높이기 위한 교육자료구성의 기초자료로 활용하 고자 시도되었다. G도에 소재한 요양병원 간호사 166명을 대상으로 자료수집 하였다. IBM SPSS WIN/21.0을 이용하 여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression을 사용하였다. 대상자의 임상수행능력 은 죽음인식과 순상관관계가 있었다(r=.28, p <.001). 대상자의 임상수행능력에 가장 영향을 미치는 요인은 죽음인식(β =.235, p =.002)이었고, 다음으로 기혼(β=-.214, p =.004), 희망일 휴무 ‘그렇다’ (β=-.182, p =.013)이며, 설명력은 16.2%이었다(F=10.528, p <.001). 본 연구결과로 미루어 볼 때, 요양병원 간호사의 임상수행능력을 높이기 위해서는 죽음인식을 높여줄 수 있는 교육이 필요하며, 근무시 희망휴무가 가능하도록 배려하며, 기혼자의 근무를 장려할 필요가 있다. 이 결과를 바탕으로 요양병원의 간호사 근무스케줄 배정 및 조정에 활용할 수 있을 것이며, 임상수행능력 향상을 위한 기초자료로 활용될 것이라 기대한다.

This study was attempted to provide basic data for developing future clinical competency enhancement of long-term care hospital nurses. Data were collected from 166 long-term care hospital nurses in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/21.0. The subjects’ clinical competency was positively correlated to death awareness (r=.28, p <.001). The most influential factor on the subjects’ clinical competency was death awereness (β=.235, p =.002), followed by marital status ‘married’ (β=-.214, p =.004), and have choice in days off ‘agree’ (β=.235, p =.002). The explanatory power was 16.2% (F=10.528, p <.001). Therefore, educational programs raising awareness of death, consideration of fellow nurses to have days off when desired, and encouraging married nurses to work are needed to enhance the clinical competency of long-term care hospital nurses. Utilizing the results of this study as basic data for clinical competency enhancement and in working schedule adjustment of long-term care hospital nurses is expected.

본 연구는 융합 액션러닝 기반 가상 시뮬레이션 프로그램이 간호대학생의 문제해결 능력, 비판적 사고, 의사소통 능력, 임상수행 능력에 미치는 영향을 검정하기 위해 수행되었다. K시 소재 일 간호대학생 54명에게 비동 등성 대조군 사전·사후 유사 실험연구으로 진행하였다. 자료수집 기간은 2021년 4월 12일에서 6월 18일까지이며, 수집된 자료는 IBM SPSS 23.0 program을 이용하여 분석하였다. 융합 액션러닝 기반 가상 시뮬레이션 프로그램 시행 결과, 실험군이 대조군보다 의사소통 능력, 임상수행 능력에 효과가 있는 것으로 나타났다. 본 연구를 통해 간호대학생을 대상으로 다빈도로 활용되는 시뮬레이션 교육을 적용함에 있어 다양한 교수법을 접목한 프로그램이 적극 활용될 필요성이 있으며, 융합 액션러닝 기반 가상 시뮬레이션 프로그램은 시뮬레이션의 효과를 향상시키는 방법으로 사용될 수 있을 것이다.

This study examined the effect of convergence action learning based virtual simulation program for nursing college students. The study was carried out according a nonequivalent control group design. The study subjects were 54 nursing college students. The data collection period was from April 12, 2021 to June 18, 2021. Collected data were analyzed using SPSS PC＋ 23.0. The experimental group had significantly different to communication skills, and clinical competency in comparison to the control group. This suggests that the convergence action learning based virtual simulation program can be applied as a way to increase nursing students' communication skills, and clinical competency.

본 연구는 간호대학생들을 대상으로 시뮬레이션을 적용한 방문건강관리 실습교육 프로그램을 적용한 효과를 확인하기 위해 실시되었다. 일개 간호대학생 60명에게 비동등성 대조군 유사 실험연구를 수행하였고, 개발한 시뮬레이 션을 적용한 방문건강관리 실습교육 프로그램을 2주간 실시하였다. 자료 수집 기간은 2021년 3월 29일부터 5월 7일이 며, 수집된 자료는 SPSS PC＋ 19.0을 사용하여 분석을 수행하였다. 효과 검증한 결과 방문간호 지식, 문제해결 능력, 임상 수행 능력에서 유의한 차이가 있는 것으로 나타났다. 본 연구에서 개발된 시뮬레이션을 적용한 방문건강관리 실습 교육 프로그램은 간호대학생의 방문간호지식, 문제해결 능력을 높이고 임상수행 능력을 높여 방문건강관리를 수행할 수 있는 역량이 증진됨을 확인하였다.

This study examined the effect of using home health practical education program applying simulation for nursing college students. The study was carried out according a nonequivalent control group design. The study subjects were 60 nursing college students. The home health practical education program applying simulation program was carried out for 2 weeks. The data collection period was from March 29, 2021 to May 7, 2021. Collected data were analyzed using SPSS PC＋ 19.0. The experimental group had significantly different in knowledge related home health nursing, problem-solving ability, and clinical competency in comparison to the control group. This suggests that the home health practical education program applying simulation can be applied as a way to increase nursing students' knowledge related home health nursing, problem-solving ability, and clinical competency.

본 연구는 임상간호사를 대상으로 지식공유행위, 회복탄력성이 임상의사결정능력에 미치는 영향을 분석한 조사연 구이다. 연구를 위한 자료수집은 3개의 종합병원 임상간호사 179명을 대상으로 2024년 10월 9일부터 11월 30일까지 자가 보고식 설문지를 가지고 수집하였다. 자료의 분석은 SPSS 22.0 패키지를 사용하여 기술통계, t-test, ANOVA, Pearson’s correlation coefficients, Multiple regression으로 분석하였다. 연구 결과, 지식공유행위(r=.392, p<.001)와 회복탄력성 (r=.416, p<.001)은 임상의사결정능력과 유의한 양의 상관관계가 있었다. 임상간호사의 지식공유행위, 회복탄력성은 임상의 사결정능력에 영향을 미치는 요인으로 확인되었으며, 지식공유행위와 회복탄력성은 임상의사결정능력을 21.6%(F=25.584, p<.001)로 설명하였다. 따라서 임상 의사결정능력 향상을 위해 지식공유를 촉진하는 조직문화 조성과 회복탄력성 강화를 위 한 지원 및 교육 프로그램이 필요하다.

This study investigated the effects of knowledge sharing behavior and resilience on clinical decision-making ability among clinical nurses. Data were collected using self-reported questionnaires from 179 nurses working at three general hospitals between October 9 and November 30, 2024. Statistical analyses, including descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficients, and multiple regression, were performed using the SPSS 22.0 software package. The results revealed that knowledge sharing behavior (r = .392, p < .001) and resilience(r = .416, p < .001) showed significant positive correlations with clinical decision- making ability. Knowledge sharing behavior, and resilience were identified as influential factors on nurses’ clinical decision-making capacity, with knowledge sharing and resilience accounting for 21.6%(F = 25.584, p < .001) of the variance. These findings highlight the importance of fostering an organizational culture that promotes knowledge sharing and implementing interventions to enhance nurses’ resilience to strengthen clinical decision-making.

본 연구는 암 환자 증가와 실습 참여 제한 등 교육환경 변화에 대응하여 간호대학생의 종양간호역량을 강화하기 위한 실습교과목을 개발하고 이를 적용하여 효과를 평가하고자 하였다. 교육설계는ADDIE 모형을 기반 으로 하였으며, 4학년 간호학생 18명을 대상으로 요구도 조사 및 운영을 실시하였다. 양적 자료는 기술통계, 질적 자료는 주제분석법을 활용하여 분석하였다. 그 결과, 학생들은 종양간호지식향상, 의사소통능력증진, 정서적 부담 완화 등을 경험하였으며, 실습만족도도 높게 나타났다. 본 교과목은 체계적인 모듈구성과 피드백을 통해 이론과 실습을 효과적으로 연계함으로써, 간호학생의 실무역량함양에 기여하였다. 향후 다양한 임상현장에의 확대적용 및 장기적 효과 검증 연구가 필요하다.

This study aimed to develop and evaluate an oncology nursing practicum course to enhance nursing students’ clinical competencies in cancer care, in response to the increasing number of cancer patients and limitations of observation-based training. The ADDIE model was applied to design the program. Eighteen fourth-year nursing students participated in a preliminary needs assessment and program implementation. Quantitative data were analyzed using descriptive statistics and qualitative data through thematic analysis. Students reported increased knowledge, reduced anxiety, and improved communication skills in cancer care. The practicum enhanced students’ clinical readiness and confidence through structured modules and feedback mechanisms. The developed course can serve as a model for integrating theory and practice in oncology nursing education and may contribute to enhancing future nurses’ professional competencies.

The purpose of this study was to evaluate the effects of introductory clinical practice education program for nursing students. The nursing students of 94 participated the introductory education program of 80 hours. The questionnaire survey on self efficacy and clinical competency were conducted 3 times(before education, after education, 2 months after education) to the nursing students. The data were analyzed by the SPSS 17.0 program. The results were as follows; The self efficacy and the clinical competency score showed a significant change in the posttest. Self efficacy and clinical competency have significant relationships with college life satisfaction, interpersonal relationship and academic aptitude satisfaction. Also, self efficacy has significant relationship with clinical competency and clinical practice satisfaction. As a result, the introductory clinical practice education program can be helpful to adjustment for nursing students before clinical practice.

Purpose: Clinical reasoning, which is based on an understanding of the pathophysiological mechanismsof diseases, is a core nursing competency that involves analyzing patient-related data and providingappropriate nursing practices. Simulation-based education is effective in improving clinical reasoningcompetencies and communication skills. This study evaluated the effectiveness of virtual simulation-basedlearning in improving the communication skills and clinical reasoning competencies ofundergraduate nursing students. Methods: This study used a single-group pretest and posttest quasi-experimentaldesign to evaluate the effectiveness of virtual simulation-based learning. Data werecollected from June to September 2020. Thirty-seven nursing students in their third and fourth yearsof study who understood the purpose of this study were selected as participants. The collected datawere analyzed using SPSS Statistics 25.0 and Winsteps 3.68.2. Results: The communication skills (t =?12.80, p < .001) and clinical reasoning competency (t = ?4.67, p < .001) of the undergraduate nursingstudents who participated in the virtual simulation-based learning program improved significantlyafter participation. Additionally, a Rasch model analysis revealed that the overall clinical reasoningcompetency of undergraduate nursing students improved. Conclusion: Virtual simulation-based learningprograms for nursing students should be developed and implemented.

Purpose: This study investigated the perceived importance and training of competencies during nursingclinical placements by examining the perspectives of nursing students and clinical nurses. Methods: We conducted a cross-sectional study using an online survey of 351 nursing students and 247clinical nurses. We utilized the Borich needs assessment model to identify the perceived importance andtraining of competencies during clinical placement. Students and nurses rated their perceived importanceand training levels on 32 competency items regarding direct nursing care, indirect nursing care,decision-making and problem-solving, attitude, and nursing professionalism. Results: Students and clinical nurses identified nursing handovers, nursing records, crisis coping abilities,clinical problem identification, clinical decision-making, and priority setting in nursing as competenciesof greater importance and with more significant discrepancies from training during clinical placements(Quadrant I in the locus for focus model). Clinical nurses reported examination, skin integrity management,and communication with medical staff as having higher importance and greater discrepanciesfrom training (Quadrant I). In contrast, students recognized them as having lower importance and higherdiscrepancies (Quadrant II). For students, the perceived importance of all competence domains wassignificantly associated with the corresponding training (Spearman’s rho ¼ .30-.56, p < .01). For clinicalnurses, only the perceived importance of nursing professionalism was associated with all training domains(Spearman’s rho z .14.20, p < .05). Conclusion: The disparities between students’ and nurses’ perceptions of the importance and training ofcompetencies during clinical placements highlight the need to modify the clinical nursing educationsystem.

본 연구는 간호대학생의 자기주도적 학습, 그릿, 임상실습 스트레스가 임상수행능력에 영향을 미치는 요인을 파악하고자 실시하였다. 자료 수집은 C시 지역의 간호대학생 3, 4학년 219명을 대상으로 2024년 11월 5일부터 12월 3일까지 하였다. 수집된 자료는 SPSS/WIN 20.0 통계프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson’s correlation, Multiple regression으로 분석하였다. 본 연구 결과, 임상수행능력에 영향을 미치는 요인을 검정하기 위해 다중회귀분석을 하였고, 분석한 결과 회귀모형은 유의한 것으로 나타났으며(F=10.62, p<.001), 임상수행능력에 유의한 설명력을 갖는 요인은 학년(β=.182, p=.002), 자기주도적 학습(β=.393, p<.001), 그릿(β=.095, p=.030), 임상실습 스트레스(β =-.110, p=.033)로 나타났으며, 임상수행능력에 대한 설명력은 39.8%이었다. 결론적으로 간호대학생의 자기주도적 학습 수준이 높고, 그릿이 강할수록, 임상실습 스트레스가 낮으면 임상수행능력이 높았다. 따라서 간호대학생의 임상수행능력을 높여주기 위해서는 임상실습 스트레스를 감소시킬 방안을 모색하 고, 자기주도적 학습, 그릿 증진을 위한 다양한 접근 및 프로그램 개발 및 적용이 필요할 것으로 보인다.

This study aimed to identify factors influencing clinical competence in nursing students, focusing on self-directed learning, grit, and clinical practice stress. Data were collected from 219 third- and fourth-year students in City C between November 5 and December 3, 2024. Data were analyzed using SPSS/WIN 20.0 with descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple regression. The regression model was statistically significant (F=10.62, p<.001). Significant predictors included academic year (β=.182, p=.002), self-directed learning (β=.393, p<.001), grit (β=.095, p=.030), and clinical practice stress (β=-.110, p=.033), explaining 39.8% of the variance. Students with higher self-directed learning and grit, and lower stress, showed better clinical competence. These results highlight the need for both psychological and educational support. Thus, implementing effective strategies to reduce stress and enhance learning motivation is essential. Promoting self-directed learning and grit can meaningfully improve nursing students’ clinical performance.

본 연구의 목적은 가이드라인에 따른 임상핵심역량강화 프로그램 개발과, 개발된 프로그램의 효과 를 검증하는 것이다. 본 연구에서 개발된 임상핵심역량강화 프로그램은 38시간 8주의 교육으로 기본 역량, 시스템 기반 역량, 실무역량 강화를 위한 모듈로 구성되었다. 개발된 프로그램은 전문가 내용 타당도 검증을 거친 후 2020년 3월부터 7월까지 신규간호사 47명에게 적용되었다. 중재 전, 후, 중재 8주 후 임상핵심역량은 유의하게 향상되었다(F=31.65, p<.001). 임상핵심역량의 하부 요인을 살펴보 면 자료수집(F=14.32, p<.001), 기본간호(F=48.70, p<.001), 의사소통(F=32.35, p<.001), 비판적 사고 (F=9.92, p<.001), 교육과 리더십(F=3.72, p<.032), 간호관리(F=8.25, p<.001)가 유의하게 상승되었다. 임상핵심역량강화 프로그램의 적용은 신규간호사의 임상역량향상과 간호의 질적 향상을 가져올 수 있을 것이다.

The purpose of this study is to develop the Clinical Core Competency Empowerment Program (CCCEP) according to existing educational guidelines and identify the effectiveness of the developed program. The CCCEP is a 38-hour, 8-week program consisting of three empowerment modules: basic competency, system-based competency, and practical competency. This program was revised through an expert content validity verification process and offered to 47 participants-all new graduate nurses-from March to July 2020. The nurses' competency was assessed before, immediately after, and 8 weeks after the CCCEP was rolled out; the results showed that the nurses' clinical core competency had significantly increased following the intervention (F=31.65, p <.001). Specifically, the sub-factors of their clinical core competency were significantly improved, including data collection (F=14.32, p <.001), basic nursing care (F=48.70, p <.001), communication (F=32.35, p <.001), critical thinking (F=9.92, p <.001), teaching and leadership (F=3.72, p <.032), and nursing management (F=8.25, p <.001). Therefore, these results suggest that the use of the CCCEP could improve new nurses' clinical core competence and the quality of nursing practice.

Purpose: The aim of this study was to develop a new course entitled ‘Clinical Research Management’ to enhance nursing students’ clinical competency in handling clinical trials. Methods: The goals and content of the existing current education program for clinical research professionals such as clinical research coordinators and clinical research associates provided by the Korea National Enterprise for Clinical Trials were analyzed to identify the core educational concepts. A focus group interview was performed to investigate essential competency levels for the professionals who were to begin their career in the area of clinical trials after graduating from the college of nursing. Through these initial processes, we identified the core competency required for clinical research professionals and the related course content. Goals and objectives based on the specified four competencies were set and confirmed by expertise review. Results: We developed a new course entitled Clinical Research Management, a 16-week elective subject consisting of various teaching and learning strategies based on four core competencies: basic knowledge on clinical trials, communication, risk management, and ethics. Conclusion: The results of this study will contribute to enhancing nursing students’ clinical competency, including knowledge, skills, and attitudes relevant to clinical trials.

본 연구는 비대면 임상실습을 경험한 간호대학생의 임상실습 만족도, 비판적 사고성향이 임상수행능력에 미치는 영향을 파악하기 위해 시도되었다. 4개 간호대학교 3,4학년에 재학 중인 163명을 대상으로 온라인 설문지를 이용하여 2021년 1월 부터 2021년 2월 까지 자료를 수집하였다. SPSS WIN22을 이용하여 빈도, t-test, ANOVA, 사후 검정은 scheffe test, pearson’s correlation, multiple regression 으로 통계분석하였다. 연구 결과 간호대학생의 임상수행능력에 영향을 미치는 요인은 임상실습 만족도, 비판적 사고성향이었으며 임상수행 능력에 대한 총 설명력은 60.6% 이었다. 대상자의 임상실습 만족도는 5점 만점에 3.73점, 비판적 사고성향은 5점 만점에 3.78점, 임상수행능력은 5점 만점에 3.84점으로 나타났다. 이를 토대로 비대면 임상실습을 경험한 간호 대학생의 임상수행능력을 높이기 위해 임상실습 만족도, 비판적 사고성향을 증진시키기 위한 프로그램 개발을 제언 한다.

The purpose of this study was to identify the influencing factors of satisfaction for clinical practice, critical thinking disposition on clinical competency in nursing students who have experienced non-face-to-face clinical practice. The participants in this study were 163 nursing students at four university. A on line survey was conducted from January 2021 to February, 2021. The data were analyzed using t-test, ANOVA, scheffé test, pearson correlation coefficients, and multiple regression analysis by SPSS 22.0 version. The results of this study indicate that satisfaction for clinical practice, and critical thinking disposition have an influence on clinical competency in nursing students. The total explanation of clinical competency was 60.6%. Based on this, it is suggested to develop a program to improve clinical practice satisfaction and critical thinking tendency to increase clinical performance of nursing students who have experienced non-face-to-face clinical practice.

Purpose: To identify the effects of clinical practicum reinforcement program on nursing student's clinical competency and satisfaction in the ICU. Methods: The study utilized a quasi-experimental pretest-posttest research design. The participant was 76 senior nursing students, who were engaged in two week-long clinical practicum in ICU at the C university hospital in a G city, Korea. The clinical practicum reinforcement program was applied to the experimental group (n=39), while the control group (n=37) was involved in the conventional practicum program. The collected data were analyzed using descriptive analysis, x^2/Fisher's exact test,and t-test, ANCOVA with SPSS/WIN 18.0 program. Results: After 2 weeks' clinical practicum, the experimental group showed a statistically significant increase in the clinical performance abilities by self evaluation, when compared to the control group. Clinical instructor's evaluation on the student's clinical performance revealed that the experimental group showed higher level in nursing activity than that of the control group (p<.001). However, there was no significant difference between the two groups in terms of the satisfaction on the clinical practicum program except the learning guidance and the evaluation. Conclusion: The clinical practicum reinforcement program is an effective one for improving the student's clinical competency.

본 연구는 치위생(학)과 학생들의 임상수행능력에 영향을 미치는 요인을 파악하고자 부산광역시와 울산광역시 치위생(학)과 학생들을 대상으로 2015년 3월 2일부터 6월 12일까지 설문조사를 실시하여 총 329부가 분석에 사용되었다. 비판적 사고성향은 셀프리더십(r=0.884), 임상실습 만족도(r=0.876), 임상수행능력(r=0.845)과 양의 상관관계를 나타내었고, 셀프리더십과 임상실습 스트레스(r=-0.796)는 음의 상관관계를 나타내었다. 임상수행능력에 영향을 미치는 요인은 비판적 사고성향(p<0.001), 셀프리더십(p<0.01), 임상실습 만족도(p<0.01)순으로 나타났다. 이상의 결과 치위생(학)과 학생들의 임상수행능력에 비판적 사고성향, 셀프리더십, 임상실습 만족도가 영향을 미치는 요인으로 나타나 교육시에 비판적 사고능력과 셀프리더십을 향상시킬 수 있는 교수학습 전략과 교육과정 프로그램이 개발되어야 할 필요가 있다고 생각된다. 나아가 임상실습 만족도를 충족시키고 임상수행능력 정도를 향상시킬 수 있는 보다 체계적이고 융합적인 프로그램 개발에 기초자료로 활용될 것으로 기대된다.

This study was done to explore clinical competence and factors related to competence in dental hygiene students. This study performed a survey on such an issue from March 2 to June 12, 2015 for 329 dental hygiene students who were residing in Busan and Ulsan. In the result by the satisfaction of the major, there is the highest score in the satisfaction of the critical thinking, self-leadership, satisfaction in clinical practice and ability of clinical performance. The critical thinking reveals the positive relationship with the self-leader ship(r=0.884) and the ability of clinical performance(r=0.845). Whereas the self-leader ship show the negative relation with stress in clinical practice(r=-0.796). The most important factor affecting on the clinical competence among dental hygiene students was critical thinking(p<0.001), followed by self-leadership(p<0.01) and satisfaction of clinical practice(p<0.01). In results, the critical thinking, the self-leader ship and the satisfaction of clinical practice have an effects on the ability of clinical performance of the dental hygiene students. The teaching learning strategy and the educational programs to enhance the critical thinking and self-leader ship should be developed. Furthermore, the present study can be used as the base data for the systematic and convergence program to improve the satisfaction of clinical practice and the ability of clinical performance.

Purpose: This study was to develop the clinical competency evaluation, and to examine the effects of the developed evaluation by comparing it with existing evaluation on clinical competency, communication skill, and self-efficacy of nursing students. Methods: Design was a randomized control group post-test design. The subjects were 102 senior nursing students(Experimental group: 48, Control group: 54) at K university in seoul, Korea. The experimental group took the clinical competency evaluation using standardized patients and the control group took the existing evaluation using a doll. The clinical competency and communication skills were measured by evaluators, and self-efficacy was self reported by the nursing students. Results: The experimental group had higher scores in clinical competency, communication skills, and self-efficacy than those in the control group. Conclusion: Through these results, practice education of nursing education programs need to activate the clinical competency evaluation using standardized patients.

Purpose: This study was conducted to evaluate clinical competency of nursing students and to examine the validity and reliability of the scale. Methods: The Clinical Competency Scale was formed through modification of Lee's Clinical Competency Scale that was originally developed in 1990. The Clinical Competency Scale was applied to 203 nursing students. Construct validity, item convergent and discriminant validity, concurrent validity, and internal consistency reliability of the scale were evaluated. Results: Exploratory factor analysis supported the construct validity with a five factor solution; that explained 63.6% of the total variance. Concurrent validity was demonstrated with the Nursing Competence Scale (r=.78, p<.001). Cronbach’s ? coefficient for the scale was .96. Conclusion: The results of this study suggest that the Clinical Competency Scale has relatively acceptable reliability and validity and can be used in clinical research to assess clinical competency for nursing students.