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Background: Clinical Pharmacy Practice Experience (CPPE) is an important curriculum that offers students patient-centered disease prevention and treatment with evidence-based optimal pharmacotherapy for better clinical outcomes. However, few studies have evaluated the perception of pharmacy students regarding CPPE in tertiary and secondary hospitals. This study aimed to evaluate the perception of pharmacy students regarding the learning program of CPPE. Methods: The survey questionnaire consisted of 15 self-administered questions regarding pharmacy practices, barriers, and improvement of practical training. Fourteen institutional pharmacies located in seven regions responded to a survey questionnaire from March 1 to June 30, 2017. The participants were pharmacy students doing clerkship in a hospital setting. Results: The response rate was 73.6%. Thirty-five participants (22.4%) had used a hospital library, but 121 (77.6%) had never used the library for drug information resources. Eightyone (50.0%) responded that clinical knowledge and drug information was the most beneficial practice. Thirty-seven (31.1%) respondents in the tertiary hospitals and 19 (46.3%) in the secondary hospitals answered that they were filling prescriptions during the daily break. On the other hand, 72 respondents (60.5%) in the tertiary hospitals and 17 (41.5%) in the secondary hospitals did literature research to prepare for presentation. Conclusion: More students in secondary hospitals continue to fill prescriptions during the daily break, as compared to those in tertiary hospitals. Therefore, the authors suggest self-directed learning to improve clinical performance and each institution considers offering onsite or online library service to improve evidence-based CPPE for pharmacy school students.

Background: In order to achieve the goals of community pharmacy practice, its legal, labour-related, and economic barriers need to be identified. This study examined pharmacists' perceptions of constraints on providing optimal pharmacy services in order to identify underlying factors and analyse the associations between barriers and pharmaceutical services in community pharmacies. Methods: A survey targeting pharmacy owners was conducted from May to June 2012 using a structured questionnaire including nine pharmaceutical service items. According to the service provision level, we classified pharmacists as inactive (fewer than 5 items among the listed 9 service items) and active providers (5 or more items). Principal component analysis was used to group significant factors for barriers into four thematic components. Associations between the participants' demographics and pharmacy characteristics and the services provided were explored by logistic regression analyses. Results: Participants were 402 pharmacists. Over 60% provided disease management services for hypertension, diabetes, and hyperlipidaemia. Variables that affected pharmaceutical services included the lack of separate areas for patient counselling (OR: 2.12, 95% CI: 1.18-3.80), and clinical knowledge and information-related barriers (OR: 0.59, 95% CI: 0.36-0.97). Conclusion: Strategies for improving clinical knowledge and providing expeditious information are necessary in order to improve community pharmacy services.

Purpose: Knowledge, clinical reasoning, and self-confidence are the basis for undergraduate education, and determine students’ level of competence. The purpose of this study was to assess the effects of the addition of a one-time simulation experience to the didactic curriculum on nursing students’ knowledge acquisition, clinical reasoning skill, and self-confidence. Methods: Using a quasi-experimental crossover design consisted of intervention and wait-list control groups. Participants were non-randomly assigned to the first intervention group (Group A, n=48) or the wait-list control group (Group B, n=46). Knowledge level was assessed through a multiple choice written test, and clinical reasoning skill was measured using a nursing process model-based rubric. Self-confidence was measured using a self-reported questionnaire. Results: Results indicated that students in the simulation group scored significantly higher on clinical reasoning skill and related knowledge than those in the didactic lecture group; no difference was found for self-confidence. Conclusion: Findings suggest that undergraduate nursing education requires a simulation-based curriculum for clinical reasoning development and knowledge acquisition.

Purpose: The current study investigated how clinical microbiology courses are conducted at the undergraduate nursing level in South Korea to identify the perceptions of clinical nurses regarding their knowledge and the clinical importance of microbiology and further assess their educational needs. Methods: Curricula presented on the websites of 202 undergraduate nursing institutions were reviewed. In addition, a survey assessing the knowledge and importance of clinical microbiology perceived by nurses was conducted online. A total of 150 nurses participated in the survey. Data were analyzed using descriptive statistics, correlation coefficients, t-tests, analysis of variance, Borich Needs Assessment Model, and Locus for Focus Model. Results: The results indicated that 90% of undergraduate nursing institutions offer clinical microbiology courses under various subject names. The perceived knowledge and importance of clinical microbiology were correlated; however, knowledge was consistently lower than the perceived importance of clinical biology among nurses. The structure and proliferation of novel viruses ranked highest in the educational needs of nurses based on both the Borich Needs Assessment Model and Locus for Focus Model. Conclusion: Based on the findings, this study suggests educational opportunities for clinical microbiology in hospital settings to reduce discrepancies between knowledge and the importance of clinical microbiology faced by nurses.

Stigma impedes treatment-seeking and recovery. This study examined how the predictive contributions of knowledge, attitudes, and behaviours to mental health disorder stigma differed by clinical practicum experience among nursing students exposed to auditory hallucination simulation. A non-randomised comparative cross-sectional design was employed (Strengthening the Reporting of Observational Studies in Epidemiology guidelines). Nursing students (n = 363) from four Korean universities were allocated to groups with (n = 175) and without (n = 188) clinical practicum experience based on academic progression. All participants completed an auditory hallucination simulation programme followed by questionnaires measuring knowledge, attitudes, behaviours, and stigma. Stepwise multiple regression analyses revealed that among students without clinical experience, knowledge (β = -0.435, p < 0.001), attitudes (β = -0.259, p < 0.001), and behaviours (β = -0.144, p = 0.020) predicted stigma (Adjusted R² = 0.419). Among students with clinical experience, only knowledge (β = -0.455, p < 0.001) and attitudes (β = -0.287, p < 0.001) predicted stigma (Adjusted R² = 0.478); behaviours did not reach significance despite a stronger bivariate correlation in the experienced (r = -0.390) than inexperienced group (r = -0.332). This paradoxical pattern — a stronger zero-order association losing independent variance in the multivariate model — suggests clinical experience integrates the three stigma components such that behaviour’s effect becomes fully mediated through knowledge and attitudes. These findings support a stage-sensitive model: direct behavioural strategies are most effective pre-practicum, while post-practicum intervention should prioritise cognitive-affective integration via structured debriefing.

목적: 본 연구는 NLN/JSF를 기반으로 시뮬레이션기반 고유량산소요법 교육프로그램을 개발하여 임상간호사에게 적용 후 강의식 고유량산소요법 교육을 받은 군과 비교하여 지식 및 임상수행능력, 교육만족도에 미치는 효과 파악을 위해 진행하였다. 방법: 고유량산소요법을 사용한 경험이 없는 4개월 이상 5년 이하 경력간호사를 대상으로 실험군 31명과 대조군 33명을 2019년 8월 1일 부터 2019년 9월 30일까지 진행하였다. 교육프로그램은 교수자, 학습자, 교육상황, 설계특성 및 교육성과로 시뮬레이션 시나리오를 개발하였다. 교육적용은 고유량산소요법 동영상 시청 후 지식, 임상수행능력 사전평가를 시행하였다. 이후 호흡부전 이론교육, Airvo2와 Optiflow 시뮬레이션 교육, 디프리핑으로 총 90분 진행하였다. 적용 후 간호사의 지식, 임상수행능력 및 교육만족도를 측정하였다. 수집된 자료는 SPSS WIN 22.0 통계 프로그램을 이용하여 빈도와 백분율, Cronbach’s α coefficient, Chi-square test, Fisher’s exact test independent t-test로 분석하였다. 결과: 지식과 교육만족도는 실험군이 대조군 보다 점수가 높고 통계적으로 유의한 차이가 있었다(t=14.09, p<.001), (t=-12.99, p<.001), Optiflow와 Airvo2 사용 임상수행능력은 시뮬레이션기반 실험군이 대조군 보다 점수가 높고 통계적으로 유의한 차이가 있었다(t=-11.39, p<.001), (t=-11.38, p<.001).결론: 이상의 결과를 통해 시뮬레이션기반 고유량산소요법 교육프로그램이 임상간호사의 지식, 임상수행능력, 교육만족도를 향상시키는 것으로 검정되었다.

Purpose: The aim of this study was to develop a simulation-based High Flow Nasal Cannula Oxygen Therapy training program based on NLN/ISF to identify the effect on knowledge, clinical performance, and educational satisfaction compared to a group who had traditional High Flow Nasal Cannula Oxygen Therapy training after applying it to clinical nurses. Methods: 31 experimental groups and 33 control groups were conducted from August 2019 to September 2019 for inexperienced nurses over 4 months to 5 years with no experience using high-flow oxygen therapy. Educational programs were developed in scenarios according to Airvo2 and Optiflow, such as facilitator, participant, educational condition, design, characteristics, and educational outcomes. The education application was conducted in advanced for knowledge and clinical performance ability after watching therapy video. Since then, a total of 90 minutes have been conducted for respiratory failure theory training, airvo2 and optiflow simulation training, and debriefing. After applying the education, the medical institution measured nurses’ knowledge, clinical performance, and education satisfaction. Data were analyzed using descriptive statistics, with the SPSS/WIN 22.0 program. Results: Both knowledge and educational satisfaction were higher in the experimental group than in the control group (t=-14.09, p<.001), (t=-12.99, p<.001). The clinical performance for both use of Optiflow and Airvo2 were higher in the experimental group than in the control group (t=-11.39, p<.001), (t=-11.38, p<.001) . Conclusion: Results showed that the simulation-based High Flow Nasal Cannula Oxygen Therapy training was effective with the experimental group having increased scores for every area of this study.

Purpose: The purpose of this study was to investigate the relationship between clinical knowledge and provision of pressure ulcer care and to identify factors associated with performance of care. Methods:Participants were 202 nurses working in one of 6 small to medium hospitals. Self-report questionnaire were used and data were collected from December 11 to 18, 2009. Results: Mean score for knowledge about pressure ulcer care was 0.81. In subcategories, knowledge of risk factors inducing pressure ulcers was 0.93,knowledge of assessment of pressure ulcers was 0.90, and knowledge of treatment methods for pressure ulcers was 0.61. Mean score for performance of care activities for patients with pressure ulcers was 3.63/5. There was a significant positive correlation between knowledge and performance (r=.319, p<.001). According to multiple regression analysis, general perception (β=.306, p<.001), knowledge (ß=.247, p<.001), and hospital size (β=.156, p= .015) had an impact on the extent of nurses' performance of pressure ulcer care. Conclusion: Study results indicate that further education on pressure ulcer care is necessary to enhance nurses'knowledge about pressure ulcers and to increase rate of performance of pressure ulcer care.

Purpose: The purpose of this study was to determine the effect of simulation-based Korea advanced life support training on new nurses' knowledge, clinical performance ability, performer confidence, and learning satisfaction. Methods: This is a non-equivalent controlled pre-post quasi-experimental study. A simulation-based CPR training program was applied to 37 new nurses. Results: The experimental group scored lower on emergency management knowledge (83.65±7.61) than the control group (84.55±9.22), which was not significant (t=-4.46, p=.657). However, the clinical performance ability score was significantly higher in the experimental group (109.59±9.98) than in the control group (100.24±11.87) (t=3.581, p <.001). Performer confidence was significantly higher in the experimental group (23.43±3.29) than in the control group (19.90±3.85) (t=3.69, p〈.001). In addition, the learning satisfaction score of the experimental group (96.16±5.64) was significantly higher than the control group (88.42±11.13) (t=3.72, p< .001). Conclusion: This study confirmed that simulation training is an efficient way to improve new nurses' clinical performance ability, and performer confidence. Therefore, applying simulation training in scenarios can improve new nurses' work competence and contribute to improving the quality of patient care.

Purpose: The study aims to develop a systematic education program for nurses dedicated to critically ill patients and evaluate its effectiveness. Methods: This study used a one-group repeated measures experimental design. A total of 26 nurses participated in a four-week training program, which was divided between theoretical education and on-site training. Data were collected from January to November 2022. This study examined critical care nursing knowledge, clinical performance, and educational satisfaction. Results: After training, a significant difference in knowledge was observed, with the largest effect size immediately posttraining (partial eta squared=.60) and a subsequent increase at 6 months (F=37.62, p＜.001). Clinical performance ability demonstrated significant enhancements, especially in renal system nursing (partial eta squared=.54) and hemodynamic monitoring (partial eta squared=.41). However, areas such as physical nursing care and medication did not reflect significant educational impact. Educational satisfaction was notably high at 29.59 (±1.13) out of 30. Conclusion: This study has demonstrated improvements in knowledge and clinical performance through the educational program and confirmed that the program had long-term effects. The study proposes a systematically developed program that can be effectively applied to new nurses working in intensive care units as well as nurses who lack education and experience with seriously ill patients in new infectious disease situations

Purpose: This study evaluated the impact of a nursing simulation learning module for caring for patients with chronic obstructive pulmonary disease (COPD) on nursing knowledge, clinical competence, team psychological safety, and learning satisfaction among nursing students. Methods: A non-equivalent control-group pretest?posttest quasi-experimental design was used with 36 students (18 per group) assigned to either a simulation group or a lecture group. Data collected from June 8 to July 13, 2024, were analyzed using SPSS 27.0. Results: Nursing knowledge showed no significant between-group difference (F=1.32, p=.260) but improved over time (F=8.24, p=.007). Clinical competence showed a significant group-by-time interaction (F=58.33, p<.001). Team psychological safety (t=2.70, p=.012) and learning satisfaction (t=2.27, p=.030) were higher in the simulation group. Conclusion: These findings provide foundational data for developing simulation-based educational strategies in nursing curricula. The module may also be applied to the training of novice nurses in clinical settings, thereby contributing to enhanced nursing education and improved clinical practice.

The purpose of this study was to identify knowledge and the Need of pathophysiology, perceived connectivity between knowledge of pathophysiology and clinical practice, and confidence and satisfaction with clinical performance by applying the knowledge to clinical practice, and to analyze the correlation between the knowledge, perceived connectivity, and confidence and satisfaction of clinical nurses. Methods: Subjects consisted of 149 clinical nurses who work at 7 general hospitals and 6 university hospitals located in Seoul, Incheon, and Gyeonggi province in Korea. Those who learned pathophysiology during their undergraduate program were recruited by using a convenient sampling. The data were collected between April 23 and May 24 in 2012. Participants responded to self-administered questionnaires about knowledge and the need of pathophysiology, and the perceived connectivity between knowledge and clinical practice, and confidence and satisfaction with clinical performance by applying knowledge to clinical practice. Results: Mean scores of knowledge and the need of pathophysiology were 2.88±0.34 and 2.33±0.39 each. Scores of knowledge and the need of 3 units such as fluid and electrolyte imbalance, acid-base imbalance, and alterations in the respiratory system were high among 23 units while that of adolescent disorders was the lowest. The mean score of perceived connectivity between knowledge and clinical practice was 7.32±1.57, and those of confidence and satisfaction with clinical performance by applying the knowledge to clinical practice were 7.66±1.66 and 7.42±1.67 respectively. Knowledge of pathophysiology was positively correlated with the perceived connectivity between knowledge and clinical practice, and confidence, and satisfaction with clinical performance. Conclusion: The results indicate that knowledge and the need of pathophysiology in clinical nurses is above average,and that knowledge of pathophysiology is important in promoting perceived connectivity with clinical practice and increasing confidence and satisfaction with clinical performance by applying knowledge to clinical practice.

Purpose: The purpose of this study was to identify clinical nurses’ knowledge of pharmacology, their need on pharmacology education contents, and perceived connectivity between knowledge and clinical practice. Methods: Subjects consisted of 114 clinical nurses. They responded to self-administered questionnaires about knowledge of pharmacology and need in pharmacology, and perceived connectivity between the knowledge and clinical practice. Results: The mean score of knowledge of pharmacology was 5.2±1.7. The mean score of need on pharmacology in clinical practice was 7.9±1.9, and those of satisfaction, application, and confidence with clinical performance by applying the knowledge to clinical practice were 7.4±1.9, 6.8±2.0, and 7.5±2.1 respectively. Knowledge of pharmacology was positively correlated with perceived connectivity between knowledge and clinical practice. Scores of need of dose calculations was the highest among 14 units of pharmacology education contents in undergraduate courses while that of development of new drugs was the lowest. Scores of need of coagulation modifier drugs and thrombolytic agents were the highest among 16 units of pharmacology education contents by system specific drug while those of dermatologic and ophthalmic drugs were the lowest. Conclusion: The results indicate that knowledge of pharmacology is important in promoting perceived connectivity with clinical practice by applying knowledge to clinical practice.

본 연구의 목적은 시뮬레이션 기반 교육이 간호대학생의 전문심폐소생술 지식, 수행에 대한 자신감, 비 판적 사고성향, 임상실무능력에 영향을 미치는 효과를 파악하고자 실시된 단일군 사전-사후 실험연구이다. 연구 대상자는 J지역에 소재한 간호학과 4학년 성인간호학교과목을 수강한 35명의 학생으로 자료는 설문지를 이용하 여 시뮬레이션 실습교육 전·후에 수집되었다. 연구결과 전문심폐소생술 지식, 수행에 대한 자신감, 비판적 사고 성향, 임상실무능력 모두가 통계적으로 유의미하게 향상되었다. 그러므로 시뮬레이션 기반 교육이 간호대학생의 전문심폐소생술 지식, 수행에 대한 자신감, 비판적 사고성향, 임상실무능력에 미치는 긍정적인 효과를 확인하였 다. 전문심폐소생술 지식, 수행에 대한 자신감, 비판적 사고성향, 임상실무능력을 상승시키는 시뮬레이션 기반 교육의 실습모듈 개발 및 교육효과를 검증할 수 있는 후속연구가 필요하다고 생각된다.

The aim of this paper was to test the effects of simulation-based learning on knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support of nursing student. This study used one group, pre-post test design. The participants of this research were 35 senior nursing students who underwent training in the medical-surgical nursing education. Data were collected by utilizing the questionnaire in two separate occasions: before and after the simulation-based training. As a result of this paper, the improvements of the knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support were statistically significant. In conclusion, the simulation-based education has a positive effect on nursing students in the area of knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support.

Purpose: The purpose of this paper was to investigate clinical nurses’ knowledge and educational needs about dizziness. One of the most frequent complaints among adult persons visiting the hospital is experiencing dizziness. Clinical nurses in the hospital play a crucial role in managing such patients. Methods: Our paper is a cross-sectional survey using structured instruments to evaluate clinical nurses’ knowledge and educational needs about dizziness. This study was conducted January through February 2018. Subjects were 246 clinical nurses in an outpatient, intensive care, internal medicine unit and emergency department at university hospital. Data were analyzed using SPSS statistics 21. Results: The average of dizziness knowledge score was 57.66±23.75(range 0-100) and educational need was 3.55±.47(range 0-5). There were significant differences in dizziness knowledge according to age (p<.001), working unit (p<.001), career duration (p<.001), change experience of unit (p<.001), dizziness patient care experience and participation in dizziness education (p<.001). There was positive correlation between knowledge of dizziness and the need for dizziness education (r=.26 p.<001). Conclusion: Results of this paper indicate that a dizziness education program is urgently needed for clinical nurses. Such a program should be seriously considered based on our results.

목적: 실금관련피부염은 소변이나 대변에 의한 자극으로 나타난 피부 손상으로 이는 배설물에 포함된 효소와 같은 화학적 자극과 물리적 자극으로 인하여 발생한 것을 의미한다. 실금관련피부염은 임상에서도 흔히 볼 수 있는 피부 문제로 조기에 발견하여 치료하지 않으면 피부가 벗겨지고 세균이나 진균에 의한 이차 감염이 유발될 수 있으며, 압력, 마찰력 및 전단력에 취약해지기 때문에 욕창으로 쉽게 진행될 수 있다. 이에 본 연구는 임상간호사들의 실금관련피부염에 대한 지식, 태도 및 수행 정도를 파악하여 수준 높은 간호를 제공하고 이에 맞는 교육 프로그램을 개발 하기 위한 객관적 자료를 마련하고자 수행되었다. 방법: 2022년 8월부터 11월까지 서울, 경기도, 전북 및 부산에 소재한 6개 의료기관을 대상으로 하였으며, 수간호사와 외래에서 근무하는 간호사를 제외한 간호사 656명을 대상으로 하였다. 결과: 실금관련피부염에 대한 지식 점수는 25점 만점에 17.98±2.91로 71.9% 정답률을 보였으며, 태도는 100점 만점에 76.34±7.85점으로 긍정적인 태도를 보였다. 수행 정도는 125점 만점에 91.53±16.18점으로 높은 정도의 수행 정도를 보였다. 실금관련피부염에 대한 지식, 태도 및 수행과의 상관관계는 모두 양의 상관관계를 보였다. 결론: 실금관련피부염은 환자 안전 지표인 욕창 발생의 주된 원인이자 악화 요인으로 병원에서 발생하는 실금관련피부염을 감소시키는 것은 결국 욕창 발생 위험을 감소시킬 수 있기 때문에 이를 예방하고 조기 발견하는 것은 무엇보다도 중요하다고 할 수 있다. 따라서 간호사의 지식을 향상시키고 수행도를 높이기 위해 실금관련피부염으로만 특화된 교육 프로그램이 필요하며, 욕창과의 감별 진단 능력을 향상시키기 위한 사례 기반 교육 및 임상 술기 교육이 필요하겠다.

Purpose: Incontinence-associated dermatitis (IAD) is widespread and a common problem in healthcare settings, It is defined as irritation of the perineal skin due to contact with urine, feces, or both. It is one of the major risk factors for the development of pressure injuries are regarded as a quality indicator of nursing care. It is important to understand the knowledge and attitudes of nurses who are primarily responsible for providing appropriate nursing care that includes differentiation of IAD from other skin breakdowns, and appropriate management. Therefore, the purpose of this study was to determine the knowledge, attitudes, and performance of IAD among clinical nurses in Korea. Methods: Data about IAD knowledge, attitudes, and performance were collected from August to November 2022. 656 nurses from six hospitals participated in the study. Results: The mean scores of nurses’ knowledge, attitudes, and performance were 17.98±2.91, 76.34±7.85, and 91.53±16.18, respectively. Nurses' knowledge showed a positive correlation in both attitudes (r=0.27, p<.001) and performance (r=0.09, p=.02), and attitudes and performance (r=0.34, p<.001) also showed a positive correlation. Conclusion: To improve the knowledge and performance of nurses, an educational program consisting only of incontinence-related dermatitis is needed, and case-based education and clinical skills education are needed to enhance the ability to differentiate from pressure injury.

목적: 본 연구의 목적은 임상간호사의 아동학대 신고태도에 영향을 미치는 요인을 확인하기 위함이다. 방법: 본 연구의 참여자는 200명의 임상간호사였다. 자료는 2021년 11월 24일부터 12월 7일까지 간호사 온라인 포털을 통해 구조화된 자가보고식 설문으로 수집되었다. 설문은 일반적 특성, 아동학대 신고 지식, 아동학대 인식, 도덕적 민감성 및 아동학대 신고 태도를 포함하였다. 서술 통계, t-test, ANOVA, scheffé test, Pearson‘ correlation coefficients, 다중회귀분석을 포함하여 SPSS/WIN 25.0 프로그램을 자료분석 시 사용하였다. 결과: 아동학대 신고 지식, 아동학대 인식, 도덕적 민감성이 증가할수록 아동학대 신고 태도도 유의하게 증가하였다. 다중회귀분석 시 아동학대 신고 지식(β=.32), 아동학대 인식(β=.21)이 아동학대 신고 태도에 유의한 영향요인으로 나타났다. 결론: 이러한 결과는 임상간호사의 아동학대 신고 지식과 아동학대 인식이 아동학대 신고 태도와 연관되어 있음을 암시한다. 그러므로 아동학대 신고 태도를 향상시킬 수 있도록 임상간호사의 아동학대 신고 지식과 아동학대 인식을 개선할 수 있는 교육 프로그램과 공공 정책들이 필요하다.

Purpose: The purpose of this study was to identify the factors affecting clinical nurses’ attitude toward reporting child abuse. Methods: The participants in this study were 200 clinical nurses. Data were collected as structured self-report questionnaires through the online portal site for nurses from November 24 to December 7, 2021. The questionnaires included general characteristics, knowledge of child abuse reporting, perception of child abuse, moral sensitivity, and attitude toward reporting child abuse. The SPSS/WIN 25.0 program was used for data analysis which included descriptive analysis, t-test, ANOVA, Scheffe? test, Pearsoncorrelation coefficients, and multiple linear regression. Results: As knowledge of child abuse reporting, perception of child abuse and moral sensitivity were increased, the attitude toward reporting child abuse was significantly increased. Multiple regression analysis showed that knowledge of child abuse reporting (β=.32) and perception of child abuse (β=.21) were significant influencing factors of attitude toward reporting child abuse. Conclusion: These findings implied that knowledge of child abuse reporting and perception of child abuse would be related to attitudes toward reporting child abuse among clinical nurses. Therefore, it is necessary to develop education programs and public policies to improve the knowledge and perception of child abuse reporting among clinical nurses so that attitudes toward reporting child abuse can be improved.

연구 배경 및 목적: 치매 유병률은 매년 증가하는 추세를 보이고 있으며, 치매와 구강 건강의 관련성에 대한 선 행 연구들이 계속해서 진행되고 있다. 임상 치과위생사는 적절한 치과 의료서비스 제공을 위한 전문적인 역량이 필요하며, 치과위생사의 지식 수준을 객관적으로 측정할 수 있는 도구 개발이 필요하다. 이에 임상 치과위생사의 치매 환자 치과 진료 시 고려사항에 대한 지식 측정도구를 개발하고자 하였다. 연구 방법: 문헌 고찰을 바탕으로 예비문항을 구성하여 전문가 검증, 예비조사, 본조사를 진행하였다. 본조사는 임상 경력이 1년 이상인 치과위생사 220명을 대상으로 설문조사를 시행하였다. 수집된 자료를 바탕으로 타당도 분석, 신뢰도 분석을 진행하여 최종 문항을 선정하였고, 선정된 문항별 정답률을 확인하였다. 연구 결과: 수집된 자료 분석 결과, 총 40개의 예비문항 중 18문항이 삭제되어 총 6개 요인, 22문항이 선정되었으 며, 선정된 문항의 Cronbach’s α값은 0.791로 나타났다. 하위 항목 별 문항 수는 ‘치매 환자의 치과 진료 시 주의 사항’ 5문항, 치매 환자의 약물 부작용‘ 4문항, 치매 환자의 구강 관리 방법’ 4문항, ‘치매 환자와의 의사소통’ 4문 항, ‘치매 환자의 심리적 반응’ 3문항, ‘치매 환자 안내’ 2문항으로 구성하였다. 정답률이 가장 높았던 문항은 ‘치매 환자 안내’ 항목의 2번 문항이 98.6%, 정답률이 가장 낮았던 문항은 ‘치매 환자의 심리적 반응’ 항목의 2번 문항이 5.9%로 나타났다. 결론: 본 연구를 통해 타당도와 신뢰도가 검증된 도구는 향후 임상 치과위생사와 치매 관련 후속 연구의 기반으로 활용할 수 있으며, 보수교육, 교육 프로그램 개발, 의료기관 내 업무 지침 개발의 기초 자료로 기여하고자 한다.

Background and Objectives: The prevalence of dementia is steadily increasing each year, and preceding studies continue to explore the association between dementia and oral health. Dental hygienists require specialized competencies to provide appropriate dental healthcare services, necessitating the development of a tool for the objective measurement of their knowledge levels. This study aimed to develop a knowledge assessment tool for dental hygienists concerning considerations for dental care for patients with dementia. Methods: The study constructed preliminary items based on a literature review and then conducted expert validation, a pilot survey, and the main survey. The main survey was conducted among 220 dental hygienists. Validity and reliability analyses were conducted with the collected data to select the final items, and the correctness rates for each selected item were verified. Results: As a result of the analysis of the collected data, 18 items were eliminated out of a total of 40 preliminary items, leaving a total of 6 factors and 22 items. The Cronbach’s α value for the selected items was 0.791. The six factors are as follows: ‘Considerations during dental treatment for dementia patients’ (5 items), ‘medication side effects in dementia patients’ (4 items), ‘oral care methods for dementia patients’ (4 items), ‘communication with dementia patients’ (4 items), ‘psychological reactions of dementia patients’ (3 items), and ‘guidance for dementia patients’ (2 items). The item with the highest correctness rate was item 2 of the ‘guidance for dementia patients’ category at 98.6%, while the item with the lowest correctness rate was item 2 of the ‘psychological reactions of dementia patients’ category at 5.9%. Conclusion: This study validated the reliability and validity of the knowledge assessment tool, which lays the foundation for future research on dental hygienists and dementia. It contributes essential data for ongoing education, development of educational programs, and establishing operational guidelines in healthcare institutions.

증례 콘텐츠는 의학교육을 위한 문제기반 학습, 증례 기반 학습에서도 필수적으로 활용되고 있으나 증례 집 등 지면으로 표현되어 있어 활용에 제약이 많다. 증례를 인덱싱하는 방법도 키워드를 사용하는 수준에 그치고 있어 연구와 교육을 위해 의료인들이 적합한 환자를 찾는데도 많은 애로점을 지니고 있다. 본 연구는 의료인들이 임상에서 획득한 데이터를 활용하여 디지털 증례를 손쉽게 저작할 수 있는 저작 도구와 디지털 증례가 유통 및 활용될 수 있는 플랫폼을 구축하기 위한 요구사항 분석, 전략 수립, 시스템의 기능 설계 방안을 제시하고 핵심적 인 기능에 대하여 프로토타입을 개발하였다. 본 기술의 적용은 종이 매체에 의존하던 기존 임상 증례의 제작, 유 통 방식을 혁신함으로써 급성장이 예상되는 스마트 증례 콘텐츠 시장의 선점과 고용 창출, 의료산업의 혁신을 도 모함으로써 경제의 성장과 고용 창출을 촉진할 수 있다.

Clinical case contents are essentially used in problem-based learning and case-based learning for medical education. Still, their use is limited because they are expressed on paper, such as case books. The method of indexing cases is also limited to using keywords, so medical professionals have many difficulties finding suitable patients for research and education. The purpose of this study is to present a requirement analysis, strategy establishment, and prototype development. Medical professionals can author clinical cases easily using data acquired in clinical practice. The platform promotes effective dissemination of clinical case knowledge. This technology's application supports economic growth and job creation by preoccupying the rapidly growing smart case contents market by innovating the production and distribution method of clinical case knowledge that currently depends on paper media.

Purpose: The purpose of this study was to evaluate the effects of a colonoscopy simulation program on knowledge and clinical performance among nursing students. Methods: The program consisted of a scenario with three objectives: health assessment, nursing before/after colonoscopy and emergency care for bleeding following the colonoscopy. A nonequivalent control group pretest-posttest design was used. The sample was 149 nursing students recruited from H University in G city from August, 2013 to December, 2014. The treatment group (n=71) received the simulation and the comparison group (n=78) received the usual lecture program. Data were analyzed using descriptive statistics, x2 test, t-test and repeated measure ANOVA using the SPSS/WIN 20.0 program. Result: Participants in the treatment group had significantly increased reported scores on both knowledge and clinical performance. Conclusion: Results indicate that the simulated program is a useful strategy for improving knowledge and clinical performance among nursing students. The development of simulation practice programs in a variety of fields are needed in order to promote the practical competence of nursing students.

-Effects of Web-based Multimedia Contents for Mechanical Ventilator Practice on Knowledge and Clinical Competence of Nursing Students