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"Clinical practice"

Original Articles
The Role Experience of Clinical Practice Nurses in a University Hospital
Sosun Kim, Mi Jung Ryu, Ain Kim
Korean J Adult Nurs 2022;34(1):15-26.   Published online February 28, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.1.15
Purpose
The purpose of this study was to describe clinical practice nurse’s role experience working in a university hospital. Clinical practice nurses are a mix of certified and non-certified nurses. They perform some of the duties of physicians in addition to the work they do as nurses. In the future, such nurses may become advanced practice registered nurses. Methods Focus group interviews were conducted with three groups, each consisting of eight participants. The interview lasted two and a half hours per group. Data were analyzed using a thematic analysis method. Results The analysis yielded four categories and 14 themes. The four categories were “seeking an escape from the repeated routines as a nurse”, “pioneering and developing new roles as a clinical practice nurse”, “confusion about professional identity due to ambiguity in role boundaries”, and “securing oneself as a team member and establishing a role as a clinical practice nurse”. Conclusion The scope of advanced practice registered nurses’ roles was meant to have been established in 2020, but this was not achieved. Thus, studying the role experience of clinical practice nurses and their experiences is worthwhile and the results can inform legislation. The results of the study will also help establish a customized curriculum for advanced practice nurses and ultimately improve the quality of nursing services for patients.

Citations

Citations to this article as recorded by  
  • Exploring the Difficulties and Educational Needs of Surgical Unit Nurses in Caring for Surgical Patients: A Qualitative Content Analysis
    Ki Nam Kwon, Seon Young Hwang
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 24.     CrossRef
  • Role Conflict of Physician Assistants with Nursing Licenses in Korea
    Byeongkwan Kim, Wonhee Jung
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 141.     CrossRef
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  • 2 Download
  • 2 Crossref
  • 2 Scopus
The Relationship between Perceptions of Nursing College Students regarding Clinical Practice Environment and Related Variables
Gui Yun Choi
J Korean Acad Adult Nurs 2009;21(1):129-139.   Published online February 28, 2009
PURPOSE
This study was to identify the perceptions of nursing student on the clinical practice environment and related variables.
METHODS
The subjects of this study were 180 nursing students from a college participated in clinical practice at four regional hospitals. Data was collected with the questionnaire tool for the perceptions of clinical practice environment.
RESULTS
The students highly satisfied in the major had significantly high perception in innovation, personalization, student involvement, and clinical practice satisfaction. The students with a low level of stress and a clearly named guidance nurse were significantly high in the perceptions of task orientation, innovation, personalization, student involvement, and practice satisfaction. Clinical practice environment variables such as task orientation, innovation, individualization, personalization, student involvement, and practice satisfaction were significantly correlated with each other. In student characteristics, the main variables directly influencing the perceptions of clinical practice environment were religion, the level of stress, and the method of guidance.
CONCLUSION
Understanding the students' perspective would be valuable for promoting a positive clinical practice environment. Developing a cooperative system between the college and educational hospitals is necessary for effective clinical practice education
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Development and Evaluation of the e-learning Orientation Program for Nursing Student's Adapting to Clinical Practicum
Yeo Jin Yi
J Korean Acad Adult Nurs 2007;19(4):593-602.   Published online September 30, 2007
PURPOSE
The purpose of this study was to develop an e-learning orientation program for nursing students(junior), to evaluate the program, and to find out its effects on adapting to clinical practicum.
METHODS
The e-learning orientation program was developed according to ADDIE model(analysis, design, develop, implement, evaluate) using an Active Tutor Program. Twelve nursing professionals and 31 nursing students(learners) evaluated the e-learning orientation program. Thirty one nursing students participated in the e-learning orientation program both on-line and off-line.
RESULTS
The e-learning orientation program consisted of 5 parts including 'Taking a lesson in gastrointestinal tract', 'Fundamental nursing skill and reading a medical chart', 'Taking a ward orientation by head nurse', 'Clinical practice with preceptors', and 'Writing for case report'. Adapting scores to clinical practicum were significantly different between pre-test and post-test(t=-5.76, p=.000).
CONCLUSION
The e-learning orientation program of on-line and off-line has an effect on adapting to clinical practicum for nursing students.
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Subjectivity of Korean Nursing Students' Experiences of Geriatric Hospital Practices
Dong Soo Shin, Sum Rim Suh, Eun Joo Lee
J Korean Acad Adult Nurs 2006;18(4):622-631.   Published online September 30, 2006
PURPOSE
This study elicited Korean students' experiences of nursing practice at geriatric hospitals.
METHOD
A purposive sample of 26 Korean nursing students was recruited from K College of Nursing located in Daegu, Korea. Inclusion criteria were nursing students who: 1) finished nursing practice at geriatric hospitals, 2) were oriented and communicable, and 3) understood research purpose and agreed to participate in this study. Individuals were interviewed using Q-methodology.
RESULTS
The majority of the participants had experience of living with the elderly and volunteering related to elder care. Data analysis showed that participants' experiences of nursing practices were consisted of three types: skill acquiring-oriented, relationship-oriented, and practice system-oriented.
CONCLUSION
Nursing practices at geriatric hospitals provided opportunities of having positive attitude toward the elderly for nursing students. Nursing students' experiences were divided into at least three different types. Nursing educators need to develop curriculum for gerontological nursing practice tailoring to theses differences.
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Nurses' Usage of Clinical Practice Guideline and Demand of Evidence Based Clinical Practice Guideline
Mi Suk Ha, Myong Hwa Park
J Korean Acad Adult Nurs 2006;18(4):582-592.   Published online September 30, 2006
PURPOSE
The purpose of this study was to offer the baseline data for developing a systematic and high quality of clinical practice guideline by exploring how nurses utilize clinical guidelines and what they need for.
METHOD
This study has been done with 242 nurses of a university hospital in Daegu using a self-administered questionnaire. The instrument used in this study was developed by researchers based on the results of the previous studies. Data analysis was done with SPSS 11.0 Program.
RESULTS
Nurses felt that clinical guidelines were not sufficiently disseminated to update their clinical knowledge education. Nurses showed the strong demand for developing clinical practice guidelines with the newest and systematic evidence. However, a relatively low number of nurses knew evidence-based nursing and evidence-based clinical guidelines.
CONCLUSION
It is necessary to develop an educational program for evidence-based nursing and an evidence-based nursing clinical practice guideline for nurses and to explore the strategies for development and dissemination of evidence-based clinical practice guidelines to solve the urgent and frequent clinical problems.
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Effects of Web-based Multimedia Contents for Mechanical Ventilator Practice on Knowledge and Clinical Competence of Nursing Students
Jin Ju Yang
J Korean Acad Adult Nurs 2006;18(2):231-239.   Published online June 30, 2006
PURPOSE
The purpose of this study was to identify the effect of web-based learning for ventilator practice on the knowledge and clinical competence of nursing students.
METHOD
The research design was a non-equivalent control group pre-post non-synchronized design. Twenty five nursing students were collected for the experimental group from August 23 to November 26, 2004 and nineteen nursing students for the control group from August 22 to November 25, 2005. All subjects experienced clinical practices in an intensive care unit of a hospital in G city for 2 weeks. The web-based learning for ventilator practice was conducted in the experimental group only. The data were analyzed with t-test and ANCOVA using SPSS 10.1 program.
RESULT
The 2 week web-based clinical practice learning significantly improved the knowledge scores for the experimental group, however, there was no significant differences in the score for the clinical competence between experimental and control group.
CONCLUSION
These findings suggest that a self-directed web-based learning for ventilator practice of nursing students can facilitate the knowledge of care for a ventilated patient. Therefore, faculties should develop a variety of web-based multimedia content programs for clinical instruction based on clinical situation.
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The Current State and Future Directions of Clinical Practicum for Adult Health Nursing at Four-year Nursing Colleges in Korea
Nam Cho Kim, Hyang Yeon Lee, Boon Han Kim, Kyung Rim Shin
J Korean Acad Adult Nurs 2005;17(5):831-843.   Published online December 31, 2005
OBJECTIVE
The study was conducted by the Association of Korean College of Nursing in order to survey and analyze the current state of clinical practicum for adult health nursing at four-year nursing college in Korea and to suggest improvements in the contents and methods of clinical practicum and its future direction. METHOD: Data were collected using a survey by mail from July to November 2004 using a structured questionnaire on the general state of clinical practicum for adult health nursing. The questionnaires were sent to 53 nursing colleges throughout the country, and 47 recovered questionnaires were analyzed. RESULTS: The number of credits for adult health nursing practicum was 7~10(average range), and various nursing fields were used in clinical practicum. The number of students per team was 5~6 at general wards and 3~4 at intensive care units. Students also experienced practicum during daytime and in the evening. Clinical practicum for adult health nursing was led by full-time professors and field practicum directors. In clinical practicum for adult health nursing, almost every college evaluated students' attitude, skills, leadership, etc. in various forms. CONCLUSIONS: It is urgent to develope a standardized evaluation tool for clinical practicum.
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The Study of the Nursing Students' Lived Experience of Clinical Practice at the Intensive Care Unit
Kyung Sook Park, Yun Young Hwang, Eun Hee Choi
J Korean Acad Adult Nurs 2003;15(3):373-382.   Published online September 30, 2003
PURPOSE
The purpose of this study is to investigate the perception of nursing students' on-site clinical experience at intensive care unit(ICU), which will help on developing fundamental tool to enhance the effect of their clinical practice.
METHOD
Van Manens hermeneutic-phenomenological method has been used to analyze the data. Participants consisted of 74 third-year nursing students who performed the clinical practice at an ICU in C university hospital. The students got the group interviews and kept the clinical diaries. Data was collected from series of group interviews and contents of the students clinical diaries.
RESULT
Major concerns related to students clinical practice were found as follows: [being nervous about unfamiliar machines and situations], [being frustrated about the patients], [feeling of helplessness], [being stupefied from witnessing a death], [realizing the importance of health], [realizing individual patient's precious value through family's love], [realizing the importance of treating a patient as human being], [realizing the differences between theory and practice], [modelizing two aspects of nursing: professional and personal], [readiness to become a capable nurse].
CONCLUSION
We are able to obtain in-depth understandings about the nursing students lived experience of clinical practice at the ICU. Based upon this, there is a need to develop a better nursing intervention enhance the effectiveness of the nursing students clinical practice.
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Perception Types of Nursing Students to Clinical Education: Q Methodological Approach
Myung Ae Kim, Hyo Eun Kim, Sung Hee Nam
J Korean Acad Adult Nurs 2001;13(2):327-339.   Published online June 30, 2001
The purpose of this study is to explore perception types and to understand the nature of experience of nursing students' clinical education by using the Q methodology. A Q sample was developed through a review of the literature and descriptions about nursing students' experience in clinical practice. Thirty-six statements made up the finalized Q sample. The P sample consisted of 33 third grade nursing students in K university. Q statements were written on separate cards and were given to the 33 subjects to sort according to degree of agreement or disagreement. The Q-sorts by each subject were coded and analysed with the Quanl PC program. A a result, three major perception types, namely, 'alienation of ideal and reality', 'active participation', and 'perception of limitation of ability' were identified. By identifying the nature of the three types, this study suggests efficient strategies for developing clinical educational programs according to the perception types of nursing students. Clinical education would thereby be more valuable.
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