Purpose Falls and medication errors are the most common patient safety incidents globally. Kolb’s experiential learning theory supports the application of cognitive learning in clinical settings. This study examined the effectiveness of Experiential Learning–Based Fall and Medication Error Prevention Education (EFMPE), utilizing virtual reality and room of errors.
Methods A randomized controlled trial was conducted with 28 fourth-year nursing students (15 experimental, 13 control). The experimental group participated in EFMPE from February 1 to 6, 2024, comprising six sessions of 2 hours each. The control group received traditional lectures. Safety control confidence and course interest were measured before and immediately after the intervention; safety control confidence was reassessed 6 weeks later.
Results Both groups showed immediate improvement; however, only the experimental group sustained increased safety control confidence after 6 weeks (Wald χ²=13.21, p<.001). Course interest was significantly higher in the experimental group post-intervention (Wald χ²=10.64, p=.001).
Conclusion These preliminary findings suggest that EFMPE potentially supports the prevention of falls and medication errors in clinical practice.
Purpose This study aimed to examine the relationship among professor-student interactions, grit, and adaptation to college life.
Methods In this quantitative, cross-sectional study, participants completed a structured questionnaire comprising 48 items: 8 on general characteristics, 8 on professor-student interactions, 12 on grit, and 20 on adaptation to college life. Data were collected from 165 nursing students at two four-year universities between April 15 and May 20, 2023.
Results Professor-student interactions had a mean score of 3.76±0.59 out of 5, grit had a mean score of 3.09±0.53, and adaptation to college life had a mean score of 3.48±0.51. Regression analysis identified significant predictors of adaptation to college life, including professor-student interactions (β=.26, p<.001), grit-perseverance of effort (β=.18, p=.047), and satisfaction with the major, with the "very satisfied" (β=.40, p<.001) and "satisfied" (β=.24, p=.002) categories showing significant impacts. The overall regression model was statistically significant (F=20.76, p<.001) and accounted for 32.5% of the variance in adaptation to college life.
Conclusion Educational programs designed to strengthen professor-student interactions, enhance grit, and improve satisfaction with one's major should be developed to help nursing students adapt to college life. These findings have important implications for nursing education practices, the improvement of student support systems, and the preparation of students for their professional roles.
Purpose This study aims to identify predicting factors influencing Chinese students’ intentions to quit smoking.
Methods Secondary data for this study came from a study on the change in smoking cessation among Asian students. Data on their intention to quit smoking was collected from October 2020 to January 2021 through an online survey. The study participants included 190 Chinese international students aged 19 to 29 who were smokers. Descriptive statistics, chi-squared test, independent-test, and decision-making trees were used for analysis.
Results 73.2% (139 students) of Chinese international students in Korea intended to quit smoking; 97.8% of the groups intending to quit smoking had previously attempted to quit. The decision tree ultimately had seven sections. The attempt to quit smoking was the most significant predictor of smoking cessation intention. Stop smoking attempts, intent to participate in a nonsmoking programs, smoking parents, stop-smoking self attempts, and smoking after studying abroad were factors predicting intention to quit smoking.
Conclusion The factors influencing Chinese students’ intention to quit smoking differed depending on their previous smoking cessation experience. Intention to participate in a smoking cessation program, parent smoking, and recent attempts to quit smoking were factors predicting intention to quit in those with previous smoking cessation experience. A program tailored to their needs should be developed to improve the smoking cessation intention of Chinese international students depending on their history of smoking cessation.
Purpose This study investigated the factors affecting depression in nursing students during the COVID-19 pandemic.
Methods The participants of this descriptive study were 183 nursing students at four nursing colleges. Data were collected from August 27 to September 10, 2021 through an online questionnaire comprising 101 questions, and analyzed using SPSS/Win 25.0 program by frequency and percentage, mean and standard deviation, independent t-test, one-way ANOVA, pearson’s correlation coefficient, and hierarchical multiple regression analysis.
Results The results revealed that the average score for depression in the participants was 9.19±9.23 out of 63 points. The factors affecting depression in the participants during the COVID-19 pandemic were satisfaction with major (moderate) (β=-.38, p=.009), satisfaction with major (satisfied) (β=-.35, p=.018), job-seeking anxiety (β=.33, p<.001), health status (good) (β=-.28, p=.016), and self-efficacy (β=-.26, p=.001), and the explanatory power of these variables for depression in the participants was 43.0%.
Conclusion The results of this study suggest that for early prevention and management of depression in nursing students, to increase their satisfaction with the nursing major, it is necessary to implement learning enhancement programs and adopt strategies to improve their understanding of nursing. It is also necessary to develop and implement various extracurricular programs for reducing job-seeking anxiety and enhancing self-efficacy.
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PURPOSE This study was to develop and test the resilience scale for Korean nursing college students. METHODS The initial 82 items (7 factors) were developed through literature review and student interviews. Items were reduced to 55 items through content validity test by 5 experts and face validity tests by 20 nursing students. The preliminary Resilience Scale for Korean Nursing Students (RS_KNS) was administered to 302 nursing students of 4 universities in Chungnam. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's alpha. RESULTS Twenty-four items were selected for the final scale. Seven factors evolved from the factor analysis, which explained 61.9% of the total variance. The internal consistency, Cronbach's alpha was .84 and reliability of the subscales ranged from .60 to .77. CONCLUSION The resilience scale for Korean nursing college students demonstrated acceptable validity and reliability. It can be used to assess the resilience of nursing college students and is expected to get utilized in teaching and research.
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PURPOSE This study investigated the effectiveness of simulation training with a hybrid model of student nurses' performance ability and reported self confidence. METHODS A nonequivalent control group with pre-posttest was designed. Data collection was done during the first semester in 2012 at a college of nursing in Seoul. Nursing performance ability and reported self confidence related to taking care of patients with urinary problems were evaluated. The treatment group (n=96) received simulation training of a catheterization procedure with a hybrid model involving standardized patients and a mannequin. Nursing students in the comparison group (n=84) did not receive the simulation training but would receive it prior to their next clinical practicum's. RESULTS The treatment group showed a significantly higher performance ability and reported self confidence than that of the comparison group. The perceived helpfulness and contentment of the simulation training in experimental group was high. CONCLUSION The findings of this study demonstrated that simulation with a hybrid model was effective in teaching skills prior to the clinical experience which suggests that skill development is not dependent on the actual clinical situation. Nurse educators should consider simulation training as a tool beyond that of clinical practicum.
PURPOSE This study was to identify the health status and reported resilience according to acculturation type among Chinese students in Korea. METHODS The subjects were 386 Chinese students studying in three universities in Chungnam province. The data were collected by standardized questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, Chi-square, t-test, and ANOVA. RESULTS Subjects reported the following Acculturation type: integration (26.7%), assimilation (28.5%), separation (32.4%), and marginalization (12.4%). The reported resilience was significantly different according to economic status. The health status was significantly different according to religion and economic status. Acculturation type was significantly different according to age, educational level, length of stay, type of residency and economic status working style. The health status and resilience were significantly different according to acculturation type. CONCLUSION The findings suggest that integration of acculturation type is most useful to health status and resilience among Chinese students in Korea. Future studies need to examine acculturation type as coping strategy for foreign students' adaptation.
PURPOSE The purpose of this study was to describe the sexual behavior, health risk related to reproductive health, and characteristics of sexual experience among college students in Korea. METHODS Six thousands college students were selected through proportional quota sampling based on region, college, and gender. Structured questionnaires were used for data collection. Descriptive statistics and chi-square test were used to describe the data. RESULTS Thirty eight percent (N=2,285) of the participants reported sexual intercourse. The mean age of first time sexual intercourse was 19.3 years old. Respondents reported the following health risks such as smoking, drinking, not exercising, no regular meal patterns, chronic disease status, and weight loss over 10 kg in the past three months showed significant differences by sexual intercourse experience (p<.01). Among those who had sexual intercourse experiences, 7.1% of them reported having a history of STDs and 11.6% reported a pregnancy or pregnancy of one's partner. CONCLUSION The findings of this study reflect the current trends of sex behaviors among college students and correlations between health risks related to reproductive health and sexual intercourse experiences. Developing reproductive health education programs based on the findings and providing the programs to college students through a school nurse is suggested.
PURPOSE The purpose of this study was to examine the state of unmarried cohabitation and to compare the differences of loneliness and family function among university students with cohabitation experience and those with no experience in Korea. METHODS A convenience sample of 213 university students was recruited from three universities located in G city and the Chonnam area of Korea. Data collection methods included: (a) a demographic questionnaire, (b) a questionnaire related to cohabitation, (c) UCLA scale: 20 items on a 4-point scale (c) Family APGAR questionnaire: 5 items on a 3-point scale. SPSS/WIN 17.0 was used for descriptive analysis, chi2 test, t-test, and Pearson correlation. RESULTS In this study, 21.1% of the subjects had experiences of unmarried cohabitation. The cohabitation experience was related to gender, age, and monthly income. There was significant differences in family function between the two groups. Loneliness scores were significantly correlated with family function scores in the non-cohabitation group. CONCLUSION To improve sex life of the university students, healthcare providers including school nurses may consider family function.
PURPOSE The purpose of this study is to identify the relationship among clinical competence of diabetic diet education on standardized patients, self-efficacy, communication skill, learning satisfaction, and professional values of nursing students. METHODS The present study was a descriptive research. The participants were 144 junior nursing students in a university. The clinical competence on diabetic diet education was assessed by trained evaluators when nursing students performed diabetic diet education using the standardized patients. The students' self-efficacy, communication skill, professional values, and learning satisfaction were measured by themselves using the questionnaires. RESULTS The clinical competence on diabetic diet education showed positive correlations with communication skill and learning satisfaction, while the competence was not correlated to self-efficacy and professional values. CONCLUSION The results of this study suggest that clinical competence on diabetic diet education may be more related to communication skills and learning satisfaction than self-efficacy and professional values. Promoting communication skills and learning satisfaction using a standardized patient may increase nursing students' competence on diabetic diet education.
PURPOSE The purpose of this study was to identify the predictors of acculturative stress among Chinese students in Korea. METHODS Between October and December 2009, two hundred one Chinese students from three universities located in Cungnam province, were included in the current study using a questionnaire survey. Data analysis was done using SPSS/WIN 17.0 program. RESULTS The average score of acculturative stress was 38.50+/-6.97. There were significant differences in acculturative stress according to educational level, economic status, type of residence, speaking skill in Korean, listening skill in Korean, grade point average, satisfaction for studying abroad, and perceived health status. The acculturative stress was significantly correlated with depression, resilience and social support. The strongest predictor of acculturative stress among Chinese students was depression. CONCLUSIONS The findings suggest that developing programs to improve psychological health may provide a buffer against acculturative stress experienced by migrating Chinese students. Furthermore, more studies are needed to explore variables that influence on the international students' acculturation in Korea.
PURPOSE The purpose of this study was to analyze attitude toward dignified dying of Korean students majoring in human service area. METHODS The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 34 selected Q-statements from each of 38 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. RESULTS Four types of attitude toward dignified dying from the subjects were identified. Type I is an expression type for happy emotion, Type II is a dislike type for life prolongation, Type III is a pursuit type for relationship improvement, and Type IV is a perception type for family presence. CONCLUSION The results of the study indicate that integrating multi-disciplinary curriculum development related to dignified dying and death education for students majoring in human service area are needed.
PURPOSE This study was conducted to discover the essence and the structure of the experiences of weight control by nursing students. METHODS Participants were 12 nursing students who had tried losing weight at C university in Busan, Korea. The data were collected from June 17 to August 6, 2006. For the purpose of this study, focus group discussions and in depth interviews were employed. RESULTS The collected data were analyzed by using Giorgi's method. As the results of the analysis, the following four components of experience were derived: My appearance looked abnorml; Measures for self-realization; Pursuit of my own way only; Feelings of accomplishment and self confidence. CONCLUSION It is necessary to develop an effective weight control program with minimized side effects that are harmful to health, based on the components of the nursing students' experiences in weight control that were identified in this study.
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 identify predictors of the stage of change for smoking cessation of male university students on the basis of the Transtheoretical model (TTM). METHODS The 388 current smokers or exsmokers who agreed to participate were recruited from three areas in Korea from August 2 to September 5, 2006. Data was analyzed using a SPSS program for descriptive statistics, ANOVA, and multiple logistic regression. RESULTS Most subjects (76.8%) were current smokers. According to stages of change, there were statistically significant differences in self efficacy, smoking temptation, decisional balance (cons, pros), and processes of change. The predictors of transition from contemplation to preparation were behavioral and experiential processes. The predictors of transition from preparation to action were pros of smoking and experiential process. The predictors of transition from action to maintenance were cons of smoking and behavioral process. CONCLUSION Specific nursing interventions based on stages of change need to be developed for smoking cessation of male university students.
PURPOSE To describe the lived experience of nursing students when faced with clinical judgment in a nursing practicum at the hospital. METHODS A descriptive research design was utilized. Participants were 79 students in the clinical practicum. Participant consent was obtained for ethical protection. Data were collected from August to December 2007 using a semi-structured questionnaire. Content analysis was utilized for data analysis. RESULTS Two categories and 5 themes were extracted from the data for 'difficult' and 'easy' clinical judgments. For the student category, the two themes were 'knowledge' and 'skill', while the three themes for the clinical education environment category were, 'judgment of clinical symptoms and signs', 'differences between theory and practice' and 'human relationships'. For coping, 2 categories and 5 themes were extracted for the difficult clinical judgment situation, while one category and one theme were found for the easy clinical judgment situation. CONCLUSION To develop students' clinical judgment, there is need to develop the method of clinical skills using simulation in clinical teaching. For future research, a study on factors affecting clinical judgment of nursing students in hospitals is needed.
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