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Factors affecting senior nursing students’ willingness to palliative care 影响护生临终关怀意愿的因素
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.272
Hyejin Go, Hyunjung Kang
Purpose: This study was conducted to identify the level of senior nursing students’ knowledge about palliative care, meaning of life, and willingness to palliative care and to identify factors affecting their willingness to palliative care.Methods: Data were collected from 192 senior nursing students at six nursing schools in four cities in Korea from December 8, 2022 to January 5, 2023. Descriptive statistics, an independent t-test, Pearson’s correlation, and multiple linear regression test were used to analyze the data.Results: The mean±standard deviation score of knowledge about palliative care and meaning of life were 8.44±2.20 and 146.48±19.32. Factors affecting senior nursing students’ willingness to palliative care were the knowledge about palliative care (β=.18, p=.005), meaning of life (β=.36, p<.001), and motivation for admission into a nursing school based on aptitude and interest (β=.16, p=.020).Conclusion: It is necessary to develop a nursing education program for enhancing knowledge about palliative care and meaning of life to prepare the palliative care competency of nursing students.
目的:本研究旨在了解高年级护生对姑息治疗、生命意义和姑息治疗意愿的认知水平,并探讨影响其姑息治疗意愿的因素。方法:于2022年12月8日至2023年1月5日对韩国4个城市6所护理学校的192名护生进行调查。采用描述性统计、独立t检验、Pearson相关和多元线性回归检验对数据进行分析。结果:姑息治疗知识和生活意义知识的均数±标准差分别为8.44±2.20分和146.48±19.32分。影响老年护生临终关怀意愿的因素为临终关怀知识(β=;18, p=.005),生命意义(β=. 005)。36, p<.001),以及基于能力和兴趣的护理学校录取动机(β=。16日,p = .020)。结论:有必要制定护理教育计划,提高对姑息治疗和生命意义的认识,为护生的姑息治疗能力做好准备。
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引用次数: 0
The effects of political efficacy and nursing professionalism on political participation in nursing students 政治效能感和护理专业精神对护生政治参与的影响
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.263
C. Woo, Jiyeon Ha
Purpose: This study aimed to assess the factors influencing the political participation of nursing students who, as they become future leaders in the nursing field, will need to increase their participation in health policy decisions.Methods: Data were collected using web-based questionnaires answered by 157 nursing students between March 13 and 27, 2023. Those data were analyzed using t-test, a one-way ANOVA, Pearson’s correlation coefficient, and a multiple linear regression.Results: The average score of political participation was 2.77±0.70 out of 5 points. Political participation showed positive correlations between political efficacy (r=.48, p<.001) and nursing professionalism (r=.27, p<.001). Furthermore, sex (female) and political efficacy were identified as influencing factors on political participation among nursing students, which explained it with 24.0% power.Conclusion: Providing timely nursing education is necessary for enhancing political efficacy, which could promote political participation among nursing students.
目的:本研究旨在评估护生政治参与的影响因素,当他们成为未来护理领域的领导者时,他们需要增加对卫生政策决策的参与。方法:采用基于网络的问卷调查方法,对157名护生进行问卷调查,调查时间为2023年3月13 - 27日。采用t检验、单因素方差分析、Pearson相关系数和多元线性回归对数据进行分析。结果:政治参与的平均得分为2.77±0.70分(满分5分)。政治参与与政治效能呈正相关(r=。48, p<.001)和护理专业程度(r=。27日,p <措施)。此外,性别(女性)和政治效能是护生政治参与的影响因素,其解释力为24.0%。结论:及时开展护理教育是提高护生政治效能的必要条件,可促进护生政治参与。
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引用次数: 0
The mediating effect of grit and social support on the relationship between self-determination and life satisfaction in nursing students 砂砾和社会支持在护生自我决定与生活满意度关系中的中介作用
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.281
Seojin Oh, Hyeyoung Cho
Purpose: The purpose of this study is to confirm the relationship between nursing students’ self-determination and life satisfaction in order to clarify the mediating effect of grit and social support, which can have a mutual influence on self-determination and life satisfaction.Methods: The data collection for this study was conducted from January 1 to 31, 2022, with nursing students enrolled in nursing departments at six universities located in three regions. The data collected in this study were analyzed using the IBM SPSS statistics 25.0 program.Results: The study found correlations between life satisfaction and self-determination (r=.64, p<.001), grit (r=.41, p<.001), and social support (r=.46, p<.001). Grit (B=0.06) and social support (B=0.06) showed a mediating effect in the relationship between self-determination and life satisfaction.Conclusion: Based on the results of the study, it is suggested that a program that can enhance the life satisfaction of nursing students be developed and implemented by focusing on social support, which is an external resource, and self-determination and grit, which are internal resources.
目的:本研究旨在确认护生的自我决定与生活满意度之间的关系,以阐明毅力和社会支持对自我决定和生活满意度的中介作用。方法:本研究于2022年1月1日至31日进行数据收集,研究对象为三个地区六所大学护理系的护理专业学生。本研究中收集的数据使用IBM SPSS statistics 25.0程序进行分析。结果:研究发现,生活满意度与自决(r=.64,p<0.01)、毅力(r=.41,p<0.01)和社会支持(r=.46,p<0.01)之间存在相关性。结论:基于研究结果,建议通过关注社会支持这一外部资源,以及自决和毅力这一内部资源,制定和实施一项能够提高护生生活满意度的计划。
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引用次数: 0
The effects of simulation-based education on the communication and clinical judgment of nursing students and nurses: A systematic review and meta-analysis 模拟教育对护生和护士沟通和临床判断的影响:系统综述和荟萃分析
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.203
J. Park, Sangeun Jun
Purpose: This study aimed to evaluate the effectiveness of simulation-based education on communication and clinical judgment in nursing students and nurses. Methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. Seven databases were searched to obtain articles published in Korean or English. Of 12,864 articles reviewed, 36 were included in a systematic review and 23 in a meta-analysis. To estimate the size of the effects of simulation-based education, a meta-analysis was performed using the R package meta program. The risk of bias was assessed using RoB 2.0 and ROBINS-I. Results: The effect sizes (ES) of simulation-based education on communication and clinical judgment were ES=0.77, 95% confidence interval (95% CI)=0.43 to 1.12 on communication-related variables and ES=1.84, 95% CI=1.03 to 2.65 on clinical judgment. Conclusion: Simulation-based education for nursing students and nurses is useful for improving their communication and clinical judgment. Thus, it is necessary to develop and apply simulation-based education programs for nursing students and nurses to improve their abilities in communications and clinical judgment.
目的:本研究旨在评估基于模拟的护理学生和护士沟通和临床判断教育的有效性。方法:根据PRISMA指南进行系统回顾和荟萃分析。检索了七个数据库,以获得以韩语或英语发表的文章。在12864篇综述中,36篇纳入系统综述,23篇纳入荟萃分析。为了估计基于模拟的教育效果的大小,使用R包元程序进行了荟萃分析。使用RoB 2.0和ROBINS-I评估偏倚风险。结果:基于模拟的教育对沟通和临床判断的影响大小(ES)在沟通相关变量上为ES=0.77,95%置信区间(95%CI)=0.43至1.12,在临床判断上为ES=1.84,95%CI=1.03至2.65。结论:对护生和护士进行模拟教学有助于提高他们的沟通能力和临床判断能力。因此,有必要为护理学生和护士开发和应用基于模拟的教育程序,以提高他们的沟通和临床判断能力。
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引用次数: 0
Factors related to the intention of pre-clinical vaccination among nursing students 护生临床前疫苗接种意向的相关因素
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.225
Kahyung Ahn, M. Jang, Jihyeon Kang, Yuri Kim, Ahyeon Shin, Yeon-Hwan Park
Purpose: The aim of this study was to identify factors related to the vaccination intentions of nursing students before clinical practice. Methods: A descriptive correlational study design was used. The participants were 129 nursing students who were enrolled in one college of nursing in Seoul and were scheduled for clinical training. Data collection was conducted from February 28 to March 7, 2022. The data were analyzed using descriptive statistics, a t-test, ANOVA, Pearson’s correlation coefficient, and a latitudinal regression analysis using the IBM SPSS statistics version 26.0 program. Results: The intention to vaccinate showed a significant correlation with vaccination attitude (r=.72, p<.001), subjective norms (r=.68, p<.001), and perceived behavioral control (r=.63, p<.001). The influencing factors on three intent to vaccinate were vaccination attitude (β=.36 p<.001), subjective norms (β=.31, p<.001), and perceived behavioral control (β=.36, p<.001). The explanatory power of these variables was 69.6%. Conclusion: The vaccination rate before the clinical training of nursing students was related to economic burden, a lack of time, and transportation problems that nursing college students experienced during the vaccination process. Therefore, administrative and financial support is needed for improving the vaccination rates of nursing students.
目的:本研究旨在确定临床实习前与护生疫苗接种意向相关的因素。方法:采用描述性相关研究设计。参与者是129名护理专业的学生,他们就读于首尔的一所护理学院,计划接受临床培训。数据采集时间为2022年2月28日至3月7日。使用描述性统计、t检验、ANOVA、Pearson相关系数和使用IBM SPSS统计26.0版程序的纬度回归分析对数据进行分析。结果:接种意愿与接种态度(r=.72,p<0.01)、主观规范(r=.68,p<0.01)和感知行为控制(r=.63,p<0.01)显著相关,和感知行为控制(β=.36,p<.001)。这些变量的解释力为69.6%。结论:护生临床培训前的疫苗接种率与护生在接种过程中所经历的经济负担、时间不足和交通问题有关。因此,需要行政和财政支持来提高护理专业学生的疫苗接种率。
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引用次数: 0
Development of a case-based nursing education program using generative artificial intelligence 利用生成式人工智能开发基于案例的护理教育项目
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.234
Jeonghee Ahn, Hye Ok Park
Purpose: This study aimed to develop a case-based nursing education program using generative artificial intelligence and to assess its usability and applicability in nursing curriculums.Methods: The program was developed by following the five steps of the ADDIE model: analysis, design, development, implementation, and evaluation. A panel of five nursing professors served as experts to implement and evaluate the program.Results: Utilizing ChatGPT, six program modules were designed and developed based on experiential learning theory. The experts’ evaluations confirmed that the program was suitable for case-based learning, highly usable, and applicable to nursing education.Conclusion: Generative artificial intelligence was identified as a valuable tool for enhancing the effectiveness of case-based learning. This study provides insights and future directions for integrating generative artificial intelligence into nursing education. Further research should be attempted to implement and evaluate this program with nursing students.
目的:本研究旨在利用生成式人工智能开发基于案例的护理教育计划,并评估其在护理课程中的可用性和适用性。方法:按照ADDIE模型的五个步骤:分析、设计、开发、实施和评估来制定方案。一个由五位护理学教授组成的专家小组负责实施和评估该计划。结果:基于体验式学习理论,利用ChatGPT设计开发了6个程序模块。专家评价表明,该方案适合案例学习,实用性强,适用于护理教育。结论:生成式人工智能被认为是提高基于案例学习有效性的一种有价值的工具。本研究为将生成式人工智能整合到护理教育中提供了见解和未来发展方向。进一步的研究应尝试在护理学生中实施和评估该计划。
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引用次数: 0
Types of perception toward non-face-to-face clinical practice among nursing students 护生对非面对面临床实习的认知类型
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.247
G. Kim, S. Chang, Jeong-Ah Kim
Purpose: This study aimed to identify the types of perception toward non-face-to-face clinical practice and to characterize the types of students who experienced online clinical practice during the coronavirus disease 2019 (COVID-19) pandemic.Methods: Q-methodology was used in this study, and 270 Q populations were formed based on in-depth interviews with 10 nursing students who had experienced non-face-to-face clinical practice, as well as related literature. Interviews were performed from August 1 to 31, 2022. A total of 42 Q samples were extracted, and Q sorting was performed on 33 nursing students who had experienced non-face-to-face clinical practice. A Q factor analysis was performed using the PC-QUANL program.Results: The nursing students’ perceptions of non-face-to-face clinical practice were classified into the following five types: “future professional competency-focused type,” “realistic convenience priority type,” “task burden awareness type,” “negative critic type,” and “limited experience dissatisfaction type.”Conclusion: This study revealed non-face-to-face clinical practice’s positive and negative aspects in nursing education. Moreover, it identified the aspects of clinical practice that cannot be replaced by non-face-to-face clinical practice and the elements of non-face-to-face practice that can complement clinical practice. These findings can be used as fundamental data to establish a stable and efficient system for improving the quality of clinical practice in the post-COVID-19 era and to implement effective non-face-to-face clinical practice according to student types.
目的:本研究旨在确定对非面对面临床实践的感知类型,并表征在2019冠状病毒病(COVID-19)大流行期间经历在线临床实践的学生类型。方法:本研究采用Q法,通过对10名非面对面临床实习护生的深度访谈,结合相关文献,形成270个Q人群。采访于2022年8月1日至31日进行。共抽取42个Q样本,对33名经历过非面对面临床实习的护生进行Q分类。采用PC-QUANL程序进行Q因子分析。结果:护生对非面对面临床实践的感知分为“未来专业能力关注型”、“现实便利优先型”、“任务负担意识型”、“负面批评型”和“有限经验不满型”5种类型。结论:本研究揭示了非面对面临床实践对护理教育的积极和消极影响。此外,它还确定了临床实践不能被非面对面临床实践所取代的方面,以及非面对面临床实践可以补充临床实践的要素。这些发现可作为建立稳定高效的后新冠肺炎时代临床实践质量提高体系的基础数据,并可根据学生类型实施有效的非面对面临床实践。
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引用次数: 1
Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis 韩国护士组织沉默的相关因素:系统综述和荟萃分析
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.302
Kyung-Su Kang, J. Kim
Purpose: This study aimed to identify the variables related to the organizational silence of Korean hospital nurses and to examine the effect sizes of correlations between the related variables and sub-types of organizational silence.Methods: Relevant studies were searched through a systematic search in six Korean electronic databases (RISS, ScienceON, KCI, DBpia, e-Article, and KISS) using June 2022 as the end date. Thirteen studies were identified through a systematic review and eight of them were meta-analyzed. The correlation effect size r (ESr) for each related variable was calculated.Results: Twenty-two related variables were identified from the systematic review. Of them, organizational culture was the most frequently examined. Seven variables (three organizational, two leader-member exchange, and two consequences of organizational silence) were found eligible for the meta-analysis. The intention of turnover (ESr=.39; 95% confidence interval, 95% CI=.32 to .45) and leader-member exchange (“manager’s leaderships” ESr=-.33, 95% CI= -.43 to -.21; “manager’s inclination to reject negative feedback” ESr=.32, 95% CI=.23 to .39) had larger correlation effect sizes than the other variables that related to organizational silence, in particular, acquiescent silence, which had the largest correlation effect size among the three sub-types of organizational silence.Conclusion: These findings show that the intention of turnover and leader-member exchanges were the main factors that related to the organizational silence. This indicates that it is necessary to develop management and education programs, as well as communication systems that focus on reducing and managing organizational silence, especially acquiescent silence.
目的:本研究旨在确定与韩国医院护士组织沉默相关的变量,并检验相关变量与组织沉默亚型之间的相关性效应大小。方法:以2022年6月为结束日期,在6个韩国电子数据库(RISS、ScienceON、KCI、DBpia、e-Article和KISS)中系统检索相关研究。通过系统综述确定了13项研究,其中8项进行了荟萃分析。计算每个相关变量的相关效应大小r(ESr)。结果:从系统综述中确定了22个相关变量。其中,对组织文化的考察最为频繁。七个变量(三个组织、两个领导成员交换和两个组织沉默的后果)符合荟萃分析的条件。离职意向(ESr=.39;95%置信区间,95%CI=.32至.45)和领导成员交换(“经理领导”ESr=-0.33,95%CI=-0.43至-0.21;“经理拒绝负面反馈的倾向”ESr=.32,95%CI=.23至.39)比其他与组织沉默相关的变量具有更大的相关效应大小,在组织沉默的三个子类型中,相关效应大小最大。结论:离职意向和领导成员交流是影响组织沉默的主要因素。这表明有必要制定管理和教育计划,以及专注于减少和管理组织沉默,特别是默许沉默的沟通系统。
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引用次数: 0
Predictors of parental behavioral intentions for vaccinating their children against COVID-19 as determined by the modified theory of planned behavior 由改进的计划行为理论确定的父母为子女接种COVID-19疫苗的行为意图的预测因素
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.292
M. Kwon, N. Kim
Purpose: This study attempted to present a strategy to increase behavioral vaccination intention by identifying factors affecting parents’ intention to have their children vaccinated against coronavirus disease 2019 (COVID-19) by applying the modified theory of planned behavior.Methods: An online survey was conducted with 146 parents of children aged 5 to 17 from August 1 to 30, 2022, and, as a result, 146 data were analyzed. The moderating effect of perceived behavioral control in the relationship between parents’ attitude, subjective norms, and behavioral intention for children’s COVID-19 vaccination was analyzed using the Process Macro (10,000 bootstrapping, 95% confidence interval), and a simple slope analysis was performed to identify differences by group.Results: The moderating effect of perceived behavioral control was statistically significant in the relationship between parent’s attitude and subjective norms for COVID-19 vaccination and behavioral intention. In the simple slope analysis, the reinforcement effect was greatest when the level of perceived behavioral control was high.Conclusion: Since vaccination is most likely when recommended by healthcare providers, it is necessary to ensure that health education through community health experts or mass media can be effectively conducted. In particular, objective information on the effectiveness and safety of COVID-19 vaccinations for children, including monitoring of potential side-effects, should be actively reported.
目的:本研究试图应用改进的计划行为理论,通过识别影响父母让孩子接种2019冠状病毒病(COVID-19)疫苗意愿的因素,提出提高行为疫苗接种意愿的策略。方法:于2022年8月1日至30日对146名5 ~ 17岁儿童家长进行网络调查,对146份数据进行分析。采用过程宏(10,000自举,95%置信区间)分析感知行为控制在家长态度、主观规范和儿童新冠肺炎疫苗接种行为意向之间的调节作用,并采用简单斜率分析区分组间差异。结果:感知行为控制对家长防疫态度、主观规范与行为意向之间的调节作用有统计学意义。在简单斜率分析中,当感知行为控制水平高时,强化效应最大。结论:根据卫生保健提供者的建议,接种疫苗的可能性最大,因此有必要确保通过社区卫生专家或大众媒体进行有效的健康教育。特别是,应积极报告关于儿童COVID-19疫苗有效性和安全性的客观信息,包括对潜在副作用的监测。
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引用次数: 0
Prevalence of workplace violence against registered nurses and their perceptions of relevant management systems in acute care hospitals 针对注册护士的工作场所暴力的流行率及其对急性护理医院相关管理系统的看法
Q3 Nursing Pub Date : 2023-08-31 DOI: 10.5977/jkasne.2023.29.3.319
Seungmi Park, Eun-Ah Kwak, Ye-Won Lee, E. Park
Purpose: This study investigated the prevalence and perceptions of workplace violence against registered nurses (RNs) in hospitals.Methods: One thousand RNs replied to a nationwide survey from November 14 to December 22, 2022. They reported their general characteristics, prevalence of and their responses to different types of workplace violence from patients, family caregivers, physicians, and nurse peers, as well as their perceptions of workplace violence management systems.Results: A total of 71.1% of the RNs reported that they had experienced workplace violence in the last six months. The violence and sexual harassment experienced from patients and family caregivers were 57.3% and 19.1%, respectively. Furthermore, violence, sexual harassment, and workplace harassment from physicians were experienced by 24.6%, 4.0%, and 7.4%, respectively, of the RNs, and those from nurse peers by 21.4%, 3.1%, and 11.3%, respectively. The RNs stated that they often responded to workplace violence with passive and inactive behaviors, which were more serious toward physicians’ workplace violence or sexual harassment from different perpetrators. Only 69.5% were aware of their hospital’s workplace violence management systems, while only 14.7%~27.4%, according to the type of hospital (p=.471), perceived the systems as effective. Multiple important strategies were identified to prevent workplace violence.Conclusion: Critical suggestions are discussed for the prevention of workplace violence, including protecting the human rights of healthcare professionals, inter-organizational collaboration, and a culture of person-centered healthcare, and training nurse managers’ competency in managing workplace violence.
目的:本研究调查了医院对注册护士的工作场所暴力行为的发生率和认知。方法:1000名注册护士于2022年11月14日至12月22日对一项全国性调查进行了回复。他们报告了他们的一般特征、患者、家庭护理人员、医生和护士同伴对不同类型工作场所暴力的普遍性和反应,以及他们对工作场所暴力管理系统的看法。结果:共有71.1%的注册护士报告称,他们在过去六个月内经历过工作场所暴力。患者和家庭护理人员遭受的暴力和性骚扰分别为57.3%和19.1%。此外,来自医生的暴力、性骚扰和工作场所骚扰分别为24.6%、4.0%和7.4%的RN,来自护士同行的RN分别为21.4%、3.1%和11.3%。RN表示,他们经常以被动和不积极的行为来应对工作场所的暴力,而对于医生的工作场所暴力或来自不同施暴者的性骚扰,这种行为更为严重。只有69.5%的人知道他们医院的工作场所暴力管理系统,而根据医院类型(p=.471),只有14.7%~27.4%的人认为这些系统有效。为防止工作场所暴力,确定了多项重要战略。结论:讨论了预防工作场所暴力的关键建议,包括保护医疗保健专业人员的人权、组织间合作和以人为本的医疗保健文化,以及培训护士管理人员管理工作场所暴力行为的能力。
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引用次数: 1
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Journal of Korean Academic Society of Nursing Education
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