Purpose Nursing students are future healthcare workers responsible for maintaining public health. Owing to the increase in early resignation among new nurses, nursing education outcomes must be evaluated by investigating students' practice readiness. Methods Using convenience sampling, we recruited fourth-year students from two nursing colleges to participate in a cross-sectional online survey in November 2023. The Casey-Fink Readiness for Practice Survey was used to assess practice readiness and the data were analyzed using descriptive statistics, independent t-tests, and ANOVA. Results Among the 157 participants (female, 77.7%; mean age, 23.12±1.93 yrs), the overall practice readiness score was 63.53±8.30 (range: 20~80) and the mean subscale score was 23.14±3.73 for clinical problem-solving (range: 7~28), 6.69±1.25 for learning techniques (range: 2~8), 16.87±2.46 for professional identity (range: 5~20), and 16.82±3.46 for trials and tribulations (range: 6~24). Practice readiness did not differ significantly by gender or age and was greater among subgroups with high grades and satisfaction with the major, classroom practice, simulation practice, clinical practice, and lectures. Conclusion Universities must improve the quality of classes and practical education to enhance fourth-year nursing students’ practice readiness.
Nursing education programs incorporating problem-based learning must be developed and evaluated to strengthen students’ clinical inference and critical-thinking skills.
Purpose This study examined nursing students' experiences of using digital healthcare applications in terms of the source and demand of socio-psychological needs, expectations, exposures, use satisfaction, and derivative effects based on the components of use satisfaction theory. Methods This study was conducted using focus group interviews, and data were collected from 12 nursing students enrolled in two universities located in Seoul and Gyeonggi Province from April 1 to May 31, 2023. Results The nursing students mainly used digital healthcare applications to address needs such as sleep, exercise, goal setting, social support, and motivation, which included the need for physical well-being, growth and development, emotional stability, and social needs. Participants met various needs such as achieving goals, feeling of achievement, enhancing self-confidence, and acquiring helpful information through digital healthcare applications. The satisfaction gained in setting and achieving goals was the driving force for motivation. Conclusion Nursing students value intuitive interfaces, personalized features, and appropriate notifications. Step-by-step rewards and reasonable pricing are also vital for using digital healthcare apps.
These findings should be incorporated into developing programs to improve nursing students' health management and digital healthcare skills.
Purpose Nursing colleges are continuously being expanded to solve the problem of imbalance among regions, but the outflow of the provincial brain-drain to metropolitan regions continues. Therefore, this study aimed to identify the influencing factors on the regional outflow intention of nursing students. Methods This study employed a mixedmethod design, and 214 nursing students in the Honam region filled out a self-administered questionnaire. Eight participants recruited through random sampling were interviewed in depth. Data were analyzed using a t-test, x2 test and logistic regression. Results Among the total respondents, 161 students (75.2%) had intent to regional outflow. Influencing factors were significantly correlated with employment in tertiary general hospitals (OR=3.32, 95% CI=1.35~8.16), perception of job opportunities in the province (OR=0.52, 95% CI=0.31~0.87), intrinsic job values (OR=2.43, 95% CI=1.14~5.22), and voluntary employment preparation behaviors (OR=2.75, 95% CI=1.05~ 7.19). Through the interviews, themes related to regional outflow intentions were drawn into the following three categories: “recognition of working environment by region”, “aspiration for professional growth”, and “expectation for self-development and rich experience”. Conclusion This study’s results are expected to be used as strategic data for establishing plans for nurturing regional human resources and improving the local nursing workforce in non-metropolitan areas.
Purpose This study was to identify how a nursing management practicum was operated during the COVID-19 pandemic in Korea.
Methods: This study surveyed instructors teaching the nursing management practicum with a questionnaire covering five domains and 42 items. The data were analyzed using descriptive statistics and content analysis.
Results: The practicum was performed mainly by mixed methods (40.8% and 38.5%), in hospitals only (30.8% and 60.4%), online only (19.8% and 1.1%) in 2020 and 2021, respectively. The mixed methods were most frequently used for instructor teaching and conferences (43.9% and 58.3%). and the average teaching time per week was 9.40 and 8.69 hours per week, respectively. Taking charge in one to three core nursing skill items, 87.8% and 90.1% of the respondents each year performed face to face evaluation for the skills. Four to six out of 12 POs were covered by 58.2% and 54.9% of the participants, respectively, in 2020 and 2021. The greatest difficulty under the pandemic was securing students’ hospital assignments.
Conclusion: The nursing management practicum needs to adopt various digital technologies, and create new education models including hybrid ones combining both contact and untact methods to improve the educational effect for the post COVID-19 era.
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Purpose This study aimed to identify factors affecting nursing students’ willingness to report medical errors.
Methods: A cross-sectional design was used, and 175 senior nursing students answered a web-based questionnaire that included ‘attitude and knowledge towards medical error reporting’, ‘ethical sensitivity’, ‘systems thinking’, and ‘willingness to report medical errors’. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple linear regressions with the SPSS/WIN 25.0 program.
Results: Participants’ attitude and knowledge toward medical error-reporting were 3.45, and 3.00, respectively. Their ethical sensitivity was 4.15, and systems thinking was 3.89. Factors significantly affecting willingness to report adverse events included systems thinking, medical error-reporting attitude, and ethical sensitivity, and these variables accounted for 34.3% (F=23.73, p<.001). Factors significantly affecting willingness to report near misses included medical error-reporting attitude, which accounted for 11.5% (F=6.68, p<.001).
Conclusion: Increasing nursing students’ willingness to report medical errors requires integrated education to improve their attitude and knowledge of medical error reporting, ethical sensitivity, and systems thinking.
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Purpose This study aimed to identify pro-social behavior, self-determination, and life satisfaction status among nursing students, and to analyze the relationships between these variables and their effects on nursing students’ life satisfaction.
Methods: It was conducted from January 10 to January 19, and data from 210 nursing students were collected through the online survey system of an Internet portal site.
Results: As a result of the study, pro-social behavior and self-determination (autonomy, competence, relationship (s)), and life satisfaction showed a statistically significant positive correlation with each other. Competence (p<.001) and relationships (p=.018), affected nursing students‘life satisfaction. The higher the competence (B=0.41), the stronger the relationships. Further, the higher the score (B=0.21), the higher the satisfaction. Additionally, it was found that the effect of competence (β=.40) on life satisfaction was higher than that of relationships on life satisfaction (β=.16). Pro-social behavior did not affect nursing students’ life satisfaction (p=.654).
Conclusion: Through the results of this study, we suggest the need for efforts to improve nursing students’ life satisfaction by developing and applying various programs that can increase self-determination in the nursing education process.
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Purpose This study aimed to analyze the effects of infection control education (ICE) prospectively, based on isolation room simulation for nursing college students.
Methods: From September 21 to 30 2020, a total of 97 students in the 4th grade of nursing college located in D city, were enrolled (48 in the experimental group and 49 in the control group).
The experimental group received an isolation room simulation for ICE. The control group conducted an objective structured clinical evaluation for the same education. The effects after education were evaluated using the items of awareness of standard precaution, knowledge of wearing personal protective equipment (PPE), and confidence in wearing it.
Results: There was no statistically significant difference in the awareness of standard precautions between the two groups, and the knowledge of wearing PPE was significantly higher in the experimental group (t=-3.41, p<.001) after education. The confidence score for wearing PPE was also significantly higher in the experimental group (t=-2.23, p=.028).
Conclusion: The ICE using the isolation room simulation can be effective for knowledge and confidence regarding the aspect of wearing PPE for nursing students, during and after the pandemic.
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Purpose Ensuring patient safety is an essential professional competency that is conceptualized and developed during undergraduate nursing education. To reduce the incidence of preventable medication errors, it is critical to learn how errors are made and the importance of collaboration with healthcare workers. This study was done to develop a simulation program related to the medication process and improving patient safety in nursing students. Methods This methodological study was designed to develop a simulation program on teaching preventable medication errors and communication among nurses, doctors, pharmacists and nurse managers in the nursing management curriculum of colleges of nursing. The design included creation of two scenarios. Guideline-based scenarios were verified by nursing experts using the three-round Delphi method. Results The two scenarios using high-fidelity patient simulators or standard patients address ‘resolving medication errors related to patients’ identification and history, and reporting safety incidents’ and ‘resolving medication errors related to medication prescription and dispensing, and reporting safety incidents’. Conclusion This simulation program supports practical education for nursing students in the nursing management course and novice nurses in patient safety-related education.
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Methods Participants were 211 nursing students from 7 universities in G city. A self-report questionnaire was used to measure moral sensitivity, biomedical ethics awareness, and perceived ethical confidence. The data were analyzed with descriptive statistics, Pearson correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method.
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