간호대학생의 임상수행능력 영향요인

강기노,임미해,Kang, Kino,Im, Mihae 한국중환자간호학회 2024 중환자간호학회지 Vol.17 No.1

Purpose : The purpose of this study was to identify factors influencing the clinical competence of nursing students. Methods : The participants of this study were 209 nursing students who were in 3rd and 4th grade. The collected data were analyzed using one-way ANOVA, Kruskal-Wallis test, Mann-Whitney test, Pearson's correlation coefficients, and stepwise multiple regression. Results : Clinical competence had positive relationships with self-leadership (r=.59, p <.001) and resilience (r=.64, p <.001). Clinical competence was influenced by resilience (𝛽=.45), self-leadership (𝛽=.20), and grade (𝛽=.20), with an explanatory power of 44.9%. Conclusions : Based on these results, it is suggested that future nursing education should develop a curriculum that enhances students' personal abilities such as self-leadership and resilience, rather than only teaching knowledge and skills.

정신장애 이상행동 관련 웹 기반 프로그램 개발 및 효과

강기노,이재운 한국간호과학회 2020 한국간호과학회 학술대회 Vol.2020 No.10

간호대 학생과 임상간호사의 표준주의에 대한 인지도와 수행도의 관계에서 셀프리더십의 매개효과

강기노,김정호,한정원 사단법인 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.1

The purpose of this study is to compare the degrees of the awareness of and performance with standard precautions, which are the healthcare-associated infection control activities, between nursing students and clinical nurses and to test the mediating effects of self-leadership. The subjects who consented to participation in the research were sampled from sophomores and seniors, who was enrolled at one nursing department of a nursing college located in C city and nurses of one 300-bed hospital. The data were collected during a period between December 12, 2016 and December 19, 2016. T As a result of comparing the mediating effects of self-leadership on the degrees of the awareness of and performance with standard precautions between the nursing students and the clinical nurses, it was found that as for the nursing students, the total effect and the direct effect were significant; however, the indirect effect of self-leadership was not significant. In contrast, as for the clinical nurses, it was found that all the total effect, the direct effect, and the indirect effect of the self-leadership were statistically significant. This study has the educational implication in that it has prepared basic data for the future education of nursing students, who are nurses-to-be, about the healthcare-associated infection. 본 연구의 목적은 간호대 학생과 임상간호사의 의료관련감염 예방 활동인 표준주의의 인식과 수행의 정도를 비교하고 셀프리더십 매개효과를 검증하여 의료관련 감염예방활동 증진을 위한 기초자료로 활용하기 위함이다. C시 소재의 1개 간호학과의 병원 임상실습을 경험한 3,4학년 간호대 학생과 300병상 규모의 1개 병원의 간호사를 대상으로 연구 참여에 동의한 대상자를 임의 표출하였으며, 자료수집 기간은 2016년 12월 12부터 19까지 시행하였다. 간호대 학생과 임상간호사의 표준주의 인지도와 수행도 사이에서 셀프리더십의 매개효과를 비교한 결과 간호대 학생은 총효과, 직접효과는 유의하게 나타났으나 셀프리더십의 간접효과는 유의하게 나타나지 않았다. 그러나 임상간호사는 총 효과, 직접효과 및 셀프리더십의 간접효과 모두 통계적으로 유의미하게 나타났다. 본 연구는 예비 간호사인 간호대 학생의 의료관련 감염에 대한 추후 교육에 기초자료를 마련하였다는데 교육적 의의가 있으며, 임상 간호사의 표준주의 수행률을 높이기 위한 기초자료를 제공하였다는데도 임상적 의의가 있다.

중환자실 감염 뉴스기사에 대한 비판적 담론분석 : 페어클로(Fairclugh)의 비판적 담론분석을 중심으로

강기노,배구택,오선영,박영미,남금희,홍희정 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.6

The purpose of this study is to analyse news reports on ICU infection to derive the linguistic meaning, production style and implications of social practice of discourse. To this end, the discourse was analyzed by applying the framework of Fareclough's critical discourse analysis. Subject of analysis is news articles on ICU infections on G portal sites, and the analysis period is one year from Jan. 1 to Dec. 31, 2018. The research results showed that first, the surface meaning of ICU infection news discourse was ideologically inclined through the seriousness of the ICU infection problem, poor working conditions, and infection control policies that are separated from reality. Second, the social implications of the ICU infection news discourse appeared from a realistic perspective, such as the structural cause of infection control problems, the need for government policies that fit the reality, and measures to implement infection control. Finally, the social and cultural implications of the ICU infectious news discourse were proposed to develop a systematic and realistic infection control manual, to provide effective government policy support, and to change the health care person's own perception. The results of this study are expected to help explore alternative directions to reduce the gap between actual policies for future ICU infections and on-site practices 본 연구의 목적은 중환자실 감염에 대한 뉴스보도를 분석하여 담론의 언어적 의미와 생산방식, 사회적실천의 함의를 도출하는데 있다. 이를 위해 페어클로(Fairclough)의 비판적 담론분석의 틀을 적용하여 담론을 분석하였다. 분석대상은 G포털사이트의 중환자실 감염에 대한 뉴스기사이며, 분석 기간은 2018년 1월 1일부터 12월 31일까지 1년간이다. 연구결과, 첫째, 중환자실 감염 뉴스담론의 표면적 의미는 중환자실 감염문제의 심각성과 열악한 근무환경, 현실과 괴리된 감염관리 정책 등을 통해 이데올로기적 성향으로 나타났다. 둘째, 중환자실 감염 뉴스담론의 사회적 의미는 감염관리 문제의 구조적인 원인과 현실에 맞는 정부 정책의 필요성, 감염관리 실천 방안 마련 등 현실적 시각으로 나타났다. 마지막으로 중환자실 감염 뉴스담론의 사회문화적 실천적 함의는 체계적이고 현실에 맞는 감염관리 매뉴얼 개발 및 실효성 있는 정부의 정책적 지원, 의료인 스스로의 인식변화를 제안하였다. 본 연구 결과를 통해 향후 중환자실 감염에 대한 실제 정책과 현장에서의 실천 사이에 나타나는 간격을 줄여 나가는 대안적 방향성 모색에 도움이 되기를 기대한다.

간호대학생을 위한 COVID-19 감염관리 시뮬레이션 프로그램 개발 및 효과

강기노,임미해,장미영,이재운,이옥종 한국중환자간호학회 2023 중환자간호학회지 Vol.16 No.2

Purpose : Developing infection control capabilities during the COVID-19 pandemic was critical. This study aimed to develop a simulation program to control patients with COVID-19 in nursing students and examine the effects on COVID-19 knowledge, COVID-19 nursing intention, self-efficacy learning, and clinical performance. Methods : The study used nonequivalent control group pretest-posttest design. Sixty nursing students were recruited from two different colleges using purposive sampling. For the intervention group(n=30), the pretest was administered before the simulation program, involving six sessions of online lectures and simulation practices. Immediately, the posttest was conducted following the program. Results : COVID-19 knowledge (t=9.87, p <.001), COVID19 nursing intention (t=4.45, p <.001), learning self-efficacy (t=6.49, p <.001), and clinical performance (t=6.77, p <.001) increased significantly after the program, revealing the positive effect of the COVID-19 infection control simulation program in nursing students. Conclusion : The results of the study and the curriculum may be used as practical evidence for COVID-19 infection control in nursing schools and medical institutions.

표준화 환자를 적용한 정신장애 이상행동 관련 웹 기반 동영상 프로그램 개발 및 효과

강기노,이재운 한국간호시뮬레이션학회 2021 한국간호시뮬레이션학회지 Vol.9 No.2

Purpose: This study aimed to develop a web-based video program related to abnormal mental disorder behaviors in standardized patients and verify its effectiveness for nursing students. Methods: This study consisted of pre-test and post-test for a non-equivalent control group design. The participants were 46 nursing students(experimental group: 23, control group: 23). The experimental group was trained in a video program that applied standardized patients, while the control group received traditional training. Data collected from March to June, 2020, were analyzed using IBM SPSS Statistics for Windows, version 25.0, chi-square test, Fisher's exact test, Mann-Whitney U test, and independent t-test. Results: The difference between the experimental and control groups was statistically significant in terms of learning satisfaction (Z=2.08, p=.038), learning self-efficacy(t=2.80, p=.009), motivation for transfer(t=3.45, p=.001), and clinical reasoning competence(t=2.28, p=.028). Conclusion: This study showed that a video program on abnormal mental disorder behaviors in standardized patients is an effective tool for mental health nursing education.

중소병원 간호사의 이직의도 영향 요인

강기노 한국간호과학회 간호행정학회 2012 간호행정학회지 Vol.18 No.2

Purpose: This study was done to examine the relationships among practice environment, nursing professionalism, career commitment, and turnover intention in nurses working in small-medium sized hospitals. Method: This study utilized a descriptive correlational design. Data were collected using structured questionnaires from 362 nurses in 7 small-medium sized hospitals and analyzed with SPSS 18.0. Result: The mean scores for practice environment, nursing professionalism, career commitment, and turnover intention were 2.29 on a 4-point scale and 3.13, 2.78, 3.51 on a 5-point scale, respectively. The practice environment showed significantly positive correlations with nursing professionalism and career commitment. Nursing professionalism showed a significantly positive correlation with career commitment. The highest significant negative correlation was between practice environment and turnover intention. Nursing professionalism and career commitment had negative correlations with turnover intention. Factors having significant influence on turnover intention included age, assigned ward, average wage, practice environment, and career commitment. These factors explained 43.0% of variance in turnover intention. Practice environment was identified as the most important variable in explaining turnover intention. Conclusions: The results of this study demonstrate the necessity of improving the practice environment and increasing nurses' career commitment if turnover intention in small-medium sized hospitals is to be lowered.

온라인 육아커뮤니티에 나타난 미세먼지 담론형성에 대한 비판적 분석 : 페어클로(Fairclugh)의 비판적 담론분석을 중심으로

배구택,강기노,한정원 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.10

본 연구의 목적은 온라인 육아정보 커뮤니티를 중심으로 형성된 미세먼지 담론의 형성과정과 찾아내는데 있다. 이를 위해 공신력 있는 온라인 육아정보 커뮤니티를 선정하여 자료 수집을 진행하였고, Fairclough의 비판적 담론분석방법(Critical Discourse Analysis)을 적용해서 육아정보 커뮤니티 내 미세먼지 관련 게시물과 댓글을 통해 담론형성 과정과 미세먼지의 표면적 의미, 사회적적 의미, 사회문화적 실천의 함의들을 살펴보았다. 연구결과 첫째, 미세먼지 담론의 표면적 의미는 정부의 미세먼지 정책과 예보에 대한 불신, 질환이나 질병의 공포감·불안감이 대중매체를 통해 미세먼지 담론으로 형성되었고, 커뮤니티를 통해 타인의 경험을 소비함으로써 미세먼지 담론이 확산 및 재생산 되었다. 둘째, 미세먼지 담론의 사회적 의미는 대중매체나 미세먼지관련 제품 판매업체들이 만들어내는 미세먼지 공포의 이미지나 발화자의 주관적 견해 및 경험을 공유되면서 바깥활동이나 야외학습에 대한 부정적인 인식이 조성되면서 미세먼지에 대한 담론이 확산 및 재생산된다. 셋째, 사회문화적 맥락에서의 실천적 함의로는 실효성 있는 미세먼지 방지대책, 개인의 미세먼지 저감을 위한 실천적 노력, 학교 및 지역사회에서 미세먼지 교육에 대한 실천적 함의를 발견했다. 본 연구의 의의는 최근 육아정보 커뮤니티 내에서 미세먼지에 관한 사회적 문제점이나 미세먼지 담론의 형성과정을 통해 미세먼지에 관한 사회적 관심과 사회적, 제도적 해결방안을 도움을 주고자 함이다 The purpose of this study is to find and form the fine dust discourse formed around the online parenting information community. To this end, we selected a trusted online parenting information community to collect data and applied Fairclough's Critical Discourse Analysis to examine the process of discourse formation and the implications of fine dust's surface meaning, social meaning and social cultural practice through postings and comments related to fine dust in the parenting information community. According to the analysis results, the surface meaning of fine dust discourse was formed by distrust of the government's fine dust policy and prediction, fear and anxiety of disease and disease through mass media, and by consuming other people's experiences through the community, fine dust discourse spread and reproduced. Second, the social meaning of fine dust discourse is shared by the image of fine dust scare created by mass media or fine dust-related product vendors, and the subjective views and experiences of the igniters, creating a negative perception of outside activities or outdoor learning, which spreads and reproduces discourse on fine dust. Third, practical implications in the social and cultural context have found effective measures to prevent fine dust, practical efforts to reduce fine dust by individuals, and practical implications for fine dust education in schools and communities. The purpose of this study is to help with social interest in fine dust and social and institutional solutions through social problems regarding fine dust or the formation of fine dust discourse within the parenting information community.

간호대학생의 자아존중감이 긍정, 부정감정을 통해 대인관계에 미치는 영향

김정호,강기노,나수양 사단법인 인문사회과학기술융합학회 2016 예술인문사회융합멀티미디어논문지 Vol.6 No.7

In this study was conducted to identify the multiple mediator effects of empathy and anger expression in the effects on interpersonal relationship by nursing students' self-esteem and provide basic data to develop a program for improving the ability of interpersonal relationship. The study subjects were 172 nursing students having clinical practice from March 1st to May 30th in 2015 from one nursing university located in A. The data were collected using the self-report survey on self-esteem, empathy, anger-in, anger-out, anger-control and interpersonal relationship. The following is the result; significant are total effect(b=0.86, CI=0.56, 1.15), direct effect(b=0.62, CI=0.56, 1.15) and indirect effect(b=0.24, CI=0.08, 0.46), and anger-in(b=0.27, CI=0.13, 0.46) and anger-out(b=-0.12, CI=-0.33, -0.01) among partial mediating variable played partial mediating roles in this study. Therefore, it is necessary to develop a program for improving the interpersonal relationship for nursing students to properly repress and express anger. 본 연구의 목적은 간호대학생의 자아존중감이 대인관계에 미치는 영향에서 긍정적 감정인 공감, 부정적 감정인 분노표현방법의 다중매개효과를 확인하여 대인관계 능력 향상 프로그램 개발의 기초자료를 제공하기 위한 서술적조사연구이다. 자료 수집은 A소재의 1개 간호대학에서 2015년 3월 1일부터 5월30일까지 연구참여에 동의한 임상실습중인 172명의 간호대학생을 대상으로 자아존중감, 공감, 분노표현방법, 대인관계의 자기보고식 설문지를 이용하여 자료 수집을 하였으며, 다중매개분석결과는 다음과 같다. 총 효과 (b=0.86, CI=0.56, 1.15), 직접효과(b=0.62, CI=0.56, 1.15), 간접효과(b=0.24, CI=0.08, 0.46)가 모두 유의하였으며, 부분매개 변수 중 분노억제(b=0.27, CI=0.13, 0.46), 분노표출(b=-0.12, CI=-0.33, -0.01) 변수가 본 연구 모델에서 부분매개 역할을 하는 것으로 나타났다. 이는 대인관계를 향상시키기 위해서는 자아존중감을 높이고 적절한 분노억제와 분노표출을 할 수 있는 방법이 필요함을 의미한다. 따라서 간호대학생들에게 자아존중감 향상 및 적절하게 분노억제, 분노표출을 할 수 있는 대인관계 능력 향상 프로그램 개발을 제언하고자 한다.

자기결정성 이론에 근거한 기본심리욕구가 입원한 알코올 사용장애 환자의 재기태도에 미치는 관련성

이재운,강기노 한국정신간호학회 2019 정신간호학회지 Vol.28 No.4

Purpose: The purpose of this study was to examine the impact of autonomy, competence, and relationship on the recovery attitude of inpatients with alcohol use disorder. Methods: This descriptive correlational study was based on the basic psychological needs theory, which is a sub-theory of self-determination theory (SDT). Study participants were 158 inpatients with alcohol use disorder from four mental hospitals in two areas. Data were collected from self-report questionnaires administered in September and October 2019. Data were analyzed using the t-test, one-way ANOVA, Pearson's correlation coefficients, and the multiple linear regression with IBM SPSS 22.0. Results: Recovery attitude showed a positive correlation with autonomy (r=.62, p<.001), competence (r=.40, p<.001), and relationship (r=.33, p<.001). The results of the regression indicate the autonomy and competence explained 39% of the recovery attitude (R2=.40, F=51.04, p<.001). Conclusion: The results suggest that autonomy and competence play integral roles in the recovery attitude of inpatients with alcohol use disorders. Thus, mental health practitioners should develop psychological need-based interventions to improve the autonomy, competence, and recovery attitude of inpatients’ with alcohol use disorder.