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      • KCI등재

        간호학 임상실습교육의 현황과 발전방안

        신수진,양은배,황은희,김건희,김윤주,정덕유,Shin, Sujin,Yang, Eunbae B.,Hwang, Eunhee,Kim, Konhee,Kim, Yunju,Jung, Dukyoo 연세대학교 의과대학 2017 의학교육논단 Vol.19 No.2

        The quantitative expansion of nursing schools has necessitated the qualitative improvement of nursing education, which requires the development of nursing education for clinical practice. To identify strategies for strengthening the educational capacity of clinical fields and nursing schools, this study first examined the current status of nursing education for clinical practice, and then proposed several prospective directions for education. Nursing clinical practice-related studies from several Korean and international electronic databases were reviewed. Insufficient training hospitals and lack of qualified clinical training instructors were the main problems found within nursing educational resources for clinical practice, while the simple practice contents based on observation and inadequate evaluations were the main problems found in nursing educational management for clinical practice. This study suggests better standards and educational accountability for training hospitals and programs to nurture human resources for clinical practice, as well as a variety of training methods to integrate practical training courses and the expansion of formation evaluation. Based on these results, it is necessary to establish governance for nursing education for clinical practice and clarify the role and standards of each practitioner, strengthen the educational role of the hospital, and improve the system. In addition, introducing various types of education methods and strengthening evaluation standards are needed in order to enhance nursing education for clinical practice.

      • KCI등재

        간호대학생의 학업탄력성과 대인관계유능성이 행복감에 미치는 영향

        신수진,황은희,Shin, Sujin,Hwang, Eunhee 연세대학교 의과대학 2018 의학교육논단 Vol.20 No.3

        The purpose of this study was to investigate the effects of academic resilience and interpersonal competence on the happiness of nursing students. A descriptive design was used to study 158 nursing students in nursing school through convenience sampling. IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA) was used to analyze data for descriptive statistics, t-test, analysis of variance, Tukey post hoc test, Pearson's correlations, and multiple regressions. The results showed that the level of nursing students' happiness was lower than that of college students in other majors, but academic resilience and interpersonal competence among nursing students were relatively high. Nursing students' happiness was positively correlated with academic resilience and interpersonal competence. The factors affecting happiness were academic resilience (${\beta}=0.459$, p<0.001), satisfaction with major (${\beta}=0.272$, p=0.006), perceived subjective health status (${\beta}=0.223$, p=0.013), and interpersonal competence (${\beta}=0.185$, p=0.003). Explained variance for happiness was 56.4%, and academic resilience was the most influential factor in the happiness of nursing students. Nursing students are caring human beings and should be able to pursue a happy life; therefore, it is necessary to improve satisfaction levels with the nursing major, guide students to excel in their academic achievement, prepare health education programs, and design curriculum that inspires confidence in interpersonal relationships.

      • KCI등재

        신규간호사 교육체계에 대한 실태조사: 프리셉터십 운영을 중심으로

        신수진,박영우,김미정,김정현,이인영,Shin, Sujin,Park, Young Woo,Kim, Mijung,Kim, Jeonghyun,Lee, Inyoung 연세대학교 의과대학 2019 의학교육논단 Vol.21 No.2

        The purpose of this study was to identify the current status of the new graduate nurses' education system, to establish guidelines for the education of new graduate nurses, and to provide dates for the improvement of the education system. Eighty-nine hospitals participated in the survey from July to August 2018. The questionnaires consisted of 24 items including general characteristics, new graduate nurses' education system, operation of nursing education teams, and preceptorship programs. The average duration of education/training for new graduate nurses was 57.3 days, and 26.6%-58.5% of general hospitals, hospitals, and long-term care hospitals had less than 30 days of new graduate nurses education/training, which is shorter than the education/training period of tertiary hospitals. There were new nursing education guidelines in 88.8% of all medical institutions and 58.6% of them had nursing education teams. Most of the personnel in charge of nursing education were not dedicated to education. A total of 87.6% of the all participating medical institutions had preceptorship programs, while 23.1%-33.3% of hospitals and long-term care hospitals did not. The breakdown of preceptorship programs showed 68.4% as "preceptor and preceptee are in charge of one team, and preceptor is teaching preceptee," and 19.7% were "preceptor and preceptee are in charge of each team, and preceptor is teaching preceptee at the same time." These results show that standardization and management of new graduate nurses' education programs is necessary. For the standardization and management of new graduate nurses' education programs, joint efforts of nurses' associations and support from the government should be encouraged.

      • KCI등재

        간호사가 경험한 임상 교육의 어려움

        신수진(Shin, Sujin),김정현(Kim, Jeonghyun),강영미(Kang, Youngmi),노영화(Roh, Young Hwa),정선영(Jeong, Sun Young),황은희(Hwang, Eun Hee),오현주(Oh, Hyun Joo) 질적연구학회 2018 질적연구 Vol.19 No.1

        Purpose: Clinical nurses play an important role in guiding the practice of new nurses and nursing students. Therefore, it is necessary to study the difficulties and the environmental aspects faced by nurses during the clinical education for the quality improvement of clinical education. Methods: Focus group interview was conducted with 15 clinical nurses and analyzed according to the qualitative content analysis method of Elo and Kyngäs. Results: Five themes were identified; "Lack of education competency and teaching efficacy as a clinical nurse educator", "environment that cannot educate enough", "lack of proper guidelines for education", "no manpower dedicated to clinical nursing education", " Lack of mutual exchange between university and clinical practice’ Conclusion: Based on the results of this study, it is necessary to make efforts to improve the education environment for nursing education.

      • KCI등재
      • 정신건강복지법 개정 전후 응급입원 환자의 특성, 입원유지율 및형태, 재입원율 비교

        신수진(Sujin Shin),고상현(Sang Hyun Koh) 대한사회정신의학회 2020 사회정신의학 Vol.25 No.2

        목 적 : 2017년 개정된 ‘정신건강증진 및 정신질환자 복지서비스 지원에 관한 법률’ 시행 전후 응급입원 환자군의 특성, 입원유지비율, 입원 형태, 재입원율의 변화를 알아보고자 연구를 수행하였다. 방 법 : 2016년, 2018년 각 6개월 동안 서울특별시 은평병원에 응급입원한 환자를 대상으로 445건의 의무기록을 후향적으로 검토하였으며, 2016년에 입원한 224명과 2018년에 입원한 221명의 특성, 입원유지율 및 형태, 재입원율을 통계적으로 비교하였다. 결 과 : 정신건강복지법 개정 전후 두 군간 사회인구학적, 임상적 변인은 차이가 없었다. 응급입원에 이어 입원이 유지된 비율에는 두 군간 차이가 없었으나, 물질 사용 장애군을 제외 시 입원유지율이 감소하였다. 입원이 유지된 군에서 자의 입원의 비율은 증가하였다. 또한 응급입원 후 퇴원한 환자 중 1개월 및 3개월 이내의 재입원율은 증가하였다. 결 론 : 응급입원에 이어 입원을 지속하는 환자 중 자발적 입원의 비율이 늘었으며, 이는 정신건강복지법의 개정 목적에 부합하는 변화라고 할 수 있겠다. 하지만 일부 환자 집단에서는 입원을 지속적으로 유지하는 것이 어려워졌으며, 응급입원 퇴원 후 단시일 내의 재입 원율이 증가는 변화도 관찰되었다. 이러한 사항을 고려하여 정신건강복지법의 보완과 개선이 고려되어야 할 것이다. Objectives : The research was conducted to compare the characteristics, rate and types of admission continuation, and rate of readmission in psychiatric emergency hospitalization patients before and after the revision of Mental Health Promotion and Welfare Act. Methods : The medical records of the 445 patients who underwent psychiatric emergency hospitalization at Seoul Metropolitan City Eunpyeong Hospital in 2016 and 2018 were reviewed retrospectively. The clinical and sociodemograhpic characteristics, rate and types of admission continuation, and rate of readmission were compared between 224 patients who admitted in 2016 and 221 patients who admitted in 2018. To compare the characteristics of the two groups, t-test and chi-square test were performed. Results : There is no difference in clinical and sociodemographic characteristics between 2016 and 2018 group. There was no difference in the rate of admission continuation before and after the revision of act, while the rate significantly decreased from 61.9% to 50.0% when patients with substance use disorder were excluded from overall group. Among those who maintained hospitalization, the proportion of voluntary admission increased from 5.5% to 13.1%. The rate of readmission after discharge from the emergency hospitalization within 1 and 3 month period increased after the revision of the act. Conclusion : This study showed that the proportion of voluntary admission increased in admission continuation, and this change is in accordance with the purpose of the revision of the Mental Health Promotion and Welfare Act. On the other hand, the rate of admission continuation decreased in a subgroup of patients, and the readmission rate after discharge from the emergency hospitalization increased. Current findings suggest that the Mental Health Promotion and Welfare Act needs further complementation and improvement.

      • KCI우수등재

        중소병원 간호 · 간병통합서비스 병동 근무 간호사의 업무 관련 특성과 수면의 질

        신수진(Shin, Sujin),이인영(Lee, Inyoung),김정현(Kim, Jeonghyun),배성희(Bae, Sung-Heui) 기본간호학회 2019 기본간호학회지 Vol.26 No.4

        Purpose: The purpose of this study was to examine the sleep quality of nurses in the comprehensive nursing care units of small-medium sized hospitals, and general and work-related characteristics associated with sleep quality of nurses. Methods: Participants were 312 nurses in comprehensive nursing care units of eight small and medium hospitals. The data were collected between June and August, 2018. A survey questionnaire including, sleep quality, general, and work-related characteristics of nurses was used. The data were analyzed using SPSS/WIN 23.0 program with descriptive statistics, independent t-test, and x² test. Logistic regression analyses were used to identify factors associated with sleep quality. Results: The average score for sleep quality was 8.58±3.18 (0~21). Using a cut-off point of 8.5, 51.9% were poor sleepers. Sleep quality was associated with age (Odds Ratio [OR]=0.93, 95% Confidence Interval [CI]=0.88~0.99). Conclusion: Age was identified as a factor associated with sleep quality among nurses in the comprehensive nursing care units at small and medium sized hospitals. Researchers and nurse administrators need to develop and provide strategies to improve young nurses’ sleep quality.

      • KCI등재

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