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A Study on the Improvement of Clinical Nursing Education

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KMID : 0386619880100000105
Á¶Èñ/Cho, Hee
°­À±¼÷/Kang, Yoon Sook

Abstract

In the field of nursing studies education of clinical nursing experience is stressed in its importance moreover, it is regarded as an essential course enabling a nursing student to be qualified as a professional nurse. Hence, acknowledging some serious problems as lying in the course, a study was carried out to search for solutions. As an object of the survey, nursing professors and head nurses were chosen as they were in the position. of the nursing student¡¯s educators. The results of this survey are as follows : 1. The problems which nursing professors had identified in clinical areas were use of students manpower in training facilities in varied experience of nursing experience (owing to the simplicities in contents of training) deficient cooperation of the clinical area (owing to their lack of educational understanding) deficiency of instructing hours for nursing care(owing to excessive amount of work imposed upon instructors)and the gaps between theory and practice etc. 2. The problems which head nurses had admitted were :insufficient time to direct the student on account of their tight schedules the inactive attitudes of students lack of guiding principle for specific nursing care educational indifference of director herself and insufficient nursing knowledge of director herself etc. 3. As for satisfaction in their instructions of clinical areas, nursing professors showed 53.9% ¢¥dissatisfactory and only 16.6% of them satisfactory. 4. As to the evaluation on achievements of new graduate nurses, both nursing professors and head nurses were of the opinion that the observing and understanding abilities(T 65, P>.05), integrating and evaluating abilities¢¥ (T=.97, P>.05)in the aspect of their knowledge were not satisfactory, and statistics showed no significant difference between these two groups. 5. The results of opinion about management of clinical nursing experience were as follows 1) Showing the highest ratio of their responses, nursing professors preferred the present status of the training management which was `two weeks of theoretical lecture and two weeks of clinical nursing experience¢¥(33.3%), while head nurses showed the highest proportion of their responses in favor of 1/4 weeks of lecture and 4 weeks of clinical nursing experience¢¥(33.6%)instead. Consequently, remarkable difference in statistics were observed in these two groups.(X=26.85, d.f=ll, P<.005) 2) As to the preferred instructors in charge of nursing experience, nursing instructors responded the highest rate to ¢¥professor¢¥(48.0%), while staff nurses responded to the ¢¥part time training lecturer¢¥(50.4 %) showing the highest rate ; accordingly the statistics showed noticeable difference in between. For the second order nursing professors preferred ¢¥part time training lecturer¢¥(41.2%), while staff nurses preferred `the head nurses¢¥(38.9%) for next order, which also showed significant difference in between.(X=34.95, d.f=3, P<.005) 3) As to the educational background of a part time training lecturer, nursing instructors responded the highest rate on the one who holds a Master¢¥s degree with clinical care experience for more than 2 years¢¥(54.9%), while 57.5% of staff nurses responded on the one who holds a Bachelor¢¥s degree with clinical care experience for more than two years¢¥, again the difference between the two groups were statistically significant(X=34. 95, df =3, P<.005) 6. Suggestions for improvement of clinical experience are as follows; 1) Suggestions by nursing professors By arranging a regular meeting composed of teaching staffs of college and head nurses, discussions are available for the matters of students experience for exchange of new knowledge and information¡¯s and for the cultivation of mutual friendship. Invitation of a in-service staff as a visiting instructor attendance of professor in the time of continuing education at the training facilities etc. 2) Suggestions by staff nurses By holding a regular meeting composed of nursing professors and head nurses to discuss matters concerning students clinical experience to promate every mutual understanding to exchange fresh knowledge and to carry out the workshop programs and need for a detailed guiding principle for clinical training. Based on the above results, following suggestions are made as a conclusion 1. It needs wide range of follow-up studies inclusively to reexamine and reappraise the problems that lie in clinical nursing experience. 2. Each administrative staffs and in-service staffs in charge of both educational and training facilities need to have a regular consultation as often as possible for its tangible attainment of close cooperation¡¯s and reinforced relations between college and training facilities.
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