Nursing and medical students’ perceptions of an interprofessional simulation-based education: a qualitative descriptive study / 한국의학교육

Purpose@#The purposes of this study were to describe the development and implementation of an interprofessional simulation-based education (IPSE) for undergraduate nursing and medical students, their perceptions of the impact of IPSE, and identify their changes in attitudes toward each other’s health professions after participating in IPSE in South Korea. @*Methods@#This study used a qualitative descriptive design. A purposive sample of 43 third-year medical students and a convenient sample of 44 fourth-year nursing students participated in a 2-day IPSE program that consisted of ice-breaking and patient safety activities, and 4-hour three interprofessional team-based high-fidelity simulation education sessions. Data were collected through reflective journal after the IPSE program and keywords before and after the IPSE program, and were analyzed using the content analysis and word cloud analysis. @*Results@#Three themes emerged: “positive experience” with understanding roles and responsibilities and learning by doing in simulation environments being reported. In the second theme, “positive learning outcomes” participants reported enhancing collaboration and confidence in communication skills. The final theme “benefits to patients of interprofessional collaborative practice” included high quality of care and patient safety. Before the IPSE experience, most medical students perceived the nurse as nightingale and syringe, and nursing students perceived the doctor as order, expert, and knowledge. After their IPSE experience, both nursing and medical students viewed each other as colleagues. @*Conclusion@#These results suggest that the use of high-fidelity team-based simulation in IPE is effective in practicing and developing undergraduate nursing and medical students’ interprofessional collaboration through hands-on experience.

Nursing and medical students’ perceptions of an interprofessional simulation-based education: a qualitative descriptive study / 한국의학교육

Purpose@#The purposes of this study were to describe the development and implementation of an interprofessional simulation-based education (IPSE) for undergraduate nursing and medical students, their perceptions of the impact of IPSE, and identify their changes in attitudes toward each other’s health professions after participating in IPSE in South Korea. @*Methods@#This study used a qualitative descriptive design. A purposive sample of 43 third-year medical students and a convenient sample of 44 fourth-year nursing students participated in a 2-day IPSE program that consisted of ice-breaking and patient safety activities, and 4-hour three interprofessional team-based high-fidelity simulation education sessions. Data were collected through reflective journal after the IPSE program and keywords before and after the IPSE program, and were analyzed using the content analysis and word cloud analysis. @*Results@#Three themes emerged: “positive experience” with understanding roles and responsibilities and learning by doing in simulation environments being reported. In the second theme, “positive learning outcomes” participants reported enhancing collaboration and confidence in communication skills. The final theme “benefits to patients of interprofessional collaborative practice” included high quality of care and patient safety. Before the IPSE experience, most medical students perceived the nurse as nightingale and syringe, and nursing students perceived the doctor as order, expert, and knowledge. After their IPSE experience, both nursing and medical students viewed each other as colleagues. @*Conclusion@#These results suggest that the use of high-fidelity team-based simulation in IPE is effective in practicing and developing undergraduate nursing and medical students’ interprofessional collaboration through hands-on experience.

Influential Factors of Complicated Grief of Bereaved Spouses from Cancer Patient

PURPOSE: The purpose of this study was to investigate variables and construct paths that affect complicated grief. METHODS: Participants in this cross-sectional, descriptive study were 164 bereaved spouses of cancer patients at least 12 months before the death. Data were collected from October 2016 to February 2017 using self-report structured questionnaires and were analyzed using IBM SPSS 21.0 and AMOS 20.0. RESULTS: The variables affecting complicated grief of bereaved spouses of cancer patients were the quality of end-of-life care (γ=.15, p < .001), preparedness for death (β=−.06, p=.005), and coping with bereavement (β=−.24, p < .001), whereas the quality of death and dying did not show any effects. Preparedness for death had multiple mediating effects in the relationship between the quality of end-of-life care and complicated grief (z=−2.20, p=.028), and in the relationship between the quality of end-of-life care and coping with bereavement (z=2.11, p=.035). Coping with bereavement had a mediating effect on the relationship between preparedness for death and complicated grief (z=−2.39, p=.017). CONCLUSION: This study revealed that preparedness for death and coping with bereavement play a prominent role in complicated grief. Therefore, it is important to help in preparing for death and enhancing coping with bereavement of spouses providing end-of-life care to cancer patients. In addition, investigating cultural differences in the relationship between the quality of end-of-life care and complicated grief is recommended.

Influential Factors of Complicated Grief of Bereaved Spouses from Cancer Patient

PURPOSE@#The purpose of this study was to investigate variables and construct paths that affect complicated grief.@*METHODS@#Participants in this cross-sectional, descriptive study were 164 bereaved spouses of cancer patients at least 12 months before the death. Data were collected from October 2016 to February 2017 using self-report structured questionnaires and were analyzed using IBM SPSS 21.0 and AMOS 20.0.@*RESULTS@#The variables affecting complicated grief of bereaved spouses of cancer patients were the quality of end-of-life care (γ=.15, p < .001), preparedness for death (β=−.06, p=.005), and coping with bereavement (β=−.24, p < .001), whereas the quality of death and dying did not show any effects. Preparedness for death had multiple mediating effects in the relationship between the quality of end-of-life care and complicated grief (z=−2.20, p=.028), and in the relationship between the quality of end-of-life care and coping with bereavement (z=2.11, p=.035). Coping with bereavement had a mediating effect on the relationship between preparedness for death and complicated grief (z=−2.39, p=.017).@*CONCLUSION@#This study revealed that preparedness for death and coping with bereavement play a prominent role in complicated grief. Therefore, it is important to help in preparing for death and enhancing coping with bereavement of spouses providing end-of-life care to cancer patients. In addition, investigating cultural differences in the relationship between the quality of end-of-life care and complicated grief is recommended.

Factors Influencing Meaning in Life of Nursing Students / 한국간호교육학회지

PURPOSE: The purpose of this study was to identify the factors influencing meaning in life of nursing students. METHODS: This was a descriptive survey study. Data were collected using questionnaires from a sample of 210 nursing students. Data were analyzed using frequencies, means, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis with SPSS 21.0. RESULTS: The mean of the score from the meaning in life was 4.82. There were significant differences in subjects' perception of meaning in life according to school year, grade level, motivation to apply to a nursing program, and satisfaction with a nursing major. Meaning in life was significantly correlated with positive affect, subjective happiness and social support, which were significant predictors (49.1%) of meaning in life. CONCLUSION: To improve meaning in life of the nursing students, pay attention to positive affect, subjective happiness, and social support.

The Effects of Lessons using Action Learning on Nursing Students / 한국간호교육학회지

PURPOSE: The purpose of this study was to investigate the effects of action learning on critical thinking disposition, communicative competence, and problem-solving ability in nursing students. METHODS: The design for this was a nonequivalent control group pretest-posttest design was used for identification of the effects of lessons using action learning. The consenting participants were 184 fourth-year nursing students in D-city (Experimental group=95, Control group=89). Data was collected and the program was conducted from May 2 to July 19, 2015. Data was analyzed with an chi2-test, a t-test, and a paired t-test and utilized the SPSS win 21.0 program. RESULTS: There were significant differences in critical thinking ability (t=5.00, p<.001), problem-solving ability (t=4.52, p<.001), and communicative competence (t=4.97, p<.001) in the experimental group compared to the control group. CONCLUSION: The study findings suggest that action-learning programs have proven to be an effective educational program for improving the critical thinking ability, problem solving ability, and communicative competence of nursing students. Action learning can be an effective teaching strategy.

Nutrition Knowledge, Food Habit Problems and Dietary Attitudes of Nursing Students / 한국간호교육학회지

PURPOSE: This study investigates the relationship among nutrition knowledge, food habit problems and dietary attitudes in nursing students. METHODS: A total of 856 nursing students participated in the study. Data was analyzed by frequencies, t-tests, ANOVA, Pearson correlation coefficients, and multiple stepwise regressions via SPSS WIN 21.0. RESULTS: The mean scores for nutrition knowledge and dietary attitudes were above average and the score related to food habit problems was high. Dietary attitudes correlated positively with nutrition knowledge, but dietary attitudes correlated negatively with food habit problems. Significant predictors of dietary attitudes included: food habit problems, interest in nutrition and health, exercise, and drinking. The regression model explained 16.4% of perceived dietary attitudes. CONCLUSION: To improve dietary attitudes among nursing students, nursing educators should develop nutritional educational intervention programs in order to promote nutrition knowledge and identify food habit problems.

The Effect of a Discharge Education Program for Readmitted Chemotherapy Patients on Compliance with Sick Role Behavior and Educational Satisfaction

PURPOSE: This study was designed to evaluate the effects of a discharge education program for hospitalized readmitted patients with chemotherapy-in terms of sick role behavior and educational satisfaction. METHODS: The data were collected with a nonequivalent control group non-synchronized design and were analyzed with a nonequivalent control group pre-posttest design. The subjects included 49 patients with cancer, 25 in the experimental group, and 24 in the control group. Data were analyzed with spss win 21, chi2-tests, paired t-tests, and independent t-tests. RESULTS: The experimental group was educated according to their needs at discharge, and they showed higher compliance with sick role behavior. CONCLUSION: To improve compliance with sick role behavior, readmitted hematologic neoplasms chemotherapy patients should receive discharge education according to their needs at the clinic by using an educational manual.