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Purpose: This study aimed to evaluate senior baccalaureate nursing students' knowledge and visual differentiation ability for the pressure injury classification system (PICS) and incontinence-associated dermatitis (IAD). Methods: A cross-sectional survey was conducted using a paper-based questionnaire with 120 senior baccalaureate nursing students in South Korea. Data were collected using a knowledge test (KT) and a visual differentiation tool (VDT) based on 21 photographs with clinical information related to PICS and IAD. Results: Students had relatively high KT scores (62.6%), and low VDT scores (35.6%). Critical issues in this study were nursing students' lack of an adequate visual differentiation ability to accurately assess the stage of pressure injury and IAD and their higher level of confusion in identifying unstageable, deep tissue injuries, and IAD compared to stage 1-4 injuries. Satisfaction with education (r=.20, p<.05) and exposure to various teaching methods (r=.21, p<.05) exhibited significant correlations with higher VDT scores. Conclusion: The findings of this study suggest that increasing students' satisfaction with their education and applying various teaching methods can contribute to the improvement of visual differentiation ability in PICS. [ABSTRACT FROM AUTHOR]

Purpose: This study investigated the effects of augmented reality (AR) smart glasses-based nursing skills training for nursing students' medication administration safety competency. Methods: A nonequivalent control group non-synchronized design was used. The participants were 63 sophomore nursing students taking fundamental nursing practice, with 33 in the experimental group and 30 in the control group. The nursing intervention in this study was AR smart glasses-based training on peripheral intravenous infusion nursing skills. In the pretest, information about participants' general characteristics and confidence in medication safety were collected, and the post-test measured flow degree, learning satisfaction, skill competency, and confidence in medication safety. The collected data were analyzed using the χ² test, the Fisher exact test, and the independent t-test. Results: There were significant differences in the flow degree score, learning satisfaction score, and skill competency score between the two groups. Conclusion: This study confirmed that providing AR smart glasses-based nursing skills training for medication administration contributed to increasing flow degree, learning satisfaction, and skill competency among nursing students. [ABSTRACT FROM AUTHOR]

Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: Apre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and re-peated-measures analysis ofvariance. Results The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study is to identify the effect of nursing students' perception of emerging infectious disease, ethical awareness and nurse image on their career identity in a pandemic situation. Methods: Data were collected from 247 nursing students within universities of Daejeon, Gimcheon and Yeongdong area from May 18 to June 20, 2020. The data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and regression analysis. Results: The subjects of this study had high level of perception of novel infectious disease (3.72±0.43), ethical awareness in pandemic situations (4.06±0.48), and nurse image (4.07±0.49), but low level of career identity (1.99±0.51). Career identify was significantly correlated with perception of novel infectious disease (r=.18, p=.005), ethical awareness in pandemic situation (r=.16, p=.011), and nurse image (r=.32, p<.001). However, excluding grade and residential area among the general characteristics, only the nurse image (β=.35, p<.001) was identified as a factor influencing career identity, and the explanatory power was 13.1%. Conclusion: To increase the career identity of nursing students, it is necessary to raise professional nurses' social awareness and develop a positive nurse image. [ABSTRACT FROM AUTHOR]

This study aimed to examine the experiences of nursing students who took a clinical practicum in geriatric nursing through virtual and hybrid simulation. Methods: The study employed a mixed-method design. Participants in quantitative research were 94 nursing students (Virtual simulation group: 45, Hybrid simulation group: 49). Qualitative research was conducted with 4 focus groups (7 students per group). Quantitative data were analyzed using x² and t-test with SPSS/WIN 23.0. Qualitative data were analyzed using content analysis. Results: The hybrid simulation group had significantly more interest in gerontological nursing (t=10.45, p=.002), sharing opinions (t=6.93, p=.010), and recognition of one's own strengths and weaknesses (t=15.90, p<.001) than the virtual simulation group. The two simulation training experiences were shown in five themes: (1) space and relationship, (2) role differences as learners, (3) higher-order thinking skills, (4) embodied knowledge by acquisition, and (5) differences in perspectives on patients. Overall, the learning attitude according to the hybrid simulation was reported to be higher than that of the virtual simulation. Conclusion: This study is meaningful in that it suggests an effective method for nursing practice for older adults by comparing the experience of virtual simulation and hybrid simulation methods in clinical practice of gerontological nursing. [ABSTRACT FROM AUTHOR]

Purpose: Climate change has various negative effects on human health, which has resulted in increased burden on the health care sys-tem. Nurses contribute significantly to assessing climate-related health risks and creating a healthy environment. This study aimed to evaluate the reliability and validity of the Korean version of the Climate, Health, and Nursing Tool (K-CHANT) to measure nurses' aware-ness, motivation, concern, and behaviors at work and at home regarding climate change and health. Methods: The 22 items of English CHANT were translated into Korean with forward-backward translation techniques. Internal consistency reliability, test-retest reliability, and construct validity using confirmatory factor analysis were performed using SPSS WIN (25.0) and AMOS (26.0). Survey data were collected from 220 master's, doctoral, and post-doctoral nursing students. Results: The K-CHANT consists of 20 items across 5 domains. Two items of the original CHANT were excluded because of low content validity index and standardized regression weights. The internal consistency reliability of the K-CHANT, assessed by Cronbach's a was .81, with an intraclass correlation coefficient of .66~.90. The five subscales model was validated by confirmatory factor analysis (SRMR < .08, RMSEA < .08, AGFI > .70, CFI > .70). Conclusion: The K-CHANT has satisfactory construct validity and reliability to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Future research should examine nurses' perceptions and behaviors related to the health effects of climate change and develop an action plan to improve it. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to evaluate the effects of head monted display based home-visits virtual reality simulation (HVRS) program developed for undergraduate nursing students. Methods: A nonequivalent control group with a non-synchronized design was utilized and 84 participants (experimental group, 44; control group, 40) were recruited from August 31, 2020 to November 8, 2020 in Gwangju metropolitan city. The HVRS program consisted of scenarios of three nursing cases, hypertension, diabetes mellitus, and stroke. Data were analyzed SPSS version 25.0 for Windows. Results: At the completion of HVRS, significant differences were found between groups in knowledge of home-visits (t = 4.73, p < .001), self-confidence (t = 6.63, p < .001), self-efficacy (t = 3.13, p = .002), and clinical competency (t = 4.13, p < .001). No significant difference was shown between groups in nursing knowledge about strokes, a subcategory of knowledge pertaining to home visits. Conclusion: The HVRS program developed for undergraduate nursing students is effective in improving knowledge of home-visits, self-confidence, self-efficacy, and clinical competency for nursing students. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to investigate the effects of an education program using a high-fidelity simulator of labor and delivery on nursing knowledge, critical thinking, and clinical performance among nursing students who had not yet experienced clinical practicum. Methods: The development of a 5-week maternity nursing education programs using high-fidelity simulators included modules containing case-oriented scenarios, knowledge, and skills required for maternity care. A randomized controlled study was conducted to verify the effects of the developed program. Data were collected from October 21 to December 9, 2019. The experimental group (n=36) participated in a 5-week high-fidelity simulation program on care for the woman in labor, whereas the control group (n=36) received standard education as lecture and practice with delivery model. The collected data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the Chi-square test, Fisher exact test, and t-test. Results: For participants who received education using the high-fidelity simulation program, nursing knowledge (t=2.33, p=.011), critical thinking (t=3.73, p<.001), and clinical performance (t=2.53, p=.006) were significantly higher than in the control group. Conclusion: Even for students with no clinical experience, high-fidelity simulation-based nursing education was effective in improving nursing knowledge, critical thinking, and clinical performance among nursing students. Nurse educators will be able to use this high-fidelity simulator effectively, especially in situations where direct clinical practicum may not be feasible. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to explore nursing students' recognition and understanding of the clinical environment of high-risk neonatal nursing care after watching a documentary about the neonatal intensive care unit (NICU), where high-risk newborns are treated. Methods: This study was a qualitative content analysis. In total, 151 nursing students' personal essays describing their reactions to a documentary about the NICU were analyzed using the NVivo 12 program. Results: Nursing students' experiences of engaging with a documentary about the NICU were structured into four thematic categories: 'actual observations of the imagined NICU', 'observation and recognition of nursing knowledge', 'empathy with people related to the baby', and 'establishing attitudes and values as a nurse'. Conclusion: Based on the results of this study, it is suggested that documentaries can be applied in nursing education about high-risk newborns. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to identify awareness and competency for Multi-Drug Resistant Organisms (MDRO) infection control in nursing students with experience of clinical practice. Methods: This cross-sectional descriptive study was conducted from March 2019 to May 2019 by including 231 nursing students in four nursing schools located in Seoul, Gyeonggi-do and Chungcheongnam- do. The data were collected using self-report questionnaires. Results: The awareness and the competency for Carbapenem- Resistant Enterobacteriaceae (CRE) infection control were lower than that of Methicillin-Resistant Staphylococcus aureus (MRSA). The agreement between the awareness and the competency of MDRO infection control in participants was low with regard to isolation, contact precautions, and disinfection for MRSA. Also, it was low with respect to disinfection, isolation, contact precautions, and carrier identification for CRE. The awareness and the competency of MDRO infection control exhibited significant positive correlation. Conclusion: The infection control competency is required to prevent MDRO infection. In order to enhance the infection control competency, it is important to raise awareness about MDRO infection control by providing education based on the guidelines and the principles of infection control. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to identify subjective attitudes towards terminal patients in nursing students who had clinical practice. The types of subjective attitude were classified by applying Q methodology. According to those types, basic reference data for the development of educational programs were provided. Methods: Thirty-four final Q samples were selected, and Q classification with a nine-point scale was performed with P samples of 43 nursing students. A key factor analysis was conducted with the collected data using the PC QUANAL program. Results: Nursing students' attitudes towards terminal patients were grouped into three types. The total variable was 49.96%. Students with Type 1 ("wish for life-sustaining medical treatment") thought that terminal patients accurately understood their medical condition and wanted to prolong their lives. Others with Type 2 ("need for service and support") believed that a multidisciplinary nursing system needs to be established to help terminal patients prepare for death. Students with Type 3 ("awareness and acceptance of death") thought that terminal patients wanted to die with dignity at a hospice unit. Conclusion: This study analyzed various types of attitude towards terminal patients, as perceived by nursing students with clinical training experience. Development of educational programs for each attitude type analyzed in this study could contribute to systematic training programs for nursing students caring for terminal patients. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to review sexual abuse prevention education program for Korean elementary school students. Methods: Whittemore and Knafl's integrative review methods were used and Gough's weight of evidence was employed as a quality appraisal tool. Articles published in Korean or English were identified through electronic search engines and scholarly web sites using three keywords: "elementary school student", "sexual abuse", and "prevention education". Peer-reviewed articles published between 2000 and 2018 were included in this review. Results: Twelve articles met the inclusion criteria and were appraised as being high-quality. Among the 12 selected studies, seven were descriptive, while five were intervention studies. Sexual abuse prevention education programs were effective in improving perceptions, knowledge, attitudes, and preventive behaviors among elementary school students. However, deficiencies were found in the variety of educational methods, utilization of experts, and standardization of the content of sexual abuse prevention education. Conclusion: We need to provide various educational methods that are appropriate for specific developmental stages, and the sexual abuse prevention content should draw upon the current sexual education program administered to this population. Furthermore, parents and trained teachers or school health teachers should be included to provide effective education programs for elementary students. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to identify the relationships among nursing students' knowledge, attitudes to advance medical directives and ethics values. Methods: The study was a cross-sectional and descriptive survey, carried out with 232 students from two schools of nursing, one located in B and C city. Student nurses' knowledge, attitudes for advance medical directives and ethics values were measured using structured self-report questionnaires. Data were analyzed using t-test or one-way ANOVA, and Pearson correlation coefficients. Results: The scores for knowledge, attitudes for medical advance directives were 7.18 and 3.07, and for ethics values, 3.47. Nursing students' knowledge and attitude showed a significant difference depending on grade. Nursing students' ethics values showed significant differences depending on whether a study on ethics had been completed. A positive correlation was observed between nursing students' knowledge, attitudes for advance medical directives and ethics values. Conclusion: The results of this study indicate that basic data for the development of an effective education program on ethics is important in establishing a positive attitude toward advance medical directives and the appropriate ethical values in student nurses. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to compare the effects of simulation integrated with problem based learning (S-PBL) according to the sequences of problem-based learning (PBL) and high fidelity simulation training (HFS) on knowledge, clinical performance, clinical judgment, self-confidence, and satisfaction in fourth-grade nursing students. Methods: In this randomized crossover design study, four S-PBLs on medical-surgical nursing were applied alternatively to two randomly-assigned groups of 26 senior nursing students for 8 weeks. The collected data were analyzed using an independent t-test. Results: The method of administering PBL prior to HFS led to significantly higher scores on knowledge (t=2.28, p=.025) as compared to the method of administering HFS prior to PBL. However, the latter method led to significantly higher scores on clinical performance (t=-6.49, p<.001) and clinical judgment (t=-4.71, p<.001) as compared to the method of administering PBL prior to HFS. There were no differences in the effect of the two methods on self-confidence (t=1.53, p=.128) and satisfaction (t=1.28, p=.202). Conclusion: The integration sequences of S-PBL was associated with different learning outcomes. Therefore, when implementing S-PBL, it is necessary to consider the educational goal to executes an appropriate sequence of integration. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education. Methods: Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students' skill training, and evaluators' training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing. Results: ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups. Conclusion: This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC. [ABSTRACT FROM AUTHOR]

Purpose: This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses. Methods: The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who were in 4th year of nursing at one College of Nursing. Results: When comparing knowledge of falls before and after the simulation program, it was found that knowledge increased by 4.90 (from 24.60 pre-test to 29.50 post-test). For clinical performance of fall management, the score for assessment was 10.17 out of 16, for intervention 5.97 out of 10, and for evaluation 7.33 out of 8. The average score for reporting a fall to the doctor was 19.87 out of 30 based on SBAR. Prior to the implementation of the simulation program, the confidence of reporting to the physician was less than 5 in all four areas, but self-confidence improved by more than 6 points in all four areas after the program was implemented. Conclusion: Findings indicate that results of fall management simulation practice can contribute to nursing students' knowledge of falls, as well as to nursing interventions and post-treatment following a patient fall. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to identify the factors that affect nursing students' perception of pediatric safety nursing activities for children during hospitalization. Methods: The study sample included 304 nursing students who had participated in pediatric nursing practice. Data were analyzed using SAS 9.3 program. Results: Regression analysis showed that the model's explanatory power was 37%. Safety policy and procedure, safety priority, disaster experience, and knowing a place of refuge were factors affecting the perception of safety nursing activities for children during hospitalization. Conclusion: Findings show that safety policy and procedures and safety priority are major factors that affect the perception of safety nursing activities and indicate that effective education programs on safety policy and procedure and safety priority are necessary to improve the perception of safety nursing activities. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to investigate e-health literacy and self-care agency of nursing students and non-health department women college students. Methods: A descriptive comparative design was used. Participants were 67 nursing students and 67 non-health department women college students between 18 and 25 years old from a university located in Seoul. Data collection was done from September 2 to October 5, 2016 using structured questionnaires. Data were analyzed using independent t-test, א² test, ANCOVA, ANOVA, Scheffé test, and Pearson's correlation coefficients with SPSS 23.0. Results: e-Health literacy had significant difference (F=1.95, p<.018) between nursing students and non-health department women college students. However, self-care agency was not significantly different (F=1.05, p=.426). There were significant positive correlation (r=.63, p<.001) in e-health literacy and self-care agency of nursing students. Conclusion: The results of this study suggest that education programs should be provided to improve the e-health literacy and self-care agency for women college students. [ABSTRACT FROM AUTHOR]

Purpose: With the increase of foreigners using Korea health facilities, it is important for nurses to be culturally competent. Thus, the purpose of this study was to examine the effects of a cultural competence educational program on the cultural competence of nursing students. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. For the experimental group there were 42 participants from one school and for the control group, 40 from another school. The experimental group participated in the 14 week multicultural nursing education program while the control group participated later after the experiment was finished. Data were collected using self-report structured questionnaires prior to the intervention and right after the intervention, and were analyzed using descriptive statistics, א² test, and independent t-test with SPSS 18.0 program. Results: The experimental group reported significant positive changes for cultural knowledge (t=3.99, p<.001), cultural awareness (t=3.92, p<.001), cultural acceptance (t=2.25, p=.027), and cultural competence behaviors (t=4.30, p<.001) compared to the control group. Conclusion: The results of the study indicate that the cultural competence educational program developed by the researchers is effective in raising the level of cultural knowledge, cultural awareness, cultural acceptance, and cultural competence behaviors of nursing students. [ABSTRACT FROM AUTHOR]

Purpose: In this study an examination was done of nursing students' knowledge, awareness and performance of standard precaution guidelines designed to prevent medical-related infections. Methods: Participants in this study were 184 junior and senior college nursing students who completed a clinical practice. Data collection was done from December 3 to 21, 2016 and was analyzed using SPSS/WIN 18.0. Results: The mean score for awareness of standard precautions was 4.77±0.35, and the mean score for performance of standard precautions was 4.45±0.41. Performance was lower than awareness. Knowledge of standard precautions had a positive correlation with performance of standard precautions (r=.23, p=.002). There was also a positive correlation between awareness and performance of standard precautions (r=.49, p<.001). Stepwise regression analysis showed that the factors affecting the performance of standard precaution totaled 27.3% of determination coefficient due to the degree of observation and knowledge, awareness of standard precautions. Conclusion: The results of this study show that factors influencing performance of standard precautions are the degree of observation of the students themselves and their knowledge and awareness of standard precautions and also provide basic data necessary to develop education programs for nursing students to improve their performance of standard precautions. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to examine the relationship between handwashing knowledge and handwashing compliance in nursing students and to identify the moderation and mediation effects of self-efficacy and perceived behavioral control on the relationship. Methods: The participants were 172 nursing college students who completed the self-report measures. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient, Multiple regression analysis was used to test moderation and mediation effects. Results: The score for knowledge of handwashing was higher in participants who had completed fundamentals of nursing practicum (t=-6.54, p<.001) and the score for compliance with handwashing was higher in participants who had completed clinical practicum (t=-3.81, p<.001) or fundamentals of nursing practicum (t=-5.97, p<.001). Self-efficacy showed a significant moderation effect (z=2.21, p=.027) but not a mediation effect while perceived behavioral control had a significant mediation effect but not a moderation effect on the relationship between knowledge of handwashing and compliance. Conclusion: Findings indicate that clinical practicum and fundamentals of nursing practicum were helpful to nursing students in acquiring knowledge and in practicing proper handwashing technique. These findings suggest that continuing and repetitive education programs on handwashing need to be enhanced and strategies to strengthen self-efficacy and perceived behavioral control need to be included in education programs. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to identify prevalence and risk factors of needlestick injuries (NSI) among nursing students. Methods: Data were collected using self-administered questionnaires which included general and practical characteristics, safe environment risk factors, knowledge, attitude, and preventive behavior associated with NSI. Data were conducted from December 14-20, 2014 and analyzed using χ² test and multiple logistic regression. Results: The incidence rate of NSI was 20.2%. Multiple logistic regression analysis identified four predictors for NSI which were statistically significant; carelessness (OR=1.49, 95% CI=1.04~2.11), status of hospital, university affiliated (OR=1.93, 95% CI=1.35~2.75), knowledge about handing the needle after NSI (OR=1.42, 95% CI=1.00~2.03), and barriers to NSI preventive behavior (OR=1.48, 95% CI=1.04~2.12). Conclusion: Management of carelessness and barriers to NSI preventive behavior are essential elements for reducing the risk of NSI in nursing students. It is necessary to develop a specific NSI precaution program for nursing students. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to identify factors affecting student adjustment to college among students in health colleges (Nursing, Clinical Pathology, Radiology, Dental Hygienics, Medicine). Methods: The participants in this study were 261 students in Daejeon city. Data were collected from October 5 to October 14, 2014. A structured questionnaire was used for data collection and data was analyzed using the SPSS/WIN program. Results: Career attitude maturity, calling and work as meaning positively correlated with student adjustment to college. The significant predictors of student adjustment to college were career attitude maturity, calling, always working part-time, major in medicine and average grade for the last semester. Conclusion: These findings suggest that adjustment to college for students in health colleges is linked to career attitude maturity, and calling. College organization should develop a curriculum fostering a calling which will promote student adjustment to college and graduate health care professionals with desirable attitudes. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to develop a dementia care voluntary program for nursing students and to evaluate effects. Methods: This research was a methodological triangulation study using a non-equivalent control group pretest-posttest design and focus group interviews. For the dementia care voluntary program, nursing students received education in dementia before visiting elderly people with early dementia. The program covered integrated care through 16 sessions (32 hours) over 8 months. Participants were 44 students recruited from W University, (experimental group: 20) and (control group: 24). Alzheimer's Disease Knowledge Scale and Dementia Attitudes Scale were used. Data were analyzed using descriptive statistics, t-test, repeated measure ANOVA with SPSS 22.0 and content analysis. Results: Knowledge scores increased in both groups, however, changes did not differ significantly between groups or in the interaction between group and time. Scores differed significantly by time. Attitudes scores showed improvement in both groups, in addition, there were significant differences between groups, for time and interactions between group and time. Through qualitative analysis, two themes were extracted: ‘changes in perception of elderly people with dementia’ and ‘self-growth.' Conclusion: This program was found to be effective in fostering nursing students' knowledge and positive attitudes toward people with dementia. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to analyze the effects of simulation-based training on nursing students' knowledge and ability to perform advanced cardiovascular life support. Methods: A nonequivalent control group non-synchronized design was used. The participants were, in total, 59 junior college nursing students (experimental group: 30, control group: 29). The data were analyzed with a X2-test, independent t-tests, and analysis of covariance (ANCOVA) using IBM SPSS Statistics 23 program. Results: The experimental group (80.8 ±8.4), who received simulation-based advanced cardiovascular life support education, showed a higher level of knowledge of advanced cardiovascular life support than the control group (75.0 ±9.9), who received lecture-based education. In addition, the experimental group (106.4 ±11.9) showed a higher level of ability to perform advanced cardiovascular life support than the control group (86.5 ±9.9). Conclusion: Simulation-based advanced cardiovascular life support education was more effective for increasing the knowledge and performance ability of college students than lecture-based education. Therefore, simulation-based training should be used to improve the knowledge and ability of nursing students and should be applied with reinforced systematic education programs. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study is to judge the quality of clinical skills assessment in Busan-Gyeongnam Consortium. Methods: Fourth grade medical school students (n=350 in 2012 and n=419 in 2013) in the Busan-Gyeongnam Consortium were included in the study. The examination was consisted of 6 clinical performance examination (CPX) and 6 objective structured clinical examination (OSCE) stations. The students were divided into groups to take the exam in 4 sites during 3 days. The overall reliability was estimated by Cronbach α coefficient across the stations and the case reliability was by α across checklist items. Analysis of variance and between-group variation were used to evaluate the variation of examinee performance across different days and sites. Results: The mean total CPX/OSCE score was 67.0 points. The overall α across-stations was 0.66 in 2012 and 0.61 in 2013. The a across-items within a station was 0.54 to 0.86 in CPX, 0.51 to 0.92 in OSCE. There was no significant increase in scores between the different days. The mean scores over sites were different in 30 out of 48 stations but between-group variances were under 30%, except 2 cases. Conclusion: The overall reliability was below 0.70 and standardization of exam sites was unclear. To improve the quality of exam, case development, item design, training of standardized patients and assessors, and standardization of sites are necessary. Above of all, we need to develop the well-organized matrix to measure the quality of the exam. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to understand the lived experiences of nursing students' during Leboyer. Methods: Eleven senior nursing students were recruited from April to June in 2010. After completing informed consents, data were collected through in-depth interviews. All interviews were recorded and transcribed verbatim before analyzing. Nursing students were asked about their observational experiences during Leboyer births. Data were analyzed by using the Colaizzi style. Results: Interviews revealed 4 categories and 9 themes. The categories were: 'Respecting and blessing new baby', 'Keeping calm and joyful birth atmosphere', 'Reminding the meaning of nursing', 'Comparing Leboyer and convenience birth and making up their mind'. Conclusion: This study showed that observation of Leboyer birth is helpful for nursing students in order to have positive impression about childbirth. Furthermore, it is suggested that an exploration of the experiences of women and their husbands during Leboyer births would be helpful. On the basis of this study, it is concluded that the Leboyer birth, which focuses on baby's human right, should be introduced women's health nursing field as an effective birth strategy. [ABSTRACT FROM AUTHOR]