In an attempt to evaluate the content and process of clinical practice in the baccalaureate nursing curriculum of Korea University and to identify perceived obstacles
of clinical practice and to propose an innovative principle for the promotion of clinical , nursing education program, a descriptive research was designed and carried out.
Data were obtained from 41 senior nursing students of Korea university, 50 nurse-graduates of Korea University within 2 years and have worked as staff nurses in Korea University Hospitals, and 44 head nurses and supervisers of Korea University hospitals dually assigned to carry out clinical instructions for nursing students by Korea University.
By 35-item, 5-point Likert opinionaire, developed by the researchers, data were gathered from May 15 to 31, 1996. Frequency, percentage, mean, stanard deviation were calculated, Factor-analysis, ANOVA and Duncan´s multiple range test by pc-SAS program were carried out.
Results are as follows
1. By the Uarimax rotation factor analysis of 35 items related to the evaluation of clinical practice of nursing students revealed to be divided into 3 domains namely
educational environment of clinical settings, the contents of clinical practicum, and professors. The level of evaluation -score on 35-item was comparatively low (mean=2.86, ranging 1-5) ; educational environment of clinical settings (mean=2.65) , professors (mean=2.95) and content of clinical practicum (mean=3.04) respectively.
2. The level of evaluation scores of 3 domains between 3 groups; nursing students, staff nurses and clinical instructors showed statistically significant differences (F=32. 18, P=. 001, F=15.10, P=. 001, F=4.76, P=. 05) . Duncan´s multiful range test revealed that the nursing students and the staff nurses revealed the significantly lower scores than clinical instuctors in all 3 domains of evaluation.
3. The analysis of rank order of the perceived obstacles and the proposed priority of tasks to overcome obstacles; ´the shortage of nurse manpower in clinical settings revealed to be the highest in the rank of obstacles, and the innovative clinical teaching system by ´full-time clinical instructors stationed in specific clinical settings be adopted´ revealed the_ highest in the rank order.
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