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Effect on Problem-Based Learning with Simulation in Nursing Student According to Team Activity Satisfaction: Self-Directed Learning Ability, Communication Apprehension

EunJoo JI

Health Communication.2023;18(2):57-64. doi:10.15715/kjhcom.2023.18.2.57

Background: : This study was conducted to investigate the effect of problem based learning with simulation (S-PBL) on nursing students according to different levels of team activity satisfaction. Methods : A total of 46 nursing students at a university was surveyed. The data were collected using a self-report questionnaire and were analyzed using SPSS/WIN 24.0. Results : Self-directed learning ability improved (t=5.83, p<.001) and communication apprehension increased (t=2.24, p=.034), but not to the extent of high communication apprehension. According to different levels of team activity satisfaction, the improvement in self-directed learning ability was higher in the high satisfaction group and the evaluation of the class was also higher (t=6.92, p<.001). There was no difference in communication apprehension. Conclusion : Effective team building and lesson design are necessary to improve team activity satisfaction when running S-PBL classes.

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Key Elements for Effective Shared Decision-making in Digital Environments

Do-Kyong KIM ; Moon Jeong KIM ; Hyekyong KIM

Health Communication.2023;18(2):1-8. doi:10.15715/kjhcom.2023.18.2.1

Purpose: : We discussed what is needed for ‘Shared decision making (SDM)’ in the digital medical environment. Methods: : We looked at what needs to be considered for remote SDM by examining research data on communication and remote SDM operation in existing digital environments. Results: : The integration of digital technology in medicine has significantly enhanced remote communication between patients and doctors. Notably, both the quantity and quality of information exchanged among participants have markedly improved. Additionally, as patients can obtain information without relying on hospitals and doctors, the flow of information is changing from one-way (from doctor to patient) to mutual exchange between patients and doctors. SDM is a decision-making process that emphasizes patient participation, exchange of medical information and information about patient preferences, and decisions based on sufficient deliberation and consensus, and is premised on multiple meetings. To ensure effective SDM, it is necessary to understand the synchronous and asynchronous communication methods of digital technology and the exchange of expanded information. Conclusion : To facilitate successful remote Shared Decision Making (SDM), it is crucial for both patients and doctors to have digital literacy, health literacy, and maintain an attitude of respectful communication.

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The Method for Patient-centered Medical Communication(2): Focusing on the Doctor’s Expression of Respect for the Patient

Min-Ha JO

Health Communication.2023;18(2):125-133. doi:10.15715/kjhcom.2023.18.2.125

Purpose: : The purpose of this study is to examine patient-centered medical communication strategies, focusing on doctors’ expression of respect for patients in patient interviews. Methods: : A perception experiment was conducted on 18 adult male and female who experienced patient interviews within 6 months. For the data, actual patient interview conversations recorded from July 2022 to December 2022 were used. After judging the degree of respect on a Likert scale, the reason was described. Results: : The content factor is the most important in evaluating respect. This is a characteristic that occurs in both male and female. It is important to easily explain the patient’s medical condition and to coordinate the treatment stage. Respect should be expressed through honorifics and response expressions. It is important to give time and consult to make medical decisions carefully. Make eye contact, concentrate, listen, and respond appropriately. Conclusion : While kindness is a characteristic of revealing affectionate through non-verbal elements, respect can be said to reveal through verbal expressions that doctors perceive patients as cooperative partners.

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A Concept Analysis on Emotional Touch Nursing of 4th Industrial Revolution

Sun-Young JUNG ; Hyun-Deuk LEE

Health Communication.2023;18(2):113-123. doi:10.15715/kjhcom.2023.18.2.113

Purpose: : The purpose of this study was to investigate the nature of the emotional touch nursing, and to clarify the definitions and attributes of the concept in the 4th industrial revolution using hybrid models. Methods: : The definition and nature of emotional touch nursing were discussed thorough a review of the literature and analysis of the in-depth interview data conducted with patients and nurses. Results : Emotional touch nursing was defined as a professional nursing action in which a nurse touches the recipient. A variety of resources should be utilized in a specific way. Through cooperation with other medical staff, the patient’s health problems should be sensitively identified and professional nursing should be performed. At the same time, integrated care should be provided through direct physical contact or non-verbal communication with patients. Conclusion : It is necessary to lay the foundation for the knowledge and education system for emotional touch nursing in the future, and develop emotional touch nursing tools as basic data for quality management of nursing and nursing personnel management according to changing environments.

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Development of a Patient Safety Communication Training Program for Residents and Nurses in a University Hospital

Hyo Youl KIM ; Seongyup KIM ; Tae Hoon KONG ; SangWook PARK ; So-hee YANG ; Seok Jeong LEE ; Woo Jin JUNG ; Hyang Ok CHOI ; Kyung Hye PARK

Health Communication.2023;18(2):43-48. doi:10.15715/kjhcom.2023.18.2.43

Background: : This study aims to report the development process of a communication training program targeting residents and nurses in a university hospital and discuss the results of the analysis of questionnaire responses received from the participants. Methods : A training program comprising a lecture on prescription principles, team communication, role-playing using cases based on medical errors related to prescriptions was developed. This two-hour program was conducted four times from September to December in 2022, with 31 residents and 37 nurses. After the program, the participants completed a questionnaire about program satisfaction. Results : An analysis of the questionnaire responses received from 28 residents and 37 nurses revealed that participants had an average satisfaction score ranging from 4.18 to 4.44 for each item. No difference was found between the residents’ and nurses’ responses. The participants shared positive opinions regarding the efficiency of the role-playing experience. The areas highlighted as those requiring improvement were the inclusion of various cases, improvement of teamwork, and a reduction in lecture volume. Conclusion : The participants reported being satisfied with the two-hour program to improve prescribing-related communication for residents and nurses. Future research should improve the program contents by reflecting on the opinions of the participants, and grasp the efficacy of the program by using a tool to measure communication skills or attitudes toward interprofessional collaboration before and after the program.

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Burnout by Career Stage and its Mediating Effects on the Relationship between Job Stress and Nursing Performance in Clinical Nurses

Subeen JI ; Soonjoo PARK

Health Communication.2023;18(2):89-99. doi:10.15715/kjhcom.2023.18.2.89

We investigated the relationship between job stress, burnout, and nursing performance in clinical nurses. The effects of three types of burnout (personal, work-related, and client-related) in this relationship were also examined by career stage. Methods : Using convenience sampling, 280 clinical nurses were employed from four general hospitals in Korea. Data were collected using the Job Stress Scale, the Copenhagen Burnout Inventory, and the Nursing Performance Scale. Descriptive statistics and multiple regression analyses were employed. Results : Results revealed that burnout mediated the relationship between job stress and nursing performance. When participants were classified by career length—beginner, advanced beginner, competent, and expert— the type of burnout affecting nursing performance differed per their career stage: personal burnout for the beginner group, personal and work-related burnout for the advanced beginner group, and work-related and client-related burnout for the expert group. Conclusion : It is necessary to monitor and relieve clinical nurses’ job stress by providing various kinds of support such as improving workload management and enhancing team communication to prevent burnout and induce better nursing performance. Further, the differences in roles and duties by career stage should be considered when developing and applying clinical nursing interventions.

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Factors associated with Nursing Students’ Ethical Values: Focusing on Perceptions of Restraints use, Attitudes regarding use of Restraints and Nursing Professional Values

Sungwon SHIN ; Sunyoung JUNG

Health Communication.2023;18(2):101-111. doi:10.15715/kjhcom.2023.18.2.101

Purpose: : This Study is designed to identify factors related to ethical values that can help medical students preparing to become healthcare professionals make better ethical judgments in the face of conflicting opinions. Methods : This study is based on 114 Nursing students in University, preparing and studying to become healthcare professionals. The Data obtained from questionnaires to research perceptions of physical restraints use and attitudes regarding use of restraints, nursing professional values, and scale affect ethical values were analyzed using the SPSS/WIN 21.0. Results: : To research the effects of perceptions of physical restraints use, attitudes regarding use of physical restraints and nursing professional values on ethical values, a hierarchical regression analysis is conducted with three models. In Model 3, as the last step, the perceptions of physical restraints is not a significant predictor of ethical values. However, the attitudes regarding use of restraints and the nursing professional values are related to ethical values. Conclusion : The formation of deontological ethics, which begins with the proposition that life is important, can be approached through education related to nursing professional values and education related to physical restraints.

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Qualitative Content Analysis of Nursing Students’ Experiences in Simulation Practice using Patient Simulators

Eun Kyung LEE ; Mi Kyung PARK

Health Communication.2023;18(2):79-88. doi:10.15715/kjhcom.2023.18.2.79

Background: : The purpose of this study was to identify the attributes of nursing students’ simulation practice experiences utilizing a patient simulator. Methods: : Data collection was conducted through one-on-one in-depth interviews between March 10 and May 3, 2023. The participants were 15 fourth-year nursing students who had experienced simulation practice using a patient simulator. For analysis, all interviews were recorded and transcribed verbatim. The transcriptions were analyzed using Hsieh and Shannon’s (2005) qualitative content analysis method. Results: : The following four themes were derived: ‘Replicated clinical environment in nursing practical room’, ‘Course requiring preparation’, ‘Learning that varies depending on the instructor’, and ‘Process of nurse development through teamwork’. These results show the characteristics of nursing students who engage in simulation practice using a patient simulator. Conclusion : For effective simulation practice for nursing students, a program that complements the contents and methods based on simulation practice experience is needed.

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Comparisons of System Thinking and Innovative Behavior Among Students, Managers, and Educators in Nursing through Game-based Table-top Simulation

Young-Ju KIM ; Yoon-Hee NA

Health Communication.2023;18(2):21-27. doi:10.15715/kjhcom.2023.18.2.21

Purpose: : This study investigated the differences in system thinking and innovative behavior among nursing students, nursing managers, and nursing educators by implementing a table-top simulation. Methods: : This study used a non-equivalent pretest-posttest design. The game-based table-top simulation, Friday night at the ER® was separately implemented to three groups including 14 nursing students (on April 13, 2021), 15 nursing managers (on April 29, 2021), and 14 nursing educators (on January 25, 2022). The system thinking scale and innovative behavior scale were used to measure the effect of table-top simulation. Wilcoxon signed rank and Kruskal-Wallis test were utilized using the SPSS program for data analysis. Results: : There was no statistically significant increase in the pre- and post-scores of system thinking in each group. However, the innovative behavior scores significantly increased in all groups after simulation. There were no significant differences in systems thinking and innovative behavior among the three groups. Conclusion : The game-based table-top simulation provides motivation for innovative behavior through communication and teamwork among team members.

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The Effects of Personality Education Connected to Liberal Arts Education on the Personality and Ability to Adjust to College Life of Nursing Students

Hyoun Ju LEE ; Jin Ju LEE

Health Communication.2023;18(2):49-56. doi:10.15715/kjhcom.2023.18.2.49

Background: : This study aims to examine the effects of personality education lessons on nursing students’ personality and adjustment to college life. Methods : The subjects include 61 nursing students in their senior year. The research lasted from March 2 to June 4, 2021. Collected data were analyzed with the IBM SPSS 21.0 program. Results: : Personality education lessons caused statistically significant differences in nursing students’ personality (t=3.61, p=.001) and adjustment to college life (t=2.70, p=.009). Conclusion : Personality education offers an intervention to enhance nursing students’ personality and adjustment to college life, and can be used to connect subjects and develop a program for personality cultivation in colleges.

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