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Research Paper
Influence of Learning Presence of Non-Face-to-Face Class Experience in Nursing Students on Academic Achievement: Mediating Effect of Learning Flow and Moderated Mediation of Digital Literacy
Ryu, Eui Jeong , Jang, Keum Seong , Kim, Eun A
J Korean Acad Nurs 2022;52(3):278-290.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.21241
AbstractAbstract PDF
Purpose
This study aimed to identify the mediating effect of learning flow and the moderated mediation effect of digital literacy on the effect of the learning presence of non-face-to-face class experience in nursing students on academic achievement.
Methods
Participants were 272 nursing students from six universities in two different cities. A self-report questionnaire was used to measure learning presence, learning flow, digital literacy, and academic achievement. Analysis was performed using SPSS 26.0 and SPSS PROCESS Macro (4.0).
Results
The mediating effect of learning flow on the effect of learning presence on academic achievement was 0.42, and the moderated mediation index of digital literacy was 0.17. Learning flow showed a mediating effect on the relationship between learning presence and academic achievement. Digital literacy had a moderated mediation effect on the relationship between learning presence and academic achievement that was mediated by learning flow.
Conclusion
The intensity of the mediating effect of nursing students’ learning presence on academic achievement through learning flow increases as the level of digital literacy increases. These results suggest that educational programs considering the level of learning presence, learning flow, and digital literacy are required to promote the academic achievement of nursing college students.

Citations

Citations to this article as recorded by  
  • Study on the Attitudes toward Artificial Intelligence and Digital Literacy of Dental Hygiene Students
    Seon-Ju Sim, Ji-Hye Kim, Min-Hee Hong, Su-Min Hong, Myung-Jin Lee
    Journal of Dental Hygiene Science.2024; 24(3): 171.     CrossRef
  • The influence of e-learning digital literacy on cognitive flexibility and learning flow in nursing students
    Jeongim Lee, Su Ol Kim
    Journal of Korean Biological Nursing Science.2023; 25(2): 87.     CrossRef
  • The Impact of Self-Efficacy on Nurses’ Well-Being: Does Digital Competence Matter?
    Yali Li, Qi Jing, Taiwen Feng, Xiaoling Yang
    Journal of Korean Academy of Nursing.2023; 53(4): 385.     CrossRef
  • Relationship between learning flow and academic performance among students: a systematic evaluation and meta-analysis
    Zhang Jinmin, Fang Qi
    Frontiers in Psychology.2023;[Epub]     CrossRef
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  • 4 Web of Science
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Original Articles
A Comparative Study on Learning Outcomes according to the Integration Sequences of S-PBL in Nursing Students: Randomized Crossover Design
So Young Yun, Ja Yun Choi
J Korean Acad Nurs 2019;49(1):92-103.   Published online February 28, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.1.92
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • Effectiveness of the Patient’s Severity Classification Competency Promotion Virtual Reality Program of Nursing Students during the COVID-19 Pandemic Period
    Eunju Lee, Gyuli Baek, Yeonhui Hwang
    Healthcare.2023; 11(8): 1122.     CrossRef
  • The Effect of Mixed Reality-based HoloPatient in Problem-based Learning Contexts
    Yun Kang, Insook Lee
    Clinical Simulation in Nursing.2023; 82: 101438.     CrossRef
  • A Literature Review of Simulation-Based Nursing Education in Korea
    Sumee Oh, Jungmin Park
    Nursing Reports.2023; 13(1): 506.     CrossRef
  • The Effects of Sequencing Strategies in Teaching Methods on Nursing Students’ Knowledge Acquisition and Knowledge Retention
    Wei-Ting Lin, Ching-Yun Yu, Fan-Hao Chou, Shu-Yuan Lin, Bih-O. Lee
    Healthcare.2022; 10(3): 430.     CrossRef
  • Learning effects of virtual versus high-fidelity simulations in nursing students: a crossover comparison
    SoMi Park, Hea Kung Hur, ChaeWeon Chung
    BMC Nursing.2022;[Epub]     CrossRef
  • The intervention effect of a nursing-media studies convergence problem-based learning (PBL) program to improve nurses’ public image: Changed perceptions of program participants and students attended a PBL presentation
    Seungchul Yoo, Seungmi Kang, Jooyeon Ryu
    The Journal of Korean Academic Society of Nursing Education.2021; 27(1): 59.     CrossRef
  • Comparison of Learning Transfer Using Simulation Problem-Based Learning and Demonstration: An Application of Papanicolaou Smear Nursing Education
    Jeongim Lee, Hae Kyoung Son
    International Journal of Environmental Research and Public Health.2021; 18(4): 1765.     CrossRef
  • Effects of S-PBL in Maternity Nursing Clinical Practicum on Learning Attitude, Metacognition, and Critical Thinking in Nursing Students: A Quasi-Experimental Design
    Hae Kyoung Son
    International Journal of Environmental Research and Public Health.2020; 17(21): 7866.     CrossRef
  • Comparison of Neck Pain, Shoulder Pain, and Comfort between Buckwheat and Latex Pillows
    Ji-Soo Lee, Soo-Kyoung Lee
    Korean Journal of Health Promotion.2019; 19(2): 107.     CrossRef
  • 369 View
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  • 8 Web of Science
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Validity and Reliability of the Korean Version Scale of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale (CLES+T)
Sun-Hee Kim, So Yeon Yoo, Yae Young Kim
J Korean Acad Nurs 2018;48(1):70-84.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.70
AbstractAbstract PDF
Abstract Purpose

This study was conducted to evaluate the validity and reliability of the Korean version of the clinical learning environment, supervision and nurse teacher evaluation scale (CLES+T) that measures the clinical learning environment and the conditions associated with supervision and nurse teachers.

Methods

The English CLES+T was translated into Korean with forward and back translation. Survey data were collected from 434 nursing students who had more than four days of clinical practice in Korean hospitals. Internal consistency reliability and construct validity using confirmatory and exploratory factor analysis were conducted. SPSS 20.0 and AMOS 22.0 programs were used for data analysis.

Results

The exploratory factor analysis revealed seven factors for the thirty three-item scale. Confirmatory factor analysis supported good convergent and discriminant validities. The Cronbach's alpha for the overall scale was .94 and for the seven subscales ranged from .78 to .94.

Conclusion

The findings suggest that the 33-items Korean CLES+T is an appropriate instrument to measure Korean nursing students'clinical learning environment with good validity and reliability.

Citations

Citations to this article as recorded by  
  • Research progress of measuring tools for nursing students’ clinical learning environment
    Yun Xu, Qing Wang, Qi Wei
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • Development of the Hybrid Clinical Practicum Environment Scale for Nursing Students
    Seoyoung Yoon, Hye-Ah Yeom
    Journal of Korean Academy of Nursing.2024; 54(3): 340.     CrossRef
  • Personal Factors and Clinical Learning Environment as Predictors of Nursing Students' Readiness for Practice: A Structural Equation Modeling Analysis
    Taewha Lee, Su Jeong Lee, Yea Seul Yoon, Hyunju Ji, Sookhee Yoon, SangA Lee, Yoonjung Ji
    Asian Nursing Research.2023; 17(1): 44.     CrossRef
  • Clinical learning environment, supervision and nurse teacher (CLES+T) scale: Translation and validation of the Arabic version
    Khadija Guejdad, Ali Ikrou, Camilla Strandell-Laine, Redouane Abouqal, Jihane Belayachi
    Nurse Education in Practice.2022; 63: 103374.     CrossRef
  • The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study
    Juxia Zhang, Linda Shields, Bin Ma, Yuhuan Yin, Jiancheng Wang, Rong Zhang, Xueke Hui
    BMC Medical Education.2022;[Epub]     CrossRef
  • Validation of the Korean Version of the Nursing Profession Self-Efficacy Scale: A Methodological Study
    Jina Oh, Haeryun Cho, Yae Young Kim, So Yeon Yoo
    International Journal of Environmental Research and Public Health.2021; 18(3): 1080.     CrossRef
  • Are Traditional and Simulated Clinical Environments Meeting Nursing Students’ Learning Needs?
    Kim Leighton, Suzan Kardong-Edgren, Gregory E. Gilbert
    Clinical Simulation in Nursing.2021; 59: 85.     CrossRef
  • Clinical learning environment, supervision and nurse teacher scale (CLES+T): Psychometric evaluation of the Chinese version
    Rong Zhao, Lu Xiao, Roger Watson, Yanhua Chen
    Nurse Education Today.2021; 106: 105058.     CrossRef
  • Testing the measurement invariance of the Korean clinical learning environment, supervision and nurse teacher (CLES+t) scale
    Sun-Hee Kim, Yae Young Kim, So Yeon Yoo
    Nurse Education Today.2021; 107: 105140.     CrossRef
  • Exploratory Factor Analysis of the Indonesian Version of the Clinical Learning Environment, Supervision, and Nurse Teacher Scale (CLES + T)
    Christine L. Sommers, Ian Ruddy Mambu, Lisa McKenna, Sonia Reisenhofer, Julie McCaughan
    Journal of Nursing Measurement.2021; 29(1): E39.     CrossRef
  • The Clinical Learning Environment, Supervision and the Nurse Teacher Evaluation Scale: Turkish Version
    Emine Iyigun, Sevinc Tastan, Hatice Ayhan, Berrin Pazar, Yasemin Eda Tekin, Halise Coskun, Mikko Saarikoski
    International Journal of Nursing Practice.2020;[Epub]     CrossRef
  • Structural Model of Professional Socialization of Nursing Students With Clinical Practice Experience
    Soo-yeon Kim, Yong Soon Shin
    Journal of Nursing Education.2020; 59(3): 133.     CrossRef
  • Validity and Reliability of a Korean Version of Nursing Student Perceptions of Dishonesty Scale
    Hee-Yeong Woo, Jeongwon Han
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 176.     CrossRef
  • Nursing Students' Practice Experience on Community Visiting Nursing
    Jae-Hyun Ha, Jeong-Hee Park
    Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43.     CrossRef
  • The clinical learning environment, supervision and nurse teacher scale (CLES+T): psychometric properties measured in the context of postgraduate nursing education
    Dorota Ozga, Aleksandra Gutysz-Wojnicka, Bogumił Lewandowski, Beata Dobrowolska
    BMC Nursing.2020;[Epub]     CrossRef
  • Evaluating clinical placements in Saudi Arabia with the CLES+T scale
    Norah A. Al-Anazi, Dalyal Alosaimi, Isabelita Pandaan, Denis Anthony, Sue Dyson
    Nurse Education in Practice.2019; 39: 11.     CrossRef
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Nursing Student's Methods of Learning
Myung Ok Lee
Journal of Korean Academy of Nursing 2000;30(6):1521-1530.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1521
AbstractAbstract PDF

This descriptive study identifies nursing students' methods of studying related to the learning stages, based on a sample of 251 nursing students in a Korean university. The main findings of the study are as follows. The major learning styles of nursing students were accomodation (68.6%), divergen (53.6%), and convergence (38.8%) for the first, second, third, and fourth year group. For all students, the majority (71.3%) showed accomodation or the divergence. The learning styles for grade level were significantly different, (x2=110.021, df=9, p=0.001). The stage of concrete experience was the majority for all of the first year group (51.8%), the second year group (57.1%), and the third year group (61.3%). But, active experimentation (41.9%) was the majority for the fourth year group. Also there were significant differences between the stages of learning by age (x22= 64.391, df=9, p=0.001). The most significant result of the study was the establishment of different modes of learning stages by year, thus supporting the experiential learning theory. The greatest change of style from the first year group to the second year group was reflective observation (7.3%-->12.9%). That from the second year group to the third year group was the abstractive conceptualization (14.3%-->21.3%); and that from the third year group to the fourth year group was active experimentation (12.0%-->41.9%). This reflects the same cycle as indicated by the experimental learning theory of Kolb. According to the study, nursing students' learning stages tended to be more unbalanced as year increases. Therefore this calls for a careful review of the current nursing curriculum.

Citations

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  • Different outcomes of active and reflective students in problem-based learning
    Yera Hur, Sun Kim
    Medical Teacher.2007; 29(1): e18.     CrossRef
  • 94 View
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The Development and Effects of WEB Instruction Programs for Drug Abuse Prevention in Korean Adolescents
Young Sook Min
Journal of Korean Academy of Nursing 2000;30(4):1055-1065.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.1055
AbstractAbstract PDF

The purpose of this study was to develop, through the integration of instructional theory, a Courseware and to investigate the effectiveness of a web-based computer assisted instruction(WBI) program for preventing drug abuse, a serious problem for youth problem. During the first stage of this study done "Drug Abuse Prevention" Courseware was developed based on, Gagn & Brigg's instructional design theory, Keller's ARCS theory and the CAI model of Hannafin & Peck. For the second stage, the courseware was used to provide education for students adolescents in drug abuse prevention. This study used an quasi-experimental, one-group pretest-posttest design with a convenience sample of 36 male high school students who were at one high school located in Seoul. Data were collected using self-reported questionnaires which included a learning achievement tool, the Keller's IMMS (Instructional Material Motivation Survey), on attitudes to drug use, and on responses to the WBI instruction. Prior to the experiment, the "drug abuse prevention" learning method and the procedures of the study were explained to the students, and then the learning achievement of the subjects was measured as a pretest. The students were then given 2 weeks WBI utilizing the courseware. A post-test which included the pre-test learning achievement questionnaire and a survey of learning motivation and attitudes toward drug were given two weeks after the education was completed. The data analysis was done using SPSS/PC. Paired t-test was used to analyze the differences between the pre-test and post-test scores for learning achievement. The results of the analysis are as follows: There were significant differences in learning achievement between the pre-test and post-test(t=-18.62, p=0.000). The hypothesis, that learning achievement will be higher, after the class has used the courseware, than before was supported. The scores for learning motivation and attitudes toward drugs were also higher than the results of existing studies. In conclusion, this study suggests that WBI is an effective learning method in the prevention of drug abuse for adolescents as it can be used for self-learning and repeated learning as assisted instruction. Recommendation would be given that further research needs to be develped in the courseware by cognitive learning style and by multimedia courseware and virtual reality system.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of a Web-based Education Program for Nursing Students on Control of Vancomycin-resistant Enterococcus Infection
    Ju Gong, Ji-Yeon Kang
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 122.     CrossRef
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Learning Needs in Patients undergoing Bone Marrow Transplantation
So Eun Choi
Journal of Korean Academy of Nursing 2000;30(2):514-525.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.514
AbstractAbstract PDF

The active treatment phase in preparation for bone marrow transplantation(BMT) of che- motherapy regimen and total body irradiation (TBI) containing regimen requires considerable teaching. There have been researches that are related to treatment onto BMT patients and to psychological change during BMT process. However, it was hard to find researches focused on learning needs of patients undergoing BMT. The purpose of this study was to provide the basic data for effective educational program about BMT by investigating the learning needs in patients undergoing BMT. The subjects consisted of 90 BMT patients who have been admitted to the department of BMT at three university hospitals. Data were obtained from October 1998 to March 1999 and analyzed by SAS program for unpaired t-test, ANOVA, Duncan test. The results were as follows : 1. Learning needs related to demographic characteristics was identified as below. That of male was higher than that of female. That of under age 29, unmarried, religious and university graduated group was higher than that of opposite group but it didn't show significant difference. Learning needs of group of patients who were employed was significantly higher then that of unemployed patients. 2. According to types of diagnosis, learning needs of myelodysplastic syndrome(MDS) patients was the higher than that of others, but admission frequency was the least. Learning needs of unrelated matched BMT(UBMT) patients was higher than that of autologous BMT patients. However, it didn't show significant difference. With regard to learning needs according to process of BMT, learning needs of Pre- BMT period or Post-BMT period was significantly higher than that of BMT day. 3. Learning needs related to BMT was relatively high (total mean: 3.11 of 4.0). The order of the mean score of leaning needs was shown as follows : Restricted activities after discharge, Relapse symptom, Complications of BMT, Kinds of available drugs at home. Therefore the learning needs that is related to life after discharge and to relapse and complications after BMT was high. 4. Learning needs related to radiation therapy was high (total mean: 3.35 of 4.0). The highest learning needs in radiation therapy items was the Skin care of radiation therapy and Purpose of radiation therapy. 5. Learning needs related to graft versus host disease(GVHD) therapy was high (total mean: 3.55 of 4.0). The highest learning needs in GVHD therapy items was the Preventive method GVHD. As the result above, individualized educational program is required for MDS patients who have less admission frequency and UBMT patients. It is necessary that education for BMT patients should be focused on life after discharge and on relapse and complications after BMT. Especially education for allogeneic BMT patients should be emphasized on GVHD. For all of these, it is necessary to develop systematic and concrete educational program.

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Development and Evaluation of a PBL-based Continuing Education for Clinical Nurses: A Pilot Study
Hee Soon Kim, Seon Young Hwang, Eui Geum Oh, Jae Eun Lee
Journal of Korean Academy of Nursing 2006;36(8):1308-1314.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.8.1308
AbstractAbstract PDF
Purpose

The purposes of this study were to develop a PBL program for continuing nurse education and to evaluate the program after its implementation.

Methods

The PBL program was developed in the core cardio-pulmonary nursing concepts through a collaborative approach with a nursing school and a hospital. The PBL packages with simulation on ACLS were implemented to 40 clinical nurses. The entire PBL program consisted of six 3-hour weekly classes and was evaluated by the participants' subjective responses.

Results

Two PBL packages in cardio-pulmonary system including clinical cases and tutorial guidelines were developed. The 57.5% of the participants responded positively about the use of PBL as continuing nurse education in terms of self-motivated and cooperative learning, whereas 20.0% of the participants answered that the PBL method was not suitable for clinical nurses. Some modifications were suggested in grouping participants and program contents for PBL.

Conclusion

The PBL method could be utilized to promote nurses' clinical competencies as well as self-learning abilities. Further research is needed in the implementation strategies of PBL-based continuing education in order to improve its effectiveness.

Citations

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  • Cultural and Ethical Barriers to Cancer Treatment in Nursing Homes and Educational Strategies: A Scoping Review
    Cynthia Filteau, Arnaud Simeone, Christine Ravot, David Dayde, Claire Falandry
    Cancers.2021; 13(14): 3514.     CrossRef
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  • 1 Crossref
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The Effect of Web-based Multimedia Contents for a Course of Physical Examination and Health Assessment
Pok Ja Oh, Il Ok Kim, Sung Rae Shin, Hoe Kyung Jung
Journal of Korean Academy of Nursing 2005;35(5):810-816.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.810
AbstractAbstract PDF
Purpose

This study was to test the effectiveness of Web-based multimedia contents for Physical Examination and Health Assessment on learning achievement.

Method

Multimedia contents based on Jung's teaching and learning structure model were used to enhance learning achievement. Learning achievement was measured by the knowledge of Physical Examination and Health Assessment. The participants of this study were students in a BSN and RN-BSN program in a university located in Seoul. 59 students in the experimental group received lectures using web-based multimedia contents and 75 students in the control group received regular lectures.

Results

The mean score of the degree of educational achievement in the experimental group(mean=31.09) was significantly higher than in the control group(mean=25.55)(t=-3.883, p=.000).

Conclusion

These web-based multimedia contents were found to maximizethe effectiveness of the teaching process when used as a teaching aid, and yet kept the strength of a face to face teaching learning method. This program is recommended as part of a main text, vital teaching aid or cyber lecture materials in nursing schools and in health care educational institutions.

Citations

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  • The Effect of the Flipped Learning on Self-efficacy, Critical Thinking Disposition, and Communication Competence of Nursing Students
    Young-Sil Lee, Young Eun
    The Journal of Korean Academic Society of Nursing Education.2016; 22(4): 567.     CrossRef
  • Development and Evaluation of a Web-based Education Program for Nursing Students on Control of Vancomycin-resistant Enterococcus Infection
    Ju Gong, Ji-Yeon Kang
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 122.     CrossRef
  • Effect of a Web-enhanced Clinical Practicum on Learning Outcome of Adult Nursing Practicum in Nursing Students
    Seon-Young Hwang, Hee-Young Kang, Ja-Yun Choi, Hyang-Sook So
    International Journal of Contents.2012; 8(2): 36.     CrossRef
  • Effectiveness of web based learning program on self efficacy, knowledge, and competence in measurement of blood pressure
    Sook-Hee Lee
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 66.     CrossRef
  • Development of a Web-based Senescence Preparation Education Program for Successful Aging for Middle-aged Adults
    Young-Mi Jung
    Journal of Korean Academy of Nursing.2008; 38(6): 831.     CrossRef
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Perception about Problem-based Learning in Reflective Journals among Undergraduate Nursing Students
Seon Young Hwang, Keum Seong Jang
Journal of Korean Academy of Nursing 2005;35(1):65-76.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.65
AbstractAbstract PDF
Objective

The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program).

Method

Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis.

Result

Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others.

Conclusion

Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.

Citations

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  • The relationship between intrinsic motivation and learning outcomes in problem-based learning
    Hye-Ryoung Kim
    The Journal of Korean Academic Society of Nursing Education.2020; 26(3): 238.     CrossRef
  • An analysis of medical students’ reflective essays in problem-based learning
    Jihyun Si
    Korean Journal of Medical Education.2018; 30(1): 57.     CrossRef
  • Effect of Team-based Learning using Reflection Journal on Pregnancy Nursing Course for Nursing Students
    Jin Young Kim, Mi-Kyoung Lee
    Korean Journal of Women Health Nursing.2018; 24(4): 404.     CrossRef
  • Validity and Reliability of the Self-Reflection and Insight Scale for Korean Nursing Students
    Mi Ok Song, Heeyoung Kim
    Journal of Korean Academy of Fundamentals of Nursing.2018; 25(1): 11.     CrossRef
  • Analysis of Students’ Reflective Journals on Medical Communication Role Plays
    Young Jon Kim, Seung Hyun Lee, Hyo Hyun Yoo
    Korean Medical Education Review.2017; 19(3): 169.     CrossRef
  • Effects of Writing Reflective Journal on Meta-cognition and Problem Solving Ability in Nursing Students taking a Fundamental Nursing Skills Course Applying Blended Learning
    Mi Young Jho
    Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 430.     CrossRef
  • Class Experience of the Students on 『Pregnancy, Delivery and Puerperium』 Nursing Course through Flipped Learning: Mixed Method Research
    Byeongju Lee, Seon Young Hwang
    Korean Journal of Women Health Nursing.2016; 22(4): 221.     CrossRef
  • Effects of a Multicultural Education Program on the Cultural Competence, Empathy and Self-efficacy of Nursing Students
    Eun-Hee Peek, Chai-Soon Park
    Journal of Korean Academy of Nursing.2013; 43(5): 690.     CrossRef
  • Effect of reflective journaling in team learning on the learning motivation of learners
    In-Suk Park, Mi-Jeong Kim
    Journal of Korean society of Dental Hygiene.2012; 12(5): 849.     CrossRef
  • An evaluation on the implementation of problem-based learning in medical education
    박민정
    The Journal of Curriculum Studies.2010; 28(2): 225.     CrossRef
  • A comparison of problem-based learning and lecture-based learning in an adult health nursing course
    Seon Young Hwang, Mi Ja Kim
    Nurse Education Today.2006; 26(4): 315.     CrossRef
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The Effects of PBL(Problem-Based Learning) on the Metacognition, Critical Thinking, and Problem Solving Process of Nursing Students
Heejung Choi
Journal of Korean Academy of Nursing 2004;34(5):712-721.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.712
AbstractAbstract PDF
Purpose

This investigation examined the effect of PBL on the meta-cognition, critical thinking, and problem solving process.

Method

The research design was pre-posttest with a nonequivalent control group design. Scenarios for PBL sessions were developed on the basis of textbooks and patients' charts and tested for content validity. Seventy six nursing students who took a ‘Nursing Process’ course from two nursing schools participated in the experimental group and control group. The experimental group performed PBL during the semester. Meta-cognition and problem solving processes were assessed by questionnaires which were developed using pedagogics. Critical thinking was measured by the CCTST(California Critical Thinking Skill Test) Form 2000. The data was analyzed by repeated measure (pretest-posttest) MANOVA, and correlation analysis.

Result

PBL improved the participants' meta-cognition and problem solving process but not critical thinking. The relationship between meta-cognition and the problem solving process was supported but the relationship between critical thinking and problem solving was not supported.

Conclusion

These results suggest that PBL has a positive effect on nursing students' educational outcomes. To improve the problem solving ability of nursing students, PBL should be applied to more subjects in the nursing curriculum.

Citations

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  • Outcomes of problem-based learning in nurse education: A systematic review and meta-analysis
    Sapna Sharma, Ita Daryanti Saragih, Dame Elysabeth Tuty Arna Uly Tarihoran, Fan-Hao Chou
    Nurse Education Today.2023; 120: 105631.     CrossRef
  • Metacognition in Nursing Students: A Concept Analysis
    Ji-Sung Park, Hee-Joo Oh, Ji-Hyun Choi, Jin-Hui Han, Ji-Yoon Song
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 499.     CrossRef
  • HEMŞİRELİK ÖĞRENCİLERİNİN PROBLEM ÇÖZME BECERİLERİ VE BİLİMSEL ARAŞTIRMAYA YÖNELİK KAYGI DÜZEYLERİ
    Esin ATEŞ, Şafak DAĞHAN, Damla ÜNAL, Damla ÜNSAL, Ece ÜZREK, Gülben ÖZYAVUZ
    İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi.2023; 11(2): 1631.     CrossRef
  • What are the Factors that Enhance Metacognitive Skills in Nursing Students? A Systematic Review
    Shadi Asadzandi, Rita Mojtahedzadeh, Aeen Mohammadi
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Development and Testing of a Mastery Learning Program of Nursing Skills for Undergraduate Nursing Students
SoMi Park, Hea Kung Hur, Ki Kyong Kim, Hee-Young Song
J Korean Acad Nurs 2017;47(4):526-539.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.526
AbstractAbstract PDF
Abstract Purpose

This study was undertaken to develop and test a mastery learning program of nursing skills for undergraduate nursing students.

Methods

In this methodological study, first, the preliminary draft of a mastery learning program to provide training for nursing skills was developed based on Bloom's framework for mastery learning. Second, to test the developed program, a single-blinded, nonequivalent control group non-synchronized study was conducted on 50 senior nursing students in a University selected by convenient sampling. Thirteen students were assigned to a control group; 13, 12, and 13 of them were assigned to intravenous therapy, transfusion, and patient transfer groups, respectively. The achievement levels and performance scores of the selected nursing skills were measured before and after the completion of the program in all the groups. Lastly, the final program was confirmed based on the results of the program testing.

Results

Intravenous therapy, transfusion, and patient transfer were selected as essential nursing skills for the program based on the priorities rated by clinical instructors and staff nurses. The achievement levels of selected nursing skills were determined by Angoff scores. After participating in the program, the proportion of passers and performance scores of the nursing skills in the experimental groups were significantly higher than those in the control group. The final program was confirmed which included a diagnostic test, enrichment activities for the passers and three repetitions of corrective activities and formative assessments for non-passers.

Conclusion

The results suggest that a mastery learning program for undergraduate students can lead to better improvement and performance of essential nursing skills.

Citations

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  • Wearable smart glasses for first‐person video analysis to evaluate nursing skills: A pilot study with a mixed method design
    Sun Kyung Kim, Youngho Lee, Hye Ri Hwang, Oe Nam Kim
    Journal of Computer Assisted Learning.2025;[Epub]     CrossRef
  • Effect of Learning Mastery Model in Clinical Education of Nursing Students: A Systematic Review
    Negin Masodi Alavi, Neda Mirbagher, Mohammad Aghajani
    Development Strategies in Medical Education.2019; 6(2): 50.     CrossRef
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Effects of Learning Activities on Application of Learning Portfolio in Nursing Management Course
So Eun Choi, Eun A Kim
J Korean Acad Nurs 2016;46(1):90-99.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.90
AbstractAbstract PDF
Purpose

This study was conducted to examine effects of a learning portfolio by identifying the learning of nursing students taking a learning portfolio-utilized nursing management class.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 83 senior students taking the nursing management course in one of the Departments of Nursing at 2 Universities. Experimental group (n=42) received a learning portfolio-utilized nursing management class 15 times over 15 weeks (3 hours weekly). Self-directed learning abilities, approaches to learning and learning flow of the participants were examined with self-report structured questionnaires. Data were collected between September 2 and December 16, 2014, and were analyzed using chi-square test, Fisher's exact test, independent t-test and ANCOVA with SPSS/PC version 21.0.

Results

After the intervention the experimental group showed significant increases in self-directed learning abilities, deep approaches to learning and learning flow compared to the control group. However, no significant difference was found between groups for surface approaches to learning.

Conclusion

Learning activities using the learning portfolios could be effective in cultivating the learning competency for growth of knowledge, technology and professionalism by increasing personal concentration and organization ability of the nursing students so that they can react to the rapidly changing environment.

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  • Effects of Learning Portfolios in General Education Courses on Undergraduates' Self-Regulated Learning Abilities, Ego-Resilience, and Self-Directed Learning Readiness
    Soonhee Hwang, Keumjin Choi
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    Hyeyong Lee, Rie Shimotakahara, Akimi Fukada, Sumiko Shinbashi, Shigemitsu Ogata
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    Yun-Hee Kim, Hyo-Youn Kim
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    Hye Young Lee, Rie Shimotakahara, Hye Weon Kim, Shige Mitsu Ogata
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Applying the Flipped Learning Model to an English-Medium Nursing Course
Heeseung Choi, Jeongeun Kim, Kyung-Sook Bang, Yeon-Hwan Park, Nam-Ju Lee, Chanhee Kim
J Korean Acad Nurs 2015;45(6):939-948.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.939
AbstractAbstract PDF
Abstract Purpose

An emerging trend in Asian higher education is English-medium instruction (EMI), which uses English as the primary instructional language. EMI prepares domestic students for international leadership; however, students report difficulty in learning, and educators have raised questions concerning the effectiveness of EMI. The flipped learning model (FLM), in which lecture and homework activities for a course are reversed, was applied to an English-medium course offered by a college of nursing in Korea. The aims of this study were to: 1) revise an existing English-medium nursing course using the FLM; 2) explore students’ learning experiences and their acceptance of the FLM; and 3) identify key factors in the success of FLM.

Methods

We used a descriptive, cross-sectional, mixed-methods design and the participants were students at one nursing school in Korea. A series of course development meetings with faculties from the nursing school and the center for teaching and learning were used to develop the course format and content. We conducted course evaluations using the Flipped Course Evaluation Questionnaire with open-ended questions and focus group interviews.

Results

Students (N=75) in a 15-week nursing course responded to a survey after completing the course. Among them, seven students participated in one of two focus groups. Overall, students accepted and favored the flipped learning strategy, and indicated that the method enhanced lecture content and their understanding of it. Factors associated with effective instruction included structured monitoring systems and motivational environments.

Conclusion

The FLM requires sufficient preparation to facilitate student motivation and maximize learning outcomes.

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    Serpil Topçu, Çağla Toprak
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    Arkers Kwan Ching Wong, Tommy Tsz Man Hung, Jonathan Bayuo, Frances Kam Yuet Wong
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    Şule Bıyık Bayram, Emel Gülnar, Hüsna Özveren, Nurcan Çalışkan
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    Veronica Pinos-Velez, Karina Quinde-Herrera, Victoria Abril-Ulloa, Blasco Moscoso, Galo Carrion, Jose Urgiles
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Comparison of Learning Effects using High-fidelity and Multi-mode Simulation: An Application of Emergency Care for a Patient with Cardiac Arrest
Eon-Na Ryoo, Eun-Ho Ha, Jin-Young Cho
J Korean Acad Nurs 2013;43(2):185-193.   Published online April 12, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.2.185
AbstractAbstract PDF
Abstract Purpose

Simulation-based learning has become a powerful method to improve the quality of care and help students meet the challenges of increasingly complex clinical practice settings. The purpose of this study was to identify the learning effects using high-fidelity SimMan and multi-mode simulation.

Methods

Participants in this study were 38 students who were enrolled in an intensive course for a major in nursing at R college. Collected data were analyzed using Chi-square, t-test, and independent t-test with the SPSS 18.0 for Windows Program.

Results

There were no statistically significant differences in learning effects between high-fidelity SimMan and multi-mode simulation group. However, skills in clinical performance in the high-fidelity SimMan group were higher than in the multi-mode group (p= .014), communication in clinical performance in multi-mode simulation group was higher than in the high-fidelity SimMan group (p< .001).

Conclusion

Multi-mode simulation with a standardized patient is an effective learning method in many ways compared to a high-fidelity simulator. These results suggest that multi-mode simulation be offered to students in nursing colleges which cannot afford to purchase a high-fidelity simulator, or offered as an alternative.

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    Dongwon Choi
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    Eun Ju Lee, Min Jung Ryu
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    Eun‐Ho Ha
    Japan Journal of Nursing Science.2021;[Epub]     CrossRef
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    Young A Song
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Effects of Case-based Small Group Learning about Care of Infected Children for Daycare Center Teachers
Eun Ju Choi, Seon Young Hwang
J Korean Acad Nurs 2012;42(6):771-782.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.6.771
AbstractAbstract PDF
Purpose

This study was conducted to develop and implement a case-based small group learning program on the care of children with infectious disease, and to examine its effects on knowledge, attitude and preventive practice behaviors of daycare center teachers compared to a control group.

Methods

Based on the need assessment, the case-based learning program for the management of infectious children was developed. For this quasi-experimental study, 69 teachers were recruited from 14 child daycare centers in a city located in J province. Thirty four teachers were assigned to experimental group and participated in the case-based small group learning once a week for 5 weeks. Data were analyzed using the SPSS 18.0 program to perform χ2-test and t-tests. Analysis of covariance was used to treat the covariate of the number of assigned children between experimental and control groups.

Results

The experimental group showed significantly higher posttest scores in knowledge, attitude and preventive practice behaviors than those of control group (p<.001).

Conclusion

These findings indicate that case-based small group learning is an effective educational strategy for daycare center teachers to learn infection management through the emphasis of self-reflection and discussion.

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    Eun Ju Choi
    Child Health Nursing Research.2013; 19(3): 168.     CrossRef
  • Effects of an Infection Prevention Education Program in Infant and Child for Married Immigrant Vietnamese Women
    Ji-young Seo, Eun Young Kim
    Korean Journal of Adult Nursing.2013; 25(4): 422.     CrossRef
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Factors Influencing Learning Achievement of Nursing Students in E-learning
Jin-Hee Park, Eunha Lee, Sun Hyoung Bae
J Korean Acad Nurs 2010;40(2):182-190.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.182
AbstractAbstract PDF
Purpose

This study was done to identify self-directed learning readiness, achievement goal orientations, learning satisfaction and learning achievement, and to evaluate the factors affecting learning achievement for nursing students using a web-based Health Assessment e-Book.

Methods

The research design was a cross-sectional study with a structured questionnaire and data were collected before using the web-based Health Assessment e-Book and 1 week after finishing. The participants were 80 nursing students who were taking the Health Assessment class from March to June 2009.

Results

Mean score for subjective learning achievement was 31.26 and for objective learning achievement, 69.25. Subjective and objective learning achievement were positively correlated with self-directed learning readiness, mastery goal, attitude toward distance education, and learning satisfaction. In subjective learning achievement, learning satisfaction and mastery goal were significant predictive factors and explained 64% of the variance. Objective learning achievement was significantly predicted by learning satisfaction and self-directed learning readiness, which explained 24% of the variance.

Conclusion

Learning satisfaction, mastery goal and self-directed learning readiness were found to be very important factors associated with learning achievement for nursing students using a web-based Health Assessment e-Book. To provide high quality and effective web-based courses and to improve nursing students' learning achievement and learning satisfaction, educators should consider the learner's characteristics from the initial stages of lecture planning.

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Development of a Multimedia Learning DM Diet Education Program using Standardized Patients and Analysis of Its Effects on Clinical Competency and Learning Satisfaction for Nursing Students
Kyung Sun Hyun, Hyun Sook Kang, Won Ock Kim, Sunhee Park, Jia Lee, Sohyune Sok
J Korean Acad Nurs 2009;39(2):249-258.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.249
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a multimedia learning program for patients with diabetes mellitus (DM) diet education using standardized patients and to examine the effects of the program on educational skills, communication skills, DM diet knowledge and learning satisfaction.

Methods

The study employed a randomized control posttest non-synchronized design. The participants were 108 third year nursing students (52 experimental group, 56 control group) at K university in Seoul, Korea. The experimental group had regular lectures and the multimedia learning program for DM diet education using standardized patients while the control group had regular lectures only. The DM educational skills were measured by trained research assistants.

Results

The students who received the multimedia learning program scored higher for DM diet educational skills, communication skills and DM diet knowledge compared to the control group. Learning satisfaction of the experimental group was higher than the control group, but statistically insignificant.

Conclusion

Clinical competency was improved for students receiving the multimedia learning program for DM diet education using standardized patients, but there was no statistically significant effect on learning satisfaction. In the nursing education system there is a need to develop and apply more multimedia materials for education and to use standardized patients effectively.

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Effects of a Problem-Based Learning Program on Health Education for Elders
Young Ju Son, Eun Young Choi, Young A Song
J Korean Acad Nurs 2009;39(2):207-216.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.207
AbstractAbstract PDF
Purpose

The purposes of this study was to analyze the effects of a health education program using problem-based learning on health related knowledge, behavior, and quality of life in elderly people.

Methods

The participants included 44 elders, of whom 23 took the health education program and 21 did not. All participants were over 60 yr of age and were selected from residents of nursing homes or participants in activities of social welfare facilities in Jeju Province. Elders in both groups completed pre- and post-tests. Elders in the education group participated in 5 weekly sessions, 100-120 min/session of problem-based learning on health education. Data were analyzed using SPSS WIN 12.0.

Results

Scores for health knowledge, health behavior, and quality of life for the education group were significantly higher than those of the control group.

Conclusion

A problem-based learning health education program can be recommended as a method to promote the health of the elders. Indirectly, the results seem to indicate that proper assessment and support should be provided simultaneously in the management of elders' health. Finally, future study is needed to examine whether problem-based learning is more helpful compared to traditional education.

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    Jin Hyang Yang, BokSun Yang
    Asian Nursing Research.2013; 7(4): 198.     CrossRef
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A Study on the Adapting Process of Nursing Students to Problem Based Learning
Bok Sun Yang
Journal of Korean Academy of Nursing 2006;36(1):25-36.   Published online February 28, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.1.25
AbstractAbstract PDF
Purpose

The purpose of the study was to identify the adaptation process to problem based learning(PBL) among nursing students who have experienced PBL classes for two years.

Method

Data was collected from 11 nursing students with in-depth interviews and direct observation of their PBL experiences by a researcher who has been a facilitator for PBL class for 3years. Immediately after the interviews all of them were transcribed. It was analyzed by the Ground theory of Corbin and Strauss.

Results

A derived core category was ‘Acquiring PBL’. 4 stages of the acquiring process were derived and written in time sequence: chaos, confusion, beginning insight, and achievement stage.

Conclusion

The results will not only expand understanding of the students for the facilitator and school which has adopted PBL but also provide information to develop an orientation program for PBL. Further research on the facilitator's role experiences is recommended.

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    So-Hee Lim
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    Hye-Young Cho
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    Jin Hyang Yang, BokSun Yang
    Asian Nursing Research.2013; 7(4): 198.     CrossRef
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Development and Evaluation of a Vital Signs E-book for Undergraduate Student Nurses
Il Sun Ko, Kyu Sook Kang, Joung Ohn Shim, Jin Hee Park, Shin Young Yook, So Young Yun
Journal of Korean Academy of Nursing 2005;35(6):1036-1043.   Published online October 31, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.6.1036
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a vital signs e-book for undergraduate student nurses and evaluate the content, system and student satisfaction.

Method

This study was done in three stages, the development of a vital signs e-book, implementation and evaluation. The subjects were 73 undergraduate student nurses in Y university.

Result

Thirty one learning objectives were used to create the contents. A set of 5 chapters and 18 subsections were defined after validation from nurse educators. The e-book is available at http://123.134.207.23/ebook/vitalsigns. Analysis of the questionnaires showed a mean score for content, system and students satisfaction of 3.17 ± .73, 3.11 ± .79, and 2.96 ± .74 respectively out of a possible 4 points.

Conclusion

Nurse educators should provide quality and effective web-based courses that meet undergraduate student nurses' learning needs and they should incorporate web-based learning into traditional teaching to meet the demands of nursing education.

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    Jin-Hee Park, Eunha Lee, Sun Hyoung Bae
    Journal of Korean Academy of Nursing.2010; 40(2): 182.     CrossRef
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