Purpose This study aimed to examine the current status and key challenges of pediatric nursing clinical education in South Korea and to provide strategic directions for quality improvement based on competency-based learning outcomes.
Methods A cross-sectional survey was conducted among 89 pediatric nursing faculty members working at various universities nationwide between February and July 2024. Quantitative data were analyzed using descriptive statistics, and qualitative responses were analyzed using inductive content analysis.
Results Practicum objectives primarily focused on inpatient care (98.9%) and core nursing skills (83.1%), while communication and problem-solving (22.4%) and ethics (21.3%) were underrepresented. Although high-fidelity simulation use reached 33.7%, interactive tools such as virtual reality (17.9%) and nursing process evaluations (7.8%) remained underutilized. Six themes emerged from the analysis of faculty perspectives on enhancing clinical practicum education: structural barriers in securing sites, inconsistent learning environments, overcrowding, limitations of observation-only learning, regulatory constraints, and excessive faculty burden.
Conclusion This study proposes establishing standardized clinical protocols, expanding hybrid simulation-based models to compensate for shrinking clinical sites, and institutionalizing industry-academic cooperative frameworks to ensure the quality and equity of pediatric nursing education. These approaches are essential to enhancing the quality and equity of pediatric clinical nursing education in Korea.
Purpose This study was conducted to evaluate the efficacy of a community-based follow-up program on parenting stress, parenting efficacy, and coping among parents with premature infants.
Methods A non-equivalent control group pre-post quasi-experimental design was used. This program consisted of structured home visits and self-help group meetings for 6 months. The experimental group (n=29) received visits by an experienced neonatal intensive care unit (NICU) nurse and the control group (n=27) was visited by a visiting nurse. Data were analyzed using the x2 test, t-test, and analysis of covariance.
Results Parents' coping behavior significantly differed in the experimental group compared to the control group (t=3.14, p=.003). In particular, coping subscale I, for maintaining the family situation (t=2.63, p=.011), and subscale III, for understanding the infant's medical situation (t=4.30, p<.001), showed significant differences in the experimental group. There were no significant between-group differences in parenting stress or parenting efficacy.
Conclusion The findings of this study suggest that home visits by an experienced NICU nurse provided through a community-based follow-up program were an effective intervention to improve coping behavior among parents with premature infants.
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PURPOSE This research was a descriptive study of nursing activities observed in nursing simulation during a senior nursing student practicum. Content and frequencies of nursing activities during the simulation practice were identified. METHODS Thirty-six episodes of pediatric nursing simulation were videotaped. Both verbalizations and descriptions of nonverbal behaviors were recorded from the videotapes. The data were coded and analyzed. The coded nursing activities were evaluated for frequency and purpose of interaction. RESULTS Average time per simulation episodes was 27 minutes and ranged from 3.30 to 32.54 minutes. Nursing activities in these simulation episodes included nursing assessments such as vital sign measurement, associated symptom assessment, and check of patient condition, nursing interventions such as medication, tepid water massage, fluid therapy, provision of oxygen, suctioning, hyperglycemia and hypoglycemia management, communication such as parent education, procedure guidance, and communication among providers.
Activities in assessment were most frequent, and among them, vital sign measurement and check of patient condition were more frequent than others. CONCLUSION Students showed enhanced nursing activities such as more frequent nursing assessment, communication and interventions in their simulation experience. Therefore simulation experience can be considered as one strategies to provide nursing students with better and more intense practicum experience.
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, Eun Sun Ji
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