In the past two years, due to the COVID-19, clinical practice has not been carried out normally, so new nurses are complaining of difficulties in conducting safe nursing independently. In particular, there is a lack of clinical performance skills in core nursing competency and communication. Therefore, this research was conducted to confirm the effects of pre-and post-operative nursing education using simulation on new nurses' communication ability, self-efficacy, and clinical performance. This study uses a single-group pre-post experimental design. The subjects of the study were new nurses who worked for less than one year at a general hospital or higher in C city. Data collection was conducted from November 18 to November 25, 2022 through presencial survey targeting a total of 26 new nurses.The data were resolved by performing independent t-test and stepwise multiple linear regression analysis using SPSS/Win 23.0. Results show that, after pre-and post-surgery nursing education using simulation, the communication skills of new nurses were significantly improved, and the clinical performance skills were also statistically significantly improved after the implementation of the program. Through this, it was found that pre-and post-surgery nursing education using simulation improved communication ability and clinical performance ability, confirming that simulation education is effective in enhancing the competency of new nurses. Therefore, this study proposes that it is wanted to develop and operate a education by simulation programs to enhance new nurses' communication ability and clinical performance.
Old age is a time when many changes occur socially and economically as well as body and cognitive functions. These changes could make the elderly more depressed. Hence, this study aimed to identify the effect of leisure activities on the elderly living alone with depression. This study is a secondary analysis study. The researchers used a part of the data from a 2020 survey of the elderly conducted by the Korea Institute for Health and Social Affairs. The data was collected from September to November 2020. The 3117 people who directly replied to the survey and were 65 years of age or older and living alone are the subjects of this study. The data were analyzed by descriptive statistics, T-test, cross-analysis, Pearson correlation coefficient, and logistic regression analysis using the SPSS 23.0 program. As a result of the study, satisfaction with leisure activities showed the greatest correlation with depression in the elderly living alone and it was shown to reduce the risk of depression. Moreover, with the higher dissatisfaction with leisure activities, the risk of depression increased by 1.307 times. In addition, the risk of depression was considerably lower in participants who participated in static leisure activities compared to those who dis not, and the risk of depression was 1.473 times higher in those who did not participate in leisure activities. According to the results of this study, it is vital to create a variety of leisure programs and extend leisure education programs to encourage leisure activities that allow the elderly living alone to enjoy leisure time enhanced in old age.
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