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May 2, 20260 citations

Challenges and strategic directions in pediatric nursing clinical practicum in South Korea: a descriptive study.

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KSKa Ka ShimEJEun Sun Ji

Key Points

  • The aim of the study was to assess the current state and challenges of pediatric nursing clinical education in South Korea and propose strategies for improvement.
  • Cross-sectional survey of 89 pediatric nursing faculty members across universities in South Korea from February to July 2024.
  • Quantitative data analyzed using descriptive statistics; qualitative responses analyzed with inductive content analysis.
  • Practica objectives focused on inpatient care (98.9%) and core nursing skills (83.1%); communication skills (22.4%) and ethics (21.3%) were less emphasized.
  • High-fidelity simulation use was reported at 33.7%, while virtual reality (17.9%) and nursing process evaluations (7.8%) were underutilized.
  • Identified themes included structural barriers, inconsistent learning environments, overcrowding, observation-only learning, regulatory constraints, and faculty burden.

Abstract

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.

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Cite This Study

Shim et al. (2026) studied this question.

synapsesocial.com/papers/69f594fc71405d493afffe88https://doi.org/10.4094/chnr.2025.036
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