• Title/Summary/Keyword: 군 사고

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The Effect of Situational Leadership Program on Critical Thinking, Coaching and Empowerment of Nurse Leader (상황리더십 프로그램이 간호리더의 비판적 사고, 코칭 및 임파워먼트에 미치는 효과)

  • Park, In-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8568-8575
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    • 2015
  • This study, as a experiment study, was intended to determine whether or not the situational leadership program was highly helpful to critical thinking, coaching, empowerment-enhancing of nurse managers. The number of subjects was abstracted by G*Power, and 54 nurses leader and 342 general nurses were selected from university hospitals of metropolitan city. Data analysis was frequency analysis, t-test, $X^2$-test, repeated measures ANOVA, using SPSS Win 18.0 statistical package program. The results of this study was as follows. 1. Due to the situation leadership programs, critical thinking of experiment group has significantly increased, but control group was significantly reduced. 2. Due to the situation leadership programs, coaching of experiment group has significantly increased, but control group was significantly reduced. 3. Due to the situation leadership programs, empowerment of experiment group has significantly increased, but control group was significantly reduced. Therefore, the situation leadership programs can be effective in critical thinking, coaching, empowerment of nurse leaders. And applying the situation leadership program to the nurse in future, it would be helpful promoting empowerment, coaching, critical thinking in organization life and cope with situation that occurred during clinical.

Effects of the Lasater's Clinical Rubric of Debriefing in Advanced Cardiovascular Life Support Training (전문심폐소생술 교육에 Lasater의 임상판단 루브릭을 적용한 디브리핑의 효과)

  • Eun, Young;Bang, Sul-yeong
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.516-527
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    • 2016
  • The purpose of this study was to test the effects of the Lasater's debriefing on critical thinking disposition, problem- solving skills and clinical judgement of nursing students. The study design was a nonequivalent control group non synchronized design. The subjects were 60 students for 12 groups. They were randomly assigned to the experimental group (n=30) or control group (n=30). Critical thinking and problem-solving skills were measured using a self-administered questionnaire. Clinical judgement was measured by a Lasater's clinical judgement rubric. The Results of the study was : After Lasater's debriefing, the level of students' critical thinking, problem-solving skills and clinical judgment in experimental group were higher than the level of control group. Through this experiment the rubric of Lasater debriefing is an effective tool for clinical judgment, therefore we know that the future of simulation training is needed to use the Lasater's clinical judgement rubric of debriefing in simulation training.

Idea of Persecution and Psychological Factors Associated With Idea of Persecution in Patients With PTSD (PTSD 환자의 피해 사고 및 피해 사고에 기여하는 심리학적 요인)

  • Seungyun Lee;Young Kyung Moon;Sora Lee;Hayun Choi
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.155-164
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    • 2023
  • Objectives : The aim of this study was to identify the factors affecting ideas of persecution in post-traumatic stress disorder (PTSD) patients who underwent Clinician-Administered PTSD Scale (CAPS) and Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Methods : We retrospectively reviewed 116 patients who underwent CAPS and MMPI 2 between May 2013 and April 2020 at Veteran Health Service Medical Center. Based on the CAPS score, the patients were divided into the PTSD group (n=63, age: 58.16±17.84) and the trauma exposed without PTSD group (n=53, age: 67.34±12.05). After checking the correlation between Ideas of persecution, CAPS, and MMPI-2 scales, linear regression analysis was performed to identify the risk factors for clinically relevant symptoms. Results : The PTSD group showed significant differences in Schizophrenia, Ideas of persecution, Dysfunctional negative emotions, Aberrant Experiences, Psychoticism, Negative Emotionality/Neuroticism, Anxiety, Depression, and Anger scales compared to the trauma-exposed without PTSD group. When analyzing the correlation between Idea of persecution, CAPS and MMPI-2 scales, there was a strong association with most of the scales in MMPI-2 and Idea of persecution except Disconstraint. Multiple linear regression analysis performed in PTSD group identified that risk factors for Idea of persecution were Dysfunctional negative emotions and Anger scale. Conclusions : The PTSD group had increased idea of persecution compared to the trauma exposed without PTSD group. Dysfunctional negative emotions and anger may be risk factors for idea of persecution in trauma exposed population.

Psychophysiologic Responses to Event Imagery in Traffic Accident Related Patients (교통사고관련 환자에서 사건상상에 대한 정신생리반응)

  • Chung, Sang-Keun;Choi, Myong-Su;Hwang, Ik-Keun
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.45-51
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    • 2001
  • Objectives: The experience of traffic accident is a kind of the psychosocial stressors to person. The traffic accident-related patients may show the psychophysiologic hyperarousal. So we examined the differences of psychophysiologic response between patients with and without the memory of experienceing a traffic accident. Methods: Twenty-four traffic accident-related patients were divided into two groups according to ther memory of a traffic accident. In psychological assessment, levels of anxiety and depression were evaluated by State-Trait Anxiety Inventory, Beck's Depression Inventory, and Hamilton Rating Scales For Anxiety and Depression. Heart rate, electrodermal response (EDR), and electromyographic activity (EMG) were measured by biofeedback system, and systolic and diastolic blood pressure by automated vital sign monitor during baseline, task, and rest periods. We utilized script-driven imagery technique as a stressful task. The patients listened to the script describing their own traffic accident experience and were instructed to imagine the event during the task period. Statistically analytic data were obtained from the differences of psychological and psychophysiologic data between two groups. Results: The memory group did not show significantly higher EDR than the none memory group, but showed higher tendency during baseline, imagery, and rest periods. The memory group showed significantly lower EMG than the none memory group during rest period. However, there were no differences in other psychophysiologic reponses between the two groups. Conclusion: Our results showed that the memory group had higher tendency in autonomic arousal level such as electrodermal response than the none memory group. We suggest that physicians need to minimize repetitive imagery of traffic accident (reexperience), and decrease the autonomic hyperarousal in the treatment of traffic accident-related patients.

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A study using HGLM on regional difference of the dead due to injuries (손상으로 인한 사망자의 지역별 차이에 대한 HGLM을 이용한 연구)

  • Kim, Kil-Hun;Noh, Maeng-Seok;Ha, Il-Do
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.2
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    • pp.137-148
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    • 2011
  • In this paper, we systematically investigate regional differences of the dead due to injuries in cities, towns and counties about transportation accidents, suicides and fall accidents, which have recently been an important issue of health problems in Korea, The data are from the Annual Report on the Cause of Death Statistics in Korea in 2008. They include the deaths over the age 19 from transportation accidents, suicides and fall accidents with the criterion of the International Statistical Classification of Diseases. Poisson HGLM is applied to estimate the mortality rate under the assumption that the number of deaths follow a Poisson distribution, by considering regions as random effects and by adjusting age, sex and standardized residence tax as fixed effects. Using the results of random effects prediction, the regional differences in cities, counties and towns are marked in disease mapping. The results showed that there were significant regional differences of mortality rates for transportation accidents and suicides, but no significant differences for fall accidents.

A Study on the Traffic Accident Estimation Model using Empirical Bayes Method (Empirical Bayes Method를 이용한 교통사고 예측모형)

  • Gang, Hyeon-Geon;Gang, Seung-Gyu;Jang, Yong-Ho
    • Journal of Korean Society of Transportation
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    • v.27 no.5
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    • pp.135-144
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    • 2009
  • This study estimates the expected number of accidents in Kyungbuk Province to capitalize on experience gained from four years of accident history using the Empirical Bayes (EB) Method. The number of accidents of each site in Kyungbuk Province is recalculated using the Equivalent Property Damage Only (EPDO) method to reflect the severities of the accidents. A cluster analysis is performed to determine similar sites and a unique Safety Performance Function (SPF) is established for each site. The overdispersion parameter is built to correct the difference between the actual number of accidents and the underlying probability distribution. To adjust for varying traffic characteristics of each site, a relative weight is applied and eventually estimates the expected number of accidents. The results show that the highest accident sites are Kimcheon, Youngcheon, and Chilgok, but on the other hand the lowest is Gunwi.

The Effect of Simulation Integrated with Problem Based Learning on System Thinking, Learning Flow, Proactivity in Problem Solving and Performance Ability for Medication in Nursing Students (PBL 연계 투약시뮬레이션교육이 간호대학생의 시스템 사고능력, 학습몰입, 문제해결 적극성 및 투약간호수행능력에 미치는 효과)

  • Park, MinJeong;Choi, Dongwon
    • Journal of Digital Convergence
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    • v.16 no.8
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    • pp.221-231
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    • 2018
  • The purpose of this study was to identify the effect of simulation integrated with problem based learning(SIM-PBL) on nursing students. A non-equivalent pre-post test of quasi-experimental design was used. 37 were assigned to an intervention group and 41 to a control group. SIM-PBL was applied to intervention group and simulation was applied to control group. Data were analyzed using the SPSS 20.0 program. There were significant increases in system thinking(t=2.14, p=.036), proactivity in problem solving(t=2.07, p=.042), and performance ability for medication(t=5.26, p=<.001) in the intervention group compared to the control group. However, there was no difference in learning flow between the intervention and control groups. In order to adapt to the clinical setting, it is necessary to consider the SIM-PBL needs to be considered in the curriculum of nursing students.

Development and Effects of Simulation Educational Program for Nursing Students (간호대학생들을 위한 시뮬레이션 교육프로그램 개발 및 적용효과)

  • Im, Kyung Ja;Yang, Bok Sun;Kim, Yoon Lee
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.203-213
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    • 2018
  • Purpose. This study was conducted to identify effects of the high fidelity simulation for nursing students. Methods. A non-equivalent quasi-experimental design was used to experimental group (N=43) and control group (N=39) for 8 weeks, 5 times from September 26 to November 9, 2013. Clinical performance was measured by using standardized patients. Critical thinking was measured through the questionnaire and clinical judgement was measured through observation by Lasater's rubric. Results. Clinical performance (F=211.15, p<.001), critical thinking (t=3.00, p<.004) and clinical judgement (t=7.60, p<.001) were significantly higher in experimental group with simulation education program than control group. Conclusion. Simulation education program were effective to improve clinical performance, critical thinking disposition and clinical judgement for nursing students.

The Effectiveness of Traffic Safety Education to Seniors (노인교통안전교육의 효과평가)

  • Oeo, Gee-Young;Kim, Do-Gyeong;Kim, Young-Rok
    • International Journal of Highway Engineering
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    • v.14 no.1
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    • pp.63-72
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    • 2012
  • While the number of crashes and fatalities has decreased for the last few decades, the proportion of elderly-involved crashes has continuously increased from 19.5% in 2001 to 29.6% in 2008. This paper aims to evaluate the effectiveness of traffic safety education to seniors, which has been conducted for the purpose of providing more systematic knowledge such as safety regulations and making the elderly more aware of the risks of crashes, and eventually to reduce elderly-involved crashes. First, we investigated the levels of traffic safety knowledge of the elder people who attend senior community centers and social welfare centers in Seoul and provided traffic safety education. Then, the effectiveness of traffic safety education was evaluated by using the before-and-after analysis. We set up two different groups to improve the reliability of evaluation: one for control group and the other for comparison group. The results showed that the average scores of the control group after education were significantly improved at the 95% significance level compared to the average scores before education, whereas the comparison group did not show a significant differences in the average scores before and after education except for two questions. This indicates that the levels of traffic safety knowledge of the control group have been improved through education and therefore, the safety education seem to be effective to some extent.

The Effects of Team-Based Learning on Outcome based Nursing Education (성과기반 간호교육에서 팀기반학습 적용의 효과)

  • Oh, Hyo-Sook
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.409-418
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    • 2015
  • This study was performed to develop and evaluate the effects of Team-Based Learning(TBL) on cardiac problem in adult nursing. The study measured problem-solving ability, critical thinking disposition, academic achievement and, class satisfaction for learning outcomes of course. Pretest-posttest design with nonequivalent control group was utilized to analyze the effects of TBL. Experimental group and control group each consisting of 52, 54 participants was picked from the junior students. The experimental group was given the TBL for 6 hours and control group was given a lecture and case-based announcement class. In results, significant improvements were found in problem-solving ability(F=5.92, p=.017), and class satisfaction(F=5.80, p=.018). Critical thinking disposition and academic achievement of experimental group were improved than those of control group, but there were not statistically significant difference.