• The Korean Journal of Emergency Medical Services
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• v.8 no.1
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• pp.5-17
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• 2004

A descriptive-correlational study was conducted to examine the job satisfaction and organizational commitment of emergency medical technicians(EMTs) and to identify the relationship between job satisfaction and organizational commitment. Subjects of this study werw 85 EMTs who passed first grade qualification examination and work at hospitals or fire stations in Gwangju and Chonnam province. Data were collected using a structured questionnaire by a postal survey from Sept. 10 to Oct. 20, 2003. For data analysis, descriptive statistics, ANOVA. t-test, and Pearson Correlation were used. The mean score of subjects' job satisfaction was 3.04 and the mean score of organizational commitment was 3.33. There was no significant differences on job satisfaction and organizational commitment by general characteristics of subjects. Job satisfaction was significantly differed by their careers as a EMT, current working place, and types of duty. Organizational commitment was significantly differed by their current working place, types of duty, and level of mean allowance. There was statistically significant positive correlation between job satisfaction and organizational commitment. These findings provide implications to improve job satisfaction and organizational commitment for EMTs. Further studies are recommended.

• The Korean Journal of Emergency Medical Services
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• v.18 no.2
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• pp.109-123
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• 2014

Purpose: This study attempts to provide information for developing a preceptorship education program by analyzing the recognition and acceptance of the introduction of paramedic preceptorship in the clinical practice of paramedic students in Korea. Methods: Data were collected from 120 paramedics from December 26, 2013, to February 20, 2014. A questionnaire consisting 33 questions was administered, and the collected data were analyzed using SPSS version 21.0. Results: The overall responses were positive, and the subjects were very interested in the introduction of paramedic preceptorship in paramedic education and clinical practice settings. The mean score for preceptorship acceptance was 3.97 on a 5-point Likert scale. In terms of recognition, 59.0% of the 78 subjects were able to explain preceptorship. In terms of acceptance, 85.8% of the subjects agreed with preceptorship and 81.7% considered an effective training method. Conclusion: Most of the subjects agreed that preceptorship is very important for the education of paramedic students. The preceptorship education program development will be the basis of clinical practice.

• The Korean Journal of Emergency Medical Services
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• v.20 no.2
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• pp.81-97
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• 2016

Purpose: This study aimed to investigate the awareness and direction of paramedics work and image in hospitals. Methods: From April 16 to May 5, 2015, data were collected through structured questionnaires from 45 paramedics and 81 nurses working in emergency medical institutions. The data were analyzed using SPSS version 18.0. Results: The work of paramedics is evaluated to be highly worthy at the in-hospital level rather than at the injury first-aid treatment level. It appears that paramedics are often forced to do what their hospitals tell them to do concerning matters related to conflicts with them and nurses. Paramedics stated that they experienced greater mental stress than those engaging in other professions, a finding similar to those of other studies. There was no statistically significant difference in opinions between the two groups about a desirable direction for the development of first-aid services at hospitals. More than two thirds of the respondents said that paramedics should be given the right to enter acting check for patients. Conclusion: Paramedics work is shown to differ in the opinions of paramedics themselves and nurses. Paramedics need for reform is associated with expanding the work of the law.

• The Korean Journal of Emergency Medical Services
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• v.25 no.3
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• pp.111-125
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• 2021

Purpose: This study aimed to analyze the impact of rapid cycle deliberate practice (RCDP) simulation education on advanced cardiac life support knowledge, confidence, satisfaction, and performance ability among paramedic students, and provide basic data on the appropriate methods of educational instruction. Methods: The 48 subjects to be instructed were divided into the traditional simulation education group and the RCDP simulation education group. Six participants were randomly assigned to each group and pre-surveyed. They were then exposed to a lecture about advanced cardiac life support related theories for 60 min and post-surveyed through questionnaires with the same learning goals and scenarios. Results: The advanced cardiac life support knowledge (t=-4.813, p=.000) and performance ability (t=-2.903, p=.006) were significantly different between the traditional simulation education and RCDP simulation education groups The results also showed a significant difference in attach monitor (z=6.857, p=.009), analyze EKG rhythm (z=11.111, p=.001), and defibrillation (z=12.632, p=.000), indicating differences in performance capabilities between the two groups. Conclusion: To improve advanced cardiac life support knowledge, performance ability, and confidence in the paramedic students who receive RCDP simulation education, simulation education methods that are appropriate for the subjects being taught, and detailed learning goals and feedback are necessary.

• The Korean Journal of Emergency Medical Services
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• v.22 no.3
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• pp.47-54
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• 2018

Purpose: The purpose of this study was to present evidence for quality management based on analysis of patient transportation and response intervals among emergency medical squads. Methods: The chi-square test was used to determine whether mental status and patient assessment affected direct medical control and hospital destination. One way analysis of variance was used to compare response intervals depending on mental status and patient assessment using data drawn from 1172 prehospital care reports. Results: There was a statistically significant relationship between mental status and direct medical control (p<.001); there was a statistically significant relationship between patient assessment and hospital destination (p=.011). However, there was no statistically significant relationship between mental status and hospital destination. The interval from arrival at the patient's side to departure from the scene showed a statistically significant difference (p<.001, p<.001), however, it took the longest time (16.8 minutes) in unresponsive patients. It showed a statistically significant difference (p<.001) in the interval from arrival at patient's side to departure from the scene depending on patient assessment; however, it took the longest time (9.6 minutes) in emergency patients. Conclusion: There was call for direct medical control based on patient assessment; however, patient transportation and response intervals were not appropriate.

• The Korean Journal of Emergency Medical Services
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• v.22 no.3
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• pp.117-129
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• 2018

Purpose: The purpose of this study was to assess empathy and resilience among healthcare college students. Methods: A self-reported questionnaire was filled out by healthcare college students from August 13 to October 13, 2018. Mean and standard deviation, t-test, analysis of variance, Pearson's correlation coefficients, and linear regression were used to analyze the data. Results: The average score for perspective taking was 3.57(${\pm}0.48$), fantasy 3.39(${\pm}0.59$), empathic concern 3.57(${\pm}0.39$), personal distress($3.02{\pm}0.48$), and resilience $3.37{\pm}$(0.41). There was a significant positive correlation between perspective taking (r=.388, p<.001) and resilience. Factors influencing resilience were perspective taking fantasy(${\beta}=.219$, p<.001), empathic concern(${\beta}=.207$, p=.004), and personal distress(${\beta}=-.303$, p<.001). Conclusion: More studies are needed to develop the empathy improvement program for healthcare college students.

• The Korean Journal of Emergency Medical Services
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• v.23 no.2
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• pp.19-31
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• 2019

Purpose: This study aimed to investigate disaster preparedness competence and disaster response competence of paramedics working in emergency medical centers operating a disaster medical assistance teams. Methods: Data of 174 emergency medical technician(EMT)-paramedics were collected from July 15 to August 14, 2018 at regional and local emergency medical centers that operate disaster medical assistant team. Analysis of the data was carried out with IBM SPSS statistics 24.0 software (IBM, Armonk, NY, USA). Results: The mean disaster preparedness competence score was $3.57{\pm}0.63$ (out of five). Participants' disaster preparedness competence significantly differed according to type of emergency medical center (p<.000), disaster education experience (p<.000), and education frequency (p=.001). The mean disaster response competence score was $4.09{\pm}0.57$ (out of five). Participants' disaster response competence significantly differed according to disaster education experience (p<.000) and medical assistance experience (p=.045). Conclusion: Emergency medical technician-paramedics without disaster training should first be provided with this training. Further, it is important for EMT-paramedics to know their disaster preparedness and response capacities and strengthen their shortcomings. It is also important to develop education and training programs that properly equip EMT-paramedics with practical competencies.

• The Korean Journal of Emergency Medical Services
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• v.23 no.2
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• pp.61-73
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• 2019

Purpose: This study aimed to introduce active learning methods, including flipped, case-based, and team-based learning in an electrocardiography (ECG) course and to investigate outcomes and satisfaction with these methods. Methods: To identify the learning effect of active learning, pre-and post-academic self-efficacy was compared between the experimental and control groups. In the experimental group, pre-and post-knowledge and clinical performance regarding ECG were also assessed. In addition, class satisfaction was investigated after application of active learning methods in the experimental group. Data were collected from 84 paramedic students and analyzed using SPSS 22.0 (IBM, Armonk, NY, USA). Results: The experimental group showed significant improvement in post-academic self-efficacy and knowledge. The experimental group also showed high clinical performance (9.83 out of 10 in ECG checking ability and 9.63 out of 10 in ECG reading ability). The mean satisfaction score was 4.23 out of 5 (responses based on a Likert scale) in the experimental group. Conclusion: Active learning in an ECG course was found to be highly effective and satisfactory. Furthermore, paramedic students can enhance their accountability and judgement with team-based learning through free engagement in discussion.

• The Korean Journal of Emergency Medical Services
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• v.23 no.1
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• pp.165-178
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• 2019

Purpose: This study examined medical college students' perception of euthanasia and analyzed whether there were significant differences in their perceptions based on their grade, religion, and economic situation. Methods: A questionnaire comprising items relating to students' knowledge about euthanasia, their economic situation relationships with patients, and the extent to which euthanasia would be allowed depending on the patient's condition. Results: Results by age and school year revealed there were no statistically significant differences concerning permissible levels of euthanasia. However, differences were found in the permissible levels of euthanasia according to changes in the patients' condition. Conclusion: It can be interpreted that students' personal values and religion had a great effect on the perception of euthanasia than the process of acquiring medical knowledge. The religion or values they have in your life affect your perception of euthanasia more than the process of acquiring and learning medical knowledge. The suffering of patients is the most important priority and it supports euthanasia on the grounds of relieving psychological distress for patients' families and the right of every patient to die gracefully. Nevertheless, considering the possibility of patient survival and euthanasia being used for murder, it is necessary to legislate the use of euthanasia and have the appropriate qualifications for its administration on patients.

• The Korean Journal of Emergency Medical Services
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• v.25 no.1
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• pp.49-56
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• 2021

Purpose: This experimental study aimed to solve the problem of discomfort and stably fix the bandage. A new self-adhesive bandage was manufactured to reduce the inconveniences associated with the plaster bandage. We compared the associated stability between the plaster bandage and the new self-adhesive bandage. Methods: The traditional elastic bandage (traditional EB; i.e., plaster bandage) and modified elastic bandage (modified EB; i.e., new self-adhesive bandage) were applied to 30 people each. We measured the time of preparation and attachment for traditional TB and attachment for modified TB. A 4kg cattle bell was fixed to each bandage to compare their respective stability levels. Results: The speed for the traditional EB was 28.93(±9.28)sec (mean 25.56s) and 6.13(±1.81)sec for the modified EB (mean 5.95sec). The stability values were 1.49(±.77)min for the traditional EB (mean 1.31min) and 26.22(±9.04)min for modified EB (mean 1.31min). The differences in speed and stability were statistically significant. Conclusion: Compared to the traditional EB, applying the modified EB could solve the attachment inconvenience and provide stable maintenance.