• Title/Summary/Keyword: 임상실무

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Nursing Protocols of Cold Application in Different Medical Institutions in Korea (전국 의료기관의 냉 요법 실무지침 및 임상간호사의 냉 요법 실무 현황)

  • Shin, Yong Soon
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.355-365
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    • 2015
  • Purpose: The purpose of this study was to evaluate nursing protocols for superficial cryotherapy in different medical institutions. Methods: The study was conducted with a cross-sectional descriptive design. The medical institutions including general hospitals, hospitals, and geriatric hospitals were randomly selected. A total of 435 nurses from 126 institutions completed a questionnaire. Data were collected from December 2014 to June 2015. Results: Forty-two institutions (39.5%) had nursing protocol for cryotherapy. The nurses reported that durations of cold application were 2 minutes to 5 hours. Frequently used cold therapy devices in order of frequency were frozen gel packs, ice packs, and frozen IV fluid bags. There were variances in the duration of cold application according to the types of institution ($x^2=7.78$, p=.020) and nursing units ($x^2=26.42$, p<.001). In addition, intervals of cold application were different according to the nursing units (x=12.23, p=.032). There were differences in cold application instruments by regional groups (x=70.38, p<.001). Most of the nurses (95.6%) responded that national nursing protocol for superficial cryotherapy were needed. Conclusion: There were difficulties in providing consistent nursing interventions because of the practical differences and absence of evidence-based guidelines for cryotherapy. The researchers recommend that basic studies with various instruments be conducted and proper nursing protocols be developed for cryotherapy.

Nurses' Usage of Clinical Practice Guideline and Demand of Evidence Based Clinical Practice Guideline (간호사의 임상실무지침서 사용현황과 근거중심 임상실무지침서 요구도 조사)

  • Ha, Mi Suk;Park, Myong Hwa
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.582-592
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    • 2006
  • Purpose: The purpose of this study was to offer the baseline data for developing a systematic and high quality of clinical practice guideline by exploring how nurses utilize clinical guidelines and what they need for. Method: This study has been done with 242 nurses of a university hospital in Daegu using a self-administered questionnaire. The instrument used in this study was developed by researchers based on the results of the previous studies. Data analysis was done with SPSS 11.0 Program. Results: Nurses felt that clinical guidelines were not sufficiently disseminated to update their clinical knowledge education. Nurses showed the strong demand for developing clinical practice guidelines with the newest and systematic evidence. However, a relatively low number of nurses knew evidence-based nursing and evidence-based clinical guidelines. Conclusion: It is necessary to develop an educational program for evidence-based nursing and an evidence-based nursing clinical practice guideline for nurses and to explore the strategies for development and dissemination of evidence-based clinical practice guidelines to solve the urgent and frequent clinical problems.

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Development of Education Courseware for Clinical Care Classification System based PC and Smartphone (PC와 스마트 폰 기반 임상간호분류체계 교육 코스웨어 개발)

  • Hong, Hae-Sook;Lee, In-Keun;Cho, Hune;Kim, Hwa-Sun
    • Journal of Internet Computing and Services
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    • v.12 no.3
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    • pp.49-56
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    • 2011
  • It is urgently needed to develop programs supporting lifelong education for nurses and students of nursing, which are not restricted by time or space and use personal computers or smartphone. The purpose of this study is to develop CCC(Clinical Care Classification) System into a education program and provides guideline to support clinical tasks for students of nursing. Comparing the search times of the book guideline and the web guideline developed, this study found that it was over 3.5 times faster. And its error rate was over four times lower. This result shows that it can provide accurate intervention for patients since it approaches to intervention and evaluation guideline fast and precisely in the actual tasks of nursing.

Role Expectations and Cooperation of Staff Nurses and Clinical Research Nurses who take care of Clinical Research Patientser (임상연구환자를 돌보는 병동간호사와 임상연구간호사의 역할기대와 협력 인식)

  • Lee, Hye-Young;Kim, Sanghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.420-430
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    • 2021
  • This was an investigative study to identify the role expectations for clinical research related tasks that ward nurses can participate in and the awareness of cooperation between ward nurses and clinical research nurses (CRNs) and the obstacles for the same. The subjects were 66 ward nurses and 65 CRNs. The data were analyzed using descriptive statistics, the two-sample t-test, and the 𝑥2 test on SAS 9.3. As a result of this study, 4.56±0.41 ward nurses and 3.83±0.60 CRNs were found to have high role expectations of each other and statistically significant role expectations for ward nurses (p<.001). Significant differences were seen in the five categories of cooperation recognition between the two groups. Among the factors for cooperative disabilities, excessive work and lack of awareness of clinical research were ranked high. High role expectation becomes an element of role conflict. To organize the role of ward nurses and clinical research nurses in the new clinical research nursing work, procedures, establishing of effective practices, and the proper operation of an official system are expected to be necessary. To promote cooperation between the two groups, a culture of mutual trust and cooperation should be formed to enable each group to think of the other as partners and to recognize their expertise.

Development of Evidence-Based Nursing Practice Guideline for Prevention of Ventilator-Associated Pneumonia (인공호흡기 관련 폐렴의 예방을 위한 근거기반 간호실무지침 개발)

  • Kim, Hwa-Young;Ryu, Seang
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.630-644
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    • 2021
  • This study was conducted to develop evidence-based nursing practice guideline for the prevention of VAP. This is a methodological study to develop guideline and verify the effectiveness according to the hybrid method of the NECA. Topics and key questions were derived through literature review and interviews, and recommendations were converged and developed through guidelines review and SR and meta-analysis. This was verified through the RAND and evaluated through AGREEII. The clinical feasibility of the nursing practice guideline, consisting of 44 recommendations in 9 categories, was evaluated by 122 ICU nurses. Conclusively this evidence-based nursing practice guideline for the prevention of VAP was confirmed methodological quality and content validity and was suitable for our nursing practice environment.

Development of Guidelines for Raid Response to Acute Deteriorating of Hospitalized Patients (입원환자의 급성 악화 신속대응 가이드라인 개발)

  • Lee, Ha-Nui;Park, Jeong-Sook
    • The Journal of the Korea Contents Association
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    • v.22 no.10
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    • pp.359-373
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    • 2022
  • The purpose of this study was to develop evidence-based practice guideline for rapid response to acute deterioration of hospitalized patients. The guideline was developed according to the Clinical Practice Guideline Adaptation Manual. and evaluated using AGREE II tool. The guidelines were checked content validation by an expert group, final 130 recommendations in 5 sections including management, recognition, activation, response, and evaluation. The average of the overall practical application to the guidelines was 4.41±0.78 out of 5, which showed high applicability in clinical work.

Study on Clinical Dental Hygiene in Korea Based on Analysis of Clinical Dental Hygiene Curriculum of Fones School in the United States (미국 폰즈스쿨의 임상치위생학 교육과정 분석을 통한 국내 임상치위생학 교육과정에 관한 고찰)

  • Choi, Yong-Keum;Lim, Keun-Ok;Han, Yang-Keum;Bae, Soo-Myoung;Shin, Bo-Mi;Ahn, Se-Youn;Jeon, Hyun-Sun;Kim, Jin;Jang, Sun-Ok;Kim, Hye-Jin;Park, Ji-Eun;Lim, Hee Jung;Jang, Yun-Jung;Jung, Jin-Ah;Lee, Hyo-Jin
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.123-133
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    • 2017
  • The aim of this study was to analyze in depth the standardized Clinical dental hygiene curriculum of the Fones School in the United States. We investigated the clinical dental hygiene curriculum in 2015~2016 including title, credit, hours, contents, goals, competencies, and evaluation. We obtained the course syllabus and data related to each subject, for each grade, from the professors and students at the university. The goals and competencies, of the clinical dental hygiene program, which were based on the goals of the Fones School and the mission of the University of Bridgeport, were developed in accordance with the dental hygienist practice standards proposed by the American Dental Hygienists Association. The curriculum consisted of theory to teach proper dental hygiene care procedures and incorporated practical exercises that modeled an actual clinical setting. The students had to document the procedures performed for each client/patient and improve their clinical competency through discussion with the professors. Dental hygiene care should be provided for children, adolescents, adults, elderly, and patients, which includes patients with moderate or severe periodontal status. Students were evaluated by a paper test or case study presentation and their clinical evaluation was based on their clinical competency. In particular, professors evaluated students on a rotational basis, so they could evaluate the level of achievement of clinical competency of all students and find ways to improve any weaknesses. Therefore, the current study suggested that clinical dental hygiene program in Korea could be improved if based on the curriculum of Fones School in the United States.

Development of Evidence Based Clinical Practice Guideline to Improve Quality of Critical Care Nursing (중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발)

  • Park, Myong-Hwa
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.68-78
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    • 2009
  • Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

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A Concept Mapping Study on Factors Inducing Dental Hygiene Student's Activeness During Clinical Practice (치위생학과 학생의 임상실습 적극성 유발요인에 대한 개념도 연구)

  • Kim, Hyeong-Mi;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.359-366
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    • 2020
  • The purpose of this study is to explore factors inducing dental hygiene student's activeness during clinical practice. A conceptual study was conducted for dental hygiene students who participated in the clinical practice for the first semester of 2019. The focus question was, 'What factors induced activeness during clinical practice?', a total of 33 statements were drawn by analyzing the responses. Results of multidimensional scale analysis and cluster analysis, there are six factors that induce activeness 'provide information on clinical practice', 'possibility to participate in clinical practice', 'possibility of adaptation', 'attitude of educator', 'patience of educator', and 'attitude toward trainees'. Among them, the most factor inducing activeness was the 'possibility to participate in practice'. The four items inducing activeness were 'provide a training manual', 'can be observed closely,' 'practice for a sufficient period', and 'the educator's attitude is kind'. The results of this study could be used as basic data to enhance the clinical practice effect of dental hygiene students.

A Study on Perceived Connectivity between Pharmacological Knowledge and Clinical Practice, and the Need for Pharmacology Education Contents in Undergraduate Courses among Clinical Nurses (임상 간호사의 약리학 지식과 임상실무 연계성 및 교육내용 필요도)

  • Kim, Chul-Gyu;Cho, Mi-Kyoung;Park, Seungmi
    • Journal of Korean Biological Nursing Science
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    • v.16 no.1
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    • pp.41-51
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    • 2014
  • Purpose: The purpose of this study was to identify clinical nurses' knowledge of pharmacology, their need on pharmacology education contents, and perceived connectivity between knowledge and clinical practice. Methods: Subjects consisted of 114 clinical nurses. They responded to self-administered questionnaires about knowledge of pharmacology and need in pharmacology, and perceived connectivity between the knowledge and clinical practice. Results: The mean score of knowledge of pharmacology was $5.2{\pm}1.7$. The mean score of need on pharmacology in clinical practice was $7.9{\pm}1.9$, and those of satisfaction, application, and confidence with clinical performance by applying the knowledge to clinical practice were $7.4{\pm}1.9$, $6.8{\pm}2.0$, and $7.5{\pm}2.1$ respectively. Knowledge of pharmacology was positively correlated with perceived connectivity between knowledge and clinical practice. Scores of need of dose calculations was the highest among 14 units of pharmacology education contents in undergraduate courses while that of development of new drugs was the lowest. Scores of need of coagulation modifier drugs and thrombolytic agents were the highest among 16 units of pharmacology education contents by system specific drug while those of dermatologic and ophthalmic drugs were the lowest. Conclusion: The results indicate that knowledge of pharmacology is important in promoting perceived connectivity with clinical practice by applying knowledge to clinical practice.