• Title/Summary/Keyword: 임상실무

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Experience of Healthcare Providers in the Advanced Practice Nurse System (전문간호사제도에 대한 의료인의 경험)

  • Kim, Min Young;Jeon, Mi-Kyeong;Choi, Su Jung;Kim, Jeong Hye;Kim, Heeyoung;Leem, Cho Sun
    • Journal of Korean Critical Care Nursing
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    • v.14 no.2
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    • pp.42-56
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    • 2021
  • Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.

Convergent Approach of Phenomenological Methodology about Male Nurses' Adaptative Experience at PACU (회복실 남자간호사의 임상 적응 경험에 관한 현상학적 방법론의 융합적 접근)

  • Park, Sung-Joo;Kim, Myung-Ah
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.415-424
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    • 2022
  • Purpose: The purpose of this study was to identify the experiences of male nurses working in PACU. Methods: A phenomenological method was used in this study. Data were collected by individual in-depth interviews with six participants. Colaizzi's phenomenology has been adapted as a research method in this qualitative study. Results: 4 categories, 9 theme clusters, and 21 themes were identified. The 4 categories derived from the data as follows: 'Beginning my career in nursing ','Facing difficult reality', 'Striving to survive', 'Full adjustment in the workplace' Conclusion: These results could help to expand understanding the role of male nurses working in the PACU. In additions, the results could help basic data for men to develop effective strategies and educational programs.

Study on the Subjectivity about Nursing Student's Image of Professional Nurse before Clinical Practice (임상실습 전 간호대학생의 전문 간호사 이미지에 관한 주관성 연구)

  • Kim, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.224-234
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    • 2014
  • This study designed to nursing student's image of professional nurse before clinical practice using Q-methodology. Using Q-methodology, 43 nursing student sorted 34 statements selected professional nurse type. The statement positions on the sorting continuum were scored from +4(representing the highest level of agreement) through 0(at the neutral position on the continuum) through -4(representing the highest level of disagreement). Factor analysis of the data was undertaken using PC QUANL software to determine if any patterns were discernible. The three factors extracted eigenvalues greater than 1.0 and explained approximately 53.94% of the variation in responses(41.63, 7.41 and 4.9% respectively). The categories were labeled 'Nightingale's nursing philosophy type', 'Consideration of patient type' and 'Self-development type'. Twenty-two students who located to factor 1 "Nightingale's nursing philosophy type". Eleven students who located to factor 2 "Consideration of patient type". Three students sho located to the factor 3 "Self-development type". The significant differences found in the subjective structure of nursing student's image of professional nurse. The study results can be utilized in both an effective nursing education and clinical practice.

The Solution to the Limitation of the Conventional Digital X-ray System and Its Feasibility Test (디지털 X선 촬영장치의 한계 검사 개선 및 유용성 평가)

  • Gil, Jong-Won;Park, Jeong-Ho;Bae, Seok-Hwan;Hwang, Hye-Jeong;Kim, Yong-Gwon
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.371-379
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    • 2014
  • In this study, we conducted a survey on the limited examinations of the DR system to the 30 radiologic technologists engaging in the clinical sites and university hospitals in Daejeon metropolitan city from Oct. 15, 2012 to Nov. 15, 2012. Based on the survey results, we propose the conceptual design of a supplementary table for the conventional DR system to extend the examination capability and overcome the limitation of DR system. And, we evaluated the convenience and usefulness of the proposed table by applying it to five subjects. Ten experts were involved to evaluate the clinical usefulness of the obtained images. In this study, the experimental results show the feasibility to overcome the limited examination of the conventional DR system, and the proposed supplementary table may be beneficial to patients and hospitals.

A Study on Introduction and Application of Preceptor System in Clinical Practice Process of Dental Hygiene Students (치위생과 학생들의 임상 실습과정에서 프리셉터(가칭: 임상실무지도자)의 도입과 활용에 관한 연구)

  • Goo, Min-Ji
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.43-52
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    • 2009
  • The realistic problem about the dental hygiene education in our country is what the correlation between theoretical education and clinical education is short, and what the systematically clinical-practice education is failing to be realized. In order to solve this problem, the aim is to introduce preceptor and to present necessity in order to apply preceptor to the practice education for dental hygiene department. 1. What is the largest in the difference between the observation experience and the performance experience by element in clinical-performance activity is the patience-care service sphere(P < .001). 2. A hospital with the highest observation-practice experience level in children with the observation experience by hospital was in order of K hospital, Y hospital, H hospital, B hospital, and A hospital(P < .001, P < .01). 3. A hospital was the highest in the difference of the performance-practice experience level by hospital. And, the next was in order of H hospital, Y hospital, K hospital, and B hospital(P < .001, P < .01). 4. As for recognition on importance of clinical-practice activity in dental hygienists, the dental hygienists with more than the third year were indicated to be the highest than the dental hygienists with less than the 3rd year among 58 dental hygienists. Given seeing the results of this study, the more systematic and educational clinical-practice environment will need to be improved by suggesting a role of preceptor and to seek for a plan for application in the clinical-practice education.

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The Effects of SBAR Report Education on Communication Clarity, Communication Satisfaction, Reporting Confidence and Communication competency in Clinical Practice of Nursing Students (간호대학생의 임상실습 동안 적용한 SBAR 보고교육이 의사소통명 확성, 의사소통만족도, 보고자신감과 의사소통능력에 미치는 효과)

  • Jaung, Ae-Hwa;kim, Ji-young;Moon, Mi-Young
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.4
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    • pp.1129-1142
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    • 2021
  • This study was conducted to identify the impact factors of SBAR reporting education applied during clinical practice of nursing students on communication clarity, communication satisfaction, reporting confidence, and communication competency. Data collection period was from December 1st, 2019 to December 20th, 2019 and two nursing universities extracted conveniently for third graders who completed clinical practice for more than six weeks. The number of eligible applicants is 103 who received SBAR reporting and training and 113 who did not receive training. Data were analyzed by t-tests, one-way ANOVA, Pearson's correlation coefficient analysis using the SPSS 21.0 program. Positive correlation were between communication clarity and communication competency(r=.52, p<.001), and between reporting confidence and communication satisfaction(r=.53, p<.001), communication competency and reporting confidence(r=.46, p<.001). communication competency was a significant influence factor with communication clarity(𝛽=.28, p<.001), communication satisfaction(𝛽=.43, p<.001), and reporting confidence(𝛽=.15, p=.009) 49.0% explanatory power. In conclusion, it is necessary for nursing students to develop educational systems and teaching methods to strengthen the reporting system by identifying practical skills during clinical practice.

Factors influencing the recognition of clinical nurses' code of ethics; Focusing on consciousness of biomedical ethics, moral sensitivity, and critical thinking deposition (임상간호사의 간호사 윤리강령 인식의 영향 요인; 생명의료 윤리의식, 도덕적 민감성, 비판적사고 성향을 중심으로)

  • Choi, Young-sil;Kim, Sang-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.660-671
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    • 2020
  • This study is a descriptive survey study that attempted to confirm clinical nurses' consciousness of biomedical ethics, moral sensitivity, critical thinking deposition, and nursing ethics code of clinical nurses, as well as to identify the factors influencing the recognition of the nursing code of ethics. The general and ethical characteristics of the subject were calculated by frequency, percentage, mean, and standard deviation, and the difference for each variable according to the general and ethical characteristics was analyzed using SAS 9.4, independent t-test, and one-way ANOVA, and Scheffé test. The average, standard deviation, and the minimum and maximum values were used for the scores of each variable, and the correlation was determined using the Pearson correlation coefficient. Multiple regression was used to identify the factors that influence the recognition of the nurse's code of ethics. All variables showed significant correlations. Critical thinking deposition (p<.05) was the most influential variable in recognizing the code of ethics for nurses. Critical thinking deposition (p<.001), consciousness in biomedical ethics (p<.001), and moral sensitivity (p<.001) were shown to be affected in order, with 27.4% explaining power. Therefore, it is necessary to develop and apply educational programs to clinical nurses that can improve critical thinking, life and bioethics, and moral sensitivity.

Adapting Oral Health Care Guidelines for Nursing Home Residents in South Korea (요양시설노인을 위한 구강간호 임상실무지침 수용개작)

  • Park, Myung-Sook;Smi, Choi-Kwon;Han, Jung-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.1
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    • pp.1-10
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    • 2015
  • Purpose: This study attempted to adapt evidence-based oral health care guidelines for nursing home residents in South Korea. Methods: The manual for guideline adaptation, version 2.0, developed by the Korean National Evidence-based Healthcare Collaborating Agency was applied. On the basis of a comprehensive literature review of current research and multidisciplinary panel discussion on adapting such guidelines, we developed evidence- based guidelines for oral health at nursing homes. Results: The guidelines have three domains: oral assessment, oral hygiene care, and support and facilities. Oral assessment includes recommendations on the frequency of and tools for conducting oral health assessment. Oral hygiene care involves recommendations for care of natural teeth, denture care, xerostomia, and behavioral problems. Support and facilities refer to six components of the support system provided by facilities to encourage oral hygiene care among nursing home residents. Conclusion: These adapted guidelines could be an effective method to improve oral hygiene among nursing home residents.

The Knowledge, Need, and Usage of Medical Terminology in Clinical Nursing Practice (임상 간호 실무에서의 기초 의학용어에 대한 지식, 필요도 및 활용 정도)

  • Shin, Gisoo;Cho, Mi-Kyoung
    • Journal of Korean Biological Nursing Science
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    • v.16 no.4
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    • pp.276-283
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    • 2014
  • Purpose: The purpose of this study was to identify levels of knowledge, need, and usage of medical terminology in clinical nurses. Methods: Participants for this study consisted of 127 clinical nurses who work at one general hospital located in Seoul in Korea. The data was collected from April 1st to the 22nd in 2014. Participants responded to self-administered questionnaires about their knowledge, need, and usage of English medical terminology, Chinese character medical terminology, and Korean medical terminology. The data was analyzed using an independent t-test, one-way ANOVA, Duncan's test as post hoc and Pearson's correlation. Results: The mean scores of knowledge and needs with English medical terminology were high. English medical terminology and Chinese character medical terminology were more useful tools for disease than Korean medical terminology. Knowledge of medical terminology was positively correlated between needs and correct use with the clinical nursing situation. Conclusion: Based on these results, it can be concluded that medical terminology education for bio-nursing curriculum is important for clinical nurses and standardization of essential medical terminology is needed.

Hydraulic Stable Analysis of Passive River (자연형 소하천의 수리적 안정성 해석)

  • Rhee Kyoung Hoon;Yim Sang Ju;Oh Chang Ju;Kim Tae Kyoung
    • Proceedings of the Korea Water Resources Association Conference
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    • 2005.05b
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    • pp.1244-1248
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    • 2005
  • 최근 몇 년 사이에 자연친화적인 하천복원의 관심이 고조되면서 자연형 하천공법의 적용 초기단계를 걷고 있는 우리나라에서는 생태계 복원과 더불어 인명과 재산을 보호할 수 있는 안전한 자연형 하천 공법의 개발을 위해 수리적 안전성을 지속적으로 관찰하고 분석할 필요가 있다. 그러나 아직까지 우리나라에서는 수리적 및 치수 방재적 측면에서 자연형 하천공법의 안전성에 대한 표준화되고 일관된 분석체계가 아직 구성되지 못하여 자연형 하천정비 공법의 실무적용에 많은 어려움을 겪고 있다. 더구나 소하천 유역은 지역적 특성이 두드러지고 계절에 따른 유량변화가 심하여 하천의 수리적 안전에 대한 분석체계가 적절하게 갖추어지고 있지 못하는 실정이다. 따라서, 본 연구에서는 자연형 하천공법에 따른 소하천의 수리적 안전성과 하천정비 전$\cdot$후의 치수기능의 변화를 Hec-Ras(river analysis system)를 이용하여 적용대상 유역의 수리$\cdot$수문학적. 기하학적, 기상학적 자료들 기본으로 대상유역에 모의해 보았으며 그 결과로부터 자연형 하천정비 전$\cdot$후의 수리적 안전성을 해석하고 하천의 치수기능에 대한 자료를 얻고자 하였다. Hec-Ras를 이용한 연구의 결과 값들은 국내에서의 자연형 하천공법 적용에 따른 하천의 수리적 안전성을 판단하는 표준화된 분석체계를 마련하는데 기초 자료를 제공할 것이며 자연형 하천정비의 기준과 적용을 확립하는데 중요한 의미를 가질 것으로 판단된다.

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