• Title/Summary/Keyword: 임상실무

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Convergence effectiveness verification for developing practice guidelines for dementia patients cognitive programs (치매환자 인지프로그램 실무지침 개발을 위한 융합적 효과검증)

  • Ham, Min-Joo
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.85-91
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    • 2021
  • This study is a methodological study that explains the procedure for verifying effectiveness in developing practical guidelines for cognitive programs suitable for dementia patients. Based on the development of evidence-based new clinical practice guidelines, a preliminary recommendation for the domestic dementia patient care guidelines was developed. The practical guidelines consisted of the final four types, and the content validity score of the configuration items was 0.87 to 1 point. In the sub-categories of field applicability, appropriateness score was 3.95 to 4.34 points, applicability score was 3.57 to 4.27 points, and predicted effect score was 3.84 to 4.22 points. Through the examination of the content validity and field applicability of experts, it was confirmed that the practical guidelines developed in this study can be used as the basis for establishing an intervention plan for dementia cognitive program managers engaged in clinical practice. In future studies should further facilitate the development of evidence-based treatment guidelines to select appropriate treatment activities for dementia patients.

The Effects of Field-Oriented Capacity Upgrade Model(FO-CUP): H University Occupational Therapy Practice (임상중심 실무능력향상 교육모델(FO-CUP)의 융합적 효과성 연구: H대학 작업치료실습을 중심으로)

  • Kim, Keum-Sook
    • Journal of Convergence for Information Technology
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    • v.10 no.2
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    • pp.193-200
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    • 2020
  • This study proposes the Field Oriented Capacity Upgrade Program, an educational model for improving clinical practice of occupational therapy. The effectiveness of the self-directed learning ability and problem solving ability of students was compared by comparing the proposed educational model with the traditional teaching method. The research method was divided into the experimental group who participated in the model education and the control group who participated in the lecture class, and conducted similar experimental studies using the nonequivalent control group pretest-posttest design. In addition, the study participants conducted a preliminary and follow-up survey of a total of 135 students who participated in the education over three semesters. As a result of training using the proposed learning method, the experimental group improved self-directed learning ability and problem solving ability by 22% and 18%, respectively, compared to the control group. This study developed and proposed a new teaching-learning method to improve clinical practice of occupational therapy, and it is meaningful as a basic data of teaching-learning method to improve the ability required in various jobs.

Factors Influencing Nursing Practices of Physical Restraints Use by nursing students (간호대학생의 신체적 억제대 사용 관련 간호실무 예측 요인)

  • Ha, Sun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.529-537
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    • 2021
  • Although the use of physical restraints is controversial, it is still commonly used in hospitalized patients to prevent patient accidents in clinical practice. It is, therefore, necessary to evaluate the knowledge, attitude, perception, and nursing practices related to the use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 144 nursing students at two Universities. Descriptive statistics, including t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression, were applied to analyze the data collected. Our results reveal that the mean knowledge score of nursing students regarding the use of physical restraints was 11.55±2.81, the mean attitude score was 60.01±7.24, the mean perception score was 59.97±10.68, and the mean nursing practice score was 38.04±4.15. Significant positive correlations were observed between nursing practice and knowledge, attitude, and perception. Multiple regression analysis showed that the factors significantly related to nursing practice and the use of physical restraints were perception (β=.23, p=.005) and attitude (β=.21, p=.009), having a total explained variance of 13.0%. The findings from this study suggest that perception is the strongest predictor of the use of physical restraints in nursing practice. Thus, it is necessary to develop and apply an evidence-based educational intervention program to ensure that nursing students correctly understand the need for physical restraints and later use them appropriately in clinical practice.

Bridging the Gap Between Research, Practice and Theory in Nursing (간호학에 있어서 연구, 실무와 이론과의 교량)

  • Ketefian, Shake
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.303-312
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    • 1994
  • 이 논문은 건강관리와 간호에 있어서 현재 발전하고있는 경향과 맥락내에서 연구, 실무 및 이론 사이의 상관관계에 관하여 논하였다. 연구-실무-이른의 삼위일체의 연결고리를 위한 접근의 다양성에 대하여 기술하였다. 교육, 협력활동, 파트너쉽, 협동임명과 교수임상근무, 실무에 있어서 이른 적용의 문제점 또한 언급하였다. 이론과 연구를 풍부하게 하기 위한 방법과 연구에 기초한 지식을 실무에 적용하기 전 실무환경에 적절하게 사용될 수 있게 부가된 검증이 필요하다. 또한 실무환경에 지식을 적용, 평가, 반복함으로써 체계적이고 계획된 변화노력이 이루어져야 한다. 세계화와 국제화의 시각 및 모든 사람에게 국경을 초월하여 건강관리를 증진시키기 위하여 협력적인 연구활동이 특별히 요청된다.

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Review on the Theory of Nursing Client Advocacy and Its Applications in Child Healthcare (간호대상자옹호이론의 발전전망과 아동간호에의 적용방안)

  • Cho, Kap-Chul
    • Child Health Nursing Research
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    • v.19 no.3
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    • pp.149-158
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    • 2013
  • Since 1990, descriptive studies about the concept of client advocacy have been published in the health journals. However, empirical studies of the concept are still lacking. There are not enough bases to apply the concept of client advocacy in nursing practice. The purpose of this paper is to encourage empirical research about client advocacy by clarification of the concept and to discusses application of the theory in child healthcare. The literature was reviewed that empirical studies on client advocacy conducted after the year 2000. The changing trends in the client advocacy concept was examined; it was changed from the philosophical concept to nursing action and changed from individual advocacy to collective advocacy, with the rise of the self advocacy concept. The research trends on client advocacy evolves from descriptive study to quasi-experimental study and instrument development study, with diversification and expansion of research methods, advocates, clients and settings. The advocacy role of the nurse in child healthcare is significant due to the child's lack of self determination ability. In ill child care, the application of individual advocacy is potent, while in healthy child care, collective advocacy, policy advocacy, and social advocacy is effective.

A study on the improvement of educational evaluation system in dental technician using Delphi technique (델파이 기법을 이용한 치과기공사의 교육 평가 시스템 개선 방안에 관한 연구)

  • Kim, Won-Soo;Kim, Ki-Baek;Nam, Sang-Yong;Jung, Jae-Kwan;Cho, Mi-Hyang;Jeoung, Su-Ha;Kim, Jae-Hong
    • Journal of Technologic Dentistry
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    • v.40 no.4
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    • pp.273-281
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    • 2018
  • 목적: 본 연구는 실무 현장과 교육 현장의 조사를 통한 종합적인 의견을 수렴하여 합리적인 치과기공사 양성 및 배출을 위한 개선안을 도출하고자 한다. 방법: 3회에 걸쳐 설문조사가 진행되었으며, 1차는 개방형 문항으로 조사되었고, 2차, 3차는 폐쇄형 문항으로 조사되었다. 델파이 조사를 위한 조사 인원 선정을 100명(정책집단: 20명, 교육집단: 20명, 임상가 집단: 60명)으로 지정하였다. 1차 개방형 조사결과를 토대로 2차 설문문항을 작성하였으며, 2차 설문조사 결과를 토대로 3차 설문문항을 작성 후 조사하였다. 수집된 자료의 분석은 통계패키지 프로그램 SPSS Ver. 21.0를 활용하여 델파이 기법(Delphi Method)을 활용한 연구 결과에서 전문가 집단의 의견을 수렴하기 위해 빈도분석과 기술통계분석을 실시하였다. 결과: 현 교육체계의 문제점은 임상현장과의 차이와 실무능력저하, 국가시험위주의 교육이 문제점으로 대두되었으며, 현행 평가제도의 문제점은 임상현장을 충분히 반영하지 못한 점, 실무능력이 미 반영된 실기평가로 지적되었다. 결론: 결론적으로 치과기공사의 교육과정과 평가제도는 현실적인 내용을 고려하면서 임상 실무와의 연계성을 높이는 방향으로 개선되어야 할 것으로 사료된다.

Current status of dental hygiene curriculum related to clinical practice for dental hygienists in some universities (일부 대학 치위생학과의 치과임상실무 관련 교육과정 운영현황)

  • Lee, Hyo-Jin;Shin, Bo-Mi;Shin, Sun-Jung;Bae, Soo-Myoung
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.6
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    • pp.793-803
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    • 2021
  • Objectives: The purpose of this study was to investigate the current status of dental hygiene curricula related to clinical practice in Korea. Methods: Clinical work included the categories 'history taking, infection control, oral prophylaxis, preventive treatment, education/counseling, radiography/reading, assisting/cooperation, impression/bite registration, anesthesia, etc.', and 66 works were finally selected based on the frequent tasks of dental hygienists. The subjects were made to answer nine questionnaires. Results: It was found that the theory and practice of the main works operated quite differently in lectures and practice in each school. All types of practice were applied to all schools in the case of 'scaling'. The evaluation of clinical practice was also found to be very different from school to school. Conclusions: For dental hygienists to establish expertise in clinical practice and promote quality improvement, it is necessary to develop a core curriculum focusing on clinical practice. The standardized curriculum should be improved to an efficient and competency-centered one defining clearly the role of dental hygienists considering the needs and importance of clinical practice.

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.