• Title/Summary/Keyword: 임상실무

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Effects of Shoulder Rehabilitation Exercise Convergence Program on Pain, Range of Motion and Exercise Self-efficacy After Shoulder Surgery (어깨재활운동 융합프로그램이 어깨수술 후 통증, 관절운동범위 및 운동자기효능감에 미치는 효과)

  • Lee, Hye-Rim;Kim, Ju-Sung;Cho, Soo-Min
    • Journal of the Korea Convergence Society
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    • v.9 no.4
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    • pp.409-421
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    • 2018
  • The purpose of this study was to examine the effects of shoulder rehabilitation exercise convergence program. This study used a nonequivalent control group pretest-posttest design. A sample of 58 patients undergoing shoulder surgery, was included. The experimental group was given shoulder rehabilitation exercise convergence program including audiovisual education, shoulder rehabilitation exercise and exercise monitoring. The data were collected using a structured questionnaire and measured range of motion(ROM) of shoulder joint and were analyzed using descriptive statistics, ${\chi}^2-test$, t-test and ANCOVA. The experimental group reported significantly lower shoulder pain than control group(p<.001). Shoulder joint ROM and exercise self-efficacy were significantly higher in the experimental group than in the control group(p=.038; p<.001). This findings indicate that shoulder rehabilitation exercise convergence program can be an effective intervention for shoulder surgery patients. Continued development of convergence interventions for patients undergoing various conditions in practice, is suggested.

Associated Factors in Pediatric Nurse Parent Partnership (아동간호사의 환아 부모와의 파트너십 영향요인)

  • Choi, Miyoung;Kim, Jisoo
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.176-184
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    • 2014
  • Purpose: The purpose of this study was to investigate pediatric nurse parent partnership and factors associated with this partnership. Methods: A survey was conducted with 158 nurses working in pediatric practice at one of 7 hospitals in Seoul, Incheon, and Chungcheongbuk Province. Data were collected from September to December 2013, and analyzed with SPSS Windows 21.0. Results: In hierarchial multiple regression analysis, self-efficacy (${\beta}$=.19, p=.016), clinical decision making (${\beta}$=.15, p=.046), and empowerment (${\beta}$=.29, p=.001) were associated with pediatric nurse parent partnership, after adjusting for marital status, children, education, position and satisfaction with work unit. These factors accounted for 44.0% of the variance in the pediatric nurse parent relationship. Conclusion: These results suggest that pediatric nurse parent partnership could be influenced by the predictors. Ultimately, intervention programs focusing on these factors should be effective in helping pediatric nurses improve partnership with parents.

Evaluation of Current Preparing Status for Experimental Practice by Faculty of Clinical Pharmacy in Korea (임상약학 담당교수에 의한 한국 약학전문대학원의 실무실습준비 현황 평가)

  • Lee, Ok Sang;Lim, Sung Cil
    • YAKHAK HOEJI
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    • v.57 no.3
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    • pp.219-225
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    • 2013
  • The Korean pharmacy education has introduced new curriculum since 2011. In the new curriculum, pharmacy students have been provided strenthen experimental education and clinical pharmacy has been more important than previous curriculum. Thus, faculties in the college of pharmacy should prepare the circumstances correlated with the changed curriculum. To accomplish successful setting, all faculty and practice experts must work together and need financial assisstant from the college. However, there are many different obstacles among 35 colleges of pharmacy in Korea. In order to narrow a gap among students and find the way to overcome it together, we studied the problem of preparation process in Korean colleges of Pharmacy. We studied the process of practical education in college of pharmacy by means of self-reporting questionnaire from November 29th 2012 to December 31th 2012. The questionaire comprised of syllabus related to clinical pharmacy, the number of professor in charge of clinical pharmacy or pharmacotherapeutics, the plan of securing faculties in the field of clinical pharmacy, the budget, site, instrument for preparing experimental education, the lesson time number of experimental education, MOU, education and treatment of preceptor in the practice site and committee of experimental education in the college. Total 21 of 35 colleges participated in this survey. They showed different composition of syllabus, budget, the circumstances of experimental education, the education and treatment of preceptor. Most colleges are unclear the site and preceptor of experimental education and they did not contract the MOU with the sites. 9 of 21 also did not have the committee of experimental education in the colleges. From 2013, some colleges of pharmacy start actual experimental education. Inadequete preparation and different quality of education can make student incomplete pharmacists, so it will be negative effect on public health. To overcome challenge and obtain desirable goal, funding/administrative assistant from the college and networking within 35 colleges of pharmacy are needed.

Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses (임상간호사의 윤리적 이슈 경험과 윤리교육 요구)

  • Shin, Ja Hyun;Jeong, Seok Hee;Lee, Myung Ha;Yang, Youngran
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.327-339
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    • 2015
  • Purpose: This study was done to identify the experiences of ethical issues and needs for ethics education in clinical nurses. Methods: A cross-sectional survey was used and data were collected in 2013. Participants were 428 clinical nurses working in the general units of seven medical hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS/WIN 19.0. Results: 'Providing care with a possible risk to your health' was the most frequent and disturbing ethical problems for nurses. The highest helpful ethical topic was 'the patients' right, autonomy and informed consent'. The ethical issue experience was significantly different according to education level, work units, and type of employment. The necessity of ethics education was statistically different according to age, religion, level of education, duration of working as RN, position, shift type, and continuing education about nursing ethics. Conclusion: The results of this study show that nursing educators need to provide practical ethics education based on frequent ethical issues and helpful education topics. These findings can be used in developing effective education strategies for clinical nurses and nursing organizations to improve nurses' ethical decision-making abilities.

Nursing Student's Perceptions of Barriers on Sexuality : Sexuality Attitudes and Beliefs Survey (간호학생이 인지하는 성(Sexuality)건강 간호 장애 요인 : 성 태도와 신념에 관한 연구)

  • Chan, Mi Young
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.355-363
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    • 2014
  • The purpose of this study was to identify and describe attitudes and beliefs that might act as barriers to addressing patient sexuality concerns and to determine the extent to which these attitudes and beliefs are influenced by personal factors such as age, gender, education. The Sexuality Attitudes and Beliefs Survey was used to assess nursing students(N=214). Important barriers to addressing patient sexuality reported by the majority of the students included not making time to address the concerns (86.9%) and Feeling confident in ability to address patients' sexual concerns(76.2%). A statistically significant difference was found in scores based on sex(p=0.03) and religion(p=0.02). Results of this study have implications for educational programs in dealing with patient sexuality.

Development of Dental Image Management System based on Mobile Computing (모바일환경에서의 치과환자 구강영상 관리체계 개발)

  • Oh, Seon-Mi
    • The Journal of the Korea Contents Association
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    • v.12 no.1
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    • pp.379-385
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    • 2012
  • The purpose of this study is to propose that co-working plan with patient information service system for dental clinic and dental lab using smart phone system which is recently spread to. For this purpose, we introduced latest mobile S/W development environment. And design key features of patient information service system based on mobile platform(Android) by user interface design. In fact, we have applied this system(mobile system) to dental clinic and dental lab, we have following results: 1.There were significant possibility in dental utilization of smart phone based on latest ICT(Information & Communication Technology) technology. 2. Improve conventional method of image upload by connecting digital camera to the server computer using USB port. 3. Reduce error of image management by direct upload to server computer from smart phone. 4. Improve process of making prosthetic appliance by displaying dental image on smart phone in dental lab.

The Change of Characteristics in Clinical Decision Making in Novice Critical Care Nurses (중환자실 신규간호사의 임상의사결정 특성의 변화)

  • Kim, Dong-Oak;Kim, Mae-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.2
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    • pp.301-314
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    • 2001
  • The main purpose of this research is to describe comprehensively the processes of clinical decision making in novice critical care nurses through clinical experience. This research was an exploratory, longitudinal study using a fieldwork approach incorporating "think-aloud" method and in-depth interviews with the study participants. The study participants consisted of 5 novice nurses assigned to critical care units at a tertiary medical center located in Seoul, among a group of 27 novice nurses who started at the same period at this hospital. The data were collected from March 1999 to April 2000. The major findings of the study is that the novice nurses followed the analytic linear model of clinical decision making in the beginning, but were changed increasingly to follow the comprehensive, integrated model of clinical decision making. Through repeated experience that resulted in increasing repertoire of clinical schema and familiarity of task environments of clinical practice the novice nurses expanded their ability to arrive at comprehensive integration of information and to arrive at accurate and time-efficient decisions. Both the analytic, linear model mostly used at the beginning period and the comprehensive, integrated model that seems to be the mode significantly dependent upon experience seem to have strengths and weaknesses as decision making processes in clinical situations. Hence, it is imperative to develop an effective orientation and training program for novice nurses through the use of clinical preceptors. In addition, students should be exposed to the process of clinical decision making early in their nursing education through an appropriate clinical experiences and clinical assignments.

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Effects of High-fidelity Simulation-based Education on Nursing Care for Patients with Acute Chest Pain (시뮬레이션을 활용한 급성 흉통환자간호 실습교육의 효과)

  • Han, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1515-1521
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    • 2014
  • This study applies simulation-based education and care for acute myocardial infarction nursing students to investigate the effect of critical thinking, problem solving, and academic achievement of a single group before and after the raw experimental design. A total of 137 subjects were arbitration period September-October 2011, enforcement and arbitration were evaluated after simulation-based training six weeks total. Data analysis was performed using SPSS Win17.0, Paired t-test, the mean and standard deviation, Pearson's correlation coefficient was used. Research results of simulation-based training program to improve critical thinking, problem solving, and academic achievement were As increase critical thinking and problem solving ability was improved. whereas, Critical thinking skills and problem solving ability was no significant difference with academic achievement. Simulation-based training program to improve the practical skills of nursing students learning was found how useful it, that there is a need to take advantage of hands-on training in a variety of cases that can be common in the field of clinical scenarios developed by. To do this, It seems to be necessary to the development and operation more varied and appropriate hands-on training method.

Convergence Study of Reliability and Validity testing for Professional Moral Courage Scale Translated in Korean (Professional Moral Courage Scale(PMCS)의 한국어 번역의 신뢰도와 타당도에 관한 융합연구)

  • Moon, Suk Ja;Kim, Dal Sook
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.151-161
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    • 2017
  • This methodological study was conducted to test a Professional Moral Courage Scale(PMCS) translated in Korean for 196 nursing students in Changwon, Korea. Data were collected from January 13 to February 20, 2017. An internal consistency reliability and construct validity using exploratory and confirmatory factor analysis were conducted. These items were categorized into 4 factors explained 62.20% of the total variance. 4 factor model was validated by CFA(${\chi}2/df=1.89$, p<.001, RMR=.055, GFI=.93, AGFI=.89, CFI=.92, RMSEA=.067). The Cronbach's ${\alpha}$ was .79 and the reliability of subscales ranged from .44 to .80. The results show that this scale can provide scientific and empirical data when evaluating the PMCS of further clinical nurses, it is meaningful in the sense that it is the first attempt to measure the moral courage needed to provide a good nursing.

The Adoptions and Use of Electronic Nursing Records in Korean Hospitals: Findings of a Nationwide Survey (국내 전자간호기록 개발 및 실무적용 현황 조사)

  • Cho, Insook;Choi, Won Ja;Choi, Woan Heui;Kim, Min Kyeong
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.345-356
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    • 2013
  • Purpose: To provide clear estimates of the adoption and use of electronic nursing records (ENRs) with standard terminology in Korea and identification of the scope and use as well as perceived or potential benefits of ENRs. Methods: A survey was done of 733 hospitals at three levels: tertiary advanced hospitals, general hospitals, and community hospitals. After performing a literature review a modified version of an existing survey tool was used for 2 months in 2012. The collected information related to EHR functionality and coverage of nursing documentation and nursing process, application of standard terminology, and perceived satisfaction and benefits of ENRs. Results: The response rate was 39.4% (289/733), and 202 hospitals (70.1%, 95% CI64.8~75.5%) of the respondents had ENR systems (82.5% of tertiary hospitals, 66.7% of general hospitals, and 70.1% of community hospitals). Out of these hospitals less than 10% had ENRs fully covering nursing documentation. The adoption rate of standard terminology was 55%, and hospital satisfaction with ENRs was 70%. But personalized care was identified as needing improvement in ENRs. Conclusion: The ENR adoption rate was high but there are many potential opportunities for improving ENR systems in terms of the data standardization and personalized care.