• Journal of Korean Clinical Nursing Research
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• v.17 no.3
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• pp.307-318
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• 2011

Purpose: This study was to identify topics for evidence-based clinical nursing practice guidelines in Korea. Methods: Data were collected from 330 staff nurses from 10 general hospitals and 53 nurses in charge of nursing education in 110 hospitals with over 500 beds. Using open questions, the nurses identified activities which could not be verified, which lacked consistency among nurses, clinical units and/or hospitals, which were not based on the up-to-date knowledge and which needed reform. The data were analysed by content analysis using a qualitative methodology. Results: Collected data consisted of 1882 clinical topics, which were classified into 50 topics, 207 mid-categories, and 456 sub-categories. The most frequent topics in order of frequency were medications, central line management, intravenous injections, urinary catheterization, perioperative nursing care, skin tests, pressure ulcer care, blood transfusions, laboratory examination-culture, respiratory care which were performed routinely in clinical setting by staff nurses. Conclusion: The research findings indicate the urgent need to develop evidence-based clinical nursing practice guidelines related to these research findings. Further research is needed to identify topics related to health promotion, and symptom/management of health problem.

• The Journal of the Convergence on Culture Technology
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• v.10 no.3
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• pp.943-951
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• 2024

This study was to increase the practical preparation of nursing students by identifying how their professionalism, self-leadership, and caring character affect their practical preparation. This study targeted 182 fourth-year students with at least one year of clinical practice experience attending nursing departments at four universities in two regions from April 10 to May 12, 2023. Collected data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and multiple regression analysis using SPSS/WIN 23.0 program. As a result of this study, the factor affecting the practical preparation of nursing students was found to be caring personality (β=0.72, p<0.001), the explanatory power of the variables was 51.3%(F=189.41, p<0.001). The results showed that caring personality had an effect on practical readiness. Therefore, we believe that it is necessary to develop various programs related to caring character in order to increase the practical preparation of nursing students.

• Korean Journal of Clinical Laboratory Science
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• v.50 no.3
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• pp.320-330
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• 2018

This study analyzed the curriculum and clinical practicum of the department of clinical laboratory science in Korea. The 2017 educational curricula of all 3-year and 4-year universities were analyzed. Clinical practice was conducted by a questionnaire. As a result of curriculum analysis, the 3-year curriculum was able to grasp the curriculum that focused on the national examinations of medical technologists, and the 4-year curriculum was open to a variety of subjects reflecting the changes in the future, but only at a few universities. In addition, the autonomous enrollment application made it possible to take a national examination without enrolling in courses that students find difficult in major courses. In the case of clinical practice, it was difficult to standardize in various practical institutes, practice periods, and practice credits. Therefore, it will be necessary to standardize the composition of the credits according to the duration of clinical practice and the duration of education. Moreover, is necessary to revise the curriculum in consideration of medical technologist job analysis and clinical field, and it will be necessary to standardize the curriculum and clinical practice model through the Medical Technologist Evaluation Center.

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.3
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• pp.524-535
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• 2011

유전 위험 사정과 상담서비스가 임상실무에 널리 적용되어 감에 따라, 다양한 비용효율 면에서 다양한 상담서비스 모델을 사정하고, 대상자의 임상 요구와 건강문제를 해결하는데 어떤 모델이 유용한 지 확인할 필요가 있다. 본 연구의 목적은 114건의 현장 관찰과 문헌고찰을 통하여 3가지 유전상담 모형을 분석하였다. 유전의학 전문가 모델, 유전상담사 모델, 임상연구전문가 모델을 중심으로 각 모델의 구조, 전문가의 역할 및 기능, 목표, 물리적 세팅, 교육도구 등을 분석하였다. 각 모형 안에서 환자에게 기대되는 결과 면에서 질적 서비스가 보장되는지 확인하기 위하여 이론적 분석을 실시하였다. 본 연구를 통하여 각 모형의 상담 전, 중, 후 환자 만족, 지식 변화, 상담 효과 및 커뮤니케이션 효과 등을 분석하였지만, 결론적으로 상담서비스가 이루어지고 있는 기관의 구조를 충분히 고려하지 않은 상태에서 최상의 서비스 모델을 제시하기 어려울 것임을 논의하였다.

• Journal of Korean Academy of Nursing
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• v.22 no.1
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• pp.42-48
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• 1992

이 연구는 현존해 있는 다양한 임상평가도구의 신뢰도와 타당도에 관한 분석 서술 연구이다. Rines(1974)에 의하면 평가는 학습경험을 통하여 목적을 달성하는 지의 여부를 측정하는 것이라고 하였고 평가의 목적은 교육증진을 도모하며, 목표를 설정하고, 학생의 학습진행과정을 사정하여 학생들을 위한 프로그램을 사정, 개발시키는데 있다고 피력 하였다. 간호교육에는 실무교육이 많은 비중을 차지하고 있다. 또한 많은 간호교육자들은 실습평가에 있어 많은 어려움을 경첩하고 있다. 이러한 난해한 실습평가도구를 개발하기 위하여 선행된 우선순위로써 현존해 있는 다양한 평가도구의 신뢰도와 타당도를 평가하는 것이 의의 있는 일이라 사료된다. 이 논문은 실습평가도구의 신뢰도와 타당도에 관심을 가진 임상지도교수나 간호교육자들을 대상으로 한 서술적 연구이다. 우선 간호교육평가에 있어서의 문제점을 분석하고 평가도구에 대한 전문가(Authority)의 의견을 피력한 다음 저자의 의견을 서술하였다. 결론적으로 현재까지 개발된 완전한 임상실습평가의 방법은 없다. 그러므로 현존해 있는 평가방법을 서술평가하고 문제점을 지적하므로써 질적인 평가도구개발에 도움을 줄 수 있다. 앞으로 간호교육자들이 각 문제점들을 보완하여 교육목적을 달성시킬 수 있는 효율적인 평가도구를 개발하는 것이 급선무이다.

• Journal of Industrial Convergence
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• v.18 no.1
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• pp.35-43
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• 2020

This study aimed to evaluate the reliability and validity of the Korean version of Student Evidence-Based Practice Questionnaire (S-EBPQ) which developed by Upton, Scurlock-Evans, and Upton. Data were collected from 209 nursing students with previous experience of education in evidence-based practice and clinical placement. Using SPSS 25.0, construct validity, concurrent validity and reliability were evaluated. The Korean version of S-EBPQ consisted of 21 items in four domains. The measurement explained 67.0% and the reliability using Cronbach's alpha was .927. The Korean version of S-EBPQ can be used to evaluate the ability of evidence-based practice among nursing students. The tool could be also used to examine the effectiveness of educational programs for evidence-based practice which would contribute to improving the quality of nursing education in Korea.

• Journal of Korean Academy of Nursing
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• v.29 no.3
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• pp.711-720
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• 1999

The purpose of this study was to define the content of physiological knowledge needed for clinical nursing practices. Subjects of physiology were classified into 15 areas, and each areas was further classified into subareas, resulting in a total of 194 subareas. The degree of importance of each subarea was measured with a 4-point scale. The subjects of this study were 179 nurses of two university hospitals located in Seoul and Inchon. The results were as follows : 1. The areas of physiology necessary for clinical nursing practice as a basic knowledge in the order of importance were : blood, respiratory system and renal physiology, function of the immune system, body fluid and cardiovascular system, body temperature, endocrine physiology and gastrointestinal physiology However, the degree of importance for reproductive physiology, neuro-physiology, energy and metabolism, cell and cell membrane physiology, muscular physiology and special sense was relatively low. 2. The most important content of physiology for all clinical areas in nursing was blood physiology. However, the degree of importance for each physiology area was different depending on clinical areas. 3. Subareas of physiology as a basic knowledge for clinical practice and education in nursing were blood transfusion, blood type, function of red blood cell, white blood cell and platelet, characteristics and function of hemoglobin, composition and function of plasma protein, and mechanism of blood coagulation and anticoagulation. In conclusion, areas of physiology necessary for clinical nursing practice were blood, respiratory system and renal physiology, function of immune, body fluid and cardiovascular system, body temperature, endocrine physiology and gastrointestinal physiology. However, the degree of importance for each physiology area was different depending on clinical areas In nursing.

• Journal of Korean Clinical Nursing Research
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• v.29 no.1
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• pp.42-55
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• 2023

Purpose: This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017. Methods: The guideline update process was carried out using 22 steps developed by NICE and SIGN. It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later. Results: Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertion of CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods. Conclusion: The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.

• Korean Journal of Clinical Laboratory Science
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• v.56 no.1
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• pp.89-98
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• 2024

Gross examination techniques (GETs) of specimens collected from cancer surgery or endoscopy comprise the act of recording visual information about cancer for accurate histopathological diagnosis and collecting sections of the lesion to create microscopic specimens. GETs must include concise and accurate expressions, appropriate structuring, sufficient resections, error-free standardization of important information, and photo-diagramming of complex specimens. To increase the satisfaction of pathological interpretation, it is a task that must be performed accurately and carefully to gain confidence on a theoretical and practical basis with a sufficient understanding of gross examination. Based on the experience of clinical pathologists in the field of GETs, additional specimen types should be identified as viable candidates. Also, their needs and concerns regarding treatment should be carefully considered. In addition, departments at each institution should review the national focus on clinical partnerships, continuous professional training, diagnostic errors, and value-based healthcare provision.

• Journal of Software Engineering Society
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• v.25 no.2
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• pp.29-34
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• 2012

Quality control in medical is getting very important issue so that the importance of CDS(Clinical Decision Support) System has been increased. Local clinics as well as big hospitals are required to implement the CDS System. But the cost and complexity of CDS system implementation is so high since many different activities including knowledge authoring, software development, and integrating the legacy system are necessary. In this paper, we suggest the CDS system architecture to be sharable and interoperable and evaluate the availability and efficiency of this architecture.