• Title/Summary/Keyword: 임상요인

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Levels of Physicians' Self-assessment of Life Satisfaction and Associated Factors (임상의사의 삶의 만족도 자가평가 수준과 관련 요인)

  • Jong Sun Ok;Hyeongsu Kim
    • Journal of agricultural medicine and community health
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    • v.48 no.1
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    • pp.28-40
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    • 2023
  • Objectives: This study aimed to identify the level of self-assessment of life satisfaction and various factors related to the life satisfaction of Korean physicians. Methods: This study is a secondary data analysis using the 2016 Korean physician survey Korean Physician Survey(KPS) data collected by the Research Institute for Healthcare Policy of the Korean Medical Association. The member database(DB) of the Korean Medical Association was used for sampling and the target population was formed and surveyed by using stratified quota sampling. A questionnaire was sent by E-mail as an online survey method and was conducted for a total of 7 weeks from November 21, 2016 to January 8, 2017. The final number of respondents was 8,564 (response rate 13.8%). In this study, a total of 7,228 physicians, excluding residents and public health doctors who are currently treating patients directly, were studied. Factors affecting the life satisfaction of physicians were analyzed using ordinal logistic regression analysis. Results: The physical factors positively related to the life satisfaction of physicians were those who were in their 60s, female, and thought they had good health status. As for psychological factors, stress was low. As for economic factors, satisfaction with income was high. As for social factors, the physicians lived with their families and were satisfied with the time they could spend with them. Also, the physicians were satisfied with the social respect they received as a doctors. Conclusions: Based on the results of this study, it is thought that a multifaceted approach is needed to increase the life satisfaction of physicians.

Effects of critical thinking disposition, stress of clinical practice and self-confidence in performance of core nursing skill on nursing student's adapting to clinical practice (간호대학생의 비판적 사고성향, 임상실습 스트레스 및 핵심기본간호술 자신감이 임상실습 적응에 미치는 영향)

  • Jang, Young-Mi;Park, YeonHee
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.77-86
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    • 2020
  • This study is a descriptive research study to grasp the critical thinking tendency, clinical practice stress, core basic nursing confidence, and degree of adaptation to clinical practice in nursing students. From June to July 2019, 207 students in the fourth year of nursing college were surveyed through their own questionnaire. Collected data were analyzed by t-test, ANOVA and multiple regression analysis using SPSS/WIN v24.0. The negative correlation between clinical practice stress and critical thinking tendency(r=-.18, p=.010). The core self-confidence practice self-confidence showed a positive correlation with critical thinking tendency(r=.25, p<.001), and a negative correlation with clinical practice stress(r=-.17, p=.017). Adaptation to clinical practice showed a positive correlation with clinical practice stress(r=.44, p<.001), and the factor influencing clinical practice adaptation was stress(β=.40) (F=18.34, p<.001), and the explanatory power was about 23.1%. As mentioned above, stress brings a positive change to clinical practice, so it is necessary to identify stress factors received from clinical practice of nursing college students and reflect them in curriculum development.

Correlation of motor and non-motor symptoms in Parkinson's disease: a factor-analytic convergence study (파킨슨병 환자의 운동과 비운동 증상의 상관관계: 요인 분석 융합 연구)

  • Gang, Miyeong
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.71-78
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    • 2022
  • Parkinson's disease (PD) is clinically characterized by a variety of motor and non-motor symptoms, including cognitive and neuropsychiatric symptoms. Integrating a large variety of symptoms into a small number of clinical subtypes could be valuable for appropriate and early therapeutic intervention. As a first step toward this aim, this study attempted to identify correlation patterns among motor, cognitive and neuropsychiatric symptoms in PD without dementia. One hundred four non-demented patients with PD underwent a comprehensive motor, neuropsychological, and neuropsychiatric assessments. Factor analysis was performed to identify correlation patterns among demographic, motor, cognitive and neuropsychiatric variables. The eight factors were extracted: 1 motor-related, 3 cognitive-related and 4 neuropsychiatric factors. We indentified that characteristics of correlation can have associated symptom pattern in the disease process of Parkinson's disease. The current results suggest that a broad range of motor and non-motor symptoms in PD may be reducible to a small number of clinical parameters, which may be useful for identifying clinical subtypes of PD for individual patients.

Effects of critical thinking and nursing practice environment on clinical decision making among nurses (비판적 사고와 간호근무환경이 간호사의 임상적 의사결정에 미치는 영향)

  • Jang, Insil;Lee, Kyoung-Sook
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.255-264
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    • 2019
  • This study was a cross-sectional study done to determine the relevance and impact factors of critical thinking and nursing practice environment on clinical decision making among nurses. A survey was conducted for April 2017 with self-report questionnaire. Participants were 261 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN(21.0). Factors affecting clinical decision making included age, educational background, position, work shift, clinical career. Clinical decision making had a positive correlation with critical thinking and nursing practice environment. And position, critical thinking and nursing practice environment accounted for 35.8% of the variance in clinical decision making. Therefore, quality management for developing nursing professionalism and administrative support for effective staffing and resource adequacy in addition improving critical thinking increase nurses'clinical decision making.

Hemorrhagic Bowel Syndrome (젖소의 장출혈증후군)

  • Lee, Chang-U
    • Proceedings of the Korean Society of Veterinary Clinics Conference
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    • 2006.05a
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    • pp.3-6
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    • 2006
  • 장출혈증후군은 성숙한 젖소의 치명적인 질환으로서 급성으로 진행하는 복부팽창, 쇼크, 장폐쇄, 흑변, 대변 속에 소화된 혈액응괴 또는 응괴쪼가리 등을 나타내는 것이 특정이다. 가능성이 있는 소인으로서 비유로 인한 신체적 스트레스, 곰팡이 핀 사료 및/또는 Clostridium perfringens 의 증식을 촉진하는 관리, 식이 및 환경 요인 등이 있다. 장출혈증후군의 발병기전에 대해 더 많이 밝혀질 때까지 예방대책은 위에 설명한 추정적인 요인들에 초점을 맞춰야 하며, 개개의 목장에 필요에 맞게 계획되어야 한다. 또한 이러한 의사결정 과정에 예산에 대한 세심한 분석도 해야 한다.

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Satisfaction Level of Clinical Practice and Related Variables for Students in the Department of Radiology (방사선학과 학생의 임상실습 만족도와 관련 요인)

  • Shin, Sung-Gyu;Im, In-Chul
    • The Journal of the Korea Contents Association
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    • v.10 no.9
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    • pp.276-284
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    • 2010
  • The purpose of this study was to investigate satisfacation level of clinical practice and related variables to develop more effective learning program for students in the department of radiology. We surveyed 138 students who participated in the clinical practice program and they were university or college students in the area of Busan and Kyungnam. As a result, the satisfaction level of professional guidance were the highest and the satisfaction level of practice evaluation were the lowest. In the college students, the satisfaction level of the professional guidance were the highest and the satisfaction level of practice environment were the lowest. In the university students, the satisfaction level of the practice duration were the highest and the satisfaction level of practice evaluation were the lowest. The results of multiple regression analysis between the satisfaction level and the related variables indicated that the status of radiologist in the clinical practice are the major component in the college students and the status of radiologist in the academic duration and the clinical experience are the major component that contribute the satisfaction level in the university students.

A Qualitative Study of Physicians' Use of Clinical Information Resources and Barriers (임상의사의 진료목적 정보원 이용과 장애요인에 관한 질적 연구)

  • Kim, Soon;Chung, EunKyung
    • Journal of the Korean Society for Library and Information Science
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    • v.50 no.4
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    • pp.55-75
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    • 2016
  • We analyzed the characteristics of the physicians preferred information sources and barriers through in-depth interviews. Information searches for patient treatment were subdivided into deciding patient treatment methods, understanding the latest treatment trends, and preparing presentation materials for conferences. The variables that affected the search behaviors were identified as being background knowledge on the topic, clinical experience, job title, search skills, user training, and familiarity with the library homepage. PubMed was the most preferred choice because of users' familiarity, reliability, and the vastness of information; Google was also used frequently for easy access and fast search result. The accuracy and the recentness of information were the most significant criteria. Easy interface and convenient access were also considered important due to physicians' time constraints. Searching obstacles were divided into difficulty of searching system, unfamiliar term, too vast resources, difficulty to get fulltext articles and complex advanced search features. The results of this study can be utilized as a basis for improving information service of library and curriculum development for physicians.

Convergence factors of emotional labor of clinical practice and self-esteem on professional identity in some dental hygiene students (일부 치위생(학)과 학생들의 임상실습 감정노동과 자아존중감이 직업정체감에 미치는 융합적 요인)

  • Choi, Jeong-Hee
    • Journal of the Korea Convergence Society
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    • v.9 no.5
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    • pp.99-104
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    • 2018
  • The purpose of this study was to investigate the convergence factors affecting professional identity perceived by the emotional labor of clinical practice and self-esteem in some dental hygiene students. The questionnaire was conducted in 205 dental hygiene students from 3 university in Jeollanam-do area. The data were analyzed using SPSS 12.0. Professional identity correlated positively with self-esteem(r=0.366, p<0.01), negatively with emotional labor of clinical practice(r=-0.213, p<0.01). The convergence factors influencing professional identity were satisfaction level with majors(${\beta}=0.434$), self-esteem(${\beta}=0.236$) and emotional labor of clinical practice(${\beta}=-0.199$). The regression model explained 34.6% of professional identity. Therefore, to enhance professional identity in dental hygiene students, it is required to program development to improve satisfaction level of with majors, self-esteem and management of emotional labor of clinical practice.

The Impact of Clinical Nurses' Terminal Care Attitude and Spiritual Health on Their Terminal Care Stress (임상간호사의 임종간호태도와 영적건강이 임종간호스트레스에 미치는 영향)

  • Ji, Soon Il;You, Hye Sook
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.232-240
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    • 2014
  • Purpose: This descriptive study is aimed at understanding how clinical nurses' terminal care attitude and spiritual health affect their terminal care stress. Methods: Data were collected from self-reported questionnaire filled by 238 nurses at a general hospital in G Metropolitan City. Results: The study showed that nurses' attitudes toward terminal care, spiritual health, marital status, and clinical experience largely affect their terminal care stress. In particular, the higher they scored on terminal care attitudes, the lower they scored on terminal care stress. These variables accounted for 52.3% of the total variance. Conclusion: The study shows terminal care attitude is an important factor for terminal care stress perceived by clinical nurses. Therefore, it is necessary to develop an educational intervention program to improve nurses' terminal care attitudes and spiritual health, which in turn would lower their terminal care stress or help them effectively cope with it.

Effects of Clinical Nurses' Self-leadership and Nursing Organizational Culture on Nursing Performance (임상간호사의 셀프리더십과 간호조직문화가 간호업무성과에 미치는 영향)

  • Choi, In Young;Park, Nam Hee;Jeong, Ji Hye
    • The Journal of the Korea Contents Association
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    • v.19 no.12
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    • pp.502-516
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    • 2019
  • The objectives of this study were to understand the relationship between the self-leadership of clinical nurses, nursing organizational culture and nursing performance and identify factors influencing nursing performance. Data were collected from 242 nurses working at H hospital in A Metropolitan City. Data were gatherd collected from Oct 17 to Oct 23, 2016, and analyzed using SPSS 21.0 program. The analysis results showed that several demographic characteristics (i.e., age, marital status, educational level, position, clinical experience and clinical experience in the current department) significantly affected nursing performance. The results of hierarchical multiple regression analysis revealed that clinical experience in the current department and self-expectation are influencing factors in nursing performance and they explained 35.7% of the variance. In order to improve nursing performance, it is necessary to maintain the clinical experience in the current department and develop education programs for enhancing self-expectation of nurses.