• Title/Summary/Keyword: 임상

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Clinical Reasoning In Physical Therapy (물리치료에서의 임상추론)

  • Kim, Young-Min
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.41-49
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    • 2008
  • 임상추론은 환자를 평가하고 관리하는데 사용되는 임상가의 필수적인 생각 또는 동적인 인지과정이라고 할 수 있다. 임상추론은 환자의 문제를 인식하고 식별하며 더 나은 환자관리가 이루어지도록 환자의 상태에 대처하며 정보를 해석하고 분석하는 것으로서 이를 위해 임상가는 적절한 지식을 가지고 있어야 하며 임상추론 기술과 관련된 폭넓은 이해가 요구된다. 임상추론은 치료사, 환자, 그리고 환경간의 상호관계를 가진 복잡한 과정으로 임상추론과정에서 치료사와 환자간에는 충분한 협조가 이루어져야 한다. 임상추론에서의 해석적 모델로는 진단적 추론, 상호작용의 추론, 이야기적 추론, 협조적 추론, 예언적 추론, 윤리적 추론, 추론의 교육 등이 제시된다. 임상추론 과정에서 필수적인 주요 요소는 충분한 지식, 인지와 초인지 기술을 포함하며 이들 요소는 치료사와 환자간의 관계에서 발달되어야 한다. 이들 기술 중에 어떠한 실수라도 임상추론의 오류를 초래할 수 있다. 추론에서 오류의 원인으로는 암시된 정보의 잘못된 인지, 임상페턴에 대한 지식부족, 특정 상태에 대해 알려진 사실을 잘못 적용하는 경우를 들 수 있다. 오류는 임상추론 과정의 어떤 단계에서도 일어날 수 있으므로 효과적인 학습전략을 통하여 이들 오류를 예방할 수 있을 것이다.

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Convergence among Resilience, Clinical Performance ability, Stress in Clinical Practice of Nursing Students (간호대학생의 회복탄력성, 임상실습 수행능력, 임상실습 스트레스 간의 융합관련성)

  • Shin, Mi-Ja;Chun, Yeol-eo
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.19-32
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    • 2018
  • The purpose of this study was to identify the convergence that resilience has on clinical performance ability and stress in clinical practice in order to prepare effective educational materials for clinical practice. The results showed that satisfaction of university life, satisfaction of nursing major and satisfaction of clinical practice had significant effects on resilience, clinical performance ability and stress in clinical practice. Also the correlation between the resilience and clinical performance ability of nursing students was positive(r=.510). And the correlation between the resilience and stress in clinical practice was negative(r=-.153). These findings indicate that there is a need to improve resilience of nursing students to promote the clinical performance ability and to lessen stress in clinical practice. The results should be reflected in the development of effective programs.

Convergence Study on Nursing Students' Stress and Satisfaction with Clinical Practice (간호학생의 임상실습 스트레스와 임상실습 만족도에 관한 융합적인 연구)

  • Lee, Hyun-Jung
    • Journal of the Korea Convergence Society
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    • v.7 no.4
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    • pp.75-83
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    • 2016
  • The purpose of this study was to examine the relationship between stress and satisfaction with clinical practice of 113 nursing students. The subjects scored 3.17 points of full 5 on stress with clinical practice and 3.24 of full 5 on satisfaction with clinical practice. There were no significant correlations between their stress with clinical practice and satisfaction with clinical practice(r=-.048, p=.615). The findings of this study provide the basis for expanding nursing practice and education for nursing students, and nursing administrators and professors should make efforts to increase nursing students' satisfaction with clinical practice and decrease stress with clinical practice.

Needs for clinical dietitian in hospital settings: Importance of doctor's awareness regarding clinical nutrition service as mediating variable (의료기관 임상영양사 요구도에 미치는 영향 : 임상영양서비스의 중요도에 대한 의사의 인식을 매개역할 중심으로)

  • Um, Mi Hyang;Park, Yoo Kyoung;Song, Yoon Mi;Lee, Song Mi;Lyu, Eun Soon
    • Journal of Nutrition and Health
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    • v.50 no.5
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    • pp.519-529
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    • 2017
  • Purpose: The purpose of this study was to explore whether or not there is a relationship between doctor's awareness of clinical nutrition service and needs for a clinical dietitian. Methods: A cross-sectional survey design was used. The research was carried out by using questionnaires that had been specifically designed for the study. The research was conducted from September to October, 2013 for 311 doctors at 43 hospitals (with over 400 beds). Frequency analysis, factor analysis, reliability analysis, confirmatory factor analysis, and bootstrapping analysis were conducted using SPSS 21.0. Results: 'Implementation of clinical nutritional service' (p < 0.001) and 'usefulness on clinical nutrition service' (p < 0.001) were found to be correlated with 'importance of clinical nutrition service' as an independent variable. The correlation between 'importance of clinical nutrition service' as a mediating variable and 'needs for clinical dietitian' as a dependent variable was also confirmed (p < 0.001). The results of the bootstrapping test showed that the mediating effect of 'importance of clinical nutrition service' was significant. The indirect effect value between 'implementation of clinical nutrition service' and 'needs for clinical dietitian' was 0.040, indirect effect value between 'usefulness on clinical nutrition service' and 'needs for clinical dietitian' was 0.095. Conclusion: The frequency of providing clinical nutritional services, the quality of clinical nutritional services, and the degree of implementation of clinical nutritional services were found to be important for positive perception of clinical nutrition services by doctors. Therefore, proper provision of clinical nutrition services and effective therapeutic effects will be continuously highlighted, which will increase the awareness of the physician and ultimately increase the demand for clinical nutrition service.

The Effect of Nursing Students' Clinical Practice Stress, Performance Ability, Satisfaction, and Critical Thinking on Nursing Professional Self Concept (간호학생의 임상실습 스트레스, 수행능력, 만족도, 비판적 사고성향이 간호전문직 자아개념에 미치는 영향)

  • Ju, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.213-224
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    • 2017
  • This study was to examine the structural model of nursing student 's Professional self-concept, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress. The subjects consisted of 227 nursing students and data was collected through Structured questionnaires. Results, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress showed a direct effect on Professional self-concept for nursing students. Clinical competency and Clinical Practice Stress showed an indirect effect on nursing Professional self-concept. Clinical competency and Clinical Practice Stress showed a direct effect on Critical thinking and Clinical Practice Satisfaction. In this paper, we propose a new approach to nursing students 'self-concept in nursing. In this paper, we propose a new approach to nursing students' self-concept. And to develop and apply an intervention program that can reduce the stress of clinical practice.

Influence of Nursing Students' Self-leadership and Clinical Competence on Clinical Practice Satisfaction (간호대학생의 셀프리더십, 임상수행능력이 임상실습만족도에 미치는 영향)

  • Lee, Joo Young
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.1
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    • pp.417-425
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    • 2022
  • This study is to understand the relationship between self-leadership, clinical competence, and clinical practice satisfaction of nursing students, and to investigate the effect of self-leadership and clinical competence on clinical practice satisfaction. Data collection was conducted from May 1 to May 16, 2019, and 186 questionnaires were used for analysis and analyzed through SPSS/WIN 28.0. The average of the participants's self-leadership was 3.44 points, the average of clinical competence was 3.82 points, and the average of clinical practice satisfaction was 3.69 points. Satisfaction with clinical practice was found to have a positive correlation with self-leadership(r=.221, p=.002) and clinical competence(r=.262, p<.001), and self-leadership and clinical performance(r=.050, p=.494) showed no correlation. The variables affecting clinical practice satisfaction were self-leadership(β=.251, p<.001) and clinical competence(β=.208, p=.003), and the explanatory power of these variables was 10.4%. Therefore, in order to increase the satisfaction of nursing students in clinical practice, it is necessary to develop a program that can improve self-leadership and clinical competence.

Effects of Clinical Practice Satisfaction on Major Satisfaction Based on the Survey of Satisfaction of Clinical Laboratory Science Students on Clinical Practice (임상실습에 대한 임상병리(학)과 학생들의 만족도 조사를 바탕으로 임상실습 만족이 전공 만족도에 미치는 영향)

  • Shin, Kyung A;Kim, Hyo Shin;Lee, Sun Kyung
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.2
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    • pp.252-259
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    • 2019
  • This study examined the satisfaction of clinical laboratory science students practiced in clinical practice. In addition, the satisfaction of clinical practice and the satisfaction of the clinical practicum affecting the major satisfaction were investigated. From February 20, 2019 to March 10, 2019, a questionnaire survey was conducted on clinical laboratory science students who performed clinical practice in eight weeks of 2018. A total of 344 people were selected for the final analysis data. The questionnaire was comprised of 46 items, which consisted of three items of the general characteristics and 43 items of the clinical practice satisfaction. The satisfaction level of the clinical practice evaluation part was lowest in average 3.88 points. Male students were more satisfied with clinical practice than female students. The satisfaction level was higher in the group with more than the average degree of satisfaction than the group with less than the average. The factors that affect the satisfaction of clinical practice and the degree of satisfaction with majors are the satisfaction with the clinical practice time and satisfaction with interpersonal relationships.

Proposals on Basic Data Based on Comparison of Changes in Clinical Laboratory Technologists' National Examination and Job Definition: Focused on Korea, Japan, and Taiwan (임상병리사국가시험 및 직무의 변천 비교를 중심으로 한 기초자료 제안: 한국, 일본, 대만을 중심으로)

  • Bon-Kyeong KOO;Myung Soo KIM;Yoon Sik KIM;Jun Ho LEE
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.2
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    • pp.71-81
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    • 2023
  • This study examined the transition process of clinical laboratory technologists' national examination and job definition in Korea and compared the differences in the national examination between Korea and neighboring countries, such as Japan and Taiwan. In Korea, the number of questions made for it was 200 (1965), 200 (1977), 300 (1982), 250 (1992), 330 (2006), and 280 (2015). The practice of clinical physiology is important for real-time monitoring, given the characteristics of physiological testing. On the other hand, there are conflicts between other occupations in the working area. Clinical molecular biology needs to be established as a new major subject considering the diagnostic importance of molecular biological tests and the speed of science and technology development. Clinical laboratory operations provide policy and guidance recommendations to technologist staff. The proposed clinical laboratory technologists' national examination comprises major subjects: clinical biochemistry, clinical hematology, clinical transfusionology, clinical immunology, clinical microbiology, clinical molecular biology, clinical histology, clinical cytology, clinical physiology, and clinical laboratory operations. In addition, this study proposes the job definition of clinical laboratory technologists, revising various chemical or physiological testing to biomedical or physiological testing required for medical practice.

Convergence Factors Influencing Clinical Reasoning Competency of Nursing Students (간호대학생의 임상적 추론 역량에 미치는 융합적 영향요인)

  • Hahn, Suk-Won;Chun, Yeoleo
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.181-186
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    • 2020
  • In this study, an attempt was made to investigate the clinical reasoning of nursing students and to identify the factors that influence it. This study was held to grasp the learning ability related to core nursing competency for 297 3rd and 4rd grade nursing students. Results indicated that there was a significant difference when comparing clinical competence by grade(p=0.001). Also variables effecting clinical reasoning competence were Problem solving ability, Clinical Decision making ability, Clinical practice performance, and grade of nursing students were found to be significant (p,.001). Outcome of this study can be used as the basis for the development of various curriculums to enhance the clinical reasoning competence, in the future, research for this education development is expected to be needed.