• Title/Summary/Keyword: 임상 술기

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The Effects of Clinical Convergence Self-directedness Practice Learning Program on Self-directedness and Competency in Fundamental Nursing Skills in Undergraduate Nursing Students (임상융합 자기주도적 실습교육 프로그램이 간호대학생의 자기주도성 및 기본간호술기 수행능력에 미치는 영향)

  • Park, Jihyun
    • Journal of the Korea Convergence Society
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    • v.7 no.4
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    • pp.51-58
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    • 2016
  • The purpose of this study was to examine the effects of clinical convergence self-directedness practice learning program on self-directedness and competency in fundamental nursing skills in undergraduate nursing students. The study design was a non-equivalent pre-post quasi-experimental design. The participants were 80 nursing students in D city. The experimental and control groups were randomly assigned with 40 participants in each group. Interventions for the experimental group were visiting clinical practice, video recording and students' self-debriefing of what they did over the 5 days. Self-directedness and competency in fundamental nursing skills were measured 2 times (pre-, and post-intervention) over the 5 days. Independent t-test, Mann-Whitney U test and chi-square test were used for data analyses. There was statistically significant difference for self-directedness(t=12.93, p=.001) and competency in fundamental nursing skills(t=8.34, p=.021). Results indicate that self-debriefing method using video recording is an effective learning way to improve Self-directedness and competency in fundamental nursing skills in nursing students.

A Convergence Study on the Effect of Fundamental Nursing Practice Program Applying Clinical Scenario in Nursing College Students -Centered Self efficacy, Communication Skill, Nursing Skill- (간호 대학생의 임상 시나리오를 적용한 기본간호학실습 프로그램 효과에 대한 융합 연구 -자기효능감, 의사소통능력, 간호 술기 능력 중심으로-)

  • Baek, Kyung Hwa;Ha, Eun-Hi;Kim, Jong Kyung
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.479-489
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    • 2018
  • This study aimed to analyze the effects of nursing students' self efficacy, communication skill, and nursing skill on their application of the fundamental nursing practice program with clinical scenario. This study used a nonequivalent control group pretest-posttest design. The participants were second year nursing students; the experimental group had 35 participants and the control group had 46. The clinical scenario based program was applied and evaluated the self efficacy, communication ability, and nursing ability. The results of the study showed an increase in self-efficacy in the experimental group, and this increase was statistically significant as compared to that in the control group (t=2.06, p=.042). Communication skill increased in the experimental group, but it was not statistically significant as compared to the control group (t=.28, p=.778). Nursing skills slightly increased in the experimental group compared to that in the control group (t=2.46 4, p=.016). The fundamental nursing practice combining the clinical scenario can help students' understanding of clinical situation and nursing skills.

The Experience of Frist Nursing Meaning among Fundamental Nursing Skills (핵심기본간호술을 통한 첫 간호의미 경험)

  • Kim, Mi-Hwa;Lee, Ji-Hyun
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.1-6
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    • 2021
  • The purpose of this study to understand the meaning of nursing through core basic nursing for nursing students before clinical practice. Participants of this study were analyzed through interviews after taking the core basic nursing skills class for 3rd graders who are currently enrolled in the Department of Nursing at M University. Seventeen students were enrolled in a K-city university as a third-year student who first performed core basic nursing skills. As a result of the study, it was derived into 3 categories and 19 thematic collections. The three categories included 1. meaning of help, 2. overcoming fear, and 3. opportunity to acquire nursing skills. The conclusion was that the first core basic nursing skills before clinical practice was a time to learn the true meaning of nursing through mutual help The difficulties were overcome with repeated practice, and the acquisition of newly learned nursing skills appeared as an effective process to experience with confidence. Therefore, it can be used as a useful basic data for counseling and guidance on the adaptation of nursing students to clinical practice, and it is expected that it will be used as a useful data for successful practice application counseling.

Clinical Results of the Single-bundle, Transtibial Posterior Cruciate Ligament Reconstruction: A Systematic Review (경경골 단일다발 후방십자인대 재건술의 임상 결과: 체계적 고찰)

  • Kim, Yeong-Mo;Lee, Cassandra A.;Matava, Matthew J.
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.57-57
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    • 2009
  • 관절경적 경경골 단일 다발 후방십자인대 재건술은 전통적으로 가장 흔하게 사용되는 사용되는 술기이다. 그러나, 후방십자 단독 파열시 이 술기의 결과에 대한 임상 평가 및 효용성에 대한 임상적 분석 자료가 거의 없는 실정이다. 이 술기를 시행받은 환자군들에서 객관적 슬관절 이완이 존재함에도 불구하고 주관적 슬관절 기능 장애는 우수한 결과를 나타낸다고 인정되어 왔다. 후방십자인대 단독 파열 후 경경골 단일 다발 재건술을 시행한 문헌 10개를 대상으로 잔존하는 후방 이완과 주관적, 객관적인 기능 평가, 활동성 정도, 환자 만족도, 골관절염의 발생 빈도, 술후 합병증을 체계적으로 고찰하였다. 술전 후방 슬관절 이완은 8.38~12.3 mm에서(4문헌) 술후 1.96~5.9 mm으로(9 문헌) 호전되었다. Lysholom 점수는 평균 81~100점이었다(9 문헌). IKDC는 75%에서 정상 또는 거의 정상의 결과를 보였다(6 문헌). 평균 Tegner 활동도는 4.7~6.3점이었다(8 문헌). 이번 고찰을 통한 결과에서 이 술기 후 퇴행성 변화가 관찰되었으며 보고된 합병증은 거의 없었다. 후방십자인대 단독 파열에서 경경골 단일 다발 재건술은 정상 슬관절의 안정성까지 회복하지는 못하나 한 등급 정도의 후방 슬관절 이완의 호전을 기대할 수 있다. 재활 및 운동으로의 회복에 대한 주관적 슬관절 점수는 80점이며 75%의 정상 또는 정상에 가까운 객관적 결과를 보여주었다. 이 술기가 퇴행성 관절염을 예방할 수는 없더라도 이러한 결과는 후방십자인대 재건 술기의 평가에 도움이 될 것으로 사료된다.

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Anatomic Concerns about Hip Arthroscopy (고관절 관절경을 위한 해부학적 관점)

  • Kim, S.J.;Oh, Kwang-Jun
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.79-87
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    • 2010
  • 고관절경을 시행하는 집도의사는 관절경을 통해 관찰되는 정상 고관절의 해부학적 구조물에 대한 정확한 지식과 삽입구 위치에 대한 숙지를 통해 환자의 증상과 비정상 관절경 소견을 임상적으로 연관 시키는 것이 중요하며, 적절한 환자의 선택과 고관절경의 술기에 대한 항상성을 유지할 수 있어야 최소 침습적인 술기의 장점을 가지고 있는 고관절경의 만족할 만한 치료 결과를 기대할 수 있다.

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The Impact of Interpersonal Skills, Psychosocial Health, and Confidence in Performing Nursing Skills on Clinical Performance of Nursing Students Who Experienced Clinical Practice after COVID-19 (COVID-19 이후 임상실습을 경험한 간호대학생의 대인관계능력, 사회심리적 건강, 간호술기수행자신감이 임상수행능력에 미치는 영향)

  • Meera Park;Eunsil Park;Nam Joo Je
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.159-168
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    • 2024
  • This study was conducted to identify factors influencing clinical performance among nursing students who experienced clinical practice due to COVID-19 and provide basic data to improve clinical performance. This study collected data from October 10 to October 27, 2023, targeting 144 students at two nursing schools in G Province. The collected data were analyzed using descriptive statistics, difference analysis (t-est, on-way ANOVA), correlation, and hierarchical regression analysis. As a result of the study, in Model 1, extrovert and mixed personality types were found to be significant predictive factors explaining clinical performance. The goodness of fit of Model 1 was statistically significant, and the explanatory power was 9.2% (F=8.256, p<.001). In Model 2, interpersonal skills and confidence in nursing skills appeared as significant predictive factors explaining clinical performance ability. Confidence in nursing skills was the best predictor of clinical performance, followed by interpersonal skills. The explanatory power of the model was 50.1%, an increase of 41.3% compared to Model 1. Model fit was also statistically significant. Simulation education that reproduces various situations should be strengthened to increase opportunities to perform direct nursing and improve nursing students' nursing capabilities. If you improve your confidence in nursing skills and interpersonal skills through simulation education, your clinical performance will ultimately improve, and this will be able to be demonstrated as a nursing competency when employed as a nurse.

Convergence study related to the development of new clinical training simulator for dental radiography based on augmented reality (증강현실 기반 치과방사선 임상시뮬레이터 개발과 관련된 융합 연구)

  • Gu, Ja-Young;Lee, Jae-Gi
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.161-167
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    • 2018
  • A clinician's skills in a dental clinic are an important factor in removing the risk factors of patients. Although many universities have conducted educational programs, there has been a limitation on repeated practice because of the limited space and equipment. In dental radiography, there are various intraoral radiographic techniques. Since proficiency in radiography is an important factor in obtaining accurate radiographs, repeated practice and skill learning are important at the pre-clinical stage. However, the recent amendment of diagnostic radiation has caused difficulties in repeated practice on the human body. This study aims to develop a clinical simulator for intraoral radiography that enables repeated practice and self-directed learning without any restriction by utilizing the augmented reality technology to foster clinical skills for dental hygienist.

ACLS Simulation Examination between Korean and American Paramedic students (한국과 미국 응급구조 학생간에 전문심장구조술 시뮬레이션 시험)

  • Lee, Christopher C.;Kim, Tae-Min
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.3
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    • pp.71-76
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    • 2009
  • 서론(Introduction) : 의학 시뮬레이션(medical simulation)은 교육생 학습과정에서 내재된 위험이 환자에게 가해짐 없이 교육생이 실제적인 환자 상황을 경험할 수 있게 하고 여러 다양한 임상내용이 포함한 상황에 적용될 수 있다. 시뮬레이션 기술의 사용은 의학교육(medical education), 인증서(certification), 면허교부(Licensure)와 의료의 질 형성에 큰 잠재력을 가지고 있다. 복강경 수술, 내시경검사, 전문심장구조술, 응급기도관리와 외상소생을 포함한 다양한 임상시술의 수행에서 시뮬레이션이 교육생의 술기를 달성하고, 측정하고, 유지하는 유효성을 증명하였다 컴퓨터로 조절되는 시뮬레이터는 맥박, 혈압, 호흡, 대화가 가능하고, 중증질환 또는 외상환자의 치료에 필요한 같은 인명구조 시술을 수행할 수 있다. 의학 시뮬레이션은 의사, 간호사, 응급구조사와 응급 진료를 필요로 하는 환자를 치료하는 사람에게 필요하다. 최신 전문심장구조술 과정수업은 전통적인 강의와 제한된 팀 상호작용이 포함된 이틀 과정이다. 우리는 비 영어권 국제 응급구조학생의 전문심장구조술 술기능력을 알아보고, 그것을 미국 응급구조학생과 비교하고자 한다. 목적(Objective) : 이 연구의 목적은 다양한 전문심장구조술 증례 시나리오를 가진 의학 시뮬레이터를 이용하여 미국과 한국의 응급구조 학생의 능력을 비교하는 것이다. 시행 장소(Site Location) : 이 연구는 한국 제주도에 위치한 제주한라대학 스토니브룩 응급의료교육원에서 진행되었다. 학생들의 평가는 스토니브룩에 위치한 스토니브룩 대학 의료원의 한 명의 평가자(Dr. lee)에 의해 수행되었다. 방법(Methods) : 15명의 한국 응급구조학생들은 세 팀으로 무작위로 선정하였다. 5명이 한 팀이 되어 같은 증례의 시나리오를 받았다. 세 가지 시나리오는 : 첫째, 천식지속상태(Status asthmaticus), 둘째, 긴장기흉을 동반한 만성폐쇄성폐질환(COPD with tension penumothorax) 그리고 마지막으로 메가코드(megacode)를 가진 심정지 이다. 세 팀을 각각 그리고 기본인명구조술(BLS)과 전문심장구조술(ACLS)과정을 마친 미국 응급구조학생들과 비교하였다. 15명의 미국 응급구조학생들 또한 세 팀으로 무작위로 선정하였다. 이 응급구조 학생들은 플러싱병원 의료원 소속으로 그곳에서 이 연구에 참여할 뿐만 아니라 지속적인 의학교육(CME)이수를 받았다. 이들에게도 같은 세 가지 증례의 시나리오가 주어졌고 Dr lee는 총 여섯 팀을 평가하였다(한국 세 팀과 미국 세팀). 결과(Results) : 양 국가의 모든 15명의 학생이 의학시뮬레이터를 사용하여 전문심장구조술 메가코드시험을 포함한 시험에 모두 통과하였다. 비록 학생들을 무작위로 세 팀으로 나누었지만 한 팀이 이 모든 세 증례에서 다른 팀보다 뛰어났다. 제주한라대학 2번 팀은 더 나은 기도관리, 리듬인식과 임상술기를 가진 모든 중요한 활동을 얻기에서 우수했다. 그들은 핵심요구사항을 90% 이상 충족시겼다. 한국의 2번팀(G2K)은 메가코드에서 기도개방, 호흡평가, 순환징후 그리고 흉부압박수와 같은 신체검진 술기에서도 탁월했다. 게다가 다른 팀과 비교 시 리듬인식, 약물지식과 임상술기에서도 높은 점수를 받았으며 2번팀(G2K)이 6팀 중에 가장 뛰어나게 역활수행을 하였다. 결론(Conclusion) : 이 비교 연구에서 한국학생과 미국학생간에 전문심장구조술 메가코드 시험의 통과율에는 차이가 없었다. 그러나 미국학생은 세 팀 사이에 더 적은 변이로 더 일괄된 점수를 받았다. 한국학생들도 모든 세 가지 증례를 통과하였지만 이 세 팀은 미국학생 팀보다 점수에서 더 큰 변이를 보였다.

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Effect of Self-Directed Learning Ability, Ego Resilience, Critical Thinking Disposition on the Competency of Nursing Students's Basic Nursing Skills (간호대학생의 자기주도적 학습, 자아탄력성, 비판적 사고성향이 기본간호술기 수행능력에 미치는 영향)

  • Park, Jin-Ah;Hong, Ji-Yeon
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.342-351
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    • 2016
  • Basic nursing, the course for the nursing students to experience nursing practice before going on to th clinical practice, and is crucial for solving health-related problems of patients. This study is a descriptive research study to analyze the impact factors associated with nursing students' basic nursing skill competency. In this study, total 181 subjects participants, and by using a structured questionnaire. Data were collected by self-written questionnaire method. The collected data were analyzed using the SPSS WIN 22.0 program. Of the general characteristics of the subjects, the difference in basic nursing competency was found according to admission motive, major satisfaction, and interest in practice. Critical thinking disposition and the degree of self-training aid influenced performance of basic nursing skills by nursing students, and these variables explained 23.8% of the total variance of basic nursing skills performance. These findings suggest, in order to improve performance of basic nursing skills in nursing students, it is necessary to use various teaching methods that help improve critical thinking and relevant curriculum that promote self-practice.

Development and Effects of a Simulation-Based Convergence Practicum Education Program for Nursing Seniors (간호대학생 대상 시뮬레이션 기반 융합실습교육프로그램 개발 및 효과)

  • An, Minjeong;Cho, Hang Nan;Dordunoo, Dzifa;Hwang, Yoon Young
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.16-27
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    • 2019
  • The purpose of this study was to develop and evaluate the effects of a simulation-based convergence practicum education program among senior nursing students. A repeated measure experimental design was used. A total of 77 senior nursing students were recruited from a university located in G city. Data was collected at baseline, program completion, and 2 month following completion of the practicum. Repeated measure ANOVA was used to evaluate the effects of the program. There were statistically significant improvements between baseline and program completion and between the baseline and 2 month follow-up. However, there was no significant differences between the program completion and 2 month follow-up. The study demonstrated that simulation-based convergence practicum education was an effective strategy to increase study outcomes and reduce clinical practice stress among senior nursing students. Further studies are needed to evaluate the effects of the program using randomized controlled trials.