• Journal of muscle and joint health
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• v.30 no.1
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• pp.48-57
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• 2023

Purpose: The purpose of this study was to examine nurses' critical thinking disposition and knowledge sharing activity and professional work environment on clinical decision-making ability. Methods: The data collection period for this study was from May 24 to May 31, 2021. The data were collected from 167 nurses who consented to participate in this study and have worked for more than one year at general hospital in Seoul. The data were analyzed using the SPSS/WIN 25.0 program. Results: A significant positive correlation was found between clinical decision-making ability and critical thinking disposition, knowledge sharing activity, and a professional work environment. Critical thinking disposition (β=.32, p<.001), knowledge sharing activitiy (β=.24, p=.002) and professional work environment (β=.20, p=.006) had a significant effect on clinical decision-making ability. These factors explained 35.5% of clinical decision-making ability (F=24.22, p<.001). Conclusion: Therefore, in order to develop the critical thinking disposition of nurses, development of systematic educational programs and strategies for practical application are needed. Through this, nurses can improve the professional decision-making ability and clinical performance ability.

• Journal of Korean Academy of Nursing
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• v.49 no.5
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• pp.601-612
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• 2019

Purpose: The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory. Methods: The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed. Results: The goodness-of-fit of the final model was at a good level ($x^2/df=2.46$, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability. Conclusion: The nurses' clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.

• Journal of the Korea Convergence Society
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• v.11 no.9
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• pp.65-72
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• 2020

This study conducted to investigate the core competency of dental hygiene based on learning outcomes for establishing an educational evaluation and certification system for dental hygiene. The sub-categories of core competencies, the overall score of professional behavior and ethical decision-making ability (category 1) and the ability to apply scientific and professional clinical hygiene and knowledge and skills of clinical dental work (category 2) was highest. and the level of communication skills (category 3) was 4.48 points, and the level of evidence-based integrated thinking and problem solving skills (category 5) was 4.35 points. Furthermore, there was a strong correlation between the core competency sub-categories, and it is necessary to identify the core competency between health care service occupations and to qualitatively study the core competency of dental hygienists working in clinical practice.

• 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.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.2
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• pp.275-283
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• 2009

Purpose: This study investigated the effects of reeducation of nursing process on nurses' expertise, critical thinking disposition, and clinical decision making. Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught 'nursing process' during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test. Results: There was a significant difference in the 3 to under 5 years experienced nurses's expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses's expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups. Conclusion: Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses' clinical decision making.

• The Journal of the Korean dental association
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• v.20 no.12 s.163
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• pp.1011-1013
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• 1982

년령이 증가함에 다라 치아도 신체 다른부위와 같이 노화현상이 나타나는데, 특히 보존영역에서는 상아질 및 치수의 노화에 대한 지식은 매우 중요하다고 생각된다. 일반적으로 상아질 및 치수의 노화는 치수강이나 치근관내 석회화된 조직의 양이 증가하고 세포나 혈관의 수가 감소되는 현상으로 나타나며, 임상에서는 흔히 치수강이나 치근관내 pub stone이나 dystrophic calcification을 발견하게 된다. 이러한 노화현상은 년령이 증가한다는 요소외도 우식, 마모, 교모, 또는 치과시술등이 그 원인이 된다고 알려져 있으며 실제 젊은환자에서도 상아질 및 치수가 노화되어 있는 치아를 볼 수 있다. 그러나 대개 년령적으로는 50세에서 60세사이의 환자에서는 치아의 노화가 있을수있는 가능성이 많다고 알려져 있으므로 임상에서 이점을 고려해야될 것으로 생각되며, 또 한가지는 상아질 및 치수에 이와같은 치유의 능력이 저하된다는 사실이다. 이러한 사실은 우리가 광범위한 충전물을 가진 치아에서 치수복조술을 시행할때는 충전물이 없고 우식이 생긴 치아에서 시술여부를 결정할 때 매우 중요한 점이 되고있는것 처럼 보존시술시 고려되어야 할 중요한 점으로 생각된다. 노인에서 보존치료의 결과는 환자가 신장질환이나 위장병, 폐결핵, 당뇨병등 만성적인 전신 질환을 가지고 있는 경우에는 그 치유가 지연되는 경우가 있기는 하나 시술시에 이러한 사실과 년령증가에 따른 치수 및 상아질의 형태학적 변화나 생리적변화등을 고려해서 치료술식을 약간 달리하면 젊은 환자에서와 똑같은 결과를 가져 올수 있다는 확신 또는 중요하다고 보겠다. 본 난에서는 노인환자의 보존치료시에 임상에서 고려해야할 사항들을 충전시술시와 근관치료시로 나누어서 각 시술 별로 간단히 살펴보조져 한다.

• Journal of Korean Academy of Nursing
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• v.40 no.6
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• pp.863-871
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• 2010

Purpose: The purpose of this study was to examine the effects of case-base learning (CBL) using video on clinical decision-making and learning motivation. Methods: This research was conducted between June 2009 and April 2010 as a nonequivalent control group non-synchronized design. The study population was 44 third year nursing students who enrolled in a college of nursing, A University in Korea. The nursing students were divided into the CBL and the control group. The intervention was the CBL with three cases using video. The controls attended a traditional live lecture on the same topics. With questionnaires objective clinical decision-making, subjective clinical decision-making, and learning motivation were measured before the intervention, and 10 weeks after the intervention. Results: Significant group differences were observed in clinical decision-making and learning motivation. The post-test scores of clinical decision-making in the CBL group were statistically higher than the control group. Learning motivation was also significantly higher in the CBL group than in the control group. Conclusion: These results indicate that CBL using video is effective in enhancing clinical decision-making and motivating students to learn by encouraging self-directed learning and creating more interest and curiosity in learning.

• Journal of the Institute of Electronics Engineers of Korea CI
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• v.46 no.6
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• pp.7-17
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• 2009

The precise analysis of exercise data for designing an effective rehabilitation system is very important as a feedback for planing the next exercising step. Many subjective and reliable research outcomes that were obtained by analysis and evaluation for the human motor ability by various methods of biomechanical experiments have been introduced. Most of them include quantitative analysis based on basic statistical methods, which are not practical enough for application to real clinical problems. In this situation, data mining technology can be a promising approach for clinical decision support system by discovering meaningful hidden rules and patterns from large volume of data obtained from the problem domain. In this research, in order to find relational rules between posture training type and muscle activation pattern, we investigated an application of the WAR(Weishted Association Rule) to the biomechanical data obtained mainly for evaluation of postural control ability. The discovered rules can be used as a quantitative prior knowledge for expert's decision making for rehabilitation plan. The discovered rules can be used as a more qualitative and useful priori knowledge for the rehabilitation and clinical expert's decision-making, and as a index for planning an optimal rehabilitation exercise model for a patient.

• Journal of Korean Academy of Nursing
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• v.49 no.4
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• pp.411-422
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• 2019

Purpose: The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale ($NASC-CDM^{(c)}$) for Korean nursing students. Methods: Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the $NASC-CDM^{(c)}$ were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity. Results: The Korean version of the $NASC-CDM^{(c)}$ (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's ${\alpha}$ was .93 for self-confidence and .95 for anxiety. Conclusion: The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students' clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original $NASC-CDM^{(c)}$ version.

• Journal of the korean veterinary medical association
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• v.37 no.11
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• pp.1001-1022
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• 2001

수의사의 의사결정 과정에는 모든 의료행위에 내재된 본질적인 특성인 불확실성 (uncertainty)이라는 문제가 필연적으로 개입되는데 특히 진단검사와 관련된 신뢰도와 정확도 측면에서는 더욱 그러하다. 기존의 진단방법에 대체할만한 새로운 검사법이 개발되었을 때 실제로 이를 임상적 진단에 활용하기 위해서는 이 검사의 민감도와 특이도를 추정하는 작업은 필수적이다. 예컨대 표준검사법 (gold standard)이 제시되어 잇을 경우 비교적 간단한 계산으로 추정이 가능하지만 대부분의 질병에서와 같이 표준검사법이 없을 경우에는 상당한 통계적 지식을 요구한다. 또한 소위 표준검사법이라고 하는 검사도 실제로 질병에 이환된 집단과 이환되지 않은 집단을 완벽히 이분해주는 (dichotomize) 능력을 가진 것이라고는 볼 수 없기 때문에 추정과정에 신중을 기해야 한다. 본 원고에서는 다양한 상황에서의 진단검사의 민감도와 특이도를 추정하는 방법에 대하여 기술하며 본 원고에서 설명한 내용과 유사한 자료에 대하여 분석을 원하는 독자는 저자에게 연락을 주면 자세한 분석절차에 대하여 논의가 가능하다.