• Title/Summary/Keyword: 4C Skills

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A Study on the Analysis of Nurses' Perception of the Fourth Industrial Revolution and the Importance and Performance of Future Core Nursing Competencies in a Tertiary Hospital (일 상급종합병원 간호사의 4차 산업혁명에 대한 인식 및 미래핵심간호역량 중요도-실행도 분석)

  • Kwon, Chi Hye;Kim, Mi Soon
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.95-106
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    • 2023
  • Purpose: This study is descriptive survey research on the analysis of nurses' perception of the 4th industrial revolution and the importance and performance of future core nursing competencies in a tertiary hospital located in Seoul. Methods: Data were collected from 149 nurses with more than a year of work experience and analyzed using descriptive statistics, t-test, one-way ANOVA, and Importance Performance Analysis(IPA) with the IBM SPSS/WIN 25.0 program. Results: The nurses' perception of the 4th industrial revolution was 3.23±0.71 out of 5 points. The importance of future core nursing competencies was 4.31±0.48, and the performance of it was 3.47±0.54. The analysis results of IPA showed that A (area of continuous maintenance) included critical thinking, problem-solving skills, teamwork and collaboration, evidence-based practice, communication, quality improvement and safety, professionalism, self-regulation and self-management, and personal literacy. The specific competencies were not included in B (area of priority improvement). Creativity, informatics, healthcare policy, leadership, research ability, and continuing education were included in C (area of progressive improvement). Knowledge and patient-centered care, ability to manage resources as well as professional, legal, and ethical responsibility were included in D (area of overinvestment). Conclusion: The nurses seemed not to be fully prepared for the 4th industrial revolution. However, they were well aware of the importance of the future core nursing competencies. Therefore, if nurses increase the performance of core competencies in order of priority according to the IPA results, they will be able to independently lead the changing nursing field.

Advanced airway management for the prehospital traumatic patient (병원 전 환경의 외상성 응급환자를 위한 전문기도관리)

  • Shim, Gyu-Sik;Kim, Eun-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2360-2367
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    • 2013
  • The purpose of this study was to improve the paramedics skills to manage advanced airway by comparing speed and success rate between endotracheal intubation and laryngeal mask airway(LMA) insertion in a moving ambulance. Sixty subjects were randomly recruited and samely divided into control group and experimental group. And they were asked to join a practical experiment using dummy model. Data analysis was done by SPSS WIN 14.0 Version. As a result of this research, in terms of difference in speed according to patient's intubation posture, the speed of control group was indicated to be good in sniffing position(t=-4.038, p<.001). There was no difference in speed between two groups in neutral position. In the neutral posture given the endotracheal intubation, tooth fracture occurred in 16 people(53.3%). There was no difference in success rate between two groups. As for a change in self-confidence before and after experiment, the post self-confidence was indicated to have been enhanced in both groups. In conclusion, it is effective to use LMA in the traumatic patient who is unable to receive endotracheal intubation in sniffing position. It is very important for the paramedics to receive the continuous training of the airway management skills.

A case study on the effect of communication training program on nurse's communication ability, emotional intelligence (EQ), self - esteem and interpersonal ability (의사소통 훈련 프로그램이 간호사의 의사소통능력, 감성지능(EQ), 자존감 및 대인관계능력에 미치는 효과에 대한 사례연구)

  • Yoo, Mi-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.280-290
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    • 2018
  • This study was a non-equivalence-based Quasi experimental study comparing the difference in communication ability, emotional intelligence (EQ), self-esteem, and interpersonal abilities between an experimental group with communication training and a non-control group. The subjects of the study were nurses working for D university hospital located in C city and comprised an experimental group of 21 people and a control group of 21 people. From April to May 2017, the experimental group took communication training programs, which were designed to improve communication capacity, emotional intelligence, self-esteem, and interpersonal ability for a total of four sessions (for 2 hours a week), and pre-post examination was conducted for the validity of the study. For data analysis, the SPSS for Windows 23 was used for the mean and standard deviation of pre-post tests, and U-test of the independent sample Mann-Whitney and the Wilcoxon code order test of the corresponding sample were carried out. The study results indicate that, compared with the control group, the experimental group showed communication capacity (Z=-3.361, p<.05), emotional intelligence (Z=-2.209, p<.05), self-esteem (Z=-1.633, p<.05), and interpersonal relationship (Z=-2.577, p<.05). After the communication training program, scores of communication capacity, emotional intelligence (EQ), self-esteem, and interpersonal competence of the experimental group increased significantly, and all hypotheses were supported. These results suggest that nurses' use of communication training experience in performing nursing work in a clinical setting would improve communication skills, emotional intelligence (EQ), self-esteem, and interpersonal skills and provide therapeutic communication and effective nursing, thereby enhancing patients' satisfaction and contributing to the improvement of nursing quality.

Blasting Design for Large Shaft in Urban Area Considering Noise and Vibration -Singapore Transmission Cable Tunnel EW2- (소음 및 진동을 고려한 도심지 내 대단면 수직구 발파설계 사례 -싱가포르 Transmission Cable Tunnel EW2 공구-)

  • Kim, Julie;Lee, Hyo;Kim, Dave;Ko, Tae-Young;Lee, Simon
    • Explosives and Blasting
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    • v.31 no.1
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    • pp.55-63
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    • 2013
  • With increasing needs in power, Singapore is requiring stronger power transmission. Singapore Transmission Cable Tunnel is underground tunnel for transmission system installation such as 400 kV cable. This Transmission Cable Tunnel is 35 km long in total. The North-South Transmission Cable Tunnel is 18.5 km long and there is a total of three (3) contracts; NS1, NS2 and NS3 in respect of the design and construction. The East-West Transmission Cable Tunnel is 16.5 km long, and also there is a total of three (3) contracts; EW1, EW2 and EW3. Among of them, SK E&C has been awarded and operating contract EW2 and NS2. In scope of works, each contract has 3 to 4 shafts which connect aboveground and underground high volt cable and those shafts are used as TBM launching shafts during construction. Transmission Cable Tunnel is undercrossing middle of Singapore and most of shafts are located in urban area. Thus, optimal blasting design satisfying high blasting efficiency as well as blasting vibration limit of Singapore is highly required. Blasting design for large shaft of Singapore Transmission Cable Tunnel follows blasting vibration limits in Singapore and reflects our blasting engineering skills. With Singapore Transmission Cable Tunnel Contract EW2, it is expected that our excellent blasting engineering and performance skills can be delivered to the world.

Time Series Analysis of the Subsurface Oceanic Data and Prediction of the Sea Surface Temperature in the Tropical Pacific (적도 태평양 아표층 자료의 시계열 분석 및 표층 수온 예측)

  • Chang You-Soon;Lee Da-Un;Youn Yong-Hoon;Seo Jang-Won
    • Journal of the Korean earth science society
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    • v.26 no.7
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    • pp.706-713
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    • 2005
  • Subsurface oceanic data (Z20; Depth of $20^{\circ}C$ isotherm and WWV; Warm Water Volume) from the tropical Pacific Ocean from 1980 to 2004 were utilized to examine upper ocean variations in relation to E1 Nino. Time series analysis using EOF, composite, and cross-correlation methods indicated that there are significant time delays between subsurface oceanic parameters and the Nino3.4 SST. It implied that Z20 and WWV would be more reliable predictors of El Nino events. Based on analyzed results, we also constructed neural network model to predict the Nino3.4 SST from 1996 to 2004. The forecasting skills for the model using WWV were statistically higher than that using the trade wind except for short range forecasting less than 3 months. This model greatly predicted SST than any other previous statistical model, especially at lead times of 5 to 8 months.

Effects of Mentoring Function, Self-Concept, Career Decision-making Self-efficacy, and Major Satisfaction on College Life Adaptation (멘토링 기능, 자아개념, 진로결정 자기효능감, 전공만족도가 대학생활적응에 미치는 영향)

  • Ji-Won Yoon;Mee-Ra Park;Nam-Joo Je
    • Journal of the Korean Society of Industry Convergence
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    • v.27 no.2_2
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    • pp.377-388
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    • 2024
  • The purpose of this study is to prepare basic data to help college students adapt to college life by grasping the effects of mentoring skills, self-concept, career decision-making self-efficacy, and major satisfaction on college life adaptation. To achieve the purpose of the study, data were collected from January 17 to January 27, 2024, targeting college students from one university in C city located in G-do. The survey was conducted online. As a result of the study, the mentoring function of the subjects averaged 4.11 points (out of 5 points), the self-concept was 4.29 points (out of 5 points), the career decision-making self-efficacy was 4.04 points (out of 5 points), the major satisfaction was 4.45 points (out of 5 points), and the college life adaptation was 3.91 points (out of 5 points). The factor that most influenced the subject's adaptation to college life was career decision-making self-efficacy, followed by self-concept, mentoring function, and major-art field. The explanatory power of the model was 70.2%. Specifically, the higher the career decision-making self-efficacy, the higher the self-concept, and the higher the mentoring function, the higher the adaptation to college life. Educational intervention programs (non-curricular programs) are needed to adapt to college life for college students, and subsequent studies need to examine the effects of the developed programs.

Analysis of thermal changes in bone by various insertion torques with different implant designs (서로 다른 형태의 임플란트의 식립토크가 골에 미치는 열변화에 관한 연구)

  • Kim, Min-Ho;Yeo, In-Sung;Kim, Sung-Hun;Han, Jung-Seok;Lee, Jai-Bong;Yang, Jae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.2
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    • pp.168-176
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    • 2011
  • Purpose: This study aims at investigating the influence of various insertion torques on thermal changes of bone. A proper insertion torque is derived based on the thermal analysis with two different implant designs. Materials and methods: For implant materials, bovine scapula bone of 15 - 20 mm thickness was cut into 35 mm by 40 - 50 mm pieces. Of these, the pieces having 2 - 3 mm thickness cortical bone were used as samples. Then, the half of the sample was immersed in a bath of $36.5^{\circ}C$ and the other half was exposed to ambient temperature of $25^{\circ}C$, so that the inner and surface temperatures reached $36.5^{\circ}C$ and $28^{\circ}C$, respectively. Two types of implants ($4.5{\times}10\;mm$ Br${\aa}$nemark type, $4.8{\times}10\;mm$ Microthread type) were inserted into bovine scapula bone and the temperature was measured by a thermocouple at 0.2 mm from the measuring point. Finite element method (FEM) was used to analyze the thermal changes at contacting surface assuming that the sample is a cube of $4\;cm{\times}4\;cm{\times}2\;cm$ and a layer up to 2 mm from the top is cortical bone and below is a cancellous bone. Boundary conditions were set on the basis of the shape of cavity after implants. SolidWorks was used as a CAD program with the help of Abaqus 6.9-1. Results: In the in-vitro experiment, the Microhead type implant gives a higher maximum temperature than that of the Br${\aa}$nemark type, which is attributed to high frictional heat that is associated with the implant shape. In both types, an Eriksson threshold was observed at torques of 50 Ncm (Br${\aa}$nemark) and 35 Ncm (Microthread type), respectively. Based on these findings, the Microthread type implant is more affected by insertion torques. Conclusion: This study demonstrate that a proper choice of insertion torque is important when using a specific type of implant. In particular, for the Microthread type implant, possible bone damage may be expected as a result of frictional heat, which compensates for initial high success rate of fixation. Therefore, the insertion torque should be adjusted for each implant design. Furthermore, the operation skills should be carefully chosen for each implant type and insertion torque.

Systems for Production of Calves from Hanwoo IVM/IVF/IVC Blastocyst. IV. Direct Transfer of Vitrified and One-Step Diluted Hanwoo Blastocysts

  • 김은영;박세필;김덕임;이문걸;이종우;이금실;박세영;박은미;윤지연
    • Proceedings of the KSAR Conference
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    • 2001.03a
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    • pp.73-73
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    • 2001
  • This study was to examine whether the vitrified, one-step diluted and direct transferred Hanwoo IVM/IVF/IVC blastocysts can be successfully survived in vivo and they were succeeded into the live birth. For vitrification, blastocysts were serially exposed in glycerol (G) or/and ethylene glycol (EG) mixtures [10% (v/v) G for 5 min, 10% G plus 20% EG (v/v) for 5 min, and 25% G plus 25% EG (v/v) for 30 sect] which is diluted in 10% FBS added D-PBS. Thawing of straw was carried out in air for 10 sec and then in water bath of $25^{\circ}C$ for 20 sec. One-step dilution within the straw was done in water bath of $25^{\circ}C$ for 1 min. Vitrified and one-step diluted embryos were directly transferred into 36 (natural or hormone induced synchronized) recipient cows in 6 areas of Kyungsang Buk-Do. Pregnancies were confirmed at first when recipient cows did not return to the subsequent estrus cycle, and later by manual palpation per rectum on day 45, 90 and then living calves were derived into parturition. Overall pregnancy was 33.3%(12/36), However, higher pregnancy was obtained when the recipients exhibited estrus one day earlier than the age of transferred embryos (53.3 vs 25.0-27.3%), irrespective of synchronization methods. Also, parous recipients became pregnant higher than nulliparous heifers, And, there were not different in pregnancy rates by the aspect of corpus luteum (CL) quality of recipients (good, 29.4; fair, 37.5; poor, 33.3%). One hundred eight of frozen-thawed Hanwoo blastocysts were directly transferred into 36 recipient cows. In 12 of pregnant cows, 3 cows were aborted and 9 cows were calved [single, 66.7% (6/9): twin, 33.3% (3/9)]. Total embryo implantation rate was 11.1% (12/108). However, 9 Hanwoo calves were lived. Therefore, these results demonstrate that direct transfer technique of vitrified and one-step diluted bovine blastocysts can be applied easily and effectively with the higher pregnancy rate on field trial without the equipment and embryological skills.

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Study on Cutaneous Mycoses in Oriental Medicine (피부진균증의 한의학적 고찰)

  • Cha, Eun-Yea;Kang, Jung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.4
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    • pp.799-806
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    • 2006
  • Fungi cause a number of plant and animal diseases. Because fungi are more chemically and genetically similar to animals than other organisms, this makes fungal diseases very difficult to treat. Human fungal infections are uncommon in normally healthy persons, being confined to conditions such as candidiasis (thrush) and dermatophyte skin infections such as athlete's foot. However, in the immunocompromised host, a variety of normally mild or nonpathogenic fungi can cause potentially fatal infections. Furthermore, the relative ease with which people can now visit 'exotic' countries provides the means for unusual fungal infections to be imported into this country. Fungal infections or mycoses are classified depending on the degree of tissue involvement and mode of entry into the host. These are Cutaneous, Subcutaneous, Systemic, and Opportunistic. As listed above, in superficial mycoses infection is localised to the skin, the hair, and the nails. An example is 'ringworm' or 'tinea', an infection of the skin by a dermatophyte. Ringworm refers to the characteristic central clearing that often occurs in dermatophyte infections of the skin. Dermatophyte members of the genera Trycophyton, Microsporum and Epidermophyton are responsible for the disease. Tinea can infect various sites of the body, including the scalp (tinea capitis), the beard (tinea barbae) the foot (tinea pedis: 'athlete's foot') and the groin (tinea cruris). All occur in the United Kingdom although tinea infections, other than pedis, are now rare. Candids albicans is a yeast causing candidiasis or 'thrush' in humans. As a superficial mycoses, candidiasis typically infects the mouth or vagina. C. albicans is part of the normal flora of the vagina and gastrointestinal tract and is termed a 'commensal' However, during times of ill health or impaired immunity the balance can alter and the organism multiplies to cause disease. Antibiotic treatment can also alter the normal bacterial flora allowing C. albicans to flourish. If we study mycoses of the orient medicine, we can improve the medical skills about mycoses.

The Effects of Nurisng University Students' calling, value of work and interpersonal relationships on nursing leadership (간호대학생의 소명의식, 일 가치감 및 대인관계가 간호리더십에 미치는 영향)

  • Jaewoo Oh;Hyun-Jung Jang
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.51-58
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    • 2024
  • This study was attempted to provide basic data for preparing a program that strengthens nursing leadership capabilities by confirming the degree of nursing leadership, calling, value of work, and interpersonal relationships of 4th grade nursing students, and identifying factors that affect nursing leadership. This study surveyed 187 nursing students located in C and D cities, and the factors affecting nursing leadership were calling (β=.185 p<.01), value of work (β=.580, p<.001), and interpersonal relationships (β=.108, p<.05), and its explanatory power is 56.8%. In order to strengthen nursing leadership, not only professional knowledge and nursing skills, but also calling and value of work should be added so that they can acquire knowledge and knowledge as a professional and demonstrate a sense of social responsibility in taking care of their health.