• Title/Summary/Keyword: Asepsis

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Study on the Development of Modularized Instruction and the Effect of Its Application - Focused on the Asepsis and Elimination Practice - (기본 간호학 실습교육에서 모듈 학습자료 개발과 그 효과 연구 - 감염과 배설에 관한 실습 교육을 중심으로)

  • Jeong, Hyeon-Suk
    • The Korean Nurse
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    • v.33 no.3
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    • pp.56-69
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    • 1994
  • This study was done to develop self - directed learning modules related to asepsis and elimination including urine and stool for Fundamentals in Nursing practice education contents and to measure the effectiveness of those modules. The subjects of this study were 96 sophomore students in the nursing college. Self-directed learning modules were developed by the researcher on the basis of the Lippincott Learning System of Kruger (1986) and Modules for Basic Nursing Care of Ellis (1992). Videotape was editted by using videotape made by the Lippincott Company and Film strip made by the Trainex Company with Korean dubbing. Self-directed learning was done for one week with the asepsis module and two weeks with the elimination modules after confirming the requiered level of knowledge acquisition through pre-test. For measuring proficiency in self-directed learning, a written test for cognitive domain, a sufficiency test for psychomotor domain, and a confidnece examination for affective domain were given. The data were analyzed using descritive statistics, and Pearson correlation coefficient using a SPSS-PC program. The results are summarized as follows: 1. Sufficiency test and confidence examination grades showed high levels in both asepsis and elimination. 2. Written test grades showed a high level in asepsis and elimination of urine but showed a medium level in eliminationin of stool. 3. Grades of sufficiency and confidence in asepsis and elimination practice were statistically significant with a moderate positive correlation (r=0.4- 0.5, p<0.001). 4. Grades of sufficiency and written tests in asepsis and elimination practice also were statistically significant with a moderate positive correlation (r=0.5-0.7, p<0.001). 5. Students showed relatively high contentment with the self-directed learning modules themselves but revealed relatively low contentment with video program and the self-directed learning process. In conclusion, this study disclosed that proficiency levels in cognitive, affective, and psychomotor domains were high when asepsis and elimination modules were applied. Also students showed high satisfaction with the modules themselves, but didn't show high contentment with the video programs. In considering low contentment with the self-directed learning process, it is estimated the students had experienced some difficulties about using self-directed learning modules because this was their first exposure to the self-directed learning module and they were already accustomed to the demonstration-practice method.

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Effectiveness of Web-Based Learning in Basic Nursing Practice Education - focusing on Asepsis technique practice - (기본간호학 실습 교육에서 웹 기반 학습의 효과 - 무균술 실습교육을 중심으로 -)

  • Nam Mi-Ra
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.3
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    • pp.290-297
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    • 2005
  • Purpose: This study was done to compare the effectiveness of web learning versus traditional education for learning Asepsis technique in Basic Nursing Practice. Method: This research was a quasi-experimental study. The participants were 60 students who were taking Basic Nursing at a nursing college in G city. Thirty students each were assigned to the experimental and the control group. Data were collected between September 26 and 30, 2005, The data were analyzed using descriptive statistics, Independent t-test and ANCOVA Results: The mean score for competence in Asepsis technique practice in the experimental group was 24.73 and in the control group 22.80. This result was statistically significant(t = 3.723, P = .001). The mean score for knowledge in the experimental group was 42.93 and in the control group 38.93. This result was statistically significant(t = 2.119, P = .038). The mean score for satisfaction with degree of study in the experimental group was 55.50 for the pre-test and 56.17 for the post-test, and in the control group 60.23 and 58.00 respectively. This result was statistically significant(F = 10.537, P = .002). Conclusion: The Web based learning was found to be effective in nursing practice, student satisfaction and knowledge, but web-based programs have to be continuously managed and various demands from learners have to be accepted. Eventually we have to use web-based program as educational medium to promote effective learning nursing education.

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Relationship between Nursing Task Overload and Aseptic Technique Performance in Clinical Nursing Skills (임상 간호사의 역할과부담과 기본간호술 수행 시의 무균술 이행의 관계)

  • Lee, Sun-Ok;Park, Kyung-Yeon
    • Journal of East-West Nursing Research
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    • v.15 no.1
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    • pp.18-25
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    • 2009
  • Purpose: The study was investigated to identify the relationship between nursing workload and aseptic technique performance by clinical nurses, and to decrease the incidence rate of nosocomial infection. Methods: Participants (N=283) were recruited in B city from April to June 2007. The data were collected by a structured questionnaire and analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results: Nursing workload was rated 9.85 out of a total score of 15. The level of aseptic technique performance as the basis for insertion of a Foley catheter was 42.72 out of a total score of 50, and as basis for insertion of intravenous catheter for fluid therapy was 40.11 out of a total score of 55. There was not a significant relationship between aseptic technique performance and nursing workload. There was a significant positive relationship between the aseptic technique performance in insertion of Foley catheter and that of intravenous catheter for fluid therapy (r=.279, p<.001). Conclusions: Attention to asepsis by nurses is crucial in nosocomial infection-related clinical nursing skills.

A study on the design and construction of operating room (병원 수술실 설계 및 시공에 관한 연구)

  • Jung, Eul-Kyu;Oh, Jung-Keun
    • Journal of the Korea Institute of Building Construction
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    • v.3 no.2
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    • pp.103-110
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    • 2003
  • In the early 1990's the clean room system was a new trend of the operating room. This is the concept using in seminconductor plants. That is what the space around the operating table so clean as it remove contaminations with circulation of interior air. These articles describe the standard of interior construction and drawing details.

The Cognition and Practice of Infection Control in Dental Workplace (근무지 유형에 따른 치과감염관리 인지도 및 실천도 조사)

  • Lee, YunHui;Choi, SungMi
    • Journal of the Korean Society of Radiology
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    • v.9 no.6
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    • pp.409-416
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    • 2015
  • This study is to examine the infection management cognition and to practice of dental hygienists about their general characteristics, type of workplace. 354 dental hygienists in Daegu and Kyungbuk cities. The questionnaire survey was performed from April to May, 2015. These showed that factors of dental infection management according to workplace depended existence and nonexistence that chief of station and program of infection management, education of infection control(p<.001). Also cognition of dental infection control according to workplace drawed the protection individual(p<.05), asepsis procedure(p<.01), control of dental equipment(p<.001), control of infectious waste(p<.01) and laundry(p<.001), to practice of dental infection control according to workplace drawed the protection individual and asepsis procedure(p<.001), methods of disinfected and sterilized(p<.05), control of dental equipment and laundry(p<.001), control of infectious waste(p<.05). As above results, in order to minimize the infection prevention in the dental clinic, the regular infection control education for infection control of dental hygienists required, infection control guidelines place at the dental office.

Coronal leakage- The hidden cause of endodontic failure (근관 치료의 숨겨진 실패 원인- Coronal leakage)

  • Kim, Ui-Seong;Kim, Il-Gyu;Choe, Jin-Ho;O, Nam-Sik;O, Seong-Seop;Kim, Hyeong-Don
    • The Journal of the Korean dental association
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    • v.38 no.3 s.370
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    • pp.288-292
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    • 2000
  • Perhaps the most frustrating scenario in dentistry lies in the apparently well-instrumented and well-obturated tooth that, becomes symptomatic after treatment of shows a periapical lesion on recall examination. Conventional root canal treatment demands stringent adherence to asepsis, awareness of canal morphology, and mastery of a variety of clinical techniques. But the risk of endodontic failure does not end with canal obturation. The quality of the coronal restoration may have a greater bearing on the ultimate success of a case than the quality of the root canal treatment itself. This review of the endodontic literature will define coronal leakage, describe its influence on endodontic treatment failures, and make specific recommendations on prevention.

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Concept Analysis of Endotracheal Suctioning(ETS) (기관내흡인에 대한 개념분석)

  • Ahn Young-Mee
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.292-302
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    • 2005
  • Purpose: Concept analysis was performed on the behavioral concept of endotracheal suctioning (ETS), to identify the goal, to develop astandardized clinical protocol, to identify the antecedents and consequences, and to differentiate the improper use of ETS. Method: Walker & Avant's concept analysis was employed using clinical guidelines, books and review articles in which the procedures of ETS were written in detail and published in Pubmed within the last 20 years. Result: The macro-goal of ETS was to remove accumulated respiratory secretions. Three defining attributes of ETS were identified; catheter, suctioning and asepsis. Each attribute involved empirical referents, such as the size and depth of the catheter, the suction pressure, duration and method for suctioning. The antecedents of ETS were identical to the clinical evidences for the need of ETS such as the nursing assessment data. The consequences of ETS serve as an evaluation criteria on the effectsof ETS based on the goal of ETS. Conclusion: The concept analysis of ETS demonstrates an example of considering a specific nursing protocol of ETS as a behavioral concept, applying concept analysis to it to identify it's key behavioral components as defining attributes and empirical referents and then developing and applying the standard ETS protocol.

Infectious Spondylitis following Kyphoplasty - A case report - (척추 풍선 성형술 후 발생한 감염성 척추염 - 증례보고 -)

  • Jo, Dae Hyun;Park, Sa Hyun;Kim, Myoung Hee;Seol, Jung Ho
    • The Korean Journal of Pain
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    • v.20 no.2
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    • pp.219-223
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    • 2007
  • Vertebroplasty and kyphoplasty are well-known, useful techniques for the treatment of painful vertebral compression fractures. Although the risk associated with these procedures is low, serious complications can occur. Of these complications, infection is even rarer, however, when it does occur, it is difficult to manage and can become life-threatening. We describe here a case of infectious spondylitis with epidural inflammation that occurred after performing kyphoplasty in a patient who had a thoracic vertebra compression fracture. We reviewed other case and literatures. Extreme asepsis of the operating theater, screening and treatment for systemic infection prior to the procedure, as well as the use of appropriate antibiotic prophylaxis are strongly recommended when conducting kyphoplasty to prevent infection.

Education on Nosocomial Infection Control within the Content of Courses in Fundamentals of Nursing (기본간호학 교과과정내 감염관리교육 현황분석)

  • Lim Nan-Young;Sohng Kyeong-Yae;Shon Young-Hee;Kim Jong-Im;Gu Mee-Ock;Kim Kyung-Hee;Paik Hoon-Jung;Byeon Young-Soon;Lee Yoon-Kyoung;Kim Hwa-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.1
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    • pp.66-72
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    • 2005
  • Purpose: The purpose of this study was to explore the content related to nosocomial infection control in the course on Fundamentals of Nursing. Method: Participants were 49 faculty who were teaching courses in Fundamentals of Nursing in universities and colleges in Korea. The questionnaire was composed of 55 items related to nosocomial infection control. Results: Eighteen items out of 55 items were taught in more than 80% of the universities and colleges. These included principles of infection control, principles and effect of hand washing, method of hand washing, hand scrubs, and donning sterile gown and gloves. Conclusion: The most effective interventions for infection control: including asepsis, hand washing, infection control for urinary catheterization, and infection control for IV sites were taught in most universities and colleges. However, the time assigned for teaching these items and the importance placed on practice were not considered sufficient.

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The Study on The Method of Manufacturing Herbal Acupuncture (약침액(藥鍼液) 제조법(製造法)에 대한 문헌적(文獻的) 고찰(考察))

  • Lee, Jun-Hee;Lee, Sang-Ryong
    • Korean Journal of Acupuncture
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    • v.22 no.2
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    • pp.127-149
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    • 2005
  • This study is designed to investigate the method of manufacturing herbal acupuncture through literature of oriental medicine. The findings of this study are as follows; 1. The methods of manufacturing herbal acupuncture go through the process of abstraction, purification, mixing, filtration, putting and tight sealing in the container, sterilization, quality control, printing and packing 2. There are many ways to manufacturing herbal acupuncture, for example water-alcohol precipitation, alcohol-water precipitation, liquid-liquid abstract, acid-base abstract, metal base precipitation, distillation, molecular structure, polyamide absorption, dialysis, and ion exchange, etc. And popular method is water-alcohol precipitation. This is through alcohol precipitate extracting the principal ingredients from water abstraction. This is very simple and efficient way using melting characteristics of compounds in herb to water and ethanol. 3. Sterilization of herbal acupuncture is through heating-pressure, boiling, steam flowing, low temperature, filtering, radiation, cooling, and microwaves. Nowadays filtering is commonly used. And sterilization is estimated by an examination of asepsis . 4. Herbal acupuncture must be undergo study and experiment to clinical use. The problems of herbal acupuncture are turbidity, instability, causing hemolysis, pain, and fever. So many provisions (addition, sterilization, and filtration etc.) must be prepared. 5. The theory of manufacturing herbal acupuncture is from oriental medicine, not western. So it must be corresponded to oriental medical theory, for example Gimi(氣味), Guigyung(歸經), Ingyung(引經), Bosa(補瀉), and Match of Herb. It is recommended that further study of many other sided investigations in the future.

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