• Title/Summary/Keyword: Clinical Adaptation

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Clinical Survival: Male Nurses Adaptation Process for Female Nurses (임상에서의 생존: 여성간호사에 대한 남성간호사의 적응 과정)

  • Kim, HyunSu;Yun, HeeJang
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.139-146
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    • 2019
  • The purpose of this study is to find meaning of male nurses's adaptation to female nurses by grsping deeply what the adaption process of male nurses is from male nurses's point of views. What is the adaptation of male nurses to female nurses? With this research subject, we explored the adaptation process of male nurses to female nurses through phenomenological method. The study participants were 12 male nurses with more than 25 months of experience working in hospitals who agreed to the intention and method of the study. The results of this study were derived from 39 meanings of composition, 13 theme bundles, and 4 categories. As for the category, it was revealed that, in the case of maladjustment situation, there was a tendency to assimilate into force, interpersonal relationship, to improve the job ability, and to become a dedicated nurse. The results of this study can be used as basic data to develop effective nursing workforce management measures in the clinical field by understanding the adaptation process to female nurses of male nurses.

Clinical Trials For Gait Rehabilitation of Stroke Patients by the Acupuncture Treatment (침(鍼) 자극(刺戟)이 중풍환자(中風患者)의 보행개선에 대한 임상적 관찰)

  • Shin, Seung-Uoo;Hwang, Jee-Sik;Shin, Hyun-Dai;Lee, Sang-Hak
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.55-64
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    • 2002
  • Objectives : Acupuncture therapy is known as a effective method to CVA with paralysis. To make clear about effectiveness of acupuncture affecting to active and static postural adaptation for the patient with hemiparesis, we studied whether acupuncture changed ability of maintenance with one leg standing posture, and character of gait such as gait velocity, cadence, stride length, step length and base of support. Methods : This clinical study has been carried out with 10 cases of CVA patient with hemiparesis. We treated patients with acupuncture for 4 weeks, estimated each paralytic leg and well leg before 1st treatment and after last treatment, and compared the change of one leg with the other. To estimate the change of ability of static postural adaptation, we checked the time of duration with one leg standing posture. And about active postural adaptation, we used temporal distance gait analysis with Ink-Foot-Print method. Results and Conclusions : In static postural adaptation, paralytic leg significantly improved the duration with one leg posture. And In active postural adaptation with gait analysis, paralytic leg showed significant improvement in stride length and step length. Base of support and cadence were also significantly improved.

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The Effect of Central Neural Adaptation by Neuromuscular Electrical Stimulation (신경근전기자극에 의한 중추신경원의 순응효과)

  • Lee, Jeong-Woo;Seo, Sam-Ki;Yoon, Se-Won;Kim, Yong-Eok;Kim, Tae-Youl
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.5 no.1
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    • pp.59-71
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    • 2007
  • The purpose of this study was to study for the change of neural adaptation by muscle contraction force when neuromuscular electrical stimulation(NMES) was applied. Sixteen subjects(8 male, 8 female) without neuromuscular disease volunteered to participate in the study. All subjects were divided into two subgroups: control(no electrical stimulation) group, NMES(50% maximal voluntary isometric contraction) group. NMES training program was performed in the calf muscle over three times a week for 12 weeks. Before and after experiment MVIC of ankle plantar flexor was measured by use of dynamometer. H-reflex and V-wave in tibial nerve were measured. The following results were obtained; MVIC and V/Mmax ratio were significantly increased in the electrical stimulation groups. However, H/Mmax ratio was not changed. It was closely relationship between MVIC and V/Mmax ratio. In this study, the effect of neural adaptation of central neural adaptation was found in this study. Accordingly, NMES means not only a change of muscle fiber and skeletal muscle volume but also a effect of neural adaptation of central neural drive. Also, it was found that there was closely relationship between MVIC and neural adaptation of central neural drive by NMES.

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The Influence of Dental Hygiene Student's Communication Ability and Conflict Management Types on Adaptation to College Life

  • Shin, Myong-Suk;Han, Ji-Hyoung;Hwang, Ji-Min
    • Journal of dental hygiene science
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    • v.21 no.1
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    • pp.19-27
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    • 2021
  • Background: The purpose of this study was to investigate the effects of dental hygiene students' communication ability and conflict management types on adaptation to college life improve adaptation to college life and to suggest strategies to play a role as a professional dental hygienist in clinical practice. Methods: The subjects of this study were selected by random sample extraction of dental hygiene students from two colleges in Gyeonggi and one Chungcheong area. The survey was conducted online for dental hygiene students from July 20 to October 31, 2020. In order to comply with research ethics, this study was investigated with the consent of the subjects. The sample was analyzed for the final 351. Results: Dental hygiene students' communication ability was 3.74 points, conflict management types was 3.01 points, and adaptation to college life was 3.30 points. In the type of conflict management according to the general characteristics, the problem-solving method, the avoidance method, the compromise method, and the concession method showed statistically significant differences in major satisfaction. Among the types of conflict management, the highest positive correlation (r=0.613) was shown in the relationship between the problem-solving method and the compromise method. Factors influencing the adaptation to college life were concentration, forced method, self-disclosure, conversational coherence, and social relaxation. Conclusion: This study is significant in that it derives sub-areas of communication ability and conflict management types that influence adaptation to college life. In the future, there is a need to improve the quality of dental hygienists by continuously conducting research on the types of conflict management targeting dental hygienists, and responding more proactively and actively to conflict situations in the clinical field.

Perceived Social Support as a Predictor on Adaptation of Family Who has a Child with Pediatric Cancer (소아암 환아 가족이 인지한 사회적 지지가 적응에 미치는 영향)

  • Tak Young-Ran;Yun E-Hwa;Chon Young-Shin;An Ji-Yeon
    • Child Health Nursing Research
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    • v.9 no.1
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    • pp.9-17
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    • 2003
  • Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part-Ⅱ developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with β=.43, p<.01. In the group of family of child with leukemia, social support as general has effect on adaptation (β=.40, p<.01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(β=.46, p<.01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

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Development of Clinical Practice Guideline by Adaptation: Diabetic Foot Care (수용개작방법을 활용한 당뇨인의 발관리 실무지침 개발)

  • Jeong, Ihn Sook;Park, Kyung Hee;Song, Bok Rye;Sim, Kang Hee;Han, Eun Jin;Hong, Eun-Young;Jung, Young Sun;Lee, Seon Heui;Park, Dong Ah;Jeong, Jae Sim
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.2
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    • pp.196-206
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    • 2015
  • Purpose: This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.

Sensory Integration Clinical Adaptation of Novice Occupational Therapists Working at a Child Private Clinic Center (아동 발달센터에서 근무하는 신입 작업치료사의 감각통합 임상 적응과정)

  • Hong, Hyeon-Taek;Lee, Hye-Rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.1
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    • pp.39-54
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    • 2022
  • Objective : The purpose of this study was to identify the experiences of novice occupational therapists working at a child private clinic center in the clinical experience process of sensory integration therapy and to understand the adaptation process in child private clinic center. Methods : The participants were four occupational therapists with less than 1 year of clinical experience. Data collection was conducted through in-depth interviews, and the recorded interview responses were transcribed and analyzed. The analysis of the data was made by phenomenological analytic method suggested by Giorgi. Results : As a result of analyzing the adaptation process of novice occupational therapists working at the child private clinic center, 3 categories, 6 themes, and 16 main meanings were derived. Novice occupational therapists experienced difficulties arising from clinical, obstacles from the working environment, positive factors inside the center, support from outside the center, self-effort, and changes through adaptation experience. Conclusion : Along with changes to the social system and pediatric rehabilitation institution, one's own effort are also required so that novice child occupational therapists working at child private clinic centers can adapt and perform at their roles.

A Case Study on the Improvement of Daily Living Activities, Satisfaction and Social Adaptation Performance Among Stroke Patients (뇌졸중환자의 일상생활활동의 만족과 사회적응 능력 증진 사례연구)

  • Kim, Myeong-Sub;Kim, Jeong Ja
    • Journal of Korean Clinical Health Science
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    • v.5 no.3
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    • pp.973-980
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    • 2017
  • Purpose. To understand the effectiveness of training programs to improve the daily living activities and social adaption abilities of stroke patients. Methods. The participant included 1 stroke patient in Jeonbuk, from March to August 2016. The test tools used was the Canadian occupational performance measurement, International classification of function, disability and health co-resets. After applying the training program, I compared the daily life satisfaction and social adaption abilities. Results. According to this study, both daily life satisfaction and social adaption abilities improved. Conclusion. In conclusion, after an exercise program, self- help program, and underwater exercise programs, daily life satisfaction and social adaptation levels were improved. Therefore, the programs that apply to stroke patients could be found to be effective.

The Influences of College Adaptation, Satisfaction of Major and Clinical Practice on Vocational Identity in Nursing Students (간호대학생의 대학생활적응, 전공만족도, 임상실습만족도가 간호사로서의 직업정체성에 미치는 영향)

  • Lee, Mi-Ra;Kim, Mi-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.197-208
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    • 2018
  • The purpose of this study was to investigate levels of vocational identity, adaptation in a nursing school, and nursing student satisfaction with major and clinical practice, to examine their interrelationships, and to investigate predictors affecting the vocational identity of nursing students. The participants were 335 nursing students in D city who were surveyed from October to December 2016 using a self-report questionnaire. The data from 317 participants (response rate 94.6%) were analyzed. There was a statistically significant positive correlation between college adaptation, satisfaction with major, satisfaction with clinical practice, and vocational identity. In the multiple regression analysis, college adaptation, satisfaction with major, and satisfaction with clinical practice were factors significantly associated with the vocational identity. These three factors explained 50.6% of the vocational identity of nursing students. Due to the high turnover rate among new nurses, it is critical that nursing students have a vocational identity as nurses. In order to improve vocational identity, nurse educators should consider helping students to adapt to nursing college, and to become satisfied with major and clinical practice.

The Influence of Job Stress, Self-Esteem, and Resilience on the Field Adaptation in Newly Graduated Nurses (신규간호사의 직무 스트레스, 자아존중감, 회복탄력성이 현장적응에 미치는 영향)

  • Son, Joung Eun;Kim, Sang Hee
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.2
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    • pp.151-160
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    • 2019
  • Purpose: This study aims to determine the relation among job stress, self-esteem, resilience, and field adaptation of the newly graduated nurses, through which an effective mediation strategy toward field adaptation and basic data on improving nursing quality can be established. Methods: The subjects were 110 newly graduated nurses who have worked at a tertiary hospital and a general hospital for less than 12 months. The data were collected, using self-reported questionnaires, from July 9 to July 31, 2018, and were analyzed by descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient and stepwise multiple regression using an SPSS/WIN 24.0 program. Results: The study result showed that the newly graduated nurses' job stress, resilience, job satisfaction, and desired department influenced their field adaptation, explaining 60.2% of the variance in the field adaptation (F=42.14, p<.001). The nurses' job stress had the biggest influence on their field adaptation, explaining 38.7% of the variance. Conclusion: Human resource management strategy considering those influencing factors may improve the filed adaptation of newly graduated nurses and help them to retain in their work field.