• Title/Summary/Keyword: Clinical Practice Anxiety

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Development of the Treatment Algorithm for Panic Disorder(1) - Background, Organization, Principles, Future Plan and Methods of Algorithm Development (공황장애 치료에 대한 한국형 알고리듬 개발(1) - 배경, 조직구성, 알고리듬 개발의 원칙, 개발계획, 개발방법)

  • Lee, Sang-Hyuk;Yu, Bum-Hee;Kim, Chan-Hyung;Yoon, Se-Chang
    • Anxiety and mood
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    • v.3 no.2
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    • pp.77-90
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    • 2007
  • In this special article, we presented the organization of the work group, basic principles of the algorithm, future plan and methods for developing a treatment algorithm for panic disorder in Korea. The psychiatrist work group from the Korean Association of Anxiety Disorders began to develop a treatment algorithm designed to improve the management of Korean patients with panic disorder by incorporating better evaluation techniques and treatment procedures. We have reviewed the treatment guidelines and algorithms for panic disorder published thus far, including the Practice Guideline for the Treatment of Patients with Panic Disorder established by the American Psychiatric Association, the Management of Anxiety (Panic Disorder, with or without Agoraphobia, and Generalized Anxiety Disorder) in Adults in Primary, Secondary and Community Care established by the National Institute for Clinical Excellence, and the Clinical Practice Guidelines established by the Canadian Psychiatric Association. We developed the basic materials to be used in the treatment algorithm for the management of panic disorder in Korea. Therefore, in this special article, we intro-duce the goal of the algorithm and the details of the algorithm development.

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The Effects of Aromatherapy Hand Massage on Anxiety before Gastroscopy (아로마테라피 손마사지가 위내시경 대상자의 검사 전 불안에 미치는 효과)

  • Lee, Hea-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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    • pp.36-42
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    • 2006
  • Purpose: The purpose of this study was to verify the effect of aromatherapy hand massage on the anxiety of gastroscopy clients. Method: The data were collected during the period from March 10 to May 20, 2004 at S-Hospital in Kyungi-Do. There were sixty subjects, 30 for the experimental and 30 for the control group. The data were analyzed by descriptive statistics, t-test, $X^2$-test and paired t-test with SPSS program. Result: The pulse rate was reduced significantly, but there were no significant differences in the systolic and diastolic blood pressure between two groups. The status anxiety of experimental group was lower than the control group, but there was no significant difference statistically. Conclusion: Aromatherapy could be useful in the nursing practice, and be utilized as a way of nursing intervention to reduce anxiety of the client in specific clinical situations.

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Utilization of Psychological Tools for Critical Pathway Based Mental Evaluation and Diagnosis (CP 기반 정신 평가 및 진단을 위한 심리검사의 활용)

  • Sunggyu, Hong;Hyun Woo, Lee;Sun-Yong, Chung;Jong-Woo, Kim
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.377-388
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    • 2022
  • Objectives: For diagnosis and evaluation, evaluation tools are needed. Various tools can be used to diagnose and evaluate mental disorders. Among them, psychological tests are widely used. For Korean Standard Classification of Diseases (KCD) diagnosis, psychological tests are also required. Currently developed critical pathway (CP) presented tools for diagnosis and evaluation of mental disorders. The CP suggests the use of tools based on the Clinical Practice Guideline (CPG). Therefore, CPG-based tools should be able to be used in the clinical scene of Korean Medicine for diagnosing and evaluating mental disorders according to CP. Methods: Tools suggested by CPs are summarized. The degree of utilization of tools in CPGs is also summarized. A review was conducted by Korean Medicine neuropsychiatrist experts on tools and user's usage plan. Results: As a result, developed CPs suggested using 19 tools for anxiety disorder, 13 tools for insomnia), 12 tools for Hwabyeong, and 9 tools for dementia. In CPG, 48, 34, 44, and 44 tools were used for anxiety disorder, insomnia, Hwabyeong, and dementia, respectively. Among tools presented in CP, HAM-A, HAM-D, CGI, SAS, and TESS for anxiety disorder, CPG, ISI, and PSQI for insomnia disorder, CPG, STAI, and STAXI for Hwabyeong were frequently used in CPG. For dementia CPG, MoCA, MMSE, HDS, ADL, and ADAS-cog were frequently used. Among them, MoCA, ADL, and ADAS-cog were suggested tools in CP. Conclusions: As a result of analyzing tools suggested and used in the developed CPs and CPGs, it was verified that various tools were used in each study. Most of them were symptom and behavioral evaluation scales. Therefore, symptoms and behavior evaluation scales used more frequently should be able to be used in the clinical scene of Korean Medicine.

Impact of Applying 'Nursing Process Program' to Nursing Practice - Based on I.C.U Nursing Practice - (임상실습에서의 간호과정 전산프로그램 활용결과 분석 - 일 간호대학의 중환자 실습을 중심으로 -)

  • Park Soon-Ok;Park Hyoun-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.1
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    • pp.24-34
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    • 2001
  • This study was done to identify the effectiveness of applying a 'Nursing Process Program' to the nursing students' clinical practice. The data collection period was from September 2000 to January 2001, and the subjects of the study were 39 students who were doing clinical practice in the ICU. The results are as follows : 1. Most subjects had a personal computer, had experience in using computers for one year and usually did word processing and internet, and wanted computerization of nursing work. The average results of the questions on the need for, and the effectiveness of applying a 'Nursing Process Program' to clinical practice were, on five point scales, 4.07 and 4.21 respectively. 2. There were no significant differences in the mean scores for suhjects' attitudes toward computers and computer anxiety between before and after using a 'Nursing Process Program'. 3. The total case study frequency using a 'Nursing Process Program' was 68, and 'Risk for infection' was the most frequent nursing diagnosis.

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The Effects of Reeducation on Core Basic Nursing skills on Nursing Students' Competence, Confidence and Anxiety (핵심기본간호술 재교육이 간호대학생의 간호수행능력과 수행자신감 및 불안에 미치는 효과)

  • Yoon, Eun-Joo;Park, Young-Mi
    • Journal of Convergence for Information Technology
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    • v.7 no.5
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    • pp.39-45
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    • 2017
  • This study examined the effects of reeducation of core basic nursing skills on competence, confidence and anxiety in nursing students. We collected the data from 176 2nd grade nursing students. Reeducation of core basic nursing skills was conducted from December 20th to 23rd, 2016. Data were analyzed by SPSS 21.0 program. As the result of reeducation, significant improvement was found in competence(t=-11.57, p<.001), confidence(t=-10.21, p<.001) and considerable decrease was recognized in anxiety(t=-4.76, p<.001). In conclusion, reeducation of core basic nursing skills can help students to improve their overall competence and confidence, and also to reduce their anxieties as they start their first clinical practice. Therefore we suggest that more systematic and continual reeducation of core basic nursing skills should be applied to each grade of nursing students who are facing their clinical practice in hospital

A Study on the Experience of Fundamental Nursing Practice (간호 대학생의 기본 간호 실습 경험에 대한 연구)

  • 한경순;조주연
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.293-303
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    • 1999
  • The purpose of this study was to understand and to explain how were nursing students experienced and accepted the fundemental nursing practice. In addition to, the results of this study are attempted to contribute for offer of basic data in projecting and accomplishing to promote quality practice education. The participants were 79 freshmen of S College of Nursing in kyungi-do. They presented record of feeling and thinking on their the fundemental nursing practice experience. The data were collected from 29, J une to 10, July in 1998. Collected data was analyzed by means of Van Kaam's phenomenological method. The results of this study was founded 423 descriptive expression and they were grouped under 42 common factors and they were grouped under 9 categories. By means of the frequency on the categories. the higher category is Anxiety. next Solemn. Flutter. Pride. Usefulness, Recognition of reality in nursing-system. Lack of practice environment. Self-accusation. Comprehension of nursing spirit were founded. 5 common factors. Tension. Difficulty, Dread. Apprehension, Burden were grouped under Anxiety. 7 common factors, Pledge, Memory, Importance of practice, Sincerity, Restriction of dress, Acceptance, Active attitude were grouped under solemn. 5 common factors, Interest, Strange, Beanimated, Waiting, Curiosity were grouped under Flutter. 5 common factors, Conceit, Self-confidence, Skilled, Worth, Accomplishment were grouped under Pride. 6 common factors, Acknowledge of nursing affairs, Expectation of furture, Fascination of nursing. Acquirement of disposition of nurse, Association of injection, Actual feeling of dept. of nursing were grouped under Recognition of reality in nursing-system. 4 common factors, Lack of practice time, Many persons of practice, Lack of practice instrument, Lack of reality were grouped under Lack of practice envirnment. 5 common factors, Inconvenient, Reflection, Loss of pride, Shyness, Feeling sorry were grouped under Self-accusation. 3 common factors, Utility, Connection of practice and theory, Various experience were grouped under Usefulness. 2 common factors, Comprehension on the dignity of human, Comprehension on a point of view of patient were grouped under Comprehension of nursing spirit. In conclusion, the following recommendation should be necessary a supplementary study to approach on the type of students that has a firm view and care about client prior to clinical nursing practice.

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Issues of Conflict of Interest in Psychiatric Research and Practice (정신건강의학과 임상 및 연구에서 이해 상충 관련 문제)

  • Shin, Eun-Hee;Lim, Se-Won
    • Anxiety and mood
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    • v.11 no.2
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    • pp.114-119
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    • 2015
  • A conflict of interest is usually defined as a set of circumstances that creates a risk that professional judgments or actions regarding a primary interest will be unduly influenced by a secondary interest. In general, a conflict of interest can be classified as either a financial or a non-financial one. A financial conflict of interest reportedly occurs frequently in medical (and psychiatric) research and practice and is associated with a greater likelihood of reporting results favorable to the intervention being studied. A non-financial conflict of interest may occur in psychiatric research and practice as a result of the so-called "allegiance effect." It is very important that clinicians and researchers in the field of psychiatry be aware that their field is vulnerable to both financial and non-financial conflicts of interest. Considering that it is impossible in modern psychiatry to be completely free from possible conflicts of interest, the best way to manage a conflict of interest is disclosure based on the principles of transparency. Actions that might lead to conflicts of interest should be avoided as much as possible.

Experiences of Nursing Students in Caring for Pediatric Cancer Patients

  • Kostak, Melahat Akgun;Mutlu, Aysel;Bilsel, Aysegul
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.1955-1960
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    • 2014
  • Background: This study was performed to determine the experiences of nursing students in caring for paediatric cancer patients and their families. Materials and Methods: This qualitative survey was carried out with 14 students studying in the nursing department of the Faculty of Health Sciences of a university in Edirne, Turkey. Data were obtained through focus group interviews and evaluated based on a qualitative content analysis. Results: It was determined that students, for the most part, experienced problems related to communication, sadness, helplessness, fear, anxiety, resentment and anger. In addition, the students were affected most often by effects of the disease and invasive procedures on paediatric cancer patients and their families during the process of caring for them in the oncology clinic. Conclusions: It would be useful to inform nursing students, prior to clinical practice, about the special needs of paediatric cancer patients and families who stay in oncology clinics, and to follow up with appropriate guidance during the clinical practices.

Factor Analysis of the Korean Version of the State-Trait Anxiety Inventory n Patients with Anxiety Disorders (불안장애 환자를 대상으로 한 한국판 상태불안척도의 요인분석)

  • Lee, Koun-Seok;Bae, Hwal-Lip;Kim, Dae-Ho
    • Anxiety and mood
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    • v.4 no.2
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    • pp.104-110
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    • 2008
  • Objective : Brief screening for anxiety symptoms in clinical practice can further facilitate the diagnosis and evaluation of anxiety disorders. This study examined the factorial validity of the Korean version of the State-Trait Inventory (STAI)-Form X, one of the most frequently used self-report questionnaires for anxiety. Methods : Data from the STAI and Beck Depression Inventory were obtained from a consecutive sample of 200 outpatients diagnosed with DSM-IV anxiety disorders at a psychiatric unit of a university hospital. The factor structures of the State and Trait Scales were assessed using exploratory factor analysis. Results : Three-factor components, including 'State anxiety present', 'State anxiety absent' and 'Selfconfidence', were extracted from the State Scale, explaining 59% of the total variance. A four-factor solution involving 'Trait anxiety and depression present', 'Trait anxiety and depression absent', 'Anxiety proneness' and 'Stability' (59% of total variance) was extracted from the Trait Scale. The internal consistency of the STAI and factors were satisfactory. There were significant correlations between depressive symptoms and factors of the STAI. Conclusion : The STAI-form X showed factorial validity for Korean patients with anxiety disorders. However, our finding that this anxiety scale also measures depressive symptoms should be interpreted with caution.

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An Initial clinical Experience of Nursing Students (간호학생의 첫 임상실습 경험에 대한 연구)

  • Go, Seong-Hui;Kim, Gi-Mi
    • The Korean Nurse
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    • v.33 no.2
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    • pp.59-72
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    • 1994
  • This study was conducted to identify an initial clinical experience of nursing students, so to better understanding to students' experience in clinical setting. The study subjects were 39 nursing students working in C department of nursing in C city. This study was approached by phenomenological method, collected data were analyzed by Colaizzi's method. The results were followed. From the protocol, 236 significant statements were organized into 56 formulated meanings. From formulated meanig, 27 themes were identified, organized into 13 theme clusters, and then into 6 categories. Theose nursing students experienced $\mathbb{\ulcorner}$tension$\mathbb{\lrcorner}$ in adjusting themselves to new clinical settings, $\mathbb{\ulcorner}$fear and anxiety$\mathbb{\lrcorner}$ in using unskillful nursing skills. They also went through $\mathbb{\ulcorner}$stress> by difficulties in applying their knowledge and skill to nursing practice, in lack of nursing knowledge and skill, in dealing with making interpersonal relationship with clinical staffs, in insufficiency of clinical instructions and in role ambiguity among nursing students. Physical $\mathbb{\ulcorner}$fatigue$\mathbb{\lrcorner}$ and $\mathbb{\ulcorner}$disappointment and doubt$\mathbb{\lrcorner}$ by the difference between reality and expectation caused by clinical experience. However, clinical experience enabled nursing students to enhance their understanding of human beings, learning, their satisfaction. to nursing practice, to identify the confirmation of nursing identity, so to gain $\mathbb{\ulcorner}$sense of accomplishment$\mathbb{\lrcorner}$. The results of this study are to use as basic data for students attending clinical experience for the first time.

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