• Title/Summary/Keyword: Clinical Practices

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Guarantee of Safety for the Patient: Subjectivity of unsafe clinical practice in Nursing Students (임상실습 안전에 대한 간호대학생의 주관성)

  • PARK, Euna
    • Journal of Fisheries and Marine Sciences Education
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    • v.29 no.2
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    • pp.343-353
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    • 2017
  • Nursing students who are in clinical practices under the complicated medical environment to become competent practitioners can be exposed to a variety of dangerous situations. In particular, nursing students can experience stress and compromised safety because they have difficulty in prioritizing their tasks and lack confidence in clinical and interpersonal skills. The purpose of this study is to investigate the types and characteristics of nursing students' attitudes toward the safety of clinical practices, and improve their safety related to clinical practices. A total of 40 statements about the safety of clinical practices were applied to 37 nursing students. Collected data were analyzed with the PC QUANL program. The Perception of nursing students to the safety of clinical practices was categorized into three types: 'Pursuit of perfection in overwhelming state type', 'Perseverance Patience type' and 'Cover up-meeting expectation type'. The subjects related to the safety of clinical practices need to be developed within the curriculum of nursing departments by examining the Perception of nursing students to the safety of clinical practices. In addition, a sense of responsibility shared by nursing students, educators and practitioners needs to be enhanced to improve the safety of clinical practices.

Identifying Current Hospital Practices in Clinical Dietetics (병원 영양사의 임상업무 실태 조사(I))

  • 양일선
    • Journal of Nutrition and Health
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    • v.28 no.5
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    • pp.460-470
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    • 1995
  • The purpose of this study were to examine clinical dietetic performance level and to determine factors affecting clinical dietetic performance level. The survery was carried out for the 33 general hospitals over 400 beds in Seoul We established 13 factors which amy affect clinical dietetic performance level and investigated the relationship between these factors and clinical dietetic performance level. The average score of performance and perception of importance levels of clinical dietetic practices were 46.0${\pm}$6.9 and 73.2${\pm}$4.8 respectively. None of the demographic variables were significantly correlated to clinical dietetic performance level. Clinical dietetic performance level depended upon whether dietetic department had a division or not for clinical dietetic activities.

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A study on the Current of Hospital Practices in Clinical Dietetics (임상영양사의 업무수행 현황에 관한 연구)

  • Ryu, Eun-Sun;Lee, Song-Mi;Heo, Gye-Yeong
    • Journal of the Korean Dietetic Association
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    • v.1 no.1
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    • pp.10-20
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    • 1995
  • A study was undertaken to elucidate the clinical dietetic performance level and to identify the difference between the actual role performance and perception of important level of the clinical dietitian. The survey was carried out for the 21 general hospital over 100 beds in Seoul, Pusan and Daegu area. The results of the study can be summarized as follows. 1. One dietitian was responsible for the feeding and clinical dietetic activity of 166 in-patients on the average. 2. In the actual role performance of clinical dietetic practices, of the 26 items listed, only 3 were always or almost or almost performed by 75% of the dietitians, 4 additional items were always or almost performed by 60% of them. 3. In the perception of importance level of clinical dietetic practices, more than 75% of the dietitians indicated that 23 of the 26 tasks were important practices. 4. The performance average score of nutrition assessment was 15.85, of nutrition care plan development was 19.72, of patient counseling was 12.22, of research activity was 19.62, and of education was 21.27 in the dietetic department was a division for the clinical dietetic activity, while 10.96, 15.24, 9.54, 15.97, 18.50 respectively in the dietetic department has not a division for it.

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A Study on the Perception of Students in the Radiation Study on the Clinical Practices (임상실습에 대한 방사선 전공 학생들의 인식에 관한 연구)

  • Lee, Byung-Ryul;Kim, Hyun-Gil;Yoon, Myeong-Kwan;Lee, Gi-Jong;Cha, Sang-Young;Lim, Cheong-Hwan
    • Journal of radiological science and technology
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    • v.37 no.3
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    • pp.211-221
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    • 2014
  • The clinical practices provide the students with a good opportunity to study the practical experiences in their field through the clinical training education in hospital. Now, in this study, comparing the perceptions of the clinic teachers with those of students at the clinical site. The study was conducted to the students attending universities located in Seoul and who finished the clinical practices in 2013. The questionnaires were distributed to the student and collected from them. The study were conducted to 275 questionnaires with frequency analysis, crosstabs, chi-square test and McNemar test. The major motivation was of the select radiography course was high employment rate(44.0%) and the satisfaction of radiography course was general(53.1%). 51.3% of the study answered 8 weeks current duration of clinical practices is proper. The 3-year course students answered that the period of clinical practices would be proper if it is performed in the winter vacation in their second year in college(47.3%). The 4-year course students answered that the first semester in their third years is proper for clinical practices( 27.7%). The students answered that they felt the lack in their knowledge on the professional field(32.4%) during the clinical practices and some of the practical training is different from the education performed at school(68.4%). Most of answered that they were satisfied with the clinical practices and among them they recognized the importance of the clinical practices ($3.94{\pm}0.89$). After the clinical practices, their desire for getting job as a radiography has changed from 84.1% to 82.9%. The reason why they want the job related to the radiation is because the job is stable (changed from 49.0% to 46.0% after the clinical practice) while the reason why they don't want be a radigrapher because that job is not proper for them (changed from 37.0% to 40.7% after the clinical practice) The effort should be made to enhance the position of radiation professionals through the improved education system to the students, rather giving them education for just employment.

Change in the Nursing Professionalism, Role Conflict and Job Satisfaction of the Nursing Students before and after their first Clinical Experience (첫 임상실습이 간호대학생의 전문직관, 역할갈등, 직무만족에 미치는 영향)

  • Park, Eun-Hee;Hang, Ran-Hee
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.593-601
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    • 2017
  • This study was attempted to provide nurse students with basic materials to improve their clinical practices, and to investigate changes in their views on Nursing Professionalism, Job satisfaction, and role conflicts. After experiencing clinical practices, their nursing professionalism(t=-2.184, p=.031) and job satisfaction (t=-2.068, p>.001) increased but role conflict (t=-3.729, p>.001) increased as well. They were satisfied with their jobs, building up nursing professionalism through clinical practices. However, they had also acquired time on thinking about their future jobs more deeply than before practices and realizing their roles in real sense. In particular, they felt stress in some of subcategories, personal inner conflicts (t=-3.729, p>.001), role obscurity (t=-5.720, p>.001) so it is necessary to review standards on their job and task in nurse education and clinical practices.

Stress and Self-Esteem Related to Clinical Practices in Selected Dental Hygiene Departments (일부 치위생과 학생들의 임상실습 스트레스와 자아존중감에 대한 연구)

  • choi, Sung-Suk;Lee, Yun-Hui
    • Journal of Korean Clinical Health Science
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    • v.5 no.3
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    • pp.953-962
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    • 2017
  • Purpose. This study was conducted in order to identify levels of stress and self-esteem related to clinical practices of dental hygiene department students. Methods. Data was collected from a group of 249 students from October to November 2015, in the Yeong-nam region. Data analysis was performed using descriptive statistics frequency and t-test, logistic regressions by a SPSS WIN 18.0 program. Results. The results indicate that the characteristics of those who appeared to practice managing teaching was higher than that of the stress levels of clinical practice(p=.044). As well. personal relations(p=.013), degree of major satisfaction(p=.001), levels of satisfaction of practice(p=.019) resulted in higher levels of self esteem. The stress levels of clinical practice and high levels of satisfaction of practice were reduced and resulted in a dental hygienic negative correlation(p=.016). Self-esteem levels increased significantly according to personal relations(p=.001) and satisfaction of practice(p=.014). Conclusion. A strategy for development of a method to reduce the stress of clinical practice among individuals and an improvement of self-esteem programs which is necessary for dental hygiene students.

Pharmaceutical Care for Medication Safety in Critically Ill Neonates (신생아중환자의 안전한 약물사용을 위한 약료서비스)

  • An, Sook Hee
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.3
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    • pp.143-148
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    • 2020
  • Objective: This study aimed to investigate pharmaceutical care for critically ill neonates and suggest targeted strategies compatible with the Korean health-system pharmacy. Methods: Articles that reported pharmacy practices for critically ill neonates were reviewed. Pharmaceutical care practices and roles of neonatal pharmacists were identified, and criteria were developed for neonates in need of specialized care by clinical pharmacists. Results: Neonatal pharmacists play many roles in the overall medication management pathway. For clinical decision support, multidisciplinary ward rounds, clinical pharmacokinetic services, and consultation for pharmacotherapy and nutrition support were conducted. Prevention and resolution of drug-related problems through review of medication charts contributed to medication safety. Pharmaceutical optimization of intravenous medication played an important role in safe and effective therapy. Information on the use of off-label medicine, recommended dosage and dosing schedules, and stability of intravenous medicine was provided to other health professionals. Most clinical practices for neonates in Korea included therapeutic drug monitoring and nutrition support services. Reduction in medication errors and adverse drug reactions, shortening the duration of weaning medicines, decreasing the use and cost of antimicrobials, and improvement in nutrition status were reported as the outcomes of pharmacist-led interventions. The essential criteria of pharmaceutical care, including for patients with potential high-risk factors for drug-related problems, was developed. Conclusion: Pharmaceutical care for critically ill neonates varies widely. Development and provision of standardized pharmaceutical care for Korean neonates and a stepwise strategy for the expansion of clinical pharmacy services are required.

Integrity of Authorship and Peer Review Practices: Challenges and Opportunities for Improvement

  • Misra, Durga Prasanna;Ravindran, Vinod;Agarwal, Vikas
    • Journal of Korean Medical Science
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    • v.33 no.46
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    • pp.287.1-287.14
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    • 2018
  • Integrity of authorship and peer review practices are important considerations for ethical publishing. Criteria for authorship, as delineated in the guidelines by the International Committee of Medical Journal Editors (ICMJE), have undergone evolution over the decades, and now require fulfillment of four criteria, including the need to be able to take responsibility for all aspects of the manuscript in question. Although such updated authorship criteria were published nearly five years ago, still, many major medical and specialist journals have yet to revise their author instructions to conform to this. Inappropriate authorship practices may include gift, guest or ghost authorship. Existing literature suggests that such practices are still widely prevalent, especially in non-English speaking countries. Another emerging problem is that of peer review fraud, mostly by authors, but also rarely by handling editors. There is literature to suggest that a proportion of such fake peer review may be driven by the support of some unscrupulous external editing agencies. Such inappropriate practices with authorship malpractices or disagreement, or peer review fraud, have resulted in more than 600 retractions each, as identified on the retractions database of Retractionwatch.com. There is a need to generate greater awareness, especially in authors from non-English speaking regions of the world, about inappropriate authorship and unethical practices in peer review. Also, support of any external editing agency should be clearly disclosed by authors at the time of submission of a manuscript.

A Study on the Change of Clinical Self-Confidence according to the Number of Clinical Dental Hygiene Practices of Students in the Department of Dental Hygiene - Focusing on scaling practices -

  • Choi, Yong-Keum;Kim, Mi-Sun;Jeong, Su-Ra;Kim, Eun-Jeong
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.2
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    • pp.39-49
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    • 2020
  • The purpose of this study was to provide the basic data needed to plan the effective teaching design of scaling education and to measure the changes in students' confidence in performing scaling according to the number of scaling practices. Scaling education is presented as a core basic hygiene competency of dental hygienists and evaluated as the practical competency of dental hygienists. This study selected 48 third-year students from the department of dental hygiene at S University in Asan, and analyzed data from completed participant surveys. The degree of "confidence in facing the subject in clinical practice," "confidence in applying hand instrument to the subject," and "confidence in applying ultrasonic instruments to the subject" was assessed on a five-point Likert scale. The difference in confidence was analyzed during five practice sessions. Each response was compared using frequency analysis, chi-square test, and repeated measurement ANOVA. Students who complained of a lack of confidence in the 14.6%, 25.0%, and 12.5%, respectively, in face-to-face practice, hand instruments, and ultrasonic instrument application responses. The more the practice was repeated, the more confident students were in all three categories, and the more statistically significant (p<0.001). As the number of scaling practice sessions increased, students' confidence in performing scaling also improved. In particular, the level of self-confidence was higher after the third practice session when compared to the first session. Therefore, it is necessary to design effective courses for teaching scaling practices so that at least three repetitive practice periods can be provided in clinical dental hygiene practices.