• 기본간호학회지
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• 제3권1호
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• pp.128-140
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• 1996

This study is to understand and to explain how nursing students experience in the clinical nursing practice using grounded theory approach. Ten nursing students were participated in the study. Seven of them were junior students at the junior college of nursing, and the rest were the senior students at the university. The data were collected by in-depth individual interviews by investigators during May and June in 1995. The results of the study were as follows ; Twenty-eight concepts and 9 categories were emerged by the constant comparative analysis. The 9 categories include 'the need of role model', 'non-educational practical setting', 'knowledge deficit', 'emotional changes', 'the attitudes of clinical practice', 'fatigue', 'skepticism', 'pride', and 'the product of clinical practice'. The core category which encompasses all 9 categories was emerged as 'the process of formulating the nursing view'. Five hypotheses were derived from the analysis. 1) The desirable role model would enhance to pride of nursing in students. 2) Non-educational practical setting would increase skepticism of nursing in students. 3) Knowledge deficit would negatively affect on experience of clinical practice. 4) The pride of clinical practice would formulate a positive nursing view. 5) The skepticism of clinical practice would formulate a negative nursing view. The results of this study are to use as basic data for students attending clinical experience.

• 혜화의학회지
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• 제24권2호
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• pp.65-83
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• 2016

Objectives : The purpose of this study is to present the clinical practice guidelines for colorectal cancer through the analysis of existing clinical practice guidelines and randomised clinical trials (RCTs) in Western and Chinese medicine. Methods : The data related to Western and Oriental medical treatment of colorectal cancer were collected using various search engines such as Google Scholar, KIOM OASIS, PUBMED and Jisan library of Daejeon university. Results & Discussion : Colorectal cancer is the third most common cancer in Korea. In recent studies, applying combined oriental and western medicine can improve the survival, quality of life, immune function, and suppress of tumor growth in colorectal cancer. However there isn't still an objective and systemic clinical guideline for colorectal cancer, so we have difficulty in clinical application. This study will be a preliminary study to establish clinical practice guidelines of Korean Medicine for colorectal cancer. Conclusions : Further objective and systemic clinical studies related to Korean Medicine are needed to develop more advanced clinical practice guidelines of colorectal cancer.

• 한국임상보건과학회지
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• 제2권2호
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• pp.98-106
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• 2014

Purpose. The purpose of this study is to investigate how professional self-concept and ego-resilience of nursing students affect their clinical competence. Methods. This study conducted a structured-questionnaire survey with 143 nursing students to look into their professional self-concept, ego-resilience and clinical competence. Results. According to the study result, professional self-concept scored 2.85 on average out of 4 points, ego-resilience 3.61 on average, and clinical competence 3.48 on average. It was found that clinical competence had significantly positive correlations with professional self-concept (r=.58, p<.01) and ego-resilience (r=.44, p<.01). According to regression analysis, the factors affecting clinical competence were professional self-concept, ego-resilience, and academic grades in order, and explanatory power was 39.5%. Conclusions. Given the above results, in order to improve clinical competence of nursing students, nursing educational institutes need to find an educational plan which can contribute to increasing professional self-concept, ego-resilience, and academic grades.

• 대한치과기공학회지
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• 제19권1호
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• pp.91-111
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• 1997

An aim of this study is to find out influenced factors of satisfaction degree on the clinical practice for the dental technology student and it can be provided the basic necessary data for the educational planning of the curriculum for the clinical practice. The target of study are selected form 7 junior health college students and colleges are located in around seoul form 14 junior health college throughout the nation. The questionnaries were distributed between 24th Feb to 30th July in 1997 to the 100 dental technicians who finished clinical practice and entered profession in 1997. All collected data were analysed by using SPSS/PC, Technical Statistic, One-Way ANOVA, Ttest, Person Correnlation Coefficient, Chrobach Alpha Coefficient and the result of the study is follow. 1) The satisfaction degree were classificated as 7 aspect and overall average score was 3.042. During that period satisfaction of personal relation aspect(M=3.737) shows highest level. Satsfiaction of clinical parctice(M=3.571) shows as second, Satisfiaction of environment(M=3.028), Satisfaction of guidance(M=2.915), satisfaction of subject are ordered of their scores. According to above study satisfaction's degree of subject show lowest level. 2) According to the result of verification of study. general character of student and satisfiaction degree has not much relation with sex, location of college, religion, period for enrolling college, teaching method of clinical practice. But the result show similar relation with following items. Satisfaction if subject and satisfaction of clinical practice(P=0.000), place of clinical practice and satisfaction of clinical practice(P=0.002), Academic record of college and satisfaction of clinical practice(P=0.000). 3) The relation of satisfaction(Subject, method of teaching, environment, period, rating, personal relation) of clinical practice and age of investigation's target Older student show higher satisfaction(P=0.040). Also method of teaching, environments, period, rating, personal relation has similarities with satisfaction. Therefore student who has higher satisfaction of clinical practice they also have higher rate for subject, environment, period, personal relation. 4) The result fo investigation, most interesting subject was crown & bridge and most difficult factor was too many simple-works to the student. One of ideal factor was discussing with counselor before they choose place for clinical practice. Third grade and first semester is most efficient time for clinical practice and 8 week is proper period for clinical practice. Clinical practice is absilutory mecessary and we find out most student rated positively. However we need more specific study about satisfcation of each subject. Because it shows lowest level and we need more pay attention for planning of clinical practice.

• 한국간호교육학회지
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• 제11권2호
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• pp.206-213
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• 2005

Purpose: The purpose of this study was to test the effects of clinical practice in school on clinical competence in nurse. Method: This study used a quasi experimental post-test design. Data were collected after post-test from April 1, 2005 to May 30, 2005 and from 73 clinical nurses(53 experimental group, 20 control group) who work for 4 General hospitals. Data were analyzed using SPSSWIN 11.5 with $X^2$-test, t-test, Mann-Whitney U-test, and stepwise multiple regression. The experimental group participated in treatment : 4-week consecutive clinical nursing education with preceptor in schooling, and the control group participated in treatment : traditional clinical nursing education with preceptor in schooling. Results: Clinical competence were significantly different between experimental and control groups(t=3.221, p=.002). Clinical competence in nurse is effected by satisfaction of clinical practice in schooling in experimental group(F=14.781, p=.000). Conclusion: 4-week consecutive clinical nursing education with preceptor has an effect on clinical competence in nurse. Therefore we should spread and reinforce the 4-week consecutive clinical nursing education program for improving clinical competence of nurse.

• 한국간호교육학회지
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• 제19권3호
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• pp.396-404
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• 2013

Purpose: The purpose of this study was to compare professional self-concept, clinical nursing competence, and practicum satisfaction between nursing students with and without pediatric nursing clinical preceptorship. Methods: This study used a comparative research design. A total of 85 junior nursing students participated in the study, and data from 76 students were analyzed using SPSS WIN 20.0. Among them, 44 students experienced pediatric nursing clinical preceptorship. Results: The students with clinical preceptorship showed a significantly higher score in nursing skill related items of professional self-concept and the confidence in knowledge of injection preparation and administration compared to the counterpart students. Practicum satisfaction was also significantly higher in the students with clinical preceptorship than in the other students. There were significant positive correlations among professional self-concept, performance confidence, and practicum satisfaction. Conclusion: The study findings suggest that clinical preceptorship is an effective educational method to teach clinical practicum of pediatric nursing. The use of clinical preceptorship needs to be considered to motivate nursing students actively involved into the clinical practicum. The roles of clinical preceptors should be clearly identified in clinical education.

• 간호행정학회지
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• 제8권1호
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• pp.45-53
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• 2002

Purpose of this study was to identify the effects of a clinical basic nursing practice of the nursing students on the clinical competency.Method: The subjects of this study were 154 fresh nursing students(experimental group) in second semester of G college who have had the clinical basic nursing practice in a clinical setting, and 148 fresh nursing students(control group) in second semester of A college who have not had the clinical practice. Data for this study were collected from September 19 to December 5, 2001 with a questionnaire which was consisted of three measuring tools, these are Basic Nursing Skills (36 items) of Yoo(1992), Teaching / Coordinating (6 items) and Professional Attitudes (7 items) of Lee et al.(1990), and Self-esteem (10 items) of Ronsenberg(1965).Result : 1) The experimental group showed statistically significant higher clinical competency than the control group.2) Moreover, the experimental group showed the higher scores than the control group significantly in all the detail areas, those are basic nursing skill, teaching & coordinating, professional attitudes and self esteem.Conclusion : As the results of the study shown, the clinical practice on basic nursing for fresh nursing students in second semester of college shall contribute to develop their clinical competency. So Nurses graduating from college with the higher clinical competency are expected, if the clinical institutions and nursing colleges try to cooperate in this area continuously.

• 간호행정학회지
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• 제7권2호
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• pp.301-314
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• 2001

The main purpose of this research is to describe comprehensively the processes of clinical decision making in novice critical care nurses through clinical experience. This research was an exploratory, longitudinal study using a fieldwork approach incorporating "think-aloud" method and in-depth interviews with the study participants. The study participants consisted of 5 novice nurses assigned to critical care units at a tertiary medical center located in Seoul, among a group of 27 novice nurses who started at the same period at this hospital. The data were collected from March 1999 to April 2000. The major findings of the study is that the novice nurses followed the analytic linear model of clinical decision making in the beginning, but were changed increasingly to follow the comprehensive, integrated model of clinical decision making. Through repeated experience that resulted in increasing repertoire of clinical schema and familiarity of task environments of clinical practice the novice nurses expanded their ability to arrive at comprehensive integration of information and to arrive at accurate and time-efficient decisions. Both the analytic, linear model mostly used at the beginning period and the comprehensive, integrated model that seems to be the mode significantly dependent upon experience seem to have strengths and weaknesses as decision making processes in clinical situations. Hence, it is imperative to develop an effective orientation and training program for novice nurses through the use of clinical preceptors. In addition, students should be exposed to the process of clinical decision making early in their nursing education through an appropriate clinical experiences and clinical assignments.

• 대한치과의사협회지
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• 제53권7호
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• pp.476-484
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• 2015

Purpose: This study intended to analyze the validity of clinical effectiveness data of clinical trials testing systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent. Material and Methods: Among 5 clinical trials claimed as proof of clinical effectiveness on the Web site of the manufacturer of this chemotherapeutic agent, a review of 4 clinical trials, written in either Korean or English, was conducted. Data were extracted from studies for the following variables: year of publication, age, sample size, follow-up period, combination with contemporary periodontal treatments, randomization, randomization check, blinded measurement, and statistical test type. Results: The study subjects' age intervals were too diverse to decide a common target population to generalize the findings. No study stated clearly the rationale for the sample size determination. Follow-up period to observe the start of clinical effectiveness was inconsistent and decided without any rationale of pathophysiological latent period. Randomization to make the comparisons on the same start line was performed but failed in a study. Randomization effect was not checked in 4 studies. Performance of blinded measurement of clinical outcomes to prevent bias was unclear in 2 studies. Type of statistical test was inappropriate in 3 studies. Conclusions: Based on the analysis of the validity of data on clinical and demographic variables, the four available clinical trials have not demonstrated compelling evidence of therapeutic effectiveness of systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent to improve prognosis of periodontal disease either with the contemporary periodontal treatment or without it.

• 융합정보논문지
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• 제7권6호
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• pp.19-24
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• 2017

본 연구의 목적은 간호대학생이 인지하는 임상실습 교육환경, 실습교과목 만족도 및 전공 만족도와의 관계를 알아보고자 하였다. 연구대상은 일개 지역의 간호학과 118명을 대상으로 구조화된 설문지를 이용하였다. 2017년 9월 자료수집을 하였고, 기술통계와 Pearson's correlation으로 분석하였다. 연구결과 임상실습 교육환경의 평균은 $3.32{\pm}0.41$점, 실습교과목 만족도의 평균은 $3.88{\pm}0.55$점, 전공만족도 평균은 $3.99{\pm}2.30$점이었다. 임상실습 교육환경과 실습교과목 만족도는(r=.586, p=.000) 유의한 양의 상관관계가 있고, 실습교과목 만족도와 전공만족도(r=.560, p=.000), 임상실습 교육환경과 전공만족도는(r=.530, p=.000) 유의한 양의 상관관계를 보였다. 본 연구를 통해 각 변수간의 관계가 있음을 확인하였고, 이후 세부영역에 따른 연구를 통해 임상실습 교육환경을 개선하여 실습교과목과 전공만족도를 높일 수 있는 효과적 방안이 필요할 것으로 생각된다.