• 제목/요약/키워드: Clinical evaluation

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항고혈압 약물 3종 복합제에 대한 선진 외국의 임상자료 심사사례 비교 (Comparison of Clinical Development and Evaluation of Triple Antihypertensive Therapy in Advanced Foreign Countries)

  • 왕소영;손수정;엄정윤;임화경;임숙;강승호;이선희
    • 한국임상약학회지
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    • 제23권3호
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    • pp.239-247
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    • 2013
  • Background: Fixed drug combinations are formulations containing two or more active ingredients in a single dosage form. Such combination therapies are commonly applied to improve efficacy, reduce adverse events and replace co-administration, etc. National and international guidelines for hypertension treatment recommend addition of other classes of antihypertensive drugs rather than incremental dose of mono-therapy, when blood pressure is not adequately controlled. Thus, many dual combinations of antihypertensive drugs have been approved and pharmaceutical companies are recently interested in developing antihypertensive triple combinations. Clinical trial designs for the fixed combinations are various depending on the target patients, dosage and clinical endpoints. Thereby, further discussions for the clinical trials of antihypertensive triple therapies are required regarding the indication claimed. Conclusion: This article provides a review for the assessment of the label and medical reports of the clinical trials on antihypertensive triple therapies in advanced foreign countries.

학습성과 기반 성인간호 임상실습 운영을 위한 임상시나리오 및 루브릭 개발 (Development of Clinical Scenarios and Rubrics for a Program Outcome-based Evaluation for Students' Adult Health Nursing Practice)

  • 양희모;황선영
    • 성인간호학회지
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    • 제26권6호
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    • pp.653-667
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    • 2014
  • Purpose: This study was aimed to develop frequently-used clinical scenarios and scoring rubrics to assess core basic nursing skills in adult health nursing clinical practice for clinical evaluation based on program learning outcomes (PO). Methods: This study was a methodological research combining focus group interviews and questionnaires to select and construct scenarios. Data were collected from clinical practitioners, adult health nursing professors, and new nurses from November, 2013 to April, 2014. The developed scenarios and rubrics were applied to nursing students by way of showing an example. Results: The 12 frequently-used clinical scenarios were developed. The proportion of the evaluation rubrics were 30% for clinical instructors where as 70% for college instructors. In order for students to achieve the important learning outcomes from the courses for clinical practice, four program outcomes (POs) were selected as well as a rubric for each POs was developed. Students who had situation-based clinical practices showed higher levels of satisfaction on mastery of core basic nursing skills and communication skills. Conclusion: This findings of the study suggested the strategies for complementing pitfalls in clinical setting and achieving PO during students' clinical practicum.

치기공과 임상실습 평가항목의 내용구성과 배점에 관한 연구 - 재학생 중심으로 - (A Study on Content Organization and Assigning Score of Evaluation Elements of Clinical Practice of Dept. of Dental Technology - Centering on the undergraduates -)

  • 이화식;배봉진;박명호
    • 대한치과기공학회지
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    • 제30권1호
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    • pp.73-82
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    • 2008
  • This study has been analyzed to write an ideal training evaluation table after analyzing validity of content organization and assigning score of evaluating elements of clinical practice of Dept. of dental technology. 220 junior students who are studying dental technology in D university in Daegu were questioned to analyze the relationship of content organization and score of clinical practice evaluation table. The corrected material has been inspected by SAS V8 for Windows. The results are as following. 1. The validity of content organization of clinical practice evaluation table has a result which can be reliable over than 70% but the validity of score shows low reliance. c 2. The validity of content organization of detail elements of clinical practice evaluation shows that overuse of material and attentiveness(3.78) and responsibility (3.60) are high response but in score organization, the validity shows that safety measure(2.36) when controling machines, arrangement(2.98) after use and ability (2.98) of solving problems are very low. 3. In the elements without interpersonal relation, it shows that those are related to each other. its grading is p < 0.01 so it appears to be meaningful. 4. In result of analyzing the effect to 'studying amount' mark in clinical practice evaluation mark, it appears the element of attitude for job to affect it. And in result of analyzing the effect to 'training attitude' mark, it appears the element of 'controling machines' to affect it. For these results, to be a better evaluation tool, it should be modified by continuous research with arranging evaluation elements to be marked differently in between elements.

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4년제 간호대학(과) 아동간호학 실습교육의 현황과 발전방향 (Evaluation of Clinical Practicum for Child Health Nursing)

  • 박은숙;탁영란;강경아
    • Child Health Nursing Research
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    • 제12권1호
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    • pp.5-14
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    • 2006
  • Purpose: The purpose of study was to describe and evaluate the educational status regarding clinical practicum for child health nursing to facilitate student's clinical compliance for the bachelor's degree in Korea. Methods: The study was a descriptive study and included data from 40 institutions among the 53 university nursing programs in Korea(75.5% response rate). Data were collected using mailed semi structured questionnaires and content analysis was done. Results: Findings show that most institutions have common learning objectives for the clinical practicum; neonatal care, high risk infant care, hospitalized child care, and advanced nursing practice. The mode for theoretical credits in child health nursing was 5 to 6 and 3 to 4 credits for clinical practice. The practice settings were prepared to provide diverse experiences, including childcare centers, and community centers with various learning activities. Evaluation for learning outcomes included faculty and instructors. It was pointed out that updating evaluation based on student and faculty feedback is important for a comprehensive practicum evaluation. Conclusions: Findings suggest that there is a -need for a generalized curriculum for clinical practicum and for the expanding role of advanced nursing practice-, a need for diverse clinical settings for practice, and effective guidance and learning activities. It is significantly noted that the attitude and teaching methodologies of clinical instructor's are highly important to effective clinical learning outcomes.

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간호학생의 OSCE모듈 개발 및 실기평가의 경험 (A Clinical Skill Test using OSCE Modules Developed by Nursing Students)

  • 한미현
    • 간호행정학회지
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    • 제12권3호
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    • pp.365-372
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    • 2006
  • Purpose: OSCE, Objective Structured Clinical Examination, is a good way to evaluate clinical skills of nursing students. To do this, we need modules, evaluators, persons to run the examination, as well as models and standardized patients if necessary. Author coached nursing students to develop modules and ran the examination by themselves. Method: 24 third-year and 4 first-year students volunteered; third-year students developed 5 modules, and organized and ran the examination. First-year students played patient role. 60 2nd-year students participated as examinees. Modules were duplicated to finish examination in a given time. The relationship between OSCE score, conventional clinical evaluation score and credit of students was compared. Effect of module duplication on score was tested. And responses of examinees were collected. Results: There was no correlation between OSCE and conventional clinical evaluation score (r=0.07), and credit (r=0.27), And there was no difference of OSCE score between duplicated modules $(53.77{\pm}7.61$ vs $55.33\pm7.74).$ Response of examinees to OSCE was favorable. Examinee did not expressed resistance for the evaluation by OSCE developed and ran by students. Conclusion: Nursing students successfully developed and ran OSCE, which was accepted favorably by examinees. Student-developed OSCE may play a role in evaluation of clinical performance.

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임상현장에서의 긍정적인 간호조직문화 평가지표 개발 (Development of the Evaluation Indicators of Positive Nursing Organizational Culture in a Clinical Setting)

  • 염영희;노상미;김경희;지순주;김현정
    • 임상간호연구
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    • 제19권2호
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    • pp.233-244
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    • 2013
  • Purpose: The purpose of this study was to develop the evaluation indicators of positive nursing organizational culture in a clinical setting. Methods: The evaluation indicators of positive nursing organizational culture were developed from a literature review and a focus group interview. The content validity testing was done using a clinical expert panel. The content utility testing was done using a survey questionnaire. Results: The evaluation indicators of positive nursing organizational culture consists of 88 indicators representing the eight domains with the 24 categories. The average scores in evaluation indicators of positive nursing culture included the importance (3.29 points in average), the potential for further utilization (3.14 points in average) and the current state of extension agency (2.80 points in average). Conclusion: The developed evaluation indicators can be applied to measure the nursing organizational culture, which would be the basic data to manage human resources effectively in a clinical setting.

Criteria for clinical translucency evaluation of direct esthetic restorative materials

  • Lee, Yong-Keun
    • Restorative Dentistry and Endodontics
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    • 제41권3호
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    • pp.159-166
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    • 2016
  • The purpose of this review was to suggest practical criteria for the clinical translucency evaluation of direct esthetic restorative materials, and to review the translucency with these criteria. For the evaluation of reported translucency values, measuring instrument and method, specimen thickness, background color, and illumination should be scrutinized. Translucency parameter (TP) of 15 to 19 could be regarded as the translucency of 1 mm thick human enamel. Visual perceptibility threshold for translucency difference in contrast ratio (${\Delta}CR$) of 0.07 could be transformed into ${\Delta}TP$ value of 2. Translucency differences between direct and indirect resin composites were perceivable (${\Delta}TP>2$). Universal and corresponding flowable resin composites did not show perceivable translucency differences in most products. Translucency differed significantly by the product within each shade group, and by the shade group within each product. Translucency of human enamel and perceptibility threshold for translucency difference may be used as criteria for the clinical evaluation of translucency of esthetic restorative materials.

CIPP 평가모형을 활용한 치위생과 교내임상실습 운영 평가기준 개발 (Development of evaluation criteria for dental hygiene intra-school clinical practice operation using CIPP evaluation model)

  • Jang, Mi-Hwa
    • 한국치위생학회지
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    • 제22권2호
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    • pp.93-105
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    • 2022
  • 연구목적: 본 연구는 교내에서 실시하는 임상실습의 효율적인 운영을 위한 운영관리 평가기준을 개발하고 타당성과 신뢰성을 검증하였다. 연구방법: 본 연구의 평가기준 초안은 CIPP 프로그램 평가모형을 기반으로 도출하였으며, 내용의 타당성을 검증하기 위하여 5년 이상 임상실습 교육을 담당했던 치위생과 교수 및 임상현장 치과위생사 30명을 대상으로 델파이 조사를 실시하였으며, 실기교육을 담당하는 교수 및 임상현장 치과위생사 252명을 대상으로 본 조사를 실시하였다. 연구결과: 탐색적 요인분석을 통해 7개 요인으로 총 36문항을 확인하였으며 최종 평가 기준의 내적 일관성을 확인한 결과 내적 적합도는 0.914였다. 결론: 이상의 결과에 따라 교내 임상실습의 운영 및 관리를 평가하기 위한 평가기준의 타당성과 신뢰성이 적절함을 확인하였으며, 향후 이에 관련된 후속 연구에 활용될 수 있을 것으로 사료된다.

Verification of the Reliability and Validity of a Virtual Reality Cognitive Evaluation System Based on Motion Recognition Analysis Evaluation

  • Jeonghan Kwon;Subeen Kim;Jongduk Choi
    • 한국전문물리치료학회지
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    • 제30권4호
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    • pp.306-313
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    • 2023
  • Background: As social problems due to the acceleration of the aging era and the increase in the elderly population are becoming serious, virtual reality (VR)-based healthcare is emerging as an approach for preventing and managing health issues. Objects: This study used validity and reliability analyses to examine the clinical efficacy that is, the clinical value and usability of a novel VR cognitive evaluation system index that we developed. Methods: We developed a VR cognitive evaluation system based on motion recognition analysis evaluation for individuals aged 65 to 85. After conducting the Korean version of the Mini-Mental State Exam (K-MMSE) cognitive evaluation, the evaluation score was verified through correlation analysis in the VR cognitive evaluation system. To verify the construct validity of the two groups, the Global Deterioration Scale (GDS) grades were categorized into a normal cognitive group (GDS grade 1) and a cognitive impairment group (GDS grades 2 and 3). The data were measured twice to determine the reliability between the two measurements and assess the stability and clinical value of the evaluation system. Results: Our evaluation system had a high correlation of 0.85 with the widely used K-MMSE cognitive evaluation. The system had strong criterion-related validity at the 95% confidence interval. Compared to the average score of GDS grade 1 in the VR cognitive evaluation system, the average score of GDS grades 2 and 3 in the VR cognitive evaluation system was statistically significantly lower while also having strong construct validity at the 95% confidence interval. To measure the reliability of the VR cognitive evaluation system, tests-retests were conducted using the intraclass correlation coefficient (3,1), which equaled 0.923 and was statistically significant. Conclusion: The VR cognitive evaluation system we developed is a valid and reliable clinical tool to distinguish between normal cognitive status and mild cognitive impairment.