• Title/Summary/Keyword: Clinical factor

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The Relationships of Professional Self-Concept, Professional Autonomy and Self-esteem to Job Satisfaction of Clinical Nurses (임상간호사의 전문직 자아개념, 전문직 자율성, 자아존중감 및 직무만족 간의 관계)

  • Sung, Mi-Hae;Kim, Yoon-Ah;Ha, Myung-Jin
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.4
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    • pp.547-555
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    • 2011
  • Purpose: The purpose of this study was to identify the relationship between professional self-concept, professional autonomy, self-esteem, and job satisfaction of clinical nurses. Method: Data were collected from a convenience sample of 289 clinical nurses who worked in one of 4 hospitals located in B City. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression. Results: There were significant differences in job satisfaction according to marital status, current position, shift pattern, and average income. There was a significant positive correlation between professional self-concept and professional autonomy, self-esteem and job satisfaction. Job satisfaction showed a significant positive correlation with professional autonomy and self-esteem. The significant factors influencing job satisfaction were professional self-concept, self-esteem and professional autonomy, which explained 29.5% of the variance in job satisfaction. Conclusion: The results of this study indicate that the important role-related variables of professional self-concept, self-esteem and professional autonomy of clinical nurses are significantly related, and that as, professional self-concept is an important factor for job satisfaction of clinical nurses, strategies to increase professional self-concept need to be developed.

Influence of Job Stress and Empowerment on Clinical Nurses' Performance in Small and Medium Hospitals (중소병원 간호사의 직무 스트레스와 임파워먼트가 간호업무성과에 미치는 영향)

  • Kim, Young-Mi;Yi, Yeo-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.3
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    • pp.258-265
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    • 2012
  • Purpose: The purpose of this study is to identify the influence of job stress and empowerment on nursing performance of clinical nurses working in small and medium hospital. Methods: The empirical data were collected from a self-administered survey using a structured questionnaire with 404 nurses working in 4 medium-sized hospitals (less than 300 beds), located in I-city. The data were analyzed using stepwise multiple regression with the SPSS/WIN 17.0 program. Results: There were significant differences in nursing performance depending on general characteristics (age, marital status, religion, shift work, education level, position, clinical experience, department, and monthly salary). Empowerment correlated with nursing performance. Factors influencing on nursing performance were empowerment, clinical experience, job stress, and marital status with $R^2$ value of 36.3%. The most influencing factor was empowerment (${\beta}$=.47), followed by clinical experience (${\beta}$=.24), job stress (${\beta}$=.20), and marriage (${\beta}$=.12). Conclusion: It is needed to implement specific empowerment strategy, control job stress, and reward experienced and married nurses working in medium-sized hospital for improving nursing task performance.

The Influence of Clinical Practicum-related Stress, and Awareness, and Self-efficacy on Strength on Health Promotion Behaviors among Nursing Students (간호 대학생의 임상실습 스트레스와 강점인지와 강점효능감이 건강증진행위에 미치는 영향)

  • Lee, Si Jin;Lee, Ji Eun;Lee, Myung Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.160-167
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    • 2018
  • Purpose: This study was conducted to identify the influence of clinical practicum-related stress, and awareness, and self-efficacy on strength on health promotion behaviors among nursing students. Methods: The subjects were 274 students in nursing college who had experience in a clinical nursing practicum. Data were collected from self-reported questionnaires and were analyzed by independent t-test, ANOVA, Pearson correlation coefficient, and multiple regression analyses. Results: Multiple regression analyses showed that strength self-efficacy and self-awareness on strength significantly affected overall health promotion behaviors. Regarding subscales of health promotion behaviors, self-awareness on strength significantly affected health responsibility and stress management in health promotion behavior when controlling for sociodemographic characteristics, while the subscales of clinical practicum-related stress did not affect health promotion behavior. Conclusion: The recognition of an individual's strength and self-efficacy might be a factor in improving health promotion behaviors among nursing college students, although they suffer from stress during clinical nursing practicum.

Influence of Professional Self-concept, Job Overload and Perceived Organizational Support on Job Involvement in Clinical Nurses (임상간호사의 전문직 자아개념, 직무과부하 및 조직지원인식이 직무몰입에 미치는 영향)

  • Han, Soo Jung;Koo, Hyun Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.1
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    • pp.89-99
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    • 2018
  • Purpose: The purpose of this study was to identify the influence of professional self-concept, job overload, and perceived organizational support on job involvement in clinical nurses. Methods: The participants in this study were 232 nurses who were working in five general hospitals in city D. Data was collected using self-reported questionnaires from August 16 to September 15, 2016. The data was analyzed using the IBM SPSS 19.0 program. Results: Job involvement of clinical nurses was influenced by professional self-concept, perceived organizational support, turnover intention, age, and monthly income. These variables explained 47.6% of job involvement of clinical nurses, and professional self-concept was the most significant factor in job involvement. Conclusion: The findings indicate that the job involvement of clinical nurses is influenced by professional self-concept and perceived organizational support. Consequently, it is necessary to increase professional self-concept and perceived organizational support for nurses' job involvement.

Clinical statistics: five key statistical concepts for clinicians

  • Choi, Yong-Geun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.5
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    • pp.203-206
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    • 2013
  • Statistics is the science of data. As the foundation of scientific knowledge, data refers to evidentiary facts from the nature of reality by human action, observation, or experiment. Clinicians should be aware of the conditions of good data to support the validity of clinical modalities in reading scientific articles, one of the resources to revise or update their clinical knowledge and skills. The cause-effect link between clinical modality and outcome is ascertained as pattern statistic. The uniformity of nature guarantees the recurrence of data as the basic scientific evidence. Variation statistics are examined for patterns of recurrence. This provides information on the probability of recurrence of the cause-effect phenomenon. Multiple causal factors of natural phenomenon need a counterproof of absence in terms of the control group. A pattern of relation between a causal factor and an effect becomes recognizable, and thus, should be estimated as relation statistic. The type and meaning of each relation statistic should be well-understood. A study regarding a sample from the population of wide variations require clinicians to be aware of error statistics due to random chance. Incomplete human sense, coarse measurement instrument, and preconceived idea as a hypothesis that tends to bias the research, which gives rise to the necessity of keen critical independent mind with regard to the reported data.

Comparison of Sleep Quality, Fatigue and Depression among Nursing Students between School Lessons and Clinical Practicum Term (간호대학생의 수면의 질, 피로와 우울; 이론수업과 임상실습 시 비교)

  • Park, Min-Hee;Hwang, Eun-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.17 no.3
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    • pp.103-116
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    • 2016
  • Objectives: The purpose of this study was to compare the differences of sleep quality, fatigue and depression between school lessons and clinical practicum term in nursing students. Methods: This study was conducted through a survey on 84 $4^{th}$ grade nursing students. Data collection was conducted from April to June, 2015. Participants completed a questionnaire assessing sleep quality, fatigue and depression. Data were analyzed by the SPSS/WIN 21.0 using descriptive statistics, paired t-tests, ANOVAs, Pearson's correlations and multiple regression. Results: The mean scores of fatigue and depression during the school lesson were significantly high compared to those of the clinical practicum. On the contrary, the score of sleep quality did not showed difference. Sleep quality showed negative correlations with fatigue and depression respectively, and fatigue showed positive correlation with depression. Subjective health status was the influential factor predicting fatigue and depression after school lessons, and subjective health status and major satisfaction were the influential factors predicting fatigue and depression after clinical practicum term. Conclusions: Nursing students showed different characteristics between school lessons and clinical practicum term. Thus, it is essential to identify physical and psychological problems and related factors respectively, then to devise appropriate programs to improve nursing curriculums.

The Anti-allergy Effects of Injinho-tang on the RBL-2H3 cells (RBL-2H3 cells에서의 인진호탕(茵蔯蒿湯)의 항 알레르기 효과)

  • Eo, Kyeong-Jeong;Lyu, Ji-Hyo;Lyu, Sun-Ae;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.1
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    • pp.89-99
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    • 2009
  • 인진호탕(茵蔯蒿湯)은 한의학에서 여러 가지 질환에 사용되어 왔다. 특히 간경의 습열(濕熱)로 인한 질환에 습열을 제거함으로써 증(證)의 완화에 많은 응용이 되어 왔다. 본 연구는 습열(濕熱)로 인한 질환중의 하나인 아토피 피부염에 그동안 응용이 적은 인진호탕(茵蔯蒿湯)을 실험적으로 응용함으로써 임상적인 가치를 가질 수 있는 지에 대한 기초연구를 진행하였다. 본 실험에 사용된 세포주는 rat leukemia (RBL-2H3) cells로 인진호탕(茵蔯蒿湯)은 알레르기와 관련된 사이토카인인 tumor necrosis factor (TNF)-$\alpha$, interleukin (IL)-4를 용량의존적으로 억제하였지만 세포독성은 일으키지 않았다. 그리고 동물실험에서 인진호탕(茵蔯蒿湯)은 PCA반응에서 충분한 억제효과를 나타내었다. 또한 Compound 48/80으로 유도된 anaphylaxis shock도 용량 의존적으로 억제함이 밝혀졌다.

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Influence of clozapine on neurodevelopmental protein expression and behavioral patterns in animal model of psychiatric disorder induced by low-level of lead

  • Lee, Hwayoung;Lee, Minyoung;Kim, Hyung-Ki;Kim, Young Ock;Kwon, Jun-Tack;Kim, Hak-Jae
    • The Korean Journal of Physiology and Pharmacology
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    • v.23 no.6
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    • pp.467-474
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    • 2019
  • Exposure to lead during pregnancy is a risk factor for the development of psychiatric disorders in the offspring. In this study, we investigated whether exposure to low levels of lead acetate (0.2%) in drinking water during pregnancy and lactation causes behavioral impairment and affects the expression of proteins associated with neurodevelopment. Lead exposure altered several parameters in rat offspring compared with those unexposed in open-field, social interaction, and pre-pulse inhibition tests. These parameters were restored to normal levels after clozapine treatment. Western blot and immunohistochemical analyses of the hippocampus revealed that several neurodevelopmental proteins were downregulated in lead-exposed rats. The expression was normalized after clozapine treatment (5 mg/kg/day, postnatal day 35-56). These findings demonstrate that downregulation of several proteins in lead-exposed rats affected subsequent behavioral changes. Our results suggest that lead exposure in early life may induce psychiatric disorders and treatment with antipsychotics such as clozapine may reduce their incidence.

Clinical trials on ophthalmology with Acupuncture Reviewed in PubMed Database (Pubmed 검색을 통한 안 질환 관련 침 임상시험 현황 연구)

  • Jung, Dal-Lim;Kim, Jong-Che;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.25 no.2
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    • pp.49-60
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    • 2012
  • Objective : Acupuncture has been used for treating eye disease for thousands of years but there are few evidence based medicine (EBM) for its use. This study is a review of Clinical trials related to the treatment of eye disease by acupuncture therapy. Methods : We referred a Pubmed site by using searching word of "eye, acupuncture" (Limits: 10 Year, Clinical Trials, Humans, English). Results : Eight journals with twelve papers were searched. Eight of these studies were randomized and ten trials of acupuncture treatments reported significant effect. On the topic of these clinical trials, five of them were about dry eyes, four about disorder of refraction, two about intraocular pressure and one about visual function. The result of clinical studies represented the significant cure rate. Conclusion : We found that RCTs about the acupucnture for eye diseases were more and more published. But their average impact factor was 2.16 and average modified Jadad score was 3.89, so there needs more qualifying studies.

Effect of Incivility, Resilience, and Social Support Experienced by Nursing Students on Burnout in Clinical Practice (간호대학생이 임상실습에서 경험하는 무례함, 극복력, 사회적 지지가 소진에 미치는 영향)

  • Lee, Eun Jung;Sung, Mi-Hae;Ahn, Hye-Kyong;Kim, Yun Ah
    • Women's Health Nursing
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    • v.25 no.1
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    • pp.86-98
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    • 2019
  • Purpose: The purpose of the study was to determine effect of incivility, resilience, and social support experienced by nursing students on burnout in clinical practice. Methods: Subjects were 140 nursing students who agreed to participate in this study. Collected data were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation and stepwise multiple regression with SPSS WIN 23.0 program. Results: Burnout showed significantly positive correlation with incivility but significantly negative correlations with resilience and social support. Factors affecting burnout were satisfaction with major-dissatisfaction, satisfaction with major-average, social support, grade, and relationship with peers. Satisfaction with major (dissatisfaction) had the greatest effect on burnout, explaining 41% of the total variance. Conclusion: According to this study, dissatisfaction with major was identified as the most significant factor influencing burnout of nursing students in clinical practice. Therefore, it is important to develop and implement programs that can reduce dissatisfaction with major and increase social support and relationship with peers in order to lower burnout of nursing students. In addition, a systemic management of fourth-grade students with a high level of clinical practice is necessary to reduce the level of clinical practice. The authors declared no conflict of interest.