• Title/Summary/Keyword: Clinical factors

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Influencing Factors Stress in nursing students before Clinical Practice (간호대학생의 임상실습 전 스트레스에 미치는 영향 요인)

  • Hee Jung Hong;Bok Soon Shin;Sung Hee Choi
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.429-438
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    • 2024
  • This study was conducted to investigate the factors affecting stress before clinical practice among nursing students. The subjects of the study were surveyed on third-grade students who were about to undergo their first clinical practice. The data collection period was from December 22, 2023 to January 10, 2024, with a total of 191 nursing students. The instruments used for this study were Perceived stress scale(Pss), Self-leadership, and Global Interpersonal Communication Competency(GICC) scale. The data were analyzed by t-tests, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression using SPSS/WIN 21.0. The results of the study showed a negative correlation with self-leadership(r=-.29, p=<.001) and interpersonal communication competence(r=-.40, p=<.001). In the stepwise multiple regression analysis, it was found that the stress levels of nursing students before clinical practice were influenced by factors such as gender, satisfaction with the department, and interpersonal communication competence. These variables explained 33.7% of the variance in pre-clinical stress. Based on the findings of this study, it is recommended to develop educational interventions that can help reduce stress before clinical practice among nursing students.

Factors Influencing Quality of Sleep of Disturbance Factors Sleep by Inpatients (입원환자의 수면 방해 요인이 수면의 질에 미치는 영향)

  • Lee, Mi-Ryon;Nam, Mun-Hee
    • Journal of Korean Clinical Health Science
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    • v.2 no.3
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    • pp.176-187
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    • 2014
  • Purpose. The purpose of this study was to identify the factors affecting quality of sleep and sleep disturbance among inpatient. Methods. A descriptive correlational study was conducted Participants were 200 inpatient in a hospital located in B city. A structured questionnaire was used for data collection. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression. Result. Hospitalized patient's score of sleeping quality was 38.26 on an overall scale of 60, indicating it to be higher than 'Medium (30 points). Almost hospitalized patient in this study suffer from sleep disturbances. As results of univariate analyses, Educational level, Departments, Why hospitalized, Insomnia / depression, Chronic Disease, Scale of pain, physical symptoms, environmental factors, emotional factors, and sleep promoting behavior, disturbed sleep among hospitalized. However, the result of stepwise multiple regression analysis identified that physical symptoms, environmental factors, emotional factors, sleep promoting behavior, and Why hospitalized disturbed sleep and were significant score of sleeping quality for hospitalized and these sleep disturbance factors accounted 46.8% of variance of sleeping quality among hospitalized. Conclusion. These findings suggest that hospitalized patients with poor sleep quality should have their health carefully screened for physical symptoms, environmental factors, emotional factors, sleep promoting behavior, and why hospitalized. In addition, we recommend the development of a nursing program for improving sleep quality.

Factors Influencing Falls in Inpatients (입원환자의 낙상 경험에 영향을 미치는 요인)

  • Sung, Young-Hee;Kwon, In-Gak;Kim, Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.200-207
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    • 2006
  • Purpose: This study was done to identify factors influencing falls in inpatients. A comprehensive analysis of individual, disease, and environment related factors and an assessment of being in a risk factor group were included in the data. Method: The medical records of 325 inpatients were reviewed. Data were collected from January to July 2003. Frequencies, 1-test and $X^2-test$ were used to analyze the data and the SPSS program was used. Results: Individual-related factors for inpatients falls were age, drinking and weakness. Disease-related factors for inpatients falls were diagnostic department, admission from ER or OPD, admission by wheelchair or orther method and activity status. Environment-related factors for inpatient falls were re-education and side-rails. Assessment of the risk factor group related factors were age, history of falls, body balance, depression, communication, medication, chronic disease, urinary condition and total score for risk factors. Conclusion: Experienceing a fall among Korean inpatients was associated not only with individual factors, but also with disease and environmental factors. The findings of this study suggest that broad intervention programs should be provided to prevent inpatient falls.

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Affecting Factors on Clinical Competence of Nursing Students (간호대학생의 임상수행능력 영향 요인)

  • Jang, Hee-Jung;Kwag, Youn-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4380-4387
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    • 2013
  • The purpose of this study was to investigate the level of clinical competence and influencing factors of clinical competence in nursing students. Convenience sample of 197 subjects were recruited from two colleges in D city. The survey was conducted from March 2nd to 21th 2011. The data was collected by questionnaires and was analyzed with SPSS statistics 21.0. The mean score of clinical competence was 3.96. Significant positive correlation among clinical thinking disposition, problem solving ability, major satisfaction, satisfaction with clinical practice, clinical competence were found. It was found that the effect of clinical thinking disposition, completion of logic course, problem solving ability on clinical competence was 27.2% and clinical thinking disposition influence on clinical competence in nursing students. The study findings suggest that to develop the effective learning program with achievement level of clinical competency for nursing students.

A Study on the Effects of Hospital Internal Marketing Factors on the Internal Customer Satisfaction

  • Ahn, Jong-Min
    • Korean Journal of Clinical Laboratory Science
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    • v.45 no.4
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    • pp.188-192
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    • 2013
  • This study was conducted to develop the strategy for more effective internal marketing and promoting internal customer satisfaction by grasping the level of internal marketing operations targeting employees within hospital and empirically analyzing the effect of internal marketing operations on internal customer satisfaction. The findings reveal that there is a significant correlation between factors for internal marketing components and internal customer satisfaction. The average factor score for internal customer satisfaction is 3.230 out of 5, which is a little higher than normal levels. Counting down the five factors is as follows: internal communication, education and training, delegation of authority, welfare, compensation system, with compensation system shown as the lowest level and internal communication as the highest level. In addition, the result of multiple regression analysis conducted to inspect the effect of factors for internal marketing components on internal customer satisfaction indicates that among 5 factors, delegation of authority, education and training, and welfare have positive influences on internal customer satisfaction; whereas, compensation system has little effect on it.

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Development of Animal Health Monitoring System Model IV. Analysis of Risk Factors in Biochemical Part (동물(젓소)건강 Monitoring System 모델 개발 IV. 혈액 성분의 생화학적 위해요소 분석)

  • 김곤섭;김종수;최민철;라도경;김용환;김충희
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.28-31
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    • 2000
  • An animall health monitoring system in Gyeongnam area(near Chinju) was studied to analysis of biochemical risk factors in 617 herds. Clinical serum factors such as glutamate oxaloacetate transaminase(GOT), glutamate pyruvate transaminase(GPT), Ca, P, Mg, glucose, and cholesterol were measured with automatic biochemical analyzer(Ra-X7T Techmmicon, USA). In serum analysis, 613 cattle were within normal llimits(GOT: 9.5-85 IU-dl, GPT: 25-77IU/dl, total protein: 5.8-8.5g/dl, Ca: 4.2-12.4mg/dl, P: 4.6-9.7mg/dl, Mg: 1.5-3.0mg/dl, glucose: 48-120mg/dl, Cholesterol: 70-170mg/dl), the other cattle showed high glucose and high cholesterol level. It is proposed that clinical serum factors to be estimated may be valuable for developing of animal health monitoring system model.

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Environmental Risk Factors for Attention Deficit Hyperactivity Disorder and Implications for Clinical Practice (주의력결핍 과잉행동장애의 환경요인과 임상적 의미)

  • Kim, Jae-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.22 no.1
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    • pp.10-15
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    • 2011
  • In this review, we have provided an overview of the environmental risk factors for attention deficit hyperactivity disorder (ADHD), focusing on the major environmental toxicants related to the disorder. Researchers have indicated that since the characteristics of ADHD are complex, the disorder’s etiology involves multiple genes of moderate effect interacting with environmental factors. The possible roles of prenatal and perinatal exposure have been the main focus of research on environmental risk factors for ADHD. Among environmental toxicants, we reviewed the potential effects on the development of ADHD of exposure to lead, nicotine, alcohol, polychlorinated biphenyls (PCBs), and dioxin. Further, for the each neurotoxicant, clinical prevention or intervention strategies aimed at reducing a child’s risk from environmental toxic insults have been presented.

Contributing Factors on Pharmacokinetic Variability in Critically Ill Neonates (신생아중환자의 약동학적 다양성에 영향을 미치는 요인)

  • An, Sook Hee
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.2
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    • pp.63-68
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    • 2017
  • Neonates have large inter-individual variability in pharmacokinetic parameters of many drugs due to developmental differences. The aim of this study was to investigate the factors affecting the pharmacokinetic parameters of drugs, which are commonly used in critically ill neonates. Factors that reflect physiologic maturation such as gestational age, postnatal age, postconceptional age, birth weight, and current body weight were correlated with pharmacokinetic parameters in neonates, especially preterm infants. Comorbidity characteristics affecting pharmacokinetics in critically ill neonates were perinatal asphyxia, hypoxic ischemic encephalopathy, patent ductus arteriosus (PDA), and renal dysfunction. Administration of indomethacin or ibuprofen in neonates with PDA was associated with the reduced clearance of renally excreted drugs such as vancomycin and amikacin. Therapeutic hypothermia and extracoporeal membrane oxygenation were influencing factors on pharmacokinetic parameters in critically ill neonates. Dosing adjustment and careful monitoring according to the factors affecting pharmacokinetic variability is required for safe and effective pharmacotherapy in neonatal intensive care unit.

Influences of an Experimental Exposure to Excavator Noise on the Cardiac Factors and Cerebral Hemodynamics

  • Hyun Kyung-Yae;Choi Seok-Cheol;Oh Kwang-Seok;Kwon Heun-Young;Kim Jai-Young;Kim Tae-Un
    • Biomedical Science Letters
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    • v.11 no.3
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    • pp.397-405
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    • 2005
  • Noise may cause damage of the auditory system, hypertension, and cardiovascular disease. However, we haven't the data enough to be available for understanding various effects of noise on the human body. The current study was prospectively designed to investigate the changes of the cardiac factors and cerebral hemodynamics following a transient exposure to noise in young people. 80 subjects (mean aged $23.45\pm2.40$ years) participated in this experiment and were exposed to excavator-noise with 90 decibels for 15 minutes using ear-phone. Cardiac factors such as heart rate (HR), blood pressure (BP) and heart rate-systolic pressure product (RPP), and cerebral hemodynamics such as mean blood flow velocities (Vm), pulsatility indexes (PI), resistance indexes (RI) and mean blood flow velocities at breathing-hold (Vh) in the middle (MCA), anterior (ACA) and posterior cerebral arteries (PCA) were measured before (baseline) and during the noise-exposure. Although there were individual differences in above mentioned parameters, HR, systolic and diastolic BP, RPP, MCA-Vm, MCA-PI, MCA-RI, ACA-Vm, ACA-PI, ACA-RI, PCA-Vm, PCA-PI, and PCA-RI during the noise-exposure decreased compared with the baselines (P<0.05 or P<0.01), The findings of the present study suggest that a transient exposure to excavator-noise at rest causes changes in the cardiac factors and cerebral hemodynamics with individual differences. Further studies need to be carried out for clarifying the effects of longer exposure and combined mental activity with noise exposure.

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Diagnosis and Treatment Planning in Severely Worn Dentition (심한 교모증 환자에서의 진단 및 치료계획 수립)

  • Jung, Jae-Hyun;Choi, Min-Ho;Park, Young-Rok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.3
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    • pp.239-245
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    • 2003
  • The occurrence and pattern of tooth wear are related to cultural, dietary, occupational, and geographic factors, Excessive occlusal wear can result in pulpal exposure, occlusal disharmony, functional inability. Surface loss can be differentiated into 3 general causal categories: i) mechanical loss, which includes attrition, ii) abrasion chemical loss including erosion, and finally iii) a proposed biomechanical category described as abfraction. Considering that mechanical wear is frequently asymptomatic, patients may have parafunctional habit. Structured clinical decision analysis in fixed prosthodontics, as other branches of dentistry do, allows the practitioner to consider the patient's problems more thoroughly based on the clinical data and extenuation factors. This discipline of decision making is intended to complement the experience level and educational background of the clinician in assisting the patient through the decision process. Additionally, CDA helps the clinician define not only the pre-existing condition of the patient prior to irreversible therapy, but also better treatment strategies for the patient over an extended period. The systematic nature of decision analysis stimulates the dentists to pay further attention to those factors, which is germane to the overall complexity of the case, and exclude factors, which have little influence on its final outcome. Further implementation of computerized databases, procedural outcome probabilities based on clinical and laboratory studies and the clinical experience of those who use it, may provide quite a promising future in the field of structured and formalized clinical decision analysis.