• Title/Summary/Keyword: Clinical field training

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포기치료(布氣治療)에 관한 고찰(考察) (A study on the Spreading-Qi)

  • 최문석;김연섭
    • 대한의료기공학회지
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    • 제5권1호
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    • pp.148-159
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    • 2001
  • The Spreading-Qi recorded curative effect with a long history. I studied the Qi-therapy through train of the Qi-sender. methods of the Spreading-Qi and clinical application of the Spreading-Qi. 1. Train of the Qi-sender. Sitting, standing and ling postures can all be applied as training postures for training Qi. Qi grows in Lower Dan(elixir field) and circulates in heavenly circuits by static Qi. Training Qi by dynamic Qi is a fundamental exercise for the maneuvers to conduct Qi. 2. Methods of the Spreading-Qi, Breathe naturally concentrate the mind on Lower Dan(elixir field). When exhaling. Mindwill accompanies Qi to go to the Conception Vessel(CV) and Governor Vessel(GV), conduct Qi to the palms or fingers and emit Qi, with the emitting site touching or leaving the treated region. 3. Clinical application of the Spreading-Qi, its wide range of indications. 4. The Spreading-Qi is similar to Western 'Healing' and 'Hands of light'. Mind will accompanies energy to go to hand and emit energy to the treated region.

불안정지지면 훈련과 평류전정자극이 균형 및 고유수용성감각에 미치는 영향 (The Effects of Balance and Proprioception by Unstable Surfaces Training and Galvanic Vestibular Stimulation)

  • 박치복;조운수;황태연;김용남
    • 대한임상전기생리학회지
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    • 제10권1호
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    • pp.7-13
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    • 2012
  • Purpose : This study was conducted to examine the effects of unstable surface training and galvanic vestibular stimulation on balance and proprioception. Methods : 4-week training was applied to 40 normal adults in their twenties (unstable surface training group 10, galvanic vestibular stimulation group 10, unstable surface training and galvanic vestibular stimulation group 10, control group 10). Balance and proprioception was measured before the experiment, after two weeks, and after four weeks. Repeated ANOVA was used for balance and proprioception analysis. Results : As a result of repeated ANOVA on balance changes in double support, a significant difference was found in open sight in interaction among groups and periods (p<0.05). As a result of repeated ANOVA on balance changes in double support, there was a significant difference in closed sight and interaction among groups and periods (p<0.05). As a result of repeated ANOVA on balance changes in proprioception, there was no statistically significant difference in interaction among groups and periods. Conclusion : In conclusion, both unstable surface training and galvanic vestibular stimulation had positive effect on balance control and proprioception improvement, and their excellence was not greatly different. Thus, it is possible to use unstable surface training and galvanic vestibular stimulation for physical therapy intervention to improve balance and proprioception. Since the results showed that simultaneous application of two methods had greater effects on difference compared with a single application, it is suggested to use this intervention in the clinical field.

응급구조과 학생의 현장실습 수행활동 조사 연구 (A Study on the Performance Activities in Emergency Medical Technology Students Field Training)

  • 고봉연;곽민철;신현남
    • 한국응급구조학회지
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    • 제3권1호
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    • pp.55-64
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    • 1999
  • This study was conducted to acquire the basic materials for effective field training to identify performance activities of emergency medical technology students. The method used in the study was a descriptive survey using a skill checklist. The subjects for the study were 43 emergency medical technology students who were 2nd grade in D college. The collected data were analyzed using the SPSS computer program, yielding frequencies and percentage. The results of study were as follows; 1. In 'emergency treatment skill', 26.6% of subjects are revealed as 'performed' in 'ambulance practice' and 22.1% of subjects are revealed as 'performed' in 'clinical practice'. 2. In 'airway management', 41.9% of subjects are revealed as 'performed' in 'ambulance practice' and 14.1% of subjects are revealed as 'performed' in 'clinical practice'. 3. In 'oxygen therapy', 52.8% of subjects are revealed as 'performed' in 'ambulance practice' and 35.6% of subjects are revealed as 'performed' in 'clinical practice'. 4. In 'ventilation skill', 17.8% of subjects are revealed as 'performed' in 'ambulance practice' and 10.7% of subjects are revealed as 'performed' in 'clinical practice'. 5. In 'vital sign check', 61.1% of subjects are revealed as 'performed' in 'ambulance practice' and 56.3% of subjects are revealed as 'performed' in 'clinical practice'. 6. In 'patient assessment', 40.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'. 7. In 'basic life support(CPR)', 1.7% of subjects are revealed as 'performed' in 'ambulance practice' and 11.9% of subjects are revealed as 'performed' in 'clinical practice'. 8. In 'airway obstruction', 6.4% of subjects are revealed as 'performed' in 'ambulance practice' and 1.1% of subjects are revealed as 'performed' in 'clinical practice'. 9. In 'electrical therapy', 0.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'.

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교육 현장에서 시행된 임상 술기 시험의 다면적 타당도 분석 (Multifaceted validity analysis of clinical skills test in the educational field setting)

  • 채한;이민정;김명호;김규석;조은별
    • 대한한의학회지
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    • 제45권1호
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    • pp.1-16
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    • 2024
  • Introduction: The importance of clinical skills training in traditional Korean medicine education is increasingly emphasized. Since the clinical skills tests are high-stakes tests that determine success in national licensing exams, it is essential to develop reliable multifaceted analysis methods for clinical skills tests in actual education settings. In this study, we applied the multifaceted validity evaluation methods to the evaluation results of the cardiopulmonary resuscitation module to confirm the applicability and effectiveness of the methods. Methods: In this study, we used internal consistency, factor analysis, generalizability theory G-study and D-study, ANOVA, Kendall's tau, descriptive statistics, and other statistical methods to analyze the multidimensional validity of a cardiopulmonary resuscitation test in clinical education settings over the past three years. Results: The factor analysis and internal consistency analysis showed that the evaluation rubric had an unstable structure and low concordance. The G-study showed that the error of the clinical skills assessment was large due to the evaluator and unexpected errors. The D-study showed that the variance error of the evaluator should be significantly reduced to validate the evaluation. The ANOVA and Kendall's tau confirmed that evaluator heterogeneity was a problem. Discussion and Conclusion: Clinical skills tests should be continuously evaluated and managed for validity in two steps of pre-production and actual implementation. This study has presented specific methods for analyzing the validity of clinical skills training and testing in actual education settings. This study would contribute to the foundation for competency-based evidence-based education in practical clinical training.

현장중심형 치과기공사 배출을 위한 교육과정 개편 방안에 관한 연구 (A study on the reorganization of the curriculum for produce of field-oriented dental technicians)

  • 김재홍;김기백;김원수
    • 대한치과기공학회지
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    • 제41권4호
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    • pp.359-364
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    • 2019
  • Purpose: The objectives of this study is to collect the opinions of experts in the field of dental lab technology, and to present a plan for reforming the curriculum for producing clinical-based dental technicians. Methods: 71 experts were selected for this study. Experts were grouped into clinicians, educators, and policy-makers. First of all, the purpose and method of this study were explained to experts. After receiving the consent to participate in the research, their opinions were investigated. The survey was conducted through a questionnaire created based on their opinions and opinions collected. Results: The results showed that they were relatively satisfied with the curriculum. In addition, it was found that they hope to increase the proportion of mandatory education of digital dentistry and clinical practice. Emphasis was placed on expanding opportunities for on-the-job training as well as on time for hands-on training. As for admission capacity, the highest opinion was to keep it as it is, followed by the need for reduction. Conclusion: It seems necessary to minimize the difference between the curriculum and the clinical field in order to produce field-oriented dental technicians. To this end, it is necessary to reorganize the operation of field-oriented subjects and to increase the practice time to improve practical skills.

간호대학생의 Virtual 시뮬레이션 실습 및 High fidelity 시뮬레이션 실습교육 경험 분석: 혼합연구방법 적용 (Analysis of the virtual simulation practice and high fidelity simulation practice training experience of nursing students: A mixed-methods study)

  • 이은혜;류소영
    • 한국간호교육학회지
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    • 제27권3호
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    • pp.227-239
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    • 2021
  • Purpose: This study used an exploratory sequential approach (mixed methods) design to explore essential meaning through comparing and analyzing the experiences of nursing students in virtual simulation practice and high fidelity simulation practice education in parallel. Methods: The study participants were 20 nursing students, and data were collected through focus group meetings from July 17 to August 5, 2020, and via online quantitative data from November 10 to November 15, 2020. The qualitative data were analyzed using Giorgi's phenomenological method, and the quantitative data were analyzed using descriptive statistics, the Mann-Whitney U test, Kruskal-Wallis H test analysis of variance and Spearman's ρ correlation. Results: The comparison between the two simulation training experiences was shown in five contextual structures, as follows: (1) reflection of the clinical field, (2) thinking theorem vs. thinking expansion, (3) individual-centered learning vs. team-centered learning, (4) attitudes toward participating in practical training, (5) metacognition of personal competency as a prospective nurse, and (6) revisiting the method of practice training. There was a positive correlation between satisfaction with the practice and the clinical judgment ability of high fidelity simulation, which was statistically significant (r=.47, p=.036). Conclusion: Comparing the experiences between virtual simulation practice training and high fidelity simulation practice training, which has increased in demand due to the Coronavirus Disease-2019 pandemic, is meaningful as it provides practical data for introspection and reflection on in-campus clinical education.

의료기사 등에 관한 법률 개정으로 방사선(학)과 현장실습 의무화에 따른 인식 조사 (Investigation on the Perception of Mandatory Clinical Practice in the Department of Radiology Following the Amendment of the Medical Technologists Act)

  • 이정무;이용기;안성민
    • 한국방사선학회논문지
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    • 제18권3호
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    • pp.293-300
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    • 2024
  • 2023년 10월 31일 의료기사 등에 관한 법률의 개정에 따라 방사선사 면허를 취득하기 위해서는 현장실습과목을 필수로 이수하여야 한다. 이에 따라 의료기관 현장실습의 실태를 조사하여 개정된 의료기사법을 알리고, 현장실습의 실효성을 높이기 위한 개선방안을 제안하고자 한다. 2023년 3월부터 4월까지 의료기관에 종사하는 방사선사를 대상으로 설문을 시행하였다. 설문지는 국내 포털사이트인 N사의 폼을 통해 받았으며, 응답자는 120명이었다. 현장실습 학생의 교육을 담당한 경험이 있는 응답자는 68.3%인 82명이었다. 의료기사 등에 관한 법률 개정으로 방사선사면허를 취득하기 위해 현장실습이 의무화된 사실을 알고 있는 응답자는 58%로 나타났다. 의료기사 등에 관한 법률 제9조 무면허자의 업무 금지 등에 따라 대학 등에서 취득하려는 면허에 상응하는 교육과정을 이수하기 위하여 실습 중에 있는 사람의 실습에 필요한 경우는 해당 의료기사 등의 업무를 수행할 수 있다는 사실을 알고 있는 응답자는 50%로 나타났다. 현재 현장 실습 시 어떤 교육을 하는지 묻는 질문에 참관, 환자 안내 및 환자 자세 유지와 이동 외에 방사선을 발생시키는 행위를 하게 한다는 응답자는 6%로 나타났다. 면허 취득을 위한 현장실습이 의무화됨에 따라 앞으로의 교육 방향에 묻는 질문에 77%의 응답자가 현행보다 더 많은 것을 교육할 것이라고 응답하였다. 현장실습의 적절한 전체 시간을 묻는 질문에는 12주 480시간이 35%, 8주 320시간이 33%, 16주 640시간이 27%로 나타났다. 현행 현장실습은 각종 규제에 따라 부실한 교육여건이며, 학생들의 만족도 또한 낮음을 알 수 있다. 그러나 의료기사 등에 관한 법률이 개정됨에 따라 방사선사 면허를 취득하기 위해 현장실습이 의무화되었으며, 현장실습의 교육여건을 개선할 필요가 있다. 이에 따라 원자력안전법과 진단용방사선발생장치의 안전관리에 관한 규칙을 준수하며, 표준화된 실습 목표와 평가 시스템 도입, 수련 병원 지정과 교육 전담 방사선사 지정, 확대된 실습 기간과 모의실습을 도입하여 현장실습 교육의 내실화가 필요하다.

임상실습시기별 간호학생이 지각하는 간호사의 이미지 변화 (Changes of Nurse's Image Perceived by Nursing Student as every Clinical Experience)

  • 김원옥;강현숙
    • 동서간호학연구지
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    • 제10권1호
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    • pp.68-74
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    • 2004
  • Purpose: This study aims to identify changing image of nurse before and after the first clinical experience, and before graduate. Method: The subjects were 69 nursing students. All of them had their first clinical experience for 1 week during sophomore year. The Nurse's Image was measured before and after the 1st clinical experience, and before graduation. Collected data were analyzed by using repeated measure ANOVA and pair wise comparison method. Results: 1. The mean score for the Nurse's Image overall held by after 1st clinical experience($3.78{\pm}.38$) was more positive than those held by before graduation($3.50{\pm}.49$) and before 1st clinical experience($3.35{\pm}.36$). 2. For the four subscales (F=25.673 p= .000), the mean score of traditional(F=10.394 P= .000), Social(F=11.673 P= .000), Professional(F=17.341 P= .000) and personal Image(F=19.463 P= .000) were more positive than before graduation and before 1st clinical experience. Conclusion: Summarizing, after the nursing students had their 1st clinical training, the nurse's image perceived by them was positively improved compared to before the training. However, by the time of graduation the improved nurse's image was declined back. Therefore it is necessary to develop proper out-to field training program that will help to maintain and furthermore improve nurse's image.

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안경광학과 학생들의 현장(임상)실습 만족도에 따른 취업 성향 분석 (Analysis of Employment Tendencies According to the Satisfaction of Field (Clinical) Practice among Students of the Department of Optics)

  • 최계훈
    • 한국임상보건과학회지
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    • 제4권4호
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    • pp.671-679
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    • 2016
  • Purpose. This research study is to understand the effects of field (clinical) Practice on employment choice and decision. Method. The research study conducts a questionnaire survey of trainees who received field (clinical) Training during the period of 2016 summer vacation to analyze the data, utilizing Likert 5 rating scales and conduct a statistical analysis with the tool of SPSS 18.0. Results.. As for the satisfaction of the participation of Practice, girl students account for the high rate (75.1%) compared with boy students (61.7%). Regarding the satisfaction of each Practice spot, ophthalmic clinic reaches the high rate (77.8%) compared with optical shop (65.7%). Practice about practice courses (53.2%) of regular subjects have somewhat close correlations compared with theory courses (46.8%). 75.2% of respondents in the group that shows the high satisfaction of the participation of Practice replied that they would decide employment as an academic major after Practice. And the figure is proved to assume a high ratio. Conclusion. The analytic research outcome indicates that those trainees who received Practice in an ophthalmic clinic have higher satisfaction than those who received Practice in an optical shop. There is the high accomplishment of employment in relation to academic major area instead of other area, after Practice.

Development of Evaluation Items for Physical Therapy Clinical Practice

  • Seung-Hwa Jung;Joo-hee An;Seul-Ki Han;Dae-Sung Park;Cheong Hoon Kim
    • Physical Therapy Rehabilitation Science
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    • 제13권1호
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    • pp.71-77
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    • 2024
  • Objective: The purpose of this study is to present practice guidelines on what physical therapy students must learn during clinical training and how to evaluate them. Design: Design & development research Methods: A Delphi survey was conducted with 16 experts. Experts who participated in the study were asked to respond to 15 musculoskeletal system, 14 nervous system, and 12 physical factor therapy items through an online survey with a 5-point Likert score for each item regarding suitability and importance. Results: As a result of defining the core basic physical therapy skills that students in the Department of Physical Therapy must learn through clinical practice and in the process of evaluating them, there was a strong opinion that among the specific fields of physical therapy, evaluation items related to the musculoskeletal system, nervous system, and cardiorespiratory system were important. On the contrary, physical factor therapy showed poor results. Conclusions: In a previous study, opinions on the specialty of physical therapists were collected from current physical therapists, and the field of physical factor therapy was evaluated low. I think this reflects the perception that treatment using electricity has been commonly used in the field of physical therapy for a long time and does not require deep expertise among clinicians. Physical therapy clinical practice guidelines and efficient operation plans for clinical practice were presented. Through this, it can be usefully applied in hospitals where physical therapy students undergo clinical training in the future.