• Title/Summary/Keyword: Clinical health management

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The Effects of Simulation Education for New Nurses on Emergency Management Using Low-fidelity Simulator (저충실도 시뮬레이터를 활용한 신규간호사의 응급상황관리 시뮬레이션 교육의 효과)

  • Lee, Young Hee;Ahn, Hye Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.3
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    • pp.331-343
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    • 2019
  • Purpose: This study focuses on investigating the effectiveness of simulation education on emergency management using a low-fidelity simulator as related to clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in new nurses. Methods: A pre-post test experimental design of nonequivalent control group was applied. Fifty-five new nurses were recruited, 28 nurses for the experimental group and 27 nurses for the control group. A simulation education for emergency management comprising knowledge lecture, team learning, skill education, team simulation, and debriefing was developed and implemented from Feb. 14 to 27, 2015. Data were analyzed with percentage, average, and standard deviation, chi-square, and t-test using SPSS. Results: The experimental group showed significantly higher knowledge (t=5.81, p<.001), clinical skill performance (t=10.08, p<.001), self-confidence (t=-6.24, p<.001), critical thinking disposition (t=2.42, p=.019), and learning satisfaction (t=4.21, p<.001) for emergency management compared with the control group who had traditional lecture education. Conclusion: The results indicate that a simulation education using a low-fidelity simulator is an efficient teaching method for new nurses to deepen their clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in learning emergency management.

Effect of Simulation-based Advanced Cardiopulmonary Life Support Education for Nursing Students Hospitals (간호학생을 대상으로 한 시뮬레이션기반 전문심장소생술 교육의 효과)

  • Jung, Hyo-Ju;Chae, Min-Jeong
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.127-143
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    • 2015
  • Objectives : This study is a quasi-experiment with a pre-post design and a nonequivalent control group performed from May 1 to June 2, 2013 to verify the effects of a simulation based education program on nursing students' self-confidence, and clinical performance ability. Methods : The subjects of the study were a total of 60 students in their fourth year of a nursing program at a university located in G city and they were assigned to an experimental group of 30 students and a control group of 30 students by convenience sampling. Results : After being offered education, self-confidence, and clinical performance ability were significantly more improved than before in each group. In the comparison of the two groups, the self-confidence (t=3.00, p=.004) and clinical performance ability(t=3.14, p=.003) of the experiment group were significantly higher than those of the control group. Conclusions : The results indicated that instructional methods using a simulation-based emergency care program should be adopted maximize the effects of advanced cardiopulmonary life support education.

The Study of the Knowledge and Performance of Nursing Students for the Nosocomial Infection Control (병원감염관리에 관한 간호대학생의 지식 및 실천에 관한 연구)

  • Sung, Younghee;Nam, Hyekyung
    • Korean Journal of Occupational Health Nursing
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    • v.15 no.1
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    • pp.40-49
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    • 2006
  • Purpose: This study was designed to investigate nursing students' exposure experience to infectious diseases and their knowledge and performance for the nosocomial infection control. Method: The data was obtained from 292 nursing students having clinical experience at two university hospitals in Seoul from November 2005 to February 2006. Specific questionnaire was constructed and used for this study. The obtained data was analyzed by using the SPSS window program. Result: The results were as follow : 1. Among the evaluation scores of knowledge for the nosocomial infection control, the score of sterilization and the score of the intravenous therapy management were low(.14). 2. Among the evaluation scores of performance for the nosocomial infection control, the score of hand washing is low(1.63). 3. 86.3 percent of the nursing students had exposure experience to infectious disease. Many of them did not use the protective equipments in clinical experience nor took any treatment after the exposure to infectious diseases. Conclusion: Based on these results, we suggest that the programs for the nosocomial infection control should be developed for nursing students. It is also suggested that nursing students should be educated before their clinical experience to keep protected from the infection. In particular, the hand washing, sterilization and intravenous therapy management should be emphasized in the educational programs.

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Subjective Health, Subjective Oral Health, and EQ-5D Level of Adults According to Health Management and Oral Health Management Behavior (성인들의 건강관리와 구강건강관리행태에 따른 주관적 건강과 구강건강, EQ-5D수준)

  • Chung-Mu Park;Hyun-Seo Yoon
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.1-12
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    • 2023
  • Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people's health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.

Analysis of Factors Affecting Occupational Health Nurses' Early Breast Cancer Screening (산업간호사의 유방암 조기검진행위에 영향을 미치는 요인 분석)

  • Lee, Chang-Hyun;Jung, Hye-Sun;Kim, Ji-Yoon;Kim, Young-Im
    • Research in Community and Public Health Nursing
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    • v.16 no.1
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    • pp.68-76
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    • 2005
  • Purpose: The aims of this study were to evaluate early breast cancer screening rate of occupational health nurses and to analyze factors affecting their behavior. Method: We reviewed and analyzed the structured questionnaires of III respondents from 230 participants in continuing education of occupational health nurses. Result: Breast self examination was performed in 72.1%, clinical breast examination was received in 30.6% and mammography was received in 40.5% significant factors affecting breast self examination were age and the age of menarche. significant factors affecting clinical breast examinations for breast cancers were age and the place of residence, and factors affecting mammography were age, monthly income, alcohol intake, the age of menarche, and attitude about early screening for breast cancers. Conclusion: Early breast cancer screening rate of occupational health nurses was higher than that of general population of women. But the rate of clinical breast examination and mammogaphy were lower of less than 50% of respondents. Therefore occupational health nurses who are responsible for health management of working women need more education for themselves to promote the motivation and to increase the rate of participation in early breast cancer screening.

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Investigation of Infection Control Management in Occupational Therapy and Clinical Practice Students (작업치료(학)과 임상실습 학생들의 감염관리 인식 및 실태조사)

  • Won, Junghee;Chang, Moonyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.95-107
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    • 2019
  • Objective : The aim of this study was to investigate the infection management awareness and infection prevention management status of students who participated in occupational therapy and clinical practice. Methods : The study was carried out from June 27th to August 4th, 2017, to survey the awareness and practice of infection control in 11 practice institutes among 193 students who had experience in 8 universities. Results : A total of 93.3 % of the respondents said that they needed education about infectious diseases, but 53.3 % of them did not receive infection prevention education at school or in clinical trial institutes. Hygienic practices for infection prevention and infection control practices related to handwashing were high, but the use of protective equipment was poor in the observation of swallowing disorder treatment. It is also important to educate students who have been trained in infection control. However, infection prevention training at universities and training centers is insufficient suggesting the importance of future infection education. Conclusion : Infection control education to prevent infection is necessary not only for clinicians but also for students participating in on-the-job training. Effective efforts are also needed in universities and clinical practice institutes so that infectious disease prevention education can be implemented. This study provides basic data for infection control education in universities and practice educational institute that perform clinical training and occupational therapy.

Optimizing Heart Failure Management: A Review of the Clinical Pharmacist Integration to the Multidisciplinary Health Care Team

  • Esteban Zavaleta-Monestel;Sebastian Arguedas-Chacon;Alonso Quiros-Romero;Jose Miguel Chaverri-Fernandez;Bruno Serrano-Arias;Jose Pablo Diaz-Madriz;Jonathan Garcia-Montero;Mario Osvaldo Speranza-Sanchez
    • International Journal of Heart Failure
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    • v.6 no.1
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    • pp.1-10
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    • 2024
  • Heart failure (HF) stands as a prevalent chronic ailment, imposing a substantial burden on global healthcare systems due to recurrent hospitalizations, intricate management, persistent symptoms, and polypharmacy challenges. The augmentation of patient safety and treatment efficacy across various care stages, facilitated by a multidisciplinary HF team inclusive of a clinical pharmacist, emerges as paramount. Evidence underscores that the collaborative engagement of a physician and a clinical pharmacist engenders proficient and secure management, forestalling avoidable adversities stemming from drug reactions and prescription inaccuracies. This synergistic approach tailors treatments optimally to individual patients. Post-discharge, the vulnerability of HF patients to re-hospitalization looms large, historically holding sway as the foremost cause of 30-day readmissions. Diverse strategies have been instituted to fortify patient well-being, leading to the formulation of specialized transitional care programs that shepherd patients effectively from hospital to outpatient settings. These initiatives have demonstrably curtailed readmission rates. This review outlines a spectrum of roles assumed by clinical pharmacists within the healthcare cohort, spanning inpatient care, transitional phases, and outpatient services. Moreover, it traverses a compendium of studies spotlighting the affirmative impact instigated by integrating clinical pharmacists into these fields.

Effect of Career Development and Career Plateau on Career Satisfaction of Nurses (경력개발과 경력정체가 간호사의 경력만족에 미치는 영향)

  • Kim, Yo Na
    • Journal of Korean Public Health Nursing
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    • v.30 no.1
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    • pp.83-92
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    • 2016
  • Purpose: In this study, factors affecting career satisfaction of nurses were explored in the career development and career plateau. Methods: Participants were 143 nurses drawn from a general hospital in Busan. independent t-test, one way ANOVA and Hierarchial multiple regression with SPSS/WIN 18.0 program were used for data analysis. Results: The mean score of career satisfaction was 2.85/5, Career development was 2.99/5, and career plateau obtained 2.53/5. The extent of the career satisfaction differ according to age(F=3.60, p=.030), marital status(t=2.42, p=.017), current position(F=6.61, p=.002), total clinical career(F=3.36, p=.023), and work unit(t=0.95, p=.029). The influencing factors in career satisfaction of clinical nurses were organizational career management, career plateau and individual career planning. $R^2=.415$. Organizational career management was the highest significant predictor of career satisfaction(${\beta}=.325$). Conclusion: Factors influencing career satisfaction were organizational career management, career plateau and individual career planning. Thus a program for career development of organization is needed.

Process Evaluation and Influencing Factors of Building up a Network System between a National University Hospital and a Public Community Hospital in a Korean Provincial Area (한 광역자치도에서 국립대병원과 지방의료원간 협력체계 구축 사례의 성립 요인 및 과정평가)

  • Lee, Weon-Young
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.219-229
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    • 2012
  • This study aimed to explore influencing factors on the establishment of the network system between public hospitals and to make a process evaluation of it. we analyzed the case of a strategic alliance contracted by a National University Hospital(NUH) and a Community Hospital(CH). Main points of the project were regular dispatch of clinical specialists in the NUH such as gastroenterologist and running teleradiology program. The NUH considered the improvement of it's image as a public hospital as a successful element of the network program. The provincial office which have to manage the CH satisfied with these program in terms of helping CH in need of clinical specialists. Staffs in the CH pointed out the problem of discontinuity for patients who visited the CH. Three institutes argued that continuous support of central government in the relevant institution and budget could play the most important role in the advance of the network system between public hospitals.

The change of PHP index and copy numbers of periodontal bacteria in patients with professional periodontal prevention management (PHP INDEX에 따른 전문가 치주예방관리 환자의 치주질환 원인균 copy 수 변화)

  • Mi-Young, Jin;Byeng-Chul, Yu
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.2
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    • pp.155-164
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    • 2022
  • Background: By regulating the factors that contribute to oral diseases in a healthy way, oral health can be maintained and prevented. Methods: The general characteristics, PHP index, oral health behavior, and clinical periodontal index of each group were calculated by frequency analysis, and a cross-analysis (χ2 test) was conducted to assess the homogeneity of the general characteristics, oral health behavior, and clinical periodontal index of the study subjects. An Oral bacteriological examination was performed by gargling with saliva. Results: The expert periodontal prevention group showed a decrease in the copy number of periodontal disease causative bacteria, and A. actinomycetemcomitans, P. gingivalis, T. forsythus, andT. denticolashowed a significant difference before and after treatment (p=0.021). In the periodontal treatment group, A. actinomycetemcomitans, P. gingivalis, T. forsythus, andT. denticolaall showed a decrease in copy number, but there was no significant difference. Conclusions: This study showed professional periodontal prevention management had some effect on periodontal bacterial reduction.