• Journal of Society of Preventive Korean Medicine
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• v.26 no.2
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• pp.55-67
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• 2022

Objectives : This study is aimed to survey Korean Medicine Doctors's perceptions in Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways for its spread(to increase utilization in clinical sites). Methods : The research population was set at 14,831 Korean medical institutions registered with the Health Insurance Review and Assessment Service for sampling representative of Korean Medicine Doctors, and the final 2,007 subjects were selected in consideration of the research period and budget. This survey was conducted based on a telephone survey, and in some cases, a fax or e-mail survey was also conducted together. Six questions were asked about the perception of 'Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways', and three questions about the characteristics of the respondent. Results : The rate of recognizing Korean Medicine Clinical Practice Guideline was 36.1%. Those who worked at Korean medicine hospitals, were under 39 years of age, and had less than 11-20 years of experience as an Korean medical doctor were more likely to be aware of it. Regarding the experience of using Korean Medicine Clinical Practice Guideline, the rate of 'not used in the past and not used now' was very high at 82.9%, but the intention to use it in the future was high at 60.7%. About the Korean Medicine Clinical Pathways, 79.9% of respondents answered that they did not know. 80.6% of respondents recognized the need for the development of clinical manuals such as Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways. Conclusion : Their low awareness of Korean Medicine Clinical Practice Guideline seems to affect its low utilization. Therefore, active education and public relations are required in the future.

• Journal of East-West Nursing Research
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• v.27 no.1
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• pp.78-86
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• 2021

Purpose: The purpose of this study was to understand the correlations between transitional shock, incivility and nursing professionalism among nursing students. Methods: A total of 143 nursing students completed transitional shock, incivility and nursing professionalism, using structured questionnaires. The collected data were analyzed using the t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: The results showed that nursing professionalism was significantly correlated with gender (β=.20, p=.001), major satisfaction (β=.44, p=.007), clinical practice satisfaction (β=.45, p<.001), transitional shock (β=-.20, p=.012), and incivility experienced (β=-.18, p=.021) among nursing students. Conclusion: It is necessary to develop a plan for reducing individual satisfaction with clinical practice and the transitional shock of nursing students. It ultimately may increase nursing students' nursing professionalism. In addition, a strategy is needed to reduce incivility among nursing students by creating positive educational environment in clinical practice through cooperation between schools and training institutions, and to strengthen desirable nursing professionalism.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.1
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• pp.35-48
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• 2015

Purpose: The purpose of this study was to provide fundamental data to develop an educational program for the development of nurses' core competences, and to improve the curriculum in nursing education institutions. Methods: This study, based on a descriptive survey, was conducted with 1,019 nurses working in a tertiary hospital in Seoul. Among 47 core nursing practice items, core nursing practices as perceived by the participants and relevant educational requirements were measured on a four-point scale. The collected data were analyzed using descriptive statistics for the mean and standard deviation, one way ANOVA, and Duncan test as post-hoc test. Results: Regarding the core nursing practice perceived as by the nurses, there were statistically significant differences in 43 out of 47 items according to nursing unit, and in 15 items according to clinical career. Regarding the educational requirements for core nursing practice, there were also statistically significant difference for the same items as perception differences according to nursing unit and clinical career. Conclusion: The results of this study suggest further study on the development of educational programs to advance the clinical expertise of nurses and for the development of curriculum reflecting the actual conditions and requirements in clinical nursing practice fields.

• The Journal of Internal Korean Medicine
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• v.42 no.4
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• pp.532-546
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• 2021

Objective: This study investigated the perception, diagnosis, and treatment of irritable bowel syndrome (IBS) in the general population, in patients, and in Korean medicine doctors (KMDs) in order to provide basic information for the development of Korean medicine clinical practice guidelines for IBS. Methods: A questionnaire was developed in two versions, one for the general population/patients and one for KMDs. The questions were about the general perception, diagnosis, and treatment of IBS. Both online and offline surveys were conducted using these questionnaires. Results: In total, 213 general population/patients and 435 KMDs responded to the survey. The results of the analysis were as follows. Most of the KMDs diagnosed IBS based on clinical aspects. Acupuncture was the most common treatment, followed by prescription herbal medicine, moxibustion, and manufactured herbal medicine. 34.3% of KMDs used clinical practice guidelines for IBS patient treatment. 57.8% of patients were diagnosed with IBS by doctors at primary medical institutions, and 53.1% were diagnosed with colonoscopy. More than half of the IBS patients who have been treated with Korean medicine said they experienced improvement of symptoms and prevention of recurrence, but more than 70% of the respondents said future safety and effectiveness studies of Korean medicine were needed. Conclusions: In spite of the positive perception of IBS treatment with Korean medicine, actual utilization was relatively low. The development and promotion of, as well as education about, appropriate and reasonable Korean medicine practice guidelines for IBS is necessary.

• Toxicological Research
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• v.25 no.1
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• pp.1-8
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• 2009

Validation specifies and coordinates all relevant activities to ensure compliance with good laboratory practices (GLP) according to suitable international standards. This includes validation activities of past, present and future for the best possible actions to ensure the integrity of non-clinical laboratory data. Recently, validation has become increasingly important, not only in good manufacturing practice (GMP) institutions but also in GLP facilities. In accordance with the guideline for GLP regulations, all equipments used to generate, measure, or assess data should undergo validation to ensure that this equipment is of appropriate design and capacity and that it will consistently function as intended. Therefore, the implantation of validation processes is considered to be an essential step in a global institution. This review describes the procedures and documentations required for validation of GLP. It introduces basic elements such as the validation master plan, risk assessment, gap analysis, design qualification, installation qualification, operational qualification, performance qualification, calibration, traceability, and revalidation.

• Journal of Korean Clinical Nursing Research
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• v.21 no.3
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• pp.355-365
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• 2015

Purpose: The purpose of this study was to evaluate nursing protocols for superficial cryotherapy in different medical institutions. Methods: The study was conducted with a cross-sectional descriptive design. The medical institutions including general hospitals, hospitals, and geriatric hospitals were randomly selected. A total of 435 nurses from 126 institutions completed a questionnaire. Data were collected from December 2014 to June 2015. Results: Forty-two institutions (39.5%) had nursing protocol for cryotherapy. The nurses reported that durations of cold application were 2 minutes to 5 hours. Frequently used cold therapy devices in order of frequency were frozen gel packs, ice packs, and frozen IV fluid bags. There were variances in the duration of cold application according to the types of institution ($x^2=7.78$, p=.020) and nursing units ($x^2=26.42$, p<.001). In addition, intervals of cold application were different according to the nursing units (x=12.23, p=.032). There were differences in cold application instruments by regional groups (x=70.38, p<.001). Most of the nurses (95.6%) responded that national nursing protocol for superficial cryotherapy were needed. Conclusion: There were difficulties in providing consistent nursing interventions because of the practical differences and absence of evidence-based guidelines for cryotherapy. The researchers recommend that basic studies with various instruments be conducted and proper nursing protocols be developed for cryotherapy.

• Journal of Korean Academy of Nursing
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• v.51 no.4
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• pp.489-504
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• 2021

Purpose: This study was investigated the mediating effect of coping behaviors in the relationship between the second victim experiences after patient safety incidents and the nursing practice changes. Methods: A cross-sectional survey was performed using structured questionnaires. Participants were 218 clinical nurses in general tertiary hospitals in South Korea. Data were collected through an online survey and snowball sampling from August 11 to September 6 2020. Data were analyzed using SPSS 23.0 program. A mediation analysis was performed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval. Results: The mean scores of second victim experiences was 3.41/5. Approach coping (β = .55, p < .001) and the avoidant coping (β = - .23, p = .001) showed mediation effects in the relationship between second victim experiences and constructive change in nursing practice. Avoidant coping (β = .29, p < .001) showed a mediation effect in the relationship between second victim experiences and defensive change in nursing practice. Conclusion: Coping behaviors has a mediating effect on the relationship between second victim experiences and nursing practice changes. To ensure that nurses do not experience second victim, medical institutions should have a culture of patient safety that employs a systematic approach rather than blame individuals. They also need to develop strategies that enhance approach coping and reducing avoidant coping to induce nurses' constructive practice changes in clinical nurses in experiencing second victims due to patient safety incidents.

• The Journal of the Korea Contents Association
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• v.13 no.8
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• pp.266-274
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• 2013

This study was developed to provide the basis for efficient bedside training by discovering and analyzing ways to reduce stress when students are in clinical practice. The present study was conducted using a 3-part questionnaire format and was based on 253 participants who were students completing clinical practice. The results showed that environmental factors were the most stressful for students in the department of radiology. According to the questionnaire, the highest factor relating to stress was 'standing for long durations' with a value of $3.27{\pm}1.04$, and values were respectively high in the sections on' disregard when students have a lack of knowledge' and 'repetition in simple tasks'. Students who had a good training atmosphere, good relationships with clinical radiological technologists and other students, and students who had high self-esteem showed low stress levels. The effect on BEPSI scale increased as interpersonal relationships and performance declined. Therefore, training institutions should consider relaxation areas for students, radiological technologists should not ignore the reality that students do not have substantial knowledge in clinical practice and comparisons made between students should not exist. In addition, there is the need to make an effort to reduce stress experienced by students in clinical practice through the use of positive communication and encouragement by assigning various training opportunities, providing areas to sit and initiating relaxation periods for students to reduce fatigue, as well as challenging students rather than restricting them to the simple and repetitive routines they encounter in clinical practice.

• Journal of Korean society of Dental Hygiene
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• v.16 no.5
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• pp.799-805
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• 2016

Objectives: The purpose of this study was to know instructors' needs of integrated curriculum in dental hygiene practice.. Methods: A self-reported questionnaire was completed by 112 instructors in Korea from June to July, 2015. The statistical analyses include frequency, percentage and Mann-Whitney' U test using SPSS 12.0 program. The questionnaire comprised needs of curriculum(5 items), integrated curriculum(10 items). Results: Need of integrated curriculum in practice course was statistically significant in school system(p=0.048) and number of students(p=0.041). The enhancement of clinical competence was high in teaching experience($11{\leq}$)(p=0.009) and perceptions of problems was high in experience of teaching($10{\geq}$)(p=0.047). In integrated curriculum, enhancement of clinical competence was statistically significant in school system(p=0.035) and number of students(p=0.011). Increase of professionalism was high in University(p=0.021), number of students(p=0.006) and teaching experience($10{\geq}$)(p=0.062). Conclusions: In order to improve curriculum in each institutions, it is necessary to measure in the view of representative institutions dimensions.

• Journal of East-West Nursing Research
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• v.26 no.2
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• pp.196-204
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• 2020

Purpose: This study investigates the participation status in clinical nursing education and nurses' continuing education needs to develop educational programs. Methods: Participants were 227 nurses working in medical institutions where nursing students practiced, and the selection criteria were nurses with more than two years of clinical education experience; data were collected using structured questionnaires. Results: More than half of the clinical nurses had completed a preceptor training program for clinical nursing education, and the subjects mainly educated by nurses were new graduate nurses and nursing students. The obstacles to clinical nursing education were lack of compensation, lack of manpower, lack of patient nursing time, excessive workload, and lack of knowledge as educators. The educational methods preferred in continuing education were small-group workshops and online education. The desired educational topics in continuing education were current nursing practice standards, simulation nursing education, and the role of clinical nursing educators. Conclusion: Based on our results, it is necessary to understand the importance of clinical nursing education, which is essential for clinical nurses, to prepare a specific system for them and to develop and operate a systematic education program according to medical institutions' characteristics.