• Title/Summary/Keyword: Clinical reasoning

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The Problem-Solving Approach for Improving Walking Ability in Patient with Total Hip Replacement: Applied ICF Tool for Case Study (고관절 인공관절 치환술 환자의 보행능력 증진을 위한 문제해결 접근: ICF Tool을 적용한 단일사례연구)

  • Song, Hyun-seung;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.63-71
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    • 2015
  • Background: The purpose of the study, using the ICF Tool in the process of rehabilitation of artificial joint replacement surgery of the hip joint, goal setting and understanding of the problem, through the process of creating intervention strategies, useful clinical practical course for rehabilitation I try to present the data. Methods: Fracture was the left total hip replacement (THR) surgery due to women of 76 years old. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. Needs of the patient was walking short distances for using the toilet. In order to improve was carried out arbitration, after you have created a list of issues that limit the ability to walk short distances. Results: It was revealed improved results in self-paced walk test (SPWT) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to examine whether the goals. In addition, MMT VAS, DGI, and TUG is a detailed goal was improved. Conclusions: It can be shown objectively the results of interventions performed for the purpose of solving the problem which is grasped through clinical Practical course for short-range walking ability enhance patient THR. I considered practical clinical course using the ICF Tool would be useful.

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A Study on Problem-based Learning Model of Orthopedic Manual Physical Therapy (정형도수물리치료의 문제중심학습 모형에 관한 고찰)

  • Kim, Ho-Bong;Bang, Sang-Bun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.2
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    • pp.31-39
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    • 2012
  • Background: The purpose of this study was to develop a problem-based learning model for orthopedic manual physical therapy. A problem-based learning (PBL) model for orthopedic manual physical therapy developed from PBL module of Jeju C university (Halla-Newcastle PBL Center). A summary of this study is as follows: 1) PBL model is comprised of a class of 30 students, operated small group as of 4~5 students. 2) PBL is suggested a scenario of clinical case, induced variety reaction through group discussion and presentation. 3) PBL is occurred wide variety learning through group work activity and self-directed learning. 4) The tutor as a facilitator is played a guide for group discussion, work activity and team learning. 5) The evaluation for PBL is performed such as student self-evaluation, group activity evaluation, individual presentation, and practice. This model is considered wide variety learning through team learning and self-directed learning by clinical reasoning and problem solving for musculoskeletal clinical case. We suggest problem based learning for the education of orthopedic manual physical therapy in which the learners are very interested in and has the effective outcome.

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Computational Methods for Traditional Korean Medicine : A survey (한의 정보의 계산적 방법 조사)

  • Kim, Sang-Kyun;Jang, Hyun-Chul;Kim, Jin-Hyun;Kim, Chul;Yea, Sang-Jun;Song, Mi-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.894-899
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    • 2011
  • Traditional Korean Medicine (TKM) has been actively researched through various approaches, including computational methods. This paper aims at providing an overview of domestic studies using the computational techniques in TKM field. A literature search was conducted in Korean publications using OASIS system, and major studies of data mining in TKM were identified. A review was presented in six diagnosis fields, including sasang constitution diagnosis, eight constitution diagnosis, tongue diagnosis, pattern diagnosis for stroke, diagnosis based on ontology, diagnosis for cause of disease. They collect clinical data themselves for experiments and primarily applied a algorithm of decision tree, SVM, neural network, case-based reasoning, ontology reasoning, discriminant analysis. In the future, there needs to identify which algorithm is suitable to diagnosis or other fields of TKM.

The Effect of Active Learning on Critical Thinking Disposition, Problem Solving Ability, and Self-leadership of Nursing Students in Online Nursing Health Assessment Practice Class (온라인 건강사정실습 수업에서 능동학습이 간호대학생의 비판적사고성향, 문제해결능력, 셀프리더십에 미치는 효과)

  • Ma, Hyunhee
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.39-50
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    • 2022
  • The Purpose of this study was to confirm the effects of Active learning application on thecritical thinking disposition, problem-solving ability, and self-leadership of nursing students in the online health assessment practice course in the COVID-19 pandemic situation. Data collection was conducted from September 1st to December 17th, 2021 for 78 nursing students in the Department of Nursing at University D, and the collected data was analyzed using the SPSS/WIN 20 program. As a result of this study, the critical thinking disposition (t=-2.11 p=.038) and self-leadership (t=-2.07 p=.042) were statistically significantly increased after active learning was applied to the online nursing health assessment practice class. SOAP, Outcome-Present-Test(OPT) worksheet, clinical reasoning webs, mind map writing are confirm to improve critical thinking disposition, problem solving ability, self-leadership of nursing student, so research to confirm the effect in face to face classed should be conducted.

Effects of Simulation-based Clinical Reasoning Education and Evaluation of Perceived Education Practices and Simulation Design Characteristics by Students Nurses (간호학생을 위한 시뮬레이션기반 임상추론 교육의 효과 및 설계특성과 교육상황 인식 평가)

  • Hur, Hea Kung;Song, Hee-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.206-218
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    • 2015
  • This single-blinded, nonequivalent control group pretest-posttest study was undertaken to evaluate the effectiveness of simulation education on clinical judgement, collaboration, communication skills, and perceived education practices and simulation design characteristics among student nurses in Korea. Participants were 47 students (19 in the experimental group and 28 in the control group) recruited by convenience sampling. The simulation based clinical reasoning education consisted of seven weekly, 120-minute high fidelity simulations. All participants completed the pretest and 7-week post measurements of a clinical judgment, collaboration, and communication skills with 4-week post measurement of collaboration, and participants in the experimental group provided a measurements of perceived education practices and simulation design characteristics. Data were analyzed using repeated measured ANOVA, and mixed linear model with SAS 9.2. Significant improvements were found in the experimental group for clinical judgment, collaboration, communication skill, and perceived education practices and simulation design characteristics. The study results show the impact of the perceived education practices and simulation design characteristics on facilitating the effectiveness of simulation education. The findings suggest a feasible and sound teaching method for student nurses and the need for further studies with a larger sample.

The Validity and Reliability of a Korean Version of the Satisfaction with Simulation Experience Scale for Evaluating Satisfaction with High-Fidelity Simulation Education for Nursing Students (간호대학생의 고성능 인체 환자 모형 시뮬레이션 교육 평가를 위한 한국판 시뮬레이션 만족도 경험 도구의 타당도와 신뢰도 연구)

  • Kim, Jiyoung;Heo, Narae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.540-548
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    • 2018
  • The purpose of this study was to test the validity and reliability of the Satisfaction with Simulation Experience (SSE) scale for evaluating high-fidelity simulation education for nursing students. Participants were 174 nursing students, seniors enrolled in two colleges in two different regions. Collected data were analyzed using SPSS / WIN 22.0 and tested for construct validity (factor analysis, group comparison test) and reliability (internal consistency). Factor analysis revealed 17 items and 3 factors explaining 71.581% of the variance. Group comparisons showed that satisfaction with simulation training differed significantly across satisfaction to a college life and school record. Internal consistency reliability for all items was .945. For each sub-domain, the reliability coefficient was .929 for 'Debrief', .908 for 'Clinical learning and reflection', and .860 for 'Clinical reasoning'. Nursing students' mean satisfaction with simulation using the high-fidelity simulator was 3.92. Results of this study are expected to be used for evaluating the satisfaction of nursing college students receiving high-fidelity simulation education, and to serve as groundwork for the development and application of nursing simulation education.

A Comparison Study of Acupuncture Points Selection between Classics of Traditional Medicine and Clinical Trials in Dental Disorders (치아 질환의 침 치료 혈위 선택에 대한 고전문헌과 현대 임상연구 비교)

  • Kim, Song-Yi;Oh, Jihyeon;Hong, Jaehwa;Park, Sang Kyun;Park, Hi-Joon
    • Korean Journal of Acupuncture
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    • v.30 no.4
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    • pp.201-211
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    • 2013
  • Objectives : The aim of this study is to summarize and compare acupuncture points used for dental disorder in the classics with those used in recent clinical trials. Methods : We searched the data for acupuncture points used and rationale of acupuncture in dentistry. Following two sources were searched: 1) seven Classics of traditional medicine and 2) clinical trials through Pubmed from January 2000 to March 2013 with no language restriction. Results : Dental pain was the most common disorder in the dentistry section of the Classics of traditional medicine. We found many similarities of acupuncture points used between literatures and clinical trials. From the meridian perspective, large intestine meridian(LI), stomach meridian(ST), triple energizer meridian(TE), and gallbladder meridian(GB) were frequently used in the Classics of traditional medicine and the clinical trials. From the acupuncture point perspective, acupuncture points were selected according to syndrome. The specific points such as five transport points, source points, and connecting points were also used. In the clinical trials, combination of acupuncture points usually consisted adjacent points and distant points. Among them, LI4 was used in all of the studies included in this review. Conclusions : For well-designed clinical trial, appropriate intervention is essential. To establish appropriate acupuncture treatment, we have to suggest reasoning for treatment based on literature and/or expert consensus. Our review only focused on pain relief in dentistry and had many limitations. Further studies based on the literatures such as the Classics of traditional medicine are required to ensure the rationale of acupuncture treatments in various dental disorders.

Evaluation of Adherence to the CARE (CAse REport) Guidelines of Case Reports in the Journal of Korean Medicine Rehabilitation (한방재활의학과학회지에 게재된 증례보고의 CARE (CAse REport) 지침 준수에 대한 평가: 2016년 이후 발표된 논문들을 중심으로)

  • Ahn, Jonghyun;Ko, Junhyuk;Kim, Seyoon;Kim, Soojeon;Bae, Jun-hyeong;Yoon, Ye-ji;Lee, Hansol;Chang, Hokyung;Kim, Hyungsuk;Chung, Seok-hee;Lee, Jong-soo;Kim, Sung-soo;Chung, Won-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.75-85
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    • 2019
  • Objectives This study was perfomed to assess the adherance to CARE (CAse REport) guideline of case reports in the Journal of Korean Medicine Rehabilitation Methods We searched the case reports published in the Journal of Korean Medicine Rehabilitation from January 2016 to April 2019 in the database of oriental medicine advanced searching integrated system (OASIS). Then we evaluated the quality of the searched case reports based on the CARE guideline. Results Totally 31 papers were selected after the screening the case reports by the inclusion and exclusion criteria. The report rate of the sub-items of the CARE guideline was 78.26% at the maximum, 60.87% at the maximum, and 70.97% on the average. The following items were reported only in less than 50% of them; 'Timeline', 'Diagnostic challenges', 'Diagnostic reasoning including other diagnoses considered' 'Prognostic characteristics', 'Follow-up and Outcomes', 'Patient Perspective', 'Informed Consent' Conclusions This study is expected to contribute to the overall improvement of the level of case reports in the Journal of Korean Medicine Rehabilitation.

Development of a Nursing Diagnosis System Using a Neural Network Model (인공지능을 도입한 간호정보시스템개발)

  • 이은옥;송미순;김명기;박현애
    • Journal of Korean Academy of Nursing
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    • v.26 no.2
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    • pp.281-289
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    • 1996
  • Neural networks have recently attracted considerable attention in the field of classification and other areas. The purpose of this study was to demonstrate an experiment using back-propagation neural network model applied to nursing diagnosis. The network's structure has three layers ; one input layer for representing signs and symptoms and one output layer for nursing diagnosis as well as one hidden layer. The first prototype of a nursing diagnosis system for patients with stomach cancer was developed with 254 nodes for the input layer and 20 nodes for the output layer of 20 nursing diagnoses, by utilizing learning data set collected from 118 patients with stomach cancer. It showed a hitting ratio of .93 when the model was developed with 20,000 times of learning, 6 nodes of hidden layer, 0.5 of momentum and 0.5 of learning coefficient. The system was primarily designed to be an aid in the clinical reasoning process. It was intended to simplify the use of nursing diagnoses for clinical practitioners. In order to validate the developed model, a set of test data from 20 patients with stomach cancer was applied to the diagnosis system. The data for 17 patients were concurrent with the result produced from the nursing diagnosis system which shows the hitting ratio of 85%. Future research is needed to develop a system with more nursing diagnoses and an evaluation process, and to expand the system to be applicable to other groups of patients.

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Validation of a Korean version of the satisfaction with simulation experience scale for paramedic students (응급구조학과 학생 대상 한국판 시뮬레이션 경험 만족도 도구의 타당도 검증)

  • Kwon, Hye-Ji;Yoou, Soon-Kyu
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.2
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    • pp.7-20
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    • 2014
  • Purpose: This study aims to assess the reliability and validity of a Korean version of the satisfaction with simulation experience (SSE) scale for low-, medium-, and high-fidelity simulations among paramedic students. Methods: Exploratory factor analysis with varimax rotation was used to determine construct validity. Cronbach's alpha was calculated to assess internal consistency reliability. Results: Cronbach's alpha for the overall scale was .841. Exploratory factor analysis yielded a three-factor structure composed of clinical learning, clinical reasoning and debriefing and reflection. Each of the subscales had high internal consistency, with Cronbach's alphas of .852, .790 and .913, respectively. With respect to year, freshmen scored the highest on the SSE scale. With respect to type of simulation, the medium-fidelity group reported the highest satisfaction. Generally, the students were satisfied with debriefing and reflection. Conclusion: The Korean version of the SSE scale was shown to be a reliable and valid instrument for assessing satisfaction with simulation learning in paramedic students.