• Title/Summary/Keyword: Clinical result

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Factors Influencing Nursing Professional Value of Nursing Students (간호대학생의 간호전문직관 영향요인)

  • Lim, Semi
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.51-59
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    • 2020
  • The purpose of this study was to find out a correlation of clinical nurse's character, clinical practice stress, stress coping and factor affecting nursing professional value on nursing students in Korea, and to use it as a basic data in developing nursing professional value promotion programs for nursing students. The study was composed of 145 students who were studying in fourth year student at colleges. Data were collected from May to June, 2019. Data analysis included an independent t-test, ANOVA, Pearson correlation coefficients and multiple regression using the SPSS program. As a result of this study, nursing professional value of those was significantly correlated with clinical nurse's character, clinical practice stress and stress coping. In a regression analysis, nursing professional value accounted for 38.2%(F=43.973, p=.000), of the variance of clinical nurse's character and stress coping. The most significant factor affection the success of nursing professional value was stress coping(β=.508, p=.000). The result of the study indicates the importance of developing clinical nurse's character and applying variety stress coping method for positive nursing professional value of nursing students.

Analytic Study on Treatises of the Journal of Oriental Obstetrics & Gynecology (대한한방부인과학회지(大韓韓方婦人科學會誌) 수재(收載) 논문(論文) 분석(分析))

  • Yun, Young-Jin;Lee, Jin-Moo;Lee, Chang-Hoon;Cho, Jung-Hoon;Jang, Jun-Bockq;Lee, Khung-Sub
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.2
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    • pp.97-103
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    • 2011
  • Objectives: Recently, high attention has been drawn towards evidence based medicine(EBM). However, there is little follow study after Park's analysis research (2002) in the journal of oriental gynecology. Therefore, there is a need to conduct analyzed research on the topic, due to the increasing interest about EBM. Methods: To analyze the treatises of the journal of oriental gynecology, we examined 56 journals published from 1987 to 2010. we followed the way of Park, classifying treatises into bibliographic, experimental and clinical categories. Results: Analytic research, as a part of clinical treatises, increased rapidly from 2001. As a result, it took 53.3% of whole study in general after 2002 and it reached up to 70.0% in 2004. Most part of clinical treatises until 2002 was about case report of patients, but the amount of clinical trial started to increase since 2003. Case report and case series showed dramatic increase after 2001, and clinical trial started to increase after 2003. As a result, 43.8% of the analyzed research was due to clinical trial by 2009. Conclusions: On the base of this research, quality evaluation of clinical treatises using guality assessment tool is needed for EBM in the part of oriental obstetrics & gynecology.

Current Status of Clinical Practice Education in Maternity Nursing in Korea - four-year course nursing schools centered - (모성간호학 실습교육의 현황 - 4년제 간호대학(학과)를 중심으로 -)

  • Kim, Il-Ok;Park, Chai-Soon
    • Women's Health Nursing
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    • v.12 no.1
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    • pp.12-21
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    • 2006
  • Purpose: This study was performed to provide data for improvement in clinical practice education through analyzing the status of clinical practice education in maternity nursing in four year course nursing schools in Korea. Method: Analyzed subjects were 43 schools out of 53 four year course nursing schools in Korea. Result: Credits in theory and clinical practice are on the decline. The relationship between goals and areas of clinical practice was not sufficient. The department was not efficient in meeting the demands between theory and practice. The number of students in a group according to clinical areas were thoughtfully assigned, and clinical practice was performed based on real situations. Instructors for clinical practice used practice lecturers, part-time lecturers, preceptors, and assistant instructors including faculty. Methods of practice education and evaluation were varied. Conclusion: A suitable philosophy and goals of clinical practice education maternity nursing should be established at this point in time. Furthermore, a study should be performed to analyze the relationship between goals and contents of clinical practice for maternity nursing. In addition, a standardized tool should be developed to evaluate clinical practice.

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Changes in the Image of the Nurse for Student Nurses before and after their First Clinical Experience (첫 임상실습이 간호학생이 지각하는 간호사의 이미지에 미치는 영향)

  • Kang Hyun-Sook;Kim Won-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.3
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    • pp.379-387
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    • 2002
  • Purpose: This study was done to identify changes in the image of the nurse for student nurses before and after their first clinical experience. Method: The participants were 108 nursing students who had not had any clinical experience. All participants had their first clinical experience for 1 week. and the image of the nurse was measured before and after the clinical experience. Result : 1) Before the first clinical experience, the scores on the image of the nurse that was the highest for the student nurses was in the professional dimension, followed by traditional, personal, and social in that order. After the clinical experience, the score on the image of the nurse was still the highest in the professional dimension, but this time, it was followed by personal, traditional and social dimension in that order. 2) Difference in the image of the nurse before and after the clinical experience showed statistical significance. The factors influencing this change were the degree of satisfaction with their major, whether the students had ever been hospitalized, and the type of wards where they had their clinical experience. Conclusion: In summary, the first clinical experience should be ideal in order to promote the image of the nurse. Therefore an improvement in the environment for clinical experience is important.

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Factors on Decision-Making Participation related to Clinical Experience Difference (임상경력에 따른 간호사의 의사결정 참여 영향요인)

  • 임난영;이여진
    • Journal of Korean Academy of Nursing
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    • v.34 no.2
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    • pp.270-277
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    • 2004
  • Purpose: The purpose of this study was to investigate the relationship between decision-making factors(theoretical knowledge, expertise, empowerment, intuition) and participation in proportion to nurses's clinical experience. Method: Data was collected by quota sampling from July 10, 2001 to August 22, 2001 from 132 clinical nurses who work for 3 General hospitals. Data was analyzed using SPSSWIN 10.0 with crosstab, ANOVA, and stepwise multiple regression. Result: Expertise(F=34.347, p=.000), empowerment(F=29.316, p=.000), and participation(F=3.276, p=.041) were significantly different among 3 clinical experience groups. Clinical experience correlated with expertise(r=.551, p=.000) and empowerment(r=.492, p=.000), and Decision-making participation also correlated with expertise(r=.351, p=.000) and empowerment(r=.265, p=.002). Decision-making participation is effected by theoretical knowledge(under 3.00yr clinical experience), expertise(3.01-5.00yr), and empowerment(above 5.01yr). Conclusion: These findings indicate that factors(theoretical knowledge, expertise, or empowerment) on decision-making participation varies as nurses's clinical experience differs. Therefore, decision-making needs bilateral agreement between staff nurses and nurse managers rather than the responsibility of one.

A Study on the Efficiency of Predicting Variables of Nurses ′ Clinical Performance flow College Achievements (간호원의 근무성적 예측변인의 효율성에 관한 연구)

  • 정현숙
    • Journal of Korean Academy of Nursing
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    • v.7 no.1
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    • pp.112-120
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    • 1977
  • This study attempts to predict nurses'clinical performance from entrance examination of university and college achievements after graduation. This is based upon a survey study, 49 nurses in Yon Sei Medical Center after graduation of college of nursing. Correlation of college achievements, clinical performance and variables of nurses'clinical performance are produced using Pearson's Product moment correlation coefficient significance of correlation tested by T- test. The result of the study were as follows; 1. Clinical performance of the college achievements is the best efficient variables in predicting the nurses'clinical performance after graduation and next theory scholastic total achievements and entrance examination the last. 2. There are significant correlation among nurses'clinical performance rating variables as nursing ethics, nursing skills, achievements, attitude, the state of health.

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A Study on Medical Laws and External Evaluation Criteria with Reference to the Essential Forms consisting Medical Records and to the Items for Each Medical Record (의료기관 종별 의무기록 중요서식 항목별 작성 실태 및 의무기록 완결점검표 분석)

  • Seo, Sun Won;Kim, Kwang Hwan;Hwang, Yong-Hwa;Kang, Sunny;Kang, Jin Kyung;Cho, Woo Hyun;Hong, Joon Hyun;Pu, Yoo Kyung;Rhee, Hyun Sill
    • Quality Improvement in Health Care
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    • v.9 no.2
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    • pp.176-197
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    • 2002
  • Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

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Effects of Nursing Professionalism and Self-Leadership on Clinical Competence of Nursing Students (간호대학생의 간호전문직관과 셀프리더십이 임상수행능력에 미치는 영향)

  • Ji, Eun-Mi;Kim, Eun-Jae
    • Journal of Korean Clinical Health Science
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    • v.9 no.2
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    • pp.1526-1534
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    • 2021
  • Purpose. This study is a descriptive research study to confirm the nursing professionalism, self-leadership, and clinical competence of nursing students and to identify factors affecting clinical competence. Methods. This study conducted a structured-questionnaire survey with 179 nursing students to look into their nursing professionalism, self-leadership, and clinical competence. Results. According to the study result, nursing professionalism scored 3.79 on average out of 5points, self-leadership 3.79 on average, and clinical competence 3.75 on average. It was found that clinical competence had significantly positive correlations with nursing professionalism (r=.62, p<.001) and self-leadership (r=.57, p<.001). According to regression analysis, the factors affecting clinical competence were nursing professionalism(β=.437, p<.001), self-leadership(β=.350, p<.001) and explanatory power was 46.4%. Conclusions. Given the above results, in order to improve clinical competence of nursing students, nursing educational institutes need to find an educational plan which can contribute to increasing nursing professionalism and self-leadership.

A Systematic Review of Domestic Research on Clinical Practice in Emergency Medical Technicians

  • Lee, Chang Hee;Yoon, Byoung Gil
    • International Journal of Advanced Culture Technology
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    • v.10 no.2
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    • pp.140-147
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    • 2022
  • This study analyzes research trends by systematically examining research about domestic emergency medical services' clinical practice, and it is aimed to present the basic data needs in development plan in clinical practice education in the future. The thesis was searched through the electronic data research (Science Direct, PubMed, Medline, and 55 academic DB interworking) from the library of Konyang University from 2010 to 2021. The main keywords were "Emergency Medical Technician(EMT) Student" and "Clinical Practice," and 6 pieces of researches were selected, finally. As the result of analyzing the qualitative level of selected research, all the 6 pieces of research subjects(100.0%) were pertinent to level IV(survey research) which is low-qualitative level. As the principal subjects, "Clinical practice experience" got the highest frequency as 6(100%), "Satisfaction of clinical practice" was 3(50%), "Self-efficient, Major satisfaction" and "Stress, Depression, Coping" showed 2 (33.3%), and "Change after clinical practice", "Clinical practice improvement plan" was 1(16.7%) each. From this time on, it is confirmed that the quantitative and qualitative growth in domestic emergency medical clinical practice is necessary. This is expected to contribute to establishing a practical and systematic development plan of clinical practice education.

The Strategy for Restructuring the Clinical Departments at Small and Medium Size Hospitals - With Cases of the Provincial Hospitals - (중소병원의 진료과목개설전략 - 지방공사의료원을 중심으로 -)

  • Jung, Key-Sun;Jung, Soo-Kyung;Rhyu, Kyu-Soo
    • Korea Journal of Hospital Management
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    • v.6 no.1
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    • pp.147-163
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    • 2001
  • The purpose of this study was to find out the restructuring strategy for five provincial hospitals through the business analysis and survey of the service area. Through the survey of the service area of 5 hospitals. service area was classified into three groups, such as underserved area, adequate area, and overserved area. The strategy for the restructuring the clinical departments was set up based on the result of the business analysis and characteristics of the service area. The result of the study was as follows; 1) Whether or not a provincial hospital has specialized in specific area according to the circumstances and the needs of the community was the major factor influencing on the operating result of the hospital. 2) Provincial hospitals at the underserved area has to invest according to the changes of the occupancy rate and increasing pattern of the number of patients while maintaining the status as a general hospital. 3) Provincial hospitals at the adequate area has to lower the grade from the general hospital down to the hospital first and has to upgrade the competency through the restructuring the clinical departments and investment in specific area. 4) Provincial hospitals at the overserved area has to lower the grade from the general hospital down to the hospital first and has to seek ways to change the hospital fundamentally into geriatric hospital, pneumoconiosis hospital or psychiatric hospital etc. Provincial hospitals incapable to compete with private hospitals and clinics has to lower the grade from the general hospital down to the hospital first, to specialize in specific area and to restructure some clinical departments into rental base or self-operating basis. In case such methods are judged not so good solution, provincial hospitals has to find out ways such as shut-down of several departments or operating under the attending system.

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