• Title/Summary/Keyword: Clinical skill

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AUTOMATIC INTERPRETATION OF AWAKE EEG;ARTIFICIAL REALIZATION OF HUMAN SKILL

  • Nakamura, Masatoshi;Shibasaki, Hiroshi
    • 제어로봇시스템학회:학술대회논문집
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    • 1996.10a
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    • pp.19-23
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    • 1996
  • A full automatic interpretation of awake electroencephalogram (EEG) had been developed by the authors and presented at the past KACCs in series. The automatic EEG interpretation consists of four main parts: quantitative EEG interpretation, EEG report making, preprocessing of EEG data and adaptable EEG interpretation. The automatic EEG interpretation reveals essentially the same findings as the electroencephalographer's (EEG's), and then would be applicable in clinical use as an assistant tool for EEGer. The method had been developed through collaboration works between the engineering field (Saga University) and the medical field (Kyoto University). This work can be understood as an artificial realization of human expert skill. The procedure for the artificial realization was summarized in a methodology for artificial realization of human skill which will be applicable in other fields of systems control.

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The Effects of SBAR Reports Education on Communication Clarity, Communication Skill and Report Confident for Nursing Students -Adult Nursing Clinical Practicum- (SBAR 보고교육이 간호대학생의 의사소통명확성, 의사소통능력 및 보고자신감에 미치는 효과 - 성인간호학 실습 -)

  • Lee, Oi Sun
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.253-260
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    • 2018
  • The purpose of this study was to investigate the effect of SBAR(Situation-Background-Assessment-Recommendation) reports on communication clarity, communication skill and report confident for nursing students. This study used a one group pre-post test design. The subjects of this study were 44 nursing students from G city, and collected by self - report questionnaires from march 6 to april 20, 2018. Data were analyzed by frequencies, paried t-test using SPSS Win 23.0. After SBAR reports education, levels of nursing student's communication clarity(t=-8.12, p<.001), communication skill(t=-4.37, p<.001) and report confident(t=-7.67, p<.001) were significantly higher than levels before SBAR reports education. SBAR reports education improved the communication clarity communication skill and report confident. It is recommended to use a lot of SBAR in clinical practice.

The effect of preceptorship on clinical education of nursing students (간호학생의 임상실습 교육을 위한 임상지도자 활용 모델 적용 효과에 관한 연구)

  • Kim, Cho-Ja;Lee, Won-Hee;Kim, So-Sun;Yoo, Hye-Ra;Han, Shin-Hee;Kim, Gi-Yon;Rho, Young-Sook
    • The Korean Nurse
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    • v.36 no.4
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    • pp.100-109
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    • 1997
  • This study examined effect of preceptorship on clinical education of 39 senior nursing students. Competency scores and satisfaction with preceptors scores were investigated. Competency scores of the students before the clinical education (pre-competency scores) were compared with the competency scores after the clinical education (post-competency scores), and satisfactory scores were also examined after the clinical education. Study results showed that the total post-competency scores were increased compared to the total pre-competency scores, and this increment was statistically significant. However, analyzing sub-domains of the competency scores indicated only the nursing-skill domain scores were increased while the scores of interpersonal domain and management domain were increased but statistically insignificant. Satisfaction with preceptors scores were also more than the average scores reflecting the students were satisfied with their preceptors generally. The students, However, grade low in the preceptors' intellectual ability while their professional and interpersonal ability were rather satisfied. This study indicated preceptors should make more efforts to teach interpersonal and management skill and increase their intellectual ability. This study recommended a systematic reward system for the preceptors to increase the motivation to teach students is needed.

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Clinical Nurses' Interpretation of the Experiences of Breast Cancer Women after Breast Conservative Operation (유방암 여성의 유방보존술 후 경험에 대한 임상 간호사의 인지)

  • Jun, Myung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.284-291
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    • 2007
  • Purpose: Even though the breast is not removed, women with a breast conservative operation(BCO) are suffering from the psychosocial distress comparable with mastectomies. The purpose of this study was to identify how clinical nurses view essential nursing problems and nursing approaches to post operative breast cancer experiences. Method: To identify the clinical nurses's interpretation, they were asked to respond to a case involving a woman struggling with breast cancer. The nurses' responses were analyzed using a manifest content analysis strategy to determine themes in problem identification and nursing care strategies. Result: The clinical nurses recognized that most of the patient's experiences originated from a psycho-social problem. Fifteen nurses(83%) interpreted the breast cancer woman's experience derived from her psychosocial problem. They identified the most effective nursing approaches for breast cancer women following surgery as counseling and providing information. Conclusion: In conclusion, the results revealed that a psychosocial skill including an empathic communication skill is essential for excellent nursing in post operative patient care.

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Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms (마취·회복실 간호사의 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향)

  • Kim, Jin Joo;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.164-174
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    • 2020
  • Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

Predictive Factors Influencing Clinical Competence in Nursing Students (간호학생의 임상수행능력에 영향을 미치는 예측변인)

  • Kang, Hye-Seung;Kim, Yoon-Young;Lee, Hong-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.389-398
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    • 2018
  • This study examined the influence of problem solving ability, communication skill and self-efficacy on clinical competence of nursing students. The research subjects were 184 grade 4 nursing students in D and G city. Data were collected from September 1 to September 10, 2016 and analyzed by independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression using the IBM SPSS/WIN 20.0 program. The results showed that the problem solving ability was 3.60, communication skill was 3.79, and self-efficacy was 3.45. The clinical competence was positively correlated with problem solving ability, communication skill and self-efficacy. Problem solving ability (${\beta}=0.283$, p<0.001), self-efficacy (${\beta}=0.249$, p<0.001), motivation for nursing (${\beta}=0.182$, p=0.002), communication skills (${\beta}=0.176$, p=0.016), and interpersonal relationships (${\beta}=0.101$, p=0.082) explained 42.8% of the total variance in clinical competence of nursing students. The most significant predictors of clinical competence were problem solving ability, followed by self-efficacy and communication skills. Therefore, it is necessary to develop an empowerment program to improve problem solving ability, self-efficacy and communication skills of nursing students.

A Systematic Review of Evidence for Education and Training Interventions in Microsurgery

  • Ghanem, Ali M.;Hachach-Haram, Nadine;Leung, Clement Chi Ming;Myers, Simon Richard
    • Archives of Plastic Surgery
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    • v.40 no.4
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    • pp.312-319
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    • 2013
  • Over the past decade, driven by advances in educational theory and pressures for efficiency in the clinical environment, there has been a shift in surgical education and training towards enhanced simulation training. Microsurgery is a technical skill with a steep competency learning curve on which the clinical outcome greatly depends. This paper investigates the evidence for educational and training interventions of traditional microsurgical skills courses in order to establish the best evidence practice in education and training and curriculum design. A systematic review of MEDLINE, EMBASE, and PubMed databases was performed to identify randomized control trials looking at educational and training interventions that objectively improved microsurgical skill acquisition, and these were critically appraised using the BestBETs group methodology. The databases search yielded 1,148, 1,460, and 2,277 citations respectively. These were then further limited to randomized controlled trials from which abstract reviews reduced the number to 5 relevant randomised controlled clinical trials. The best evidence supported a laboratory based low fidelity model microsurgical skills curriculum. There was strong evidence that technical skills acquired on low fidelity models transfers to improved performance on higher fidelity human cadaver models and that self directed practice leads to improved technical performance. Although there is significant paucity in the literature to support current microsurgical education and training practices, simulated training on low fidelity models in microsurgery is an effective intervention that leads to acquisition of transferable skills and improved technical performance. Further research to identify educational interventions associated with accelerated skill acquisition is required.

Analysis of the Contents and Importance of Clinical Practicum Education in Adult Health Nursing According to Nursing Intervention Classification (NIC) System (간호중재분류체계(NIC)에 따른 성인간호학 임상실습 내용 및 중요도 분석)

  • Kim, Eun Jung;Kim, Gwang Suk;Sung, Kyung Mi;Shin, Hyunsook;Shin, Hae Kyung;Lee, Yujeong;Jeong, Seok Hee;Kim, Nahyun
    • Health Communication
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    • v.13 no.2
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    • pp.205-216
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    • 2018
  • Background: The purpose of the study was to analyze the contents and importance of clinical practicum education in adult health nursing. Methods: This is a descriptive study using content analysis for identifying the items of clinical nursing checklists gathered from 13 university nursing programs accredited by Korean Accreditation Board of Nursing Education. Items in the checklist were standardized in accordance with the Nursing Intervention Classification (NIC) and categorized into simple-technical skill, complex-technical skill, and disease-specific care. The perceived significance of each item was examined by surveying nurses who in charge of nurse education from various clinical setting. Results: A total of 182 items in the clinical practicum contents were analyzed, and the terminologies of each item were variously described among nursing schools. Fifty percent of the total items were categorized into simple-technical skill. In terms of clinical importance, expert validity results showed that nurses considered infection control, infection protection, and fall prevention as the most significant items, which was not the same as the most common items in the clinical nursing checklist. Conclusion: These findings suggest that standardized nursing terminologies are needed to describe a nursing practicum checklist. Clinical importance of each item in the checklist should be taken into consideration in developing a clinical nursing checklist to assist the students in achieving the competencies as a clinical nurse.

The Effect of Learning Style and Critical Thinking Disposition on Communication Skill in Nursing Students (간호대학생의 학습유형과 비판적 사고성향이 의사소통능력에 미치는 영향)

  • Jeong, Gye Seon;Kim, Kyoung Ah;Seong, Ji A
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.3
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    • pp.413-422
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    • 2013
  • Purpose: This study was designed to explore the influencing factors on communication skill of nursing students and to investigate the relationship between learning style, critical thinking disposition and communication skill, Methods: The study sample was composed of 559 nursing students. Data was collected from 1st to 30th, May 2012 used a questionnaire which included Kolb's learning style inventory, critical thinking disposition inventory, communication skill inventory. The SPSS 18.0 Window program was used for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: Learning styles of subjects were diverging 39.5%, accommodating 32.6%, assimilating 22.7%, and converging 5.2%. The total mean score of critical thinking disposition and communication skill was 3.58 and 3.39 respectively. The score of Critical thinking disposition(t=3.06, p=.002) and Communication skill(t=3.25, p=.002) significantly differed between clinical practice satisfaction. Communication skill was the most significant predictor and accounted for 41.3% of the variance in critical thinking disposition in nursing students. Conclusion: It is important for students to use all four learning styles rather than to rely on one style. There should be more emphasis placed on the development of positive critical thinking disposition and communication skill of nursing students.

An Identification Study on Core Nursing Competency (간호역량 규명을 위한 문헌 분석)

  • Park, Young Im;Kim, Jeong Ah;Ko, Ja-Kyung;Chung, Myung Sill;Bang, Kyung-Sook;Choe, Myoung-Ae;Yoo, Mi Soo;Jang, Hye Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.663-674
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    • 2013
  • Purpose: This study was to scrutinize not merely the nomenclature of clinical competency suggested in nursing literature but also what core clinical competency nursing students should be focused on for improving competency-based curriculum. Methods: A comprehensive review on 69 domestic and 89 foreign related literature was conducted. After reviewing the full text of a total of 158 articles, only 23 articles with measurement tools were selected for scrutinizing while 135 articles with obscure definitions of clinical competency were excluded. Results: Clinical competencies including 120 concepts were identified. Those concepts were categorized as 30 clinical competencies according to their similarities. Seven core clinical competencies including 1)nursing knowledge, 2)nursing skill, 3)interpersonal skill/cooperation, 4)problem-solving, 5)professionalism, 6)nursing management/leadership and 7)research ability were derived from the 30 clinical competencies through the categorizing process. Conclusion: Teaching & learning strategies should focus on the integration of nursing theories and clinical practices based on competency-based curriculum considering the 7 core clinical competencies. Nonetheless, they include somewhat abstract concepts and some were not concrete enough to be applied to the nursing curriculum. Thus, further research is needed in order to develop consensus-driven clinical competencies and competency modeling which can suggest the interrelation between the core competencies.