• Title/Summary/Keyword: Clinical skills

Search Result 710, Processing Time 0.029 seconds

Development of Reinforcement of Resilience and Relation Program for New Nurses (신규 간호사의 관계지향(Reinforcement of Resilience and Relation) 프로그램 개발)

  • Lee, Miyoung;Jeon, Mi-Kyeong;Lee, Mi-Kyoung;Im, Sookbin;Byun, Eun Kyung;Chung, Eunja
    • Journal of Korean Clinical Nursing Research
    • /
    • v.26 no.2
    • /
    • pp.186-197
    • /
    • 2020
  • Purpose: The purpose of this study was to develop a program for reinforcing the resilience of new nurses and relation-oriented organizational culture. Methods: An Intervention Research (IR) model was used to develop a program. Literature review, focus group interviews with nurses and need surveys were conducted from August to December 2018. Based on the results of the investigation, the researcher developed the content of a program. The program was revised by nurse managers for the content validation. Results: According to the results of the need surveys, 58.8% of the participants thought relation-oriented culture was the most ideal, and 61.8% of the participants wanted to participate in a program for organizational culture improvement. In the focus group interview, not only new nurses but also wards and nursing organizations should be a target subject of the program. Reinforcement of resilience and relation (3R) program was developed as a one-year course, which includes a 'mentor-mentee' program and a 'thanks' program. Conclusion: It would contribute to improving the resilience of new nurses and creating a relation-oriented organizational culture by 3R program. The 3R program could play a role as expanded program from an existing pragmatic short-term training program for improving the competencies or communication skills of new nurses.

Comparison of Confidence in Practice and Satisfaction by Feedback Types Following Objective Structured Clinical Examination(OSCE) among Nursing Students - Focus on Intermittent Gavage Tube Feeding - (간호학생의 객관구조화 임상시험(OSCE) 후 피드백 유형에 따른 임상수행 자신감과 피드백 만족도 효과 비교 - 간헐적 위관영양을 중심으로-)

  • Gil, Eunha;Oh, Heeyoung;Shin, Seonkyoung;Park, Yeonhee;Lee, Yeeun;Park, Jeong Ah
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.22 no.3
    • /
    • pp.318-327
    • /
    • 2015
  • Purpose: The purposes of this study were to compare confidence in practice of intermittent gavage tube feeding and participants' satisfaction by three types of feedback; professor verbal feedback, professor feedback with smartphone video, and peer feedback with smartphone video. In addition, frequently failed items in the intermittent gavage tube feeding procedure were analyzed. Methods: Data were collected from a convenience sample of 78 nursing college students in November 2014. Students were randomly assigned to the control group, experimental group I (smartphone video with professor feedback) or group II (smartphone video with peer feedback). Data were analyzed using descriptive statistics including chi-square test, ANOVA, and Scheffe test with SPSS 21.0. Results: Confidence in practice of intermittent gavage tube feeding and satisfaction with feedback were highest in experimental group I that had professor feedback with smartphone video. For the procedure, the most frequently failed item was giving an explanation to patients about the purpose and the procedure of tube feeding. Conclusion: The results indicate that professor verbal feedback with smartphone video is the most benefit to the nursing students in acquiring core nursing practice skills.

A Review of Neurofeedback Studies (뉴로피드백의 최신 연구 동향)

  • Lee, Hyuk-Jae;Park, Young-Bae;Park, Young-Jae;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
    • /
    • v.11 no.2
    • /
    • pp.13-26
    • /
    • 2007
  • Background: Neurofeedback is an electroencephalographic biofeedback technique for training individuals to alter their brain activity via operant conditioning. Also neurofeedback is a form of behavioural training aimed at developing skills for brain activity. Within the past decade, several neurofeedback studies have been published that tend to overcome the methodological shortcomings of earlier studies. This research describes the methodical basis of neurofeedback and reviews the evidence base for its clinical efficacy and effectiveness in attention-deficit hyperactivity disorder (ADHD). Methods: In neurofeedback training, self-regulation of specific aspects of electrical brain activity is acquired by means of immediate feedback and positive reinforcement. In frequency training, activity in different EEG frequency bands has to be decreased or increased. Slow cortical potentials (SCPs) training is focused on the regulation of cortical excitability. Results: Neurofeedback studies revealed training-specific effects on, for example, attention and memory processes and performance improvements in real-life conditions, in healthy subjects as well as in patients. In several studies it was shown that ADHD symptomatology was reduced after frequency training or SCP(Slow cortical potentials) training. Moreover a decrease of impulsivity errors and an increase of the contingent negative variation. Conclusions: This research provides evidence for both positive behavioural and specific neurophysiological effects of neurofeedback training. Also there is growing evidence for neurofeedback as a valuable module in neuropsychiatric disorders. Further, controlled studies are warranted.

  • PDF

Korean-Japan Medical Culture Exchange through The Choson Delegation in The 18th Century (18세기 조선통신사를 통한 한일의학문화교류)

  • Cha, Wung-Seok
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.20 no.6
    • /
    • pp.1418-1430
    • /
    • 2006
  • In the 18th century, Joseon and Japan corresponded politically and culturally through the Joseon Missionary. During this time, the people in Japan who received the Joseon Missionary left many records of their visits and among them were numerous accounts related to medicine, In the years 2003 and 2004, the Korea Institute of Oriental Medicine gathered records that were dispersed throughout japan, and in 20005, it organized the information and put it up on the web along with the original text. This research is an overall report on the documentary records. It analyzes individual documents and looks into what the mainly interested the joseon and Japanese medical worlds at that time. The documents located up till now are 21 medical dialogue records from the 18th century. Through the process of these medical dialogues, the Joseon medical circle discovered a different side of japanese medicine, and the japanese medical world had a chance to directly receive advanced medical skills. Through these medical dialogues, the two countries also exchanged bountiful information about clinical patients. The japanese scholars showed deep interest in Joseon's ginseng, and asked many questions about practical usages of the contents in the medical documents. It is thought that these medical dialogue records will greatly assist studies on the medical history of this time, because it reveals new research data on Korean medical history and Japanese medical history in the latter half of the Joseon Dynasty that has never been reported in the academia before.

A Study on the Writing Background and Meaning of 『Jukheon-Silheombang』 -Focused on the Effect of the 『Chimgu-Kyungheombang』- (『죽헌실험방』 저술 배경 및 의의 연구 -『침구경험방』 영향을 중심으로-)

  • Park, Hunpyeong;Lee, Yumi;Choi, Donghee;Kim, Mirae;Youn, Daeehwan;Bae, Yangja;Na, hangsu
    • Korean Journal of Acupuncture
    • /
    • v.35 no.2
    • /
    • pp.98-104
    • /
    • 2018
  • Objectives : It is noted that Jukheon-Silheombang(Actual Formulas of Jukheon), is a rare book published by a private physician in 1950s. The study of this book is the data that can be used to see how the acupuncture of Huh-Im is inherited and performed in the local small towns right after the Korean War. Methods : Through the investigation of various literature data and interviews with the author's descendants, Jukheon-Silheombang's related figures, citation documents, book formation and content characteristics were descriptively analyzed. Results and Conclusions : Jukheon-Silheombang can be used to study characteristics of acupuncture treatments given in a small town in the late 1950s. It has the significance of preserving traditional acupuncture such as the Sakwan point method and inheriting the clinical utility of Chimgu-Kyungheombang(Acupucture & Moxibustion Skills Guide) of Huh-Im.

A TEM STUDY OF THE RESIN-DENTIN INTERDIFFUSION ZONE FORMED BY ONE-BOTTLE DENTIN ADHESIVE SYSTEMS (단일용기 상아질 접착제 처리 후 레진-상아질 경계면에 대한 투과전자현미경적 연구)

  • Yang, Dong-Woon;Park, Seong-Ho;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
    • /
    • v.25 no.2
    • /
    • pp.180-192
    • /
    • 2000
  • One bottle system was recently developed in order to simplify the clinical skills and save chair time after continuous improvements on dentin bonding agents. There has been many studies to measure the bond strength of one bottle systems but no actual work has been done on micromorphologic study of resin-dentin interdiffusion zone after one bottle system application. To evaluate the bonding patterns of various commercially available one bottle systems to dentin, observation of resin-dentin interdiffusion zone under TEM was performed. Caries-free human third molars within one month of extractions were chosen for the experiments. The molars were sectioned 1mm above the cementoenamel junction and got rid of the root portions. Crown portions of the teeth were sectioned parallel to occlusal surface so that dentin discs of 1mm in thickness were remained. 7 one bottle systems and 1 two bottle system were applied according to manufacturer's instructions and followings were the results. 1. In every experimental groups, cross bandings of collagen fiber were distinguishable and tight bon dings between the bonding agents and dentin were observed. 2. Hybrid layer was clearly observed in ONE-STEP$^{(R)}$, Prime & Bond$^{(R)}$ 2.1, Syntac$^{(R)}$ SC, MAC-BOND II groups but it was not clear in Single Bond, D-Liner Dual PLUS, ONE COAT BOND groups. 3. Electron-density of hybrid layer was uniform in pattern in MAC-BOND II, Prime & Bond$^{(R)}$ 2.1 groups but not so uniform in ONE-STEP$^{(R)}$ group. 4. Electron-dense amorphous phase in most superior layer of the resin-dentin interdiffusion zone was characteristically observed in Single Bond, Syntac$^{(R)}$ SC, ONE COAT BOND groups. It can be concluded that bondings between the dentin bonding agents and dentin can be various in pattern according to their chemical compositions and the condition during applications.

  • PDF

Surgical Decision Making for the Elderly Patients in Severe Head Injuries

  • Lee, Kyeong-Seok;Shim, Jae-Jun;Yoon, Seok-Man;Oh, Jae-Sang;Bae, Hack-Gun;Doh, Jae-Won
    • Journal of Korean Neurosurgical Society
    • /
    • v.55 no.4
    • /
    • pp.195-199
    • /
    • 2014
  • Objective : Age is a strong predictor of mortality in traumatic brain injuries. A surgical decision making is difficult especially for the elderly patients with severe head injuries. We studied so-called 'withholding a life-saving surgery' over a two year period at a university hospital. Methods : We collected data from 227 elderly patients. In 35 patients with Glasgow Coma Score 3--8, 28 patients had lesions that required operation. A life-saving surgery was withheld in 15 patients either by doctors and/or the families (Group A). Surgery was performed in 13 patients (Group B). We retrospectively examined the medical records and radiological findings of these 28 patients. We calculated the predicted probability of 6 month mortality (IPM) and 6 month unfavorable outcome (IPU) to compare the result of decision by the International Mission for Prognosis and Analysis of Clinical Trials in TBI (IMPACT) calculator. Results : Types of the mass lesion did not affect on the surgical decision making. None of the motor score 1 underwent surgery, while all patients with reactive pupils underwent surgery. Causes of injury or episodes of hypoxia/hypotension might have affected on the decision making, however, their role was not distinct. All patients in the group A died. In the group B, the outcome was unfavorable in 11 of 13 patients. Patients with high IPM or IPU were more common in group A than group B. Wrong decisions brought futile cares. Conclusion : Ethical training and developing decision-making skills are necessary including shared decision making.

Development and Effects of a Simulation-Based Convergence Practicum Education Program for Nursing Seniors (간호대학생 대상 시뮬레이션 기반 융합실습교육프로그램 개발 및 효과)

  • An, Minjeong;Cho, Hang Nan;Dordunoo, Dzifa;Hwang, Yoon Young
    • Journal of Convergence for Information Technology
    • /
    • v.9 no.10
    • /
    • pp.16-27
    • /
    • 2019
  • The purpose of this study was to develop and evaluate the effects of a simulation-based convergence practicum education program among senior nursing students. A repeated measure experimental design was used. A total of 77 senior nursing students were recruited from a university located in G city. Data was collected at baseline, program completion, and 2 month following completion of the practicum. Repeated measure ANOVA was used to evaluate the effects of the program. There were statistically significant improvements between baseline and program completion and between the baseline and 2 month follow-up. However, there was no significant differences between the program completion and 2 month follow-up. The study demonstrated that simulation-based convergence practicum education was an effective strategy to increase study outcomes and reduce clinical practice stress among senior nursing students. Further studies are needed to evaluate the effects of the program using randomized controlled trials.

Effects of a New-Nurse Education Program Utilizing E-learning and Instructor Demonstration on Insulin Injection Practices (이러닝 교육(인슐린 주사방법)을 통한 신규 간호사 교육 프로그램의 효과)

  • Kim, Young Mee;You, Myung Sook;Cho, Yaun Hee;Park, Seung Hae;Nam, Seung Nam;Kim, Min Young
    • Journal of Korean Clinical Nursing Research
    • /
    • v.17 no.3
    • /
    • pp.411-420
    • /
    • 2011
  • Purpose: The purpose of this study was to develop and evaluate a new-nurse education program utilizing both e-learning and instructor demonstration. Methods: From August to December in 2009, the e-learning education program about insulin injection was developed. The control (C) group was educated via instructor demonstration from April 15 to October 6 in 2009, and the experimental (E) group was educated via both e-learning and instructor demonstration from January 5 to October 13 in 2010. After each education, knowledge and educational effectiveness were checked. Results: Satisfaction with the education contents in the E group was significantly higher than those of the C group (Z=-3.72, p<.001), and satisfaction with the education method in the E group was higher than those of the C group (Z=-2.98, p=.003). Usefulness (Z=-3.33, p=.001), application (Z=-2.62, p=.009), and confidence (Z=-2.61, p=.009) in the E group were all higher than those of the C group. 78.9% in the E group reused the e-learning program after the experimental education. Conclusion: Combined educational program with e-learning and instructor demonstration had both merits of online efficiency and face-to-face education. It would be useful especially for new-nurses to improve their nursing skills in accomplishing their roles.

The Phenomenological Study on Parents Consultation Experiences of Pediatric Occupational Therapists (아동작업치료사의 부모상담 경험에 관한 현상학적 연구)

  • Park, Juyoung;Jung, Nam-hae
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.19 no.2
    • /
    • pp.46-59
    • /
    • 2021
  • Purpose : This study phenomenologically explores and describes the experiences of pediatric occupational therapists during parents consultation. Method : In this study, Colaizzi's phenomenological research method was applied. Telephone interview was conducted with six people who had more than eight years of clinical experience in pediatric occupational therapy and were working at a private center. Each interview was recorded with the consent of the subject and analyzed after transcription. Results : In this study, 21 themes, 4 theme clusters, and 2 categories were derived. The categories were the importance of parents consultation and factors influencing parents consultation. The theme clusters were the meaning of parents counseling, the reciprocity of the parent, the child and the therapist, the efforts of the therapist, and the competencies required of the occupational therapist. Conclusion : The results of this study may be helpful for first-time pediatric occupational therapists who are having difficulties with parents consultation. This work can also be used as basic data for developing educational programs and materials for improving the parental consultation skills of pediatric occupational therapists in the future.