• 생물정신의학
• /
• 제19권4호
• /
• pp.172-178
• /
• 2012

Data from clinical studies are needed for psychiatrists to make quick and scientific decisions based on the best available evidence in clinical settings. Various methods of clinical studies are useful for clinicians to have reliable answers to unmet clinical needs. Although randomized controlled trials may provide high-quality information about major issues, well-designed, naturalistic and observational studies often give us unbiased explanation for real-world phenomena. Adequate selection of clinical variables and appropriate number of participants are key factors of well-designed clinical studies. Statistical methods can add an extra dimension to initial design of clinical studies. Given ethical issues in clinical studies on psychiatric disorders, special regards should be paid to participants' ability to provide informed consents. New strategies of clinical studies need to be developed to meet clinical needs and protect the rights and welfare of study participants.

• 수산해양교육연구
• /
• 제28권3호
• /
• pp.619-629
• /
• 2016

This study was a descriptive study to investigate emotional labor, clinical practice stress and satisfaction of clinical practice in nursing college students. The data were collected using an self-reporting questionnaire from June 1 to July 12, 2015. Collected data were analysed on SPSS Win 20.0. The study results were summarized as follows : The students' emotional labor was $3.13{\pm}0.54$ in average on a scale of 5. The clinical practice stress was $3.65{\pm}0.47$ in average, and students' satisfaction of clinical practice was $3.41{\pm}0.43$. The emotional labor has positive correlation significantly with clinical practice stress(r=0.353, p<.001), and negative correlation with satisfaction of clinical practice (r=-0.170, p<.007). In stepwise multiple regression to put control variables, emotional labor and clinical practice stress were no significant influence toward satisfaction of clinical practice. According the result, to improve the satisfaction of clinical practices emotional labor should be released. Moreover it is necessary to attention to the health care of nursing students and it is needed to boost up the students satisfaction with major, more friendly relations should be built with co-trainees.

• 간호행정학회지
• /
• 제19권4호
• /
• pp.462-469
• /
• 2013

Purpose: This study was performed to identify the effects of self-leadership and job involvement on clinical competence in general hospital nurses. Methods: The participants in this study were 443 staff nurses working in general hospitals and having more than 6 months of nursing experience. Data were collected using self-administered questionnaires. Results: There were significant positive correlations between nurses' self-leadership and job involvement, and between nurses' self-leadership and clinical competence. In the multiple regression analysis, clinical career, type of department and self-leadership were significant predictors in explaining nurses' clinical competence and accounted for 28% of the variance in nurses' clinical competence. Conclusion: Study findings suggest that nurses' self-leadership is defined as having an important influence on nurses' clinical competence. In order to strengthen nurses' clinical competence, there is a need to develop education programs to increase nurses' self-leadership.

• 대한임상검사과학회지
• /
• 제36권2호
• /
• pp.233-238
• /
• 2004

This study was conducted to investigate an attitude related to clinical laboratory science students' clinical practice. Data for this analysis was gathered from March to May, 2004 by the questionnaires of 348 students who are in their third year in 5 colleges and have experienced clinical practice. The students were satisfied with the term of clinical practice (70.4%) and the first factor influencing them in clinical practice was sincerity (45.1%), and the second was basic knowledge (19.8%). In the contents of clinical practice, 53.2% were satisfied but 43.3% of them showed negative responses because their practice was limited and they were simply assistants. 74.1% were satisfied after experiencing clinical practice and the first factor was improvement of understanding and interest in their major (65.9%) and the second was the gain of confidence (20.1%). Among anxieties in the clinical practice, a shortage of self-confidence (47.7%) was the highest. 81.3% of them wanted to maintain medical technologist's life continuously. It appeared that the more satisfied with their major, the more satisfied with the clinical practice (p<0.05). As a result, the students were satisfied with the clinical practice and fresh experience generally. But they were relatively unsatisfied with the practicality, and connection with the lecture. As a part of efforts to formulate an effective system for clinical practice, it is necessary to establish concrete goals and detail check lists to guide these students among professors, trainers and students.

• 대한물리치료과학회지
• /
• 제19권2호
• /
• pp.43-53
• /
• 2012

Purpose : This study is performed to investigate the status and recognition of the education for physical therapy clinical practice. Method : This study used a descriptively designed survey in which 328 clinical instructor, 55 professors and 404 college trainee students in Korea are participated. The research instruments developed by Kim(2004) and Park(1997) are used. The collected data were analyzed by SPSS/PC+12.0. Results : 1. Trainees are in favor of practicing in the university hospital, but more needed to practice in various clinical institutions. 2. Clinical practice period is 400-600 hours. The time of clinical practice has been shifted to the summer vacation, so it is needed to be scattered along semester evenly. 3. The categories of diseases should be determined, by which trainees to experience the assessment and treatment through clinical practice. 4. For the case of accident during clinical practicing, an insurance contract is required for trainees. 5. Through school and clinical institutions, the common and standardized clinical practice manuals or instructions are needed. Conclusion : Clinical institutions and college for student training to improve efficiency are forced to study systematically.

• 성인간호학회지
• /
• 제26권6호
• /
• pp.653-667
• /
• 2014

Purpose: This study was aimed to develop frequently-used clinical scenarios and scoring rubrics to assess core basic nursing skills in adult health nursing clinical practice for clinical evaluation based on program learning outcomes (PO). Methods: This study was a methodological research combining focus group interviews and questionnaires to select and construct scenarios. Data were collected from clinical practitioners, adult health nursing professors, and new nurses from November, 2013 to April, 2014. The developed scenarios and rubrics were applied to nursing students by way of showing an example. Results: The 12 frequently-used clinical scenarios were developed. The proportion of the evaluation rubrics were 30% for clinical instructors where as 70% for college instructors. In order for students to achieve the important learning outcomes from the courses for clinical practice, four program outcomes (POs) were selected as well as a rubric for each POs was developed. Students who had situation-based clinical practices showed higher levels of satisfaction on mastery of core basic nursing skills and communication skills. Conclusion: This findings of the study suggested the strategies for complementing pitfalls in clinical setting and achieving PO during students' clinical practicum.

• 대한한방소아과학회지
• /
• 제26권2호
• /
• pp.53-61
• /
• 2012

Objectives To make comprehensive feature of clinical trials using herbal medicine and their results by today, then help a strategy for herbal medication-derived clinical studies in the future. Methods Through medical website (Pubmed EBSCO Medline), foreign clinical literatures about atopic dermatitis and herbal medicine were searched. And domestic clinical literatures about atopic dermatitis using internet website (OASIS) and hand-searching. Analysis was performed according to distribution mainly by subject, study design, number by year and its efficacy. Results and Conclusions Seventy-nine (Domestic literatures: Fifty, Foreign literatures: Twenty-nine) literatures were selected according to inclusion criteria of clinical study. 80% of domestic clinical literatures were observational studies, 50% of foreign were intervention. There were six adverse effect case studies, two follow-ups, one case report, four translational and four uncontrolled clinical trials in foreign literatures. And nineteen case reports, eighteen case series, two follow-up and five uncontrolled clinical studies in domestic. Six RCTs have established by four external herb therapy and two decoctions in Korea, showed positive effects. Three out of four external applications RCTs, four out of seven decoctions showed positive results in foreign studies. This study revealed the current status of atopic dermatitis clinical research using herbal drugs. To put clinical trials to use of herbal medicine in the treatment atopic dermatitis, scientific and objective-based studies should be needed.

• 성인간호학회지
• /
• 제18권4호
• /
• pp.582-592
• /
• 2006

Purpose: The purpose of this study was to offer the baseline data for developing a systematic and high quality of clinical practice guideline by exploring how nurses utilize clinical guidelines and what they need for. Method: This study has been done with 242 nurses of a university hospital in Daegu using a self-administered questionnaire. The instrument used in this study was developed by researchers based on the results of the previous studies. Data analysis was done with SPSS 11.0 Program. Results: Nurses felt that clinical guidelines were not sufficiently disseminated to update their clinical knowledge education. Nurses showed the strong demand for developing clinical practice guidelines with the newest and systematic evidence. However, a relatively low number of nurses knew evidence-based nursing and evidence-based clinical guidelines. Conclusion: It is necessary to develop an educational program for evidence-based nursing and an evidence-based nursing clinical practice guideline for nurses and to explore the strategies for development and dissemination of evidence-based clinical practice guidelines to solve the urgent and frequent clinical problems.

• 대한임상검사과학회지
• /
• 제41권3호
• /
• pp.140-144
• /
• 2009

Clinical laboratory testing plays a crucial role in the detection, diagnosis, and treatment of disease. Clinical laboratory scientists evaluate test results, develop and modify procedures, and establish and monitor programs, to ensure the accuracy of tests. It is clear that over the past decade the role of the clinical laboratory scientists has expanded and this process will be continued into the future. The purpose of this study is to clarify the factors influencing the job performance of clinical laboratory scientists and aim to provide the role and duties of clinical laboratory scientists. To examine the frequency of work context and the importance of task, the surveys were conducted on 168 clinical laboratory scientists. The questionnaire items were used 10 score by Likert scale. According to the results of this study, the important factor affecting the job performance was "Analyze laboratory findings to check the accuracy of the results", and the next factors were "Establish and monitor quality assurance programs", "Enter data from analyzer into computer", "Calibrate and maintain equipment". And the factors of "repeating same tasks" and "spend time making repetitive motions" were answered the highest. This study will provide strategies for improving work environment, developing education curriculum and method, and role of clinical laboratory scientists. We must continually upgrade our knowledge, and identify the new trends in technology and science and accept changes.

• 한국간호교육학회지
• /
• 제11권2호
• /
• pp.222-231
• /
• 2005

Purpose: The purpose of this study was to identify the relationship between critical thinking disposition and clinical competency of nursing students. Method : The sample consisted of 151 nursing students, who have ever had clinical practice. Data were collected by self reporting questionnaire for 13 days from April 18-30, 2005. The data were analyzed by descriptive statistics, t-test, ANOVA, Duncan test, Pearson Correlation Coefficient with SPSS Programs. Result : The result of this study were as follows : 1. The total mean score of critical thinking dispositions in the nursing students was moderately(3.50). There was a statistically significant difference in critical thinking disposition according to satisfaction with the nursing major(F=5.563, p=.005). 2. The total mean score of clinical competency in the nursing students was slightly high(3.37). There was a statistically significant difference in clinical competency according to adaptation with the nursing major(F=5.202, p=.007), satisfaction with clinical practice(F=3.172, p=.045). 3. A significant positive correlation between critical thinking disposition and clinical competency was founded(r= .421, p<.000). Conclusion : In conclusion, this study revealed that critical thinking disposition influences clinical competence. Therefore, the finding of this study may provide significant basic data for nursing education and nursing practice.