• Title/Summary/Keyword: Clinical tool

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The Reliability and Validity of the Lasater Clinical Judgement Rubric in Korean Nursing Students (임상판단 평가도구의 신뢰도 및 타당도 검증)

  • Shim, Kaka;Shin, Hyunsook
    • Child Health Nursing Research
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    • v.21 no.2
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    • pp.160-167
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    • 2015
  • Purpose: This study was done to evaluate the Lasater Clinical Judgement Rubric for use with Korean nursing students. Methods: A methodological study was used to validate the rubric developed by Lasater to assess clinical judgment during nursing simulation. Participants were 34 nursing students at K University in Seoul. Between February and May, 2012, analysis was done of 91 video clips recording performance during simulation. Results: Findings showed reliability and validity of the rubric. For internal consistency, Cronbach's ${\alpha}$ score was .884 and intraclass correlation coefficient was .839, which established reliability. The rubric was validated using the exploratory factor analysis and content validity. The content validity score was 83%, establishing the appropriateness and readiness of the tool. Factor analysis showed that noticing, responding, and reflecting domains had Eigen values of 2.669, 1.991, and 2.912, respectively and were bound, but unlike the original tool in which four factors noticing, interpretation, responding, and reflecting domains were bound. Conclusion: Results of the study indicate that the rubric shows acceptable reliability and validity in Korean nursing students. This evaluation tool for nursing simulation allows nursing faculty to objectively evaluate students' clinical judgment as well as students to reflect on their clinical judgment process during simulation.

Clinical Practice Patterns for Myofascial Pain Syndrome in Korean Medicine: An Online Survey (근막통증증후군의 한의 표준임상진료지침 개발을 위한 온라인 설문조사)

  • Seojae Jeon;Hyeonjun Woo;Won-Bae Ha;Jung-Han Lee
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.2
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    • pp.149-164
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    • 2024
  • Objectives This study aimed to develop Korean medicine clinical practice guidelines for myofascial pain syndrome that can actually be applied clinically. Methods A text message containing a link to an online survey was sent to 26,987 Korean medicine doctors registered with the association of Korean medicine. The survey period was from December 29, 2023 to January 19, 2024. Results There were 2,762 Korean medicine doctors who responded to an online survey over a three-week period. Awareness of the standard clinical practice guidelines of Korean medicine was 74.5%, and utilization was 35.8%. The most frequently used diagnostic tool was a numerical evaluation tool, the treatment tool was acupuncture, and the prognosis management guidance was lifestyle guidance. Conclusions If standard Korean medicine clinical practice guidelines for myofascial pain syndrome are developed based on the results of this survey, guidelines that are highly usable in clinical settings will be developed.

Development of Clinical evaluation tool for Nursing Students (임상간호교육 평가도구 개발)

  • Sung Myung-Sook;Jeong Geum-Hee;Jang Hee-Jung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.2
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    • pp.172-186
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    • 1998
  • This study is intended to develop a reliable and approproate instrument of the clinical nursing education. This research consisted of 4 step. First step is contruction of the content for evaluation. Second step have the research of the content validity by 10 professors in Department of Nursing, H University, the pilot study for the content validity by 20 professors and clinical preceptors, and the survey with four point Likert Scale, which includes from the point of 'strongly valid' to the point of 'strongly non-valid' by 250 professor and clinical preceptor. The data were collected form March 1998 to July 1998. This study was analyzed by Cronbach's for the reliability and the factor analyisis for the validity of the collected data. The third step showed the final evaluation instrument of clinical nursing education which consists a couple of tool. One is the evaluation instrument of clinical nursing which includes the 20 items, the other is the evaluation instrument for case study which includes the 15 items. The fourth step is the test of reliability and validity of the final evaluation too. The results from these step's study showed the higher reliability and validity. Respectly, Cronbach's revealed the evaluation instrument of clinical nursing and case study is Cronbach's $\alpha$=.92413, Cronbach's $\alpha$=.95602. For further research, it needs to develop a reliable and variable instrument of the students self-evaluation and community based instrument.

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Development of a Nursing Competency Scale according to a Clinical Ladder System for Intensive Care Nurses (중환자실 간호사의 임상등급 (clinical ladder)별 간호역량 측정도구 개발)

  • Park, Ji Eun;Kim, So Sun
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.4
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    • pp.501-512
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    • 2013
  • Purpose: This study was done to develop a nursing competency scale according to a clinical ladder system for intensive care nurses. Methods: Index of content validation was done by 20 clinical experts and 80 nurses in Intensive Care Units (ICU). Results: The process and results of study are as follows. First, 12 nursing competencies were used in the establishment of the clinical ladder system (Jang, 2000). Second, the first draft of the competency lists was developed. It was based on the clinical nurses' behavioral indicators of nursing competency by Jang (2000), and was modified and supplemented through various literature reviews including competency standards for specialist intensive care nurses in Australia and consultation with 2 clinical nurses with over 10 years experience in the ICU. Third, the draft was examined by 20 clinical experts for content validity. Finally, the final draft was analysed using clinical validity where 20 nurses in each ladder participated. The final number of items was fixed at 309. Conclusion: The tool represents expected nursing competency of nurses working in ICU. Intensive care nurses can recognize their strengths and weaknesses, and identify directions for their professional growth by analysing results of their competency evaluation using this tool.

Clinical Usefulness of Somatosensory Evoked Potentials (SSEP) in Dogs with Intervertebral Disc Diseases (추간판질환 개에 Somatosensory Evoked Potential(SSEP)의 임상활용)

  • Jeong, Seong-Mok;Hong, Yeon-Jung;Seo, Kang-Moon;Nam, Tchi-Chou
    • Korean Journal of Veterinary Research
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    • v.42 no.3
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    • pp.397-402
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    • 2002
  • Clinical usefulness of somatosensory evoked potentials (SSEP) as a prognostic tool was evaluated with three dogs showing clinical signs associated with intervertebral disc diseases. Prior to measure SSEP, history taking, physical examination, radiological study and neurological examination were performed. In case 1, poor prognosis was predicted because deep pain was not observed and loss of sensory function was observed in SSEP. And the clinical signs persisted with the conservative treatment. However, in cases 2 and 3, good prognoses were predicted by normal conduction velocity in SSEP that meant the presence of sensory function. The clinical signs of cases 2 and 3 disappeared at days 18 and 13 after treatment, respectively. These results suggest SSEP be used clinically as a prognostic tool in dogs with intervertebral disc diseases.

Construction of eCRF System for Collecting Constitution Clinical Information (체질임상정보 수집을 위한 eCRF 시스템 구축)

  • Jin, Hee-Jeong;Yoo, Jong-Hyang;Jang, Eun-Su;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.16 no.2
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    • pp.101-108
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    • 2010
  • Objectives : Recently, in Sasang Constitution Medicine (SCM), many researchers have studied to construct objective diagnose tool for the SCM type. It is most important to collect correct constitutional clinical data in these studies. Methods : In our work, we construct a web-based system for collecting constitutional clinical data effectively. Results & Conclusion : The system offers 4 types of input programs, which helps to collect clinical information from various hospitals, and performs verification service to minimize input errors. Currently, we have collected about four thousands data using the our system and we will provide several analysis tool in the system for researchers.

Development and Validation of the Core Competency Evaluation Tool for New Graduate Nurse's Preceptor (신규간호사 프리셉터의 핵심역략 평가도구 개발)

  • Kwon, In-Gak;Jung, Kyoung-Hee;Cho, Hye-Sool;Hwang, Ji-Won;Kim, Ji-Young;Jeon, Kyoung-Ok;Sung, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.4
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    • pp.535-549
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    • 2002
  • Purpose : The purpose of this study was to develop a core competency evaluation tool of the preceptors training new graduate nurses and to determine the validity of the developed instrument. Method : This study was conducted in 2 phases. In phase I, preceptor's core competency list was developed through literature review, focus group interview, and review by nursing directors and nurse managers. In phase II, 60 preceptors were evaluated with the developed instrument and categorized into excellent, good & poor core competency groups. For validation of the instrument, new graduates' clinical performance improvement and satisfaction with preceptor were compared between excellent and poor group. Result : The data were analyzed by SPSS P.C and the results were as follows. 1) Preceptor's core competencies were classified into three domains; Role model(10 items), Socialization facilitator(8 items), and Educator(16 items), and each item had four point system of "strongly agree" to "strongly disagree". Cronbach'${\alpha}$ of the instrument was.9416. 2) Comparison of clinical performance improvement and satisfaction with preceptor of the new graduates trained by excellent and poor preceptors revealed that new graduates' clinical performance improvement(p=.015) and satisfaction with the preceptor(p=.005) were significantly higher in the excellent core competency preceptor group than the poor core competency preceptor group. Conclusion : The validity of the preceptor's core competency evaluation tool developed in this study was confirmed. Therefore, this tool can be effectively utilized for education and evaluation of new graduates' preceptors in clinical settings.

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Preliminary Study for Development of Pattern Identification Tool of Chronic Cough (만성기침 변증도구 개발을 위한 기초연구)

  • Kim, Kwan-il;Shin, Seung-won;Lee, Na-la;Lee, Beom-joon;Jung, Hee-jae;Jung, Sung-ki;Lee, Jun-hee
    • The Journal of Internal Korean Medicine
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    • v.36 no.1
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    • pp.22-39
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    • 2015
  • Objectives : The aim of this study was to develop a standard tool of pattern identification for chronic cough, which will be applied to clinical research. Methods : The items and structures of the instrument were based on reviews of textbooks and published literature. The advisor committee on this study consisted of 11 Korean respiratory internal medicine professors, one clinical fellow, and five clinicians with 10 years of experience. The questionnaire, which includes the signs and symptoms of chronic cough, was studied by the delphi method. Delphi examination was carried out via email, through evaluating the importance of symptoms included in each pattern. Results : We divided the pattern identification of chronic cough into five patterns: Wind-Cold, Phlegm-Turbidity, Liver-Fire, Lung Deficiency, and Kidney Yang Deficiency. By the Delphi method and a score evaluation, 38 items were chosen for pattern identification of chronic cough. Conclusions : Through this study, we created a Korean instrument for the pattern identification tool for chronic cough. We expect to apply this tool to subsequent research as its validity and reliability are further confirmed.

Research on the Evaluation and Utilization of Constitutional Diagnosis by Korean Doctors using AI-based Evaluation Tool (인공지능 기반 평가 도구를 이용한 한의사의 체질 진단 평가 및 활용 방안에 대한 연구)

  • Park, Musun;Hwang, Minwoo;Lee, Jeongyun;Kim, Chang-Eop;Kwon, Young-Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.2
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    • pp.73-78
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    • 2022
  • Since Traditional Korean medicine (TKM) doctors use various knowledge systems during treatment, diagnosis results may differ for each TKM doctor. However, it is difficult to explain all the reasons for the diagnosis because TKM doctors use both explicit and implicit knowledge. In this study, an upgraded random forest (RF)-based evaluation tool was proposed to extract clinical knowledge of TKM doctors. Also, it was confirmed to what extent the professor's clinical knowledge was delivered to the trainees by using the evaluation tool. The data used to construct the evaluation tool were targeted at 106 people who visited the Sasang Constitutional Department at Kyung Hee University Korean Medicine Hospital at Gangdong. For explicit knowledge extraction, four TKM doctors were asked to express the importance of symptoms as scores. In addition, for implicit knowledge extraction, importance score was confirmed in the RF model that learned the patient's symptoms and the TKM doctor's constitutional determination results. In order to confirm the delivery of clinical knowledge, the similarity of symptoms that professors and trainees consider important when discriminating constitution was calculated using the Jaccard coefficient. As a result of the study, our proposed tool was able to successfully evaluate the clinical knowledge of TKM doctors. Also, it was confirmed that the professor's clinical knowledge was delivered to the trainee. Our tool can be used in various fields such as providing feedback on treatment, education of training TKM doctors, and development of AI in TKM.