• 제목/요약/키워드: Experience of Clinical Practice

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디지털 구강스캐너 임상적용 경험에 따른 치과위생사의 인지도 및 선호도 변화에 관한 융합연구 (A Convergence Study on the Changes of Awareness and Preference according to the Clinical Application Experience of Digital Intraoral Scanners in Dental Hygienists)

  • 장경애;허성은;강현경;이숙정
    • 한국융합학회논문지
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    • 제9권7호
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    • pp.135-140
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    • 2018
  • 본 연구는 디지털 구강스캐너 사용 경험에 따른 치과위생사의 인지도 및 선호도에 대한 변화를 융합연구를 통해 파악하고자 하였으며, 부산광역시와 경상 남 북도 지역의 치과위생사를 대상으로 온라인 설문에 의해 수집된 자료를 SPSS 24.0 프로그램을 통해 분석하였다. 디지털 구강스캐너 사용경험이 있을수록 디지털 구강스캐너의 인지도와 선호도가 유의하게 높게 나타났으며, 디지털 구강스캐너 사용경험은 디지털 구강스캐너 임상적용 경험과 디지털 구강스캐너 임상적용 경험은 디지털 구강스캐너 인지도와 디지털 구강스캐너의 인지도는 디지털 구강스캐너의 선호도와 정적 상관이 나타났다. 결국 치과위생사의 디지털 구강스캐너 임상적용 경험이 있을수록 그 인지도 및 선호도가 높아져 치과위생사의 업무 능력이 향상될 것으로 기대됨에 따라 디지털 구강스캐너 관련 지속적인 교육과 학습이 필요하다고 판단된다.

의과대학 학생인턴제의 운영 일례 연구 (The Student Internship Experience)

  • 최손환
    • 의학교육논단
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    • 제17권1호
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    • pp.26-32
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    • 2015
  • Recently, the student internship has been introduced in medical schools as a way of preparing students with training experience and medical knowledge by performing clinical practice. This study discusses student internship management and ways to operate the internship effectively. Catholic University of Daegu School of Medicine has set up a 6-week internship program for fourth-year undergraduate students. In most of the sections, students have shown their satisfaction, particularly when they have received appropriate feedback and attention from their professors. The students found that performing the evaluation and treatment of patients and individual chart recording were informative and helpful. However, they felt a lack of basic knowledge and clinical skills and had difficulty in understanding their roles and in time management. The success of an internship depends on the passion and interest that professors show for their students along with active support from the other faculty and thoughtful consideration of patients and all their friends and family members. In addition, with growing awareness of the need for the student internship, it is necessary that the school executive provide financial and administrative support to the faculty and staff, clarify roles and the work needed to perform the tasks, ensure substantiality of the individual program with professors or departments, provide enough preliminary courses, and monitor outcomes and reflection.

졸업학년 간호학생의 핵심기본간호술 학습경험과 수행자신감 조사연구: 실습교과를 중심으로 (A Study on Learning Experiences and Self-Confidence of Core Nursing Skills in Nursing Practicum among Final Year Nursing Students)

  • 한애경;조동숙;원종순
    • 기본간호학회지
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    • 제21권2호
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    • pp.162-173
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    • 2014
  • Purpose: This study was done to identify learning experiences and self-confidence and to analyze nursing students' self-confidence according to learning experiences for core nursing skills (CNS). Method: Participants were 502 final year nursing students. Data were collected using a structured questionnaire and analyzed using descriptive statistics and t-test. Results: Over 60% of participants had practiced 15 items of the 24 CNS in the basic nursing lab (BNL). In clinical practice (CP), they had practiced five items but experienced only one item in a simulation lab (SL). Items with the highest confidence level were vital signs (4.69) followed by blood sugar test (4.60), pulse oximeter (4.38), and oral medication (4.12). Items with the lowest confidence level were blood transfusion (2.17) followed by enema (2.64) and indwelling catheterization (2.67). The group with CNS experience in the practice curriculum was generally more confident than the group with no experience. Self-confidences in some skills was significantly different depending on availability of SL, credits for BNL and CP, and presence of preceptors. Conclusion: Results indicate a need to develop practice education strategies such as changing the CP to practice-centered learning with preceptors and including well-designed SL to increase confidence of nursing students.

상급종합병원 전문간호사의 리더십 경험: 포커스 그룹 면담 (The Leadership Experience of Advanced Practice Nurses in a Tertiary Hospital Setting: Focus Group Interview )

  • 김은숙;김나연;최수정;김나리;김영희;이정윤;김은혜
    • 중환자간호학회지
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    • 제16권3호
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    • pp.48-61
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    • 2023
  • Purpose : This study aimed to identify and describe the leadership experience of advanced practice nurses (APN). Methods : Data were collected through five focus group interviews in 2022 with a total of 24 APNs in groups of 4-6 participants. All interviews were recorded, transcribed, and data were analyzed using qualitative content analysis. Results : Nine categories emerged from three main themes. First, "Roles of APN leadership" comprised a trusted clinical expert, a moderator for the entire team, a resource person for nurturing the next generation, and a change agent for improving clinical practice. Second, "Facilitators and barriers to APN leadership" included ambiguity of APN role, support system, and institutional backing. Third, "Strategies for strengthening APN leadership competencies" comprised systematic leadership education and speaking up for APNs. Conclusion : APNs are passionate about their expertise and practice, but lack the legal and organizational authority and support to provide successive leadership. Systematic education including leadership and organizational advocacy will enable APN to provide leadership that benefits patients, institutions, and the wider healthcare system.

간호대학생이 경험한 무례함과 임상실습교육환경이 임상실습스트레스에 미치는 영향 (Effects by Incivility Experienced and Clinical Learning Environment of Nursing Students on Clinical Practice Stress)

  • 곽은미;윤희장;박민애
    • 한국산학기술학회논문지
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    • 제22권2호
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    • pp.160-168
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    • 2021
  • 본 연구는 간호대학생이 경험하는 무례함과 임상실습교육환경이 임상실습스트레스에 미치는 영향을 확인하기 위해 시도하였다. 연구대상자는 임상실습 경험이 있는 3, 4학년 간호대학생 204명이며, 자료는 구조화된 설문지를 배부하고 자가보고하는 형식으로 2019년 4월 1일부터 4월 30일까지 수집되었다. 자료 분석을 위해 SPSS 22.0 program을 이용하여 기술적 통계, t-test, ANOVA, Pearson 상관계수, 다중회귀분석을 실시하였다. 본 연구의 결과는 다음과 같다. 간호대학생이 경험한 무례함의 평균은 1.58점, 임상실습교육환경의 평균은 2.79점, 임상실습스트레스의 평균은 3.33점으로 나타났다. 임상실습스트레스는 간호대학생이 경험한 무례함과 정적 상관관계, 임상실습교육환경과는 부적 상관관계가 있는 것으로 나타났다. 간호대학생이 경험한 무례함과 임상실습교육환경은 부적 상관관계가 있는 것으로 확인되었다. 임상실습 중 경험한 무례함과 임상실습교육환경은 임상실습스트레스에 유의한 영향요인으로 나타났으며 22.5%의 설명력을 보였다. 본 연구결과를 바탕으로 간호대학생들의 임상실습스트레스를 효과적으로 관리하기 위해서는 임상현장에서 경험하는 무례함을 감소시키고 임상실습교육환경을 개선하는 노력이 필요 할 것이다.

Debriefing in pediatrics

  • Cho, Su Jin
    • Clinical and Experimental Pediatrics
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    • 제58권2호
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    • pp.47-51
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    • 2015
  • Debriefing is a conversational session that revolves around the sharing and examining of information after a specific event has taken place. Debriefing may follow a simulated or actual experience and provides a forum for the learners to reflect on the experience and learn from their mistakes. Originating from the military and aviation industry, it is used on a daily basis to reflect and improve the performance in other high-risk industries. Expert debriefers may facilitate the reflection by asking open-ended questions to probe into the framework of the learners and apply lessons learned to future situations. Debriefing has been proven to improve clinical outcomes such as the return of spontaneous circulation after cardiac arrest and the teaching of teamwork and communication in pediatrics. Incorporating debriefing into clinical practice would facilitate the cultural change necessary to talk more openly about team performance and learn from near misses, errors, and successes that will improve not only clinical outcome but also patient safety.

임상실습에서 학생들이 경험하는 간호과정 적용문제 (The Problems for Application of Nursing Process in Clinical Experience of Nursing Students)

  • 양영희
    • 한국간호교육학회지
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    • 제5권1호
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    • pp.58-71
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    • 1999
  • Nursing process is an essential part for nursing practice. Nursing faculty members must focus on the clinical application for students and try to identify the possible problems that students might face in the fields. The purpose of this study is to examine the actual condition of nursing process education in curricula and to investigate the response of students in clinical experience of nursing process. From 462 students in the 6 associate programs(ADN) and the 6 baccalaureate programs (BSN) data was collected by questionnaire. The results were as followed. 1. Seven programs (58.3%) opened the nursing process in mainly sophomore (BSN) or freshman(ADN). If not opened, the nursing process was taught at the major subjects(espcially fundamental nursing or adult nursing). 2. All Students responded they we supposed to use nursing process in preparing the case report. The majority(94.6%) used NANDA lists for nursing diagnosis and 55.7% of subjects consulted the Korean terms by KNA when translating. The tutors for nursing process in clinical settings were the professor in charge of the subject (68.6) or clinical instructors (48.1%) , assistants(34%). 3. The problems in clinical application that students experienced consisted of 17 items and the mean was 2.27. The biggest problem was 'the lack of the model for RN of applying the nursing process in clinical settings'(2.97). Next the big problem was 'the lack of the competency for implementing the established nursing plans'(2.69). All items were significantly different according to the level of educational programs(ADN or BSN). ADN students had more problems in applying the each step of nursing process and BSN students perceived the NANDA as a guidance of nursing diagnosis and the inconsistency of advices from several instructors or practicum to be mere problematic. 4. The mean of merits after application of nursing process was relatively fair (2.82). The best merit was 'they can identify nursing problems more exactly'(3.07). The second high merit was 'they can study the rational of nursing action' (3.03). BSN than ADN and the subjects of second year than of one year in clinical experience perceived the use of nursing process to be better. Based on this results we need to enforce the application of nursing diagnosis in the class. The use of sample cases can be the efficient method. Students can identify the possible health problems for patient from the cases in imaginary world and discuss them each other. Also we can use the discussion session after practice every other day or as needed. All this is on the good interaction between tutor and student. We must consider to have enough time for student to seize the essence of the nursing process.

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간호대학생의 임상실습시 경험하는 폭력, 폭력경험 후 반응, 회복탄력성이 학업소진에 미치는 영향 (The Influence of Clinical Violence Experience, Response to Violence Experience, Resilience on Academic Burnout among Undergraduate Nursing Students)

  • 정귀임
    • 한국콘텐츠학회논문지
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    • 제22권1호
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    • pp.571-580
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    • 2022
  • 본 연구는 간호대학생의 임상실습시 경험하는 폭력, 폭력경험 후 반응, 회복탄력성 및 학업소진을 확인하고, 학업소진에 미치는 영향을 분석하였다. 이를 위하여 B광역시와 G도에 소재한 4개 대학교의 간호학과 4학년에 재학중인 간호대학생 318명에게 설문조사를 실시하였다. 자료분석은 SPSS Windows 24.0프로그램을 활용하여 기술통계, 독립표본t검정, 일원배치분산분석, 쉐페 사후검정, 피어슨상관계수, 다중회귀분석을 실시하였다. 본 연구결과, 학업소진은 4점만점에 2.58점이었고, 학업소진은 폭력경험후 반응(r=-.393, p<.001), 회복탄력성(r=.176, p<.001)과 유의한 양의 상관관계가 있는 것으로 나타났다. 회귀모형은 적합하였으며(F=130.045, p<.001) 학업소진에 영향을 미치는 요인은 임상실습만족도(β=-.393, p<.001), 전공만족도(β=-.188, p<.001), 폭력경험후 반응(β=.176, p<.001), 주관적 건강상태(β=-.156, p<.001), 가해자(β=.135, p=.002), 회복탄력성(β=-.118, p=.016)순이었으며, 학업소진을 45.9%설명하였다. 결론적으로 학업소진에 가장 큰 영향을 미치는 요인이 임상실습만족과 전공만족이므로 다양한 교육전략과 폭력경험 후 부정적인 반응을 감소시키고 회복탄력성 향상을 위한 학생상담프로그램을 개발해야할 것이다. 또한 간호대학생의 임상실습시 경험하는 폭력 및 폭력경험후 반응, 학업소진에 대한 질적연구가 필요하다.

A Nationwide Web-Based Survey of Neuroradiologists' Perceptions of Artificial Intelligence Software for Neuro-Applications in Korea

  • Hyunsu Choi;Leonard Sunwoo;Se Jin Cho;Sung Hyun Baik;Yun Jung Bae;Byung Se Choi;Cheolkyu Jung;Jae Hyoung Kim
    • Korean Journal of Radiology
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    • 제24권5호
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    • pp.454-464
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    • 2023
  • Objective: We aimed to investigate current expectations and clinical adoption of artificial intelligence (AI) software among neuroradiologists in Korea. Materials and Methods: In April 2022, a 30-item online survey was conducted by neuroradiologists from the Korean Society of Neuroradiology (KSNR) to assess current user experiences, perceptions, attitudes, and future expectations regarding AI for neuro-applications. Respondents with experience in AI software were further investigated in terms of the number and type of software used, period of use, clinical usefulness, and future scope. Results were compared between respondents with and without experience with AI software through multivariable logistic regression and mediation analyses. Results: The survey was completed by 73 respondents, accounting for 21.9% (73/334) of the KSNR members; 72.6% (53/73) were familiar with AI and 58.9% (43/73) had used AI software, with approximately 86% (37/43) using 1-3 AI software programs and 51.2% (22/43) having up to one year of experience with AI software. Among AI software types, brain volumetry software was the most common (62.8% [27/43]). Although 52.1% (38/73) assumed that AI is currently useful in practice, 86.3% (63/73) expected it to be useful for clinical practice within 10 years. The main expected benefits were reducing the time spent on repetitive tasks (91.8% [67/73]) and improving reading accuracy and reducing errors (72.6% [53/73]). Those who experienced AI software were more familiar with AI (adjusted odds ratio, 7.1 [95% confidence interval, 1.81-27.81]; P = 0.005). More than half of the respondents with AI software experience (55.8% [24/43]) agreed that AI should be included in training curriculums, while almost all (95.3% [41/43]) believed that radiologists should coordinate to improve its performance. Conclusion: A majority of respondents experienced AI software and showed a proactive attitude toward adopting AI in clinical practice, suggesting that AI should be incorporated into training and active participation in AI development should be encouraged.

간호대학생의 감성지능, 돌봄효능감, 회복탄력성이 임상실습만족도에 미치는 영향 (Affect of Emotional intelligence Caring efficacy and Resilience on Satisfaction on Clinical Practice in Nursing Students)

  • 김순구;도은수
    • 한국산학기술학회논문지
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    • 제20권8호
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    • pp.231-239
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    • 2019
  • 본 연구는 간호대학생의 감성지능, 돌봄효능감, 회복탄력성과 임상실습만족도간의 관련성을 파악하고 임상실습만족도에 미치는 영향요인을 규명하고자 한다. 연구대상자는 D시, K시, G도에 소재한 5개의 대학교를 임의 선정하여 간호학과 재학 중이며 임상실습경험이 있는 3,4 학년 학생 총 253명 이었다. 자료 수집은 2018년 10월 1일부터 11월 23일까지 자기보고식 설문조사로 수집되었다. 수집된 자료는 PASW/WIN 20.0 프로그램을 이용하여 기술통계, 독립집단 t-test, one-way ANOVA, 사후분석은 Scheffe test, Pearson's correlation coefficients, Stepwise multiple regression으로 분석하였다. 연구결과는 일반적 특성에서 전공만족도가 높은 경우 임상실습만족도가 유의하게 높았다. 주요변인의 평균은 5점 만점에 감성지능은 3.63점, 돌봄효능감은 3.69점, 회복탄력성은 3.79점, 임상실습만족도는 3.46점이었다. 임상실습만족도는 감성지능, 돌봄효능감, 회복탄력성간에 유의한 양의 상관관계가 있었으며, 간호대학생의 감성지능, 돌봄효능감, 회복탄력성이 높을수록 임상실습만족도가 높은 것으로 나타났다. 임상실습만족도에 영향을 미치는 변인은 돌봄효능감, 회복탄력성, 감성지능 순이었으며, 설명력은 43.4%이었다. 따라서 본 연구결과를 토대로 간호대학생의 임상실습만족도를 향상시키기 위하여 돌봄효능감, 회복탄력성, 감성지능을 높일 수 있는 교육프로그램 개발이 필요하다.