• Title/Summary/Keyword: Integrated clinical practice

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Bioinformatics and Genomic Medicine (생명정보학과 유전체의학)

  • Kim, Ju-Han
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.83-91
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    • 2002
  • Bioinformatics is a rapidly emerging field of biomedical research. A flood of large-scale genomic and postgenomic data means that many of the challenges in biomedical research are now challenges in computational sciences. Clinical informatics has long developed methodologies to improve biomedical research and clinical care by integrating experimental and clinical information systems. The informatics revolutions both in bioinformatics and clinical informatics will eventually change the current practice of medicine, including diagnostics, therapeutics, and prognostics. Postgenome informatics, powered by high throughput technologies and genomic-scale databases, is likely to transform our biomedical understanding forever much the same way that biochemistry did a generation ago. The paper describes how these technologies will impact biomedical research and clinical care, emphasizing recent advances in biochip-based functional genomics and proteomics. Basic data preprocessing with normalization, primary pattern analysis, and machine learning algorithms will be presented. Use of integrated biochip informatics technologies, text mining of factual and literature databases, and integrated management of biomolecular databases will be discussed. Each step will be given with real examples in the context of clinical relevance. Issues of linking molecular genotype and clinical phenotype information will be discussed.

Clinical Practice Experience including Web-based Simulation Practice of Nursing Students during the COVID-19 Pandemic (코로나19 팬데믹 시기에 간호대학생의 웹 기반 시뮬레이션 실습을 포함한 임상 실습 경험)

  • Kim, Kyung Sook;Park, Ji Min
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.81-93
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    • 2022
  • The purpose of this study is to understand the meaning of clinical practice experience, including web-based simulation practice, in the context of the corona pandemic era. As for the research method, data were collected through a focus group interview on the experience of web-based simulation practice and subsequent clinical practice and analyzed by content analysis method. The contents of the two interview groups were analyzed, and the results were divided into 2 components, 7 topic groups, and 18 topics. The first component, the clinical practice, was divided into four topic groups: 'The anxious start of practice in a pandemic situation', 'Direct experience through various cases', 'Training opportunities to prepare as a future nurse', and 'The burden of performance and limited experience'. The second component, the web-based simulation practice, was divided into three topic groups: 'Unfinished nursing practice', 'Indirect experience of clinical nursing in virtual space', and 'Requirement of an integrated practice model'. Clinical practice is a very important part of the nursing education curriculum. However, the nursing that students can perform in the field is very limited. Therefore, to supplement the shortcomings of observation-oriented clinical practice and to increase the quality of practical education, it is necessary to consider a hybrid education model including web-based simulation practice.

The actual condition of operating dental hygiene curriculum between Korea and America (한국과 미국의 치위생학과 교육과정 운영실태)

  • Won, Bok-Yeon;Hwang, Mi-Yeong;Chun, Suk-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.6
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    • pp.1061-1071
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    • 2010
  • Objectives : The purpose of this study is to train talents with high quality in dental hygienists by suggesting problems and proposing basic data available for applying to development in dental hygiene curriculum, through analyzing contents of dental hygiene curriculum. Methods : To analyze curriculum of educational institutions for dental hygienists between America and Korea, it utilized materials that were notified on each university homepage, analyzed documents, analyzed curricular content analysis, comparatively analyzed America's ASDHEP field, and comparatively analyzed Biomedical Science field, dentistry field, prevention and public field, clinical dental hygiene field, integrated curriculum, and teaching course between domestic university and American university. Results : 1. The basic field of ASDHEP was indicated the average credit in 28.6 for 4-year university with establishment and the average credit in 26.9 for 3-year university with establishment. The curricular subject field of ASDHEP except the basic field was indicated the average credit in 29.45 for 4-year university with establishment and the average credit in 30.68 for 3-year university with establishment. The prevention and public field by university was indicated the totally average credit in 27.5 for 4-year university and in 26.2 for 3-year university. The clinical dental hygiene field by university was indicated the totally average credit in 27.5 for 4-year university and in 35.0 for 3-year university. The integrated curriculum was indicated to be established dental hygiene practice(3 universities), dental clinics practice for Dept. of clinical dental hygiene(2 universities), and comprehensive dental hygiene practice(1 university) for 4-year university, and to be established clinical dental hygiene(2 universities), comprehensive dental hygiene practice, dental hygiene practice, and dental clinics practice(1 university, respectively) for 3-year university. Comparing the teaching courses by university, they were established diversely from 8 credits to 2 credits. Conclusions : Seeing the above findings, a plan for dental hygiene curriculum needs to be continuously developed so that dental hygienists can enter upon a professional career. Development in the international standard curriculum proper for global era is considered to be desperately needed.

Currents in Integrative Biochip Informatics

  • Kim, Ju-Han
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2001.10a
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    • pp.1-9
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    • 2001
  • scale genomic and postgenomic data means that many of the challenges in biomedical research are now challenges in computational sciences and information technology. The informatics revolutions both in clinical informatics and bioinformatics will change the current paradigm of biomedical sciences and practice of clinical medicine, including diagnostics, therapeutics, and prognostics. Postgenome informatics, powered by high throughput technologies and genomic-scale databases, is likely to transform our biomedical understanding forever much the same way that biochemistry did a generation ago. In this talk, 1 will describe how these technologies will in pact biomedical research and clinical care, emphasizing recent advances in biochip-based functional genomics. Basic data preprocessing with normalization and filtering, primary pattern analysis, and machine teaming algorithms will be presented. Issues of integrated biochip informatics technologies including multivariate data projection, gene-metabolic pathway mapping, automated biomolecular annotation, text mining of factual and literature databases, and integrated management of biomolecular databases will be discussed. Each step will be given with real examples from ongoing research activities in the context of clinical relevance. Issues of linking molecular genotype and clinical phenotype information will be discussed.

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Stress Experience of Nursing Students to Clinical Practice : Q-methodological Approach (간호학생의 임상실습 스트레스 경험유형 : Q방법론적 접근)

  • Jang Hye Sook;Kim Soon Ae;Kim Hung Kyu
    • Child Health Nursing Research
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    • v.5 no.1
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    • pp.5-17
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    • 1999
  • This study was designed to determine the schemata and their characteristics of stress experience the subjectivity of stress experience(structure of subjectivity) would be a basic step for the effective clinical education through the stress management for characteristics of these types. Q-methodological method was used for that purpose. The research method statements were collected prior to the study through indepth interviews. For the study, 31 Q-statements were selected. There were 34 nursing students as subjects for the research. The 34 nursing students sorted the 31 statements using the principal of forced normal distribution. The principle of forced normal distribution, which has 9 scales to measure the individual opinions, was called. Q-factor analysis by using PC QUANL program supply the material. According to the outcomes of this study, there were 3 types of special opinion about the stress experience of clinical practice. The first type is called 'Influence of practical atmosphere type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The second type is called 'conflict of nursing role type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The third type is called 'Lack of confidence type'. Members of this type experienced stress because of a lack of confidence for their own nursing knowledge and skill. As a result, we now need further study to identify individual psychological aspects of stress for clinical practice. The findings will guide the development in effective approaches for clinical education. Finally, the result of the study will provide us the need for developing systematic and integrated practice education program for students and active involvement of clinical instructor.

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Effects of a Simulation based Clinical Reasoning Practice Program on Clinical Competence in Nursing Students (시뮬레이션기반 임상추론 실습교육 프로그램이 간호학생의 간호역량에 미치는 효과)

  • Hur, Hea Kung;Roh, Young Sook
    • Korean Journal of Adult Nursing
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    • v.25 no.5
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    • pp.574-584
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

The Effect of Education Integrating Virtual Reality Simulation Training and Outside School Clinical Practice for Nursing Students (간호대학생의 가상 현실 시뮬레이션 교육과 교외 임상실습을 통합한 교육의 효과)

  • Lim, Semi;Yeom, Young-Ran
    • Journal of Convergence for Information Technology
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    • v.10 no.10
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    • pp.100-108
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    • 2020
  • The purpose of this study is to identify the differences in self-efficacy, clinical performance ability, and critical thinking disposition after applying education integrated educational virtual reality simulation to training and outside school clinical practice to nursing college students and to provide them as basic data for effective practical education. This study was conducted from June 8 to July 3, 2020, and enrolled in the 3rd year of university in G city, and 30 subjects who did not receive virtual reality simulation training or outside school clinical training at all. Data were analyzed by Paired t-test. As a result of the study, the result of pretest and posttest to each group showed statistically significant improvements in self-efficacy, clinical performance ability, and critical thinking disposition. As a results of the study, education integrating virtual reality simulation training and clinical practice for nursing students to improves clinical performance ability, improves critical thinking, and self-efficacy, so it is thought that various virtual reality simulation training must be suitable for clinical situations before practice is necessary.

Development and Operation of Longitudinal Integrated Clerkship Programs in Overseas Medical Schools (외국 의과대학에서의 장기추적통합임상실습 개발과 운영사례)

  • Yeo, Sanghee
    • Korean Medical Education Review
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    • v.20 no.1
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    • pp.6-14
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    • 2018
  • In recent years, Korean medical schools have shown a growing interest in the longitudinal integrated clerkship (LIC) as a means of improving clinical education. Some overseas medical schools have tried the LIC since the 1970s. In the 1990s, several universities in the United States, Canada, and Australia introduced LICs. A variety of studies have confirmed positive results of the LIC. Traditional block-rotation is a discipline-based, inpatient-centered practice. Instead, under the LIC system, a medical student responsible for a panel of longitudinal patients observes developments of their diseases, serving several departments simultaneously. Overseas medical schools have different LIC models depending on their affiliate hospitals' sizes and characteristics. The purpose of this study is to introduce LIC practices in Harvard Medical School and University of California San Francisco, which could be applied by Korean medical schools. This paper also aims to find out the strategies that have been able to help the two US medical schools implement the LIC successfully.

The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(I) - Introduction, Clinical Features and Course - (주의력결핍 과잉행동장애 한국형 치료 권고안(I) -서론, 임상 양상 및 경과-)

  • Ahn, Dong-Hyun;Kang, Hwa-Yeon;Kim, Bung-Nyun;Kim, Ji-Hoon;Shin, Dong-Won;Yang, Su-Jin;Yoo, Han-Ik;Yoo, Hee-Jeong;Cheon, Keun-Ah;Hong, Hyun-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.18 no.1
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    • pp.3-9
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    • 2007
  • Based on the broad and in-depth literature review, the dedicated members of the committee for the development of Korean attention-deficit hyperactivity disorder (ADHD) practice parameter develop the Korean practice parameter for ADHD. Members of the Korean Academy of child and Adolescent Psychiatry (KACAP) had reviewed the drafts through off-line and on-line access to the drafts. Feedbacks from the members of KACAP were carefully integrated into the current practice parameter. This article presents the state of the art knowledge regarding the assessment and the management of ADHD. Recommendations in the end of the practice parameter may help clinician to make decisions in clinical practice, but are not likely to override the clinician's decision in natural settings. Future directions to complement the limitation of the current practice parameter is suggested.

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Applying Theory Informed Global Trends in a Collaborative Model for Organizational Evidence-based Healthcare

  • Lockwood, Craig
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.2
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    • pp.111-117
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    • 2017
  • Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.