• Korean Journal of Radiology
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• v.20 no.6
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• pp.863-879
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• 2019

Hepatocellular carcinoma (HCC) can be noninvasively diagnosed on the basis of its characteristic imaging findings of arterial phase enhancement and portal/delayed "washout" on computed tomography (CT) and magnetic resonance imaging (MRI) in cirrhotic patients. However, different specific diagnostic criteria have been proposed by several countries and major academic societies. In 2018, major guideline updates were proposed by the Association for the Study of Liver Diseases, European Association for the Study of the Liver (EASL), Korean Liver Cancer Association and National Cancer Center (KLCA-NCC) of Korea. In addition to dynamic CT and MRI using extracellular contrast media, these new guidelines now include magnetic resonance imaging (MRI) using hepatobiliary contrast media as the first-line diagnostic test, while the KLCA-NCC and EASL guidelines also include contrast-enhanced ultrasound (CEUS) as the second-line diagnostic test. Therefore, hepatobiliary MR contrast media and CEUS will be increasingly used for the noninvasive diagnosis and staging of HCC. In this review, we discuss the emerging role of hepatobiliary phase MRI and CEUS for the diagnosis of HCC and also review the changes in the HCC diagnostic criteria in major guidelines, including the KLCA-NCC practice guidelines version 2018. In addition, we aimed to pay particular attention to some remaining issues in the noninvasive diagnosis of HCC.

• Journal of the Korea Convergence Society
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• v.13 no.5
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• pp.435-443
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• 2022

This study was to conducted to explore predictors of emotional labor of clinical practice and resilience on professional identity in nursing students. The data were collected from September to December, 2021, for 142 nursing students in Seoul and Gyeonggi-do. Descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression were used to analyze the data. Satisfaction of major showed statistically significant differences in professional identity (F=19.97, p<.001). Professional identity was positively associated with resilience (r=.30, p<.001) and negatively associated with emotional labor (r=-.35, p<.001). Multiple regression analyses showed that satisfaction of major and emotional labor were statistically significant (𝛽=-.268, p<.001) in predicting professional identity with the explanatory power of 29.3%. To enhance professional identity in nursing students, it is necessary to develop strategies to improve their satisfaction of major and to provide educational programs for coping skill in managing their emotional labor in clinical practice.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.46-58
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• 2000

Background : Despite favorable effects of guidelines on patient care, guidelines often fail to achieve their objectives. Poorly implemented medical practice guidelines can produce only weak effects on the process of health care delivery. Therefore, we performed this study to investigate barriers related development of clinical practice guidelines. Methods : Cardiopulmonary resuscitation was selected as a target problem. Self questionnaires about management of cardiopulmonary resuscitation were developed by a researcher with advisory 8 experts. The questionnaires were designed as a unstructured methods. The data were collected from March 1 to May 31, 1999. A total 50 death case admitted inpatient to Inha University Hospital were subjected to evaluate the development and application of clinical practice guidelines for cardiopulmonary resuscitation. The data were examined by frequency, t-test with SPSS. Result : The article reviewed several common barriers that might limit successful implementation of guidelines in clinical practice, as illustrated by evaluating recommendations for cardiopulmonary resuscitation clinical practice guidelines. Some major problems with guidelines were characterized as follows (1) ethical problem : euthanasia, (2) occurrence on various emergency event and setting, (3) non-medical problems (4) unreliable of medical record etc. Conclusion : Careful analysis of guideline attributes, anticipated effect on medical care, and organizational factors revealed several barriers to successful guideline implementation that should be addressed in the design of future guideline-based interventions.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.3
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• pp.380-386
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• 2008

Purpose: The purpose of this study was to investigate the relationship among self-efficacy, satisfaction with practice and fundamentals of nursing practicum in student nurses. Method: The participants were 185 first year students at K College of Nursing in Jeonbuk Province who were taking a practicum for Fundamentals of Nursing and agreed to participate in the study. Data collection was done from November 19 to 30, 2007. The instrument for data collection was a questionnaire on self-efficacy, satisfaction with practice and fundamentals of nursing practicum. Data were analyzed by SPSS-PC ver 12.0. Results: Self-efficacy and fundamentals of nursing practicum were significantly different depending on satisfaction with major and school life. Satisfaction with practice was significantly different depending on relationship with schoolmates and school life. Self-efficacy showed a significantly positive correlation with satisfaction with practice and fundamentals of nursing practicum. Also, satisfaction with practice showed a significantly positive correlation with fundamentals of nursing practicum. Conclusion: This study suggests that self-efficacy helps student nurses to plan a self-directed nursing performance, improves their ability to solve problems and helps to perform fundamentals of nursing practicum well.

• Journal of Korean Clinical Health Science
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• v.5 no.3
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• pp.953-962
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• 2017

Purpose. This study was conducted in order to identify levels of stress and self-esteem related to clinical practices of dental hygiene department students. Methods. Data was collected from a group of 249 students from October to November 2015, in the Yeong-nam region. Data analysis was performed using descriptive statistics frequency and t-test, logistic regressions by a SPSS WIN 18.0 program. Results. The results indicate that the characteristics of those who appeared to practice managing teaching was higher than that of the stress levels of clinical practice(p=.044). As well. personal relations(p=.013), degree of major satisfaction(p=.001), levels of satisfaction of practice(p=.019) resulted in higher levels of self esteem. The stress levels of clinical practice and high levels of satisfaction of practice were reduced and resulted in a dental hygienic negative correlation(p=.016). Self-esteem levels increased significantly according to personal relations(p=.001) and satisfaction of practice(p=.014). Conclusion. A strategy for development of a method to reduce the stress of clinical practice among individuals and an improvement of self-esteem programs which is necessary for dental hygiene students.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.1
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• pp.131-140
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• 2012

Purpose: The purpose of this study was to investigate the degrees of and relationships between self-leadership, stress of clinical practice and self-disclosure in a group of college female students. Methods: Data were collected from 258 participants with self-report questionnaires in August, 2011. Results: There were significant differences in the level of 'self-leadership' depending on 'interpersonal relationships', 'application motivation', 'satisfaction with nursing as a major' and 'satisfaction in clinical practice'. And also there was significant difference in the level of 'self-disclosure' depending on 'interpersonal relationships'. But there was no significant difference in the level of 'stress of clinical practice' depending on general characteristics of participants. There were significant correlations between 'self-leadership' and self-disclosure, 'stress of clinical practice' and 'self-disclosure'. Conclusion: The results of this study suggest that it is needed to develop diverse programs that can reduce the stress of clinical practice by strengthening the capacity of self-leadership and self-disclosure.

• Korean Medical Education Review
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• v.22 no.2
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• pp.115-121
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• 2020

The high degree of academic burnout experienced during academic life indicates that job skill levels during the first year following graduation are low, and the correlation with turnover intention is high. We investigated the effects of clinical practice stress and resilience on nursing students' burnout, and searched for factors that can prevent or control burnout. We recruited a convenience sample of 202 nursing students. Academic burnout, general characteristics, clinical practice stress, and resilience were assessed via self-reported questionnaires. The mean total score of academic burnout was 44.0 points; exhaustion was the highest at 18.5 points, inefficacy was 15.9 points, and cynicism was 9.6 points. High levels of clinical practice stress affected academic burnout (β=0.194, p=0.003), while high resilience was a factor that lowered the degree of academic burnout (β=-0.449, p<0.001). Based on our results, factors affecting students' experiences of academic burnout were clinical practice stress and resilience. We therefore propose the implementation of a new curriculum aimed at increasing satisfaction with the major, reducing clinical practice stress, and increasing resilience, including an efficient peer mentoring program for clinical practice.

• Korean Journal of Social Welfare
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• v.42
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• pp.225-253
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• 2000

The objective of this study is to analyze the research articles on clinical social work practice effectiveness to build a scientific and scholaristic image of clinical social work practice. The data for analysis were the articles published in 13 professional journals including Korean J. of Social Welfare in the period of 1979 to 1999. The appearance rate of effectiveness studies was 1.28% with only 18 articles. Experimental studies consisted only 4 out of 18, and there were only 10 Quasi-experimental studies. Statistical errors were observed in most studies, so it is too early to call that the clinical social work practice is either effective or not effective. In order to see the comprehensive trends of the clinical social work practice, other clinical papers were also examined. The appearance rate was also as low as 8.75% (effectiveness studies included). While 18 articles were about the therapy model, other clinical papers were about generic practice models. However, those newly developed generic practice models had not yet been widely used nor tested for effectiveness. Thus, the followings were suggested: active research activities with solid methodology, team work with the field, theory and method development, education and re-education, and collaborative team work with other related fields. It was also pointed that the cross analysis of research papers by the publishing period, authors major and other background variables would be useful.

• The Korean Journal of Emergency Medical Services
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• v.28 no.2
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• pp.109-118
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• 2024

Purpose: This study attempted to identify correlation between communication skills, self-control, and adaptation to college life and identify how communication skills, self-control, and adaptation to college life influence factors influence clinical practice stress among health-related college students. Methods: Data for this study were collected through an online questionnaire for nine days from April 15, 2024, to April 23, 2024, targeting health-related college students nationwide who experienced clinical practice. Results: Clinical practice stress showed a significant negative correlation with communication skills(r=-.387, p<.001), self-regulation(r=-.355, p<.001), and adaptation to college life(r=-.433, p<.001). The factor that most influenced clinical practice stress was adaptation to college life, with an explanatory power of 20%. Conclusion: It is necessary to reduce stress in clinical practice by improving communication skills, self-control, and adaptation to college life through practical measures such as academic support services, psychological counseling, and major-related programs.

• International Journal of Advanced Culture Technology
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• v.5 no.3
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• pp.11-23
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• 2017

Anatomy is one of the basic subjects of the nursing course, which is included in the curriculum of the nursing. Anatomy is a basic course for understanding major in nursing and it is the first gateway to acquire expertise. It is mainly opened in nursing and first to second grades. Therefore, students who have advanced to the nursing department have great interest and expectation on the anatomy subjects. In general, nursing students are studying anatomy with theories and models, and some universities practice on tour after dissection of medical consortium for short time. This is called the Cadaver practice. This study was carried out to investigate the thoughts and experiences of bioethics through nursing students' Cadaver practice. The interview data were processed through the analysis and interpretation process using the phenomenological research method, Giorgi method. As a result, 48 semantic units were derived, and then they were divided into 10 subcomponents and divided into 6 categories. As a result of the analysis, the experience of nursing students' bioethics was tied to the topic of six questions. For example, 'what about the respect and responsibility of nursing students in Cadaver?', 'What about your experience with the Cadaver experiment and bioethics?', 'What was the academic achievement of the actual human body structure viewing experience with cadaver?', 'What was the connection with theory?', 'What was your intention to recommend to others?', 'What was your perception and interest in the Cadaver experiment?'. Analyzes were integrated into 10 structures; "Thank you for your donation", "want others to refuse donation", "Burden of practice", "Good opportunities for learning", "Understand better", "Should study harder", "Memory is better", "Compared to theory", "Good experience", "Want to rejoin". The general structural description of the participants' meanings is summarized as follows. Nursing college students who participated in the Cadaver had a gratitude for the donor, but they said they would like to talk to others about donating organs. Before they went to practice, they felt a lot of pressure on the dissection of the cadaver, but they went to the practice and thought that it was a good opportunity to learn by doing well. Specifically, they understood that they had better understanding than the theoretical lesson, and that they were more eager to study their major through practice. In other words, most of them were more memorable and they would like to participate again if the opportunity comes next time. The results of this study show that the practice of Cadaver in nursing college students is very positive in terms of educational effectiveness. However, in terms of bioethics, it can be seen that the education process is somewhat unsatisfactory. Therefore, the systematic bioethics education should be prepared before the practice in the nursing college students' Cadaver practice.