This study was conducted to acquire the basic materials for effective field training to identify performance activities of emergency medical technology students. The method used in the study was a descriptive survey using a skill checklist. The subjects for the study were 43 emergency medical technology students who were 2nd grade in D college. The collected data were analyzed using the SPSS computer program, yielding frequencies and percentage. The results of study were as follows; 1. In 'emergency treatment skill', 26.6% of subjects are revealed as 'performed' in 'ambulance practice' and 22.1% of subjects are revealed as 'performed' in 'clinical practice'. 2. In 'airway management', 41.9% of subjects are revealed as 'performed' in 'ambulance practice' and 14.1% of subjects are revealed as 'performed' in 'clinical practice'. 3. In 'oxygen therapy', 52.8% of subjects are revealed as 'performed' in 'ambulance practice' and 35.6% of subjects are revealed as 'performed' in 'clinical practice'. 4. In 'ventilation skill', 17.8% of subjects are revealed as 'performed' in 'ambulance practice' and 10.7% of subjects are revealed as 'performed' in 'clinical practice'. 5. In 'vital sign check', 61.1% of subjects are revealed as 'performed' in 'ambulance practice' and 56.3% of subjects are revealed as 'performed' in 'clinical practice'. 6. In 'patient assessment', 40.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'. 7. In 'basic life support(CPR)', 1.7% of subjects are revealed as 'performed' in 'ambulance practice' and 11.9% of subjects are revealed as 'performed' in 'clinical practice'. 8. In 'airway obstruction', 6.4% of subjects are revealed as 'performed' in 'ambulance practice' and 1.1% of subjects are revealed as 'performed' in 'clinical practice'. 9. In 'electrical therapy', 0.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'.
Jeon, Mi-Kyeong;Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Hee Young;Kim, Jeong Hye
Journal of Korean Clinical Nursing Research
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v.24
no.2
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pp.197-208
/
2018
Purpose: This study aimed to investigate the current statistics of professional medical support staffs(PMSSs) working in general hospitals with less than 500 beds. Methods: This study was conducted on 35 general hospitals with less than 500 beds from September 11th to October 27th, 2017. Results: Four hundred fifty one PMSSs were currently providing medical support. The number of clinical nurse experts was the highest among the roles, followed by Physician Assistants(PA) and Advanced Practice Nurses. The mean job satisfaction score was 3.07 out of 5. In the case of PA group, most of the delegated prescriptions were performed, however the delegated roles were not much documented in written format. The paucity of documentation requires a development of a committee for PMSSs, including a development of selection criteria and a scope of practice in each institution. Conclusion: The results of this study suggested the composition of a committee for PMSSs in the medical institutions and renaming the specified titles of PMSSs.
Kim, Eun Sook;Kim, Nayeon;Choi, Su Jung;Kim, Nari;Kim, Young Hee;Lee, Jung Yoon;Kim, Eun-Hye
Journal of Korean Critical Care Nursing
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v.16
no.3
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pp.48-61
/
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.
Purpose: This survey was done in order to determine Korean medical doctors (K.M.D)' expertise on clinical practice guideline for infertility and the degree of concordance with the guideline. Methods: The questionnaires were distributed via e-mail to all members of Korean Medical Doctors Society and Korean Gynecology Society from August $30^{th}$ to September $1^{st}$ in 2010. Two hundred sixty nine of completed questionnaires were analyzed through two groups, members of the Gynecology Society and nonmembers of the Gynecology Society. Results: According to the analysis of the outcome of the survey done by 99 members of the Korean Gynecology Society and 170 non-members, two-thirds of the participants had prior information of the clinical practice guideline. 63.6 percent of the participants feel strong necessity of the development of Korean medical infertility clinical practice guideline. Seventy percent of the participants are willing to participate in developing or reviewing a clinical guideline. On the question in active utilization and concordance to the guideline once the Korean medical infertility guideline is developed, 44% answered they would while 34.6% said they would utilize the guideline after some modifications. On the prospect of the impact of the development and application of Korean medical clinical practice guideline for infertility, majority of the participants marked positively that the standardization of clinical practice for infertility will lead to the nation's participation with the Nation's Support Work and that the development will somewhat contribute to the standardization of the clinical practice. Conclusions: The survey confirmed high demand of the clinical practice guidelines for infertility and the degree of concordance for infertility amongst Korean Medical doctors.
Purpose: The purpose of this study was to develop and implement the educational program of Life Safety Support for parent. Methods: This study was used to develop children life safety support education program. The education program was utilized as multimedia, practice and discussions to increase understanding and effectiveness of learning. The data for this study was collected from June to December, 2010. There were two forms of evaluations, pretest and posttest with an intervention of education program. The analysis of the collected data was analyzed by descriptive analysis, t-test and paired t-test using the SPSS 10.0 program. Results: 1. the experimental group, who was given an education program before the test, got higher marks on the Life Safety support knowledge than the control group. There was a significant difference in knowledge between experimental group and control group(t=6.678, p=.000). 2. the experimental group got higher marks on the action evaluation than the control group. There was a significant difference in the certainty of action(t=8.546, p=.000) between experimental group and control group. Conclusion: This study examined how Life Safety support education program increased effectiveness in the knowledge and action of children Life Safety support.
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.
Sangyeon Lee;Junghee Park;Byounggil Yoon;Yongseok Kim
The Korean Journal of Emergency Medical Services
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v.28
no.2
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pp.109-118
/
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.
Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.
Objectives: This study aims to develop an educational program based on a manual for disaster medical support using Korean medicine (KM) for disaster survivors. Methods: We conducted a literature review on another educational program, a focus group interviews with experts, a survey of the academic needs of Korean medicine (KM) doctors, educational competency development, and an expert Delphi survey. Results: This program was designed using a hybrid method combining online (4 h) and offline (8 h) elements; the total time of the program is 12 h. The offline course consists of theory (4 h) and practice (4 h) lectures. The theory lecture covers herbal medicine, acupuncture, stabilizing technique, emotional freedom technique, and self-management, and the practice lecture covers stabilizing technique, emotional freedom technique, and clinical performance evaluation. Meanwhile, the online course covers a manual for disaster medical support using KM and an introductory course from the National Center for Disaster and Trauma. Conclusions: The results of this study are expected to be useful for enhancing training for KM doctors in trauma care for disaster survivors as well as evaluating and validating the program's effectiveness.
Kim, Youngjin;Kim, Jeesun;Kim, Hyerim;Park, Subi;So, Saetbyul;Jung, Bosung;Choh, Eunae;Lee, Seonyoung;Kim, Jeongeun
Perspectives in Nursing Science
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v.14
no.1
/
pp.10-20
/
2017
Purpose: The aim of this study was to explore the patients' perspectives on nursing students' clinical practices in the wards, and to investigate their willingness for allowing students to practice on them. Methods: This was a descriptive study. 116 inpatients were recruited from the S University Hospital. A 60-item questionnaire was applied to collect the data. The participants were 19 years and older with sound judgement, and were not in special or intensive care units. Data analysis was done in SPSS/WIN 22.0 using descriptive statistics, Fishers exact test, and the ANOVA test. the participant answered to questionnaire from April 29th 2016 to May 10th. Results: 40 participants (34.5%) stated they would allow students' practice, while 72 (61.2%) said they would allow only under staff supervision. 5 participants (4.3%) stated they would not allow whatsoever. The 3 most allowed were emotional support, oral care, and vital signs measurement while the 3 least allowed were gastric feeding, intravenous catheterization, and urinary catheterization. Conclusion: Patients were more inclined to allow students to practice on them when a member of the medical team was present. A fair number of participants said they would be more inclined to allow students' practice if they felt the student was competent; hence, reinforcing simulation sessions is vital in enhancing students' competency and ultimately practice allowance.
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