• Title/Summary/Keyword: Nursing Simulation

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Effect of Human Patient Simulator-based Education on Self-directed Learning and Collective Efficacy (환자시뮬레이터활용교육에서의 자기주도적 학습능력과 집단효능감의 변화)

  • Jun, Hoa-Yun;Cho, Young-Im;Park, Kyung-Eun;Kim, Ji-Mee
    • The Journal of the Korea Contents Association
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    • v.12 no.5
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    • pp.293-302
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    • 2012
  • The purpose of this study was to identify the effect of human patient simulator(HPS)-based education on self-directed learning(SDL) and collective efficacy(CE) for nursing students. This study design was one group pre-posttest. The subjects were 2nd grade 92 students enrolling in the integrated practice. They have no previous experience of HPS-based education. HPS-based education included team based learning, skill training, taking a high-fidelity simulation with Medical Education Technologies, Inc (METI) simulator and being debriefed during 12 weeks. The pretest and posttest were conducted to understand the improvement in SDL and CE. After the subjects had participated in the HPS-based education, they showed statistically significant higher SDL(t=4.24, p=0.000) than before. However, there was no significant change in CE. Based on the results, this study suggests that SDL for nursing students were significantly improved by HPS-base education.

Creative Use of College Laboratory in Nursing Education (간호교육에 있어서 창의적인 대학 실습실의 이용에 관한 고찰)

  • Lee Miok
    • The Korean Nurse
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    • v.24 no.4 s.132
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    • pp.118-130
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    • 1985
  • 실행(practice)를 위주로 하는 전문직 교육은 실지 실습이나 임상교육등이 필수적이며 중요한 것은 주지의 사실이다. 그러나 전통적으로 대부분의 간호학교가 병원에 소속되어 있어서 간호 임상교육은 그 본 목적인 학생들의 학습보다는 오히려 병원 업무를 돕는 방향으로 잘못 전개되어왔다. 간호교육이 병원에 소속된 간호학교로 부터 학문의 전당인 대학안으로 옮겨지면서 많은 뜻있는 간호교육자들의 노력과 시도로 학생들이 고용인으로 이용되는 상황에서 탈피하여 임상교육이 학생들에게 이론적인 지식을 실지로 응용할 수 있는 복합적이고 통합적인 배움의 경험이 되도록 조금씩 발전해 가고는 있지만 아직도 바라는 만큼 이루어지지는 못하는 실정이다. 현재는 임상실습에 임하는 학생들이 기능적인 일을 반복하며 주어진 시간만을 채우는 경향이 많고 배운 이론을 대학 실습실에서 응용해 보지 못한채 직접 환자 간호에 적응하려면 지나친 불안과 긴장으로 오히려 학습에 장애가 오기도 한다. 또한 환자의 입장을 고려해 보면 그들은 안전하고 완벽한 간호를 받을 권리가 있음에도 불구하고 때로 서투른 학생들의 실습의 대상으로 노출되어 불안을 느끼고 바람직한 간호를 받지 못하는 경우가 많다. 따라서 몇 뜻있는 간호 교육자들은 임상들의 실습장소로 택하는 것은 학생에게는 부적절한 학습 환경이 될 뿐 아니라 환자에게는 도덕적, 윤리적으로 부당하다고 주장한다. 본 연구는 좀 더 잘 설비된 대학의 실습실이 급선무이고 또한 교화적이고 창의적인 실습실의 이용으로 반복적인 임상 실습의 양은 줄이는 한편 학생들의 실력이나 적용 능력의 토대를 탄탄히 하는 몇가지 교육방법을 제시하였다. 물론 제시된 시법이나 작은 그룹별 학습등은 기초 간호학실에서 많이 이용된 방법이기는 하지만 더욱 잘 응용되어야하겠고 역할 재현(role play)이나 유사 상황(simulation) 조성등의 학습 방법으로 기술적인면 뿐만 아니라 대인 관계나 면담기술 및 창의적이며 논리적인 사고의 발달등도 이루어 지리라 기대된다.학생들이 적정량의 기술과 지식을 익힌 후에 좀 더 복합적이고 통괄적인 지식의 응용 및 평가가 필요할 때 실지 임상 실습을 시도하는 것이 바람직한 것이다.

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A Convergence Study of Korean Adults' Awareness and Attitudes toward Dementia (한국 성인의 치매에 대한 인식과 태도에 관한 융합연구)

  • Baik, Sung-Hee;Won, Jong-Soon;Kim, Myung-Chul
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.191-197
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    • 2017
  • This study was undertaken to identify the level of the awareness and attitudes toward dementia in Korean adults. The data were collected from January 23 to April 30, 2016, with 95 adults visit to Senior Experience Complex located in Seongnam city in Korea, using self-reported questionnaires. The descriptive statistical data were analyzed using the Pearson correlation coefficient by SPSS 18.0. In this study, the mean scores of the level of the awareness and attitudes of dementia in Korean adults were showed over the neutral range, $12.97{\pm}1.55$, $4.13{\pm}0.48$ respectively. A significant differences between general characteristics and attitudes of dementia in Korean adults were shown in the level of a lived with grandparents, having the family history of dementia. It showed a significant positive relationship between the awareness and attitudes of dementia (r=0.773, p<.001). The findings of this study are to be a baseline data to develop the empowerment public program related in dementia.

Effect of Prenatal Education Program of Labor and Delivery Experience (분만 체험 산전교육 프로그램 효과)

  • Seong, Chun-Hee;Park, Kyung-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5716-5725
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    • 2014
  • This study examined the effects of a prenatal education program of labor and delivery experience for primigravidas in mid-pregnancy. This investigation was designed as a one group pre-post quasi-experimental study, aiming to determine the effects of prenatal education on anxiety, confidence and knowledge in delivery by demonstrating knowledge and actual situations including understanding labor, breast-feeding, baby care and others, and experiencing the education program. Subjects were collected randomly from an on-line club in D city. The simulation education proceeded for 2 hours a week from April to June, 2014, and there were 6 sessions each in the first and second periods. We included 35 primigravidas who attended all 6 sessions. The data was analyzed using descriptive statistics, exploratory factor analysis and a paired t-test. According to the study results, the subjects showed a significant difference in knowledge in delivery (t=-9.07, p<001), confidence in delivery (t=-9.00, p<001) and anxiety (t=14.39, p<001) after participating in the prenatal education program. An evaluation of satisfaction revealed experience to be the most differentiating factor, and the simulation experience was identified as most effective. The desired appropriate number of class sessions was 4 times, and 88.6% of the pregnant women intended to attend the program at their next birth, indicating a high response rate.

Perception and Attitude on Augmented Reality Smart Glass for Healthcare Convergence Simulation (증강현실(AR) 스마트글라스 보건의료 융합 시뮬레이션에 대한 인식 및 태도)

  • Lee, Youngho;Choi, Jongmyung;Yoon, Hyoseok;Kim, Sun Kyung
    • Journal of the Korea Convergence Society
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    • v.12 no.1
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    • pp.369-377
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    • 2021
  • Augmented reality smart-glass enables healthcare providers to use patient and their care related information without interference of workflow. In addition, augmented reality smart-glass simulation had advantages in improving competency via remote collaboration and real-time information sharing. This study investigated perception and attitude regarding augmented reality smart glass based healthcare simulation on three different groups of healthcare major students, computer major students, developers and faculties. Using convenience sampling method, data were obtained from 95 participants and statistical analysis were performed using SPSS 25.0. Developer and faculty group showed the highest scores, followed by healthcare major students. There was the high expectation on augmented reality smart-glass for skill acquisition and the high performance and big screen were essential features of device. The findings of this study revealed that differences between healthcare and computer major students exist and strategies to reduce those gaps are required to adopt augmented reality smart glass in healthcare settings.

Spatial Configuration Analysis of the Elderly Care Facilities Based on Visibility - Visibility Analysis and Agent-Based Simulation Using Space Syntax - (가시성에 기반한 노인요양시설의 공간계획에 관한 분석 - 공간구문론을 활용한 가시성 분석과 에이전트 시뮬레이션을 중심으로 -)

  • Lee, Jisun;Lee, Hyunsoo
    • Korean Institute of Interior Design Journal
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    • v.27 no.3
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    • pp.14-23
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    • 2018
  • The spatial planning of the elderly care facility plans is analyzed using space syntax in terms of encouraging the social interaction of the residents in this study. First, through the visibility graph analysis, openness and accessibility of space is analysed. Second, the walking behavior of residents through agent analysis model is simulated. Third, the space planning methods for the elderly care facilities are proposed based on the results. The results are as follows. According to the visibility graph analysis, the main corridor has high visual openness and high accessibility. The visual openness and accessibility of the unit living room, where social interaction among residents is possible in each unit, is low. Space planning is needed to increase direct protection and observation of employees to the unit living room. The location of the nurse station that manages the entire floor needs to be located where the openness and accessibility is most high. The nursing station should have a high degree of connectivity to the entire space, so that any accidents can be managed and contact is accessible. Through the agent simulation the flow from the center to each unit space is highest in the corridor space and the inflow to the private rooms and the living room are similar. Therefore, it is necessary to plan the accessibility of the unit living room more for the natural inflow of residents.

Estimation of Survival Function and Median Survival Time in Interval-Censored Data (구간중도절단자료에서 생존함수와 중간생존시간에 대한 추정)

  • Yun, Eun-Young;Kim, Choong-Rak
    • The Korean Journal of Applied Statistics
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    • v.23 no.3
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    • pp.521-531
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    • 2010
  • Interval-censored observations are common in medical and epidemiologic studies; however, limited studies exist due to the complexity and special structure of interval-censoring. This paper introduces the imputation method and the self consistency method in the interval-censored data. We propose a new method of generating random numbers under an interval-censoring set-up. Through simulation studies we compare two methods under various simulation schemes in the sense of the mean squared error for estimating the median survival time and the mean integrated squared error for estimating the survival function. Under a moderate censoring percentage, the mean imputation method showed a better performance than the self-consistency method in estimating the median survival time and the survival function.

Development of a Flexible Critical Pathway with Electronic Medical Record for Gastrectomy Patients in a University Hospital (위 절제술 환자의 진료계획표 개발 및 전자 의무 기록화)

  • Bae, Myung Sun;Song, Jung Hup
    • Quality Improvement in Health Care
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    • v.18 no.1
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    • pp.37-55
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    • 2012
  • Objectives : This study was conducted to evaluate the effect of fixed critical pathway with emr (electronic medical record) on the length of hospital stay, the cost and quality of care provided to gastrectomy patients in a university hospital and to develop flexible critical pathway with emr which can be used excluded or drop-out patients. Methods : Thirty-eight patients with gastrectomy were included as case group and Thirty-four patients included as control group. The comparison between control and case with using fixed critical pathway were done. To develop and to evaluate usefulness of flexible critical pathway with flexible data base, simulation was done for flexible critical pathway with drop-out patients. Result : The major results of this study were as follows: There were no significant differences in patient clinical conditions and no sign of deterioration of quality from critical pathway. The length of hospital stay was 11 days in control group, 8 days in path group(P<0.01). The total costs during the hospital stay were reduced in path group. However the cost per day was significantly increased from reduction of hospital stay(554,352 won in control, 645,669 won in path group). One hundred percentage of drop out patients(60) in the simulation of flexible critical pathway was successful. Conclusion : Computerized critical pathway reduced the length of hospital stay, total hospital costs and resource utilization without harming quality of patient care. The flexible critical pathway program can be used as one of the powerful management tools for reducing the practice variations and increasing the efficiency of care process and decreasing the workload of doctors and nurses in Korean hospital settings.

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A Nonparametric Stratified Test Based on the Jonckheere-Terpstra Trend Statistic (Jonckheere-Terpstra 추세 검정통계량에 근거한 비모수적 층화분석법)

  • Cho, Do-Yeon;Yang, Soo;Song, Hae-Hiang
    • The Korean Journal of Applied Statistics
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    • v.23 no.6
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    • pp.1081-1091
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    • 2010
  • Clinical trials are often carried out as multi-center studies because the patients enrolled for a trial study are very limited in one particular hospital. In these circumstances, the use of an ordinary Jonckheere (1954) and Terpstra (1952) test for testing trend among several independent treatment groups is invalid. We propose a the stratified Jonckheere-Terpstra test based on van Elteren (1960)'s stratified test of Wilcoxon (1945) statistics and an application of our method is demonstrated through example data. A simulation study compares the efficiency of stratified and unstratified Jonckheere-Terpstra trend tests.

The case study to verify of a network based on router applying an ACL(: Access List) (ACL(: Access list)이 적용된 라우터 기반 네트워크의 검증 사례연구)

  • Kim, No-Whan
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.5
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    • pp.491-498
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    • 2016
  • An ACL(: Access List), a list that determines network access, is used for the security of the network. An ACL if applied to a interface of router can filter particular packets. Also it can block or allow the access of certain unauthorized IPs or ports, based on the source address, destination address, and TCP/UDP port. This paper presents a simulation case to verify the effect of a router-based network applying Standard ACL or Extended ACL. The network was created through designing topology and then making a common virtual network using a Packet Tracer.