• Title/Summary/Keyword: Nursing Training

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The Primary Care Performance of Three Types of Medical Institutions: A Public Survey using the Korean Primary Care Assessment Tool

  • Jung, Hye-Min;Jo, Min-Woo;Kim, Hyun-Joo;Jang, Won-Mo;Lee, Jin-Yong;Eun, Sang-Jun
    • Quality Improvement in Health Care
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    • v.25 no.2
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    • pp.16-25
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    • 2019
  • Purpose:The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance. Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions. Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions. Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

A Study on self-regulated learning ability and English learning achievement for students majoring in the science of nursing and other major (간호학과 학생과 일반학과 학생의 자기 조절학습 능력과 영어 성취도에 관한 연구)

  • Shin, Myeong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.9
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    • pp.3959-3966
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    • 2011
  • The purpose of this study was to investigate the effect of self-regulated learning ability on English learning achievement. A survey was conducted to the students majoring different fields of study in order to measure their self-regulated learning ability from March 10, 2010 to June 10, 2010. The result indicates a strong correlation between students' English achievement and self-regulated learning factors such as cognitive, affective, and behavior regulation. The results revealed that instructional, and training interventions should be needed to have significant goal-orientation, to maintain motivation, and to have self confidence from On-line and Off-line blended teaching for the successful English learning.

Factors Affecting the Control of HbA1c in Type 2 Diabetic Patients (제2형 당뇨환자의 당화혈색소(HbA1c) 수치 조절에 미치는 영향요인)

  • Kim, Hee Yeon;Kim, Hye Sook
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.75-84
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    • 2018
  • Objects: This study is a descriptive study to identify the factors influencing the glycated hemoglobin control in type 2 diabetes patients. Methods: This study used raw data from the third year of the National Health and Nutrition Examination Survey performed from 2015. The subjects were 285 people who were classified as type 2 diabetes patients among the 7,380 participants of the National Health and Nutrition Examination Survey. Findings: The factors influencing the glycated hemoglobin control in type 2 diabetes patients were found to be age, education level, prevalence period and sleeping time. Improvements: In type 2 diabetes patients, it is very important to have appropriate education on diabetes when they discovered the disease morbidity in the middle age rather than in the aged period and to have enough sleeping time. A practical program to help this education and training should be developed.

Communication with a Physician Experienced by a Nurse in a Clinical setting : Using Focus Group Interview (임상현장에서 간호사가 경험하는 의사와의 의사소통 : 포커스그룹 면담을 이용하여)

  • Song, Mi Sook;Yun, Hyewon
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.279-290
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    • 2019
  • The purpose of this study was to explore communication experiences with doctors experienced by nurses in clinical settings, to resolve communication difficulties, and to identify ways to communicate effectively. "What is communication with a physician experienced by a nurse? The focus of the discussion was performed with questions. The study was a qualitative study of 21 nurses with different clinical experiences using interview methods and analyzed data using the criteria of Downe-Wam bol dt. 12 Themes were reclassified to derive 4 Themes clusters. In conclusion, it is necessary to create an atmosphere of respect for doctors and nurses, and each department should be able to quickly identify and deal with communication problems. Based on the research, It is suggested that the training of communication skills be strengthened to be possible.

Effect of Adolescents' Depression on their Life Satisfaction : Focusing on Mediating Effect of Sense of Community (청소년의 우울이 삶의 만족에 미치는 영향 - 공동체의식의 매개효과를 중심으로)

  • Kang, Seok-im;Lee, Yun-jeong;Chung, Myung-sook
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.67-76
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    • 2019
  • The purpose of this study was to analyze direct and indirect effects that depression of adolescents have on their life satisfaction through mediating variable called sense of community. To collect data, a survey was administered to 371 adolescents participating in volunteer activity at Youth Training Center located in C province. Data collected were analyzed for mediating effect, using structural equation model. The results showed that sense of community not only directly affect life satisfaction of the adolescents, but also work as a significant mediating variable between depression and life satisfaction. In other words, sense of community was found to reduce the negative impact of depression on life satisfaction. Based on these findings the ways of developing effective measures to promote the sense of community of young adolescents in educational field was discussed, such as developing various experience-activity programs and providing an institutional strategy which support such activity programs.

The Effect of Life Pattern on the Dysmenorrhea among Female University Students (여대생의 생활패턴이 월경곤란증에 미치는 영향 요인)

  • Kim, Hyang-Soo
    • Journal of Convergence for Information Technology
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    • v.11 no.3
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    • pp.95-106
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    • 2021
  • The study is a descriptive research to determine how female university students' life patterns have an effect on dysmenorrhea and to provide the basis about healthy care programs through changing life patterns. We collected 133 data female university students who have dysmenorrhea attending J university. The study period lasted two weeks, going from Nov 18 to Nov 29, 2019. As a result of this study, the correlated factors of dysmenorrhea included dietary habits(r=-.441, p<.001), salt-related dietary(r=-.214, p=.013). The prevalent factors influencing dysmenorrhea are dietary hibits(β=-.457), smoking(β=.175), and phone calls(<2 hours)(β=.163).Therefore, it will be needed patterns of healthy lifestyle including positive dietary habits, non-smoking, phone calls (less than 2 hours) to relieve female university students' dysmenorrhea through education and training.

Effects of Farinelli Breating Exercise on Respiratory Function and Symptoms in Patients with Chronic Obstructive Pulmonary Disease

  • Ittinirundorn, Supawit;Wongsaita, Naiyana;Somboonviboon, Dujrath;Tongtako, Wannaporn
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.2
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    • pp.137-146
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    • 2022
  • Background: Farinelli breathing (FB) exercise is a typical breathing exercise used by singers. This study aimed to compare effects of FB exercise and diaphragmatic breathing (DB) exercise on respiratory function and symptoms in patients with chronic obstructive pulmonary disease (COPD). Methods: Sixteen patients aged 51-80 years with mild or moderate COPD were recruited for this study. They were divided into two groups: DB group (n=8) and FB group (n=8). Both groups received complete breathing exercise training five times per week for 8 weeks. Their respiratory functions, COPD symptoms, cytokine levels, and oxidative stress variables were analyzed during pre- and post-tests. Dependent variables were compared between pre- and post-tests using paired t-tests. An independent t-test was used to compare variables between the groups. Differences were considered significant at p<0.05. Results: The maximal expiratory pressure (MEP), maximum oxygen consumption (VO2max), and COPD Assessment Test (CAT) scores changed significantly in the DB group after the 8-week intervention compared to those at pre-test, whereas force vital capacity, forced expiratory volume in the first second, maximum voluntary ventilation, maximal inspiratory pressure (MIP), MEP, VO2max, CAT score, tumor necrosis factor-α, and malondialdehyde level changed significantly in the FB group at post-test compared to those at pre-test. Moreover, both MIP and MEP in the FB group were significantly higher than those in the DB group. Conclusion: FB exercise improved respiratory functions and COPD symptoms of patients with COPD. It might be an alternative breathing exercise in pulmonary rehabilitation programs for patients with COPD.

The Effects of Major Selection Motivation, COVID-19 Anxiety, and Work Values on Employment Preparation Behavior: Focused on Health College Students (전공 선택동기, COVID-19 불안, 직업가치관이 취업준비행동에 미치는 영향: 보건계열 대학생을 중심으로)

  • Kim, Eun-Jung;Park, Sa-Ra;Lim, Seong-Beom
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.49-56
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    • 2022
  • Purpose : The purpose of this study was to examine the effects of the motivation for choosing a major, COVID-19 anxiety, and work values on the employment preparation behavior of health college students and to provide evidence for developing programs for employment preparation behavior in the future. Methods : Employing a random sampling method, a survey was conducted from April 22 to June 3, 2022, using an electronically-disseminated questionnaire with college students majoring in medical technician, health administration, and nursing from D and K colleges located in Daegu. A total of 402 students who fully understood and agreed to the purpose of the study participated. The SPSS statistical program was used to analyze the collected data, which were verified using correlation and regression analyses. Results : The results of the study are: First, employment preparation behavior was positively correlated to major selection motivation, COVID-19 anxiety, and work values. Second, significant relationships were found between employment preparation behavior and motivation behind choosing a major, work values, and COVID-19 anxiety, in that order. The higher the major selection motivation, work values, and COVID-19 anxiety were, the better the employment preparation behavior was. Conclusion : The study's results indicate that it would be meaningful to provide health college students who were highly motivated to select their major and who possess sound work values with well-prepared job training programs. Various activities organized by the school for improving the students' self-satisfaction and self-efficacy, which can strengthen their long-term work values, could also be provided. In addition, due to the continuing COVID-19 pandemic, college students may feel anxious about new infectious diseases that might occur in the future. Therefore, considering the contemporary situation, a helpful educational program will be invaluable to fit the pupils for life's battle after they finish their education.

Effect of PNF Leg Pattern Application According to Posture on Muscle Activation of the Contralateral Gluteus and Transverse Abdominis: A Preliminary Study (자세변화에 따른 PNF 다리패턴 적용이 반대측 볼기근과 배가로근에 미치는 영향: 예비 연구)

  • Chae, Jung-Byung;Jung, Ju-Hyeon;Jung, Da-Eun
    • PNF and Movement
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    • v.20 no.2
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    • pp.285-293
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    • 2022
  • Purpose: The purpose of this study was to confirm that the activation of the contralateral muscles changes according to posture after applying the proprioceptive neuromuscular facilitation leg pattern. Methods: Ten healthy adults (four males and six females) with no history of current musculoskeletal/neurological injuries were recruited for this study. Abdominal muscle (transverse abdominis) and hip joint muscle (gluteus maximus and gluteus medius) activation was assessed using surface electromyography (Ultium EMG, Noraxon Inc., USA). We evaluated muscle activation during the application of the PNF leg pattern. The data were analyzed using the SPSS version 21.0 program. Results: The results were found to be statistically significantly different in the 90/90 supine posture and sitting posture for the gluteus maximus (p < 0.05). The results were found to be not statistically significantly different for the transverse abdominis according to posture (p > 0.05). The results were found to be not statistically significantly different for the gluteus medius according to posture (p > 0.05). Conclusion: Application of the PNF leg pattern resulted in a significant change in the muscle activation of the contralateral segment according to posture, and the 90/90 supine posture induced high muscle activation of the gluteus maximus. In addition, the activation of the transverse abdominis was high in all three postures.

Effects of Water Exercise Program on Physical Fitness, Pain and Quality of Life in Patients with Osteoarthritis (수중운동 프로그램이 골관절염 환자의 체력, 통증 및 삶의 질에 미치는 영향)

  • Choi, Hee-Kwon;Kim, Nan-Soo;Kim, Hyun-Soo
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.55-65
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    • 2009
  • Purpose: The purpose of this study was to determine the effects of water exercise program on physical fitness, pain and quality of life(QoL) in patients with osteoarthritis. Methods: Thirty-four old women were divided into the exercise(EG, n=18) and control groups(CG, n=16) after 6-week self-help education program. The EG carried out 6-week supervised water exercise program(60min/day, 2days/wk). Physical fitness, pain, and QoL were assessed by Senior Fitness Test Manual(Rikli & Jones, 2005), Pain rating scale(0-10) and World Health Organization QoL BREF(Min et al., 2000), respectively. Results: Both EG and CG increased upper and lower-body strength(all, p<.05), which were measured by arm curl and chair stand, respectively. For flexibility test, the EG increased upper and lower body(all, p<.05). Balance of the EG increased(p<.05), but not in the CG. Pain significantly decreased in the EG post training(p=.000). However, both EG and CG did not significantly improve for QoL. Conclusion: Six weeks of water exercise program did induce significant improvement in physical fitness and pain control in patients with osteoarthritis.