• Korean Journal of Acupuncture
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• 제39권4호
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• pp.184-190
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• 2022

Objectives : In our previous study, we developed the prototype of a lesson plan for meridian and acupuncture clinical skills education by applying the rapid prototyping to instructional systems design. The present study aimed to develop a teaching-learning manual, including the lesson plans, practice notes, and instructions for devices. We also aimed to present a guideline on how to use the manual in class. Methods : The manual and materials for teachers and learners were developed based on the solutions and the prototype derived from our previous study. Practical classes on meridian and acupuncture points consist of four major subjects, and the lesson plan and practice note were designed according to each topic. Results : Flipped learning, George's five-step method, peer role-play, and peer-led objective structured clinical examination (OSCE) were applied as main methodologies in the meridian and acupuncture points practical class. The teaching-learning manual, including practice notes, detailed lesson plan, OSCE checklist, and instruction manual for devices, was developed to be utilized at each stage of the learning activity. Conclusions : The application of the teaching-learning manual is expected to provide effective clinical skills education, strengthen learners' communication skills, establish professional identity, assess learners' performance, and provide immediate feedback. The educational effect of the manual for the existing class should be identified, and its feasibility should be verified by implementing it on another group. This manual could be helpful in designing classes for other subjects of Korean medicine, especially for clinical skills education.

• 한국간호교육학회지
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• 제18권1호
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• pp.120-130
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• 2012

Background: The purpose of this study was to examine relationships among self-assessment, self-efficacy, and satisfaction after OSCE(Objective Structured Clinical Examination) using smart phone. Methods: The convenience sample was consisted of 90 nursing college students. The data were collected from November 15 to November 18 in 2011. The data were analyzed using SPSS win 19.0 program. Data were analyzed with descriptive statistics including t-test, ANOVA and Pearson's correlation coefficient to compare self-efficacy and satisfaction by subject's general related characteristics and to examine the relationships among variables. Results: The level of self-efficacy was 3.48(${\pm}0.27$). The level of satisfaction was 4.01(${\pm}0.54$). Self-efficacy was significant relationship satisfaction with practice education (r=.380, p=.045), satisfaction with the method of practical tests (r=.270, p=.009), and satisfaction with major (r=.250, p=.015). There was significant relationship between satisfaction with major and satisfaction with practice education (r=.240, p=.020). Conclusion: Comprehensive intervention promoting self-efficacy, interpersonal relationship, and perceived image of nurses after practicum is needed to improve self-efficacy and satisfaction, for those who can not better interpersonal relationships, perceived image of nurses after practicum.

• 대한불안의학회지
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• 제16권1호
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• pp.32-40
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• 2020

Objective : The purpose of this study was to investigate the cognitive performance of major depressive disorder (MDD) in military service/conscription personnel who visited the psychiatric clinic for a medical certificate to consider the situation from the perspective of Korea's unique compulsory military system. We used the Korean Wechsler Adult Intelligence Scale-IV (K-WAIS-IV) as the test for verifying the suitable level of cognitive functioning for military service and as the embedded measure with reflecting suboptimal effort. Methods : The study was conducted on 56 (28 males, age 19-34) in/out-patients admitted to the psychiatry department and diagnosed with MDD (DSM-IV). All participants completed a structured clinical interview (MINI-Plus), as well as self-report questionnaires related to demographics and severity of clinical symptoms. K-WAIS-IV was administered to each subject to assess cognitive characteristics. Results : Military group showed significantly lower processing speed index (PSI) score including subtests of symbol search (SS) and coding (CD) score, compared to the control group. There was no other significant differences in the Full Scale IQ (FSIQ), Verbal Comprehension Index (VCI), Perceptual Reasoning Index (PRI), Working Memory Index (WMI) scores including sub-tests comprised of the above indices, and Reliable Digit Span (RDS), Enhanced-RDS-Revised (E-RDS-R) between the study and control groups. Conclusion : This study was the first effort to verify the characteristics of Korea's military group with MDD and suggest the applicability of PSI and processing speed of K-WAIS-IV as an embedded performance index to test sub-optimal effort or low motivation beyond the purpose of testing cognitive deficits.

• Korean Journal of Acupuncture
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• 제38권4호
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• pp.267-274
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• 2021

Objectives : Acupoints education is important in that it can determine the clinical competency of Korean Medicine Doctors (KMDs). Accordingly, we aimed to develop a practical simulator for acupoints education, acupoints training, acupoints practice, and acupoints evaluation. Methods : Korean Medicine (KM) SMART Table can be divided into hardware, server and components, and is organically linked. We develop KM SMART Table that combines the hardware of a human-sized table with a UHD display capable of multi-touch in two cases and software that can teach acupoints. We make Augmented Reality (AR) contents linked with KM SMART Table contents and develop applications that can use contents using mobile devices. By developing an AR image tracking module to react with KM SMART Table, it enables acupoint learning according to the mobile device platform and human anatomy. Results : The current system is a prototype where some 3D technology has been implemented, but the AR function will be produced later. New learning using 3D and AR will be required during acupoints education and acupoints practice. It will be used a lot in OSCE (Objective Structured Clinical Examination) practices for strengthening the competency of KMDs, and it will be of great help not only in KM education as a unique simulator of KM, but also in the practice of acupuncture and chuna for musculoskeletal diseases. Conclusions : The KM SMART Table is a technology that combines 3D and AR to learn acupoints, and to conduct acupoints OSCE practice, and we suggest that it can be usefully used for educational evaluation.

• 대한불안의학회지
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• 제13권2호
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• pp.123-131
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• 2017

Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (${\alpha}=0.972$) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ${\geq}37$ with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool.

• 기본간호학회지
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• 제23권3호
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• pp.292-299
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• 2016

Purpose: The purpose of this study was to provide a basis for improvement and enhancement of nursing education by investigating learning outcomes that apply to fundamentals of nursing and teaching methods used in classes. Methods: Data were collected from 111 professors of fundamentals of nursing who responded to the self-report questionnaire. Data were analyzed using chi-square test. Results: For learning outcomes in fundamentals of nursing the most frequent number of outcomes was two (35.2%), or three (32.4%). For learning outcomes in fundamentals of nursing practicum, the most frequent number of outcomes was two (32.4%), or three (31.6%). In fundamental nursing classes, teaching methods used most frequently were lectures (98.2%) and videos (60.4%), and in practice classes, demonstration (98.2) and open laboratory (90.9%). Constructivist teaching methods that were utilized in fundamental nursing were team-based learning (19.8%) and case-based learning (19.8%), and for practice classes, objective structured clinical examination (29.7%). In the cross analysis, 28.8% of the nursing professor used the constructivist teaching methods in fundamental nursing and in practice classes. Conclusion: There is a need to continue to improve teaching methods for new nurse-educators and professors and to discuss learning outcomes of fundamental nursing.

• 기본간호학회지
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• 제22권3호
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• pp.318-327
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• 2015

Purpose: The purposes of this study were to compare confidence in practice of intermittent gavage tube feeding and participants' satisfaction by three types of feedback; professor verbal feedback, professor feedback with smartphone video, and peer feedback with smartphone video. In addition, frequently failed items in the intermittent gavage tube feeding procedure were analyzed. Methods: Data were collected from a convenience sample of 78 nursing college students in November 2014. Students were randomly assigned to the control group, experimental group I (smartphone video with professor feedback) or group II (smartphone video with peer feedback). Data were analyzed using descriptive statistics including chi-square test, ANOVA, and Scheffe test with SPSS 21.0. Results: Confidence in practice of intermittent gavage tube feeding and satisfaction with feedback were highest in experimental group I that had professor feedback with smartphone video. For the procedure, the most frequently failed item was giving an explanation to patients about the purpose and the procedure of tube feeding. Conclusion: The results indicate that professor verbal feedback with smartphone video is the most benefit to the nursing students in acquiring core nursing practice skills.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1178-1185
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• 2012

본 연구는 마취과 임상실습을 마친 의전원 4학년 학생들을 대상으로 충실도를 달리한 과정기술 객관구조화 진료시험에서 보여지는 자기평가와 학습동기의 변화 유무를 비교해 보고자 시행되었다. 학생들을 무작위로 두 군으로 나누어 HF군에서는 고충실도의, LF군에서는 저충실도의 과정기술 객관구조화진료시험을 시행하였다. 사례는 기관삽관과 정맥관삽관의 두 주제로 임상술기교육을 맡은 책임교수가 개발한 후 다른 두 교수가 검토, 수정하였다. 두 주제에 대해 고충실도 사례는 실제 수술실에서 in-situ 시뮬레이션으로, 저충실도 사례는 일반 교실에서 단순과업모형을 이용하여 충실도만 달리하여 시행하였다. 학생들은 수행 전 후로 5점 척도로 구성된 설문조사에 응하였고, 자료의 분석은 Man-Whiteney test와 Paired T-test를 이용하였다. 연구 결과, 의전원 4학년 학생들의 술기 수행능력에 대한 자기평가는 저충실도 사례보다 고충실도 사례에서 평가 전에 보여준 자신감보다 낮게 평가되었고, 고충실도 사례 후에 연습의 필요성을 더 느꼈다. 고충실도 사례의 도입은 학생들의 술기연습에 대한 동기 부여에 도움이 될 것으로 여겨지지만 경제적인 효율도 고려해야 할 것이다.

• Child Health Nursing Research
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• 제19권1호
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• pp.1-11
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• 2013

목적 본 연구의 목적은 간호대학생을 대상으로 신생아 중환자실에 입원한 호흡곤란증후군 환아 사례의 시뮬레이션 학습 시나리오를 개발하여 지식 적용-기술 수행, 문제 해결 능력, 학습만족도를 파악하는 데 있다. 방법 단일군 사후설계를 적용하였으며, 고위험 아동간호학을 수강하고 있는 간호학과 4학년 55명을 대상으로 총 17개조를 구성하여 매주 3개조(4-5명/조)로 시뮬레이션 운영 후 디브리핑을 60분간 실시하였으며, 자신의 실습 수행에 대한 문제해결능력과 학습만족도를 평가하였다. 결과 시나리오는 간호진단을 포함하여 6단계로 구성하였으며, 20분의 운영 시간 내에 호흡곤란 증후군 환아에 대한 지식 적용 및 기술 수행 능력, OSCE 수행 능력을 평가할 수 있도록 개발하였다. 지식 적용-기술 수행 평가에서 간호진단을 제외한 5개의 범주 중 평가 단계가 지식 적용과 기술 수행 모두 가장 높게 나타났다. 지식 적용에서 가장 높은 평균 점수를 보인 항목은 사정 단계에서 산소포화도 관찰, 평가 단계에서 산소분압과 산소포화도 확인이었고, 기술 수행에서는 중재 단계의 호흡곤란 완화 간호가 높았다. 사정 단계의 검사 확인은 지식 적용 및 기술 수행 영역에서 모두 낮게 나타났다. OSCE 수행 평가에서는 흡인 수행 능력에서는 사용한 물품 정리 및 수행 후 손씻기, 산소 공급에서는 급습기 멸균증류수 확인이 가장 부족한 것으로 나타났으며, 잘 수행된 항목보다 수행되지 못한 항목이 흡인과 산소 공급 모두 많은 것으로 나타나 기본간호술기의 중요성을 확인할 수 있었다. 문제 해결 능력과 학습 만족도는 양의 상관관계가 있는 것으로 나타나 문제 해결 능력이 높을수록 학습만족도가 높은 것으로 나타났다. 결론 시뮬레이션 교육 시행 후 문제 해결 능력에 따라 학습 만족도가 높으므로 문제 해결 능력을 높일 수 있도록 아동간호영역에서 다양한 시뮬레이션 교육 프로그램이 개발될 필요가 있으며, 기본간호술기 수행 능력을 증진할 수 있는 교육 프로그램이 더욱 활발히 운영되어야 한다고 생각된다.