• Title/Summary/Keyword: Paramedic

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Exposure to Blood and Body Fluids during the Clinical Practicum of Paramedic Students

  • Jung, Ji-Yeon
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.3
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    • pp.175-179
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    • 2019
  • This study is a descriptive research of paramedic students who could be exposed to blood and body fluids during the clinical practicum to analyze the risk factors. From June 1 to June 30, 2018, 172 paramedic students who attended the University in Jeolla-do region were analyzed. The collected data were analyzed by using the SPSS WIN 21.0 program. The general characteristics of subjects, the exposure level of blood and body fluids, and etc were obtained for frequency and percentage analysis. The study found that 72.7 percent of students had experience to blood or body fluids exposure during the clinical practicum. Except for any needle injury, 70.4 percent of student were exposed to blood or body fluids. 28.8 percent of them which was the highest percentage of injection injury were exposed during the venous blood draw. 36.5 percent of exposure were related to wound dressings which was the highest percentage related to clinical procedures. 71.2 percent of students mentioned that they did not report this exposure because 68.5 percent students thought that it has no danger. According to the survey on hepatitis B, 50.6% of students had antibodies, but 31.8 percent of students did not confirm that the antibodies were formed. Even though paramedic students do practical training in a hazardous environment with repeated exposure to blood and body fluids due to the nature of job characteristics, the systemic infection control education program is insufficient. In order to prevent exposure and to protect paramedic students who do practical training with patients, it is necessary to make more systematic and active efforts in the continuous monitoring and the preventive education.

Awareness and its improvement to patients with mental and behavioral disorders of paramedic students (응급구조(학)과 학생들의 정신 및 행동장애 환자에 관한 인식과 개선방안)

  • Su-A, Choi;Go-Eun, Choi;Ji-Hye, Kang;Keun-Ja, Cho
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.3
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    • pp.105-119
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    • 2022
  • Purpose: This study was attempted to identify the awareness of paramedic students to patients with mental and behavioral disorders and suggest its improvement measures. Methods: Data were collected from the paramedic students after consent to this study through online. The period of data collection was from May 18 to August 1, 2022 and 120 questionnaires were analyzed using SPSS statistics 28.0. Results: The level of prejudice of subjects showed 2.73 points and their level of discrimination showed 2.52 points. There was statistically significant difference according to gender, grade, experience of field practice, reason for major selection etc. in prejudice and discrimination levels. There was statistically significant difference according to contact experience to patients, contact place, taking subjects etc. in prejudice and discrimination levels. The high correlation showed between total prejudice and discrimination (r=.853, p<.001). The improvement measures of an awareness about patients were positive role of mass media, better educational contents etc. Conclusion: Paramedic students need to treat patients with mental and behavioral disorders without prejudice and discrimination. Therefore, it needed to develop and apply the various educational programs for paramedic students to be able to improve an awareness about patients with positive role of mass media about them.

Subjectivity on Abortion of Paramedic Student (인공유산에 대한 응급구조학과 학생의 주관성 연구)

  • Lee, Kyung-Sook;Baek, Mi-Lye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5958-5967
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    • 2012
  • The purpose of this study is to build a bioethical foundation for Paramedic students by identifying and explaining the subjective types and structures of the students' perception on abortion using Q-methodology. Forty statements as a Q sample are selected from the literature and in-depth interview, and P-sample consists of twenty nine junior Paramedic students. The collected data is analyzed by using a QUANL program. The analysis identified three types of the paramedic students' perception on abortion: The fetus-oriented decision type, The mother-oriented active decision type(n=15), The Type(n=9),and mother-oriented passive decision type(n=5). The three factors all had eigenvalues greater than 1.0 and explained 61.3% of the variance in responses. Based on the result of this research, type 1 focuses on the importance of life, whereas other types seem to demonstrate a self-centered mindse that puts more importance on self than the fetus. Therefore, bioethics courses, especially ones that deal with abortion, are crucial to those paramedic students who handle the lives of others.

Study on the effect of 3 point belt on chest compression

  • Kim, Gyoung-Yong;Yang, Hyun-Mo
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.3
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    • pp.169-176
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    • 2020
  • This study suggested a method to increase the quality of chest compressions in patients with cardiac arrest during transport. When providing cardiopulmonary resuscitation to a cardiac arrest patient in the pre-hospital phase, the quality of chest compressions should be improved by using a three-point fixed belt to the ambulance. Because the quality of the chest compression was increased when the 119 paramedic wears a 3-point fixed belt in addition to the chest compression method. Also, paramedics are less likely to be at risk. Therefore, if a 3-point fixed belt is worn in an ambulance during transport, 119 paramedics will be able to secure safety and provide high-quality chest compressions to cardiac arrest patients.

Risk perception and safety practice of paramedic students (응급구조학과 학생들의 교통 및 재난에 대한 위험인식 및 안전실천에 관한 연구)

  • Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.1
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    • pp.71-82
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    • 2016
  • Purpose: This research aimed to provide baseline data for undergraduate safety education by evaluating paramedic student risk perception and safety practice behavior regarding transport and disaster-related accidents. Methods: A total of 367 paramedic students at three different universities were surveyed using questionnaires. Risk perception questions about hazard, feeling of dread, and uncontrollable factors regarding seven items in transport and disasters were asked on a 7-point scale. Safety practice behavior consisted of 14 transport-related questions and 12 disaster-related questions in 4-point scale. All data were analyzed using SPSS Window 21.0. Results: Of 367 surveyed, 54.8% (201) were females, and 28.9% (106) were freshmen. In risk perception, 'drunk driving' in transport was the highest on average obtaining 6.49 points for hazard and 5.12 points for the feeling of dread. In disasters, 'war' recorded the highest average with 6.61 points for hazard and 5.71 points for the feeling of dread. In safety practice behavior regarding transport and disasters, a higher awareness of the need for safety education correlated with a significantly higher the rate of safety practice behavior (p <.001 respectively). Conclusion: The results indicate that undergraduates have inadequate perception of risk in emergencies. Safety education programs are needed to raise awareness of risks and to increase the safety practice rate.

Factors influencing performance confidence in paramedic students by knowledge and experience of respiratory-assistant therapy (응급구조학과 학생들의 호흡보조요법 경험, 지식이 수행자신감에 미치는 영향요인)

  • Uhm, Dong-Choon;Kim, A-Jung
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.2
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    • pp.67-77
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    • 2018
  • Purpose: This study was conducted to identify the factors influencing performance confidence by knowledge and experience of respiratory-assistant therapy in paramedic students. Methods: A descriptive survey study used a convenience sample comprising 387 students from September 15 to October 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and regression analysis. Results: Knowledge was statistically significant by college(3-year), acquired certification, and observation experience in respiratory-assistant therapy. Performance confidence was statistically significant by sex, academic grade($3.0{\leq}$), acquired certification, and observation and performance experience in respiratory-assistant therapy. There was a significant correlation between knowledge and acquired certification, clinical practice, and major satisfaction. There was a significant correlation between performance confidence and acquired certification, clinical practice, major satisfaction, and knowledge. Regression analysis revealed that performance confidence accounted for 22.9% of the variance by academic grade(3.0~3.99), acquired certification, and major satisfaction. Conclusion: For paramedic students in clinical practice and in-school classes, it is important to improve performance confidence by combining training instruction with experience and education of respiratory-assistant therapy.

Perception of paramedic students on core competence and methods of disaster response (응급구조학과 학생들의 재난대처핵심역량과 재난대처방법에 대한 인식)

  • Jung, Ji-Yeon
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.2
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    • pp.23-33
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    • 2018
  • Purpose: To investigate the perception of paramedic students about core competence and methods of disaster response. Methods: A self-reported questionnaire was completed by 210 paramedic students in Jeollado from March 2 to April 2, 2018. It comprised 57 questions on topics such as general characteristics (6), related experience (11), cognition of core competence (15), and knowledge of disaster response methods (25). Data were analyzed by means of a frequency analysis, a t-test, an ANOVA, and the Pearson's correlation coefficient using SPSS WIN 21.0. Results: The average score of the participants on disaster response core competence was 3.21. The statement "In case of a disaster, I know the duties of medical staff" scored the second highest, at 3.58, and "In the case of disaster, I can conduct the basic treatment" scored the highest ar 3.59. The average score for the disaster response methods was 3.31. Within the section, the statement "I know what I need to do in the case of burn patients" scored 3.59 and "I know what I need to do in the case of a cardiac arrest patient" scored the highest at 3.93. Conclusion: It is necessary to develop a training module considering the diverse types of disasters and a standardized education program for simulation similar to real-life situations.

Validation of a Korean version of the satisfaction with simulation experience scale for paramedic students (응급구조학과 학생 대상 한국판 시뮬레이션 경험 만족도 도구의 타당도 검증)

  • Kwon, Hye-Ji;Yoou, Soon-Kyu
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.2
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    • pp.7-20
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    • 2014
  • Purpose: This study aims to assess the reliability and validity of a Korean version of the satisfaction with simulation experience (SSE) scale for low-, medium-, and high-fidelity simulations among paramedic students. Methods: Exploratory factor analysis with varimax rotation was used to determine construct validity. Cronbach's alpha was calculated to assess internal consistency reliability. Results: Cronbach's alpha for the overall scale was .841. Exploratory factor analysis yielded a three-factor structure composed of clinical learning, clinical reasoning and debriefing and reflection. Each of the subscales had high internal consistency, with Cronbach's alphas of .852, .790 and .913, respectively. With respect to year, freshmen scored the highest on the SSE scale. With respect to type of simulation, the medium-fidelity group reported the highest satisfaction. Generally, the students were satisfied with debriefing and reflection. Conclusion: The Korean version of the SSE scale was shown to be a reliable and valid instrument for assessing satisfaction with simulation learning in paramedic students.

Effects of self-esteem and adjustment to college life on career preparation behavior of paramedic students (응급구조과 학생의 자아존중감과 대학생활적응이 진로준비행동에 미치는 영향)

  • Choi, Gil-Soon;Lee, Chang-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.3
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    • pp.91-102
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    • 2012
  • Purpose : This study was designed to examine the effects of self-esteem and adjustment to college life on career preparation behavior in 209 paramedic students attending two colleges in G Metropolitan City and provide the basic materials of career development program. Methods : Data were collected from Sep. 7 to 12, 2011 and SEI Form B made by Coopersmith, adjustment to college life by Baker and Siryk, and career preparation behavior by Kim were adopted and revised. Results : There was significant difference in self-esteem and adjustment to college life between gender, but there was no difference in career preparation behavior. Self-esteem and career preparation behavior were graders difference, but there was no in adjustment to college life. There were positive correlations between self-esteem and adjustment to college life. The most significant influence on career preparation behavior of paramedic students was academic adjustment, followed the social and emotional adjustment. Conclusion : For the effective career preparation behaviors, career guidance methods and programs that induce academic, social and emotional adjustment to be available in adjustment to college life of gender and grade.

Stress, depression, coping styles and satisfaction of clinical practice in EMT-paramedic students (응급구조(학)과 학생의 스트레스, 우울, 대처방법 및 임상실습 만족도)

  • Koh, Bong-Yeun;Lee, Jung-Eun
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.3
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    • pp.77-89
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    • 2012
  • Purpose : The purpose of the study was to investigate the relationship between stress, depression, coping styles, and satisfaction of clinical practice in paramedic students. Methods : The study was conducted to 221 paramedic students who have experienced clinical training from March until June in 2012. Questionnaires consisted of level of stress, depression, coping styles, and satisfaction of clinical practice. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Results : The mean score of stress was $2.69({\pm}.69)$, depression was $19.09({\pm}9.41)$, coping styles was $3.17({\pm}.47)$, and satisfaction of clinical practice was $3.61({\pm}.58)$. Stress had a significant positive correlation with depression and a negative correlation with active coping and satisfaction of clinical practice. Depression had a significant positive correlation with passive coping and a negative correlation with satisfaction of clinical practice. Active coping had a significant positive correlation with passive coping and satisfaction of clinical practice. Conclusion : There was a positive effect on decreasing stress and depression in paramedic students, and encouraging positive coping when the students received counseling and instruction for clinical practice.