• The Korean Journal of Emergency Medical Services
• /
• v.15 no.2
• /
• pp.67-84
• /
• 2011

Purpose: The aim of this study is to present the basic data for qualitative improvement of emergency care for emergency patient by paramedic in fire station by understanding the level of awareness and practice in prehospital and transfer step, and understanding the level of emergency care and improvement of clinical knowledge through hospital clinical training. Methods: The researchers explained the objective for 143 persons who completed hospital clinical training from June 2nd, 2006 to October 23rd, 2009 among paramedic in fire station. The questionnaire in this research consisted of 80 questions. In the reliability for the awareness of emergency patient assessment, cronbach's $\alpha$ was 0.95, and in the reliability for emergency care fulfillment, cronbach's $\alpha$ was 0.93. reliability for clinical knowledge improvement is cronbach's $\alpha=.95$, and reliability for emergency care fulfillment is cronbach's $\alpha=.82$. Collected data was analyzed through SPSS 18.0 statistics program for frequency, percentage, average, standard deviation, Paired t-test, t-test, Correlation Coefficient, and internal consistency reliability was analyzed by cronbach's $\alpha$. Results: 1) The paramedic awareness and practice difference for emergency patient is statistically signification for general patient assessment(t=14.159, p=.000), trauma patient assessment(t=11.288, p=.000), internal medicine patient assessment(t=10.898, p=.000), and it shows the level of practice is lower than the level of awareness. 2) The paramedic difference between the level of awareness and practice according to whether or not they have clinical career is not signification on awareness(t=3.119, p=.125), and is high on practice(t=3.119, p=.002). 3) The correlation between paramedic awareness and the level of practice shows positive correlation(r=.61, p=.000). The higher the awareness of emergency patient assessment is, the higher the level of practice is. 4) The difference between paramedic clinical knowledge improvement and the level of emergency care practice is statistically significant(t=3.351, p=.001). 5) 89.6%(128 persons) of paramedic replied hospital clinical training experiences are helpful for field activity. 92.3%(133 persons) replied they apply well for clinical knowledge learned during hospital clinical training and emergency care skills in the field. Conclusion: Paramedic in fire station must evaluate the patient's initial assessment and activate the transfer system to the emergency department. It is necessary to develop and implement the effective education program continuously. The education program should systemize currently operated hospital clinical training. emergency disease and symptoms emergency care method, and practice mainly skill education should be progressed. In the prehospital and transfer management, high quality of medical assessment is required to the emergency medical service system. Medical direction from the doctors can feedback the paramedic continuously and continuing education must be provided to the paramedic in fire station.

• The Korean Journal of Emergency Medical Services
• /
• v.21 no.2
• /
• pp.71-78
• /
• 2017

Purpose: The purpose of the study was to investigate the satisfaction of paramedic students with simulation-based learning in an emergency intervention for bradycardia patients. Methods: Study participants were 72 paramedic students who experienced simulation-based learning. Data on satisfaction with the intervention were collected and analyzed using SPSS 18.0. Results: The mean satisfaction score for the simulation-based learning intervention was 4.28 by Likert 5 point scale. Conclusion: Simulation-based learning can facilitate adaptation to the scene of an emergency among paramedic students.

• The Korean Journal of Emergency Medical Services
• /
• v.21 no.1
• /
• pp.59-73
• /
• 2017

Purpose: This study aimed to enhance the efficiency of clinical training education by understanding paramedic students' perceptions of their hospital clinical training experiences. Methods: The subjects were 31 third paramedic students who participated in a population survey from June 25 to August 13, 2016. A Q card and Q sample distribution chart were created, and the P sample was selected by Q classification. The collected data were analyzed by factorial analysis using PC QUANL. Results: Four different perceptions were identified from the survey, which explained 44.1% of the variables. The four types were classified as Self-improvement-oriented (Type 1), Training-site avoidant (Type 2), Confidence acquiring (Type 3), and Over-willed (Type 4). Conclusion: Paramedic instructors and clinical training managers may want to consider these four perception types when planning clinical training and education programs to improve job performance.

• The Korean Journal of Emergency Medical Services
• /
• v.19 no.3
• /
• pp.103-115
• /
• 2015

Purpose: This study was performed to evaluate ethical ability among paramedic students by analyzing their moral intelligence and whistle-blowing intention. Methods: Data from 117 paramedic students were collected from September 7 - 14, 2015. The questionnaire measured the level of moral intelligence (7 components, 41 items) and whistle-blowing intention (8 items) of paramedic students. Results: The mean score of moral intelligence was 3.07 (${\pm}0.28$) and that of whistle-blowing intention was 3.13 (${\pm}0.42$). Moral intelligence and whistle-blowing intention showed a significantly positive correlation with each other (r = .328, p <.001). Conclusion: It is desirable to introduce moral education contents and methods for paramedic students in order to enhance their moral intelligence and whistle-blowing intention.

• The Korean Journal of Emergency Medical Services
• /
• v.27 no.1
• /
• pp.31-41
• /
• 2023

Purpose: This study was conducted to analyze variables related to paramedic students' major satisfaction comprehensively and present development plans to improve major satisfaction. Methods: Five studies were selected for analysis. The overall average effect size, effect sizes for each related variable, and publication bias were analyzed using Comprehensive Meta-Analysis (CMA) version 2.0 (Biostat, Englewood, NJ, USA). Results: Various known variables related to major satisfaction were found to have little correlation, and paramedic students' major satisfaction were highly correlated variables, such as major commitment (ES=.781), and department adaptation (ES=.722). Conclusion: Research should be continuously conducted to examine additional variables correlated with the major satisfaction of paramedic students.

• The Korean Journal of Emergency Medical Services
• /
• v.11 no.3
• /
• pp.65-79
• /
• 2007

Purpose : It was to find out demand and supply of EMT from 2007 to 2045 and to expand scope of practice of paramedic in Korea. Methods : This study was conducted by applying a projection formula to the data from admission quota for EMT of the Ministry of Education & Human Resources Development, rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board etc. Results : The number of EMTs were 6,043 paramedics, 5,378 EMT-Bs until 2006 and two produce constants derived from simple estimation were paramedic 0.81, EMT-B 0.86. On the American basis of 5.6 EMTs per 10,000, the number of paramedics under the present act will reach the basis around 2015(5.02), the number of paramedics under the amended act will reach the basis around 2030(5.50). Conclusion : There was relationship between scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic.

• The Korean Journal of Emergency Medical Services
• /
• v.20 no.3
• /
• pp.95-105
• /
• 2016

Purpose: The purpose of the study was to examine the career obstacle factors and career identity according to career choice type among paramedic students. Methods: A self-reported questionnaire was completed by 234 paramedic students in C area from August 25 to September 3, 2015. The questionnaire consisted of general characteristics of the subjects, career obstacle factors, career identity, and types of career choice. The data were analyzed by t test, ANOVA, post hoc $Scheff{\acute{e}}$ test, Pearson's correlation analysis, and multiple regression analysis using SPSS v. 20.0. Results: Career obstacle factors and career identity of paramedic students had significant differences on motivation of university choice, major satisfaction, and job preference. A stable type of career choice showed a significantly lower score for career obstacle factors and a higher score for career identity. Career identity had a strongly positive relationship with major satisfaction and had a negative relationship with career obstacle factors. Logistic regression analysis revealed that the main variables affecting career identity were types of career choice, motivation of university choice, major satisfaction, and career obstacle factors. The explanatory power was 58.0%. Conclusion: The development of a career integrity enhancement program can solve the career obstacle factors for paramedic students.

• The Korean Journal of Emergency Medical Services
• /
• v.19 no.2
• /
• pp.71-82
• /
• 2015

Purpose: This study aimed to investigate paramedic students' awareness and attitude toward a do not resuscitate (DNR) order and death. Methods: This research was conducted among 421 students from the Department of Emergency Medical Technology in a 4-year college located in the Chungcheong and Daejeon districts, from May 14 to 22, 2014. Data were analyzed by using IBM SPSS 21.0. Results: The mean level of attitude toward death was 2.17. The paramedic students with clinical experience showed a positive attitude toward death, of whom 72.0% answered that a DNR order is necessary. The mean level of attitude toward DNR was 2.88. The paramedic students with clinical experience showed a positive attitude toward a DNR order. They indicated that sanctity of life should be respected rather than extending ineffective treatment and that patients' decisions on DNR should be respected. The students who had more knowledge about DNR and felt the necessity of DNR had a positive attitude about death and DNR. Conclusion: Paramedic students need systematic education for proper recognition and values establishment about death and DNR.

• Journal of the Korea Convergence Society
• /
• v.12 no.4
• /
• pp.69-76
• /
• 2021

The purpose of the study is to examine the visual evaluation of bleeding amount in hemorrhagic shock in paramedic students. Through manikin simulation training, paramedic students were able to have confidence with estimation of bleeding amount in the prehospital settings. Three rescue training manikins were placed in supine position and artificial blood was poured between the abdomen and pelvis. The bleeding evaluations of 700 mL, 1200 mL, and 1700 mL were performed before and after simulation training. Paramedic students underestimated the amount of bleeding in the trauma situation, and it was found that it was difficult for the students to evaluate the accurate amount of bleeding with a single simulation.

• The Korean Journal of Emergency Medical Services
• /
• v.26 no.2
• /
• pp.37-46
• /
• 2022

Purpose: This study aims to analyze the effects of flipped learning on paramedic students' self-directed learning and academic self-efficacy. Methods: A one-group pretest, posttest design was utilized for the 32 paramedic students who participated. The data were analyzed by employing paired t-test and Pearson correlation coefficient along with the SPSS 23.0 program. Results: The scores of self-directed learning and academic self-efficacy significantly increased after flipped learning classes (t = -3.90, p<.05; t = -5.92, p<.05, respectively). Conclusion: Flipped learning is an effective intervention for improving self-directed learning and academic self-efficacy in paramedic education. In the long run, the application of flipped learning will play a role in improving the paramedic students' educational environment and strengthening the overall abilities of students.