• Educational Technology International
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• 제18권2호
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• pp.131-157
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• 2017

The purposes of the study were to investigate the participation of artists in paper circuit computing learning and to conduct an in-depth study on the formation and development of practical knowledge. To do this, we selected as research participants six artists who participated in the learning program of an art museum, and used various methods such as pre-open questionnaires, participation observation, and individual interviews to collect data. The collected data were analyzed based on community of practice theory. Results showed that the artists participated in the learning based on a desire to use new technology or find a new work production method for interacting with their audiences. In addition, the artists actively formed practical knowledge in the curriculum and tried to apply paper circuit computing to their works. To continuously develop the research, participants formed a study group or set up a practical goal through planned exhibitions. The results of this study can provide implications for practical approaches to, and utilization of, paper circuit computing.

• 성인간호학회지
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• 제17권3호
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• pp.411-424
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• 2005

Purpose: The purpose of this study was to develop and evaluate e-EBPP(Evidence-based Practice Protocol) system for nursing care for patients with dementia to facilitate the best evidence-based decision in their dementia care settings. Method: The system was developed based on system development life cycle and software prototyping using the following 5 processes: Analysis, Planning, Developing, Program Operation, and Final Evaluation. Result: The system consisted of modules for evidence-based nursing and protocol, guide for developing protocol, tool for saving, revising, and deleting the protocol, interface tool among users, and tool for evaluating users' satisfaction of the system. On the main page, there were 7 menu bars that consisted of Introduction of site, EBN info, Dementia info, Evidence Based Practice Protocol, Protocol Bank, Community, and Site Link. In the operation of the system, HTML, JavaScript, and Flash were utilized and the content consisted of text content, interactive content, animation, and quiz. Conclusion: This system can support nurses' best and cost-effective clinical decision using sharable standardized protocols consisting of the best evidence in dementia care. In addition, it can be utilized as an e-learning program for nurses and nursing students to learn use of evidence based information.

• 임상간호연구
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• 제22권3호
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• pp.294-304
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• 2016

Purpose: This study was done to develop an evidence-based external ventricular drainage (EVD) nursing practice guideline in order to provide standardized nursing and prevent EVD related complications. Methods: We used the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association for the guideline adaptation process in this study. Results: The newly developed EVD nursing practice guideline was adapted to the American Association of Neuroscience Nurses (AANN)'s clinical practice guideline which is 'Care of the patient undergoing intra-cranial pressure monitoring/external ventricular drainage of lumbar drainage.' There were 61 recommendations documented in the preliminary guideline all evaluated by 9 experts based on acceptability and applicability. The final practice guideline was composed of 3 domains with 57 recommendations. The three domains of nursing were the insertion, maintenance, and removal of the EVD. The number of recommendations in each domain was 8 in EVD insertions, 39 in EVD maintenance, and 10 in EVD removals. Of the 57 recommendations 3.5% were level 1, 31.5% were level 2, and 65% were level 3. Conclusion: The standardized practice guideline can improve nurses' performance and accuracy. It can also be used as the foundation for effective communication between all medical staff.

• 한국콘텐츠학회논문지
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• 제16권8호
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• pp.169-179
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• 2016

본 연구는 전문대학교 언어재활과 학생들의 실습불안, 진로결정자기효능감, 진로결정수준을 평가하여 학생들의 진로 지도에 효율적인 지도 방안을 모색하고자 하였다. 자료들은 18.0 SPSS 통계 패키지를 사용하여 학생들의 성적, 실습시간에 따라 Mann-Whitney test와 kruskal-wallis test 등 비모수 검정과 Bonferroni 사후검정을 실시하였다. 본 연구의 결과는 다음과 같다. 첫째, 언어재활과 학생들은 학년에 따라 실습불안의 실습내용 및 운영과 실습평가와 진로결정수준의 확신수준에서 집단 간 유의미한 차이를 나타내었다. 둘째, 언어재활과 학생들은 성적과 실습시간에 따라 실습불안, 진로결정자기효능감과 진로결정 수준의 대부분 하위 요인에서 유의미한 차이가 나타났다. 본 연구의 결과와 앞으로 다양한 분석과 표집을 통한 차후 연구로 전문대학교 언어재활과 학생들의 진로 지도 지원에 대한 토대를 이룩하도록 하여야 할 것이다.

• 대한통합의학회지
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• 제10권1호
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• pp.27-38
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• 2022

Purpose : This study is aimed to develop and validate the clinical practice education program and clinical competence scale of occupational therapy student. Methods : The development of the clinical practice education program used the delphi technique method, which had a total of five steps. Based on the occupational therapist's job analysis, the first stage assessed the importance of 21 experts, and the second stage examined the importance of 19 new specialists to derive constitutive factors. In the third stage, in-depth interviews were conducted with three experts based on the derived factors, and in the fourth stage, the final clinical practice education program was derived. In the final stage, the details of the clinical training program were drawn up based on the themes and were reviewed by two experts. Structured and unstructured interviews were conducted with 43 job experts. Results : The expert survey through the delphi technique was conducted three times, and content analysis and descriptive statistics were conducted to examine the distribution of responses. The final 11 educational program topics and contents were derived. Topics are confirmation of client information, evaluation and intervention, cognitive therapy, spinal cord injury, brain injury, musculoskeletal disorders, pediatric occupational therapy, interventions in activities of daily living, driving rehabilitation, vocational rehabilitation, occupational therapy assessment tool, safety training and management. Conclusion : The clinical practice education program reduce the difference between school education and clinical education of occupational therapy student. Occupational therapy helps college student understand occupational therapy practices and improve the quality of clinical education. Through more research and supplementation of clinical practice education programs in the future, it is suggested that clinical practice education be successfully operated in various practice institutions and used as basic data for designing and evaluating useful educational models.

• 의학교육논단
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• 제19권1호
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• pp.1-9
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• 2017

For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.

• 인터넷정보학회논문지
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• 제12권1호
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• pp.131-139
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• 2011

본 연구는 수술환자에게 적용할 수 있는 수술 후 통증, 수술 후 오심 구토, 체온관리에 대한 웹 근거중심 실무 가이드라인 시스템을 개발하여 이를 적용하고 수술 환자의 수술 후 통증, 오심/구토, 체온관리에 대한 의료인의 지식정도와 환자의 만족도를 평가하기 위한 것이다. 수집된 자료는 SPSS/WIN 17.0 프로그램을 이용하여 평균, 표준편차, t-test, Repeated ANOVA로 분석하였다. 웹으로 구축한 근거중심 실무 가이드라인 적용 전과 후의 수술 후 통증, 수술 후 오심/구토, 수술환자 체온관리에 대한 지식정도와 환자 만족도에 유의미한 차이가 있었다.

• 기본간호학회지
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• 제21권2호
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• pp.112-122
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• 2014

Purpose: The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy. Methods: Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group. Conclusion: Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.

• 대한예방한의학회지
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• 제21권2호
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• pp.45-53
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• 2017

Background and Aim : Lately the age of competition has come among the medical service area. At the same time disputes over the medical practice related to the medical person's territory tend to increase. In part it is due to the increased medical persons but in part it is because the medical practice is not defined clearly in the Medical Service Act for the practice of each medical person. So the legal definition of medical practice will be discussed here. Materials and Method : The cases from the court have been confirmed the difference between the two medical persons regarding the actual events. Legal aspects of medical practice in Korean medicine and the related cases will be reviewed and analysed. Results : The form of medical practice consists of administrating Korean medicine treatment and providing guidance for health based on Korean medicine. For medical doctors the practice includes medical treatment and guidance for health. Circular definition in the Medical Service Act over the medical practice, medical person and medical instruments makes it difficult to understand the whole idea. Therefore, the court has a tendency to decide the medical practice of medical doctor of Korean medicine from the some reliable points which is: 1) it is based on the principle of traditional Korean Medicine, 2) it is practiced by the medical doctor of Korean Medicine, 3) it can do harm to the patient without proper involvement of the medical doctor of Korean Medicine. Now the Act on the promotion of Korean Medicine and Pharmaceuticals makes it include the concept of "scientifically applied and developed" medical practice of Korean Medicine. Conclusions : With the essential change in the Act on the promotion of Korean Medicine and Pharmaceuticals, it is expected that even slight change can be seen in the court cases. However, still the concept of medical practice in the Medical Service Act remains the same. Modernisation of Korean Medicine, enhancement of textbooks and clinical practice training and the effort to amend the law to clearly define the medical practice of Korean Medicine will contribute to the clinical and academic environment. Evidence based Korean Medicine and even the unification of east-west medicine could be considered for the situation.

• 한국문헌정보학회지
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• 제56권3호
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• pp.153-179
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• 2022

본 연구에서는 표준현장실습학기제의 도입의 가능성과 무급운영이 가능한 자율 현장실습학기제 운영가능성에 대해서 살펴보고, 현장실습기관들을 대상으로 설문조사를 함으로써 이들의 인식조사를 기반으로 한 대응전략을 제안해 보고자 하였다. 연구결과, 첫째, 실습기관의 직무관련 교육시간의 배정시간을 포함하여 운영시간 및 운영방식에 대해서는 매우 낮은 인식을 보여주고 있음을 알 수 있다. 둘째, 표준현장실습의 도입상황에 대해서 매우 낮은 인지도를 보여 주었고, 표준현장실습의 내용, 표준현장실습 운영서 및 협약 내용, 표준현장실습 내용 변경 사실, 표준현장실습 수행시 실습 지원비, 표준현장실습 근로계약에 관한 구체적인 내용, 실습기관의 요건 충족도 등에서 매우 낮은 인식도를 보여 주었으며, 다만 표준현장실습의 도입 배경에 대해서는 이해하고 공감하는 것으로 보인다. 이를 기반으로 본 연구에서는 설문조사를 포함한 문헌연구를 기반으로 표준현장실습 도입시 고려 사항으로, 표준현장실습학기제 적용제외 대상으로 법개정, 표준현장실습학기 또는 자율현장실습학기제 채택 고민, 현장실습기관의 충분한 확보 및 공유, 그리고 현장실습매뉴얼의 개발과 공동활용 등이다.