• 제목/요약/키워드: Practice-based

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시뮬레이션을 활용한 호흡곤란 응급관리 실습이 간호학생의 학습 성과에 미치는 영향 (Influence of Simulation-Based Practice on Emergency Care for Patients with Dyspnea on Learning Outcomes in Nursing Students)

  • 허혜경;최향옥;정지수;강혜원;김기연
    • 중환자간호학회지
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    • 제5권1호
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    • pp.12-22
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    • 2012
  • Purpose: This study was conducted to evaluate the learning outcomes of simulation-based practice on emergency care for patients with dyspnea in nursing students. Methods: One group pre-post experimental design with 28 nursing students was used. Simulation-based practice on the basis of SimMan Human Patient Simulator including academic lectures, simulation lab exercises and debriefing was applied for four and half hours. The learning outcomes were assessed by measuring knowledge, critical thinking, problem solving process of cognitive skills, self-confidence and learning attitudes of affective domain. Furthermore, self reported clinical performance ability of psychomotor skills was examined. Results: After the completion of simulation-based practice, there was a significant increase in the mean of following measured variables: knowledge, critical thinking, problem solving process of cognitive skills, self-confidence, learning attitudes of affective domain and clinical performance ability of psychomotor skills. Significant positive relationships were found among learning outcome measurement variables. Conclusion: Simulation-based practice is an effective method to improve cognitive skills, affective domain and psychomotor skills of nursing students. Hence, Simulation-based practice should be applied for improving current limited emergency care training for nursing students and enhancing students' competency in clinical situations.

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한국어판 간호대학생의 근거기반실무 측정도구(S-EBPQ)의 타당도 및 신뢰도 검증 (Validity and Reliability of the Korean Version of Student Evidence-Based Practice Questionnairs(S-EBPQ))

  • 김선경
    • 산업융합연구
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    • 제18권1호
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    • pp.35-43
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    • 2020
  • 본 연구는 Upton, Scurlock-Evans 와 Upton 이 개발한 간호대학생의 근거기반실무 측정도구(S-EBPQ)를 한국어로 번안하고 신뢰도와 타당도를 검증하기 위해 수행되었다. 근거기반실무에 대한 학습 경험과 임상실습 경험이 있는 간호대학생 209명의 자료를 데이터 분석에 활용하였다. 구성타당도를 위한 탐색적 요인분석결과 기존의 도구와 동일한 4 요인, 21 문항이 확인되었다. 도구의 설명력은 67% 였고 도구 전체의 신뢰도는 .927 이였다. 한국어판 S-EBPQ는 우리나라 간호대학생의 근거기반실무 역량을 평가하는데 활용될 수 있을것이다. 또한 도구를 활용하여 우리나라 간호대학의 근거기반실무 교육 프로그램이 효과를 평가하는데 활용 될 수 있을것이며 이는 간호교육의 질 향상에 기여할 것으로 기대된다.

종합병원 간호사의 간호관리자 리더십 유형 인식과 근거기반실무 적용의도와의 관계: 혁신행동의 매개효과 (Mediating Effect of Innovative Behavior on the Relationship between Awareness of Nursing Manager's Leadership type in General Hospital Nurses and Future Use of Evidence-based Practice)

  • 조향순;김윤희;김효연
    • 한국융합학회논문지
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    • 제10권11호
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    • pp.511-521
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    • 2019
  • 본 연구는 간호관리자의 리더십과 종합병원 간호사의 근거기반실무 적용의도와의 관계에서 혁신행동의 매개효과를 확인하기 위해 시행되었다. 본 연구대상으로 500병상 이상 종합병원에 근무하는 간호사 183명을 임의 표집하였다. 간호관리자의 변혁적 리더십은 간호사의 혁신행동, 근거기반실무 적용의도와 유의한 양의 상관관계가 있었다. 간호관리자의 변혁적 리더십과 간호사의 근거기반실무 적용의도간의 관계에서 혁신행동이 부분매개효과가 있었다. 간호사의 근거기반실무 적용의도를 높이기 위해서 조직차원에서 간호 관리자의 변혁적 리더십을 개발하고 향상시켜 간호사의 혁신행동에 긍정적인 영향이 연결될 수 있도록 다양한 제도와 교육프로그램을 개발할 필요가 있다.

간호사의 정보자원 접근 및 활용정도와 근거중심실무 장애요인 및 역량 (Nurses' Access & Use of Information Resources and Barriers & Competency of Evidence Based Practice)

  • 이지은;박명화
    • 성인간호학회지
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    • 제23권3호
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    • pp.255-266
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    • 2011
  • Purpose: The purpose of this study was to explore nurses' access and use of information resources and to identify the barriers and competency to evidence based practice (EBP). This study used descriptive method to identify baseline data for the purpose of developing strategies for establishing EBP in clinical nursing practice. Methods: Participants in this study were 278 nurses from five hospitals in Daegu and Kyungsangbukdo. The data were collected by self administered questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, t-test, Pearson's correlation coefficients, and ANOVA. Results: Nurses reported $^*most$ frequently using paper and human resources. The mean score of barriers was $3.02{\pm}0.41$, and competency was $2.70{\pm}0.50$. The reported competency was correlated with nurse factors (r=-.31, p<.001) organization factors (r=-.20, p<.001) and research factors (r=-.12, p<.040) as the barriers to evidence based practice. Conclusion: To promote competency in EBP and to decrease the barriers, it would be necessary to develop the organizational culture that encourages nurses to be involved in research activities. In addition, the development of systemic methods to introduce and establish an education program for facilitating EBP in the clinical settings is needed.

Study on the trends in Korean clinical practice guidelines development

  • An, So-Youn;Kim, Hyun Jeong;Kim, Seungoh;Kim, Jongbin;Seo, Kwang-Suk;Lee, Deok-Won;Hwang, Kyung-Gyun
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제16권1호
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    • pp.31-37
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    • 2016
  • Background: The definition of evidence-based clinical practice guidelines (CPGs) is "statements that are systematically developed to assist in the doctors' and patients' decision-making in certain situations." This study aims to establish the concept of evidence-based CPGs and investigate the development status to seek measures to apply evidence-based methods to CPG development for dental sedation in Korea. Methods: The study conducted systematic searching methods based on evidence-based CPGs. Articles published between 1995 to 2015 were searched on a Korean database and the international database PubMed. The search was based on keywords related to four subjects (dentistry, clinical practice, guideline, recommendation). Two authors independently reviewed the searched articles to determine their analysis inclusion and the convergence stages, and to arrive at a conclusion through discussion. Results: A total of 65 Korean CPGs were included. There were 51 medical guidelines, of which seven were dental and seven were Oriental medicine. Conclusions: As a basic direction for the development of evidence-based CPGs, this work suggests the following: increased awareness; consensus on the need to supply evidence-based development methods; education, computerization, and systematic observation of evidence-based CPG development methods; continuous research development and distribution of CPGs; and creation of a database for Korean clinical dentistry practice outcomes

간호분야 실무지침의 수용개작 방법론에 따른 구강간호 실무지침의 개발 (Development of Oral Care Nursing Practice Guideline using the Guideline Adaptation Process)

  • 조용애;은영;구미옥;김경숙;곽미경;김정혜;이선희;박동아;노화경
    • 임상간호연구
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    • 제21권2호
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    • pp.154-168
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    • 2015
  • Purpose: This study aimed to adapt the previously developed, high-quality oral care guideline for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by National Evidence-based Healthcare Collaborating Agency (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The adapted oral care guideline was consisted of 10 domains and 85 recommendations. The number of recommendations in each domain were: 4 general issues, 2 oral care indications, 10 oral assessment 16 general oral care, 15 oral care for critically ill, 15 oral care for cancer patients, 14 oral care for cancer patients withoral complications, 5 oral careeducation, 2 oral care referral, and 2 documentation and report. Ten point six percent of the recommendations were rated as grade A, 20.0% as grade B grade, and more than half (69.4%) were rated as grade C. Conclusion: The adapted oral care practice guideline is expected to included the evidence-based practice guidelines as fundamentalss of nursing practice. Dissemination of the developed guideline nationwide would contribute improving the efficiency of oral care practice.

시공 PM 시스템(Construction PM 시스템)

  • 최성운
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2005년도 춘계학술대회
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    • pp.137-146
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    • 2005
  • This paper describes web-based construction project management and project document information flows within the construction industry. This study is to consider the practice for process improvement including reengineering and the engineering project practice. CCPM based on TOC is introduced.

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모성간호학 실습교육의 현황 - 4년제 간호대학(학과)를 중심으로 - (Current Status of Clinical Practice Education in Maternity Nursing in Korea - four-year course nursing schools centered -)

  • 김일옥;박재순
    • 여성건강간호학회지
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    • 제12권1호
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    • pp.12-21
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    • 2006
  • Purpose: This study was performed to provide data for improvement in clinical practice education through analyzing the status of clinical practice education in maternity nursing in four year course nursing schools in Korea. Method: Analyzed subjects were 43 schools out of 53 four year course nursing schools in Korea. Result: Credits in theory and clinical practice are on the decline. The relationship between goals and areas of clinical practice was not sufficient. The department was not efficient in meeting the demands between theory and practice. The number of students in a group according to clinical areas were thoughtfully assigned, and clinical practice was performed based on real situations. Instructors for clinical practice used practice lecturers, part-time lecturers, preceptors, and assistant instructors including faculty. Methods of practice education and evaluation were varied. Conclusion: A suitable philosophy and goals of clinical practice education maternity nursing should be established at this point in time. Furthermore, a study should be performed to analyze the relationship between goals and contents of clinical practice for maternity nursing. In addition, a standardized tool should be developed to evaluate clinical practice.

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A systemic review of literature in clinical practice research for nursing students

  • Kim, Jungae
    • International Journal of Advanced Culture Technology
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    • 제10권3호
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    • pp.39-46
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    • 2022
  • This study is an attempted content analysis study to analyze recent studies on clinical practice of nursing college students to identify problems with clinical practice and provide evidence for desirable clinical practice. For data collection, a total of 14 papers published in academic journals between 2017 and 2021 were selected. The analysis method was performed according to the systematic review reporting guidelines presented by Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) group. As a result of the analysis, two themes, Four sub-themes, and seventeen concepts were derived, and the clinical practice study of nursing college students showed the necessity of standardized clinical practice protocol regulations for nursing college students and respect for patient human rights. Based on the above research results, it is proposed to prepare a nursing and clinical practice protocol that can clearly present the role of nursing college students during clinical practice.

문제기반학습모형에 근거한 공학회계의 웹기반 실습시스템 개발 (A Web-based Practice System for Engineering Accounting by Problem-based Learning Model)

  • 김문수
    • 공학교육연구
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    • 제14권1호
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    • pp.55-63
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    • 2011
  • 본 논문은 문제기반학습모형(Problem-based learning model)접근방법을 공학회계라는 다분히 학제 간 성격(공학과 회계학)을 갖는 교과에 어떻게 적용할 지를 다룬다. PBL 접근방법은 급변하는 기업 환경에서 공학회계와 관련한 기업 문제를 제기하고 다룰 수 있을 것이며, 또한 이를 시스템적 관점해서 해결하려는 공학 측면에서도 적절할 것으로 판단된다. PBL모형의 현실적인 적용을 위해서 학생들이 해결해야 할 문제를 생성하고, 해결하는 과정을 수행할 수 있도록 웹 기반 실습 시스템을 개발, 제안한다.