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Development and Validation of a Clinical Critical Thinking Skills Scale (임상적 비판적 사고능력 검사도구 개발 및 평가)

  • Shin, Su-Jin;Yang, Eunbae;Kong, Byunghea;Jung, Dukyoo
    • Korean Medical Education Review
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    • v.14 no.2
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    • pp.102-108
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    • 2012
  • This study developed a test entitled Clinical Critical Thinking Skills (CCTS) by using item response theory (IRT) and examined its validity. In the development stage, data obtained from a convenience sample of 627 undergraduate nursing students were analyzed using a discrimination and difficulty index with the TestAn 1.0 program. In the evaluation stage, data from a convenience sample of 284 nursing and non-nursing students were analyzed using a discrimination and difficulty index with the BILOG-MG program. Criterion validity was verified by the group comparison method. Five items received low discrimination index scores according to the IRT results. In terms of the criterion validity, CCTS scores differed according to major (t=2.21, p=0.028), location of high school (F=4.35, p=0.014), clinical experience (t=5.66, p=0.004), and grade point average (F=7.17, p< 0.001). The CCTS can be used to measure critical thinking skills in the clinical setting.

Measurement of Urban Competitiveness Based on Innovation Indicators in Six Metropolitan Cities in Korea

  • Kwon, Seongsil;Kim, Joochul;Oh, Deog-Seong
    • World Technopolis Review
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    • v.1 no.3
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    • pp.177-185
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    • 2012
  • In recent years, some experts have shown that urban competitiveness is more important than national competitiveness. They have also argued that innovation will make cities more competitive. The purpose of this paper is to create Korean urban competitiveness index, and to also highlight strategic aspects for enhancement of urban competitiveness of metropolitan cities based on innovation in Korea. First, we will present various factors and indicators of urban competitiveness based on three components for innovation: formation of cluster, human capital, creative economy. Available literature and statistical analyses will be used. Second, scores of urban competitiveness will be developed based on Analytic Hierarchy Process (AHP). Evaluation of scores with weights will be used for this purpose. The resulting weights are 0.3672 for the formation of cluster, 0.3318 for human capital, and 0.3010 for creative economy, respectively. Finally, we present urban competitiveness using the standardized T-score. The most competitive city based on innovation is Daejeon(1st), followed by Gwangju(2nd) and Daegu(3rd). Three least competitive cities are Incheon (6th), Busan(5th) and Ulsan(4th).

Analysis of Problem Based Learning Based on the Self-reflection Journals and Class Evaluation of Nursing Students (간호학생에게 적용한 문제중심학습(Problem Based Learning) 결과 분석 - 자아성찰지와 수업평가도구를 중심으로 -)

  • Kim, Keum-Ja;Yoon, Jin;Hyoung, Hee-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.4
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    • pp.438-448
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    • 2009
  • Purpose: To examine the results of PBL classes for sophomore nursing students during one semester. Method: Self-reflection journals and class evaluation questionnaires were collected from 121 nursing students and analyzed. Results of class evaluation questionnaires were analyzed using mean scores, SD, frequencies and percentages. Significant statements were derived by repeated review of the self-reflection journals by the researchers. Results: The statements, 'Understanding of PBL' 'Improvement of human relationships' 'Expansion of nursing knowledge' 'Excellency in nursing class and application of nursing skills in nursing practices' and 'Improvement of learning ability and attitude during classes' were derived from the self-reflection journals. Analysis of class evaluation questionnaires showed the following scores: prerequisite of PBL (3.0/4), role of facilitator (3.48/4) and satisfaction with PBL learning (3.31/4). Also some complaints such as lack of adequate references in the library, and confusion in at the beginning of PBL were noted. Conclusion: PBL was effective. Using the results of the study for planning a more effective PBL class syllabus is recommended.

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A Study on Analysis of Importance Weights of Riverfront Assessment Items Using Analytic Hierarchy Process - Focused on the Gyeong-An Stream in Gyeonggi Province - (AHP 기법을 이용한 하천 친수공간 평가항목 중요도 분석 연구 - 경기도 경안천을 중심으로 -)

  • Lee, Hyung-Sook
    • Journal of Korean Society of Rural Planning
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    • v.20 no.1
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    • pp.27-36
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    • 2014
  • The purposes of this study are to identify assessment items to evaluate riverfront for amenity and recreation and to analyze the relative importance of the items using Analytic Hierarchy Process(AHP). Total 15 items of 5 categories were identified through literature review and panel discussion. Based on the AHP analysis results, a weighted value was set for each of the layers in the hierachy. 'Ecological Characteristics' (0.333) was rated with the highest weighted value. followed by 'Landscape Characteristics'(0.190) and 'Physical Characteristics'(0.166). Among the assessment items, 'Water Quality' (0.152) and 'River Naturality'(0.118) had higher weighted values. With the set of assessment items field assessments were carried out for Gyung-An Stream of Gyeonggi-Do to exam its applicability. Total 6 segments and 31 reaches out of the 22.5 km long river were evaluated and the mean scores of the five categories were converted into a percentile score for comparison. Overall, the segments which had higher scores were located close to neighborhood areas and had better connections with other historical and cultural amenities. Also, existing facilities was an important factor and needs to be considered for waterfront development.

A Review of Research on Health Promoting Behaviors of Korean Older Adults (한국 노인의 건강증진행위에 대한 문헌분석 연구)

  • Gu, Mee-Ock
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.17-34
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    • 2006
  • This study was done to suggest directions for research and interventions of health promoting behaviors in Korean older adults in the future. Thirty seven articles for health promoting behaviors in Korean older adults were reviewed and analyzed. Findings are summarized as follows: 1) The total scores of the HPLP in Korean older adults were 2.30-2.44 out of 4 points. In the subscale, the highest degree of performance is nutrition, following interpersonal support, self actualization, stress management, health responsibility and the lowest degree of performance was exercise. 2) The total scores of the Health Behavior Assessment Tool of the Korean Elders were 2.87-3.2 out of 4 points. 3) Among the characteristics of older adults, monthly pocket money, previous job had consistently significant relationships with health promoting behaviors. Sex, job and presence of disease were consistently insignificant relationships with health promoting behaviors. 4) Perceived health status, self efficacy, self esteem, family support and social support had consistently significant correlations with health promoting behaviors. 5) In regression analysis, self efficacy, family support, depression, self esteem were the most powerful predictors of health promoting behavior in more than two articles. Predictors accounted for 14.2-65.2 % of the variance in health promoting behaviors of Korean older adults. On the basis of above findings, It is necessary to develop the interventions for more regular practice of the health promoting behaviors in Korean older adults. The interventions are recommended to focus increasing the exercise & health responsibility and to use the strategies to increase self esteem, self efficacy, social support including family support.

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The Effect of the Patient's Characteristics on Nursing Outcomes in Gastrointestinal Surgery Patients (간호결과에 대한 환자 특성의 영향 - 위장관계 수술 환자를 중심으로 -)

  • Lee, Byoung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.3
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    • pp.249-259
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    • 2008
  • Purpose: This study was performed to identify the patient characteristics significantly affecting nursing outcomes and their predictability in gastrointestinal surgery patients. Method: The subjects were 149 abdominal surgery patients from 3 general surgical nursing units of 3 general hospitals. Two instruments were used to measure nursing outcomes and acuity of the subjects. The nursing outcomes were measured at post-operation 4 and 7days using review of patients' records, observation of patients, and interviews with patients by a trained nurse. For data analysis, T-test or ANOVA, Pearson Correlation and Stepwise Multiple Regression were done. Result: Age, severity score, diagnosis, cancer or not, operation site were the subjects' characteristics that were significantly related to the nursing outcomes in both post-operation 4 and 7days. Cancer or not, age, diagnosis and severity score were the significant predictors for the scores of nursing outcome in post-operation 4days and the predictability was 34.9%. The predictability of cancer or not was highest, 22.6%. Age, diagnosis and cancer or not were the significant predictors for the scores of nursing outcome in post-operation 7days and the predictability was 27.8%. The predictability of age was highest, 17.3%. Conclusions: The patient characteristics affecting nursing outcomes should be considered when nursing care is planned and provided. Especially, careful attention should be given to the patients with cancer and older age. And, these patient characteristics should be adjusted for correct estimation of the effectiveness of nursing interventions on nursing outcomes.

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Development and Validation of the New Version of Spirituality Assessment Scale (영성 측정도구 개발과 평가)

  • Ko, Il-Sun;Choi, Soyoung;Kim, Jin Sook
    • Journal of Korean Academy of Nursing
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    • v.50 no.1
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    • pp.132-146
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    • 2020
  • Purpose: The purpose of this study was to develop a new version of Spirituality Assessment Scale (N-SAS) and verify its reliability and validity. Methods: The total of 59 preliminary items for the N-SAS were selected through a literature review, two rounds of experts' content validation, cognitive interviews, and pre-tests. Verification of its reliability and validity was divided into two phases. In Phase I, questionnaires were collected from 219 adults. Reliability was tested using Cronbach's alpha, validity with item analysis, and exploratory factor analysis. In Phase II, questionnaires developed based on the results of Phase I were collected from 225 adults. Reliability was tested using Cronbach's alpha, validity with confirmatory factor analysis, and criterion validity. Results: The final version of the N-SAS comprised two dimensions (vertical and horizontal), four domains (relationship with God; meaning of life and self-integration; self-transcendence; and relationship with others, neighborhoods, and nature), and 44 items were identified. Total Cronbach's α was .97; those of each subscale ranged from .79 to .98. N-SAS scores were positively correlated with the scores of Howden's Spiritual Assessment Scale (r=.81, p<.001). Conclusion: Findings suggest that the N-SAS can be used to measure spirituality in adults. The use of N-SAS is expected to facilitate perceiving patient's spiritual needs and providing spiritual care.

A Study on Self Directed Learning Readiness Among Undergraduate Medical Students Focused on the Case of A University College of Medicine (의과대학생의 자기주도학습 성향 연구 : A의대 사례)

  • Chae, Su-Jin
    • Korean Medical Education Review
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    • v.10 no.2
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    • pp.9-17
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    • 2008
  • A self directed learning(SDL) has been identified as an important ability for medical graduates. The purpose of this study was 1) to measure the SDLR of medical students, 2) to compare the relationship among the student perceptions of assessment, preference of instructional methods with SDLR. This study was conducted in 2006 at A University College of Medicine. The instrument applied to this study was SDLR. Korean version of Guglielmino's SDLR for Adults. The $SPSSwin^{(R)}$ program was used to analyze the data and statistics such as correlation. F-test, and Chi square test. Firstly. the mean scores of the SDLR of first, second. fourth year were 114.8, 107.9 and 106.2. This results showed a significant relationship among years (p<.001). Secondly the relationship between the student perceptions of assessment and SDLR was insignificant. The SDLR high scores students had a tendency to favorite "Discussion" and "Bedside teaching". This study found out the problems of medical education to enhance self directed learning ability for medical students. Further study is needed so that suitable instructional methods for medical students can be conducted in curriculum.

A Study on the Effects of the Hospitalization Stress on the Sleep Pattern (입원 스트레스가 수면형태에 미치는 영향(Johnson의 간호모형 적용))

  • 이소우
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.36-43
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    • 1986
  • The main purpose of this study was to explore the effect of the stress of hospitalization on the sleep pattern. Additionaly, this study was also to demonstrate how Johnson's nursing model may be applied to as nursing process. 104 hospitalized patients on surgical and medical wards were asked to rate 49 stress producing events associated with experience of hospitalization and sleep pattern scale. Five university hospitals were used as the setting for this study. Data for the study were collected by patient interview during hospitalization, self-reports and review of charts. For the analysis of the data, the pearson's correlation analysis of covariance and regression analysis were used. The results of this study were stated as follows; 1. The mean of the hospital stress scores was 111.261(S.D.=26.160). This means that the level of the hospitalization stress is high. The mean of the sleep pattern scores was 12.204(S.D. =2.615) This means that the characteristic's of the sleep pattern is poor. 2. The relationship between the hospitalization stress and sleep pattern was statistically significant at .01 level. 3. The effect of the hospitalization stress influenced strongly on the sleep pattern after sex, trait anxiety as covariates controlled. 4. The hospitalization stress revealed a 12% pre-diction as an influenced factor for the sleep pattern. Therefore, It can he said that the hospital stress did contribute significantly to the characteristics of the sleep pattern. Johnson's model can he also said that it is useful for the the assessment and diagnosis in nursing process.

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Personality types of medical students and their satisfaction with major and student life (의과대학생의 성격유형과 전공 및 대학생활 만족도)

  • Shin, Hong-Im;Yang, Eun-Bae
    • Korean Medical Education Review
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    • v.9 no.2
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    • pp.49-56
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    • 2007
  • Objective: The goal of this study was to investigate personality preferences of medical students and to examine the relationship between personality profiles and their satisfaction with major and student life. Methods : The MBTI (Myers-Briggs Type Indicator), which measures personality preferences, was administered by medical students (n = 94) who began to qualify from the Yonsei University College of Medicine in 2007. The resulting personality profiles of the medical students were correlated with scores of the satisfaction with major and student life Results: First, there were more preference types of Introversion(61.71%), Sensing(67.66%), Thinking(73.41%) and Judging(61.71%) than Extraversion (38.29%), Intuition (22.34%), Feeling (26.59%) and Perception(38.29%), Most medical students are personality type ISTJ(24.21%), followed by ESTJ(17.02%), Second, students with the preference for Extraversion and Intuition were more satisfied with their major and student life. Third, the preference for Judging showed higher scores in the satisfaction with major. Conclusions: This study might give implications for the psychological wellbeing and successful studying of medical students.