• Title/Summary/Keyword: Satisfaction to Clinical Practice

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The Pain Management of Frozen Shoulder (동결견에 대한 치료경험)

  • Cheon, Ym-Soon;Kim, Jeng-Il;Ban, Jong-Seuk;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.6 no.1
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    • pp.40-48
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    • 1993
  • There are many patients who complain of shoulder pain with stiffness. Sadly these patients are often neglected by many physicians. An effective treatment is necessary in clinical practice. In our pain clinic, the fifty patients who were diagnosed frozen shoulder were randomly selected and followed up from Oct. 1992 to Mar. 1993. Important factors affecting outcome include; time from onset of pain and stiffness until treatment, initial severity of the pain and stiffness. We found that appropriate treatment led overall to improved patient satisfaction. The results are as follows. For patients treated within 3 weeks of syndrome occurrence, the recovery rate was in excess of 80%. But, if the patients had suffered for more than 6 months prior to treatment, the recovery rate was below 70%. For problems present in excess of six years only slight improvement was observed. These patients were difficult to manage. If the condition of patients was class I, the recovery rate was 94.4%. But in the cases of class III, only 25% of patients were recovered. From our results, we believe that early treatment is the best choice in management of frozen shoulder patients.

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Development of a Problem-Based Learning Module for Preschoolers' Growth & Development (학령전기 아동 성장발달의 PBL 모듈 개발)

  • Lee, Myung-Nam;Son, Hae Kyoung
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.393-405
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    • 2018
  • Problem-Based Learning (PBL) is a student-centered pedagogy that integrates nursing knowledge, skills, and attitudes into clinical nursing practice. This pilot aims to apply a PBL module on preschoolers' growth and development in the nursing curriculum. This quantitative study was performed to develop a PBL module following Dick and Carye's program development process (planning, development, application, and evaluation phases), and to evaluate its effects using structured questionnaires among sophomore nursing students. These students formed teams of four or five people each and spent 40 minutes participating in the PBL module. Data were analyzed using descriptive statistics, t-tests, and content analysis. Metacognition level increased significantly. There was no significant difference in team efficacy between pre-test and post-test. Post-test learning satisfaction was high. Students reported obtaining knowledge and problem-solving ability with respect to preschoolers' growth and development and were satisfied with teamwork. This finding offers fundamental knowledge concerning the application of a PBL module in nursing curricula.

The Effect of Nursing Students' Knowledge and Attitudes about Patients' Safety on Self-Efficacy (간호대학생의 환자안전에 대한 지식 및 태도가 자기효능감에 미치는 영향)

  • Kim, Hae Ok;Jo, Hye Ji
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.489-500
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    • 2021
  • The purpose of this study was to identify the effect of nursing college students' knowledge and attitudes about patient safety on self-efficacy. The participants comprised 186 students in a nursing college. Data collection was from September 22, 2020, to October 24, 2020. The data were analyzed by descriptive statistics, an independent t-test, a one-way ANOVA, the Pearson's correlation coefficient, and multiple regression through the SPSS 25.0 Program. Nursing students' knowledge of patient safety was 10.62±1.86 points on average, out of a total of 16 points. Attitudes toward patient safety and self-efficacy were an average of 3.72±0.45 points and an average of 3.71±0.65 points, respectively, out of 5 points. The relationship between knowledge and attitude about patient safety and self-efficacy was positively correlated. The effect on self-efficacy is attitude toward patient safety, satisfaction with a major, school practice, and clinical experience. The explanatory power was 14.4%. In conclusion, it is necessary to develop educational programs for patient safety that apply smart technology in order to enhance the self-efficacy of nursing students.

Convergence Analysis of the Factors Influencing Core Competencies on Disaster Nursing among Nursing Students (간호대학생의 재난간호 핵심수행능력에 미치는 융합적 영향요인)

  • Yang, Seung-Ae
    • Journal of Convergence for Information Technology
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    • v.8 no.3
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    • pp.39-51
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    • 2018
  • Objectives: The purpose of the study was to identify the factors influencing the nursing students' core competencies on disaster nursing. Methods: A sample of convenience was 224 nursing students, and a questionnaire was used to measure their disaster awareness, disaster preparedness, ego-resiliency, and core competencies on disaster. Results: A significant positive correlation was found among core competencies, disaster awareness, disaster preparedness, and ego-resiliency. Disaster preparedness(${\beta}=.413$), grade of which the participant was in(${\beta}=.165$), satisfaction on clinical practice(${\beta}=-.160$), ego-resiliency(${\beta}=.159$), and disaster related education experience(${\beta}=-.120$) were significant predictive variables of which accounted for 38.5% of the variance in core competencies. Conclusions: The results from this study can be used to develop programs for core competencies on disasters nursing.

Convergence lnfluencing Factors on Disaster Nursing Core Competencies of Nursing Students (일 지역 간호대학생의 재난간호핵심역량에 미치는 융합적 영향요인)

  • Oh, Yun-Jung
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.77-84
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    • 2022
  • The aim of this study was to identify the convergence influencing factors on disaster nursing core competencies of nursing students. The subjects of this study surveyed 187 nursing students in D city with a structured self-report questionnaire. Data were analyzed by the SPSS 18.0 program, t-test, ANOVA, correlation and multiple regression. The disaster nursing core competencies average mean score was 3.15(±0.40). Grade and satisfaction of clinical practice were the significant factors related to disaster nursing core competencies in these subjects. Disaster nursing core competencies was positively correlated with disaster perception, disaster attitudes and self-efficacy. The influencing factors on disaster nursing core competencies were self-efficacy(β=0.276), disaster attitudes(β=0.200) and grade(β=0.172). The explanatory power of these variables was 19.1%. Therefore, it is necessary to develop disaster related curriculum and subjects that can improve the disaster nursing core competencies based on the important factors affecting the disaster nursing core competencies.

Effect of Non-contact Korean Medical Treatment for Patients Recovering at Home with Positive Coronavirus Disease 2019 Diagnostic Test Results at a Local Public Health Center: A Retrospective Chart Review (지역 보건소에서 시행한 코로나 바이러스 감염증-19 진단 검사상 양성인 재택치료 환자의 비대면 한의진료 효과: 후향적 차트 리뷰)

  • Jeon, Chaeheun;Choi, Daejun;Kim, Gyeongmuk;Kim, Hyejin;Leem, Jungtae;Chi, Gyoo-yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.4
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    • pp.130-137
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    • 2022
  • Due to the coronavirus disease 2019 (COVID-19) pandemic, appropriate management of sequelae and treatment of infectious symptoms became increasingly important healthcare issues. Although the practice guidelines and treatment cases based on the East Asian traditional medicine have been reported, there are rare studies on the use of Korean medicine in Korea. Therefore, this study aimed to present the progress of non-contact Korean medical treatment for infected patients at a local public health center using retrospective chart review. A total of 18 patients were prescribed with 5 days of herbal decoction and medicine extract covered by the national health insurance. With the questionnaire form, the progression and improvement of symptoms before and after treatment were evaluated using the numerical rating scale (NRS), and the treatment satisfaction and opinions were obtained. The symptoms such as cough (5.56±2.23 to 2.89±2.14), sputum (6.11±1,75 to 3.28±2.47), sore throat (6.06±2.70 to 1.47±1.62), anorexia (5.56±2.63 to 1.94±2.21), nausea (3.75±1.71 to 1.17±1.11), diarrhea (3.40±2.63 to 1.50±1.51), chest tightness (4.93±2.46 to 2.29±2.30) and fatigue (6.44±1.79 to 2.67±1.88) all improved according to the NRS, and the satisfaction with herbal medicine treatment on a 5-point Likert scale was 4.24±0.90. No side effects and adverse reactions were reported. Thereupon non-contact Korean medical treatment can be concluded that it effectively reduces the COVID-19 infection mild symptoms in restrictive extent. Since the retrospective data does not include a control group, the more confirmative data is needed by multicenter and large-scale controlled clinical study afterwards.

Associated Factors in Pediatric Nurse Parent Partnership (아동간호사의 환아 부모와의 파트너십 영향요인)

  • Choi, Miyoung;Kim, Jisoo
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.176-184
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    • 2014
  • Purpose: The purpose of this study was to investigate pediatric nurse parent partnership and factors associated with this partnership. Methods: A survey was conducted with 158 nurses working in pediatric practice at one of 7 hospitals in Seoul, Incheon, and Chungcheongbuk Province. Data were collected from September to December 2013, and analyzed with SPSS Windows 21.0. Results: In hierarchial multiple regression analysis, self-efficacy (${\beta}$=.19, p=.016), clinical decision making (${\beta}$=.15, p=.046), and empowerment (${\beta}$=.29, p=.001) were associated with pediatric nurse parent partnership, after adjusting for marital status, children, education, position and satisfaction with work unit. These factors accounted for 44.0% of the variance in the pediatric nurse parent relationship. Conclusion: These results suggest that pediatric nurse parent partnership could be influenced by the predictors. Ultimately, intervention programs focusing on these factors should be effective in helping pediatric nurses improve partnership with parents.

The Effect of Bowel Preparation Convergence Program for Colonoscopy (대장내시경 전처치 융합관리프로그램의 효과)

  • Kang, Won-Suk;Kim, Ju-Sung
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.473-483
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    • 2018
  • The purpose of this study was to identify the effects of bowel preparation convergence program for colonoscopy. This study used a nonequivalent control group pretest-posttest design. A sample of 75 clients, who were scheduled for colonoscopy, was included. The experimental group was given bowel preparation convergence program including audiovisual education, walking-exercise and telephone counseling. The data were collected using a structured questionnaire and colonoscopy monitoring and were analyzed using SPSS 21.0 program. The experimental group reported significantly higher compliance of taking bowel preparation agents and test satisfaction(p=.002; p=.001), lower test difficulty and test discomfort than those of the control group(p=.002; p=.001). There were significant differences in level of bowel cleansing and test time required except compliance of diet restriction between groups(p<.001; p=.001; p=.108). This findings indicate that bowel preparation convergence program can be an effective nursing intervention for colonoscopy. The convergence intervention for diagnostic test is needed to be developed in clinical practice.

Mandibular implant overdenture using milled bar attachment on implants with unfavorable fixture angulation: A case report (불량한 식립 방향을 갖는 임플란트를 이용한 하악 Milled Bar 임플란트 피개의치수복 증례)

  • Seo, Yong-Ho;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.401-406
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    • 2016
  • Implant overdenture exhibits higher retention, masticatory function, and patient's satisfaction compared to conventional dentures. Particularly, in treatment of severe alveolar bone resorption, implant overdenture can be considered as the first treatment option. The types of attachments used for implant overdenture can be classified into solitary type, which implants are not connected to each other, and bar type in which implants are connected. In the case of solitary type commonly used in clinical practice, parallel relationship is important. When it is not established, there is a higher risk of attachment wear, retention loss, and frequent visits for maintenance. In this case, satisfactory results have been obtained with implant overdentures using milled bar on two unparallel implants placed on the mandible.

Survey on Nursing Care Delivery Systems of University Affiliated Hospitals in Korea (종합전문요양기관의 간호전달체계에 대한 실태조사 연구)

  • Kim, So Sun;Chae, Gye Soon;Kim, Kyeong Nam;Park, Kwang Ok;Moon, Seong Mi
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.167-175
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    • 2010
  • Purpose: This study investigated nursing care delivery systems in 44 university affiliated hospitals and satisfactions with the systems perceived by 226 unit managers (head nurses) of general medical surgical wards. Methods: Data were collected with questionnaires consisting of checklists asking the unit managers their nursing care delivery systems and their satisfactions with the systems. Results: Four models of nursing care delivery systems (primary, modified primary, team, and functional models) were drawn from the participants' responses. Among the four key models 35% of the units adopted team model whereas 24.3% adopted primary model and 22.6% adopted modified primary model. In spite of 35% of team model being under use, 60.6% (n=137) of the unit managers answered the nursing delivery system of their units as team model and only 6.2% (n=14) answered their units having primary or modified primary models, instead of 46.9% combining both. In regard to the satisfaction, critical thinking ability of staff nurses (members in their units) was the most dissatisfactory area regardless of models of service delivery. Conclusion: Introducing team model supplemented with core concepts of primary model (primary team delivery model) into nursing practice will reform the workplace and therefore deliver safe health care services to patients.