• Title/Summary/Keyword: Self Judgment

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Applying Clinical Judgment Rubric for Evaluation of Simulation Practice for Nursing Students : A Non-Randomized Controlled Trial

  • Kim, Hyun-Ju
    • International Journal of Contents
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    • v.14 no.2
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    • pp.35-40
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    • 2018
  • The purpose of this study is to investigate the effects of debriefing using Lasater's Clinical Judgment Rubric to study nursing students' academic self-efficacy, clinical performance, and clinical judgment. The experiment group was subjected to debriefing by applying the Clinical Judgment Rubric, while general debriefing was applied to the control group. The results of the study are as follows: Clinical judgment scores were improved after debriefing for both groups, significantly higher for students in the experimental group compared to the control group. However, there was no significant difference between the two groups in academic self-efficacy or clinical performance. In conclusion, the debriefing based on the Clinical Judgment Rubric used in this study proved to be effective in improving the clinical judgment of nursing students.

The Effects of Self-Defense Categories, Rate of Self-Defense recognition in News Article, and the Individual Characteristics of Mock Jurors on the Self-Defense Judgment (정당방위 유형, 신문기사의 정당방위 인정비율, 판단자 개인 특성이 정당방위 판단에 미치는 영향)

  • Kim, Yong ae;Kim, Min Chi
    • Korean Journal of Forensic Psychology
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    • v.12 no.2
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    • pp.171-197
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    • 2021
  • The purpose of this study is to examine empirically how the lay people judge self-defense and what factors could affect it. A total of 651 participants aged 20 years and over were asked to answer, attitude toward interpersonal violence, and legal attitude questionnaire, all divided by the type of self-defense. Participants were assigned one of the three types of situations that were claimed to be self-defense, and were given articles and scenarios related to each type of self-defense before making self-defense judgments. In addition, the impact of personal factors on self-defense judgment was analyzed after the legal attitude, and the attitude toward interpersonal violence, which are personal factors, was also measured. The results showed that the rate of recognition of self-defense was the highest in the type of self-defense for oneself, but the rate of denial of self-defense against state agencies was much higher, indicating the opposite. Furthemore, negative articles on self-defense were found to affect the judgment of self-defense. In addition, it was found that the level of the attitude toward interpersonal violence and legal attitude of individual participants could affect the judgment of self-defense. The general public's judgment process and the factors that affect self-defense judgment may be considered to prevent biased judgment in actual jury trials. Finally, influence, and limitations of this study and suggestions of subsequent study were also discussed.

Clinical Judgment Force and Nursing Performance Satisfaction by Application of Simulation-based Myocardial Infarction Education (시뮬레이션 기반한 심근경색증 상황 교육 적용에 따른 임상판단력과 간호수행자신감)

  • Shin, Seung-Ok
    • Journal of the Korean Society of Industry Convergence
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    • v.22 no.6
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    • pp.721-727
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    • 2019
  • The purpose of this study is to investigate the relationship between clinical judgment and nursing performance based on myocardial infarction simulation applied to nursing students. Method: 39 fourth grade nursing students participated in this explanatory study with sampling of accommodations. The Lasater Clinical Judgment Rubric has been used in self-reported clinical trials and satisfaction with judging practices. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficient using SPSS WIN 19. Results: Scenarios with myocardial infarction were scored by self-reported clinical judgment. Total mean score of clinical judgment and total mean value of clinical judgment is 4.17 ± 0.80. Correlation Between Variables After Simulation Practice is highly significant for providing positive clinical judgment and satisfaction with nursing performance. Conclusion: The simulation-based practice associated with adult nursing in myocardial infarction was useful for clinical judgment and nursing performance satisfaction, which improved the core basic skills of nursing students.

Simulation-based Clinical Judgment and Performance Ability for Tracheal Suction in Nursing Students (간호대학생의 시뮬레이션실습 기반 임상판단력과 흡인간호수행능력)

  • Lim, Kyung-Choon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.3
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    • pp.330-340
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    • 2017
  • Purpose: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. Methods: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. Results: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were $36.44{\pm}4.82$, $13.44{\pm}1.71$, and $42.32{\pm}5.05$, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. Conclusion: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.

The Effect of Simulation Practice Education on the Clinical Judgment, Self-confidence and Clinical Performance Ability in Nursing Student (시뮬레이션 실습교육이 간호대학생의 임상판단력, 자신감, 임상수행능력에 미치는 효과)

  • Lee, Sook-Keyong
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.577-587
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    • 2017
  • The purpose of this study was to test the effects of simulation practice education on clinical judgment, self-confidence, and clinical performance ability of nursing student. This study used a one group, pre-post test design. The subject of this study were 45 second grade nursing students who participated in the simulation practice education. Data were collected before and after the simulation practice education using the questionnaire. As a result of this research, the improvements of the clinical judgment, self-confidence, and clinical performance ability were statistically significant. Therefore, the simulation practice education has a positive effect on nursing students in terms of the clinical judgment, self-confidence, and clinical performance ability.

The Effects of Mechanical Ventilation Simulation on the Clinical Judgment and Self-confidence of Nursing Students (중환자간호 기계환기 시뮬레이션교육이 간호학생의 임상판단력과 자신감에 미치는 영향)

  • Ha, Yi Kyung;Koh, Chin Kang
    • Perspectives in Nursing Science
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    • v.9 no.2
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    • pp.119-126
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    • 2012
  • Purpose: The purpose of this study was to evaluate the effects of mechanical ventilation simulation on the clinical judgment and self-confidence of nursing students. Methods: This study was a quasi-experimental study. From one university, 118 undergraduate nursing students participated in this study. Sixty students were in the intervention group, and fifty-eight students were in the control group. A simulation scenario utilizing a high-fidelity human simulator focusing on nursing care for patients with a mechanical ventilator was developed for this study. Data were collected with a self-report survey method before the intervention, right after intervention, and two weeks later. Results: Students in the intervention group showed significantly higher increases in clinical judgment and self-confidence than those in the control group at the immediate posttest. Moreover, 2 weeks later, the increase in clinical judgment and self-confidence from the pretest among the intervention group was significantly larger than those in the control group. Conclusion: Utilizing simulation education focusing on patients with a mechanical ventilator may contribute to training more competent nurses in the area of critical care nursing. It may also serve to provide a better critical care environment for the safety and health of patients.

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A Study on the Situations of Happiness and Self-Judgment of Happiness Level among Children : A Culture-Specific Approach (아동의 행복 상황 및 판단에 대한 조사 연구 : 문화적 특수성 접근)

  • Chung, Kai Sook;Choi, Eun A;Kang, In Seol
    • Korean Journal of Child Studies
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    • v.29 no.6
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    • pp.207-223
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    • 2008
  • This study examined children's happy situations and their self-judgment of happiness level. Subjects were 831 children (7-13 years of age). Research findings were that : (1) There were three categories of happy situations : rewards, daily routine activities, non-daily activities/incidents. These categories were subcategorized into personal and relational experiences. Personal experiences gave them greater happiness than relational experiences. (2) The younger children felt happier through relational experiences than older children. (3) Sixty-two percent of the children reported they were happy most of the time. (4) Preschool children answered "I'm happy" more than older children. Sixth grade children answered "I'm happy" least among the entire sample. (5) Academics correlated positively with children's judgment of happiness level; free time correlated negatively with happiness.

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Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial (임상판단모델에 근거한 디브리핑 적용이 임종간호 학습성과에 미치는 효과: 비무작위 대조시험설계)

  • Jeong, Kyung In;Choi, Ja Yun
    • Journal of Korean Academy of Nursing
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    • v.47 no.6
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    • pp.842-853
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    • 2017
  • Purpose: This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education. Methods: Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students' skill training, and evaluators' training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing. Results: ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups. Conclusion: This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.

Effects of Core Competency and Teaching Style on Preceptor Self-efficacy Among Preceptors (프리셉터의 핵심역량과 지도유형에 따른 프리셉터 자기효능감)

  • Lee, Ja Ok;Song, Mi Gyung
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.2
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    • pp.275-284
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    • 2013
  • Purpose: This study was aimed to find out the effect of core competency and teaching style on preceptor self-efficacy among preceptors. Methods: One hundred twelve nurses working at four university hospitals with previous preceptor experience participated in the survey. The data were analyzed by t-test, ANOVA, Pearson correlation coefficients and multiple regression. Results: The preceptors used 'judgment-initiative' teaching style most frequently, and reported the highest scores in the role model dimension of core competency. There were significant positive relations between age (r=.266, p=.005), clinical experience (r=.274, p=.004), preceptorship experience (r=.204, p=.032), core competency (r=.593, p<.001) and preceptor self- efficacy. But preceptor self-efficacy was not significantly different depending on the teaching style (F=0.72, p=.54). The most predictive factors of the preceptor self-efficacy were core competency and teaching style (judgment)(F=31.849, p<.001). The explained variance for preceptor self-efficacy was 35.9% in the model. Conclusion: The preceptor self-efficacy is essential for the preceptors' successful teaching experience and the clinical competency improvement of the entry level nurses. Management for an effective preceptor training program needs to focus on the improvement of core competency of preceptors, which will lead to strengthen their self-efficacy.

Intentionality Judgement in the Criminal Case: The Role of Moral Character (형사사건에서의 고의성 판단: 도덕적 특성의 역할)

  • Choi, Seung-Hyuk;Hur, Taekyun
    • Korean Journal of Culture and Social Issue
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    • v.26 no.1
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    • pp.25-45
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    • 2020
  • Intentionality judgement in criminal cases is a core area of fact finding that is root of guilty and sentencing judgment on the defendant. However, the third party is not sure the intentionality because it reflects subjective aspect of agent. Thus, mechanism behind intentionality judgment is an important factor to be properly understood by the academia and the criminal justice system. However, previous studies regarding intentionality judgment models have shown inconsistent results. Mental-state models proposed foreseeability(belief) and desire of agent at the time of the offence as key factors in intentionality judgment. These factors consistent with central things on intentionality judgment in criminal law. However, key factors in moral-evaluation models are blameworthiness of agent and badness of outcome reflected on the consequent aspect of act. Recently, deep-self concordance model emerged suggesting important factors on intentionality judgment are not mental states and moral evaluations but individual's deep-self. However, these models are limited in that they do not consider the important features of criminal cases, that the consequence of the case is inevitably negative, and therefore the actor who is a party to legal punishment rarely expresses his or her mental state at the time of the act. Therefore, this study suggests that, based on the existing intentionality judgment studies and the characteristics of the criminal case, the inference about who the agent was originally will play a key role in judging the intentionality in the criminal case. This is the moral-character model. Futhermore, In this regard, this study discussed what the media and criminal justice institutions should keep in mind and the directions for future research.