• 제목/요약/키워드: Stress in Clinical Practice

검색결과 310건 처리시간 0.027초

환자 개인정보보호에 대한 치위생 전공 학생의 인식도 (Awareness of Dental Hygiene Department Students regarding the Protection of Patients' Personal Information)

  • 조명숙;이성숙
    • 대한치위생과학회지
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    • 제4권1호
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    • pp.89-98
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    • 2021
  • Background: The purpose of the present study was to gather basic data necessary for developing an educational program regarding the protection of patients' personal information. Such a program would stress the importance of the protection of patients' personal information for dental hygiene students obtaining clinical practice. Methods: A self-reported questionnaire-based survey was conducted targeting dental hygiene undergraduates who were obtaining clinical practice in the capital region. A total of 543 questionnaires were included in the analysis. Results: The results of this study were as follows: 1) the average score for awareness of the Patient Privacy Act was 2.93 on a 4-point scale; 2) the average score for the recognition of the protection of patients' personal information was 3.22 on a 4-point scale; 3) the area-based perception of the protection of patient's personal information was 3.37 points for communication, which scored highest, followed-by the linked-work area at 3.27 points, the patient's information management at 3.22 points, and the direct dental hygiene work at 3.18 points; 4) with regard to awareness of the protection of patients' personal information according to general characteristics, the perception was higher in the advanced academic year (p < 0.01), in those who had education regarding the protection of patients' personal information at both the university and the clinical practice institution (p < .05), and in those with higher grades (p < 0.01). Conclusions: Based on the above findings, the development and application of an educational program to improve awareness of the protection of patients' personal information are considered to be necessary by both universities and clinical practice institutions.

Bulk-fill 복합레진, 믿고 사용해도 될까?

  • 고결;박정원
    • 대한치과의사협회지
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    • 제57권3호
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    • pp.162-168
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    • 2019
  • Composite resin restorations in posterior teeth are increasing due to the aesthetic needs of patients and the development of materials. This trend will accelerate in line with domestic insurance policies. However, resin composites generate stresses due to their contraction during the polymerization process. To reduce the polymerization shrinkage stress of resin composites, incremental layering technique has been recommended for decades. This technique reduces stress at the cavity wall interface and allows a more efficient light curing of the material. Bulk-fill resin composites have been designed to simplify the restorative technique because they can be placed into cavities in a single increment of 4-5mm. The simplification of the operative procedures is desirable in clinical daily practice. In this context, bulk-fill resin composites are an attractive alternative for posterior restorations. However, a clearer understanding of the clinical performance of this relatively new class of materials in comparison to conventional resin composites is required. Based on previous studies, the aim of the current review was to present the clinical criteria for the use of bulk-fill composites in direct restorations of posterior teeth.

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첫 임상 실습에 대한 간호학생의 인지 정도에 관한 연구 (A Study on the perception Level of Nursing Students in the First Clinical practice)

  • 박청자;이경희
    • 기본간호학회지
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    • 제1권2호
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    • pp.149-164
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    • 1994
  • This stidy was carried out for purpose of investigating the degree of perception in the First clinical practice. The data of this study were collected by self-reported questionnaire composed of 5point rating scale measure the ideal level, satisfaction level and Stress level. For the analysis of the data, percentage, MANOVA, ANOVA and Scheffe test were 216 nursing students in 1 Junior College and 2 university in Taegu. Data was administrated from October 4 through 13, 1994 The results were as follow : 1. The average mean Score for the ideal level was 3.91 with a maximum possible score 5points. The highest mean score was infection controll 4.40 and the lowest mean score was comfort measure 3.44. The average mean score for the satisfaction level was 3.33 with a maximum possible score 5points. The highest mean score was Medication 3.54 and the lowest mean score was communication 3.01. The average mean score for stress level was 3.10 with a maximum possible score 5points. The highest mean score was spiritual and psychological care 3.45, the lowest mean score was Temperature controll 2.51. 2. In the analysis of the relationship between the ideal level, Satisfaction level and Stress level, no significant differance was found in college and university, religion, admission, satisfaction, health, economy, parent 3. In the analysis of the relationship between the ideal level, satisfaction level, stress level and general characteristics, significant difference was found in economicststus in the ideal level. Significant difference was found in economic status(upper class, middle class)in Scheffe test of the ideal level.

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일개 종합병원 종양간호사의 전문직 삶의 질 (Oncology Nurses' Professional Quality of Life in a Tertiary Hospital)

  • 김신;김정혜;박정윤;서은영;양화정;이수연;이영신;전미진;이순행;김경옥
    • 임상간호연구
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    • 제16권3호
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    • pp.145-155
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    • 2010
  • Purpose: The purpose of this study was to investigate oncology nurses' professional quality of life and its correlations with job satisfaction and job stress in a tertiary hospital in Seoul, South Korea. Methods: A cross-sectional survey design was utilized to investigate 210 oncology nurses from various oncology and hemato-oncology units. Professional quality of life (ProQOL), which is conceptualized with three sub-dimensions (compassion satisfaction, burnout, and secondary traumatic stress), job satisfaction, job stress, demographic and work-related variables were measured. Results: The participants were all women, with the mean age of 28.4. The participants with high ProQOL was only 14.8%, and 75.3% and 77.6% of the participants reported a moderate to high level of burnout and secondary traumatic stress respectively. Job satisfaction, age, and the total years of nursing practice have positive correlations with compassion satisfaction. Also, compassion satisfaction was significantly different according to age group, work units, the level of education, nursing positions, and the years of practice. Conclusion: Since the level of professional quality of life among oncology nurses was relatively low, the program for oncology nurses to improve compassion satisfaction and to decrease compassion fatigue needs to be developed.

임상시험 지정병원의 "의약품 임상시험 관리기준(KGCP)" 수행 가능성 평가에 관한 연구 (Evaluation of Good Clinical Practice(GCP) Implementability at the Designated Clinical Trial Hospitals)

  • 장선미;이의경;박병주;허순임
    • 한국의료질향상학회지
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    • 제2권1호
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    • pp.86-109
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    • 1995
  • Clinical trials of drugs on humans is the final and most important stage in evaluating the safety and efficacy of the drugs. Good Clinical Practice(GCP) standards were announced in 1987 to protect testees' rights as well as to ensure validity of the clinical trial results, but its implementation has been delayed until now. The purpose of this study is to evaluate the preparedness of the designated institutions to abide by GCP standards during clinical trials, and thereby to determine GCP implementability at the institutions. Survey on the status of clinical trials was conducted for the designated 83 clinical trial hospitals. Response rate was 95.2%. Donabedian's quality assessment model was applied as the basic framework for the study. And the relative - weights for the evaluation items were determined by expert's evaluation. Among the designated 83 hospitals, 39 conducted clinical trials to obtain drug manufacturing approval from 1990 to 1994. Only 19 institutions are found to be able to meet the requirements of KGCP. Structure variables - manpower, organization, and facility -, which are the basic elements for GCP, are evaluated as unsatisfied in many hospitals. Institutions which established IRB accounted for 41 or 51.9%, but those who have a protocol evaluation guideline, or Adverse Drug Reaction(ADR) reporting system were only 12 and 21 institutions, respectively. Also, the institutions providing educational programs on conducting clinical trials are few - 20. The study results indicates that the level of conducting KGCP is unsatisfactory. However, more institutions are expected to be able to meet the standards soon because GCP standards does not require so much regulation on facilities, but stress importance on research methodology and human right. At present as the institutions for clinical trials are primarily training hospitals with residency programs, such efforts as education will accelerate the implementability of GCP in Korea. Institutions must build the appropriate infrastructure and government must prepare to strongly enforce KGCP before it can successfully take place.

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의학전문대학원생의 스트레스, 자아탄력성, 자기효능감과 임상수행능력과의 관계 (Relation amang Stress, Ego-Resilience, Self-Efficacy, Clinical performance in graduate medical student)

  • 홍선연
    • 한국산학기술학회논문지
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    • 제12권12호
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    • pp.5797-5804
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    • 2011
  • 최근 의학교육은 의과대학에서 의학전문대학원으로의 체제변화와 의사국가고시 실기시험 도입에 따른 변화에 대처해야하는 과제를 안고 있다. 따라서 의학전문대학원 학생들의 특성을 고려하고 국가고시 실기시험을 대비한 임상수행능력향상을 위한 교육이 필요하다. 본 연구는 의대생들의 스트레스, 자아탄력성, 자기효능감에 따른 임상수행능력과의 관계를 알아보기 위한 서술적 상관관계 연구로 D시에 소재한 일 의학전문대학원생 97명을 대상으로 2011년 8월19부터 20일까지 설문조사를 실시하였다. 연구결과는 스트레스는 자아탄력성과는 부적상관관계를 나타냈었고 자기 효능감의 하부영역인 자신감과는 정적상관관계를 보였다. 자아탄력성은 임상실기수행능력의 하부영역인 CPX와는 정적상관관계를 나타내었다. 자기효능감의 하부영역인 과제난이도 선호는 OSCE와 부적상관관계를 나타내었고, 임상실기수행능력의 하부영역인 OSCE와 CPX는 정적상관관계를 나타내었다. 따라서 학생들의 스트레스 감소는 자아탄력성을 향상시킬 수 있으며 궁극적으로 임상실기수행능력을 향상시킬 수 있다고 본다. 이상의 결과로 볼 때, 임상실기수행능력 향상을 위해서는 학생 개인의 특성을 파악하여 자아탄력성 향상을 위한 교육프로그램을 개발하고 교육과정에 반영하여야 할 것이다.

간호대학생의 학업스트레스, 소셜네트워크서비스 중독경향, 상향비교성향이 우울에 미치는 영향 (The effects of academic stress, social network service addiction tendency, and upward social comparison on depression in nursing students)

  • 박승미;이정림;유수영
    • 한국간호교육학회지
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    • 제29권1호
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    • pp.41-50
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    • 2023
  • Purpose: The aim of this descriptive study was to identify the factors influencing depression risk among South Korean nursing students. Methods: The data were collected from nursing students attending two universities through web-based questionnaires that surveyed them about depression, academic stress, social network service (SNS) addiction tendency, and upward social comparison from August 22 to September 4, 2021. The collected data from 196 nursing students were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression. Results: The mean score of depression (using CES-D Korean version) among nursing students was 13.91, which denotes probable depression. Concerning the variance with regard to depression among nursing students, 20.2% was explained by clinical practice period, academic stress, and upward social comparison. Conclusion: Programs to relieve academic stress and depression should be developed in a simple way and systematically provided at the organizational level so that nursing students secure sufficient support during the initial and continuing period of clinical practicums. Concomitantly, an attempt to reduce the upward social comparison should be highly considered.

임상실습 안전에 대한 간호대학생의 주관성 (Guarantee of Safety for the Patient: Subjectivity of unsafe clinical practice in Nursing Students)

  • 박은아
    • 수산해양교육연구
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    • 제29권2호
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    • pp.343-353
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    • 2017
  • Nursing students who are in clinical practices under the complicated medical environment to become competent practitioners can be exposed to a variety of dangerous situations. In particular, nursing students can experience stress and compromised safety because they have difficulty in prioritizing their tasks and lack confidence in clinical and interpersonal skills. The purpose of this study is to investigate the types and characteristics of nursing students' attitudes toward the safety of clinical practices, and improve their safety related to clinical practices. A total of 40 statements about the safety of clinical practices were applied to 37 nursing students. Collected data were analyzed with the PC QUANL program. The Perception of nursing students to the safety of clinical practices was categorized into three types: 'Pursuit of perfection in overwhelming state type', 'Perseverance Patience type' and 'Cover up-meeting expectation type'. The subjects related to the safety of clinical practices need to be developed within the curriculum of nursing departments by examining the Perception of nursing students to the safety of clinical practices. In addition, a sense of responsibility shared by nursing students, educators and practitioners needs to be enhanced to improve the safety of clinical practices.

Diagnosis of Laryngeal Cyst using Respiratory Endoscopy in Hanwoo Cattle with Chronic Bronchopneumonia

  • Ro, Younghye;Choi, Woojae;Kim, Hoyung;Kim, Danil
    • 한국임상수의학회지
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    • 제35권2호
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    • pp.57-59
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    • 2018
  • A seven-month-old Hanwoo steer was presented immediately after transport with respiratory symptoms including a nasal discharge, depression, and anorexia. Though repeated treatments, bronchopneumonia had not been improved and had persisted for 10 months. Then, obstructive breath sound was heard. A cyst adjacent to the epiglottis could be observed with respiratory endoscopy. Consequently, chronic bronchopneumonia induced laryngeal cyst formation, resulting in obstructive dyspnea. And respiratory endoscopy may be useful for differentiating the causes of dyspnea in bovine clinical practice.

Mindfulness Based Stress Reduction (MBSR) 프로그램이 스트레스 및 삶의 질에 미치는 효과에 대한 분석 (Critical Review of the Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress and Health-related Quality of Life (QOL))

  • 송영숙;;최은주
    • 성인간호학회지
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    • 제22권2호
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    • pp.121-129
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    • 2010
  • Purpose: In numerous studies, MBSR programs have been shown to reduce stress and improve health-related QOL. Although MBSR programs have been shown to be beneficial, its effects have not been well-determined among Korean populations in clinical nursing practice. The purpose of this review was to describe the effects of MBSR on stress and health-related QOL so that the potential benefits of this intervention may be evaluated for wider application in Korea. Methods: Articles published in peer-reviewed journals in the English or Korean language up to 2009 were reviewed; 14 articles met the inclusion criteria for this review and there were no Korean papers. Results: MBSR groups were found to have significantly reduced stress outcomes relative to non-MBSR groups in 6 of 11 studies. In regards to health-related QOL, participants of the MBSR programs had increased scores after MBSR intervention relative to control groups in 5 of 7 studies. Conclusion: MBSR programs was effective in decreasing stress and increased the health-related QOL in the majority of studies reviewed. MBSR merits study in Korean patients to determine whether similar salutary patient outcomes may be obtained.