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A Study on Relationship between Stress of Clinical Practice and Clinical Competency in Nursing Students (간호학생의 임상실습 스트레스와 임상수행능력과의 관계 연구)

  • Kim Hye Suk
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.64-76
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    • 2002
  • This study was performed to identify the level of stress of clinical practice and clinical competency and the relationships between stress of clinical practice and clinical competency in nursing students. The subjects of this study were 379 senior nursing students in 2 nursing colleges in M city. The data were collected from November 5th to 24th, 2000, using questionnaire. The instruments used were the Stress of Clinical Practice Scale and the Clinical Competency Measurement Tool. The data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's Correlation Coefficient, using the SPSS program. The results of the study were as follows : 1. The mean score for the level of stress of clinical practice was 3.83 points. The stress of clinical practice were classified into six dimensions and their order of getting score was nurse(3.99), relationship between nursing theory and practice(3.94), human relationship (3.92), clinical education and evaluation by professors(3.87), environment(3.70), and patient(3.59). 2. The mean score for the level of clinical competency was 3.91 points. The clinical competency were classified into five dimensions and their order of getting score was professional development (4.08), skills (4.06) , interpersonal relationship/communication(3.95), teaching/coordinating(3.81), and nursing process(3.70), 3. The stress of clinical practice showed significant difference in the score of grade(t=-2.82, p=.005), interpersonal relationship(t=1.97, p=.049) and satisfaction of major(F=3.38, p=.035) of nursing students. 4. The clinical competency showed significant difference in the score of grade(t=-5.97, p=.000). interpersonal relationship(t=3.64, p=.000) and satisfaction of major(F=8.73, p=.000) of nursing students. 5. The data showed the positive correlations between stress of clinical practice and clinical competency(r=.209, p=.000). In conclusion. this study found that the stress of clinical practice was significantly related to clinical competency in nursing students. Therefore further study is needed to examine the efficient coping strategies about stress of clinical practice in nursing students.

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The Relationships between Knowledge, Attitude and Prevention Behaviors to AIDS in Nurses (간호사의 AIDS에 대한 지식, 태도 및 예방적 행위)

  • Sung, Mi-Hae
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.1
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    • pp.14-22
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    • 2008
  • Purpose: The purpose of this descriptive study was to examine the knowledge, attitudes and prevention behavior to AIDS of nurses. Method: The subject of this study were 217 nurses in Busan. Data was analyzed by using descriptive statistics, t-test, ANOVA, Pearson's correlation, and Scheffe's test. Results: Total knowledge of AIDS(mean score was 6.71 out of 12) was average. Total attitudes of AIDS(mean score was 13.16 out of 25)was average. Prevention behaviors were above average(mean score was 57.63 out of 75). According to the results of analyzing the difference between general characteristics of the subject and AIDS related knowledge, attitudes and prevention behaviors, a significant difference was present with religion(p<.05) in attitudes score; with age(p<.001), marital status(p<.001), education level(p<.05), position(p<.05) and clinical experience(p<.05) in prevention behaviors. According to the results of analyzing the difference between AIDS related characteristics of the subject and AIDS related knowledge, attitudes and perceived behaviors, a significant difference was present with experience in taking care of HIV/AIDS patients(t=2.19, p<.05) in attitudes score; and experience in HIV positive after care(t=-2.64, p<.01) and general nursing training about AIDS(t=2.23, p<.01). There was a positive correlation among knowledge score and attitudes score(r=.170, p<.05). Conclusion: These findings suggested that AIDS education and training programs should be developed and run for nurses. Expecially, health education related with AIDS is needed in young and less experienced nurses. In following such a program, there will be greater compliance with prevention behaviors. Furthermore, it is necessary to provide work-related guidelines regarding AIDS for nurses.

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Association Between Screen Overuse and Behavioral and Emotional Problems in Elementary School Children

  • Choi, Yeonkyu;Lee, Dong Yun;Lee, Sangha;Park, Eun-Jin;Yoo, Hee Jeong;Shin, Yunmi
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.32 no.4
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    • pp.154-160
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    • 2021
  • Objectives: This study identified the association between excessive exposure to screen media and behavioral and emotional problems in elementary school students. Methods: A total of 331 parents of children aged 7-10 years were recruited from "The Kids Cohort for Understanding of Internet Addiction Risk Factors in Early Childhood (K-CURE)" study. Children's demographics, household media ownership, screen time, and behavioral/emotional problems were assessed using a parental questionnaire. Children's behavior/emotional problems were measured using the Korean version the of Child Behavior Checklist (K-CBCL) score. Results: The total K-CBCL score in the screen overuse group was 51.18±9.55, significantly higher than 47.28±10.09 in the control group (t=2.14, p=0.05). For each subscale, the externalization score (51.65±10.14, 48.33±8.97, respectively; t=2.02, p<0.05), social problem score (55.41±6.11, 53.24±5.19, respectively; t=2.27, p<0.05), and rule breaking behavior score (55.71±6.11, 53.24±5.19, respectively; t=2.27, p<0.05) were significantly higher in the screen overuse group than in the control group. In addition, the screen overuse group also had a significantly higher usage rate than the control group, even if limited to smartphones, not only on weekdays (3.56±2.08, 1.87±2.02, respectively; t=-4.597, p<0.001) but also weekends (1.62±0.74, 1.19±0.83, respectively; t=-3.14, p=0.003). Conclusion: The study suggested that screen media overuse patterns in children in Korea are particularly relevant to the excessive use of smartphones and are related to higher risks of emotional and behavioral problems.

The Efect of Cutaneus Stimulation on AV Fistula Puncture Pain of Hemodialysis Patients (피부자극이 혈액투석환자의 동정맥루 천자시 동통감소에 미치는 영향)

  • Park, Jeong-Sook
    • The Korean Nurse
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    • v.33 no.1
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    • pp.37-51
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    • 1994
  • The cutaneous stimulation is an independent nursing intervention used in various painful conditions, and is explained by gate control theory. This study was aimed at identifying the effect of cutaneous stimulation on reduction of arteriovenous fistula puncture pain of hemodialysis patients. One group repeated measurement post test research was designed. Forty-five hemodialysis patients who received arteriovenous fistula puncture regulary in hemodialysis units of an attacted D hospital to K university have been studied from August 16 to 21, 1993. First the arteriovenous fistula puncture pain of control period was measured, and then the arteriovenous fistula puncture pain of experimental period(with cutaneous stimulation) was measured. The instrument used for this study were visual analogue pain scale as subjective pain measurement, objective pain behavior checklist and Spielberger's Trait Anxiety Inventory as intervening variables. Analysis of data was done by use of paired t-test, t-test, ANOVA and Perarson correlation coefficient. The results of this study were summarized as follows; 1) The first hypothesis that the subjective pain score of arteriovenous fistula puncture pain in experimental period(with cutaneous stimulation) will be lower than in control period was partly supported. The subjective pain score of arterial line was rejected(paired t=-0.28, p=0.77) and the subjective pain score of venous line was supported(paired t=2.61, p=0.01). 2) The second hypothesis that the objective pain behavior score of arteriovenous fistula pain in experimental period(with cutaneous stimulation) will be lower than in control period was rejected(arterial line paired t=-0.45, p=0.65; venous line paired t=-0.36, p=0.72). 3) The third hypothesis that the cardiopulmonary signs of arteriovenous fistula puncture pain in experimental period(with cutaneous stimulation) will be lower than in control period was rejected(pulse paired t=-0.8, p=0.42; systolic BP paired t=0.98, p=0.33; diastolic BP paired t=0.43, p=0.66). Further experimental studies with simple intravenous injection patients will be recommended in order to identify the effect of cutaneous stimulation.

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Effects of a Program to Promote Multicultural Awareness and Multicultural Efficacy toward North Korean Defectors for Nursing Students (간호대학생을 위한 북한이탈주민 관련 다문화 인식 및 다문화 효능감 증진 프로그램의 효과)

  • Park, Jin Kyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.1
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    • pp.58-68
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    • 2019
  • Purpose: The purpose of this study was to develop a program to improve the cultural competence of nursing students related to North Korean defectors and to investigate the effectiveness of the program. Methods: There were 36 nursing students in the experimental group and 30 in the control group, who were recruited from a university in I-city, Korea. A Chi-square, t-test, and ANOVA with the SPSS/Win 21.0 program were used to analyze the data. Results: After the intervention, the experimental group showed a statistically significant increase in the total score for multicultural awareness toward North Korean defectors over the control group (t=0.85, p=.026). Scores for cognitive area (t=0.89; p=.037), ritual area (t=-0.10, p=.915), and action area (t=1.18, p=.031) increased, but the conscious area score was not statistically significant. The experimental group showed a statistically significant increase in the total score for multi-cultural efficacy for North Korean refugees (t=0.36, p=.030). Scores for cognitive area (t=0.63; p=.029), working area (t=0.05, p=.955), and emotional area (t=0.79 and p=030) increased, but the working area score was not statistically significant. Conclusion: It was found that the program to promote multicultural efficacy related to North Korean defectors applied in this study was effective in enhancing multicultural awareness and efficacy of nursing students.

The Relationship Between Self-Concept and Self-Care Activities of the Cerebral Palsied Adolescents (뇌성마비 청소년의 자아개념과 자가간호수행의 관계)

  • Hong, Hee-Sook;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.1
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    • pp.31-45
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    • 2001
  • The purpose of this study was to investigate the relationship between self-concept and self-care activities of the cerebral palsied adolescents and to gain the baseline data for development of effective rehabilitation nursing intervention program of the cerebral palsied adolescents. The design of this study was a descriptive correlational study. The subjects of the study were 160 cerebral palsied adolescents attending at special schools located in Seoul and Kyonggi and rehabilitation centers located in Seoul, Kyonggi and Kyongnam province. The data was collected from May 20 to July 20, 2000. The instrument used for this study were the self-concept scale(50items 4point scale) and self-care activities scale(29items 4point scale). Self-Concept Scale had developed by Fitt(1965), which was standardized by Chung(1968) and modified by Kim(1984). Self-Care Activities Scale developed by the researcher through out the consulting of expert and pilot study on the basis of ADL check list developed by Kang(1984) and LDSQ-3(Lambeth Disability Screening Questionnair-3) developed by Na et al. (1995). The data was analyzed by the SPSS/PC+program using frequency, percentage, mean, standard deviation, t-test, ANOVA & Scheffe test and Pearson's correlation coefficient. The results of this study were as follows; 1. The mean score of self-concept was $138.55{\pm}17.20$(range: 50-100), which the item mean score was $2.77{\pm}0.34$(range: 1-4). The score of subarea of the self-concept was the highest score in family self ($3.01{\pm}0.54$) and the lowest score in physical self ($2.52{\pm}0.42$). 2. The mean score of self-care activities was $95.25{\pm}21.69$ (range: 29-116), which the item mean score was $3.28{\pm}0.75$ (range: 1-4). The score of subarea of the self-care activities was the highest score in feeding($3.75{\pm}0.59$) and the lowest score in walking($2.64{\pm}1.21$). 3. There were statistically significant difference in the score of self-concept according to the age (F=3.24, P=.04), the grads (F=4.36, P=.01), and types of cerebral palsy (F=2.42, P=.03). 4. There were statistically significant difference in the score of self-care activities according to the age (F=8.29, P=.00), the grads (F=16.05, P=.00), types of living place (F=6.46, P=.00), types of cerebral palsy (F=48.92, P=.00), whether or not receiving a rehabilitation therapy (t=-3.64, P=.00), whether or not receiving a vocational training (t=2.14, P=.03), and whether or not using a device (t=-7.42, P=.00). 5. There was not significant correlation between self-concept and self-care activities (r=.081, P=.311).

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A Study of Analysis on Variation of the Rate of Injury according to the Job Type Using Safe-T-Score on the Small Sized Companies (소규모 사업장에 대한 안전 T-점수를 이용한 업종별 상해발생률의 분석에 관한 연구)

  • 임영문;최요한
    • Journal of the Korean Society of Safety
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    • v.14 no.4
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    • pp.176-181
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    • 1999
  • The objective of this study is to compare and analyze the industrial injury-values of all the industries through yearly accident rate and frequency rate based on the governmental documentation of industrial injuries. The samples for this study are chosen from the companies with less than 200 employees under charge of the Kangnung Ministry of Labor during the period of 1995-97. Safe-T-Score is used for statistic control on the qualitative comparison of the present and the past industrial injury-rates. In the comparison of the past and the present industrial injury-rate by means of Safe-T-Score, this study shows that there does not exist any remarkable improvement, whereas the document of the Ministry of labor reports that the rate is decreasing greatly. Therefore, this study proposes some solutions to reduce industrial disasters and points out the necessity of more practical and effective methods to analyze the industrial disaster.

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The Effectiveness of Cardiopulmonary Resuscitation Training Targeted for Policeman (일부 경찰공무원에게 실시한 심폐소생술 교육의 효과)

  • Lee, In Soo;Baek, Mi Lye
    • The Korean Journal of Emergency Medical Services
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    • v.5 no.1
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    • pp.53-61
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    • 2001
  • The purpose of the study is to evaluate the effectiveness and competence level of trainees of Cardiopulmonary Resuscitation training targeted for policeman. Data were collected from 113 policemen by questionnaire on Feb, 2001. The data were analyzed by percentage, mean, paired t-test using SPSS program. The results of this study were as follows : 1. 17 questions score increase, and 1 question score decreased. 2 questions didn't change their score. 2. In post test, knowledge level of trainees increased compared to that of pretest(t=-13.055, p= .000). 3. Competence level also increased(t=-13.055, p= .000).

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Perceived Powerlessness in Hospitalized Elderly Patients (내·외과 병동에 입원한 노인들의 무력감 지각정도에 관한 연구)

  • Choi, Soo-Jeong
    • Korean Journal of Adult Nursing
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    • v.13 no.4
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    • pp.601-609
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    • 2001
  • Purpose: The purpose of this study was to identify the degree of perceived powerlessness in hospitalized elderly patients of the medical and surgical unit. Method: The instrument for this study was the Powerlessness Behavioral Assessment Tool(Miller, 1983). The reliability of the instruments was .85. The data was analyzed by descriptive statistics, t-test, and ANOVA. Results: The results were as follows ; 1. The mean score of powerlessness was $35.02(SD={\pm}9.24)$ in a range of 19 to 64, and the mean of powerlessness was total 1.84. Among 4 subscales, the highest score was in the area of verbal response (M=1.98), and the lowest score for powerlessness was in the area of daily activities(M=1.74). In all items, 'verbal expression of fatalism' showed the highest score(M=2.78), and 'verbal expressions of giving up' showed the lowest score(M=1.38). 2. There were significant differences in the level of powerlessness according to hospitalization experience(t=-3.03, p=0.006), medical treatment experience(t=.291, p=.004). Especially, there was significant difference according to the hospitalization experience of the hospital in all sub- scales. Conclusion: Based on these conclusions, nursing education for patient's diseases and treatment can be used for proper nursing intervention in reducing the level of powerlessness of hospitalized elderly.

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The Comparative Study on Bone Mineral Density Accessed by Quantitative Computed Tomography and Quantitative Ultrasound (정량적 전산화단층촬영법(QCT)과 정량적 초음파법(QUS)에 의한 골밀도측정 비교)

  • Kim, Gi-Bum;Ahn, Sung-Min;Lee, Gui-Won;Kim, Sung-Chul
    • The Journal of the Korea Contents Association
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    • v.11 no.8
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    • pp.198-203
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    • 2011
  • The BMD difference depending on QCT and QUS, whose usages are recently being increased for the test of BMD, was accessed for 106 subjects of a general health examination who were aged between 24~69 year-old and results were derived as follows. The measured value of BMD by QCT and QUS showed significant correlation in general (p>0.05). In terms of the difference generated between the measurement methods depending on sexes, the female subjects showed significantly low T-score in the test made through QUS (p<0.05). Depending on ages, there was T-score difference among the subjects aged more than 40 year-old within significant range (p<0.05). When it came to the effect depending on heights and on weights, no group showed significant difference and in a group with less than 22.9 of BMI value, the T-score was measured significantly low when testing it through QCT while other groups were not affected by any testing methods. Likewise, it may require a different measurement method when it comes to the measurement of bone mineral density depending on sex, age, height, and BMI among patients. Thus, it suggests obtaining accurate data by conducting various testing methods in case of a special occasion.