• 대한임상약리학회:학술대회논문집
• /
• 1992.11a
• /
• pp.33-33
• /
• 1992

• Journal of Korean Public Health Nursing
• /
• v.27 no.2
• /
• pp.293-303
• /
• 2013

Purpose: This study was performed to understand the relationship between ego-resilience and the clinical competence of nursing students. Methods: The subjects were 291 juniors and seniors who received clinical training from nursing universities in Gyeongsang, Jeolla, and Chungcheong. General characteristics, main study variables were analyzed using descriptive statistics such as frequency, percentage, mean, standard deviation; ego-resilience and clinical competence by general characteristics were analyzed using t-test, ANOVA; correlations between ego-resilience and clinical competence were analyzed using Pearson correlation coefficients. Results: The mean score for ego-resilience was 3.44; and the mean score for clinical competence was 3.71. The data showed a positive correlation between ego-resilience and clinical competence. Conclusion: According to the results, there is a correlation between clinical competence and the ego-resilience of nursing students. Therefore, to enhance clinical competence, a follow-up study on the development of a program for advanced ego-resilience is needed.

• Korean Medical Education Review
• /
• v.18 no.3
• /
• pp.132-144
• /
• 2016

The aim of this study is to provide the background of developing guides to clinical performance and basic clinical skills and to introduce how to teach and learn using the guide. The students' performance problems presented in an objective clinical skills examination were disease-centered tertiary hospital clinical care, incomplete performance, doing by rote, and an exam-oriented learning attitude. The problems were caused by a tertiary hospital-based educational environment as well as schools and faculty who are unfamiliar with the concept of patient-centered care. The purpose of the guide to clinical performance and basic clinical skills is to overcome these problems and address the causes. The guides show a clinical presentation approach to primary care; clinical care integrated with knowledge, skills, and attitude; a schematic approach; and a patient-centered attitude. To achieve these goals, a strategy to change the educational culture is important. Curricular reform, faculty development, and improving educational facilities and environments are suggested.

• Journal of International Society for Simulation Surgery
• /
• v.2 no.1
• /
• pp.40-42
• /
• 2015

Purpose Usability is an important factor in our life. This paper presents an approach to design the clinical work-flow for ultrasound system. And, we tried to apply this work-flow in diagnosis ultrasound system. Materials and Methods For user learnability, we follow international standard IEC 60601-1-1 and IEC 62366 which describes usability of medical instrument. User requirement are applied by 10 clinicians who are well aware of usability. We considered user environment and designed clinical work-flow into two types: general use and emergency use. The designed clinical work-flow was evaluated by 10 clinicians and results derived from the evaluation were analyzed. Results We could successfully design optimized clinical workflow of ultrasound system. Conclusion This paper suggests usability testing for optimized ultrasound clinical workflow. Using this clinical work flow, users can enhance their clinical performance and reduce operation time.

• Journal of the Korean Society of Industry Convergence
• /
• v.22 no.6
• /
• pp.721-727
• /
• 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.

• Journal of Korean society of Dental Hygiene
• /
• v.18 no.3
• /
• pp.399-410
• /
• 2018

Objectives: The purpose of this study was to examine the current status of the relationship between clinical practice stress, satisfaction and self-concept of dental hygiene department students in order to effectively implement the clinical practice, which is a necessary course for professional dental hygienists. Methods: The subjects in this study were 299 dental hygiene department students who participated in clinical practice. The survey was conducted from November 1, 2017 to December 31, using self-filling questionnaire (INJE 2017-08-004-002). Statistical analysis was conducted to identify the clinical practice characteristics, clinical practice stress, satisfaction and self-concept and the results according to clinical practice characteristics were compared through t-test and ANOVA. The regression analysis was conducted to identify the effects on self concept. Results: Clinical practice stress, satisfaction and self concept were identified to be significant(p<0.01). Multiple regression analysis results of the factors affecting self concept of study subjects showed that self concept was statistically significant in grade, education programs and satisfaction. Conclusions: Self-concept, clinical practice stress and satisfaction were significantly correlated. In order to raise the quality of clinical practice and to become a professional dental hygienist, it is necessary to continue research on the measures to improve the stress management and satisfaction in clinical practice for establishing self-concept.

• Journal of Acupuncture Research
• /
• v.26 no.5
• /
• pp.105-116
• /
• 2009

The use of acupuncutre has been increased worldwide, and large number of researches on acupuncture with improved quality has been conducted. Nevertheless, results of acupuncture treatment in those research tend to show mixed results, while many patients continuously seek acupuncture treatment as an adjuvant or alternatives for their health. Researchers and clinicians relevant to acupuncture are faced at this problematic discrepancy between the results of acupuncture in clinical trial including an randomized controlled trial and those of day-to-day clinical practice. The methodology of pragmatic clinical trial seems to be one of the promising research tools administering this problem especially in the area of complementary alternative medicine and traditional Korean medicine. In this study we first reviewed articles on the pragmatic clinical trial, summarized the essential concepts of 'explanatory' clinical trial 'pragmatic' clinical trial and then presented recent recommendations and arguments on this issue. We also analyzed and compared two similar pragmatic clinical trial protocols to show the readers the complexity of research designing. We hope more researchers in traditional Korean medicine will be interested in the methodology of pragmatic clinical trials and this study will serve to produce various high-quality clinical trials.

• BMB Reports
• /
• v.49 no.3
• /
• pp.167-172
• /
• 2016

Kaiso is a Pox Virus and Zinc Finger (POZ-ZF) transcription factor with bi-modal DNA-binding specificity. Here, we demonstrated that Kaiso expression is inversely correlated with glucocorticoid receptor (GR) expression in breast carcinomas. Knockdown of Kaiso increased GR expression, while overexpression of Kaiso inhibited GR expression in breast cancer cells. Furthermore, Kaiso repressed GR proximal promoter-reporter activity in a dose-dependent manner. Remarkably, ChIP experiments demonstrated that endogenous Kaiso was associated with the GR promoter sequence in a methylation-dependent manner. Since glucocorticoids inhibit chemotherapyinduced apoptosis and have been widely used as a co-treatment of patients with breast cancer, we assessed the role of Kasio in GR-mediated anti-apoptotic effects. We found that overexpression of Kaiso attenuated the anti-apoptotic effects of glucocorticoids in breast cancer cells. Our findings suggest that GR is a putative target gene of Kaiso and suggest Kaiso to be a potential therapeutic target in GC-combination chemotherapy in breast cancer.

• Journal of Korean Physical Therapy Science
• /
• v.19 no.2
• /
• pp.43-53
• /
• 2012

Purpose : This study is performed to investigate the status and recognition of the education for physical therapy clinical practice. Method : This study used a descriptively designed survey in which 328 clinical instructor, 55 professors and 404 college trainee students in Korea are participated. The research instruments developed by Kim(2004) and Park(1997) are used. The collected data were analyzed by SPSS/PC+12.0. Results : 1. Trainees are in favor of practicing in the university hospital, but more needed to practice in various clinical institutions. 2. Clinical practice period is 400-600 hours. The time of clinical practice has been shifted to the summer vacation, so it is needed to be scattered along semester evenly. 3. The categories of diseases should be determined, by which trainees to experience the assessment and treatment through clinical practice. 4. For the case of accident during clinical practicing, an insurance contract is required for trainees. 5. Through school and clinical institutions, the common and standardized clinical practice manuals or instructions are needed. Conclusion : Clinical institutions and college for student training to improve efficiency are forced to study systematically.

• Korean Journal of Adult Nursing
• /
• v.26 no.6
• /
• pp.653-667
• /
• 2014

Purpose: This study was aimed to develop frequently-used clinical scenarios and scoring rubrics to assess core basic nursing skills in adult health nursing clinical practice for clinical evaluation based on program learning outcomes (PO). Methods: This study was a methodological research combining focus group interviews and questionnaires to select and construct scenarios. Data were collected from clinical practitioners, adult health nursing professors, and new nurses from November, 2013 to April, 2014. The developed scenarios and rubrics were applied to nursing students by way of showing an example. Results: The 12 frequently-used clinical scenarios were developed. The proportion of the evaluation rubrics were 30% for clinical instructors where as 70% for college instructors. In order for students to achieve the important learning outcomes from the courses for clinical practice, four program outcomes (POs) were selected as well as a rubric for each POs was developed. Students who had situation-based clinical practices showed higher levels of satisfaction on mastery of core basic nursing skills and communication skills. Conclusion: This findings of the study suggested the strategies for complementing pitfalls in clinical setting and achieving PO during students' clinical practicum.