• 제목/요약/키워드: clinical experience

검색결과 2,825건 처리시간 0.029초

회복실 간호사의 각성 섬망에 대한 지식과 각성 섬망 관련 업무 스트레스에 관한 연구 (Recovery Room Nurses' Knowledge and Stress of Emergence Delirium)

  • 정인애;정덕유
    • 임상간호연구
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    • 제20권2호
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    • pp.256-266
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    • 2014
  • Purpose: This study was done to identify the level of knowledge on and stress from delirium among recovery room nurses, and correlations between these factors. Methods: In this study, 125 nurses agreed to participate in the study were surveyed from October 8 to October 28, 2013. Data were analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test and Pearson correlation. Results: Average percentage of correct answers to questions about delirium was 81.9% and the mean score was 26.22 (${\pm}5.01$). The mean score for recovery room nurses' work stress from emergency delirium was 3.86 (${\pm}0.99$). Extent of knowledge on delirium significantly differed by age (F=15.017, p<.001), length of clinical experience (F=22.132, p<.001), length of recovery room experience (F=10.538, p<.001), education (F=3.312, p =.040), and marital status (t=4.107, p<.001). Stress from ED was significantly related to age (F=9.185, p<.001), clinical experience (F=7.077, p=.001), and marital status (t=-2.027, p =.045). Knowledge on delirium had a negative relationship with stress from delirium (r=-.514, p<.001). Conclusion: Results show that nurses gained knowledge of delirium from their own clinical experience indicating a need to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for recovery room nurses.

치과위생사의 의료관련법에 대한 지식 및 태도에 관한 연구 (A study on dental hygienists' knowledge and attitude towards medical related laws)

  • 장윤정
    • 한국치위생학회지
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    • 제17권2호
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    • pp.295-305
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    • 2017
  • Objectives: This study was performed to provide a reference base to establish foundation for education about dental hygienist-related medical law and introduction of the system. Methods: A survey was conducted on 210 dental hygienists working at a dental clinic/ hospital in Jeollado. Data were analysed through chi-square test, one-way ANOVA, independent t-test, and Pearson's correlation analysis using SPSS 21.0 program. The study instruments included general characteristics of the subjects, knowledge on laws related to dental hygiene, attitude towards dental hygienist-related medical laws, level of understanding of medical related laws, and medical dispute educational hours. Results: The knowledge of dental hygienist-related medical law was high in dental hygienists aged 25 years and younger and with less than 3 years of clinical experience (p<0.05). The attitude towards the law was low in age of younger than 25 years, a three year college degree, a job position as a staff member, more than 5 years of work experience at present work place, and less than 3 years of clinical experience (p<0.05). Understanding of medical related laws was high in clinical staff members and with less than 3 years of clinical experience (p<0.05). Educational needs for medical dispute prevention was high in a job position as a staff member, low level of attitude towards dental hygienist-related medical law, and no attainment of education on medical dispute (p<0.05). Conclusions: The above results demonstrate that education and public relations about laws related with dental hygiene practice are essential. It is imperative to establish a systematic and bureaucratic legal system to prevent dental malpractice.

간호대학생의 폭력경험, 대처양식 및 회복탄력성이 정서반응과 임상실습스트레스에 미치는 효과 (Effect of Verbal Abuse Experience, Coping Style and Resilience on Emotional Response and Stress During Clinical Practicum among Nursing Students)

  • 정윤화;이경희
    • 디지털융복합연구
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    • 제14권3호
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    • pp.391-399
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    • 2016
  • 본 연구는 간호대학생의 임상실습 시 폭력경험, 대처양식 및 회복탄력성이 정서반응과 임상실습스트레스에 미치는 효과를 알아보고자 실시하였다. 대상자는 간호대학생 261명이 참여하였고 2014년 12월 1일부터 12월 20일까지 자가보고식 질문지를 사용하여 조사하였다. 상관관계 분석 결과 폭력경험은 정서중심대처, 임상실습스트레스와 유의한 정적 상관관계가 있었으며, 문제중심대처는 정서중심대처, 회복탄력성과 유의한 정적 상관관계가 있었다. 정서 중심대처는 정서반응, 임상실습스트레스와 유의한 정적 상관관계가 있었으며, 회복탄력성은 정서반응과 유의한 부적상관관계가 있었고, 정서반응은 임상실습스트레스와 유의한 정적 상관관계가 있었다. 정서반응에 영향을 미치는 가장 높은 영향요인은 정서중심대처(${\beta}=.422$)였다. 임상실습스트레스에 영향을 미치는 가장 높은 영향요인은 폭력경험(${\beta}=.283$)이였다. 간호대학생의 안전한 실습환경을 위해 대인관계훈련 프로그램과 효율적인 의사소통훈련 프로그램을 개발하는 것이 필요할 것으로 제언한다.

전국 한방의료기관 한의사 대상 만성질환의 변증활용 현황 조사 (A National-wide Survey on Utilization of Pattern Identification for Chronic Diseases among Korean Medicine Doctors)

  • 여민경;박기현;이영섭
    • 대한예방한의학회지
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    • 제21권2호
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    • pp.23-34
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    • 2017
  • Objectives : The aim of this study was to survey the present utilization of pattern identification(PI) by chronic disease and using PI system in the clinical field among Korean medicine doctors. Methods : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 Korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of whether use clinical experience by chronic disease and the utilization of PI, the utilization of PI systems, the PI utilization rate, and the correlation between utilization PI and so on. General elements consisted of sex, age, clinical experience, place of work, district and so on. Results and Conclusions : This study revealed that clinical experience by chronic disease used 24.0-90.8%. The most chronic diseases were chronic fatigue and chronic pain, and least disease was cancer. Experience of the utilization of PI among Korean medicine doctors who have clinical experience was 87.8-97.1%. Also, the most utilized disease was chronic gastritis & gastric ulcer, and least disease was dyslipidemia. In this case, the most common cases were using the one PI between the utilization of PI systems, and the utilization ratio of Visceral PI was the highest. Phi coefficient between the PI systems in chronic diseases divided into positive correlation and negative correlation. The correlation of dementia between Triple energizer PI and Six excesses PI was the highest at positive correlation, and the frequency of occurrence between Defense, Qi, Nutrient and Blood PI was the highest at positive correlation. The correlation of osteoarthropathy between Meridian and Collateral PI and Sasang Constitutional Medicine was the highest at negative correlation. Also the frequency of occurrence between Qi, Blood, Fluid and Humor PI and Sasang Constitutional Medicine was the highest at negative correlation. We hope that additional studies on systematic PI research of chronic disease which needed to be in korean oriental medicine and meet the needs of clinical consumer continue based on this study.

간호대학생의 좋은 죽음 인식 (Perception of Good Death among Nursing Students)

  • 윤일훈;문원희;박수정
    • 미래기술융합논문지
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    • 제2권2호
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    • pp.23-30
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    • 2023
  • 본 연구는 간호대학생들의 좋은 죽음에 대한 인식 정도를 알아보고 하위요인 간의 점수 비교를 통해 좋은 죽음의 속성 중 더 중요하게 생각하는 요인을 비교 분석하기 위한 목적으로 수행된 서술적 조사연구이다. 연구의 목적을 설명하고 참여에 동의한 102명을 편의 모집하였다. 연구도구는 Schwartz 등의 'Measure of concept of a Good Death'을 번역한 도구로 온라인을 통해 진행하였다. 자료분석은 IBM SPSS Statistics 26 프로그램의 빈도분석, 기술통계, t-검정, 일원배치 분산분석 등의 통계기법을 활용하였다. 좋은 죽음 인식의 세 가지 하위요인별 점수의 평균차이를 보인 요인은 임상실습의 경험으로 도출되었다. 임상실습을 경험한 학생들의 좋은 죽임 인식의 평균(3.13±0.36점)이 임상실습 경험이 없는 학생들(2.90±0.31점)보다 통계적으로 유의하게 높았다(t=3.156, p=.002). 특히 임상실습 유경험자(3.46±0.39점)가 무경험자(3.16±0.37점)보다 통계적으로 유의하게 친밀감에 대한 좋은 죽임 인식의 평균이 높았다(t=3.476, p=.001). 본 연구를 통해 간호대학생들의 좋은 죽음에 대한 인식은 임상실습 여부에 따라 차이가 있음을 확인하였다. 본 연구의 결과는 간호대학생의 좋은 죽음 인식에 대한 효과적인 교육프로그램 개발에 도움이 되는 기초자료를 제공할 수 있을 것으로 기대된다.

임상 신규간호사의 상급 초보자에서 적임자로 되어가는 경험 (A Study on Experience of Transition from New Clinical Nurse to Competent Step)

  • 박광옥;김종경
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.594-605
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    • 2013
  • Purpose: This study aimed to describe nurses' experience in transition from new graduate nurses to professional clinical nursees in a hospital. Methods: Ten new clinical nurses working in a hospital participated in this study. Data collected through in-depth interviews were analyzed using phenomenology. Results: The analysis yielded five core category themes from new nurses for becoming a professional nurse: (a) beginning of hardship journey (b) feeling of inability in workplace (c) struggling hard to develop skills (d) enduring hardships by soothing oneself and peer support (e) beginning of an exciting journey. Conclusion: Over time, new nurses face many difficulties in transition to a professional status. To enhance the role development of new clinical nurses in hospital settings, nursing schools and clinical fields must teach and prepare them. Nursing schools should teach a strong theoretical base as well as nursing skills. In addition, in the clinical nursing department, education, teaching the integrated systems, staff development, support, evaluation, and feedback are needed for new nurses's development.

간호대학생의 임상실습에 대한 인식유형 : Q방법론적 접근 (Perception Types of Nursing Students to Clinical Education: Q Methodological Approach)

  • 김명애;김효은;남승희
    • 성인간호학회지
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    • 제13권2호
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    • pp.327-339
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    • 2001
  • The purpose of this study is to explore perception types and to understand the nature of experience of nursing students' clinical education by using the Q methodology. A Q sample was developed through a review of the literature and descriptions about nursing students' experience in clinical practice. Thirty-six statements made up the finalized Q sample. The P sample consisted of 33 third grade nursing students in K university. Q statements were written on separate cards and were given to the 33 subjects to sort according to degree of agreement or disagreement. The Q-sorts by each subject were coded and analysed with the Quanl PC program. A a result, three major perception types, namely, 'alienation of ideal and reality', 'active participation', and 'perception of limitation of ability' were identified. By identifying the nature of the three types, this study suggests efficient strategies for developing clinical educational programs according to the perception types of nursing students. Clinical education would thereby be more valuable.

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학점은행제 교육과정 간호사들의 임상경력에 따른 간호과정 재교육의 효과 비교 - 숙련성, 비판적사고 성향, 임상의사결정 능력을 중심으로 - (Comparison of Effects of Nursing Process Reeducation according to Academic Credit Bank System Student Nurses' Clinical Experience - Expertise, Critical Thinking Disposition, Clinical Decision Making -)

  • 이여진
    • 간호행정학회지
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    • 제15권2호
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    • pp.275-283
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    • 2009
  • Purpose: This study investigated the effects of reeducation of nursing process on nurses' expertise, critical thinking disposition, and clinical decision making. Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught 'nursing process' during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test. Results: There was a significant difference in the 3 to under 5 years experienced nurses's expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses's expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups. Conclusion: Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses' clinical decision making.

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어지럼에 대한 임상 간호사의 지식수준과 교육요구도 (Clinical Nurses' Knowledge and Educational Needs about Dizziness)

  • 박정희;이현정
    • Journal of Korean Biological Nursing Science
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    • 제21권4호
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    • pp.259-265
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    • 2019
  • Purpose: The purpose of this paper was to investigate clinical nurses' knowledge and educational needs about dizziness. One of the most frequent complaints among adult persons visiting the hospital is experiencing dizziness. Clinical nurses in the hospital play a crucial role in managing such patients. Methods: Our paper is a cross-sectional survey using structured instruments to evaluate clinical nurses' knowledge and educational needs about dizziness. This study was conducted January through February 2018. Subjects were 246 clinical nurses in an outpatient, intensive care, internal medicine unit and emergency department at university hospital. Data were analyzed using SPSS statistics 21. Results: The average ofdizziness knowledge score was 57.66± 23.75 (range 0-100) and educational need was 3.55 ± .47(range 0-5). There were significant differences in dizziness knowledge according to age (p< .001), working unit (p< .001), career duration (p< .001), change experience of unit (p< .001), dizziness patient care experience and participation in dizziness education (p< .001). There was positive correlation between knowledge of dizziness and the need for dizziness education (r= .26 p< .001). Conclusion: Results of this paper indicate that a dizziness education program is urgently needed for clinical nurses. Such a program should be seriously considered based on our results.