• 제목/요약/키워드: clinical experience

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일부 임상치과위생사의 치과보철물 제작 과정에서의 감염관리에 대한 교육경험, 인식 및 실천도 (Correlations of education experience, awareness and practice of infection control during the prosthodontic treatment in clinical dental hygienists)

  • 박경화;최혜정
    • 한국치위생학회지
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    • 제17권4호
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    • pp.681-691
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    • 2017
  • Objectives: The purpose of this study is to investigate the relationship between education experience, awareness and practice of infection control during the prosthodontic treatment in clinical dental hygienists. Methods: A self-reported questionnaire was answered by 255 clinical dental hygienists in Seoul and Gyeonggi areas from October 10 to December 30, 2016. The questionnaire consisted of general characteristics of the subjects (8 items), dental prosthesis infection education experience (5 items), dental prosthesis infection awareness (5 items) and dental prosthesis infection practice (14 items) based on Likert 5 point scale. For statistical analysis, SPSS Statistic 22.0 was used. Results: A significant association was shown among education experience, awareness and practice of infection control during the prosthodontic treatment of clinical dental hygienists (p<0.001). Dental hygienists count, dental prosthesis infection education experience and awareness had positive influences, but the age group from 26 to 30 had negative influence on dental prosthesis infection practice. Conclusions: The study confimed that the dental prosthesis infection education program and continued education is necessary for the safety and health of patients, and to prevent the cross-infections of the clinical dental hygienists.

간호대학생의 임상실습, 윤리적 가치관 및 생명의료윤리교육에 따른 간호사 윤리강령인식, 윤리강령 적용정도 및 생명의료윤리의식의 차이 (The Differences of Nurses' Perception of the Code of Ethics, Degree of Application of Nursing Ethics and Biomedical Ethical Consciousness according to Nursing Students' Clinical Practice Experience, Ethical Values and Biomedical Ethics Education)

  • 정계선
    • 한국간호교육학회지
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    • 제24권3호
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    • pp.300-310
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    • 2018
  • Purpose: This study was conducted to investigate the differences of the Code of Ethics, level of application of the Code of Ethics and consciousness of biomedical ethics of nurses about clinical practice experience, ethical values and biomedical ethics education experience of nursing students. Methods: A descriptive research design, t-test and one-way ANOVA were used. The data were collected 1st June to 31st August 2016 from two large cities. The participants were 246 nursing students with a mean age of 22.57 years. Among them, 209 (84.6%) were female, 94 (38.2%) had clinical practice experience, 155 (63.0%) listed their ethical value as different depending on the situation, and 127 (51.6%) had biomedical ethics education experience. Results: The scores were: awareness of the Code of Ethics of Nurses $4.29{\pm}0.60$; application of the Code of Ethics of Nurses $4.24{\pm}0.6$4; and consciousness of biomedical ethics $2.91{\pm}0.19$. There were significant differences in application of the Code of Ethics of Nurses (t=-1.97, p=.050); consciousness of biomedical ethics (t=-2.25, p=.025) related to clinical practice experience; and consciousness of biomedical ethics related to biomedical education experience (t=2.67, p=.007). Conclusion: Clinical practice and biomedical ethics education experience contributed to enhance the level of application of the Code of Ethics of Nurses and consciousness of biomedical ethics of nursing students.

Clinical Application of the Adenosine Triphosphate-based Response Assay in Intravesical Chemotherapy for Superficial Bladder Cancer

  • Ge, Wen-Qing;Pu, Jin-Xian;Zheng, Shi-Ying
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.689-692
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    • 2012
  • Objective: To investigate correlations between adenosine triphosphate chemotherapy response assay (ATP-CRA) and clinical outcomes after ATP-CRA-based chemotherapy for drug selection in patients receiving intravesical chemotherapy to prevent recurrence of superficial bladder cancer after surgery. Methods: The chemosensitivities of 12 anticancer drugs were evaluated, including 5-Fu ADM, and EPI, using ATP-CRA and primary tumor cell culture in 54 patients. In addition, a further 58 patients were treated according to clinical experience. Differences in post-chemotherapeutical effects between drug sensitivity assay and experience groups were compared. Results: The evaluable rate of the test was 96.3%, the clinical effective rate was 80.8%, the sensitivity rate was 97.6% (41/42), the specificity was 20%, the total predicting accuracy was 74.3%, the positive predictive value was 83.7% (41/49), the negative predictive value was 66.7% (2/3); in the drug sensitivity test group, the clinical effective rate was 80.8%, the experience group response rate was 63.8%, with a significant difference in clinical effects between the ATP-based sensitivity and experience groups (${\chi}^2$=7.0153, P<0.01). Conclusion: ATP-CRA is a stable, accurate and potentially practical chemosensitivity test providing a predictor of chemotherapeutic response in patients with superficial bladder cancer.

간호대학생의 신생아집중치료실 실습경험 (Nursing Students' Practice Experience in Neonatal Intensive Care Units)

  • 최은아;이경은;이영은
    • Child Health Nursing Research
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    • 제21권3호
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    • pp.261-271
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    • 2015
  • Purpose: This study was done to identify the meaning and substantial nature of NICU practice among nursing students by applying a research method based on hermeneutic phenomenology in an attempt to lay a foundation for enhancing theoretical and practical child nursing education. Methods: The participants were eight nursing student who had experience in clinical practicing in NICU. In-depth interviews were performed from April to December, 2014 until data were fully saturated. Collected data were analyzed using Colaizzi's method. Results: Seven theme clusters were extracted from fourteen themes. The seven theme clusters of the nursing students' clinical practice experience in NICU were: 1) Excitement about the clinical practice setting 2) Afraid of practice environment 3) Babies have priority over clinical practice 4) Comparing with adult nursing clinical practice 5) Feeling pity for babies and their parents 6) New awareness about the role of nurses 7) Demands of enhancing clinical practice. Conclusion: The results of the study provide useful information in understanding nursing students' practice experience in NICU and establishing effective strategies to support these nursing students.

일 종합병원 간호사의 간호수행능력 영향 요인 (Factors Influencing Clinical Competence for General Hospital Nurses)

  • 강경자;김은만;류세앙
    • 한국콘텐츠학회논문지
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    • 제11권1호
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    • pp.284-293
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    • 2011
  • 본 연구는 간호사의 간호수행능력을 파악하고, 그 영향요인을 규명하기 위하여 시도되었다. 자료는 2010년 5월 17일부터 6월 19일까지 경기도 소재의 종합병원 간호사 163명을 대상으로 구조화된 자가보고형 설문지로 조사하였다. 간호사의 학력, 근무부서, 프리셉터 경험, 향후 계획, 직무교육 참여도에 따라 간호 수행능력에 차이가 있었다. 간호수행능력과 근무경력, 비판적 사고성향, 임상 의사결정능력이 순 상관관계를 나타냈다. 일 종합병원 간호사의 간호수행능력의 영향요인은 비판적 사고성향, 근무부서, 근무 경력이었고 세 요인이 간호수행능력을 50.3% 예측설명하였다. 따라서 임상간호사의 간호수행능력을 향상시키기 위해 비판적 사고성향을 향상시킬 수 있는 교육과 지속적으로 근무하면서 교육을 받을 수 있도록 격려와 지원이 요구된다.

간호대학 임상실습 교육자의 역할 경험 (Lived Experience of Clinical Nursing Instructors' Role in Clinical Practicum)

  • 임사라;홍수민;김상희;김수경;김예린
    • 한국간호교육학회지
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    • 제25권4호
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    • pp.484-495
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    • 2019
  • Purpose: The purpose of this study was to explore the role of clinical nursing instructors' lived experience in clinical practicum. Methods: Data were collected from 11 clinical nursing instructors by in-depth interviews. The data were analyzed using content analysis of Downe-Wamboldt (1992). Results: Four themes and twelve subthemes were extracted. 1) Recognizing and conducting the roles of clinical nursing instructor: 'Helping and providing support for successful clinical practicum', 'Coordinating clinical activities in daily practice', 'Providing mentoring as an elder in life'; 2) Participating in improving integrative nursing competency: 'Helping to improve cognitive competency', 'Helping to improve functional competency', 'Contributing to form desirable professionalism', 'Helping to deliberate the nature of nursing'; 3) Experiencing difficulties in performing the role of clinical nursing instructor: 'Facing with difficulty from institutional limits', 'Recognizing difficulty from lack of personal knowledge and experience'; 4) Experiencing value of clinical nursing instructor and accomplishing personal growth: 'Making efforts to widen personal knowledge and experience', 'Developing one's own educational competency', 'Making a chance to reflect oneself'. Conclusion: Despite the distinctive features of clinical nursing instructors, little is known of the characteristics. The results of this study could be used as a reference to improve the quality of clinical nursing education.

간호대학생이 인식한 간호관리학 실습 중요도와 실습경험도 비교 (A Comparison between Importance of Nursing Management Clinical Practicum and Practical Experience recognized by Nursing Students)

  • 황성우;구옥희
    • 한국융합학회논문지
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    • 제10권9호
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    • pp.351-361
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    • 2019
  • 3개 대학 간호학과 4학년 간호관리 임상실습을 경험한 학생 289명을 대상으로 간호관리학 실습교육내용에 대한 중요도 인식 및 실제 실습경험에 대하여 비교 조사하였다. 연구결과 평가 항목에서 책임감, 대인관계, 신뢰, 의사소통, 도덕성 순으로 중요하게 인식하였다. 간호관리 실습교육내용의 중요도에서는 간호단위관리를 4.37(최대 5점)로 가장 중요하게 인식하였다. 실제로 임상에서 직접 경험할 수 있었던 항목은 간호단위관리(22.0%), 간호관리의 이해(20.7%), 인적자원관리(19.8%)가 빈도순으로 가장 높았으며 실제 경험을 전혀 못 한 항목으로는 마케팅(52.4%), 재무관리(44.0%)였다. 학생들이 인식한 실습내용의 중요도와 실제 실습경험을 한 항목 간에는 여전히 불일치가 나타나 표준화된 간호관리학 임상실습 프로토콜의 완성과 관리실습 전담 프리셉터 제도의 시행을 제언하고자 한다.

Predicting patient experience of Invisalign treatment: An analysis using artificial neural network

  • Xu, Lin;Mei, Li;Lu, Ruiqi;Li, Yuan;Li, Hanshi;Li, Yu
    • 대한치과교정학회지
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    • 제52권4호
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    • pp.268-277
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    • 2022
  • Objective: Poor experience with Invisalign treatment affects patient compliance and, thus, treatment outcome. Knowing the potential discomfort level in advance can help orthodontists better prepare the patient to overcome the difficult stage. This study aimed to construct artificial neural networks (ANNs) to predict patient experience in the early stages of Invisalign treatment. Methods: In total, 196 patients were enrolled. Data collection included questionnaires on pain, anxiety, and quality of life (QoL). A four-layer fully connected multilayer perception with three backpropagations was constructed to predict patient experience of the treatment. The input data comprised 17 clinical features. The partial derivative method was used to calculate the relative contributions of each input in the ANNs. Results: The predictive success rates for pain, anxiety, and QoL were 87.7%, 93.4%, and 92.4%, respectively. ANNs for predicting pain, anxiety, and QoL yielded areas under the curve of 0.963, 0.992, and 0.982, respectively. The number of teeth with lingual attachments was the most important factor affecting the outcome of negative experience, followed by the number of lingual buttons and upper incisors with attachments. Conclusions: The constructed ANNs in this preliminary study show good accuracy in predicting patient experience (i.e., pain, anxiety, and QoL) of Invisalign treatment. Artificial intelligence system developed for predicting patient comfort has potential for clinical application to enhance patient compliance.

디지털 구강스캐너 임상적용 경험에 따른 치과위생사의 인지도 및 선호도 변화에 관한 융합연구 (A Convergence Study on the Changes of Awareness and Preference according to the Clinical Application Experience of Digital Intraoral Scanners in Dental Hygienists)

  • 장경애;허성은;강현경;이숙정
    • 한국융합학회논문지
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    • 제9권7호
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    • pp.135-140
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    • 2018
  • 본 연구는 디지털 구강스캐너 사용 경험에 따른 치과위생사의 인지도 및 선호도에 대한 변화를 융합연구를 통해 파악하고자 하였으며, 부산광역시와 경상 남 북도 지역의 치과위생사를 대상으로 온라인 설문에 의해 수집된 자료를 SPSS 24.0 프로그램을 통해 분석하였다. 디지털 구강스캐너 사용경험이 있을수록 디지털 구강스캐너의 인지도와 선호도가 유의하게 높게 나타났으며, 디지털 구강스캐너 사용경험은 디지털 구강스캐너 임상적용 경험과 디지털 구강스캐너 임상적용 경험은 디지털 구강스캐너 인지도와 디지털 구강스캐너의 인지도는 디지털 구강스캐너의 선호도와 정적 상관이 나타났다. 결국 치과위생사의 디지털 구강스캐너 임상적용 경험이 있을수록 그 인지도 및 선호도가 높아져 치과위생사의 업무 능력이 향상될 것으로 기대됨에 따라 디지털 구강스캐너 관련 지속적인 교육과 학습이 필요하다고 판단된다.