• Title/Summary/Keyword: clinical experiences

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The Effects of Resilience and Posttraumatic Growth on Posttraumatic Stress Symptoms in Korean Firefighters (소방공무원의 탄력성과 외상후성장이 외상후스트레스 증상에 미치는 영향)

  • Won, Sung-Doo;Jung, Young-Eun;Chae, Jeong-Ho;Park, Joo Eon
    • Anxiety and mood
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    • v.12 no.1
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    • pp.28-33
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    • 2016
  • Objective : One of the aims of this study was to confirm the relationship in firefighters who have a high risk of developing posttraumatic stress disorder. We also explored the mediation effects of resilience and posttraumatic growth (PTG) on the association between traumatic experiences and posttraumatic stress symptoms. Methods : A total of 677 firefighters were assessed in terms of the intensity of job-related traumatic experiences using the Visual Analogue Scale. They completed the Korean version of the Posttraumatic Growth Inventory (PTGI), the Korean version of the Impact of Event Scale-Revised (IES-R), and the Korean version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Results : The intensity of traumatic experiences was significantly negatively related to the CD-RISC-10 score, but it was positively related to the PTGI and the IES-R scores. The CD-RISC-10 score had a significantly positive correlation with the PTGI score, but it was negatively correlated to the IES-R score. Path analyses revealed that resilience and PTG independently mediated the association between traumatic experiences and posttraumatic stress symptoms. Conclusion : These results suggest that traumatic experiences contribute to posttraumatic stress symptoms and that these impacts may be mediated through resilience and PTG.

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A Phenomenological Study of the Lived Experience of Nurses Caring for Patients with COVID-19 in Korea (코로나바이러스 감염증-19 환자를 간호한 간호사의 경험: 현상학적 연구)

  • Oh, Hee;Lee, Na Kyoung
    • Journal of Korean Academy of Nursing
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    • v.51 no.5
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    • pp.561-572
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    • 2021
  • Purpose: This study aimed to understand nurses' lived experiences of caring for patients with COVID-19. Methods: The phenomenological research method was used. The study participants were 16 Korean nurses who had experiences in caring for patients with COVID-19 in clinical settings. Data was collected using one-on-one in-depth interviews, from June 30 to September 30, 2020. During the interview, the quarantine rules were observed. Results: The study derived four themes clusters and thirty-eight sub themes. Four theme clusters were identified, i.e., 'a repetitive sense of crisis', 'enduring a drastic change,' 'sacrifice of personal life,' and 'pride in nursing'. The nurses' experiences of caring for patients with COVID-19 were an uneasy, unfamiliar, and threatening experiences for an individual, but it is an opportunity for a nursing organization to renew. Accordingly, it was found that nurses faithfully fulfill their individual roles with a vocation and responsibility. Conclusion: The study provides an in-depth understanding of the situational, psychological, and environmental aspects of challenges facing nurses in the pandemic situation. Based on the findings, institutional follow-up measures should be provided to establish support systems for better nursing care. In addition, studies are needed to track nurses' experiences in the prolonged COVID-19 situation.

Nursing students' experiences of violence during a clinical practicum: A literature analysis (간호대학생이 실습지에서 경험한 폭력에 관한 문헌 분석)

  • Yoo, Kyung Hee;Kim, Jong Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.3
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    • pp.268-283
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    • 2022
  • Purpose: The purpose of this study is to identify the trends related to nursing students' experiences of violence and to propose a method to build a practice environment safe from violence in nursing students' practicums. Methods: Using three databases, data on the experiences of violence in nursing student practice recorded in domestic studies from 2011 to 2022 were collected and analyzed. Results: In this study, 23 studies were analyzed, of which 19 were quantitative, four were qualitative study. In a survey conducted on the experiences of violence among nursing students during practice, verbal and physical violence, sexual harassment, and physical threats were found, and the perpetrators of the violence were patients, guardians, nurses, doctors, and hospital staffs. It was also found that the experiences of violence in nursing students' practice were negatively related to occupational identity, depression, burnout, and stress. Conclusion: It is necessary to develop an intervention program to reduce depression and increase self-esteem in order to better establish a student's career identity and to prepare a plan to build safe practices for nursing students.

The Moderating Effects of School Violence Victimization Experiences in the Relationships between Airmen's Rejection Sensitivity, Depression, and Anxiety (공군장병의 거부민감성과 우울 및 불안의 관계에서 학교폭력 피해 경험의 조절효과)

  • Park, Won-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.353-361
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    • 2018
  • This study aimed to examine the effects of rejection sensitivity on depression and anxiety, and the moderating effects of school violence victimization experiences on the relationships between rejection sensitivity and both anxiety and depression. Based on the results, we suggested a method of screening soldiers at high risk of depression and anxiety and interventions for their psychological adaptation. The data about anxiety, depression, rejection sensitivity, and school violence victimization experiences was collected from 126 airmen in S city, South Korea. To test the moderation effects, multiple regression analyses were conducted in which the rejection sensitivity, anxiety, school violence victimization experiences and their interaction terms were hierarchically entered. The moderation of school violence victimization experiences was found in the relationship between rejection sensitivity and school violence victimization experiences. The specific interaction patterns in each of these significant interaction effects were examined. Finally, the importance of school violence victimization experiences as a high-risk factor in army life and the clinical implication of these findings were discussed.

The Experiences of Nursing Student's Introductory Clinical Practice (간호대학생의 임상입문실습 경험)

  • Kim, Hyun-Ju;Song, Hoo-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.74-84
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    • 2020
  • This study was conducted to discover the meaning and the essential structure of the experiences of nursing students' introductory clinical practice. The participants were eight nursing students who had carried out the introductory clinical practice at a hospital. The data was collected from July 15 2019 to July 31, 2019 through focus group discussions and in-depth individual interviews using non-structured questionnaires. The data was analyzed by Colaizzi's phenomenological analysis methodology. The introductory clinical practice experienced by nursing students was categorized as followed: 'Feel worried and concern about expectations at the same time', 'Hospital experience as reality', 'Becoming accustomed to complexed emotion's, 'The first step of becoming a nurse', and 'Preparation for the future'. The five categories were expanded in the same context according to time. The essential structure of the clinical introductory practice experiences of the nursing students revealed by the study is that they begin to practice feeling worried and concerned about expectations, and concern about experience and adaption to various situations, emotions and preparation for the future. Based on the results obtained from this study, it is necessary to develop a realistic and effective education program before starting clinical practice.

A Study on Learning Experiences and Self-Confidence of Core Nursing Skills in Nursing Practicum among Final Year Nursing Students (졸업학년 간호학생의 핵심기본간호술 학습경험과 수행자신감 조사연구: 실습교과를 중심으로)

  • Han, Aekyung;Cho, Dong Sook;Won, Jongsoon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.2
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    • pp.162-173
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    • 2014
  • Purpose: This study was done to identify learning experiences and self-confidence and to analyze nursing students' self-confidence according to learning experiences for core nursing skills (CNS). Method: Participants were 502 final year nursing students. Data were collected using a structured questionnaire and analyzed using descriptive statistics and t-test. Results: Over 60% of participants had practiced 15 items of the 24 CNS in the basic nursing lab (BNL). In clinical practice (CP), they had practiced five items but experienced only one item in a simulation lab (SL). Items with the highest confidence level were vital signs (4.69) followed by blood sugar test (4.60), pulse oximeter (4.38), and oral medication (4.12). Items with the lowest confidence level were blood transfusion (2.17) followed by enema (2.64) and indwelling catheterization (2.67). The group with CNS experience in the practice curriculum was generally more confident than the group with no experience. Self-confidences in some skills was significantly different depending on availability of SL, credits for BNL and CP, and presence of preceptors. Conclusion: Results indicate a need to develop practice education strategies such as changing the CP to practice-centered learning with preceptors and including well-designed SL to increase confidence of nursing students.

Analysis of the virtual simulation practice and high fidelity simulation practice training experience of nursing students: A mixed-methods study (간호대학생의 Virtual 시뮬레이션 실습 및 High fidelity 시뮬레이션 실습교육 경험 분석: 혼합연구방법 적용)

  • Lee, Eun Hye;Ryu, So Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.227-239
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    • 2021
  • Purpose: This study used an exploratory sequential approach (mixed methods) design to explore essential meaning through comparing and analyzing the experiences of nursing students in virtual simulation practice and high fidelity simulation practice education in parallel. Methods: The study participants were 20 nursing students, and data were collected through focus group meetings from July 17 to August 5, 2020, and via online quantitative data from November 10 to November 15, 2020. The qualitative data were analyzed using Giorgi's phenomenological method, and the quantitative data were analyzed using descriptive statistics, the Mann-Whitney U test, Kruskal-Wallis H test analysis of variance and Spearman's ρ correlation. Results: The comparison between the two simulation training experiences was shown in five contextual structures, as follows: (1) reflection of the clinical field, (2) thinking theorem vs. thinking expansion, (3) individual-centered learning vs. team-centered learning, (4) attitudes toward participating in practical training, (5) metacognition of personal competency as a prospective nurse, and (6) revisiting the method of practice training. There was a positive correlation between satisfaction with the practice and the clinical judgment ability of high fidelity simulation, which was statistically significant (r=.47, p=.036). Conclusion: Comparing the experiences between virtual simulation practice training and high fidelity simulation practice training, which has increased in demand due to the Coronavirus Disease-2019 pandemic, is meaningful as it provides practical data for introspection and reflection on in-campus clinical education.

Nursing students' experiences of adapting to clinical practice in the COVID-19 pandemic (COVID-19 감염병 시대, 간호대학생의 임상실습 적응 경험)

  • Kwon, Suhye;Kim, Youngkyoung;Bang, Miseon;Ryu, Min
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.1
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    • pp.57-69
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    • 2022
  • Purpose: This study was performed to explore and describe the overall clinical practice adaptation experiences among nursing students during the COVID-19 pandemic. Methods: This qualitative study applied the grounded theory method by Corbin and Strauss. Data were collected from May to August 2021 through individual in-depth interviews with 14 nursing students from three universities in B metropolitan city. Results: From open coding, 20 sub-categories and 10 categories were identified. Analysis revealed that the core category was the process of "keeping the place of learning while adhering to the restrictions of the era of pandemic" and that it consisted of four phases: confusion, withdrawal, adjustment, and growth. Through this process, participants utilized various action/interactional strategies such as "shifting to positive thinking," "building a shield to protect oneself," and "focusing on learning." The consequences of these strategies were "adapting to the reality of the infectious disease situation" and "strengthening a foothold to grow as a future nurse." Conclusion: An in-depth understanding of nursing students' experiences of adapting to clinical practice during the COVID-19 pandemic will guide nursing educators to promote effective teaching strategies to better support nursing students in a time of infectious disease crisis.

The study on 『Gup Yu Bang』 (『급유방(及幼方)』에 대한 연구)

  • Jo, Mi-Sook;Cha, Wung Seok;Kim, Nam il
    • The Journal of Korean Medical History
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    • v.15 no.2
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    • pp.117-134
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    • 2002
  • "Gup Yu Bang" is the first Korean book that specialized in pediatrics. It was written by Jo Jeong-jun on the 25th year of King Young Jo in the Choson dynasty. He quoted a lot of information from "Yi-Hak-Yip-Mun" by Yi-cheon in the Myung dynasty and "Xiao Er Yao Zheag Zhi Jue" by Qian Yi in the Song dynasty, but he added his own opinions and clinical experiences to the book. In addition to that, the book explains not only symptoms and prescriptions but also the etiology and pathology of children's diseases. In particular, he showed a great deal of creativity in his book called "Dong Bang Six Fu's Qi Principle" After studying "Gup Yu Bang", I have drawn the following conclusions. 1. Prevention is more important than treatment in pediatrics. 2. When we make a diagnosis, facial inspection has priority. 3. In terms of treatmemt, Wu zang is a general rule. Therefore, we should focus on Wu zang and Pi Wei. 4. The following terms definition symptom cause prescription clinical example prevention are to be explained with reference to the nature or symptoms of the disease. 5. We can see that smallpox was more widspread than the measles in the period of King Young Jo. 6. Even though he was influenced by "Yi-Hak-Yip-Mun", "Xiao Er Yao Zheag Zhi Jue", and "Dong eui bo gam", his own explanation is clearer in his book called "Gup Yu Bang" which is based on his own clinical experiences. 7. "Gup Yu Bang" is a practical and experiential book.

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