• 한국간호교육학회지
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• 제17권2호
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• pp.226-234
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• 2011

Purpose: The purpose of this study was to identify the effect of a simulation-based practice on clinical performance and problem solving processes for nursing students. Method: The study used a one group pre-post test design. Students experienced a simulation-based practice that included team base learning, skill training, taking a high-fidelity simulation with SimMan 3G, and also being debriefed for 12 weeks (August 2010 to December 2010). The pre-test and post-test were conducted to compare the differences in knowledge, clinical nursing skills, and problem solving processes. Result: After students had received the simulation-based practice, they showed statistically significant higher knowledge (t=14.73, p<.001) and clinical nursing skills (t=15.47, p<.001) than before. However, there was no significant difference in the problem solving process score (t=1.53, p=.127). Conclusion: This study showed that knowledge and clinical nursing skills were significantly improved by the simulation-based practice. Further research would be required to identify how the problem solving process that uses simulation-based practice could be developed further.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2022년도 춘계학술대회
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• pp.402-405
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• 2022

이 연구의 목적은 전국의 4년제 물리치료학과 학생들의 임상실습 만족도를 조사하는 것이었다. 연구대상자들은 총 157명의 대학생들로 구성되었다. 대상자들은 임상실습만족도 설문지 36문항과 일반적인 특성을 묻는 5개 문항으로 구성된 온라인 설문조사를 완성하였다. 수집된 데이터는 빈도분석, 독립 t검정, 일원배치분산분석 및 사후검정(Schffe)을 사용하여 분석되었다. 연구결과는 다음과 같다. 학생들의 임상실습 만족도는 평균 3.84점(5점 만점)이었다. 학생들의 만족도는 '임상실습 후 만족감'의 항목에서 가장 점수가 높았고 임상실습에서 '내적 갈등'과 '임상실습 평가'에서 가장 점수가 낮았다. 학생들의 임상실습 만족도는 전공 만족도에 따라 유의한 차이가 있었다. 즉, 전공 만족도가 높을수록 임상실습 만족도가 더 높았다. 임상실습 만족도는 성별, 학년, 실습기간 및 실습기관에 따라 유의한 차이가 없었다.

• 대한간호학회지
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• 제41권4호
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• pp.433-443
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• 2011

Purpose: Clinical training for nursing students is limited to rudimentary skills to avoid potential risks. Simulation-Based Training (SBT) can overcome the shortcomings of clinical training. We evaluated the educational effect of SBT for obstetrical nursing students using high-fidelity simulation courses. Methods: We developed a simulation program for obstetrical nursing students to practice nursing skills that are necessary to provide quality care. The program consisted of four sessions. 1st: An orientation and a preliminary test. 2nd: Learning core skills required in obstetrical nursing. 3rd: Testing each student with scenario. 4th: Providing a debriefing session. At the beginning of the program, students were surveyed about their self-confidence in obstetrical nursing care, and at the end of the program, they were surveyed about the adequacy of SBT as well as self-confidence. Results: Students' self-confidence showed a significant difference before and after simulation. Mean adequacy of SBT was $7.15{\pm}1.35$ (out of 10). Most students became more interested in Women's Health Nursing after SBT. Conclusion: The results from evaluating the effects of simulation-based obstetrical nursing training show that SBT provides invaluable clinical experience for obstetrical nursing students by overcoming the lack of actual clinical involvement in clinical training programs.

• The Journal of Korean Physical Therapy
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• 제27권2호
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• pp.112-117
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• 2015

Purpose: The purpose of this study was to examine the effects of a task-specific obstacle crossing rehabilitation program on functional gait ability in patients with cerebellar ataxia. Overall, we sought to provide ataxia-specific locomotor rehabilitation guidelines for use in clinical practice based on quantitative evidence using relevant analysis of gait kinematics including valid clinical tests. Methods: Patients with cerebellar disease (n=13) participated in obstacle crossing training focusing on maintenance of dynamic balance and posture, stable transferring of body weight, and production of coordinated limb movements for 8 weeks, 2 times per week, 90 minutes per session. Throughout the training of body weight transfer, the instructions emphasized conscious perception and control of the center of body stability, trunk and limb alignment, and stepping kinematics during the practice of each walking phase. Results: According to the results, compared with pre-training data, foot clearance, pre-&post-obstacle distance, delay time, and total obstacle crossing time were increased after intervention. In addition, body COM measures indicated that body sway and movement variability, therefore posture stability during obstacle crossing, showed improvement after training. Based on these results, body sway was reduced and stepping pattern became more consistent during obstacle crossing gait after participation in patients with cerebellar ataxia. Conclusion: Findings of this study suggest that task-relevant obstacle crossing training may have a beneficial effect on recovery of functional gait ability in patients with cerebellar disease.

• 기본간호학회지
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• 제23권4호
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• pp.411-418
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• 2016

Purpose: The purposes of this study were to identify nursing students' levels of anxiety in simulation based nursing education and to understand the relationship of anxiety and personal satisfaction of simulation, self-efficacy, and clinical competence during simulation. Methods: This study was a descriptive study with 84 senior nursing students at a private university in South Korea. Level of anxiety was measured with STAI (the State- Trait Anxiety Inventory) prior to the stimulation practice. After the debriefing, satisfaction scores were measured with SSE (Satisfaction with Simulation Experience scale), self-efficacy scores with the modified measurement developed by Roh and Park, and scores for clinical skills with a scale developed by the Korea Association of Cardiopulmonary Resuscitation. Results: Nursing students exhibited moderate to severe anxiety in simulation practice (Mean 49.51, SD 8.60). Self-efficacy was negatively correlated to anxiety (r=-.25, p=.022). Conclusion: Decreasing students' anxiety levels needs to be addressed to increase the self-efficacy of the simulation practice.

• 여성건강간호학회지
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• 제29권3호
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• pp.219-228
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• 2023

Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

• 대한임상검사과학회지
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• 제44권4호
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• pp.239-244
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• 2012

This study aims to analysis the curriculum problems and its improvements and to investigate curricula satisfaction among the students majoring in Clinical Pathology. A college used as a population, and 80 effective survey data were collected by sampling the graduates who carried out the clinical field training in third grade year. For statistical analysis of the collected data, the Stata(version 12.0) statistical package was used for frequency analysis, pearson correlations test and multiple regression analysis. The results of the analysis were as follows; First, the result showed that the synthetical theory curriculum has an positive effect on curricula satisfaction. Second, it was found that extension of both the clinical field training and laboratory and practice education have an significant influence direction of positiveness on curricula satisfaction. Third, as the problems of curriculum, the students selected shortage of english subjects connected with the job. We must intensify additional subjects (english ability) for job as the improvement of curriculum. Accordingly, academic, industrial circles and students are supposed to jointly seek for the plan for the enhancement of clinical field training satisfaction.

• 대한치과의료관리학회지
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• 제11권1호
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• pp.19-27
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• 2023

This study aimed to investigate the relationship between the experience of incivility in clinical practice and stress coping strategies among students enrolled in the Department of Dental Hygiene with clinical practice experience. The study randomly sampled subjects from a group of 150 dental hygiene students attending the Chungcheong area. Descriptive statistics, t-test, ANOVA, and Pearson's correlation analysis were conducted. The trainees experienced a level of incivility of 1.69, and their level of coping with the resulting stress was 2.58. The study found significant results in terms of gender, clinical practice, and major satisfaction when examining the incivility experienced by trainees based on general characteristics. Among these general characteristics, there were statistically significant differences in the avoidance focus among the sub-domains depending on the grade, number of practicums, and satisfaction with clinical practice. Additionally, the problem-solving focus showed significant results depending on satisfaction with the major. The incivility experienced by trainees showed a positive correlation with avoidance-oriented coping among stress coping strategies (r=.268), social support-seeking coping (r=-.045), and problem-solving-oriented coping (r=-.034) was found to have a negative correlation. If you find yourself in a situation where you encounter incivility, it is believed that developing communication skills and assertiveness training can help you respond more actively instead of passively, which is an avoidance-oriented approach. In addition, it is important to consider that schools and training organizations should collaborate to establish an official reporting system to ensure that any instances of incivility experienced by trainees are not ignored.

• 성인간호학회지
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• 제26권5호
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• pp.489-499
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• 2014

Purpose: The purpose of this study was to examine the effects of delirium care training program on the nurses' knowledge of delirium, self-confidence and performance levels in caring patients with delirium. Methods: The study was used a quasi-experimental design. The participants were 131 nurses in general nursing units in B and J hospitals. Sixty four nurses in B hospital were allocated into the experimental group and 67 nurses from J hospital into the control group. The delirium care training program was composed of lecture and clinical practice. Clinical practice of delirium care was applied everyday for 4 consecutive weeks starting from the admission day of the older adults(${\geq}70$ years old), using 'short CAM' and 'nursing checklist for delirium prevention'. Results: The knowledge of delirium, self-confidence in caring patients, and performance levels of nursing care were significantly increased in the experimental group compared to the control group. Conclusion: The findings of this study provided the evidence for the potential utility of the delirium care training program and underscored the needs of broader application of the training program of delirium care for nurses in general nursing units.

• 대한방사선기술학회지:방사선기술과학
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• 제36권3호
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• pp.201-208
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• 2013

방사선(학)과 학생들이 임상실습 시 경험할 수 있는 스트레스 요인을 분석하여 효율적인 임상실습교육과 개선에 도움을 주고자 본 연구를 진행하였다. 연구방법은 부산 경남 지역 5개 대학 방사선학과 학생들 중 임상실습을 경험한 학생을 대상으로 설문을 실시하였다. 그 결과, 5가지 스트레스 항목 중 환경요인이 가장 높은 스트레스 원으로 나타났으며, 다음으로 이상과 가치, 역할 및 활동 순으로 나타났다. 또한 일상에서 느끼는 스트레스보다 임상실습 시 느끼는 스트레스가 더 높게 나타났다. 본 연구 결과를 토대로 임상실습 스트레스를 줄인다면 학생들의 임상실습 만족도를 높이는데 기여하는 것은 물론 임상실습의 질 또한 향상시킬 수 있을 것으로 판단된다.