• 제목/요약/키워드: clinical practice training

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Usefulness and capability of three-dimensional, full high-definition movies for surgical education

  • Takano, M.;Kasahara, K.;Sugahara, K.;Watanabe, A.;Yoshida, S.;Shibahara, T.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제39권
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    • pp.10.1-10.5
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    • 2017
  • Background: Because of changing surgical procedures in the fields of oral and maxillofacial surgery, new methods for surgical education are needed and could include recent advances in digital technology. Many doctors have attempted to use digital technology as educational tools for surgical training, and movies have played an important role in these attempts. We have been using a 3D full high-definition (full-HD) camcorder to record movies of intraoral surgeries. Method: The subjects were medical students and doctors receiving surgical training who did not have actual surgical experience (n = 67). Participants watched an 8-min, 2D movie of orthognathic surgery and subsequently watched the 3D version. After watching the 3D movie, participants were asked to complete a questionnaire. Result: A lot of participants (84%) felt a 3D movie excellent or good and answered that the advantages of a 3D movie were their appearance of solidity or realism. Almost all participants (99%) answered that 3D movies were quite useful or useful for medical practice. Conclusions: Three-dimensional full-HD movies have the potential to improve the quality of medical education and clinical practice in oral and maxillofacial surgery.

Development and evaluation of continuing education course in renal nutrition

  • Karavetian, Mirey;Rizk, Rana
    • Nutrition Research and Practice
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    • 제10권1호
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    • pp.99-107
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    • 2016
  • BACKGROUND/OBJECTIVE: Competent renal dietitians are crucial for better patient compliance and clinical outcomes, specifically in critical settings. The aim of this study was to develop and evaluate an evidence-based course in renal dietetics for dietitians working in health care systems where dietetic specialization is absent. SUBJECTS/METHODS: Fifteen licensed dietitians working with hemodialysis patients in Lebanon were randomly recruited to participate in the course. The latter was developed by the study's primary investigator, according to evidence-based practice guidelines, and focused on all aspects of renal nutrition. Total course duration was 28 hours spread over a 2 month period. Dietitians' knowledge in renal nutrition was tested pre- and post-training through a 23-item questionnaire; the total score was expressed in percentage (< 60% score indicated insufficient knowledge). Paired-samples t test was used for statistical analysis. RESULTS: Overall knowledge of the dietitians significantly improved post-training and reached satisfactory levels (pre: $38.75{\pm}17.20%$, post: $62.08{\pm}21.85%$). Sub-analysis of the change in the knowledge showed significant and satisfactory improvement only in 3 topics: 1) correct body weight use in calculations, 2) energy estimation method and 3) phosphorus management. Knowledge in the fluid management significantly improved but did not achieve a satisfactory level. CONCLUSION: The course significantly improved dietitians' knowledge in renal nutrition. If adopted as part of the continuing education of dietitians in countries that lack dietetic specializations, it may serve the first step towards improving health care practice.

Virtual reality training simulator for tooth preparation techniques

  • Jung, HeeSuk;Kim, HyoJoon;Moon, SeongYong
    • 구강생물연구
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    • 제42권4호
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    • pp.235-240
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    • 2018
  • Standard oral and maxillofacial three-dimensional model was developed with patients' medical data while virtual reality (VR) simulator was developed in conjunction with head mount display (HMD) and Haptic device. The objective of this study was to evaluate the preclinical use of a VR training simulator in tooth preparation practice. Eighty-nine dental students were trained how to operate the simulator. The participants were then given sufficient time on the simulator to practice dental preparation. The students experience and opinion was then taken in through filling of questionnaires. On average content received 1.8 points, anatomy had 2.5 points, 2.6 points for the applicability, and 2.0 for the usability. As for the detailed items scores, queries about the possible development of the simulator and the interest of the learning process through the simulator were the highest at 3.1 and 3.0 points, respectively. Question about the benefit of the HMD and the haptic device during the practice had 1.5 and 1.6 points, respectively. The average total score was 2.2 points. VR tooth preparation simulator in the field of clinical dental education has powerful potential in regard to realistic models, environments, vision, posture, and economical efficiency.

Effect of pre-hospital BLS simulation training on the paramedic's competency

  • Jung, Jun-Ho;Cho, Byung-Jun
    • 한국컴퓨터정보학회논문지
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    • 제23권1호
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    • pp.103-109
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    • 2018
  • The purpose of the study is to investigate the effect of a simulation training of BLS in paramedics in pre-hospital situation. This a nonequivalence control quasi-experimental study. The study subjects were 8 paramedics of experimental group and 8 paramedics of control group in K fire department. An informed consent was written by the subjects after explaining of the purpose of the study. The study methods consisted of conventional education and practice training. The conventional education was done for 30 minutes and the practice training was taken by four trainees of one group and the instructor demonstrated Basic Iife Support (BLS) performance for three minutes. Each trainer peformed BLS for ten minutes. In the beginning of the course, two paramedics got off from the ambulance and performed BLS including 5 cycles of Cardiopulmonary Resuscitation (CPR). Soon after the BLS, another two paramedics performed pre-hospital BLS survey. The education was guided by two professors of emergency medical technology, two Basic Iife Support instructors, and two emergency rescue directors. Pre-hospital BLS was measured by a 5-point Likert scale. Higher score means higher performance skills. The data were analyzed using SPSS/WIN 22.0 program set at significance level of p<05. The effect of simulation education was much more significant than the conventional education in BLS. The simulation education is very important and effective in improving the clinical performance skills of paramedics than the conventional education. The simulation education can provide the virtual environment of cardiac arrest to the paramedics. In conclusion, the simulation education can provide the effective teaching methods for various practice performance skills and solution by critical thinking in the paramedics and healthcare providers in the future.

치위생과 학생의 현장임상실습교육에 관한 교수효율성 (Teaching Efficiency of Clinical Practice Education for Students in the Department of Dental Hygiene)

  • 이성숙;조명숙
    • 치위생과학회지
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    • 제10권5호
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    • pp.403-409
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    • 2010
  • 본 연구에서는 경기도 지역 치위생과 학생들의 현장임상실습교육에 있어 교수효율성을 파악하기 위하여 2010년 4월 12일부터 4월 26일까지 경기도에 소재한 7개 대학의 치위생과 3학년 학생 371명을 대상으로 자기기입식 설문법을 실시하였으며, SPSS WIN 12.0 프로그램을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 치위생과 학생의 임상실습교육 교수효율성은 '중' 정도인 것으로 나타났고, 교수효율성 요인에 대한 평가는 역할모델 요인이 3.40점으로 가장 높았다. 2. 임상실습기관 규모에 따른 교수효율성은 통계적으로 유의한 차이가 없었고, 교수효율성 하위영역에서는 전문적 지식요인이 대학병원에서 가장 높았고, 통계적으로 유의한 차이를 보였다(p=.005). 3. 치위생 전공만족도에 따른 교수효율성은 전공만족도가 높을수록 교수효율성이 높았고(p=.001), 교수효율성 하위영역에서는 대인 관계술, 원조자로서의 기능, 공정한 평가, 교과에 대한 조직력(p=.005), 격려와 지지, 교수법, 교과에 대한 전문적 지식(p=.001), 의사소통술, 좋은 역할모델, 치과직원과의 협조(p=.000)에서 통계적으로 유의하였다. 4. 현장임상실습 교수유형에 따른 교수효율성은 통계적으로 유의한 차이가 없었고, 교수효율성 하위 영역에서는 격려와 지지 항목에서만 통계적으로 유의하였다(p=.005). 이상의 결과를 종합해 볼 때 현장임상실습교육에 관한 교수효율성은 '중' 정도인 것으로 나타났고, 전공만족도가 높을수록 교수효율성이 높음을 알 수 있으므로, 교수효율성을 높이기 위해서는 다양한 교수법 및 체계적인 실습프로그램이 개발되어 임상실습교육의 질을 높여야 할 것이다.

The Rat Model in Microsurgery Education: Classical Exercises and New Horizons

  • Shurey, Sandra;Akelina, Yelena;Legagneux, Josette;Malzone, Gerardo;Jiga, Lucian;Ghanem, Ali Mahmoud
    • Archives of Plastic Surgery
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    • 제41권3호
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    • pp.201-208
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    • 2014
  • Microsurgery is a precise surgical skill that requires an extensive training period and the supervision of expert instructors. The classical training schemes in microsurgery have started with multiday experimental courses on the rat model. These courses have offered a low threat supervised high fidelity laboratory setting in which students can steadily and rapidly progress. This simulated environment allows students to make and recognise mistakes in microsurgery techniques and thus shifts any related risks of the early training period from the operating room to the lab. To achieve a high level of skill acquisition before beginning clinical practice, students are trained on a comprehensive set of exercises the rat model can uniquely provide, with progressive complexity as competency improves. This paper presents the utility of the classical rat model in three of the earliest microsurgery training centres and the new prospects that this versatile and expansive training model offers.

노인전문병원 입원 노인의 인지훈련 프로그램이 인지기능, 스트레스 및 우울에 미치는 효과 (Effects of the Cognitive Training Program on Cognitive Function, Stress and Depression of Elderly Patients in Geriatric Hospitals)

  • 김윤경;김태훈;홍해숙
    • Journal of Korean Biological Nursing Science
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    • 제12권3호
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    • pp.140-147
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of the cognitive training program on cognitive function, stress and depression in geriatric hospitals. Methods: The subjects of the experimental group were 17 elderly patients who attended the cognitive training program in Geriatric Hospitals and the subjects of the control group were 15 elderly patients who attended in geriatric hospitals. The persons in training group must take cognitive training program for 4 weeks by 3 times a week. The Mini-mental State Examination Korea version (MMSE-K), Geriatric depression Scaleshort form-Korea version (GDS-K) and Korean Computerized Neurobehavioral Test (KCNT) were utilized to determine cognitive function, stress and depression. The collected data were analyzed by descriptive statistics, t-test and ANOVA using SPSS/PC 12.0 program. Results: Cognitive function (t=-7.625, p=.000) in the elderly after receiving the cognitive training program was significantly more improved than before intervention. Also, Stress and depression (t=2.73, p=.004) was significantly more reduced than before the intervention. Conclusion: This cognitive training program was partially effective in improving cognitive function, neurobehavioral performance and reduce stress and depression. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention in geriatric hospitals.

자폐아동을 위한 어머니 훈련 프로그램이 가정에서의 사회적 상호작용에 미치는 효과 (Intervention Efficacy of Mother Training on Social Reciprocity for Children with Autism)

  • 원대영
    • Child Health Nursing Research
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    • 제11권4호
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    • pp.444-455
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    • 2005
  • Purpose: This study examined the efficacy of parent training interventions to facilitate social reciprocity and language development in children with autism. Methods: The social interaction behaviors of mothers and children over time were compared using single subject design experimentation methodology. five children who were diagnosed with autism and their mothers participated in the study. The participants were recruited from U city, Korea. The mothers were trained using training videotapes and demonstrations on how to facilitate social interaction with their children as well as promoting language development. following the training, data were collected three times per week by video taping mother-child interaction in their homes. Results: Four of the five mothers demonstrated increases in the use of imitation with animation and expectant waiting after the intervention compared to the baseline sessions; the children demonstrated noticeable increases in the use of initiation of interaction, vocalizations, and verbal production after their mothers received the training intervention. Conclusion : Results of this study demonstrate the efficacy of mother training to improve social interactions of children with autism. Additional important information can be gained by replicating this study with more participants and comparing intervention and control groups. Clearly, this intervention shows promise and has implications far clinical practice.

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Myers Briggs Type Indicator(MBTI) 성격유형에 따른 지역사회 방문간호 시뮬레이션 연계 문제중심학습의 효과검증 (Effectiveness of Simulation Problem-Based Learning for Community Visit Nursing according to Myers Briggs Type Indicator(MBTI) Personality Types)

  • 장현정;박정숙
    • 한국간호교육학회지
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    • 제22권4호
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    • pp.577-587
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    • 2016
  • Purpose: This study was conducted to provide Simulation Problem-Based Learning (S-PBL) for community visit nursing students according to their Myers Briggs Type Indicator (MBTI) personality types for learner-focused education and to verify its effectiveness. Methods: This study was conducted with subjects having the ST (Sensing-Thinking) and NF (iNtuition-Feeling) personality types, which are conflicting personality types, and forty-one subjects were allocated to the experimental group and nineteen subjects to the control group. The training, provided to subjects once a week, for a total of six times and 100 minutes each time, was with respect to the improvement of problem-solving ability, communication ability, and clinical practice competency. Data were analyzed through t-test and independent t-test. Results: After training, the self-rated problem-solving competency (t=3.07, p=.003), communication ability (t=2.86, p=.006), and academic self-efficacy (t=2.44, p=.018) were significantly higher in the experimental group than in the control group. However, there was not a significant difference in the clinical practice ability rated by subjects themselves (t=1.50, p=.140) and by professors (t=1.08, p=.285), and in the communication ability rated by professors (t=0.72, p=.474). Conclusion: The community visit nursing S-PBL, according to MBTI personality types, is a helpful learning method for nursing students participating in self-directed learning of nursing theory and practice.

간호대학생의 완벽주의 성향과 임상실습현장지도자의 돌봄에 대한 지각이 임상실습 중 경험한 무례함에 미치는 영향 (The influence of nursing students' perfectionism tendency and perception of instructor caring on incivility experienced by nursing students)

  • 이은남;김나경
    • 한국간호교육학회지
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    • 제27권4호
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    • pp.436-446
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    • 2021
  • Purpose: The purpose of this study was to identify the influences of nursing students perfectionism tendencies and their perception of instructor caring on incivility experienced by nursing students during clinical practice. Methods: A descriptive correlational study was conducted. The participants were 244 nursing students from five universities in B city. Data were analyzed using an independent t-test, ANOVA, Pearson's correlation coefficient, Scheffé test and a stepwise regression analysis. Results: The mean score for incivility in nursing students was 2.61 out of 5 points. The explanatory power of the model for incivility was in nursing students 52.8% of the variance in training in student's university hospital (𝛽=-.15, p=.002), total period of clinical practice (𝛽=.17, p<.001), confidence through caring (𝛽=-.23, p<.001), respectful sharing (𝛽=-.15, p=.005), supportive learning climate (𝛽=-.15, p=.005), self-oriented perfectionism (𝛽=.14, p=.004), and socially prescribed perfectionism (𝛽=.18, p<.001). Conclusion: The research results suggest that instructor caring is an important factor in regard to the incivility of nursing students. Organizational efforts and institutional devices will be needed to improve the incivility in clinical environments. By communicating with students and showing them respect, clinical nurses will help nursing students cope with incivility and recognize the clinical practice education environment positively.