• Title/Summary/Keyword: clinical practice training

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Critical Review of Simulation Training's Effects on Nursing Students (간호학생을 대상으로 한 시뮬레이션 실습 효과에 대한 비판적 고찰)

  • Choi, Eun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.141-149
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    • 2020
  • This study was undertaken to analyze the intervening effect of nursing simulation among nursing students. This was a critical review study, and data obtained were reviewed using various data bases, including RISS, KISS, NDSL, DBpia, and KRI. The terminologies entered in the data base were nursing and simulation. Selected studies were assessed for methodological quality; and narrative, descriptive or one group post-test studies were excluded from the analysis. Ed. Notes: Please review for accuracy. I have suggested the edit to the best of my understanding. Finally, 234 studies were included for investigation. Results included studies of nursing simulation intervention in Korea, commencing from 2008. One group pre-post test and two group post test were more designed in journals comparing to master thesis or doctoral dissertation. Clinical practice was the most frequently studied aspect by both the assessor and student in the two groups' pre-post test design. Nursing competences associated with dependent variables during simulation were integrated skills, critical thinking, communication, cooperation, professional recognition and leadership. The two groups pre-post design explored more varied competences as compared to other designs. Considering the results obtained, we conclude that simulation intervention is an effective teaching method for nursing students to help improve their clinical practice. However, further studies are required to assess the impact of critical thinking and problem solving.

Subjective Attitudes towards Terminal Patients of Nursing Students with Clinical Practice Experience: Application of Q Methodology (임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도: Q방법론 적용)

  • Lee, Eun Ju;Hwang, Kyung-Hye;Cho, Ok-Hee
    • Journal of Hospice and Palliative Care
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    • v.22 no.4
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    • pp.156-165
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    • 2019
  • Purpose: This study was conducted to identify subjective attitudes towards terminal patients in nursing students who had clinical practice. The types of subjective attitude were classified by applying Q methodology. According to those types, basic reference data for the development of educational programs were provided. Methods: Thirty-four final Q samples were selected, and Q classification with a nine-point scale was performed with P samples of 43 nursing students. A key factor analysis was conducted with the collected data using the PC QUANAL program. Results: Nursing students' attitudes towards terminal patients were grouped into three types. The total variable was 49.96%. Students with Type 1 ("wish for life-sustaining medical treatment") thought that terminal patients accurately understood their medical condition and wanted to prolong their lives. Others with Type 2 ("need for service and support") believed that a multidisciplinary nursing system needs to be established to help terminal patients prepare for death. Students with Type 3 ("awareness and acceptance of death") thought that terminal patients wanted to die with dignity at a hospice unit. Conclusion: This study analyzed various types of attitude towards terminal patients, as perceived by nursing students with clinical training experience. Development of educational programs for each attitude type analyzed in this study could contribute to systematic training programs for nursing students caring for terminal patients.

Cognition and Practice of Safe Handling of Cytotoxic Drugs in University Hospital Nurses (간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도)

  • Kim, Mae-Ja;Jun, Myung-Hee;Choi, Jin-Sun;Park, Jong-Sun
    • Asian Oncology Nursing
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    • v.4 no.2
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    • pp.154-165
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    • 2004
  • Purpose : To provide basic data for establishing the policy of safe handling of cytotoxic drugs and for building training materials and clinical guidelines for nurses handling cytotoxic drugs. Methods: 255 nurses in Seoul and 257 nurses in D metropolitan area participated in the study. Questionnaires were based on the safe handling guideline for cytotoxic drugs issued by OSHA and ONA. Results: Nurses in Seoul scored higher in the cognition for safe handling guidelines of cytotoxic drugs in preparation, administration. as well as total score compared with nurses in D metropolitan area. The practical score also showed higher in nurses in Seoul in administration, disposal and total score. But both groups showed low level of practical score. The answers why they could not follow the guideline for cytotoxic drugs were "don't have", "busy", and "don't know", etc Conclusion: Handling of the cytotoxic drug is very common and important. The study findings suggest that hospitals especially in D metropolitan area should educate the nurses and supply equipments for safe handling of cytotoxic drugs. Thus, repetitive and continual education of all nurses including experts is needed. In addition, it is necessary to supply enough protective equipment for preventing exposure to the cytotoxic drugs.

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A Study on the Qualitative Evaluation for the Program of Clinical Social Welfare Setting : Focused on Utilizing of Phenomenological Self-Evaluation Method (사회복지조직에서의 프로그램 질적 평가 연구 : 현상학적 자기평가의 활용을 중심으로)

  • Choi, Jong-Hyug
    • Korean Journal of Social Welfare
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    • v.47
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    • pp.334-368
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    • 2001
  • The purpose of this study is to apply to the phenomenological self-evaluation method in the social welfare agency. It means that the phenomenological self-evaluation method accepts "the reality" which occurs in the social welfare setting, and functions for the social worker to play dual role of practitioner-evaluator. This paper examines two dimensions of social work evaluation theory and practice. Firstly, this study is to investigate a trend of evaluation in social work setting, and seeks theoretical aspect of phenomenological self-evaluation method, with emphasis on the strength and limit of the positivism evaluation methods. Although qualitative evaluation was suggested to make an alternative to the positivism by qualitative researchers, they did not suggest the specific methods and roles of the practitioner-evaluator. In this study, two directions of the phenomenological self-evaluation method are suggested to overcome the limitations. which are "environment-relation self-evaluation" and "program-oriented self-evaluation". Secondly, the result of phenomenological self-evaluation studies for the social welfare community center program and organization in kangnam district from June, 1994 (Program-oriented self-evaluation) to march, 2000 (Environment-relation self-evaluation) are presented. the phenomenological self-evaluation study showed the expected outcome such as; reflective self-training, making a practice knowledge, enhancing service quality, and reinforcing the identity of social welfare profession.

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An Analysis of Intervention Contents in PNF Therapists for the Patient with Stroke (뇌졸중환자를 대상으로 한 PNF 적용 치료사들의 중재 내용 분석)

  • Cho, Hyuk-Shin;Jeong, Wang-Mo;Kang, Tae-Woo
    • PNF and Movement
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    • v.10 no.3
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    • pp.33-38
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    • 2012
  • Purpose : The purpose of this study was to record, analyze and describe in detail, content of PNF intervention for recovery of function after stroke using SPIRIT intervention recording tools. Methods : A convenience sample of 21 physical therapist from a rehabilitation hospital recorded the intervention for 69 patients with stroke who treated during 30 minutes. The content of the treatment sessions was recorded using the Stroke Physiotherapy Intervention Recording Tool(SPIRIT). Descriptive statistics assessed for describe the intervention. Results : A convenience sample of 21 physical therapist from a rehabilitation recorded the interventions for 64 patients with stroke who treated during 30 minutes. The content of the treatment sessions was recorded using the Stroke Physiotherapy Intervention Recording Tool(SPIRIT). Descriptive statistics assessed for describe the interventions accurately and investigate the difference according to time since stroke. Conclusion : Facilitation techniques were the most frequently used intervention(n=1226,35.6%), practice(n=967, 28.0%) and exercise(n-670, 19.4%) in clinical practice of physical therapist. In contrast, Teaching careers and health care professionals to do or assist category is not frequently used intervention(n=5, 0.1%). Therefore, We need to be careful again with category of teaching careers and health care professionals.

Performing Ultrasound-Guided Pharmacopuncture and Acupotomy for Nerve Entrapment in the Upper Extremity: A Guide for Teaching Procedural Skills

  • Taeseong Jeong;Eunbyul Cho;Sungha Kim;Seunghyun Oh;Suhak Kim;Jeongsu Park;Sungchul Kim
    • Journal of Acupuncture Research
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    • v.41 no.2
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    • pp.135-141
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    • 2024
  • The use of ultrasound (US)-guided interventions has rapidly increased in Korean medicine (KM) to ensure the safety and accuracy of invasive procedures, such as pharmacopuncture and acupotomy. Although hands-on training is important for the acquisition of skills, it requires considerable time and cost. A detailed guide on the procedure and treatment regions is needed to ensure hygiene and safety during US-guided procedures in KM practice. In this study, we present the overall procedure, target structures, and treatment approaches of US-guided pharmacopuncture and acupotomy for nerve entrapment in the upper extremities of the cubital and radial tunnel, posterior interosseous nerve, carpal tunnel, and Guyon's canal syndrome. We believe that the findings of our study will serve as a foundation for future clinical research, practice, and education on US-guided KM procedures. Further research involving US-guided interventions should specify target structures in three-dimension to delineate the treatment areas.

Nursing Students' Hearing Levels and Blood Pressure Measurement Accuracy (간호대학생의 청력수준과 혈압측정의 정확도)

  • Kim, Heeyoung;Chung, Young Hae;Kim, Yun Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.3
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    • pp.275-282
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    • 2016
  • Purpose: This study was done to examine the relationship between nursing students' hearing levels and accuracy of blood pressure (BP) measurements. Methods: Participants were 107 students who had finished their fundamental nursing practice and clinical practicum and who used earphones. Data were collected from October 13 to November 30, 2014 and from April 30 to May 19, 2015. Students' hearing thresholds were examined using an audiometer. Students were assigned to take two BP measurements on BP measurement training simulators, but only the second measurement was used for analysis. Results: All nursing students' hearing levels were within normal range, and there was no significant difference found among the settings for diastolic blood pressure. However, there were significant differences between low systolic blood pressure (SBP) (below 120mmHg) and high SBP (over 140mmHg) (z=9.02, p=.011). Measurement error in SBP showed a positive correlation with hearing threshold in the right ear at frequencies of 1000Hz and 500Hz. Conclusion: Findings indicate that BP measurement error is correlated with hearing threshold at some frequencies. To reduce measurement error, nursing students should be provided with health education about hearing and to improve training for students, further studies need to examine other factors influencing BP measurement error.

Stroke Patients: Effects of Combining Sitting Table Tennis Exercise with Neurological Physical Therapy on Brain Waves

  • Seoung Won Seo;Yong Seong Kim
    • The Journal of Korean Physical Therapy
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    • v.35 no.1
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    • pp.19-23
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    • 2023
  • Purpose: The purpose of this study is to analyze the brain waves and develop various exercise programs to improve the physical and mental aspects of stroke patients when neurological physical therapy and sitting table tennis exercise are applied to stroke patients. Methods: In this study, an experiment was conducted on 15 patients diagnosed with stroke, and training was performed after changing the ping-pong table to a sitting position to apply ping-pong exercise to stroke patients. After training was conducted for 40 minutes twice a week for 4 weeks, brain waves were measured before and after. EEG was measured using Laxtha's DSI-24 equipment as a measurement tool, and data values were extracted through the Telescan program. Results: Most of the relative beta waves showed a significant difference before and after the intervention. As for the characteristics of beta waves, this result can be seen as being highly activated during exercise or other activities. Conclusion: Ping-pong exercise in a sitting position is a good intervention method for stroke patients, and it can help to use it as basic data in clinical practice by showing brain activity.

Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives

  • Go Eun, Park;Nae Young, Lee
    • Journal of Hospice and Palliative Care
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    • v.25 no.4
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    • pp.139-149
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    • 2022
  • Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs. Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The mean scores were 7.79±1.39 points for knowledge, 1.92±2.00 points for experience, and 2.80±0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P<0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39). Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs. Therefore, nurses' must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.

Effect of Clinical Practice on Self-Learning Development Ability (임상실습이 자기학습 발전능력에 미치는 영향)

  • Kim, Jung-Hyun;Kim, Nak-Sang;Yang, Han-Joon
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.493-499
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    • 2017
  • In order to analyze the degree of self-learning development ability after the clinical training curriculum, the results of 121 questionnaires were analyzed for 3rd and 4th grade students in radiology in the metropolitan area. The overall average of self-learning ability according to gender was $3.07{\pm}0.85$, which was statistically significant according to gender. However, the results according to educational system showed that the overall average was $3.07{\pm}0.85$, which was higher than the average level of self-learning development ability. There was no statistically significant difference according to educational system. The results of the self-learning development ability according to the motivation for selecting the department showed that the students who have chosen their department due to their higher employment rate after graduation had high self-development ability level($3.58{\pm}0.85$) but the students who entered the school due to self-aptitude had relatively lower self-development ability level ($2.30{\pm}0.40$). The overall average of self-learning ability according to direction of career path was $3.08{\pm}0.76$, which was over-average of self-learning development ability. Thus, there was statistically significant difference according to career path. It is necessary to improve the self-learning ability in clinical practice. In addition, the lack of statistical significance suggests problems and diversity.