• 제목/요약/키워드: clinical practice training

검색결과 494건 처리시간 0.027초

간호사의 윤리적 딜레마, 대처유형, 직무만족도 및 이직의도와의 관계 (Relationships between Nurses' Ethical Dilemma, Coping Types, Job Satisfaction and Turnover Intention in Korea)

  • 이광자;유소연
    • 임상간호연구
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    • 제17권1호
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    • pp.1-15
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    • 2011
  • Purpose: This study was to identify ethical dilemma, coping types, job satisfaction and turnover intention in order to examine nurses' ethical recognition. Methods: The subjects were 1,225 registered nurses who were working in 111 general hospitals with more than 300 beds in Korea. The data were collected from August 15 to September 15, 2010 by using the self-reported questionnaires. The data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff\acute{e}$ test and Pearson's correlation coefficient, using the SPSS/WIN 17.0 program. Results: The mean score of the level of ethical dilemma was 0.69/1, and nursing practice area was the highest (M=0.75). The result showed that nurses experienced ethical dilemma in many cases in their practice. The mean score of the level of coping with ethical dilemma was 1.43/3. The score of the job satisfaction of the participants was 2.97/5, and that of the turnover intention was 2.94/5. The ethical dilemma demonstrated significant correlations with coping (r=.255, p<.001), turnover intention (r=.079, p=.005), and job satisfaction (r=-.212, p<.001). Conclusion: Nurses need to get education on reducing ethical conflict as well as training to develop strategies for effective coping with ethical dilemma in practice. Futhermore, it is necessary to take efforts as a whole to increase nurses' job satisfaction and to reduce their turnover intention.

지지면 변화에 따른 교각운동이 복횡근 두께와 균형능력에 미치는 영향에 관한 연구 (The Effects of Transverse Abdominis Ratio and Balance Ability during Bridge Exercises on Different Support Surface)

  • 안준일;김윤환;박종항;안미래;정연우;김태원
    • 대한정형도수물리치료학회지
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    • 제23권1호
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    • pp.23-30
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    • 2017
  • Purpose: The purpose of this study was to investigate the effect of transverse abdominis ratio and balance ability during bridge exercises on different support surface. Methods: The subjects were 20 students at G University. Ultrasound equipment was used to measure the transverse abdominisratio and the computerized balance measurement equipment was used to measure the balance ability before and after bridge exercises on different support surface. Results: Transverse abdominis ratio change between the groups was a significant difference only in the unstable support surface training group (p<.05). Normal standing eye close balance ability change between the groups was significantly different only in the unstable support surface training group (p<.05). The changes in the transverse abdominis ratio after 7 days of exercise and 14 days after exercise were significantly different between the groups (p<.05). Normal standing eye close balance ability showed a significant difference at 7 days after exercise and 14 days after exercise (p<.05). Conclusions: It is more effective to balance ability and ratio of the transverse abdominis when bridge exercises on an unstable support surface than to perform bridge exercises on a stable support surface. Therefore, we propose an effective program for patients with instability of the lumbar in clinical practice. bridge exercises on different support surface.

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Comparative Evaluation of the Risk of Malignancy Index Scoring Systems (1-4) Used in Differential Diagnosis of Adnexal Masses

  • Ozbay, Pelin Ozun;Ekinci, Tekin;Caltekin, Melike Demir;Yilmaz, Hasan Taylan;Temur, Muzaffer;Yilmaz, Ozgur;Uysal, Selda;Demirel, Emine;Kelekci, Sefa
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.345-349
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    • 2015
  • Background: To determine the cut-off values of the preoperative risk of malignancy index (RMI) used in differentiating benign or malignant adnexal masses and to determine their significance in differential diagnosis by comparison of different systems. Materials and Methods: 191 operated women were assessed retrospectively. RMI of 1, 2, 3 and 4; cut-off values for an effective benign or malignant differentiation together with sensitivity, specificity, negative and positive predictive values were calculated. Results: Cut-off value for RMI 1 was found to be 250; there was significant (p<0.001) compatibility at this level with sensitivity of 60%, positive predictive value (PPV) of 75%, specificity of 93%, negative predictive value (NPV) of 88% and an overall compliance rate of 85%. When RMI 2 and 3 was obtained with a cut-off value of 200, there was significant (p<0.001) compatibility at this level for RMI 2 with sensitivity of 67%, PPV of 67%, specificity of 89%, NPV of 89%, histopathologic correlation of 84% while RMI 3 had significant (p<0.001) compatibility at the same level with sensitivity of 63%, PPV of 69%, specificity of 91%, NPV of 88% and a histopathologic correlation of 84%. Significant (p<0.001) compatibility for RMI 4 with a sensitivity of 67%, PPV of 73%, specificity of 92%, NPV of 89% and a histopathologic correlation of 86% was obtained at the cut-off level 400. Conclusions: RMI have a significant predictability in differentiating benign and malignant adnexal masses, thus can effectively be used in clinical practice.

융합 액션러닝기법을 적용한 시뮬레이션 교육의 효과 (The Effect of Convergence Action Learning techniques in Simulation Class)

  • 박은희;김혜숙;김자옥
    • 한국융합학회논문지
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    • 제6권5호
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    • pp.241-248
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    • 2015
  • 간호학에서 임상상황을 재현한 융합교육은 간호학생의 전문직 향상에 매우 절실하다. 이에 본 연구는 융합액션러닝 기법을 이용하여 시뮬레이션 교육을 실시한 교육방법에 대해 그 효과를 검증하기 위해 시도되었다. 본 연구는 동일 대학의 동일 학제 하에 교육을 받은 1년 차이를 둔 대상자를 대상으로 교육전후의 결과를 비교하였다. 교육 후 전문직 자아개념은 통계적으로 유의한 차이가 없었다(t=1.349, p=.187). 그러나 의사소통 능력(t=-5.118, p=>.001)과 자기주도적 학습능력(t=-3.032, p=.003)은 통계적으로 유의한 차이가 있었다. 이러한 결과는 시뮬레이션 수업에 액션러닝기법을 적용 시 간호학생의 전문직 향상에 크게 도움을 줄 수 있음을 의미한다. 즉 향후 액션러닝과 같은 창의적인 교육기법을 작용한다면 실습교육에 크게 도움이 될 것이다.

라이프케어 증진을 위한 간호대학생의 수술 후 통증관리의 지식과 태도 분석 (Analysis of Postoperative Pain Management Knowledge and Attitudes in Nursing Students for Promotion of Life Care)

  • 이은희;이혜진
    • 한국엔터테인먼트산업학회논문지
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    • 제14권2호
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    • pp.187-194
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    • 2020
  • 본 연구는 간호대학생의 수술 후 통증 관리에 대한 인식을 파악하기 위한 서술적 조사연구이다. 연구 대상자는 임상실습 경험이 있는 간호대학생 171명이었다. 자료수집은 2019년 3월부터 6월까지 구조화된 설문지를 사용하여 이루어졌다. 연구결과 정답률은 일반적 지식 65.1%, 진통제 사용에 대한 지식 58.0%, 통증 관리에 대한 태도 81.9%로 나타났다. 통증 교육을 받은 경우와 남자인 경우 통증 지식과 태도가 더 높았다. 통증에 대한 일반적 지식 점수는 진통제 사용에 대한 지식, 통증 관리에 대한 태도와 양의 상관 관계가 나타났다. 본 연구 결과는 수술 후 통증 관리를 위해서 간호대학생을 위한 체계적인 교육프로그램의 개발과 지속적인 교육이 필요함을 보여줌으로써 수술 후 통증 관리를 위한 중재프로그램 개발하는데 활용되길 기대한다.

모바일 웹 기반 코로나19 격리 입원관리 교육이 환자의 불확실성, 불안 및 간호교육 만족도에 미치는 효과 (The Effect of Mobile Web-Based COVID-19 Isolation Hospitalization Management Training on Patient Uncertainty, Anxiety and Nursing Education Satisfaction)

  • 양나경;서지영
    • 임상간호연구
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    • 제28권2호
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    • pp.112-121
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    • 2022
  • Purpose: This study aims to identify the effects of mobile web-based COVID-19 isolation hospitalization management training on patient's uncertainty, anxiety, and nursing education satisfaction. Methods: Patients hospitalized with COVID-19 isolation rooms from August to October 2021, in Medical Center B which is an infectious disease dedicated hospital located in metropolitan city B were included. The total number of subjects was 142, of which 71 were the experimental group and 71 the control group. As an experimental treatment, a total of 5 minutes and 35 seconds of mobile web-based education were provided to the experimental group three times, including the day of, the first day of, and the second day of hospitalization. Existing training conducted on the control group was provided by the nurses in charge of the ward through oral explanation using printed materials. The data were analysed using the IBM SPSS/WIN 26.0 program. Results: Significant differences were observed between the two groups in pre-and post-assessment of uncertainty scores (t=-22.92, p<.001), anxiety scores (t=-15.03, p<.001) and nursing education satisfaction score (t=11.61, p<.001). Conclusion: As a result of the above, mobile web-based education can be used as an effective educational medium in nursing practice to improve the work efficiency and quality of nursing care and contribute to improving the patient's educational satisfaction.

국내 기공관련 무작위 임상연구에 대한 현황 검토 (Systematic review on the Randomized Controlled Clinical Trials of Qigong in the Korean Journals)

  • 한창현;이상남;박지하;안상우
    • Korean Journal of Acupuncture
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    • 제26권1호
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    • pp.27-40
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    • 2009
  • Background : Qigong is an energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although qigong-neither itself nor its postulated mechanism of action-are within the paradigm of modern Western medical science, its effects on the human body could be possible. Objectives : This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. Method : The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were 'qi', 'qigong', 'doin', 'training', 'bioenergy', 'life nurturing' and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Result : Since the 1990s, Qigong papers in the Korean Literature are increased. The articles on Korean traditional medicine had been published more than those on physical education or nursing etc. However, since the majority of the trials determine questionnaire, it was difficult to determine the efficacy of a specific intervention. The methodological quality of the trials was generally low (Jadad score: mean, 1.3; range, 1 to 4), questioning their reliability. Conclusions : More profound studies for Qigong are needed. Further rigorous clinical trials with more objective outcome measures that include sham procedures should be performed. Specifically, we think it should be clinical studies and qualitative research methods for evaluation are needed.

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한국(韓國) 저널에 게재(揭載)된 기공관련(氣功關聯) 임상(臨床) 연구(硏究) 동향(動向) 분석(分析) (Research clinical trends on Gigong(氣功, Qigong) in the Korean Journal)

  • 한창현;이상남;권영규;안상우;최선미
    • 대한한의학원전학회지
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    • 제21권3호
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    • pp.297-306
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    • 2008
  • Background : Gigong(氣功, Qigong) is one energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although Gigong(氣功, Qigong) - neither itself nor its postulated mechanism of action - are within the paradigm of modern Western medical science, effects on the human body could be possible. Objectives : This study aims to review the bibliography, biological responses and therapeutic effects of Gigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. Method : The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were 'Gi(氣, Qi)', 'Gigong(氣功, Qigong)', 'Doin(導引)', 'Training', 'Bioenergy', 'life nurturing' and random or Korean language terms related to Gigong. Several specialized journals were also manually searched for relevant articles. Result : Since the 1990's, Gigong papers in the Korean Literature is increased. Clinical research studies are among the most control design study. Research subjects are less patient than the general public. The most common treatment disease was Musculo-skeletal disorder Conclusions : The depth study for the each Gigong(氣功, Qigong) is needed. Specifically, I think it should be a clinical studies and qualitative research methods for evaluation are needed.

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동의보감·내경편 독활(獨活)의 용법을 통해 본 한의학 기초와 임상의 연계 교육 방안 (Bridging Basic Knowledge and Clinical Practice in the Education of Traditional Korean Medicine: A case of Pubescent Angelica usages in Internal Bodily Elements section, Treasured Mirror of Eastern Medicine)

  • 홍지성;강인혜;이영미;이훈연;강연석
    • 한국의사학회지
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    • 제33권1호
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    • pp.1-9
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    • 2020
  • Pubescent Angelica is generally used in musculoskeletal diseases of lower extremity, itching, external contraction (外感) and furuncle, with the effect of dispelling wind, draining dampness, dispersing the external (解表) and stopping pain. The disease parts of Treasured Mirror of Eastern Medicine (東醫寶鑑) contain 121 examples of the usage of Pubescent Angelica. Cases of musculoskeletal diseases and itching are mainly in the External Bodily Elements section (外形篇), and those of external contraction and furuncle are mainly in the Miscellaneous Disorder section (雜病篇). Internal Bodily Elements section (內景篇) has 10 prescriptions that involve Pubescent Angelica, in Dreams (2), Voice (1), Uterus (4), Parasites (1), and Feces (2) chapters. Their specific symptoms are insomnia and sleep paralysis (Dreams), loss of voice due to external contraction (Voice), uterine hemorrhage (Uterus), phthisis (Parasites), and constipation and diarrhea (Feces). It is not easy for students beginning their clinical training to link the effects of Pubescent Angelica and its actual usage, especially in the area of internal medicine. By Analyzing the whole cases of Pubescent Angelica in the Treasured Mirror, we found various usages out of reach of basic knowledge of the herb. Such method can be utilized not only in developing herbal knowledge-based products, but also in improving Korean medicine education, by enhancing the occupational competency bridging basic and clinical knowledge.

한국 저널에 게재된 기공관련 대조군 임상연구 현황 분석 (Research Trends on the Clinical Studies of Qigong in the Korean Journal)

  • 한창현;권영규;이상남;박지하;안상우
    • 동의생리병리학회지
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    • 제23권2호
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    • pp.319-324
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    • 2009
  • Qigong is one energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although qigong -neither itself nor its postulated mechanism of action- are within the paradigm of modern Western medical science, effects on the human body could be possible. This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were 'qi', 'qigong', 'doin', 'training', 'bioenergy', 'life nurturing' and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Since the 1990s, Qigong papers in the Korean Literature is increased. Clinical research studies are among the most control design study. Research subjects are less patient than the general public. The most common treatment disease was hypertension. The depth study for the each Qigong is needed. Specifically, I think it should be a clinical studies and qualitative research methods for evaluation are needed.