• Title/Summary/Keyword: clinical research

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Study on the Proposals for Clinical Research in Korean Medicine Worldwide - Future Clinical Research Strategy II - (한의 임상 연구에 대한 국내외 제언 고찰 - 미래 임상 연구 전략 II -)

  • Jung, Ki Yong;Lee, Min Hye;Choi, You Kyung;Lee, Choong Yeol;Park, Jong Hyeong;Jeon, Chan Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.2
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    • pp.115-126
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    • 2015
  • The purpose of this paper is to explore the strategy of future Korean medicine(KM) clinical research through the study on the proposals for KM clinical research worldwide. In this study, the papers published in English through Pubmed were investigated mainly. Among them, we analyzed the methodological proposals from the clinical research papers that were published in the KM related fields. Various proposals for improving the problems in KM clinical studies are as follows. First, KM clinical research should be designed based on understanding for the theory, backgrounds, paradigms and worldviews of KM. In addition, considering the model validity, KM clinical research model should include the diagnosis, interventions and outcomes measurement methods reflecting the characteristics and real practice in KM. The internal validity and external validity should be also taken into account. One of the most important thing is to identify the contents about various and complex 'real practice' in KM. A prospective observational study was suitable for the purpose of this study. Finally, we suggested a few improvement directions for RCTs studies in KM. First, we would be able to improve the quality and the internal validity in KM clinical research using the checklists of CONSORT(Consolidated Standards for Reporting Trials) Statement and STRICTA(Standards for Reporting Interventions in Clinical Trials of Acupuncture). Second, we could use various clinical research methods and the modified research of RCTs such as PCT(pragmatic clinical trial) to reflect the characteristics of actual KM practice. Consequently, we would be able to improve the external validity. Third, the KM diagnosis and outcomes measurement methods should be developed based on an actual KM practice and it should reflect a real practice. The 'pattern identification(辨證)' is the core to KM diagnosis. But in order to be applied to the clinical research, the pattern identification(辨證) should be objectified and standardized. Future KM clinical research model should reflect the characteristics and a real practice in KM. In addition, it should include the advantage of rigorous RCTs research.Specially, the diagnosis, interventions and outcomes measurement methods in KM clinical research should reflect this view.

An Analysis of Research on Clinical Nursing Education (간호학 임상실습 교육에 대한 연구 논문 분석)

  • 권인수
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.706-715
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    • 2002
  • This literature review was designed to identify a trend of study in clinical nursing education, to propose the idea for further study on an improvement of teaching students in the clinical setting. Method: The researches reviewed were 36 (seven in Korea and twenty nine out of Korea) on clinical nursing education in baccalaurate program from 1996 to 2000 from Journal of Korean Academy of Nursing, Journal of Korean Education of Nursing, Journal of Nursing Education, and Nurse Educator. Result: The prevailing research design was the nonexperimental(N=21). Subjects were predominantly nursing students(N=24). Structured questionnaire(N=22) was used most often for data collection. Among clinical setting studied, specific area was none in Korea. Research variables in nonexperimental studies were 4 types of student, teacher and teaching method. Independent variables in experimental studies were 7 types of clinical teaching methods, and dependent variables were six types of competence and knowledge of student. Research theme of qualitative research was most in clinical experience of student. Conclusion: In Korean, there were the lack of researches in specific clinical area, clinical teacher and teaching method. Accordingly, future studies need to be focused on various clinical areas, clinical teacher, and teaching method to improve the clinical nursing education in Korea.

A Coorientation Analysis of Perception on Bionursing between Clinical Nurses and Nursing Professors (기초간호자연과학 교육과 연구에 대한 임상 간호사와 간호학 교수의 상호지향성 인식)

  • Choe, Myoung-Ae;An, Gyeong-Ju;Jeong, Jae-Sim
    • Journal of Korean Biological Nursing Science
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    • v.14 no.3
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    • pp.212-220
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    • 2012
  • Purpose: The purpose of this study was to compare perception on bionursing and satisfaction and importance about bionursing subjects of clinical nurses with that of professors using a coorientation model. Methods: Subjects for this study consisted of 135 clinical nurses at a tertiary hospital and 114 nursing professors. Questionnaire for perception on bionursing consisted of competency of professor, linkage with clinical practice and research of bionursing. Perceptions on bionursing education and research, satisfaction and importance about subjects of bionursing were measured. The data were analyzed by t-test. Results: Perception of clinical nurses on research of bionursing was more positive than professors. Perception of professors on research of bionursing was significantly less than that of professors estimated by clinical nurses. Perception of clinical nurses on linkage with clinical practice and research of bionursing estimated by nursing professor was significantly less than that of clinical nurses. Satisfaction of clinical nurses with the subjects of bionursing was significantly less than that of professors. Clinical nurses perceived anatomy the most important while professors perceived physiology the most important. Conclusion: Perceptions of clinical nurses on bionursing as well as satisfaction and importance about subjects of bionursing were identified to be different from those of professors.

Research Ethics on the Psychological and Clinical Study Targeting Children and Adolescents

  • Seong-Gon KIM
    • Journal of Research and Publication Ethics
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    • v.4 no.1
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    • pp.15-21
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    • 2023
  • Purpose: Psychological and clinical studies targeting children and adolescents have become increasingly important in recent years as researchers strive to understand better the psychological and physiological development of children and teens. The purpose of the study is to explore significant research ethics on the psychological and clinical study targeting children and adolescents. In addition to these ethical considerations, international and national codes of ethics and regulatory bodies guide ethical research practices with children and adolescents. Research design, data, and methodology: The present study used the qualitative textual collection through investigating the past and current literature review. Numerous prior studies have conducted this research design to obtain the right prior studies. Results: Previous Research has indicated there are four research ethics on the psychological and clinical study targeting children and adolescents. (1) Respect for autonomy, (2) Respect for privacy and confidentiality, (3) Respect for vulnerability, (4). Respect for beneficence. Conclusions: In conclusion, research ethics are essential for protecting children and adolescents when conducting psychological and clinical studies. In the future, research should focus on developing innovative methods to ensure the safety of children and adolescents while still allowing them to participate in research.

Current Status of Institutional Review Boards and Approvals of Clinical Research in Oriental Medical Hospitals in Korea: A Survey (국내 한방병원의 IRB 및 임상시험 실태조사)

  • Jung, Hee-Jung;Park, Ji-Eun;Choi, Snu-Mi
    • The Journal of Korean Medicine
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    • v.31 no.1
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    • pp.122-129
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    • 2010
  • Objective: To investigate institutional review boards and approved clinical trials of Oriental medical hospitals in Korea Methods: We e-mailed 16 Oriental medical hospitals a survey consisting of questions that addressed two topics, institutional review boards and the clinical trials they approved. The first part included questions about whether each hospital had an institutional review board, that board's staffing and education, reviews, and expedited reviews. The clinical trials portion covered the number and types of approved clinical trials, treatment methods, whether an investigator or a sponsor initiated the trials, diseases, time frame, and clinical trial fee. Results: We received a response to our e-mail from 14 hospitals, all of which had an institutional review board. The average number of institutional review board members was 13.57. Of these Oriental medical hospitals, 70% and 49% said that they regularly educated their institutional review board staff and clinical trial, investigators, respectively. 79% of the hospitals claimed to conduct regular reviews, and 50% said that they did so monthly. The number of approved clinical trials increased sharply from 11 in 2005 to 102 in 2008. 68% of these clinical trials were randomized, and the most-used treatment methods were herbal medicine (35%) and acupuncture (29%). The most common target diseases were circulatory (19%), urinogenital (14%), and musculoskeletal (13%) disease. Conclusions: Despite the rapid increase in clinical research in oriental medical hospitals, many more efforts including raising IRB quality, varying research diseases and increasing clinical trials in the hospitals located in non-metropolitan area, should be made.

Pragmatic Clinical Studies: An Emerging Clinical Research Discipline for Improving Evidence-Based Practice of Cardiovascular Diseases in Asia

  • Dong Zhao;Chen Yao
    • Korean Circulation Journal
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    • v.52 no.6
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    • pp.401-413
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    • 2022
  • Pragmatic clinical studies, an emerging clinical research discipline, include a wide range of studies that are largely embedded with routine clinical practice and aim to evaluate the comparative effectiveness and safety of different clinical intervention strategies. Increased availability and quality of electronic medical/health records drives the development of pragmatic clinical studies. In this review, we describe evolution of the conceptual framework of pragmatic clinical studies and share perspectives on the importance of pragmatic clinical studies in evidence-based practice for cardiovascular diseases, as a complement to conventional randomized controlled trials. We also highlight specific needs of pragmatic clinical studies in improving evidence-based practice for cardiovascular disease in Asian countries. The main challenges of pragmatic clinical studies are discussed briefly in this review.

The Role of Clinical Research Nurses at Regional Clinical Trials Centers (지역임상시험센터 임상연구간호사의 역할 구명)

  • Do, Seon-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.3
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    • pp.348-359
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    • 2010
  • Purpose: This study aimed to evaluate the performance of Clinical Research Nurses (CRNs) and the importance of their roles at the Regional Clinical Trial Centers (RCTCs). Method: A questionnaire focused on the role of CRNs was crafted by a researcher and the content validity was verified by a panel of experts on clinical research. The subjects of this study were 91 CRNs and Clinical Research Coordinators (CRCs), who were Korean registered nurses working at nine RCTCs. 77 subjects yielded valid data were analyzed using descriptive analysis, the Mann-Whitney U test, Spearman's rank order correlation coefficient, and Kruskal-Wallis test. Results: The performance of CRNs and the recognition in the importance of their roles were statistically significant different in age, education, CRN careers, positions, employment status and the phase of clinical trial. The role of direct caregiver was performed most often by CRNs. The role of coordinator of care and research (pre-study) was considered the most important role but performed the least frequent. Conclusions: The role of CRNs can easily be differentiated from CRCs who are not registered nurses. The domains of CRNs should be clearly identified and established. Moreover, research should be carried out on CRN training programs to cultivate competence in CRNs.