• Title/Summary/Keyword: clinical skills

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Current Trend in Use of Occupational Therapy Assessment Tool by Pediatric Occupational Therapist (국내 아동 작업치료사의 평가도구 사용 동향)

  • Lee, Sun-Hee;Hong, Cho-Rong;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.3
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    • pp.23-33
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    • 2018
  • Objective : The purpose of this study is to investigate trend in use of occupational therapy assessment tools used by pediatric occupational therapist. Methods : Survey questionnaire developed for this study were used to for data collection. The questionnaires are divided into 10 area: occupational performance, activities of daily living, education, play, sensory-perceptual, motor and praxis, cognition, social interaction skills, development, and physical examination. Total 105 responses were analyzed using descriptive statistics analysis and frequency analysis. Results : For the general process of evaluation in pediatric occupational therapy, major response on the initial evaluation time was 30~60minutes (41.9%), and major response on the re-evaluation period was 3~6months (41.0%). The major assessment tool for each area Canadian Occupation Performance Measure (55.2%) for occupational performance assessments, Wee Functional Independence Measure (57.1%) for activities of daily living assessments, School Function Assessment (2.5%) for education assessments, Knox Preschool Play Scale (28.6%) for play assessments, Developmental Test of Visual Perception (94.3%) for sensory-perceptual assessments, Bruininks-Oseretsky Test of Motor Proficiency (42.9%) for motor and praxis assessments, Evaluation of Social Interaction (6.1%) for social interaction skills assessments, Denver Developmental Screening Test (92.4%) for development assessments, Clinical Observation (89.5%) for physical examination assessments. Conclusion : The study identified the most assessment tools used for specific area by pediatric occupational therapists. The results can be used as a basic data to educate about pediatric occupational therapy evaluation, as well as to develop new assessment tools in pediatric setting in future.

A Systematic Review and Meta-Analysis of the Effects of Action Learning-Based Education Program on Nursing Students (간호대학생의 액션러닝 기반 교육프로그램 효과에 대한 체계적 문헌고찰 및 메타분석)

  • Mi-Hyeon Park;Yong-Joo Cho
    • Journal of Practical Engineering Education
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    • v.16 no.4
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    • pp.587-598
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    • 2024
  • This study aimed to evaluate the effectiveness of an action learning-based educational program for domestic nursing students. A systematic review and meta-analysis were conducted following PRISMA guidelines. Limited to the period from January 2013 to December 2023, a search conducted across the electronic databases DBpia, RISS, KCI, KISS, and SCIENCE ON identified a total of 779 documents. From these, 13 documents that met the established selection criteria were ultimately included. Thirteen documents meeting the selection criteria were identified, and quality evaluation was independently performed by two researchers using ROBINS-I. The effect size of the action learning-based education program was analyzed using the 'Meta package' in the R program. The effect size for problem-solving was ESr=.68 (95% CI=.30 to 1.06). For communication skills, the effect size was ESr=.39 (95% CI=-.08 to .85), and for critical thinking, the effect size was ESr=.26 (95% CI=.02 to .50). Action learning-based educational programs have been shown to be an effective method for enhancing problem-solving skills and critical thinking among nursing students. Therefore, there is a need for the active implementation of action learning techniques to further develop nursing students' clinical practice capabilities within nursing education.

Fatigue and Its Association with Socio-Demographic and Clinical Variables in a Working Population (직장인의 피로 심각도 및 이와 연관된 사회 인구학적, 임상적 변인)

  • Park, Soyoung;Joe, Sook-Haeng;Kim, Seung-Hyun;Han, Chang-Su;Ham, Byung-Joo;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.22 no.1
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    • pp.3-12
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    • 2014
  • Objectives : We aimed to explore the relationship among fatigue and perceived stress, depressive mood in the working population. We also examined associations with demographic and life style factors and investigated the effect of individual coping skills on these associations. Methods : Fatigue Severity Scale(FSS), Perceived Stress Scale(PSS), Brief Encounter Psychosocial Instrument - Korean version(BEPSI-K), Beck Depression Inventory(BDI), Stress Coping Skill Questionnaire were administered to 621 civil servants. All of above and other demographic factors are self-administered questionnaire survey and this study is cross sectional. Results : Mean FSS score was 3.04 which was lower than 3.22, the severity cut off score. FSS, PSS, BEPSI-K, BDI were all higher in female. Subjects with active coping skills showed relatively low fatigue, perceived stress, depressive mood than those with passive coping skills. Logistic regression analyses indicated that the PSS, BDI, BEPSI-K in working population increase the risk of fatigue and regular exercise lowers the risk. Conclusions : Adults who were afflicted by stress, experienced depressive mood or were physically inactive were at much higher risk of feeling fatigue. Since no other large data sets are available for fatigue, the results from this study could serve a very useful purpose, to furnish a basis for comparison with future research results based on more complete data.

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Comparison of Perceived Nurses' Cultural Competence of Nurses and Foreign Patients (간호사의 문화적 역량에 대한 외국인 환자와 병원 간호사의 인식 비교)

  • Lee, Ja-yin;Lee, Hyeonkyeong;Kim, Sue;Jang, Yeonsoo
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.267-278
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    • 2014
  • Purpose: This study aimed to examine the differences in Korean nurses' cultural competence perceived by nurses and foreign patients in a general hospital. Methods: The study participants were recruited from outpatient clinics and wards in H General Hospital located in Busan. Cultural competence was measured by the Cultural Competence Scale for Korean Nurses, consisting of 4 subscales: cultural perception, cultural knowledge, cultural sensitivity, and cultural skills. Data were collected from March 31 to April 30, 2014 by distributing and collecting a self-administrated questionnaire set. Data of the 90 foreign patients and 90 nurses were analyzed using PASW statistics 18.0 for independent t-test and ANOVA. Results: The level of cultural competence of Korean nurses perceived by foreign patients was significantly higher than that of nurses. On the cultural awareness dimension, nurses rated themselves more highly than foreign patients did while ratings on the dimensions of cultural knowledge and cultural skill were the opposite. Conclusion: This study indicates that there was a statistically significant difference in the perception of nurses' cultural competence between nurses and foreign patients. The findings can be used for developing education programs to enhance nurses' cultural competence, integrating the perspectives of foreign patients.

Job-related Difficulties of Charge Nurses - Applied Parse's Human Becoming Research Method - (주임간호사가 경험하는 직무와 관련된 어려움 - Parse의 인간되어감 연구방법 적용 -)

  • Lee, Gyounghee;Kim, Junghee;Lee, Younghee;Lee, Miyoung;Lee, Okja;Im, Sookbin
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.359-371
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    • 2014
  • Purpose: This study was done to identify the core concepts and structure of difficult experiences of charge nurses in general hospitals. Methods: Data were collected from August 1 to September 5, 2014. Participants were 10 nurses from general hospitals in D and S cities. Parse research method was applied to examine lived experiences of the participants. The procedure of study was based on dialogical engagement and data were analyzed by extraction-synthesis and interpreted heuristically. The research question was "Would you tell me about your difficult experiences as a charge nurse?" Results: Job-related difficulties of the charge nurses were conflicts due to ineffective communication, heavy workload, not feeling respected, role conflict, and struggling to overcome difficulties with sense of responsibility to the work. The conceptual integration was: to be in the process of being originated and transformed through connecting-separating and enabling-limiting with valuing. Conclusion: Structural conversion of these concepts reveals that charge nurses suffer from the job-related difficulties identified in this study, but they endure to proceed with a sense of mission. It is suggested that supportive interventions should be made to let charge nurses express their feelings, identify their needs, and develop self-care or coping skills for themselves.

An Adaptation Experience of Male Nurses at General Nursing Unit (상급종합병원 남자간호사의 일반병동 적응 경험)

  • Kim, Ji Hye;Park, Kwang Ok;Kim, Jong Kyung;Yun, Ha Jeong;Lee, Jin hee;Cho, Eun Kyung;Kim, Soon Hee;Kim, Yeon Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.496-506
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    • 2016
  • Purpose: This study was conducted to examine the adaptation experience of male nurses working in general wards. Methods: Experiential data was collected from 16 general ward nurses through in-depth interviews. Participants were selected from male nurses working in the general wards with over one year of clinical experience at a tertiary university hospital. The main question was "Can you describe your adaptation experience in the general ward as a nurse?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Four categories were derived from the analysis: 'difficulties from task adaptation by characteristics', 'limited nursing situation and circumstance as a male nurse', 'efforts to adapt at general nursing unit', and 'self-worth, and worry about something as a male nurse'. Conclusion: Male nurses had a difficulty adapting to work in wards due to lack of multi-tasking skills, as well as some social prejudice or negative views on male nurses. Establishing reasonable guidelines for male nurses in practice, promoting their responsibilities to patients, developing mentoring programs, and reassessing the policy of assigning male nurses to general wards are recommended to help in better adaptation.

Role of tutor and student in Problem Based Learning (문제중심학습에서 교수와 학생의 역할)

  • Chung Bok-Yae;Yi Ga-Eon;Kim Kyung-Hae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.3 no.2
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    • pp.207-213
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    • 1997
  • Basic science teaching and clinical education should be integrated whenever appropriate, and the development of skills, values, and attitudes which are emphasized to the same extent as the acquisition of knowledge in nursing. Problem-based learning provides a students-centered learning environment and encourages an inquisitive style of learning. The purpose of this paper is to review and comment the role of tutors and students on problem-based learning. The use of problem-based learning places a high demand on faculty members' time and support. The role of tutors in Problem-based learning focuses primarily on issues of developing and teaching the curriculum and on organizational implementation and institutionalization. Tutors are an integral part of course planning. Tutors serve as a constant source of feedback on student needs and concerns to the course director and constitute an informal steering committee while the course is in progress. Tutors write cases, develop student evaluation methods, recommend resources, suggest modifications in lectures and laboratories. Students have a limited amount of time available to study what is traditionally defined as the core content of nursing. But, the role of students in Problem-based learning would be active, independent learners and problem-solvers rather than passive recipients of information. Students using a deep level approach attempt to integrate what they learn with what they already know, to understand the meaning underlying the material to be learned, and to look for explanations rather than facts. Students are encouraged, with appropriate guidance, to define their own learning goals, to select appropriate experiences to achieve these goals, and to be responsible for assessing their own learning progress. Problem-based learning is more flexible and meaningful, by encouraging student interaction, and by having a better emotional climate than the conventional learning.

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The relationship among nursing student's knowledge, nursing skill and perceived performance of tracheostomy care (간호대학생의 기관절개관 관리에 대한 지식, 술기 및 지각된 수행정도와의 관계)

  • Lee, Sun Hee;Kim, Soon Hee
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.2
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    • pp.463-475
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    • 2016
  • This study was to search the relationship among knowledge, nursing skill, perceived performance in graduating nursing class. The participants were 90 members of to graduating nursing class in D city. Data were collected from September 4, 2014 to September 22, 2014 using a questionnaire and core nursing skills checklists. Data analysis was done with SPSS/WIN 23.0 using descriptive statistics and Pearson correlation. It found that knowledge of hand washing had a positive correlation between the nursing skill and perceived performance. The most vulnerablenursing skill was hand washing. The best nursing skill was sterilization and withdrawing contaminated products from the patient (Place the inner tube immersed in a solution of hydrogen peroxide). Based on the findings of this study, activating prior knowledge needs to be stressed. Thus, it would be necessary to include more effective motivation in designing experiential education program for cognitive performance.

Development of Case-based Multimedia Learning Contents for Preventing Malpractice in Operating Room (수술실 간호오류 예방을 위한 사례중심 멀티미디어 학습콘텐츠 개발)

  • Park, Ji Myung;Hwang, Seon Young
    • The Journal of the Korea Contents Association
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    • v.16 no.10
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    • pp.522-532
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    • 2016
  • Purpose: This study was conducted to develop case-based self-learning multimedia contents for preventing malpractice that frequently occurred among nurses working in the operating room. Methods: Based on the learning needs of operating room nurses, real case reports, and literature reviews, the case-based multimedia learning contents were developed according to the instructional design procedure. The assessment of learning needs was performed by the combination of surveys using structured questionnaire and of interviews for 40 operating room nurses. Results: The learning contents included four learning modules with real malpractice cases from the areas of operating preparation, nursing skills during operation, environmental management of operating room, and patient safety and observation-related. The 80 minute long case-based multimedia learning contents were finally developed after content validity tests from clinical experts. Each module contained photos, sounds and flash animation with voice recording on the contents of nursing error cases and standardized protocols. Conclusion: The developed multimedia learning contents based on real error cases in this study can be utilized as an educational hands-on training materials for nurses to prevent malpractice in the operating room.

A study for innovation of Adult nursing assessment tool (간호정보조사지 개선을 위한 연구)

  • Park, Kyung Sook;Chi, Sung Ai;Chung, Hae Kyung
    • Korean Journal of Adult Nursing
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    • v.12 no.1
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    • pp.77-87
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    • 2000
  • This study tried to suggest the basic materials that can be efficiently applied in clinical cases by understanding problems through a content analysis of an adult nursing assessment tool and opinion agreement about nurse's practical usage presently used in the hospital. The study was carried out in 36 attached hospitals in nationwide universities from May to December, 1999, the two hundred and twenty five reports were for analysis. The contents of the collected nursing assessment tool were analyzed. It was found that the tool had been used with various names and content and there were instances of partial omission of a number of items, such as documentation and time records. Other results revealed that they mostly had a systematic classification of items, formation of details a form of a check list, and the effect of saving time. In spite of the adult nursing assessment tool, it was suggested that its style be subdivided according to the specialized of a department and that standardized style be amended and supplemented. The respondents also answered that there had to be education about continuous and sufficient health assessment skills on the physical examination record. The most frequently suggested items to be added were: past history, marital status, patient and caregiver's address and telephone number. It was found that a patient's education career, economic status, religion, hygienic practice, sexual life and hobby were the most frequently omitted items on record. The reason given wes because the items were associated with his/her privacy. These results highlight the importance of analyzing the content with an complete data collection, supplying basic content for a more accurate nursing record, computerization, sharing information and standardization of the form.

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