• Title/Summary/Keyword: clinical skills

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Effects of Caffeine on Nerve Conduction Velocity (카페인이 신경전도속도에 미치는 영향)

  • Kang, Yun-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.3
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    • pp.195-199
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    • 2020
  • This study examined the effect of the nervous-system-stimulating caffeine on the nerve conduction velocity. The purpose of this study is to investigate the effect of caffeine that stimulates the nervous system on nerve conduction test. Although both measurement intervals did not show statistically significant differences when comparing the pre- and post-NCV values within the control and individual experimental groups, it was found that the nerve conductivity in the Axilla-Above Elbow section increased significantly after caffeine intake for the experimental group. Caffeine intake, which has increased the nerve conduction velocity (NCV), was determined to play roles in improving motor skills, muscle strength and nerve performance by temporarily increasing the nerve conduction velocity. Through this study, we learned that caffeine has an influence on the peripheral nervous system as it helps to improve the nerve conduction velocity. upon an appropriate amount of caffeine intake. We hope that these results will help develop treatment and diagnostic methods for patients with nerve dysfunction and myofunctional disorders.

Modeling Core Competencies in the Competency-based Nursing Curriculum (역량기반 간호교육과정을 위한 핵심역량 모델링)

  • Kim, Jeong Ah;Ko, Ja-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7635-7647
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    • 2015
  • The purpose of this study is modeling nursing competencies and reasoning out the core competencies, the ability for 20% of important actions for nursing jobs which can manage the rest 80% so that the competency-based nursing curriculum can be developed. A literature review of the vast studies regarding competencies was done to understand the concepts of competency-based curriculum, competency, and nursing competencies, identifying the relationships among each nursing competency categorized in accordance with those concepts. An exemplified concept map of core competencies for the competency-based nursing curriculum is suggested based on a thorough review of various competency modeling methodologies. The core competencies consist of base competency (theoretical/practical nursing knowledge and skills), practical competency (clinical judgment, patient education, communication, etc.), and personality competency (leadership, sense of responsibility, cooperation, etc.). The circular relationship among them can remain consistent through self-directed learning and critical thinking. Therefore, a nurse who have those core competencies is a knowledge worker, a self-directed learner, and also an effective, professional communicator. Further studies which solidify the concept of nursing competencies should be done, as well as the feedback procedures which evaluate the program outcomes and then reflect the evaluation results in the curriculum should be followed continuously.

The Development and Implementation of Problem-Based Learning Package in Physical Therapy (물리치료학에서의 PBL 학습교재 개발 및 적용)

  • Hwang, Hyun-Sook;Chung, Jin-Woo;Lim, Jong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.4
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    • pp.83-94
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    • 2002
  • Within physical therapy education, there has been increased attention to curricula and course that emphasize problem solving, clinical reasoning, and synthesis of information across traditional discipline-specific boundaries. This article describes the development implementation, and outcomes of a problem-based learning course in Physical therapy. The course was designed to help students to integrate the various elements of a physical therapy curriculum and to enhance their abilities to respond to an ever-changing health care environment. An evaluation of the course by the first 50 students who completed it revealed both strengths and weaknesses. Students responded that the course enhanced their professional behavior, including interpersonal communication skills, team work, and follow-through with professional responsibilities. The learning package was developed by the authors and implemented to a college students during three weeks of the first semester of 2001. Most studies which conducted PBL module development were short period or temporary PBL package application and evaluation rather than a whole semester's. While, this study carried on partial integrated PBL curriculum development and application with recomposing content of the two subjects to one subject Physical therapy which includes four PBL packages. This package was developed from a simple concept to complex and partial integrated PBL curriculum application systematically variable learning methods such as discussion, practice, lecture, video. There are 2 classes, each class has 25 students, in the college. Each class has 5 small groups consisting 5 students. Two tutors proceeded discussion charging each class also, they used multiple methods and materials like tutorials, self-directed learning, lecture, and video. The package is 5 grades and 5 hours per week and the rate of discussion, lecture is 4, 1 respectively. One of the most change is the increase of interaction between students and tutors. Whenever students need information and suggestion, they can visit tutors who provide reading materials and guide for the direction of self learning. Therefore, this study describes the PBL package development process and application during one semester recomposing contents of two subjects to Physical therapy concepts. Besides, it will contribute to active application of existing each subject to tutors who intend to convert as PBL methods. The study has significant meaning to show potentiality of partially integrated PBL application, using systematic PBL package development from two subjects contents. However, when students' need of yearning is over the extent of Introduction of Physical therapy and Rehabilitation medicine, tutors should set learning extent. So, there is limitation to attain completely integrated PBL education within one subject, therefore, it is high lighted to proceed development of integrated curriculum to maximize learning effects of PBL. It is exected that partial integrated PBL package development and application will distribute to prosper excellent physiotherapist in practice.

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The Effect of Interactive Metronome Training on Reading Fluency in Elementary Students: A Single Case Study (상호작용식 메트로놈(Interactive Metronome: IM) 훈련이 초등학생 저학년의 읽기 유창성에 미치는 영향: 단일사례연구)

  • Gim, Yeong-Jun;Shin, Min-ho;Jeong, Hye-won;Jeon, Byoung-Jin
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.26-35
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    • 2021
  • Objective : The purpose of this study is to investigate the effect of Interactive Metronome (IM) training on the reading fluency of an elementary school student. Methods : This study followed the ABA design, a single-case research method, and was conducted on one elementary school student. From October 2019 to December 2019, a three-session baseline phase (A), twelve-session intervention phase (B), and three-session post-baseline phase (A') were conducted. The intervention was IM training, and long-form assessment (LFA) of IM and BASA:R were performed for each session. In addition, BASA:R was conducted three times at baseline and post-baseline. Result : Compared with baseline, there was a significant improvement in reading fluency after the IM training intervention. Conclusions : IM training can be useful for increasing reading fluency. The results of this work demonstrate the efficacy of IM training as a clinical intervention to improve reading fluency in elementary school students.

Survey on Sedation Training for Pediatric Residents in Training Hospitals (수련병원 내 소아치과 전공의 진정법 교육 현황 조사)

  • Moon, Soyeon;Song, Je Seon;Shin, Teo Jeon;Choi, Sungchul;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.3
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    • pp.333-343
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    • 2021
  • The purpose of this study was to investigate current status of sedation training for the residents in pediatric dentistry training institutions and opinions about continuing education after the residency program. Surveys were sent to 18 pediatric dentistry training institutions by e-mail, and the responses were collected and analyzed. Most of the sedation education period for the residents were the 1st-year education (61.1%) and 1 - 3 years of integrated education (55.6%). In terms of an externship, 5 institutions (27.8%) sent their residents to the department of anesthesiology. Second half of the 1st year (50%) was the highest for a resident to use sedation for the first time. The period of supervisor participation varied from not participating at all to whole time throughout the residency program. The sedation training is conducted at all training institutions, but there were variations in the experience that a resident can gain. All training institutions agreed on the necessity of continuing education of the sedation, but there were various opinions regarding time, method, and the period of review course. Overall, this study suggested that continuing education should be consisted of 1 - 2 hours of didactic education every year and clinical skills and simulation training in every 2 - 3 years.

End of Life Care Competencies and Terminal Care Stress of Nurses in Long Term Care Hospitals (요양병원 간호사의 생애말 환자간호 역량과 임종간호 스트레스)

  • Jeong, Young-Hee;June, Kyung Ja
    • Journal of Hospice and Palliative Care
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    • v.22 no.3
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    • pp.125-133
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    • 2019
  • Purpose: The purpose of this study was to investigate the relationship between end of life care competencies and terminal care stress of nurses in long term care hospitals. Methods: For this study, 140 nurses were sampled among those that have over 6-month end of life care experience and were working at long term care hospitals located in A city and C city of Chungcheongnam-do. Using a questionnaire, data were collected from January 2018 through March 2018. Data were analyzed using the SPSS, Windows version 21.0, according to the purpose of the study and analyzed by descriptive statistics, t-test, one way ANOVA, $Sch\acute{e}ffe^{\prime}s$ test, and Pearson's correlation coefficient. Results: The mean score on terminal care stress of nurses was above the normal level. The scores on end of life care competencies significantly varied by age, total career at hospitals, death/hospice and palliative care education, and bereavement experience. The mean score of end of life care competencies was negatively correlated with the mean score of lack of knowledge and skills among the subitems of the terminal care stress category (r=-0.260, P=0.002). Conclusion: To decrease the terminal care stress of long term care hospital nurses, it is suggested to carry out end of life care education tailored to nurses characteristics.

Comparison of Fisher's Auditory Problems Checklist (FAPC) and Scale of Auditory Behaviors (SAB) in Screening Central Auditory Processing Disorders (중추청각처리장애 선별도구로서의 Fisher's 청각행동문제 체크리스트(FAPC)와 청각행동특성척도(SAB)의 비교 연구)

  • Yoon, Min Ho;Jang, Hyun Sook
    • 재활복지
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    • v.18 no.4
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    • pp.257-277
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    • 2014
  • The purpose of this study was to observe auditory processing skills in school-age children using Fisher's Auditory Problem Checklist(FAPC; Fisher, 1976) and Scales of Auditory Behaviors(SAB; Shiffman, 1999) in order to provide a basis for clinical application in screening central auditory processing disorders(CAPD) in Korea. Korean translated version of FAPC and SAB were given to the parents or care givers of 233 students from grades 1~6. As a result of testing FAPC, the average score for all grades showed 91.87(${\pm}7.93$) points, with grade point average score falling in 90.13~93.67 range and no significant differences among grades. For SAB, the average score for all grades showed 53.44(${\pm}5.09$), with grade point average score falling in 51.78~55.44 range and also no significant differences among grades. Significant correlations between FAPC and SAB were shown in all and within grade levels. There showed to be 22 children(9.9%) in -1 SD at risk criteria, with 13 male students(12%) and 9 female students(7.8%) for both FAPC and SAB. In applying FAPC and SAB clinically to school-age children, these two tests showed to have a significant correlation, but because of different characteristics due to the small number of children in the common risk range, diagnostic testing/rehabilitation plan based on screening and auditory behavior characteristics is recommended to be conducted complementarily to one another.

The convergence Influence of nurse's emotional intelligence, Job Engagement and interpersonal relationship on moral sensitivity (간호사의 감성지능, 직무열의, 도덕적 민감성이 대인관계능력에 미치는 융합적 영향)

  • Bae, Du-Yi;Kim, Hyang-Soo;Kim, Song-Soon;Kim, Yun-Jeong
    • Journal of the Korea Convergence Society
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    • v.10 no.3
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    • pp.93-103
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    • 2019
  • This study is aiming tu clarify the factors that influence the interpersonal relationship of nurses and to use them as basic data for the development of educational programs to help nurse 's interpersonal relationship in the clinical field. The subjects were 179 nurses working at 3 hospitals B city and Y city. The results showed that the interpersonal relationship of the subjects were 3.51 points out of 5 points, emotional intelligence had 3.44 points out of 5 points, job enthusiasm was 3.15 points out of 5 points, and moral sensitivity was 4.5 points out of 7 points. The emotional intelligence (${\beta}=.551$, p = .000) was the predictor for the nurse's interpersonal relationship, and emotional intelligence was 37.3% explained by interpersonal relationship of the nurse. In conclusion, higher emotional intelligence, job engagement, and moral sensitivity of nurses showed higher interpersonal relationship, Emotional intelligence was the factor influencing interpersonal relationship. Therefore, it is necessary to develop an educational program to enhance the emotional intelligence of individual nurses to improve interpersonal skills of nurses.

A Systematic Review on Sex Education of Children and Adolescent With Developmental Disabilities (발달장애를 가진 아동·청소년의 성교육 연구에 대한 체계적 고찰)

  • Cho, Hye-jin;Lee, Hye-kyung;Choi, Jeong-sil
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.3
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    • pp.50-65
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    • 2018
  • Objective : The purpose of this study is to analyze researches about sex education for children and adolescents with developmental disabilities in order to provide a basic data and a direction about sex education. Methods : For the systemic review, domestic and international research articles published from August 2008 to September 2018 were searched using the electronic databases PubMed, EBSCO host (CINAHL Plus with full text), Medline (ProQuest), RISS, and KISS. Keyword used for the search was 'Disability Disorder OR Autism (AND) AND (Effect OR Effectiveness)' for international papers and 'Disability AND Sex Education' for domestic papers. Total 15 articles were collected and analyzed in terms of participant, duration, type, contents, and teaching methods with PICO format. Results : In terms of level of evidence, majority was Level III evidence(60%). Most common contents of sex education were 'physical and growth' and 'relational skills'. Special education and occupational therapy were the field that sex education is provided most frequently. Effects of sex education identified were 'sex knowledge', 'sex attitudes', and 'inappropriate sexual behavior'. Conclusion : This study intend aimed to identify content, trends, and effects of sex education for children and adolescents with developmental disabilities in order to provide a basic data for clinical trial of sex education in occupational therapy practice. This study recommend further researches on the effects of sex education on occupational participation, occupational therapists' awareness of sexual activity of clients, and development of related measurement such as sexual development scale.

Oral-Motor Facilitation Technique (OMFT): Part I-Theoretical Base and Basic Concept (구강운동촉진기술: 1 부-이론적 배경과 기초 요소)

  • Min, Kyoung Chul;Seo, Sang Min;Woo, Hee-soon
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.37-52
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    • 2021
  • Introduction : Oral motor function is basic function of sensory exploration, feeding, and communication, that develops from the fetal stage to childhood. Problems with oral motor function result in difficulty within handling food in the oral cavity, decreased swallowing and feeding skills, difficulty with communication, and problems with oral hygiene. To treat these symptoms, oral motor therapy is provided for normalizing sensory adaptation in the oral cavity, and increasing postural control, oral movement and oral motor function. Discussion : The oral motor facilitation technique (OMFT) was developed for increasing general and integrated oral motor function based on the following: 1) understanding orofacial muscular physiology; 2) a comprehensive approach to sensory·adaptation·behavior·cognition; 3) sensorimotor stimulation by a manual approach; 4) motor control and motor learning theory. The OMFT is a new evidence-based treatment protocol, for children and adults with neuromuscular and oral motor problems. Conclusion : The goal of this article is to provide a theoretical background for OMFT development and the basic concept for the clinical application of OMFT. We hope that this article will help oral motor therapy experts to provide effective therapy in a more professional way.