• 제목/요약/키워드: clinical skills

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Three-dimensional bio-printing and bone tissue engineering: technical innovations and potential applications in maxillofacial reconstructive surgery

  • Salah, Muhja;Tayebi, Lobat;Moharamzadeh, Keyvan;Naini, Farhad B.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.18.1-18.9
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    • 2020
  • Background: Bone grafting has been considered the gold standard for hard tissue reconstructive surgery and is widely used for large mandibular defect reconstruction. However, the midface encompasses delicate structures that are surrounded by a complex bone architecture, which makes bone grafting using traditional methods very challenging. Three-dimensional (3D) bioprinting is a developing technology that is derived from the evolution of additive manufacturing. It enables precise development of a scaffold from different available biomaterials that mimic the shape, size, and dimension of a defect without relying only on the surgeon's skills and capabilities, and subsequently, may enhance surgical outcomes and, in turn, patient satisfaction and quality of life. Review: This review summarizes different biomaterial classes that can be used in 3D bioprinters as bioinks to fabricate bone scaffolds, including polymers, bioceramics, and composites. It also describes the advantages and limitations of the three currently used 3D bioprinting technologies: inkjet bioprinting, micro-extrusion, and laserassisted bioprinting. Conclusions: Although 3D bioprinting technology is still in its infancy and requires further development and optimization both in biomaterials and techniques, it offers great promise and potential for facial reconstruction with improved outcome.

Patient Safety Education: Team Communication and Interprofessional Collaboration (환자안전 교육에서 팀 의사소통과 전문직 간 협업)

  • Park, Kwi Hwa;Park, Kyung Hye
    • Korean Medical Education Review
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    • 제21권1호
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    • pp.22-30
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    • 2019
  • Team communication, teamwork, and interprofessional collaboration are critical and the basis for patient safety in a more diverse and complex clinical environment. This study explored the current status of teamwork, team communication, and interprofessionalism in the context of patient safety within undergraduate medical education. A scoping review of the literature published since 2010 was undertaken. Fifteen papers were included for final review. The most commonly used educational methods were off-line lectures and simulations. Standard team communication tools suggested in TeamSTEPPS (team strategies and tools to enhance performance patient safety) were covered in some of the research. Knowledge, skills, and teamwork attitudes, interprofessional collaboration, and/or patient safety were improved in most of the papers. In the previous studies of team communication, the content and method of education, and the change in knowledge and attitudes of the individuals have been widely reported, but more research is needed regarding the method of evaluating the teamwork itself. In addition, education on team communication as well as patient safety and interprofessionalism is lacking. As the importance of team communication in patient safety increases, more attention is needed on this topic in undergraduate medical education.

Effects of Communication Empowerment Program Based on Situated Learning Theory for Nursing Students (간호대학생을 위한 상황학습 기반 의사소통능력 향상 프로그램의 효과)

  • Kim, Soo Jin;Kim, Boyoung
    • Journal of Korean Academy of Nursing
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    • 제48권6호
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    • pp.708-719
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    • 2018
  • Purpose: This study was conducted to examine the effects of a communication empowerment program based on situated learning theory for nursing students. Methods: A non-equivalent control group pretest-posttest design was used. The study participants were 61 nursing students (31 in the experimental group and 30 in the control group) from G city. Data were collected from November 3, 2015 to December 10, 2015. The experimental group received eight sessions of the program, which were scheduled twice a week, with each session lasting two hours. The data were analyzed using chi-square test, Fisher's exact test, and an independent t-test using SPSS/WIN 20.0. Results: There were significant increases in self-efficacy for communication (t=2.62, p=.011), emotional intelligence (t=2.66, p=.010), and interpersonal communication competence (t=2.87, p=.006) in the experimental group compared to the control group. Conclusion: Based on the findings, our study suggests a need to include content from communication curricula or clinical communication training programs for improving undergraduate nursing students' communication skills in practice settings.

The Tasks of Medical Education to Support the Formation of Medical Professional Identity (전문직 정체성 형성을 위한 의학교육 현장의 과제)

  • Kim, Sun
    • Korean Medical Education Review
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    • 제23권2호
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    • pp.104-107
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    • 2021
  • Building professional identity is the most basic purpose of medical education. Students who enter medical schools do not have an identity rooted in the medical profession, and universities should therefore take steps to help students form their identity as doctors, attitudes, beliefs, and values through the curriculum. However, while medical knowledge and clinical skills are fully reflected in basic medical education, issues persist regarding education on values, attitudes, and beliefs that are important for professional identity. Regarding the process of professional identity formation, it is important to keep in mind that rapid changes in modern society lead to corresponding changes in socio-cultural expectations and demands related to professional identity, resulting in discrepancies between the reality of medical education and the actual field of medicine. Medical schools need to prepare students for these discrepancies, and in-depth discussions should address what is important and what should be solved first at medical education sites. However, it is difficult to generalize the tasks of professional identity formation in the field of medical education because each medical school may have unique circumstances. This article discusses the tasks that medical education should solve for professional identity formation education in terms of five aspects: establishing learning outcomes, training educational experts, introducing transformative learning, utilizing self-directed learning, and developing evaluation methods.

Association between self-esteem, critical thinking disposition, and field practice stress of dental laboratory technology students (치기공과 학생의 자기존중감, 비판적 사고성향 및 현장실습 스트레스 간의 연관성)

  • Kang, Wol;Jang, Yeon
    • Journal of Technologic Dentistry
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    • 제44권3호
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    • pp.81-88
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    • 2022
  • Purpose: This study was conducted to verify the effects of self-esteem and critical thinking disposition on dental laboratory technology students' field practice stress. Methods: The subjects of the study were 198 dental laboratory technology students with clinical practice experience located in Gyeongsangbuk-do and Gyeongsangnam-do. The collected data were analyzed by t-test, ANOVA, correlation analysis, and linear regression analysis using IBM SPSS Statistics ver. 22.0 (IBM). Results: The average self-esteem, critical thinking disposition, and field practice stress scores were 3.76, 3.50, and 2.40, respectively. There was a significant correlation between self-esteem, critical thinking disposition, and field practice stress. It was found that the higher the self-esteem, the lower was the field practice stress. On the contrary, among the sub-items of critical thinking disposition, when intellectual fairness increased, the field practice stress decreased; however, when healthy skepticism increased, the field practice stress increased. Conclusion: Self-esteem and critical thinking disposition were both found to have a substantial effect on field practice stress. Therefore, various educational programs need to increase self-esteem and cultivate critical thinking skills for a successful field practice and field practice stress relief of laboratory technology students.

The effectiveness of gamification on nursing practice for undergraduate students: A systematic review

  • Hyun Kyoung, Kim
    • International Journal of Advanced Culture Technology
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    • 제10권4호
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    • pp.110-116
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    • 2022
  • The purpose of this study was to examine the effectiveness of gamification in nursing practice for undergraduate students, as well as to explore the use of gamification in nursing education. This study is a systematic review of RCTs evaluating the effectiveness of gamification in nursing practice for undergraduate students. A total of 7 articles were identified in a search of PubMed, Cochrane Library, and Embase, and the additional databases were CINAHL (in English) and RISS (in Korean) between September 28, 2022 to October 5, 2022. Themes related to the environment and personal behaviors between 2002 and 2021 were extracted. The intervention themes were blood transfusion, postoperative pediatric nursing, postoperative hemorrhage and brain trauma nursing, basic and advanced life support, disaster nursing, and neonatal resuscitation. The primary outcomes were knowledge in five studies, satisfaction in one study, and competency in one study. The secondary outcomes were satisfaction in three studies, confidence in two studies, performance in two studies, skills in two studies, and self-efficacy, motivation, professional attitude, cognition, gameful experience, and affective response in one study each. Therefore, gamification interventions can be utilized in nursing practice education instead of traditional teaching methods such as lectures and face-to-face clinical practice.

The Meaningful Connection between Job Crafting and Protean Career Attitudes

  • Seong-Gon KIM;Seung-Hyun HONG
    • East Asian Journal of Business Economics (EAJBE)
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    • 제11권3호
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    • pp.27-35
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    • 2023
  • Purpose - The present study bridges a significant gap in the literature by investigating the complex relationship between job crafting and protean career attitudes. It has been demonstrated that job crafting, which entails the proactive redesign of work roles, responsibilities, and relationships, empowers employees, and elevates. Research design, data, and methodology - This study employed a tailored search approach with specific terms linked to job crafting and protean career attitudes to ensure a thorough and focused analysis. The keywords include "Job crafting," "protean career attitudes," "career development," and related terms. This strategy uses an organized method to identify, screen, and choose appropriate studies. Result: This study synthesizes prior studies and identifies four critical links between the development of jobs and protean career attitudes. To begin with, task crafting, which entails job requirements and scope modifications, leads to protean career attitudes as employees match their roles to their skills and passions. Second, rational crafting, which is adjusting interactions with coworkers and superiors encourages flexible career attitudes. Conclusion - This study insists that organizations must consider the essential practical ramifications. Employers may improve employee growth, engagement, and talent retention by encouraging job customization, recognizing protean workers, cultivating a protean culture, investing in ongoing learning.

Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review (주제범위 문헌고찰에 기반한 교육전담간호사의 역할과 성과에 대한 탐색)

  • Soyoung Kim;Sujin Shin;Inyoung Lee
    • Korean Medical Education Review
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    • 제25권1호
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    • pp.55-67
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    • 2023
  • This study was conducted to examine trends in research about nurse educators in Korean hospitals. The methodological framework consisted of previous work by Arksey and O'Malley. A literature search was performed of electronic databases (RISS, KISS, CINAHL, and PubMed) from January 2000 to June 2022. Each study was collated and analyzed, and the studies' data were abstracted into the following categories: publication year, study design, study participants, and education program details. Eight studies were reviewed. Most of the studies were published after 2020 (87.5%). The most frequently used design was quasi-experimental (50.0%). There were three studies whose subjects were nursing educators and five studies were conducted on programs in which nurse educators participated. In Korean medical institutions, clinical nurse educators have various roles, including the development and operation of programs and serving as facilitators and evaluators. In most studies, knowledge and skills were measured as outcome variables of educational programs led by nurse educators. The roles of nurse educators were diverse in Korean medical institutions. Therefore, a program to enhance the competency of nurse educators is needed. Judging from the effects of nurse educators in Korean medical institutions, it is necessary to expand the nurse educator system, and additional research on nurse educators should be conducted.

A study on the relationship between the mathematical learning status and basic mathematical ability of K university freshmen: for nursing, dental health, computer, and engineering departments (K 대학 신입생의 수학학습 실태와 기본 수리 능력과의 관계: 간호·치과보건계열과 컴퓨터·공학계열을 대상으로)

  • Soon-Suk Kwon;Tae-Hee Lee
    • Journal of Technologic Dentistry
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    • 제45권1호
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    • pp.21-29
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    • 2023
  • Purpose: This study attempted to collect basic data to improve the basic repair ability of university freshmen in a world where the usage of advanced medical devices related to computer programs is now common. Methods: The collected data from 280 university freshmen enrolled in nursing, dental, and health degrees or computer and engineering degrees at K university of Gangwon-do were analyzed using the t-test, ANOVA, correlation analysis, and linear regression analysis using the IBM SPSS Statistics ver. 21.0 (IBM). Results: The mathematical learning status and the detailed factors of basic mathematical ability had a positive (+) correlation. The factors of basic mathematical ability, psychology of learning (p<0.001), method of learning (p<0.001), and propensity to learn (p<0.05) were found to be statistically significant, and the model's explanatory power was 40.0%. Conclusion: As a result of this study and considering that advanced medical devices such as computer-aided design/computer-aided manufacturing and three-dimensional printers are becoming more common and up-to-date in clinical settings, it is determined that nursing and dental health students require education to improve their repair skills.

The art of diabetes care: guidelines for a holistic approach to human and social factors

  • Muhammad Jawad Hashim
    • Journal of Yeungnam Medical Science
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    • 제40권2호
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    • pp.218-222
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    • 2023
  • A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in addition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clinicians can ask about these contextual factors when discussing treatment options with patients. Patients' emotional health can also affect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient's perspective. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient's emotional state. Tailoring the level of advice and diabetes targets based on a patient's personal and contextual factors requires mindfulness by clinicians.