• Title/Summary/Keyword: clinical skills

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The Effects of Group Sensory Integrative Intervention for Sensory Motor Ability and Behaviors for Children With Developmental Delay (그룹 감각통합치료가 학령전기 발달지연 아동의 감각운동 및 행동 변화에 미치는 효과)

  • Kim, Jin-Mi;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.7 no.2
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    • pp.13-22
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    • 2009
  • Objective : The aim of this study is to verify the effects of group sensory integrative intervention for sensory motor ability, behaviors in children with developmental delay. Method : The subjects were five children with developmental delays aged between 3 and 5. All Children participated in 26 sessions of group sensory integrative intervention. Children' behavior during testing was observed to assess the sensory motor ability, behaviors, the clinical observation. One group pretest- posttest design was used to verify the effect of group sensory integrative intervention. The observed children' behavior during testing were tested by the Wilcoxon matched-pair signed rank test. Results : There is no significant difference in the clinical observation between pre and post intervention. However, subjects showed the significant difference in Social interaction(Z=-2.121, p=.034), Attention(Z=-2.032, p=.042), total score in Behavior during testing(Z=-2.032, p=.042). Conclusions : The result in this study suggested that the sensory integrative intervention is effective in facilitating the social skills and improving the attention and behaviors. On the other hand, there is no effect in sensory motor ability. It is difficult to generalize the conclusion because the number of the subject was limited and the environmental confounding factors has not been controlled. Therefore, it is needed to supplement these limitations in the future study.

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The Effects of Critical Thinking Disposition and Problem Solving Ability on the Work Performance Assessment of Dental Hygienists (치과위생사의 비판적 사고 성향과 문제 해결 능력이 직무 수행 능력에 미치는 영향)

  • Lee, Ji-Eun;Lee, Su-Young;Kim, Hyun-Jin
    • Journal of dental hygiene science
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    • v.17 no.4
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    • pp.275-282
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    • 2017
  • The purpose of this study was to improve work performance conducted at an actual clinical site by determining the relationship among critical thinking disposition, problem solving ability, and work performance. In this study, 335 dental hygienists completed self-administered survey. Final analysis was conducted with a total of 331 responses, excluding 4 questionnaire with unreliable responses and non-responses. The results indicated that as the age, educational background, and work experience of the subjects increased, their critical thinking disposition and problem solving ability scores increased and were statistically significant. For work performance, average total score was high for age, educational background and work experience, but only age and work experience were statistically significant. Critical thinking disposition, problem solving ability and work performance of the subject were relevant, and all of them were significant. Work performance was also influenced indirectly by mediating problem solving ability in critical thinking disposition. In other words, both direct and indirect effects were significant, and the existence of partial moderating effect was verified. Thus, in order to improve work performance of dental hygienists, a multilevel educational process that can simultaneously improve critical thinking disposition and problem solving ability of dental hygienists needs to be developed. Therefore, it is expected that the new dental hygiene company will be able to perform without any sense of disparity in the clinical field; this will solve the gap between dental hygiene education and practical skills.

An Effect of Group Art Therapy on Adolescents' with Learning Disabilities - Focusing on Improvement of Self-esteem and Sociability - (집단미술치료가 학습장애 청소년에게 미치는 효과 -자아존중감과 사회성 향상을 중심으로-)

  • Lim, Hyeon-Hui
    • Journal of Korean Clinical Health Science
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    • v.2 no.4
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    • pp.231-238
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    • 2014
  • Purpose. This study examines the effects of improving students self-esteem and sociability by conducting a Group Art Therapy Program for students with learning disabilities. This study focused on three students with learning disabilities, attending B middle school special education class located in K county. The study was conducted for two hours once a week (Friday) at B middle school during special education class from May 2, 2014 to July 18, 2014. Methods. For the tools of studying, Self-esteem and social strip forms/rubrics were filled, by students', before and after and data processing was inspected, paired t-Test using the SPSS / WIN (Ver.18.0) for quantitative analysis. Also, on the basis of content, analyzed data of the individuals' self-esteem social changes are shown in graph format. In addition, this qualitative study shows before and after of dynamic house, tree, person (K-H, T, P), dynamic family (KFD), dynamic school life of search phase (4-6 sessions) significant improvement of self-esteem and sociability in adolescents' with learning disabilities influenced by conducting a Group Art Therapy Program. Results. The result of this study can be summarized as follows. First, Group Art Therapy Program shows a statistically significant difference (p<.05) showing that self esteem average is 2.04 before Group Art Therapy Intervention but self esteem average is 2.92 after Group Art Therapy Intervention. Second, as a result of social strip pre-post, there wasn't statistically significant difference compared to self esteem pre-post result, although, post examination's average level was enhanced after Group Art Therapy Program in difference examination.(p>.05). Third, as a result of analysis the indicated pre-post change of Students' pre-post dynamic house, tree, person (HTP), dynamic family (KFD), a dynamic school daily life (KSD), students' family and interpersonal relationships, self-concept shows statistical significant changes. Conclusion. As the result of this study, Group Art Therapy Program shows effective improvement in students' self-esteem and social skills learning disabilities. However, a future study on larger and more diverse group of students' with learning disabilities are advised to be conducted in order to better understand the significance of the Group Art Therapy Program.

Investigation of Espoused Theories in Nursing Practice (간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구)

  • Suh, Moon Ja;Kim, Hae Sook;Lee, Eun Hee;Park, Young Sook;Cho, Kyung Sook;Kang, Hyun Sook;Im, Nan Young;Kim, Joo Hyun;Lee, So Woo;Cho, Bok Hee;Lee, Myung Hwa;Chi, Sung Ai;Hah, Yang Sook;Son, Young Hee;Kwon, Sung Bok;Kim, Hee Jin;Choo, Jin A
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.53-69
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    • 2001
  • As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.

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The Evaluation of Non-Ionizing Radiation (Near-Infrared Radiation) based Medical Imaging Application : Diabetes Foot (비전리 방사선 (근적외선) 기반 의료영상 활용 가능성 평가: 당뇨발)

  • Jung, Young-Jin;Shin, Cheol-Won;Ahn, Sung-Min;Hong, Jun-Yong;Ahn, Yun-Jin;Lim, Cheong-Hwan
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.399-406
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    • 2016
  • Near-infrared radiation (NIR) is non-ionizing, non-invasive, and deep tissue penetration in biological material, thereby increasing research interests as a medical imaging technique in the world. However, the use of current near-infrared medical image is extremely limited in Korea (ROK) since it is not well known among radiologic technologists and radiological researchers. Therefore to strengthen the knowledge for NIR medical imaging is necessary so as to prepare a qualified radiological professionals to serve medical images in high-quality on the clinical sites. In this study, an overview of the features and principles of NIR imaging was demonstrated. The latest research topics and worldwide research trends were introduced for radiologic technologist to reinforce their technical skills. In particular, wound care and diabetic foot which have high feasibility for clinical translation were introduced in order to contribute to accelerating NIR research for developing the field of radiological science.

Software Development for Dynamic Positron Emission Tomography : Dynamic Image Analysis (DIA) Tool (동적 양전자방출단층 영상 분석을 위한 소프트웨어 개발: DIA Tool)

  • Pyeon, Do-Yeong;Kim, Jung-Su;Jung, Young-Jin
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.369-376
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    • 2016
  • Positron Emission Tomography(PET) is nuclear medical tests which is a combination of several compounds with a radioactive isotope that can be injected into body to quantitatively measure the metabolic rate (in the body). Especially, Phenomena that increase (sing) glucose metabolism in cancer tissue using the $^{18}F$-FDG (Fluorodeoxyglucose) is utilized widely in cancer diagnosis. And then, Numerous studies have been reported that incidence seems high availability even in the modern diagnosis of dementia and Parkinson's (disease) in brain disease. When using a dynamic PET iamge including the time information in the static information that is provided for the diagnosis many can increase the accuracy of diagnosis. For this reason, clinical researchers getting great attention but, it is the lack of tools to conduct research. And, it interfered complex mathematical algorithm and programming skills for activation of research. In this study, in order to easy to use and enable research dPET, we developed the software based graphic user interface(GUI). In the future, by many clinical researcher using DIA-Tool is expected to be of great help to dPET research.

Effect of N-BACK Program for Cognition, Visual-Perception, Depression, Anxiety, Activity of Daily Living in Stroke Patients (N-BACK 프로그램이 뇌졸중 환자의 인지, 시지각, 우울, 불안과 일상생활활동에 미치는 효과)

  • Kim, S.Y.;Kwon, S.N.;Kim, J.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.3
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    • pp.185-193
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    • 2015
  • The purpose of this study was to demonstrate clinical effects on cognition, visual perception, depression, anxiety, and activities of daily living by applying the N-BACK program, a brain stimulated training program, which is used for the clinical purpose. To prove this, subjects suspected of cognitive impairment with 18-23 points in a Korean version of mental status examination (MMSE-K) were recruited among the population who had been diagnosed with stroke duration and suffered from it for six months of duration, and 10 of the subjects were selected into the experimental group and the control group, respectively. A total of 20 sessions were carried out for 30 minutes per day 5 times for 4 weeks. As a result, the experimental group who has been applied the N-BACK program showed positive results in the improvement of cognition, visual perception, depression, anxiety, and daily living skills. The results obtained from this study expect us that applying the N-BACK program for the improvement of cognition, visual perception, depression, and anxiety to stroke patients has a positive effect on the rehabilitation of patients and will lead them to improve daily living activities more independently.

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Connected Factors of Ethical Perception in Dental Hygiene Students (일부 치위생과 학생들의 윤리의식에 미치는 요인에 관한 연구)

  • Kim, Yun-Jeong;Jang, Yun-Jung;Kwag, Jung-Sook;Kim, Su-Nam
    • Journal of dental hygiene science
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    • v.5 no.1
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    • pp.1-5
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    • 2005
  • Ethical perception may be thought of as 'professional skills'. Despite this, however, the dental hygiene curriculums tend to disregard ethics education. This paper describes ethical perception in dental hygiene students. Questionnaire surveys were conducted for 374 in dental hygiene students. For statistical analyses of collected data, the multiple linear regression were adopted. Demand as necessity of dental ethics education, clinical practice exercise, practice of work ethics education were found to have significant major effects on basic ethics perception. The major variables which related to the licensure and health care law and teamwork were to knowledge of revised ethics code of dental hygienist and to demand as necessity of dental ethics education. The major variables influencing the professional protocol were to knowledge of revised ethics code of dental hygienist, to demand as necessity of dental ethics education, role model for learning ethical principles. Revised ethics code of dental hygienist was the most important factor affecting professional protocol. The major variables influencing the decision-making were to demand as necessity of dental ethics education, to knowledge of revised ethics code of dental hygienist, clinical practice exercise, role model for learning ethical principles (church). About 88.4% of the students unawared to knowledge of revised ethics code of dental hygienist and perception of professional protocol of the students awared to knowledge of revised ethics code of dental hygienist was $3.44{\pm}0.23$ (p=0.000).

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A study on career competency, task and job satisfaction of dental hygienists - Focusing on public officials, public institution workers, and researchers (치과위생사 취업 역량, 업무, 직무만족에 관한 연구 - 공무원·공기업 취업자·연구원 중심으로)

  • Jeong, So-Hyeon;Nam, Sang-Hee;Park, Ji-Hyeon;Shin, Eun-Ji;Oh, Na-Won;Yu, Ha-Rim;Kim, SeolHee
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.4
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    • pp.477-488
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    • 2018
  • Objectives: The purpose of this study was to investigate career competency, tasks, and job satisfaction of public servants, public institutions, and researchers. Methods: The survey was conducted about career competency, job satisfaction, and satisfaction on work life. Next, they interviewed on the characteristics of each job by two or three dimensions. The following conclusions were obtained from July to August 2017. Results: Career competencies were GPA with 3.87, 818 points of TOEIC score, and ITQ certification. Public servants required the information on literacy skills for employment and job performance, while civil servants need more than one year of clinical experience in the dental hospital. The non-commissioned officer needed a written test and fitness training. The health insurance review and assessment center required more than one year of experience from general hospital or medical institutions. Researchers required a research career, language skill, and professors required research and teaching experiences with clinical experience more than three years. The main job tasks were as follows; for public servants, they were official document processing and community projects. For the civilian workers and military/noncommissioned officers, they were medical assistant and administrative works. The employees of the health insurance review and assessment service are examining the medical expenses and the medical examination, the researchers are experimenting, researching and writing articles, and the teaching staff are lecturing and conducting individual research. Conclusions: The results of job satisfaction survey showed that occupational satisfaction was the highest in civil servants, researchers, and teaching professions. Job security was the highest in health workers and health inspectors' evaluation centers, and time vacancy was the highest in civilian workers and military/noncommissioned officers. If you want to work in such an institution, you should prepare elements that match your basic literacy and job specific characteristics. And we should try to increase the satisfaction of work even after work.

Structured Assessment to Evaluate a Family Medicine Clerkship Program (가정의학 임상실습과정에 대한 구조화된 평가)

  • Park, Eun Ju;Lee, Sang Yeoup;Im, Sun Ju;Yune, So Jung;Kam, Beesung;Baek, Sun Yong;Kim, Yun-Jin;Woo, Jae Seok;Lee, Jeong-Gyu;Jeong, Dong-Wook;Cho, Young-Hye;Yi, Yu-Hyeon;Tak, Young Jin
    • Korean Medical Education Review
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    • v.19 no.1
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    • pp.47-55
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    • 2017
  • This study was conducted to analyze the strengths and weaknesses of a 3-week family medicine clerkship program based on the results of an online survey taken by the students (N=127) and a structured interview with a focus group (n=10), aimed to improve the quality of the clerkship program. The online survey contained questions pertaining to goals, schedule, contents, arrangement, atmosphere, environment, evaluation, and satisfaction regarding the clerkship. The focus group interview addressed the schedule and achievements of the program. Scores were reported on a 5-point Likert scale. Most students were highly satisfied with the overall quality of the clerkship. The structured interview results showed that 97.6% of the clerkship program was executed according to the schedule. The focus group reported a perfect score of 5 points on several measures including: accomplishment of the educational goals of the family medicine clerkship, providing many chances to obtain medical histories and perform physical examinations on real patients, experience with various symptoms and diseases, positive attitudes of faculty members when teaching, notification of the guidelines for evaluation beforehand, well-constructed and effective clerkship schedule, and reflection of student feedback. However, the focus group gave low scores on: support for health accidents of students, access to patient information, enough opportunities to practice clinical skills, appropriate rest facilities for students, and fairness of clerkship evaluation process. In conclusion, the structured evaluation performed after the 3-week clerkship program motivated students and helped them ensure an efficient clerkship. This structured evaluation also suggested basic data to make the professor who is subject of the assessment. This study shows that structured assessment is an effective method which can be used to improve the quality of clerkships.