• Title/Summary/Keyword: clinical study

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A Study on the Relationship between Self-esteem, Self-efficacy and Clinical Practice Performance, Academic Achievement, Decision Making of Major Field in Clinical Practice (간호학생의 자아존중감 및 자기효능감과 임상실습수행, 학업성취, 전공실습결정과의 관계)

  • Kim, Young-Sook;Kim, Myung-Soon;Cho, Won-Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.51-60
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    • 2002
  • The purpose of this study was to identify the relationship between self-esteem, self- efficacy and clinical practice performance, academic achievement, decision making of major field in clinical practice . The study subjects consisted with 244 students from G. junior nursing college that will adapt a new majoring program of clinical nursing practice funded by Ministry of human and resources development. Data were analyzed using descriptive statistics, and t-test, Pearson correlation, and multiple regression. The results of this study were summarized as follows: 1. The students were relatively performed well in clinical practice setting (total M :3.78). The item of student's personal relationship between patients, patient's family, and professional staff showed high score (M=3.96). However students did not feel comfortable to communicate with patients, patient's family and professional staffs in clinical setting(mean=3.56). 2. Students who had experiences of temporal absence from school showed significant difference in the variable of academic achievement and decision making of major field in clinical practice Students who entered to nursing school with self-motive revealed statistically significant difference in the variable of clinical practice performance, academic achievement, self-esteem, self-efficacy, and decision making of major field in clinical practice. 3. There was a significant correlation between self-esteem and clinical practice performance, (r=.512, p<.000). And the relation between self-esteem and decision making of major field in clinical practice was significantly correlated(r=.377, p<.000). Self-efficacy and clinical practice performance(r=.567, p<.000), and decision making of major field in clinical practice (r=.441, p<.000) showed significant correlations. Also relation between academic achievement and self-esteem reveled a significant correlation(r=.129, p<.05) but correlation between self-efficacy and academic achievement was not significant. 4. Correlation between clinical practice performance and decision making of major field in clinical practice also identified a significant relation(r=.498, p<.000). 5. Self-esteem and self-efficacy variables predicted clinical practice performance and explained 37.7% of clinical practice performance. 6. Aptitude and personal interests(m=4.07) reveled important factor affecting to select majoring area in clinical practice, and advice from parents reflected low percentage on selecting places(m=2.42). In conclusion, the variables of self-esteem and self-efficacy showed significant correlations with the variables of student's clinical practice performance, academic achievement, and decision making of major field in clinical practice. Thus it is recommended that student's affective domain of self-esteem and self-efficacy should be developed by nursing intervention before clinical nursing education.

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Clinical Reasoning by Pediatric Physical Therapists in South Korea (우리나라 소아 물리치료사의 임상적 추론)

  • Lee, Hye-Young;Lee, In-Hee;Kim, Kyoung
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.377-382
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    • 2012
  • Purpose: The purpose of this qualitative study was to understand the application of clinical reasoning throughout clinical and therapeutic knowledge of clinical pediatric physical therapists under physician prescriptions. Methods: Purposive sampling techniques were used in selection of nine clinical pediatric physical therapists in South Korea. Open and semi structured interviews were conducted, and were thoroughly examined and reviewed, followed by analysis of the clinical reasoning portion. Results: Pediatric physical therapists have been influenced by information gathering, physical function and evaluation of their patients, hypothesis-orientation, and re-evaluation and self-monitoring. Novice physical therapists were more dependent on physician prescriptions and parent's hope than the result of their own evaluation and critical pathway. Middle experienced pediatric physical therapists were more dependent on rapport with children and their parents. Highly experienced pediatric physical therapists were more reliant on hypothesis-orientation and self-monitoring. As reports on clinical experience of pediatric physical therapists have accumulated, clinical reasoning of pediatric physical therapists has been influenced by their experience, such as education, clinical pathology conference, their own clinical experience and rapport with patients and their parents than physicians' prescriptions. Conclusion: The findings of the current study are generally consistent with existing research on clinical reasoning. The results of the current study may be used by educators for enhancement of clinical reasoning abilities and knowledge of students or novices as well as development of a guide for use by suitable novices or students, and could provide important information for use in physical therapy practice and research.

A Study of Guideline in Writing a Protocol of Clinical Trials in Oriental Medicine (A case study of association between strength and gender of Maek[맥(脈)]) (한의학 임상시험계획서 작성법에 대한 연구 -촌맥(寸脈)과 척맥(尺脈)의 강약(强弱)과 성별(性別)의 관계에 대한 연구를 사례로-)

  • Back, Sang-Ryong;Kim, Sae-Hyun
    • Korean Journal of Oriental Medicine
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    • v.8 no.2 s.9
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    • pp.37-46
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    • 2002
  • Clinical trials are experimental studies with human subjects in which various limitations and variables exist by their nature. As a preparatory stage for designing clinical trials in Oriental medicine, this study considers a virtual protocol to show guideline regarding tasks necessary when writing a trials protocol. Clinical trials have many difficulties in planning, procedure, and interpretation of results, and these may be influenced by various biases that are difficult to predict and eliminate. To deal with these issues, clinical trials need a collaboration between medical experts and biostatisticians from the beginning, through the entire trial, until the final analysis. Therefore, the first stage of clinical trials is to write out a trial plan among the experts in each field to derive the best design for the trial.

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Clinical Studies on Korean Ginseng in Korea (인삼의 임상적 연구의 실상과 향후전망)

  • 윤택구
    • Journal of Ginseng Research
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    • v.20 no.4
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    • pp.520-539
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    • 1996
  • Based upon Shennong's Ancient Chinese Medical Textbook and Tsorngji Mingyi Byelu. Ginseng has been widely used for over 2,000 years in oriental countries. Scientific basic medical study or clinical study on ginseng was seal·toed 1910's in Eastern countries and from the 1950's in Western countries To obtain kotvledge of clinical studies on Korean ginseng. I investigated the following items 1) Oriental pharmacological documents. 2) the start and corrent state of ginseng research. 3) Clinical studies, 4) epidemiological studies. 5) non-medical human studies. 6) Foreign evaluation in published papers, and 7) future perspectives of clinical study. Although wide and profound research has been carried on the effect of ginseng (diabetes cardiovascular diseases, hypertension, liver diseases. gastrointestinal disorders soress, bram function. aging, antiradiation effect. anemia. hemopoiesis. immuomodulating effect. and tonic effect). Systemic clinical study to determine the therapeutic effects of speciblc disease have hardly been done even in other countries Clinical study or researches with human as the target. on ginseng has been performed in the field of body tenperazure. Pulse, clinical symptoms and hematological findings . fatigue, porformances. anemia. essential hypertension. blood sugar. serum cholesterol. lipid and prolactin. adrenocortical function. impotence. hypospermia. male sterility, climacteric disorder. anticancer effects. cancer preventive effects. and viral hepatitis. adverse effects. and prefered type of ginseng. At the same time as trying preventives or therapeutics from dietary oi natural products scientific research to support that ginseng is not a mystery. should be porformad to prove the effectiveness of Korean ginseng in the treatment of certain diseases using scientific methods or epidemiological approach.

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The Effects of Simulation-Based Training, Underwent Before or After the Clinical Practice for the Nursing Students (간호대학생의 임상실습 전과 후에 실시하는 시뮬레이션 실습교육의 효과 비교)

  • Lee, Jung Ok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.2
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    • pp.203-211
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    • 2014
  • Purpose: This study was conducted to compare the effects of simulation-based training on knowledge, self-efficacy and clinical performance, underwent before or after the clinical practice for the nursing students. Method: A comparison group design was established with pre-clinical practice group (n=34) and post-clinical practice group (n=34). Both groups participated in simulation-based training before or after the clinical practice at the recovery room. Chi-square test, t-test and paired t-test were performed to analyze the data. Results: Both groups showed significantly higher post-test scores in knowledge and self-efficacy than pre-test scores (p<.001). The group with simulation training performed before their clinical practice (pre-clinical practice group) showed significantly higher self-efficacy (p=.044) than the group with simulation training done after their clinical practice (post-clinical practice group). However, there was no significant difference in the knowledge (p=.922) and clinical performance (p=.887). Conclusion: These findings of the study suggest that simulation based training in pre-clinical practice is effective to enhance the self-efficacy and to improve knowledge and clinical performance of the nursing students.

Correlations between Motivation to Achieve, Clinical Competency and Satisfaction in Clinical Practice for Diploma and Baccalaureate Nursing Students* (간호대학생의 학제 간 성취동기, 임상수행능력 및 임상실습만족도의 관련성 비교 연구)

  • Sung, Mi-Hae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.90-98
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    • 2010
  • Purpose: This study was done to compare the relationships between motivation to achieve, clinical competency, and satisfaction on clinical practice in diploma and baccalaureate nursing students. Method: A descriptive research design was used in this study. The participants were 181 nursing students in B city who were surveyed between June 2 and June 30, 2008 using self-report questionnaires. The collected data were analyzed using the SPSS WIN 14.0. Results: There were significant difference in clinical competency according to satisfaction with college life, and motivation for choice of nursing for baccalaureate students. There was a positive correlation between motivation to achieve and clinical competency. Motivation to achieve and satisfaction in clinical practice, and clinical competency and satisfaction were correlated with clinical practice for students in both diploma and baccalaureate programs. The predictors influencing clinical competency for the nursing students were motivation to achieve, and satisfaction in clinical practice, and education level. Three factors explained 26.8% of clinical competency for nursing students. Conclusion: It is necessary to enhance individual motivation to achieve to improve clinical competency of nursing students. Motivation to achieve needs to be considered in planning programs to enhance clinical competency in nursing students.

The Influencing Factors on Clinical Competence of Nursing Students (간호학생의 임상수행능력에 영향을 미치는 요인)

  • Yang, Jin-Ju
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.159-165
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    • 2009
  • Purpose: The purpose of this study was to identify clinical competence and to analyze influencing factors on clinical competence for second year college nursing students. Methods: The data were collected from 183 students by means of self reported questionnaires with clinical competence, satisfaction of clinical practice experience, critical thinking disposition, and self-directed learning, on June 18th 2007 and June 25th 2008. Results: The influencing factors on clinical competence of nursing students were satisfaction of clinical practice experience and critical thinking disposition. The more adaptable a student's major was, the higher the clinical competence and satisfaction of clinical practice experience. The score of self-directed learning was the highest in the well adapted group of a major. For clinical competence categories, the level of basic nursing was the highest followed by psychosocial nursing, patient education, nursing process, monitoring and patient physical assessment. The level of direct nursing care was the lowest among nursing students. Conclusion: In conclusion, results of this study suggest that constructing a cooperative system between colleges and educational hospitals, intensifying preceptors' and professors' clinical instruction, and developing a multimedia learning module and practice using simulators or standardized patient care is necessary to promote clinical competence of nursing students.

The Effects of Preceptorship on Nursing Students' Critical Thinking Propensity, Clinical Competency and Satisfaction of Clinical Practice (프리셉터쉽 적용이 간호학생외 비판적 사고성향, 입상수행능력 및 임상실습 만족도에 미치는 효과)

  • Lee, Chung-Sook;Lee, Jeom-Duck
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.434-443
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    • 2006
  • Purpose: This study was to compare effects of preceptorship on nursing students' critical thinking propensity, clinical competency, and the satisfaction of clinical practice. Method: The subjects were 80 by preceptorship group and 51 by conventional method group. The data were analyzed by SPSS 12.0 program. Results: The subject's critical thinking propensity, clinical competency and satisfaction of clinical practices between the preceptorship group and the conventional method group revealed statistically significant difference. Subject's critical thinking propensity revealed significant correlations, along with the clinical competεncy and the satisfaction for clinical practice. And the clinical competency revealed statistically significant correlations with the satisfaction for clinical practice. Conclusion: Findings of this study reveals that the nursing students who had clinical practice by preceptorship showed higher scores in the critical thinking propensity, clinical competency, and the satisfaction for clinical practice than the conventional method group. Consequently, we are quite consciously encouraged to reinforce the preceptorship for realization of an effective clinical practice education for nursing students.

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The relationship among academic achievement, clinical competence, and confidence in clinical performance of nursing students (간호학생의 학업성취도와 임상수행능력 및 임상수행자신감의 관련성)

  • Kim, Hye-Won;Kim, Myo-Gyeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.1
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    • pp.49-58
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    • 2021
  • Purpose: The purpose of this study was to determine relationships between academic achievement, clinical competence, and confidence in the clinical performance of nursing students, and to identify factors that influence them. Methods: This was a descriptive correlation study. Data were collected from 118 nursing students at a nursing college in Seoul. One-way variance analysis, Pearson's correlation coefficient, and multiple linear regression analysis were used to examine relationships between academic achievement, clinical competence, and confidence in clinical performance. Results: Clinical competence was related to academic achievement in students' previous semester and to students' academic scores in a fundamental of nursing course. Clinical competence showed a weak positive correlation with academic achievement in students' previous semester and academic scores in a fundamental of nursing course in both evaluations by the professor and students' self-evaluations. However, confidence in clinical performance had no significant correlation with academic achievement. The factor affecting the clinical competence was academic scores in a fundamental of nursing course, and factors affecting confidence in clinical performance were health status, personality, major suitability, and class satisfaction in a fundamental of nursing skills course. Conclusion: These findings indicate that students with high academic achievement have better clinical performance, but confidence in clinical performance is not related to academic achievement.

Relation between clinical learning environment and clinical performance competency in dental hygiene students (치위생대학생의 현장실습교육환경과 임상수행능력 간의 관계)

  • Hae-Kyung Hong;Young-Nam Kim;Gyeong-Soon Han
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.6
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    • pp.501-509
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    • 2023
  • Objectives: This study aimed to analyze the relation between factors related to the clinical performance competency of dental hygiene students and their clinical learning environment. Methods: The study conducted a survey of dental hygiene students from October 18 to 30, 2023. The data were analyzed using one way analysis of variance, t-test, and stepwise multiple regression. Results: The total practicum lasted ≤10 weeks, 11-15 weeks, and ≥16 weeks for 41.7%, 33.5%, and 24.8% of the students, respectively. Half of them had experience at only one clinical institution. Clinical learning environment had an average score of 3.46 points, whereas the average clinical performance competency of the participants was 3.60 points. The major influencing factors on clinical performance competency were identified as preceptor' s guidance (β=0.277), work participation opportunities (β=0.213), and perceived importance of clinical practice (β=0.136). Conclusions: Efforts are required to provide students with prior education on the importance of clinical practice, improve the clinical learning environment with a focus on preceptor's guidance and work participation opportunities. And standardize various elements to resolve differences in the practice of clinical institutions across regions.