• 대한간호학회지
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• 제48권1호
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• pp.70-84
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• 2018

Purpose: This study was conducted to evaluate the validity and reliability of the Korean version of the clinical learning environment, supervision and nurse teacher evaluation scale (CLES+T) that measures the clinical learning environment and the conditions associated with supervision and nurse teachers. Methods: The English CLES+T was translated into Korean with forward and back translation. Survey data were collected from 434 nursing students who had more than four days of clinical practice in Korean hospitals. Internal consistency reliability and construct validity using confirmatory and exploratory factor analysis were conducted. SPSS 20.0 and AMOS 22.0 programs were used for data analysis. Results: The exploratory factor analysis revealed seven factors for the thirty three-item scale. Confirmatory factor analysis supported good convergent and discriminant validities. The Cronbach's alpha for the overall scale was .94 and for the seven subscales ranged from .78 to .94. Conclusion: The findings suggest that the 33-items Korean CLES+T is an appropriate instrument to measure Korean nursing students'clinical learning environment with good validity and reliability.

• 인간행동과 음악연구
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• 제8권1호
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• pp.61-81
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• 2011

본 연구는 음악치료전공 대학원생들의 효율적인 임상실습을 위한 토대를 마련하고, 학생들의 필요와 욕구를 반영할 수 있는 의견을 알아보고자 4개 대학원의 음악치료학과 학생들 중 실습경험이 있는 2학기 이상 5학기 이하의 학생 117명을 대상으로 설문조사를 실시하였다. 리커트 5점 척도에서 각각의 평균이 모두 3.5를 넘었다. 대상자들은 교과목 및 교과과정 만족도(3.78)에서 가장 높은 만족도를 보였으며 슈퍼비전 만족도(3.75), 임상실습 만족도 (3.65) 순의 만족도를 보였다. 전반적으로 학부전공이 비음악인 대상이 음악 전공자보다 만족도가 높았다. 실습단계가 낮은 학생들의 만족도는 대체적으로 높은 반면 실습단계가 높아질수록 만족도가 다소 떨어지는 것으로 나타났고, 인턴쉽 과정에서는 다소 높아지는 것으로 나타났다. 슈퍼비전 만족도와 임상실습 만족도에 영향을 미치는 요인분석을 한 결과 슈퍼바이저의 역할이 높은 영향을 미치는 것으로 나타났다. 교과목 및 교과과정 내용 중에서는 음악치료 요소가 높은 영향을 미치는 것으로 조사되었다. 이러한 결과들은 학교, 실습기관 학생 상호간의 효과적이고 만족스런 실습교육과 훈련을 할 수 있는 기초자료를 제공함으로써, 실습 학생들이 실습과정에서 어떤 자질과 특성을 계발하고 부각시켜야 할지에 대한 중요한 지도 방향과 지침을 제공하는데 그 의의가 있다.

• 영어어문교육
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• 제17권4호
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• pp.1-22
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• 2011

Little has been known about the process of the language teacher professional development. The present study aims to investigate an assumption that anybody who has subject matter knowledge will be a good language teacher. A teacher with rich linguistic knowledge started to question the effectiveness of his online class. The teacher, in collaboration with a teacher trainer, became involved in the critical examination of his online class, seeking for more effective ways of teaching. The trainer provided the teacher with clinical supervision, which is characterized as developmental, collaborative, non-judgemental, interactive, and teacher-centered. The data collected at the multi-facets of the online teaching shows how the process of the teacher's decision-making became principled on the basis of recent developments in English language teaching, and how the teacher has gained pedagogical knowledge through reflection upon his teaching. The feedback from the students reveals that such teacher professional development is beneficial to student learning. These findings suggest that language teacher's professional development can take place when they are engaged in reflective teaching and classroom investigation. It is also suggested that the process of teacher development can be enhanced through collaborative supervision with trust, openness and congeniality between parties involved.

• 대한감각통합치료학회지
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• 제4권1호
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• pp.65-70
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• 2006

Objective : Korean Academy of Sensory Integration(KASI) planned and executed intensive sensory integration treatment course for children with the sensory integrative dysfunction and therapists, to suggest practical guideline for therapists through individual supervision, lecture, simulation therapy, observation, case study and free play etc. Method : The course was held during 5days in the children's center for developmental support that set up sensory integration tools. The course executed the 4 individual interventions, 1 simulation therapy, 1 observation, 4 free play sessions that consisted of 6 children with sensory integrative dysfunction and 6 therapists who manage them and 3 supervisors and 2 managers. Results : Their parents reported the satisfaction degree of the treatment course service was above 84%. Therapists also had a chance to understand the broader sensory integrative interventions through the supervision and various educational programs. Conclusions : Intensive treatment course can provide parents and therapists with satisfaction of the programs. Therapists can especially experience reeducation individually through supervision and lectures.

• Clinical and Experimental Pediatrics
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• 제58권12호
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• pp.472-477
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• 2015

Purpose: Adherence to treatment with inhaled corticosteroids (ICS) is a critical determinant of asthma control. The objective of this study was to assess factors that determine adherence to ICS therapy in children with asthma. Methods: Fifty-eight children with asthma, aged 5 to 16 years, used ICS with or without a spacer for 3 months. Adherence rates as measured from questionnaires and canisters, asthma symptom scores, and inhalation technique scores were assessed every 30 days. The degree of supervision by caregivers was assessed at day 30. Results: Adherence rates measured using canisters were lower at day 60 than at day 30 (P=0.044) and did not change thereafter ($74.4%{\pm}17.4%$ at day 30, $66.5%{\pm}18.4%$ at day 60, and $67.4%{\pm}22.2%$ at day 90). Adherence rates at days 60 and 90 and during the total study period were significantly different when measured by using questionnaires versus canisters (P<0.001, P=0.022, and P =0.001, respectively). In the comparison of adherence rates repeatedly measured at days 30, 60, and 90 and adherence rates during the total study period among the 3 groups, adherence rates in the high-degree supervision group were significantly higher than those in the low-degree supervision group ($82.0{\pm}16.0$ vs. $66.1{\pm}14.5$, $75.4{\pm}14.4$ vs. $56.2{\pm}18.4$, $75.0{\pm}18.3$ vs. $55.0{\pm}19.7$ [P=0.027]; $77.9{\pm}12.2$ vs. $59.1{\pm}11.4$ [P=0.021]) after adjustment for sex and age. Conclusion: The level of caregiver supervision is an important factor affecting adherence to ICS therapy in children with asthma. Therefore, a high degree of supervision may be required to increase adherence to ICS therapy in children with asthma.

• 의학교육논단
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• 제17권1호
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• pp.10-14
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• 2015

The mission of the modern medical school includes education, research, and patient care. The clinical clerkship is an important part of the core curriculum, and hospital facilities are needed for the clinical clerkship. However, unfortunately, education has moved to the periphery during the past several decades because of the dominance of research and patient care. This may lead to obstacles in the education of future physicians in the long term. To promote their education mission, teaching hospitals need to recognize and share the importance of this mission. In addition to the certification of teaching hospitals, a new paradigm for teaching hospitals should be introduced to produce a high quality clinical clerkship and postgraduate medical education. The relevant government departments need to allocate and expand financial support to medical schools and teaching hospitals, and to unify supervision of basic and postgraduate medical education.

• 한국임상약학회지
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• 제5권2호
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• pp.33-49
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• 1995

The purpose of this study is to understand present situation of clinical trials, and evaluate the preparedness of the desiRnated institutions to abide by GCP(Good Clinical Practice) standards during clinical trials. Survey on the status of clinical trials was conducted for the desienated 83 clinical trial hospitals, and response rate was $95.2\%$. The results showed that 39 hospitals have conducted clinical trials to obtain drug manufacturing approval from 1990 to 1994. Most of them were trials on Phase III. Only $46.8\%$ of the institutions had sufficient human resources to perform the clinical trials. Institutions which established IRB(Institutional Review Board) accounted for 41 or $51.9\%$, but those who have a protocol evaluation guideline, or Adverse Drug Reaction(ADR) reporting system were only 12, and 21 Places, respectively. Regarding supervision of the investigational drugs, less than 30 institutions designated pharmacist as a supervisor. In conducting clinical trials, $97.4\%$ of trials had high rates of prior consent of testees, but only part of them-$61.7\%$-gave written consent. The level of conducting GCP is found to be unsatisfactory. Institutions must build the appropriate infrastructure and government must prepare in order to protect testees' rights as well as to ensure validity of the results.

• 인간행동과 음악연구
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• 제10권2호
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• pp.35-54
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• 2013

본 연구는 음악치료 전공생들이 수퍼비전에서 경험하는 성장을 살펴보고자 하였다. 이를 위해 국내 3개 대학의 음악치료전공 대학원생 중 수퍼비전을 3학기 이상 이수한 9명을 대상으로 심층 면담을 실시하여 변형된(modified) 근거이론 방식으로 연구를 수행하였다. 연구 결과, 수퍼비전 경험에서 음악치료 전공생은 개인으로서의 성장과 전문가로서의 성장을 획득하는 것으로 나타났다. 개인적 성장의 요소로써, 자기방어, 자기애적 상처, 자기회피 및 불안 등은 성장을 저해하는 요소로 나타났으며, 개인의 삶, 음악적 자아, 자신의 욕구와 개인 내적 문제를 탐색하고 적극적으로 문제를 해결하고자 하는 것이 성장의 지지/매개요인으로 나타났다. 그 결과 자신을 수용하고, 자기 인식의 변화가 나타남을 통해 수퍼바이지는 개인으로서 성장을 하였다. 전문성의 성장 요소로써, 타인의식, 신뢰의 어려움, 수행불안 및 정체성의 혼란은 전문적 성장을 저해하는 요인으로 작용하였다. 반면, 수퍼바이저 및 동료에 대한 신뢰와 동맹을 형성하며 관계 및 태도의 변화를 경험하였다. 이는 동기강화로 이어지며 적극적이고 개방적인 자세로 발전하고자 노력하고 효과적인 학습이 일어났다. 그 결과로 수퍼바이지는 음악치료의 전문성을 형성, 음악의 치료적 힘을 인식하고, 정체성을 확립하며 전문가로 성장해 가는 것으로 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7639-7644
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• 2013

Background: Breast cancer is the most common cancer diagnosed among women in Sri Lanka. Early detection can lead to reduction in morbidity and mortality. The objective here was to identify perceptions of public health midwives (PHMs) on the importance of early detection of breast cancer and deficiencies of and suggestions on improving existing breast cancer early detection services provided through Well Woman Clinics. Materials and Methods: A qualitative study using four focus group discussions (FGDs) were conducted among 38 PHMs in the Gampaha district in Sri Lanka and the meetings were audio-recorded, transcribed and analyzed using constant comparison and identifying themes and categories. Results: All the PHMs had a firm realization on the need of breast cancer early detection. The four FGDs among PHMs revealed non-availability of guidelines, inadequacy of training, lack of skills and material to provide health education, inability to provide privacy during clinical examination, shortage of stationery, lack of community awareness and motivation. The suggestions for the improvements of the programme identified in FGDs were capacity building of PHMs, making availability of guidelines, rescheduling clinics, improving the supervision, strengthening the monitoring, improving coordination between clinical and preventive sectors, and improving community awareness. Conclusions: Results of the FGDs can provide useful information on components to be improved in breast cancer early detection services. Study recommendations were training programmes at basic and post basic levels on a regular basis and supervision for the sustainance of the breast cancer early detection program.

• 한방안이비인후피부과학회지
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• 제24권2호
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• pp.57-67
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• 2011

Objectives : The purpose of this study is to evaluate of Oriental Dermatology Clerkship in oriental medical clinic by using students' satisfaction questionnaire. Methods : In 2011, the evaluation of students' satisfaction was conducted by the Department of oriental dermatology, Dong-guk University College of Oriental Medicine. The questionnaire filled-up by 89 six-year students who completed the clerkship schedule of first semester. The questionnaire were consisted of 17 items. Results : Most of the students gave a positive evaluation to the overall clerkship. Especially the satisfaction level of professional guidance and practice environment was so high. But The problem was the lack of opportunity for direct participation. The most useful educational activities was performing clinical skills under faculty supervision. The most constraining activities was difficulty interacting with patients as a student. Conclusions : It is necessary to develop continuous program that provide for better quality clinical clerkship with oriental medical clinic.