• Title/Summary/Keyword: clinical supervision

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Validity and Reliability of the Korean Version Scale of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale (CLES+T) (한국어판 임상학습환경과 슈퍼비전, 임상실습지도교수(CLES+T) 측정도구의 타당도와 신뢰도)

  • Kim, Sun-Hee;Yoo, So Yeon;Kim, Yae Young
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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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.

Survey of Music Therapy Students' Satisfaction on the Clinical Practicum Training and Supervision (음악치료 전공생들의 실습교육 및 슈퍼비전에 대한 만족도 분석연구)

  • Park, Hye Mi
    • Journal of Music and Human Behavior
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    • v.8 no.1
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    • pp.61-81
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    • 2011
  • This study conducted a survey of 117 music therapy graduate students from four schools in their second through fifth semester who have sufficient clinical training experience to form a basis for satisfactory clinical training. The result shows that the respondents reported their highest satisfaction levels with their course and curriculum (3.78), followed by supervision (3.75) and clinical training (3.65). In general, students who did not major music as undergraduates showed higher satisfaction levels. The satisfaction level of students in the earlier stages of clinical training is generally high. However, it gradually decreases as they move to more advanced stages, and increases somewhat during the internship training period. The supervisor's role was a decisive factor in reported levels of satisfaction with supervision and clinical training, and the music therapy element was a decisive factor on the course and curriculum satisfaction level, This survey is meaningful as it paves the way for the development of more satisfactory clinical training, and offers important guidelines to students in terms of the kinds of talents and characteristics they should develop.

A Case Study of English Teacher Development through Online Supervision

  • Chang, Kyungsuk;Jung, Kyutae
    • English Language & Literature Teaching
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    • v.17 no.4
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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.

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The Report of Sensory Integration Treatment Course in The Korean Academy of Sensory Integration(KASI) (대한감각통합치료학회 주최 "치료과정" 보고)

  • Kim, Kyeong-Mi;Choi, Jeong-Sil
    • The Journal of Korean Academy of Sensory Integration
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    • v.4 no.1
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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.

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High degree of supervision improves adherence to inhaled corticosteroids in children with asthma

  • Park, Geun Mi;Han, Hye Won;Kim, Hee Se;Kim, Jae Youn;Lee, Eun;Cho, Hyun-Ju;Yang, Song-I;Jung, Young-Ho;Hong, Soo-Jong;Kim, Hyung Young;Seo, Ju-Hee;Yu, Jinho
    • Clinical and Experimental Pediatrics
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    • v.58 no.12
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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.

Improving the Role of the Teaching Hospital in the Clinical Clerkship (의과대학 학생 임상실습을 위한 교육병원의 역할 제고 방안)

  • Kim, Young Chang
    • Korean Medical Education Review
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    • v.17 no.1
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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.

Study on the Clinical Trial Practice of Drugs at the Designated Hospitals (국내 임상시험 실시기관의 의약품 임상시험 관리현황 분석)

  • Lee Eui-Kyoung;Jang Sun-Mee;Huh Soon-Im
    • Korean Journal of Clinical Pharmacy
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    • v.5 no.2
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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.

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Korean Music Therapy Students' Growth in Supervision: A Modified Grounded Theory (음악치료 전공생이 수퍼비전에서 경험하는 성장에 대한 연구)

  • Yun, Juri
    • Journal of Music and Human Behavior
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    • v.10 no.2
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    • pp.35-54
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    • 2013
  • The purpose of this study was to examine how Korean music therapy students experience growth under clinical supervision. The investigator conducted in-depth qualitative interviews with 9 students from 3 different universities in Seoul who had at least three semesters of clinical supervision. Data was analyzed using a modified grounded theory approach to construct the growth experience of music therapy supervisees. Results suggest that growth can be understood in terms of both personal and professional domains and includes four types of experiences: growth hindering, fostering, mediating, and revealing. In the personal domain, hindering factors are defensiveness, narcissistic trauma, avoidance and anxiety whereas growth fostering and mediating factors include reflection on self, musical self, unconscious drives and conflicting issues as well as self-driven problem solving skills. As a result, growth in the personal domain is associated with increased self-acceptance and self-awareness. Growth in the professional domain is hindered by having trust issues, performance anxiety, identity crisis, and being hypersensitive to the judgment of others. On the other hand, growth is fostered and mediated by opening the self and interacting more with others, building trusting relationships with peers and supervisors, and establishing a new relationship with music, which leads to improved attitude, increased motivation, and more efficient and effective training.

Qualitative Assessment of Breast Cancer Early Detection Services Provided through Well Woman Clinics in the District of Gampaha in Sri Lanka

  • Vithana, Palatiyana Vithanage Sajeewanie Chiranthika;Hemachandra, Nilmini Nilangani;Ariyaratne, Yasantha;Jayawardana, Pushpa Lalani
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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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.

A Survey of students' satisfaction on Oriental Dermatology Clerkship in oriental medical clinic (일반 한의원을 통한 한방 피부외과 임상실습 만족도 조사)

  • Lee, Hyun-Woo;Song, Min-Kyung;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.2
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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.