• Title/Summary/Keyword: graduate medical education

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Identification of Nursing Interventions in the Operating Room using the Perioperative Nursing Data Set(PNDS) (Perioperative Nursing Data Set(PNDS)를 이용한 수술실 간호중재 분석)

  • Kim Gyoung-Hui;Cho Bok-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.361-370
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    • 2003
  • Purpose: This study was done to identify nursing interventions performed by operating room nurses using the Perioperative Nursing Data Set (PNDS). Method: The data were collected from 88 operating room nurses, from August 1 to October 25, 2002 using the PNDS developed by the Association of Operating Room Nurses and translated into Korean. Nurses working in 2 university hospitals in Gwang-ju and 2 general hospitals in Seoul. Data were analyzed using the SPSS program. Result: There were 15 of 127 nursing interventions which the operating room nurses indicated were important and which they performed at least once a day. Conclusion: The operating room nurses consider interventions to prevent physical injury and patient centered care to be very important, but the performance rate for patient centered care was low. It shows that there is a need in education courses for patient centered care to be more strongly emphasized.

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Development of an Osteoporosis Awareness Scale for Women (골다공증에 대한 인지측정도구 개발)

  • Choi, Euy-Soon;Kim, Ju-Hu;Chung, Mi-Young;Hwang, Kyung-Hye
    • Journal of Korean Academy of Nursing
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    • v.38 no.6
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    • pp.813-821
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    • 2008
  • Purpose: This study was conducted to develop an instrument measuring awareness of osteoporosis. Methods: The process included construction of a conceptual framework, generation of 86 preliminary items, verification of content validity, selection of secondary items, verification of construct validity and extraction of final items. The 86 items were reviewed for content validity by two groups of experts and were tested to evaluate inter item correlation coefficient by two groups of adult women. From June to August 2007, data were collected from 383 adult women who lived in Seoul and provinces in Korea. Data were analyzed by performing item analysis, Varimax factor analysis and Cronbach's alpha. Results: There were 31 items in the final instrument categorized into 5 factors. The factors were labeled as "preventive behaviors (10 items)", "risk factors (5 items)", "characteristics of osteoporosis (6 items)", "improving bone health (5 items)", and "bone physiology (5 items)". Cumulative percent of variance was 60.92% and eigen values ranged from 1.20 to 12.44. Cronbach's alpha was .948 and ranged from .804 to .917. Conclusion: Validity and reliability of the scale are confirmed in this study showing its utility for measuring awareness of osteoporosis for women. Utilization of the scale will also contribute to designing an appropriate prevention program for osteoporosis.

Influencing Factors on Practice of Healthcare-associated Infection Control among Clinical Nurses (임상간호사의 의료 관련감염 관리실천 영향요인)

  • Yun, Ji-Young;Kim, Sun-Ok;Kim, In-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.4
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    • pp.208-218
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    • 2014
  • Purpose: The purpose of this study was to identify the factors influencing on practice of healthcare-associated infection control among clinical nurses. Methods: The subject of this study were 118 nurses who worked in medical surgical ward and ICU of 2 general hospital in Gwangju city. Data were collected with a questionnaire. Data were analysed using descriptive statistics, t-test, one-way ANOVA, Scheff$\acute{e}$ test, Pearson correlation and stepwise multiple regression analysis using SPSS/WIN 12.0. Results: The major findings of this study were as follow: There were significant positive correlation between knowledge, recognition, empowerment and practice of healthcare-associated infection control. The significant factors influencing practice of healthcare-associated infection control were recognition and empowerment, which explained 68.8% of the practice of healthcare-associated infection control. Conclusion: These results indicate that recognition on healthcare-associated infection control and empowerment among clinical nurses should be reinforcement via consistent education, administrative and organizational support at the level of hospital.

Stress, Coping and Social Support of Mothers of Children with Seizure Disorders (경련성 질환아 어머니의 스트레스, 대응 및 사회적 지지)

  • Park, Ho-Ran;Park, Seung-Hee;Koo, Hyun-Young
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.417-425
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    • 2006
  • Purpose: This study was done to investigate stress, coping and social support of mothers of children with seizure disorders, and to identify the relationship between these variables. Method: The participants were 105 mothers of children with seizure disorders. Data were collected through self-report questionnaires which were constructed to include stress, coping and social support. The data were analyzed using the SAS program. Result: Stress of mothers was significantly different according to number of times the child had been hospitalized and the mothers perception of the state of the child's health. Coping by mothers was significantly different according to religion, general health state and if mother knew the child's diagnosis. Social support for mothers was significantly different according to education level, monthly medical expenses and number of times the child had been hospitalized. Social support for mothers was correlated with stress and coping. Conclusion: The above findings indicate that coping in mothers of children with seizure disorder is related to social support. Therefore nursing interventions to reduce stress and improve coping should be provided for mothers of children with seizure disorder.

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Evaluation of Volumetric Texture Features for Computerized Cell Nuclei Grading

  • Kim, Tae-Yun;Choi, Hyun-Ju;Choi, Heung-Kook
    • Journal of Korea Multimedia Society
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    • v.11 no.12
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    • pp.1635-1648
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    • 2008
  • The extraction of important features in cancer cell image analysis is a key process in grading renal cell carcinoma. In this study, we applied three-dimensional (3D) texture feature extraction methods to cell nuclei images and evaluated the validity of them for computerized cell nuclei grading. Individual images of 2,423 cell nuclei were extracted from 80 renal cell carcinomas (RCCs) using confocal laser scanning microscopy (CLSM). First, we applied the 3D texture mapping method to render the volume of entire tissue sections. Then, we determined the chromatin texture quantitatively by calculating 3D gray-level co-occurrence matrices (3D GLCM) and 3D run length matrices (3D GLRLM). Finally, to demonstrate the suitability of 3D texture features for grading, we performed a discriminant analysis. In addition, we conducted a principal component analysis to obtain optimized texture features. Automatic grading of cell nuclei using 3D texture features had an accuracy of 78.30%. Combining 3D textural and 3D morphological features improved the accuracy to 82.19%. As a comparative study, we also performed a stepwise feature selection. Using the 4 optimized features, we could obtain more improved accuracy of 84.32%. Three dimensional texture features have potential for use as fundamental elements in developing a new nuclear grading system with accurate diagnosis and predicting prognosis.

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Correlation of Coffee Consumption, Lifestyle, and Nutrient Density (커피 소비와 생활습관 및 영양밀도의 관련성)

  • Kim, Sun-Hee;Han, Byoung-Duck;Yun, Mi-Eun
    • Journal of the Korean Dietetic Association
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    • v.25 no.2
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    • pp.115-128
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    • 2019
  • This study evaluated the nutrient intake with increasing coffee consumption for 403 adults aged over 30 years in Korea. The 403 subjects were national health screening examinees, who visited Sahmyook Seoul Hospital's Comprehensive Check-up Center between 2017.11.01 and 2018.12.18. The subjects were asked to answer questionnaires covering a 24-hour recall fluid and dietary intake before the health examination. The research ethics council of Sahmyook University (2-7001793-AB-N-012019036HR) approved this study. Coffee consumption exceeding two servings daily was more likely in males, in those aged between 30 and 40 years, and in the smoking, drinking, non-exercise, non-breakfast groups compared to each counterpart. The correlation between the coffee consumption frequency and current nutrient density showed negative correlations in most micronutrients. The mean nutrient density decreased gradually with increasing coffee consumption (<1 serving daily, ${\leq}1{\sim}2$ servings daily, >2 servings daily) in the ANOVA analysis. Therefore, the progressive adverse health effects of excessive coffee consumption needs to be researched further, and a daily total caffeine limit should be suggested in education of the nation levels.

Factors Related to the Experience of Dental Treatments Performed by Unqualified Dental Practitioners in Diabetes Mellitus: Results from The 2013 Community Health Survey (당뇨병 환자의 무자격자 치과시술 경험 관련요인: 2013 지역사회건강조사)

  • Oh, Ji-Hye;Lee, Young-Hoon
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.15-26
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    • 2018
  • Objectives : This study aimed to evaluate the factors related to the experience of unqualified dental practice. Methods : We interviewed 19,961 adults aged 30 years and over using the 2013 Community Health Survey data. To determine the independent factors related to experience of unqualified dental practice, odds ratios and 95% confidence intervals were calculated using multiple logistic regression analysis. Results : The experience of dental treatment by unqualified dentists was significantly higher in women, older people, families with less than 1 million won household income. It was lower scores in diabetes health education while The worse the subjective oral health and the required dental care was significantly higher in those who did not experience dental treatment. Conclusions : The likelihood of experiencing unqualified dental practice was higher in diabetes patients from vulnerable classes, such as women, the elderly, and those with poor educational background or low income.

Influences of Workplace Bullying, Social Support and Resilience on Retention Intention among Hospital Nurses: The Mediating Effect of Professional Quality of Life (병원간호사의 직장 내 괴롭힘, 사회적 지지, 회복탄력성이 재직의도에 미치는 영향: 전문직 삶의 질의 매개효과)

  • Kim, Jin Sun;Lee, Hang Shim
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.23-34
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    • 2021
  • Purpose: The purpose of this study is to examine the mediating effect of professional quality of life among hospital nurses in the effects of workplace bullying, social support and resilience on retention intention. Methods: A descriptive and cross-sectional study was conducted on 414 hospital nurses who worked for at least two months at a general hospital in the Seoul metropolitan area. The data were analyzed using IBM SPSS 23.0/AMOS 22.0 programs and employed reliability verification, descriptive statistics include frequency analysis, confirmatory factor analysis, structural equation modeling, and bootstrapping. Results: As a result of the study's structural modeling verification, workplace bullying had a negative effect, social support had a positive effect, resilience had a positive effect on professional quality of life, and professional quality of life had a positive effect on retention intention. Also, workplace bullying, social support, and resilience did not directly impact on retention intention. However, the professional quality of life had a complete mediating effect in the relationships between workplace bullying, social support, resilience and retention intention. The study results verified the mediating effect of professional quality of life affecting the retention intention. Conclusion: In order to improve professional quality of life and retention intention, strategies to prevent workplace bullying and promote social support and resilience are needed.

Effectiveness of the Infectious Disease (COVID-19) Simulation Module Program on Nursing Students: Disaster Nursing Scenarios

  • Hwang, Won Ju;Lee, Jungyeon
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.648-660
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    • 2021
  • Purpose: This study aimed to develop an emerging infectious disease (COVID-19) simulation module for nursing students and verify its effectiveness. Methods: A one-group pretest-posttest quasi-experimental study was conducted with 78 under-graduate nursing students. A simulation module was developed based on the Jeffries simulation model. It consisted of pre-simulation lectures on disaster nursing including infectious disease pandemics, practice, and debriefings with serial tests. The scenarios contained pre-hospital settings, home visits, arrival to the emergency department, and follow-up home visits for rehabilitation. Results: Disaster preparedness showed a statistically significant improvement, as did competencies in disaster nursing. Confidence in disaster nursing increased, as did willingness to participate in disaster response. However, critical thinking did not show significant differences between time points, and neither did triage scores. Conclusion: The developed simulation program targeting an infectious disease disaster positively impacts disaster preparedness, disaster nursing competency, and confidence in disaster nursing, among nursing students. Further studies are required to develop a high-fidelity module for nursing students and medical personnel. Based on the current pandemic, we suggest developing more scenarios with virtual reality simulations, as disaster simulation nursing education is required now more than ever.

Digitization of the Financial System in the World Economy

  • Sydorovych, Olena;Perchuk, Oksana;Fedyk, Mariana;Klymenko, Svitlana;Matviy, Igor;Chupryna, Liudmyla;Yaremko, Igor
    • International Journal of Computer Science & Network Security
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    • v.21 no.12spc
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    • pp.611-619
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    • 2021
  • This article is devoted to the study of digital finance development in the global economy. The study aims to show the digital finance development level in different states and its impact on their economic development. In the course of the study, three hypotheses are put forward: 1) increased spending on innovation contributes to the competitiveness of financial services; 2) digital technology makes the financial systems of states more developed; 3) the development of digital finance contributes to the competitiveness at the level of states. Correlation and regression analysis are applied for building the empirical study. The results of the study helped to understand the digital finance concept. It also shows the main stages of digital finance development, the digitalization rank of the countries, the impact of digitalization on the financial and economic sphere. According to the results of empirical analysis, it is confirmed that the countries that invest more in innovative technologies are more developed. Therefore, digitalization has a significant value for the financial system and has a synergistic effect on all areas of the economy.