• Title/Summary/Keyword: satisfaction with clinical practice

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Associated Factors in Pediatric Nurse Parent Partnership (아동간호사의 환아 부모와의 파트너십 영향요인)

  • Choi, Miyoung;Kim, Jisoo
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.176-184
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    • 2014
  • Purpose: The purpose of this study was to investigate pediatric nurse parent partnership and factors associated with this partnership. Methods: A survey was conducted with 158 nurses working in pediatric practice at one of 7 hospitals in Seoul, Incheon, and Chungcheongbuk Province. Data were collected from September to December 2013, and analyzed with SPSS Windows 21.0. Results: In hierarchial multiple regression analysis, self-efficacy (${\beta}$=.19, p=.016), clinical decision making (${\beta}$=.15, p=.046), and empowerment (${\beta}$=.29, p=.001) were associated with pediatric nurse parent partnership, after adjusting for marital status, children, education, position and satisfaction with work unit. These factors accounted for 44.0% of the variance in the pediatric nurse parent relationship. Conclusion: These results suggest that pediatric nurse parent partnership could be influenced by the predictors. Ultimately, intervention programs focusing on these factors should be effective in helping pediatric nurses improve partnership with parents.

Survey on Nursing Care Delivery Systems of University Affiliated Hospitals in Korea (종합전문요양기관의 간호전달체계에 대한 실태조사 연구)

  • Kim, So Sun;Chae, Gye Soon;Kim, Kyeong Nam;Park, Kwang Ok;Moon, Seong Mi
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.167-175
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    • 2010
  • Purpose: This study investigated nursing care delivery systems in 44 university affiliated hospitals and satisfactions with the systems perceived by 226 unit managers (head nurses) of general medical surgical wards. Methods: Data were collected with questionnaires consisting of checklists asking the unit managers their nursing care delivery systems and their satisfactions with the systems. Results: Four models of nursing care delivery systems (primary, modified primary, team, and functional models) were drawn from the participants' responses. Among the four key models 35% of the units adopted team model whereas 24.3% adopted primary model and 22.6% adopted modified primary model. In spite of 35% of team model being under use, 60.6% (n=137) of the unit managers answered the nursing delivery system of their units as team model and only 6.2% (n=14) answered their units having primary or modified primary models, instead of 46.9% combining both. In regard to the satisfaction, critical thinking ability of staff nurses (members in their units) was the most dissatisfactory area regardless of models of service delivery. Conclusion: Introducing team model supplemented with core concepts of primary model (primary team delivery model) into nursing practice will reform the workplace and therefore deliver safe health care services to patients.

Convergence Awareness and Ethical Attitudes about DNR of Nursing Students (간호대학생의 DNR에 대한 융합적 인식 및 윤리적 태도)

  • Oh, Yun Jeong;Lee, Eun Mi
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.63-72
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    • 2017
  • This study was identify the awareness and ethical attitudes of DNR in nursing college students and use it as basic data to help patients with DNR. The results of the questionnaire were collected from June 1, 2016 to July 10, 2016 and analyzed using SPSS 23.0 program. As a result of the analysis, the recognition of DNR was in favor of the necessity of DNR, the decision of DNR by patient and family will, and the need for documented guidelines. Ethical attitudes favored decisions made by the patient's will, range of treatment, explanation, and guidance, and opposed decisions made by the primary care physician and reduced provision of basic care. Ethical attitudes according to general characteristics were significantly different according to grade, clinical practice experience, educational experience on ethical values, educational experience on DNR, satisfaction with life, and values for death. Based on the results of this study, more follow - up studies are needed to establish the criteria for DNR.

A Survey on Working Present Status of Physical Therapiests in Korea (한국 물리치료사들의 근무 현황조사)

  • Rha Ki-Yong;Oh Young-Taek;Moon Hyang-Mi;Bae Sung-Soo;Jeon Jae-kyun
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.229-239
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    • 1998
  • The purpose of this article is to identify real problems and to have a view of the future in Korean physical therapy of it through the survey. Moreover we make a statement for the justification acquiring the rights of practing Physical therapiests with this fundamental data. The survey was conduced on 368 employed physical therapiests males 164. tamale 190 in korea from April t to 30 in 1998 with self-administered questionnaire. The following results were obtained : 1. Of the 323 cases, $121(37.46\%)$ work in local clinics, $55(17.02\%)$ in hospitals, $103(31.89\%)$ in general hospital and $21(9.60\%)$ in rehabilitation centers or public welfare facilities. 2. In investigation of annual salary, the most common annual salary was more than 20million won in male$(22.61\%)$ and $12\~14$million won in female$(35.36\%)$ 3. The age group of $27\~29$ years accounted for $32.32\%$ in male and $24\~20$ years accounted for $46.77\%$ in female of the total physical therapiests are the highest. 4. In job satisfaction, $44.5\%$ of physical therapiests who work in general hospital are generally satisfied and $25\%$ are 5. The periods of clinical practice for which physical therapiests expect to devote are 164$(44,81\%)$ consider less than 10years, and $67(18.31\%)$ expect 20years. 6. The problems of physical therapy system in korea are deviated administration of a cantral executive committee$(39.94\%)$ and excessive production of resistered physical therapiests.

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The Effect of Medical Interview Course in Korean Medical School (한의학교육에서의 의학면담 교육 효과)

  • Kim, Na-Hyeong;Cha, Ho-Youl;Shin, Sang-Woo;Hong, Jin-Woo
    • The Journal of Korean Medicine
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    • v.33 no.1
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    • pp.121-135
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    • 2012
  • Objectives: This article describes the effectiveness of, and student satisfaction with, the medical interview course. Methods: In the years 2010 and 2011, forty-two students took the medical interview course at the School of Korean Medicine, Pusan National University. The evaluation of the course was conducted using student questionnaires. Results: The students believed that learning medical interview skills was very helpful, and there was an increase in the number of students who thought they could improve their skills by learning the medical interview course contents. Also, they have come to feel that 'building a relationship' is the most important skill in the medical interview process. We used experiential teaching methods such as doctor-patient role-playing, and the students rated that method better than others. In addition, the students responded that the appropriate time to take a medical interview course is in the middle of a clinical practice. They also thought that the current credit value of the course was appropriate. Moreover, the students wanted to add some specific contents about specialized communication skills for Korean medical treatment. Conclusions: The medical interview course received a favorable evaluation from the students who finished the course. Among the course contents, they were most concerned with building the doctor-patient relationship. Also, they preferred experiential teaching methods more than didactic methods. The current timing and credit value of the medical interview class was evaluated as appropriate, and the students felt that communication skills specific to Korean medical treatment need to be taught. Therefore, we conclude the medical interview course is important and is worth considering as an independent course.

Mandibular implant overdenture using milled bar attachment on implants with unfavorable fixture angulation: A case report (불량한 식립 방향을 갖는 임플란트를 이용한 하악 Milled Bar 임플란트 피개의치수복 증례)

  • Seo, Yong-Ho;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.401-406
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    • 2016
  • Implant overdenture exhibits higher retention, masticatory function, and patient's satisfaction compared to conventional dentures. Particularly, in treatment of severe alveolar bone resorption, implant overdenture can be considered as the first treatment option. The types of attachments used for implant overdenture can be classified into solitary type, which implants are not connected to each other, and bar type in which implants are connected. In the case of solitary type commonly used in clinical practice, parallel relationship is important. When it is not established, there is a higher risk of attachment wear, retention loss, and frequent visits for maintenance. In this case, satisfactory results have been obtained with implant overdentures using milled bar on two unparallel implants placed on the mandible.

Development of a Problem-Based Learning Module for Preschoolers' Growth & Development (학령전기 아동 성장발달의 PBL 모듈 개발)

  • Lee, Myung-Nam;Son, Hae Kyoung
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.393-405
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    • 2018
  • Problem-Based Learning (PBL) is a student-centered pedagogy that integrates nursing knowledge, skills, and attitudes into clinical nursing practice. This pilot aims to apply a PBL module on preschoolers' growth and development in the nursing curriculum. This quantitative study was performed to develop a PBL module following Dick and Carye's program development process (planning, development, application, and evaluation phases), and to evaluate its effects using structured questionnaires among sophomore nursing students. These students formed teams of four or five people each and spent 40 minutes participating in the PBL module. Data were analyzed using descriptive statistics, t-tests, and content analysis. Metacognition level increased significantly. There was no significant difference in team efficacy between pre-test and post-test. Post-test learning satisfaction was high. Students reported obtaining knowledge and problem-solving ability with respect to preschoolers' growth and development and were satisfied with teamwork. This finding offers fundamental knowledge concerning the application of a PBL module in nursing curricula.

Convergence lnfluencing Factors on Disaster Nursing Core Competencies of Nursing Students (일 지역 간호대학생의 재난간호핵심역량에 미치는 융합적 영향요인)

  • Oh, Yun-Jung
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.77-84
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    • 2022
  • The aim of this study was to identify the convergence influencing factors on disaster nursing core competencies of nursing students. The subjects of this study surveyed 187 nursing students in D city with a structured self-report questionnaire. Data were analyzed by the SPSS 18.0 program, t-test, ANOVA, correlation and multiple regression. The disaster nursing core competencies average mean score was 3.15(±0.40). Grade and satisfaction of clinical practice were the significant factors related to disaster nursing core competencies in these subjects. Disaster nursing core competencies was positively correlated with disaster perception, disaster attitudes and self-efficacy. The influencing factors on disaster nursing core competencies were self-efficacy(β=0.276), disaster attitudes(β=0.200) and grade(β=0.172). The explanatory power of these variables was 19.1%. Therefore, it is necessary to develop disaster related curriculum and subjects that can improve the disaster nursing core competencies based on the important factors affecting the disaster nursing core competencies.

The Value of Computed Tomography Scan in Three-dimensional Planning and Intraoperative Navigation in Primary Total Hip Arthroplasty

  • Fabio Mancino;Andreas Fontalis;Ahmed Magan;Ricci Plastow;Fares S. Haddad
    • Hip & pelvis
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    • v.36 no.1
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    • pp.26-36
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    • 2024
  • Total hip arthroplasty (THA) is a frequently performed procedure; the objective is restoration of native hip biomechanics and achieving functional range of motion (ROM) through precise positioning of the prosthetic components. Advanced three-dimensional (3D) imaging and computed tomography (CT)-based navigation are valuable tools in both the preoperative planning and intraoperative execution. The aim of this study is to provide a thorough overview on the applications of CT scans in both the preoperative and intraoperative settings of primary THA. Preoperative planning using CT-based 3D imaging enables greater accuracy in prediction of implant sizes, leading to enhancement of surgical workflow with optimization of implant inventory. Surgeons can perform a more thorough assessment of posterior and anterior acetabular wall coverage, acetabular osteophytes, anatomical landmarks, and thus achieve more functional implant positioning. Intraoperative CT-based navigation can facilitate precise execution of the preoperative plan, to attain optimal positioning of the prosthetic components to avoid impingement. Medial reaming can be minimized preserving native bone stock, which can enable restoration of femoral, acetabular, and combined offsets. In addition, it is associated with greater accuracy in leg length adjustment, a critical factor in patients' postoperative satisfaction. Despite the higher costs and radiation exposure, which currently limits its widespread adoption, it offers many benefits, and the increasing interest in robotic surgery has facilitated its integration into routine practice. Conducting additional research on ultra-low-dose CT scans and examining the potential for translation of 3D imaging into improved clinical outcomes will be necessary to warrant its expanded application.

Effect of Non-contact Korean Medical Treatment for Patients Recovering at Home with Positive Coronavirus Disease 2019 Diagnostic Test Results at a Local Public Health Center: A Retrospective Chart Review (지역 보건소에서 시행한 코로나 바이러스 감염증-19 진단 검사상 양성인 재택치료 환자의 비대면 한의진료 효과: 후향적 차트 리뷰)

  • Jeon, Chaeheun;Choi, Daejun;Kim, Gyeongmuk;Kim, Hyejin;Leem, Jungtae;Chi, Gyoo-yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.4
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    • pp.130-137
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    • 2022
  • Due to the coronavirus disease 2019 (COVID-19) pandemic, appropriate management of sequelae and treatment of infectious symptoms became increasingly important healthcare issues. Although the practice guidelines and treatment cases based on the East Asian traditional medicine have been reported, there are rare studies on the use of Korean medicine in Korea. Therefore, this study aimed to present the progress of non-contact Korean medical treatment for infected patients at a local public health center using retrospective chart review. A total of 18 patients were prescribed with 5 days of herbal decoction and medicine extract covered by the national health insurance. With the questionnaire form, the progression and improvement of symptoms before and after treatment were evaluated using the numerical rating scale (NRS), and the treatment satisfaction and opinions were obtained. The symptoms such as cough (5.56±2.23 to 2.89±2.14), sputum (6.11±1,75 to 3.28±2.47), sore throat (6.06±2.70 to 1.47±1.62), anorexia (5.56±2.63 to 1.94±2.21), nausea (3.75±1.71 to 1.17±1.11), diarrhea (3.40±2.63 to 1.50±1.51), chest tightness (4.93±2.46 to 2.29±2.30) and fatigue (6.44±1.79 to 2.67±1.88) all improved according to the NRS, and the satisfaction with herbal medicine treatment on a 5-point Likert scale was 4.24±0.90. No side effects and adverse reactions were reported. Thereupon non-contact Korean medical treatment can be concluded that it effectively reduces the COVID-19 infection mild symptoms in restrictive extent. Since the retrospective data does not include a control group, the more confirmative data is needed by multicenter and large-scale controlled clinical study afterwards.