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The Effects of Preclinical Clinical Performance Examination on Nursing Students' Confidence in Nursing Skills and Critical Thinking Competence (임상실습 전 임상수행능력평가(CPX)가 간호대학생의 핵심기본간호술 자신감과 비판적 사고능력에 미치는 효과)

  • Park, Jeong Sook;Choi, Mi Jung;Jang, Soon Yang
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.1
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    • pp.75-85
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of preclinical clinical performance examination (CPX) on nursing students' confidence in their nursing skills and critical thinking competence. Methods: The design of this research was one-group pretest-posttest, and the participants were 112 nursing students. The preclinical CPX consisted of a clinical examination, patient-nurse relationship, oral test of related knowledge, written test of the nursing process, and debriefing using comprehensive scenarios based on real patient cases. The confidence of nursing skills consisted of an 8-item NRS and the critical thinking competence consisted of a 12-item 4-point scale developed by researchers and measured in both the pretest and posttest. The collected data were analyzed using paired t-tests, ANOVA, and Pearson correlation coefficients. Results: The score for confidence in nursing skills (t=10.60, p<.001) and that for critical thinking competence (t=7.03, p<.001) increased significantly after preclinical CPX. Conclusion: This study showed that preclinical CPX was effective in improving nursing students' confidence in their nursing skills and critical thinking competence. Therefore, preclinical CPX is expected to be utilized in nursing practice education. Additional studies including those on control groups are recommended to compare differences between the preclinical CPX group and control group.

Analysis of the statistical validity of clinical effectiveness data of a systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent (Insadol) (경구용 옥수수불검화정량추출물 치료제(인사돌)의 임상적 유효성 데이터의 통계적 타당성에 대한 연구)

  • Choi, Yong-Geun;Eckert, Steven E;Lee, Jeong-Yol;Shin, Sang-Wan
    • The Journal of the Korean dental association
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    • v.53 no.7
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    • pp.476-484
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    • 2015
  • Purpose: This study intended to analyze the validity of clinical effectiveness data of clinical trials testing systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent. Material and Methods: Among 5 clinical trials claimed as proof of clinical effectiveness on the Web site of the manufacturer of this chemotherapeutic agent, a review of 4 clinical trials, written in either Korean or English, was conducted. Data were extracted from studies for the following variables: year of publication, age, sample size, follow-up period, combination with contemporary periodontal treatments, randomization, randomization check, blinded measurement, and statistical test type. Results: The study subjects' age intervals were too diverse to decide a common target population to generalize the findings. No study stated clearly the rationale for the sample size determination. Follow-up period to observe the start of clinical effectiveness was inconsistent and decided without any rationale of pathophysiological latent period. Randomization to make the comparisons on the same start line was performed but failed in a study. Randomization effect was not checked in 4 studies. Performance of blinded measurement of clinical outcomes to prevent bias was unclear in 2 studies. Type of statistical test was inappropriate in 3 studies. Conclusions: Based on the analysis of the validity of data on clinical and demographic variables, the four available clinical trials have not demonstrated compelling evidence of therapeutic effectiveness of systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent to improve prognosis of periodontal disease either with the contemporary periodontal treatment or without it.

Industrial Fatigue and Low Back Pain of the Nurses in General Hospital (종합병원 간호사들의 피로자각증상과 요통)

  • Kim, Soon Lae;Cho, Tong Ran
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.2
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    • pp.162-168
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    • 1999
  • To investigate industrial fatigue and low back pain, the questionaire survey for subjective symptoms of fatigue and low back pain was carried out 305 nurses in general hospital in Korea. Nurses participated to this study were divided into low back pain group(LBP) and control group, according to the self-reports by written questionaires. The subjective sysptoms of fatigue comprised three groups of 10 items each, representing dullness and sleepiness(level of cerebral activation), difficulty in concentration(level of motivation) and bodily projection of fatigue. The resultant data were processed for $x^2$-test, t-test to confirm the associations. The results were as follows: 1. 28 items of fatigue subjective symptoms exept two item, 'feel thirsty and 'feel ill', were directly associated with low back pain. 2. The percentage of fatigue complaint were significantly higher in LBP group than control. 3. Of the 30 items of fatigue subjective symptoms, the highest percentage was accounted for 'legs feel heavy', 'eye strain', 'feel stiffness in the neck or the shoulders' followed by 'feel like lying', 'whole body feels tired', 'feel a pain in the low back', 'feel drowsy' and in the order of sequence. 4. The average weighted score for the first group of fatigue items(dullness and sleepiness) was the largest among three groups and was followed by the second group(difficulty in concentration) and the third group (bodily projection of fatigue) in the order of sequence, suggesting the heavier mental and shift work stress of the female workers.

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Study of 'Education-Training-Certificate of Qualification' Design for the Fashion Accessories Production Based on the National Competency Standards (패션소품생산 분야의 국가직무능력표준 기반 교육훈련자격 설계에 관한 연구)

  • Suh, Seunghee;Lee, Shin-Young
    • Journal of the Korean Society of Costume
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    • v.65 no.2
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    • pp.125-143
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    • 2015
  • This study is to propose an 'education-training-certificate of qualification' design of fashion accessories production, which can be applied to education in universities and individuals. It is based on the National Competency Standards (NCS), which was developed through the '2013 National Competency Standards Development Project' for the fashion accessories production. FGI (Focus Group Interviews), which is a research methodology, is carried out on target groups of educational experts and specialists in the field of fashion accessories production. Through this, five courses were suggested; first, 'fashion accessories design' course was proposed for the education and training of 'design development' and 'development of raw materials'. Secondly, 'fashion product production' course was proposed for the education and training of 'production of samples'. Thirdly, 'fashion product manufacture and planning' course was proposed for the competency element units: 'calculation of cost', 'determination of mass production model and price', 'planning of the main manufacturing process' and 'ordering of raw materials'. Lastly, 'mass production of fashion products' course and the 'field practice of fashion product manufacture' course were proposed for the competency element units: 'planning for mass production', 'preparation for mass production', 'mass production' and 'inspection of completed products'. In addition, a new certificate of 'technician of fashion accessory production' was proposed in order to test qualified skills for the fashion accessories production. The test is composed of a written examination of short-answer questions, technical drawing and production.

A Study on Characteristics of Socially-Handicapped Children (사회적 장애아의 특질에 관한 연구)

  • 이혜원
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.91-100
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    • 1973
  • I. Objectives of the study This study attempted In examine, from a pedagogical point of view, how socially-handicapped children differ from normal ones in their family backgrounds, personality-traits. adaptability to school life, and their peer relationship. This study was made under the following hypothesis; 1. The family background of socially-handicapped children is less desirable than that of normal ones. 2. Personality traits of socially-handicapped children are less desirable than those of normal ones. 3. Socially handicapped children tend to be less adaptable to school life than normal ones. 4. Peer-relationship of socially-handicapped children is less desirable than of normal ones . II. Contents of study The thesis consists of the following five main parts; 1. Introduction 2. Related Studies 3. Procedure 4. Results 5. Summary and Conclusions III. Instruments The following instruments were used for this study; 1. Family background record prepared by the school. 2. Questionnaire prepared by the writer. 3. General personality test (written by Kim Ki-Suk and published by Korean Testing Center). 4. School activity record. 5. Sociocratic test. IV. The following conclusions were derived from the study 1, As compared with normal children, socially-handicapped ones have, in many cases, larger number of siblings, their families belong to lower economic bracket: their parents were indifferent to their children, and their mothers were less educated. 2. As compared with normal children, socially-handicapped ones are emotionally unstable, although they are the same as normal children in their sense of dominancy, responsibility, sociality, and confidence. 3. As compared with normal children, socially-handicapped ones are tardy in their learning, although they are almost the same as normal ones in their intelligence development. 4. As compared with normal children, socially-handicapped ones make friends more easily with pupils of other classes and schools rather than those of their own class or school.

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A Research on Inpatient Perception of Kindness on Nurse (입원환자가 지각하는 간호사의 친절에 관한 연구)

  • Kang Hyun-Sook;Kim Il-Won;Kim Won-Ock;Jang Kwang-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.2
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    • pp.259-271
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    • 1996
  • This reserch has been done in order to improve quality of nursing and medical service. In order to improve those qualities the study has been done to know inpatient perception of kindness and meaning of kindness which patients receive from nurse and also what effect inpatient have when they experience kindness from nurse. The subjects were 454 people who admitted in K Hospital. Time period was from October to December 1995. This survey has been done by personal interview with a written questionnaire. Analysis of data has been done by $X^2-test$ and percentage. The results of the research may be summarized as follows. 1. The inpatients perception of kindness on nurse were explanation(26.8%), tolerance(16.3%), warm-heartedness(12.8%), interest(9.5%), ability(8.4%), confidence(6.4%), respect(4.0%), support(2.65%). 2. In order to find out general moaning of kindness, study classified by age, sex, education, job, experience of hospitalization, inpatient ward. As a result of $X^2-test$, no special meaning of kindness was presented in inpatient perception of kindness. 3. Contents kindness which inpatient experienced were, warm-heartedness(23%), understanding(18.1%), interest(17.8%), ability(12.8%), tolerance(5.7%), confidence(2.6%), 4. Over half of subjects(59.1%) answered stability to effect on kindness of Nurse. Next are self-confidence(7.9%), respect(5.3%), confidence(4.6%), warm-heartedness(3.5%), understanding(2.6%). According to above results inpatient feels that meaning of kindness were explanation, tolerance, warm-heartedness. This meaning has no distinctive difference other than consistent meaning. Likewise, inpatient experience about contents of kindness is similar to meaning of kindness. As a result of this research, which show that kindness of nurse gives patient stability, respect and confidence, we would kindness is important for recovery of inpatient. Therefore, this research outcome could be able to help to improve quality of nursing and medical service.

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Note on a Method for Mathematical Creativity Assessment by Differentiating the Student's Solutions of the Posed Problems (문제해결 방법의 차등화를 통한 수학적 창의성 평가에 대한 소고)

  • Kim, Pan Soo;Kim, Nan Young
    • Journal of Elementary Mathematics Education in Korea
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    • v.17 no.3
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    • pp.503-522
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    • 2013
  • In the 2009 new curriculum reform, where creativity is the key point, assessment methods for mathematical creativity is recommended. However, lessons for creativity are not carried out well in mathematics classes. One of the reasons for this is the lack of assessment methods for student's creativity and specific instructions on how teachers should evaluate their students using a written test. Therefore, in this paper, we propose a simple way to evaluate student's creativity by differentiating the student's solutions of the posed problems. For validation of the proposed method, we identified the properties of excellent problem solutions cited by both the students group and teachers group. A chi-square test was then carried out to compare any differences in frequency that each of the groups chose as an excellent solution as a result of the student's problem solving

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Interaction Between Bronchiolitis Diagnosed Before 2 Years of Age and Socio-Economic Status for Bronchial Hyperreactivity

  • Leem, Jong-Han;Kim, Hwan-Cheol;Lee, Ji-Young;Sohn, Jong-Ryeul
    • Environmental Analysis Health and Toxicology
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    • v.26
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    • pp.11.1-11.6
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    • 2011
  • Objects: The prevalence of asthma has increased in recent decades globally. The objective of the present study is to elucidate whether hospitalization for bronchiolitis in infancy and low socioeconomic status interact for bronchial hyperreactivity during teenage years. Method: We studied 522 children age 13-14 years attending schools in rural and urban areas to investigate the risk factors for bronchial hyperreactivity (BHR), defined as a provocation concentration of methacholine that causes a decrease of 20% ($PC_{20}$) in forced expiratory volume within 1 second. Clinical examination, skin prick test, spirometry, and methacholine challenge were performed on all study subjects, who provided written consent. We used multivariate logistic regression to investigate the risk factors for BHR, and analyze the interaction between hospitalization for bronchiolitis in infancy and low socioeconomic status. Results: Forty-six (10.3%) positive BHR cases were identified. In the multivariate logistic analysis, as independent predictors of BHR, adjusted odds ratio of bronchiolitis diagnosed before 2 years of age in low income families was 13.7 (95% confidence interval, 1.4 to 135.0), compared to reference group, controlling for age, gender, parental allergy history, skin prick test, and environmental tobacco smoke (ETS) exposure. Interaction was observed between bronchiolitis before 2 years old and low socioeconomic status on children's bronchial hyperreactivity (p-interaction=0.025). Conclusions: This study showed that bronchiolitis diagnosed before 2 years of age and low socioeconomic status interacted on children's bronchial hyperreactivity. Prevention of acute respiratory infection in early childhood in low socioeconomic status is important to prevent BHR as a precursor of asthma.

Short-term Clinical Observation of the Early Postpartum Low Back Pain in the Korean Medical Hospital (한방치료를 받은 출산 초기 산모의 요통 경과 고찰)

  • Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.2
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    • pp.174-184
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    • 2012
  • Objectives: The purpose of this study was to observe the early postpartum low back pain and pelvic girdle pain in the Korean medical hospital for 2-weeks. Methods: Fifty-one postpartum women who admitted for postpartum care in Korean hospital from December 3rd, 2011 to January 31st, 2012 had written out pain measurement questionnaires(SF-MPQ, VAS, ODI) three times for 2-weeks. SPSS 18.0 for Windows was used to analyse the data and the independent samples t-test, paired T-test were used to verify the results. Results: 1. Evaluation of low back pain within the first week after birth was as follows: SF-MPQ sensory area was $5.06{\pm}4.41$ points; SF-MPQ emotional areas was $0.86{\pm}1.34$ points; VAS mean was $3.79{\pm}2.02$ points; and ODI mean was $10.27{\pm}6.69$. 2. Early postpartum low back pain and pelvic girdle pain were significantly decreased in SF-MPQ, VAS, and ODI after 2-weeks(p < 0.01). 3. Age, birth type, parity, weight, and BMI increased during pregnancy does not affect the postpartum low back pain and pelvic girdle pain. Conclusions: The top 10% of postpartum low back pain scale was 10.8 points or more in the sensory area of SF-MPQ, and 3 points or more in the affective area of SF-MPQ. In the case of VAS, it was more than 7 points, and ODI was more than 21.8 points. Postpartum back pain with oriental medical treatment was significantly improved.

The Report of Preschool Vision Screening (미취학 아동에 대한 집단시력검사 보고)

  • Lee, Dong-Jin;Hwang-bo, Min;Kwon, Kang;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.2
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    • pp.68-77
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    • 2013
  • Objectives : This study reports a massive vision screening on preschool children of Yangsan city in Kyungnam Province. Methods : From March to July 2012, we conducted vision and color test on 1,409 preschool children aged from one to six and used Auto Kerato-Refractometer(KR-8900) on children with naked vision below 0.5 in order to detect the cause of poor vision. Written form of test result is filled and distributed to each parents. Uncooperative 195 children were excluded and the rest were statistically analyzed by using SPSS version 18.0 program. Results : 16 children(1.1%) had dyschromatopsia and the number of boys was threefold higher than that of girls. The average visual acuity was 0.8 to 0.9 regardless of age. 45 children(3.8%) showed myopia, 82 children showed hyperopia(6.8%), 4 children showed anisometropia(0.3%), among which 16 children were wearing glasses. Conclusions : This study has a great significance that a massive preschool vision screening was carried out by Korean medicine hospital for the first time.