• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.482-492
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• 2016

본 연구는 응급구조학과 학생들의 구급차 동승실습으로 구축된 구급활동일지를 바탕으로 응급환자의 지역별 특성을 파악하고, 지역 간의 출동거리와 현장도착시간 간에 의미있는 영향이 있는 지를 알아보고자 하였다. A대학 4학년 학생 총 31명이 서울, 대전, 충남 및 세종지역의 소방서에서 4주간의 실습으로 얻어진 총 1133개의 구급활동일지를 후향적으로 분석하였다. 연구결과 환자평가 중 맥박, 호흡수, 산호포화도는 모든 지역에서 80%이상을 실시하고 있었다. 중증도 분류에 있어서는 대전이 응급으로 표시한 경우가 가장 많았으나 환자에 대한 응급처치는 모든 지역에서 단순한 기본적인 처치가 대부분이었다. 신고부터 현장까지 도착하는 시간은 서울이 평균 5분 40초(${\pm}$2분 25초)로 가장 빨랐고, 충남세종은 10분 이상 걸리는 경우도 35.7%에서 나타났다. 주된 신고 이유는 서울과 대전에서는 질병이었고, 충남은 손상의 비율이 높았다. 이러한 결과는 응급구조학과 학생들의 실습지역에 따라 실습내용이 다소 차이가 있을 수 있어 실습기준에 대한 표준지침이 필요할 것으로 사료되며, 빠른 시간내에 적절한 응급처치를 받을 수 있는 119 안전센터의 배치나 구급차 배치를 고민하고, 지역별 구급의 질 적 차이를 최소화하기 위해 노력해야 할 것이다.

• 한국응급구조학회지
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• 제17권3호
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• pp.101-113
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• 2013

Purpose: The purpose of this study was to provide an appropriate direction for effective field practice program by analyzing the influencing factors on satisfaction of field instructor in ambulance ride practice of paramedic students in Korea. Methods: The questionnaires were filled out by 204 paramedic students from July 22 to September 13, 2013. The collected data were analyzed with SPSS WIN 19.0 program. Results: The stepwise multiple regression analysis revealed that the most powerful predictor of satisfaction of field instructor was sincerity of directions. A combination of sincerity of directions (38.2%), achievement(15.4%), improvement of knowledge(3.9%) 4-week field practice(3.0%), 2 week field practice(1.6%), 4 grade(1.8%) pre-expectation of field practice(1.8%) accounted for 65.6% of the variance in paramedic students. Conclusion: We proposed the effective field practice program as well as sincerity of directions of field instructors. It is necessary to discuss before ambulance ride practice within the faculty and the field instructors.

• 한국임상보건과학회지
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• 제7권2호
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• pp.1266-1274
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• 2019

Purpose: The purpose of this study was to provide an appropriate direction for effective field practice program by analyzing the influencing factors on satisfaction in ambulance ride practice of paramedic students in Korea. Methods: This study analyzed of 180 paramedic students from 20th to 30th september, 2019. The collected data were analyzed with MedCalc 18.1.0 program. Results: The results of the satisfaction of ambulance riding practice according to the degree of procedure practice are as follows. Satisfaction was high in all groups except the practice time. The lowest satisfaction rate was seen in the category of'There were many cases of applying theories learned at college'within the variable of practice environment(2.82±0.82). The factors affecting the satisfaction of ambulance riding practice were the nurse (β=-0.1472, p=.024) and emergency medical technician(β=-0.3318, p=.002) according to the ambulance worker qualification paramedic, and the practice score (β=0.0048, p<.001). Conclusions: For effective ambulance riding practice, it is necessary to be able to select the practice place where many cases can be experienced, the appropriate selection of the practice leader, and the degree of procedure practice.

• 한국응급구조학회지
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• 제18권1호
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• pp.67-81
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• 2014

Purpose : The purpose of the study is to provide the basic data for preceptorship education program development by analyzing the recognition and acceptance concerning the introduction of preceptorship to ambulance ride practice of 119 EMT-paramedics in Korea. Methods : A self-reported questionnaire was filled out by 157 paramedics in the fire fighters from December 21, 2013 to February 12, 2014. The questionnaire consisted of 31 questions and the data were analyzed by SPSS version 21.0. Results : Most of the subjects answered the positive choice and were very interested in the introduction of preceptorship in the prehospital settings. Mean of preceptorship acceptance level was 3.64 points in 5 points Likert scale and 75.4% of the subjects were able to explain the preceptorship. 57.4% of the subjects considered that preceptorship was an effective training method. Conclusion : Most of the subjects agreed that the preceptorship is very important to the education of paramedic students. The preceptorship education program development will be the basis of ambulance ride practice.

• 한국응급구조학회지
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• 제20권2호
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• pp.21-35
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• 2016

Purpose: This study aims to investigate awareness and performance of infection control during ambulance attendant training, and to provide basic data for infection control. Methods: The subjects were 235 paramedic students who completed ambulance attendant training. There were 51 questions. The infection control dimension was divided into hand washing, personal protective equipment use, and environmental management, for each sub-dimension, awareness and performance were measured by a 4-point scale. The collected data were analyzed using SPSS statistics ver. 22.0. Results: A total of 95.3%, of the subjects completed an orientation for ambulance attendant training and 71.7% received education on infection. In all three sub-dimensions, hand- washing (p<.001), personal protective equipment use (p<.001), and environmental management (p<.001), awareness scored higher than performance. The awareness of infection control showed a significantly positive correlation (r=.394) with performance. Conclusion: In order to improve performance of infection control, education to improve awareness should be provided, and paramedics with higher performance levels in hand washing, and use of gloves and masks wearing should be assigned as training advisors.

• 한국응급구조학회지
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• 제19권3호
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• pp.87-101
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• 2015

Purpose: The purpose of this study was to provide an appropriate direction for an effective field practice program by analyzing the factors related to practical procedures in the ambulance ride practice of paramedic students in Korea. Methods: Questionnaires were answered by 202 paramedic students from March 28 to April 15, 2014. The collected data were analyzed with SPSS WIN 18.0 program. Results: The general level of procedural exposure during ambulance ride practice was 59.0% on average. Considering the practice of specific areas, vital sign checking, patient assessment, and oxygen supply showed relatively high percentages of 92.3%, 77.4% and 72.6%, respectively, whereas the areas of fluid and drug, airway, and cardiopulmonary resuscitation recorded relatively low percentage of 25.8%, 24.1% and 50.2%, respectively. The level of direct practice was significantly high in the group that included the largest number of paramedics. Conclusion: For an effective field practice, the place of practice needs to have various cases of patients to ensure a wide experience of procedures during the practice, and ambulance workers with a high level of expertise should be selected to ride with students.