• Title/Summary/Keyword: 임상실험

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Effects of the Lasater's Clinical Rubric of Debriefing in Advanced Cardiovascular Life Support Training (전문심폐소생술 교육에 Lasater의 임상판단 루브릭을 적용한 디브리핑의 효과)

  • Eun, Young;Bang, Sul-yeong
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.516-527
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    • 2016
  • The purpose of this study was to test the effects of the Lasater's debriefing on critical thinking disposition, problem- solving skills and clinical judgement of nursing students. The study design was a nonequivalent control group non synchronized design. The subjects were 60 students for 12 groups. They were randomly assigned to the experimental group (n=30) or control group (n=30). Critical thinking and problem-solving skills were measured using a self-administered questionnaire. Clinical judgement was measured by a Lasater's clinical judgement rubric. The Results of the study was : After Lasater's debriefing, the level of students' critical thinking, problem-solving skills and clinical judgment in experimental group were higher than the level of control group. Through this experiment the rubric of Lasater debriefing is an effective tool for clinical judgment, therefore we know that the future of simulation training is needed to use the Lasater's clinical judgement rubric of debriefing in simulation training.

Semi-Markov 모형에 기초한 다중상태 생존자료의 준모수적 분석

  • 여성칠
    • Communications for Statistical Applications and Methods
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    • v.5 no.3
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    • pp.777-792
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    • 1998
  • 병원의 임상연구실험에서 종종 환자들의 치료에 따른 병세의 호전상태를 여러단계로 분류하여 상이한 치료방법에 대한 치료효과간의 차이론 알고자 하는 경우가 있다. 이와 같이 다중상태의 생존자료를 분석하기 위해서 본 논문에서는 semi-Markov 모형에 Cox 회귀모형을 적용하여 회귀계수와 기저생존함수를 추정하고 이를 바탕으로 반응확률함수를 추정하였다. 그리고 본 논문의 결과를 실제 임상실험에서 얻어진 자료에 적용하여 분석하였다.

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Development and Effects of Simulation Educational Program for Nursing Students (간호대학생들을 위한 시뮬레이션 교육프로그램 개발 및 적용효과)

  • Im, Kyung Ja;Yang, Bok Sun;Kim, Yoon Lee
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.203-213
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    • 2018
  • Purpose. This study was conducted to identify effects of the high fidelity simulation for nursing students. Methods. A non-equivalent quasi-experimental design was used to experimental group (N=43) and control group (N=39) for 8 weeks, 5 times from September 26 to November 9, 2013. Clinical performance was measured by using standardized patients. Critical thinking was measured through the questionnaire and clinical judgement was measured through observation by Lasater's rubric. Results. Clinical performance (F=211.15, p<.001), critical thinking (t=3.00, p<.004) and clinical judgement (t=7.60, p<.001) were significantly higher in experimental group with simulation education program than control group. Conclusion. Simulation education program were effective to improve clinical performance, critical thinking disposition and clinical judgement for nursing students.

A Systematic Review of Clinical Trials on Alternative Medicine (대체의학의 임상실험 현황에 대한 체계적 고찰)

  • Cho, Hyun;Yoo, Jin-Yeong;Park, Soo-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.603-606
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    • 2010
  • 본 논문은 근거중심 대체의학의 현황과 범위를 알아보기 위한 것이다. 연구방법: 2000년부터 2010년 3월까지 Pubmed에 게재된 논문 중 alternative medicine으로 검색하여 체계적 고찰을 하였다. 2000년부터 2010년 현재까지 근거중심 대체의학에 대한 다양한 연구결과을 통합하기 위해 체계적 문헌고찰을 실시하였다. 682편의 연구 중 대체의학에 관한 임상연구는 19개였으며 연구전체 대상자는 2,573명이었다. 논문분석 결과 RCT(Randomized Controlled Trial) 실험 설계연구가 44%였으며 CCT(Controlled Clinical Trials)가 16%, OD(efficacy studies with either a controlled or an Other than controlled Design) 40%였다. 가장 많은 임상실험이 시행된 중재 방법은 Acupuncture과 Massage 였다. 대상 질병군 분포는 근골격계 및 결합조직의 질환과 관련된 '통증 완화'에 대한 임상연구가 20%, 다음으로 특정 감염성 및 기생충성 질환, 신생물이 각각 15% 순이었다. 근거중심 대체의학 현황을 파악하고자 체계적으로 고찰한 결과 대체의학을 통한 중재가 질병치료에 효과가 있는지에 대한 과학적 근거를 제시한 임상연구가 부족하다. 대체의학의 품질, 안정성, 유효성 확보를 위해 대체의학에 대한 질 높은 연구필요하며 근거중심 대체의학의 활성화가 필요할 것으로 생각된다.

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Effect of Strength Coaching Program for First Clinical Experience of Nursing Students (강점코칭 프로그램이 간호대학생의 첫 임상실습에 미치는 효과)

  • Hong, Ju-Young;Lee, So-Young
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.139-143
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    • 2020
  • Purpose: This study was conducted to examine the effects of a strength coaching program on nursing students' clinical competence, self esteem, and practice satisfaction. The study was designed using a nonequivalent control group pretest-post test design, and data were collected between January 7 and February 1, 2019. The participants consisted of 41, 3-year nursing students in G City who were assigned to an experimental group (n=21) or a control group (n=20). The data were analyzed using descriptive analysis, a t-test, χ2 test, and paired t-test with the SPSS/WIN 21.0 program. After receiving the strength coaching program, a difference was observed in self esteem(t=5.53, p<0.038), and practice satisfaction (t=7.66, p<0.019) of the experimental group. The results of this study indicate that the strength coaching program was effective at increasing self esteem and practice satisfaction in nursing students.

임상시험연구의 통계적 고찰

  • 박미라;이재원
    • Communications for Statistical Applications and Methods
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    • v.2 no.1
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    • pp.229-247
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    • 1995
  • 신뢰할만한 임상시험연구결과를 얻기 위해서는 통계학자가 임상시험연구의 준비단계에서부터 실험계획 및 연구의 운용, 분석은 물론 결과의 보고에 이르기까지 총체적으로 관여해야 한다. 의학전문가들과의 원활한 공동연구를 위해서는 통계학자들이 의학분야에서의 용어나 관례, 임상시험이 이루어지는 절차등에 대한 명확한 이해가 필요하게 된다. 이 논문에서는 임상시험에서 진행되는 제반문제에 대해 통계학자가 숙지해야 할 사항들에 대해 논의 하였다.

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Investigation on the modified continual reassessment method in phase I clinical trial (1상 임상실험에서 수정된 CRM에 대한 연구)

  • 강승호
    • The Korean Journal of Applied Statistics
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    • v.15 no.2
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    • pp.323-336
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    • 2002
  • In this paper we consider the modified continual reassessment method in which a cohort consists of three patients. Simulation has been a main research tool in the investigation of CRM. In this paper we propose complete enumeration as an alternative of simulation. Using new method we show that the expected toxicity rate at the MTD converges to the target toxicity rate well as the sample size increases.