• Title/Summary/Keyword: 임상판단

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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.

Producing and Updating Digital Map of Forest Stands Using Digital Stereo Images (수치입체영상을 이용한 임상도의 제작 및 갱신)

  • 조우석;정한용;이영진
    • Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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    • 2003.04a
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    • pp.369-376
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    • 2003
  • 정보화사회에서 필수적인 사회간접자본으로 간주되고 있는 지리정보체계는 국토공간의 효율적인 이용 및 관리, 재해예방 등 다양한 분야에서 활용되고 있다. 특히, 전 국토의 2/3 이상을 차지하고 있는 산림은 환경적 가치의 확산에 따라 산림정보의 체계적인 관리를 위해 지리정보체계의 활용이 급증하고 있다. 본 연구에서는 수치사진측량 방법을 이용하여 수치임상도의 효율적인 수정 및 갱신방법을 제시하였고, 이를 실제작업에 적용함으로서 적합성을 검증하였다. 이를 위해 연구 대상지역의 항공사진 영상과 IKONOS 위성영상을 이용하여 수치임상도를 갱신함으로서 임상의 판독정확도, 임상의 위치 정확도, 에피폴라영상 제작과정에서 소요되는 제작시간 및 제작 숙련도, 제작비용 등을 비교, 분석함으로서 사용되는 수치영상의 적합성 여부를 판단하였다. 이러한 비교 결과를 토대로 위성영상을 이용하는 방법이 기존의 방법이나 항공사진을 이용한 방법에 비해 보다 효과적인 방법임을 판단할 수 있었으며, 고해상도 위성영상을 이용한 임상도 제작 및 갱신방법이 항공사진이 갖는 판독상의 문제점과 제작과정의 복잡함을 보완할 수 있는 방안이 될 수 있을 것으로 판단된다.

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Effects of Simulation-based Clinical Reasoning Education and Evaluation of Perceived Education Practices and Simulation Design Characteristics by Students Nurses (간호학생을 위한 시뮬레이션기반 임상추론 교육의 효과 및 설계특성과 교육상황 인식 평가)

  • Hur, Hea Kung;Song, Hee-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.206-218
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    • 2015
  • This single-blinded, nonequivalent control group pretest-posttest study was undertaken to evaluate the effectiveness of simulation education on clinical judgement, collaboration, communication skills, and perceived education practices and simulation design characteristics among student nurses in Korea. Participants were 47 students (19 in the experimental group and 28 in the control group) recruited by convenience sampling. The simulation based clinical reasoning education consisted of seven weekly, 120-minute high fidelity simulations. All participants completed the pretest and 7-week post measurements of a clinical judgment, collaboration, and communication skills with 4-week post measurement of collaboration, and participants in the experimental group provided a measurements of perceived education practices and simulation design characteristics. Data were analyzed using repeated measured ANOVA, and mixed linear model with SAS 9.2. Significant improvements were found in the experimental group for clinical judgment, collaboration, communication skill, and perceived education practices and simulation design characteristics. The study results show the impact of the perceived education practices and simulation design characteristics on facilitating the effectiveness of simulation education. The findings suggest a feasible and sound teaching method for student nurses and the need for further studies with a larger sample.

A Study of on the Forest Map Update Using Orthorecified High Resolution Satellite Imagery Data (고해상도 정사위성영상을 이용한 임상도 수정에 관한 연구)

  • 성천경;조정호
    • Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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    • 2004.03a
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    • pp.571-577
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    • 2004
  • The operational availability of multispactal high-resolution satellite imagery, opens up new possibilities for updating forest stand map. Compared with information acquired by traditional methods (Panchromatic Aerial Photo), these data offer a number of advantages, In this study used 1m resolution and 4 band multispectral, which are capability to update forest map of kind of tree. Therefore, high-resolution satellite imagery is good method for updating forest map in the future.

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Analysis of Students' Clinical Judgment Process During Nursing Simulation (간호시뮬레이션에서 나타나는 임상판단과정 분석)

  • Shim, Kaka;Shin, Hyunsook;Rim, Dahae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.130-138
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    • 2018
  • This study was a descriptive study, analyzing the clinical judgment process that occurs in a simulation of practice education for nursing students applying to LCJR. Subjects were two nursing college students in S city. Fever scenario and apnea scenario, including mock patient, were implemented. Data collection was conducted between September, 2013 and December, 2014. Data analysis was performed using descriptive statistics, paired t-test, and Pearson's correlation of PASW statistics 18.0 program. The result of this study revealed that the clinical judgment scores of nursing college students were 30.50 for males and 29.32 for females. Nursing Clinical judgment score for the apnea scenario was higher than the score for the febrile scenario, and nursing students' self-evaluation and professors' evaluation showed a significant correlation with respect to the responding domain. In comparison the student and faculty ratings, domain of interpreting and domain of reflecting were significant This study will provide educators with foundational knowledge of program development to enhance nursing students' clinical judgment abilities. We suggest more discussion on their nursing practice and judgment during debriefing session may be beneficial for students.

Outlier detection using Grubb test and Cochran test in clinical data (그럽 및 코크란 검정을 이용한 임상자료의 이상치 판단)

  • Sohn, Ki-Cheul;Shin, Im-Hee
    • Journal of the Korean Data and Information Science Society
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    • v.23 no.4
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    • pp.657-663
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    • 2012
  • There are very small values and/or very big values which get out of the normal range for survey data in various fields. The reasons of occurrence for outlier are two. One of them is the error in process of data input and the other is the strange response of the respondent. If the data has outliers, then the summary statistics such as the mean and the variance produce misleading information. Therefore, researcher should be careful in detecting the outlier in data. In particular, it is very important problem for clinical fields because the cost of experiment is very high. This article introduce the Grubb test and Cochran test to detect outliers in the data and we apply this method for clinical data.

A Review for Concept Clarification of Critical Thinking, Clinical Reasoning, and Clinical Judgment in Nursing Education (간호교육에서의 비판적 사고, 임상적 추론, 임상적 판단 개념의 고찰)

  • Lee, Dongsuk;Park, Jiyeon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.3
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    • pp.378-387
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    • 2019
  • Purpose: This article is a comprehensive review for concept clarification of critical thinking, clinical reasoning, and clinical judgment, which still lack a consensus and are of mixed use. Methods: Norris's method of concept clarification was used to review concepts that have no clear definition or conceptualization yet. Results: This review summarized literature from various disciplines, classified each concept based on similarities and differences, and provided hypothetic conceptual schema. Conclusion: Clinical reasoning and clinical judgment are clinical situation specific concepts, while critical thinking is a concept applied in general situations. Critical thinking is a broader concept and serves as a foundation for clinical reasoning and clinical judgment. Clinical reasoning precedes clinical judgment. Clinical judgement implies the end point or conclusion of clinical reasoning. Each of critical thinking, clinical reasoning, and clinical judgment is a cognitive and affective process not a psychomotor process. The concept of clinical competency involves action taken after the cognitive processes of clinical reasoning and clinical judgment.

중풍의 증형 진단을 위한 판별모형

  • Sin, Yang-Gyu
    • Journal of the Korean Data and Information Science Society
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    • v.7 no.2
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    • pp.283-287
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    • 1996
  • 본 연구는 중풍에서의 한의학의 풍부한 임상자료들에 대한 객관적이고도 논리적인 자료처리방법 및 변증으로부터 증형을 추론할 수 있는 통계적 방법을 연구하고자 한다. 중풍 전문의에 의해 수집된 65명의 환자들의 임상자료로부터 다변량 자료 분석의 하나인 판별분석을 이용하여 증후로부터 증형을 판단할 수 있는 수리적 판별모형을 구축하였다. 구축된 모형은 중풍 전문가 시스템을 개발하기 위한 기초가 될 것이다.

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