• 제목/요약/키워드: Academic Medical Center

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연구 및 진료에서의 이해상충 (Conflicts of Interest in Research and Clinical Practice)

  • 신지훈
    • 대한영상의학회지
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    • 제83권4호
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    • pp.771-775
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    • 2022
  • 최근 의사들이나 연구자들은 진료나 연구에서 독자적으로 수행하기보다는, 회사, 연구기관, 보건의료기관, 및 학술 저널의 관련인들과 관계를 맺게 된다, 혹은 그들이 관련 회사에서의 자문 및 주주 참여 등과 같은 다중적 이해관계(multiple interests)를 가지기도 한다. 그러한 이해관계가 연구자의 의사결정에 지대한 영향을 미치는 경우 이해상충이 발생할 수 있다. 이해상충은 연구 진실성을 침해하여 피험자나 환자를 위험에 빠뜨리기도 하고 공공에 대한 위험을 초래할 수 있고 과학에 대한 대중의 인식을 악화시킬 수도 있기에 매우 중요한 문제라고 할 수 있다. 이 종설에서는 이해상충의 개념과 구체적인 사례 및 이에 대한 해법을 살펴보고자 한다.

한국 간호교육의 실제와 문제점 - 전문대학 교육과정 - (A Study on Present States of Nursing Education - Junior College of Nursing -)

  • 박춘자
    • 한국간호교육학회지
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    • 제1권1호
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    • pp.24-31
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    • 1995
  • This study was attempted to identify the present state of the Junior College of Nursing such as philosophy of education and goal of education. The study was based on the data from 17 Junior colleges of nursing. The survey was conducted from Jun. 21st to 30th. 1994. Data was analyzed by percentage. The results of this .study was summarized as follows : 1. The number of Junior college of nursing is 44, the number of graduates is 776, and the rate of employment is 97.3% in 1993. 2. 6 of 17 schools present the philosophy of education and the chief concepts of them were idea of establishment, human being, health, environment, nursing, nursology, nursing education and nurses. The most frequent presented general goal of the education was to train professional nurse (64.7%). The most concrete goal of the education was fostering of the competence and quality of students to enhance self development which based upon scientific thinking and skillful activities. (58.8%). The average total credit was 142.3(range of 133 to 155). The average liveral art credit was 27.2 and major credit was 104.1. The credit of clinical pracetice was 20.6 (1153.6 hours). 3. The most important problems of Junior College of Nursing was multiprogram of nursing edcuation. It should be unionized into 4 year program. 4. There should be a good nursing curriculum and philosophy which meet the modern nursing concept and diversional social needs.

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비의료인에게 실시한 심폐소생술 교육의 효과 (The Effect of a CPR Training for Non-Healthcare Providers)

  • 오윤희;김복자
    • 한국간호교육학회지
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    • 제11권2호
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    • pp.278-286
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    • 2005
  • Purpose: The purpose of this study was to find out the effectiveness of the CPR training for non-healthcare providers by checking the performing ability of the subjects before and after the teaching class. Method: This study was a single primary experimental study designed with pre and post test. Study subjects were 37 office staffs who participated in all test from March, 10th, 2005 to April, 18th, 2005. The tools of this study were CPR performing evaluation sheet and CPR teaching computer program. Data analyzed by descriptive statistics, t-test, repeated ANOVA and Bonferroni with SPSS 12.0 program. Result: The CPR practice performing ability statistically significant increased by the step of test. The CPR practice performing ability of learning experience group had significantly high score than non experience group. The self-confidence about CPR practice when faced emergency situation was increased after practice training. Conclusion: One to one CPR practice teaching method using simulation by CPR teaching specialists was turned out to be very effective in improving the ability of CPR practice of non-healthcare providers in a tertiary hospital than self-study.

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남자 간호 대학생의 직업 가치관에 대한 주관적 구조 (Study on Male Nursing College Students' Subjectivity in Their Attitude toward Jobs)

  • 두현정;김윤숙
    • 한국간호교육학회지
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    • 제14권2호
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    • pp.167-175
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    • 2008
  • Purpose: The purpose of this study was to explore the structure and characteristics of male college nursing students' personality-based career attitudes. Method: The Q-methodology was used to identify factors in male nursing students' personality-based career attitudes. A Q sample was collected from literature reviews (Kim & Kim, 2005). The subjects consisted of 30 male nursing students. Result: The results of the study show that male nursing students can be categorized into four types. The five factors extracted all had eigen values greater than 1.0 and explained approximately 50.84% of the variation in responses (32.62, 7.59, 5.70 and 4.93% respectively). The categories were labeled 'Repair intention style', 'Belief intention style', 'Stability intention style', and 'Self-regulation intention style'. Conclusion: Through a process that analyzes subjective structure, male nursing students' personality based career attitudes create occupational consciousness, professional accomplishment and professional ethics as a nursing profession. Content of curriculum and development of a reasonable and realistic course consultation program should be done.

보건소 등록 고혈압 환자에게 실시한 사례관리 프로그램의 효과 (The Effect of Case Management Program for Hypertensive Patient)

  • 정정순;이선옥
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.321-331
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    • 2014
  • Purpose: The purpose of this study was to investigate the effects of case management service for hypertensive elderly patients through the customized visiting home health care program. Method: Non-equivalent control group pretest-posttest design was employed. Data were collected from April 2007 to January 2009. Among a total of fifty subjects, 25 subjects were belonged to the case management group and the others were belonged to the general management group. Results: 1) In experimental group, significant increasing rate of number of people within normal blood pressure by time, but no significant increasing rate of number of people within normal blood neutral fat, total cholesterol, HDL, & LDL. 2) In experimental group, the score of knowledge about disease and healthy life practice were increased on 8 week period but decreased on follow up period. Number of people within normal blood HDL and mean score of healthy life practice were significantly higher than control group on follow up period. Conclusion: Case management service was effective on controlling blood pressure but partly effective on blood lipid, knowledge about disease, and healthy life practice in hypertensive patients. Further study is needed to conduct a periodic re-evaluation of the effect of case management and to verify an optimal interval to provide the case management service.

호스피스 자원봉사자의 감성지능, 소진탄력성 및 생의 의미 간의 관계 (The Relationships among Emotional Intelligence, Resilience to Burnout, and Meaning in Life of Hospice Volunteers)

  • 김경옥;유명숙
    • 가정간호학회지
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    • 제25권1호
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    • pp.78-86
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    • 2018
  • Purpose: The purpose of this study was to identify the relationships among emotional intelligence, resilience to burnout, and meaning in life of hospice volunteers. Methods: Data were collected through structured questionnaires from 200 hospice volunteers who were working at hospitals for six months or longer. Data were collected from March 7 to March 31, 2016, and analyzed using descriptive statistics, independent t-tests, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SPSS WIN 22.0. Results: There was a statistically significant correlation between emotional intelligence, resilience to burnout and meaning in life. The significant predictors of hospice volunteers' meaning in life were resilience to burnout(${\beta}=.47$), emotional intelligence(${\beta}=.15$), educational level(college, ${\beta}=.11$), religion(protestant, ${\beta}=.12$; buddhism, ${\beta}=-.15$), and motivation for neighborhood service(${\beta}=.16$). These variables explained meaning in life up to 50.2%. Resilience to burnout was the greatest effective factor on meaning in life. Conclusion: These results suggest a need to develop programs that improve hospice volunteers' emotional intelligence and resilience to burnout. Also, educational level, religion, and service motivation of hospice volunteers should be considered.

내.외과계 간호사의 통증 관리에 대한 지식 및 태도 (Pain Management Knowledge and Attitude of Internal Medicine and Surgery Stream Nurses)

  • 송승순;박재순
    • 가정간호학회지
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    • 제17권1호
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    • pp.55-62
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    • 2010
  • Purpose: This study investigated the sought to identify the pain management knowledge and attitude of nurses in internal medicine and surgery stream wards and intensive care units to obtain basic information needed for improved pain control. Method: Data was collected through self-reported questionnaires and analyzed by descriptive statistics, t-test and ANOVA using SPSS Win 12.0. Results: Pain management knowledge score averaged 51.1 out of 100, with significant differences evident depending on age, marital status, educational level, position, total work career, working department and cancer care-giving experience. Pain management attitude score averaged 2.9 out of 4, and significant differences were evident depending on age, marital status, educational level, position, total work career, working department, cancer care-giving experience, education experience and number of patients treated. Conclusion: Further studies are necessary to develop effective nursing knowledge and attitude education programs and evaluation such as discussion by cases, workshops, system of expert help for uncontrollable pain or a multi-disciplinary pain management task force. In addition, patient satisfaction level with pain management should be assessed and the responses reflected practically.

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경력개발시스템 경력단계별 수술실 간호사 업무수행능력 비교 (Comparison of Nursing Performance by Career Levels in a Nurse Career Ladder System)

  • 김명숙;박성애
    • 한국간호교육학회지
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    • 제18권2호
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    • pp.284-292
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    • 2012
  • Purpose: This study was to compare nursing performance by career levels in a career ladder system. Methods: This survey was conducted with 140 OR staff nurses. Ten unit managers evaluated their own staff with a performance evaluation tool composed of 51 items. Data were analyzed by frequency, t-test, one-way ANOVA, ${\chi}^2$-test, and ANCOVA. Results: In career level CN II, nursing performance showed differences by personal characteristics. However, there was no significant difference in level CN III. CN IIIs' nursing performance was significantly higher than CN IIs' in all domains. Nursing performance of CN III was significantly higher than CN IIs' in 5 to 10 years of clinical experience. Although there was no significant difference in other clinical experience groups, CN IIIs' scores were always higher than CN IIs' Conclusion: The results indicate that nursing performance improves with career ladder advancement. Organizations should encourage advancement to higher levels and eliminate obstacles.

병원 내 전문 간호 교육 과정 현황 조사 (A Survey of Specialized In-Service Educational Programs in Hospitals in Korea)

  • 김선애;박광옥;김영분;김복순;최은성;변은경;정효지
    • 한국간호교육학회지
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    • 제15권2호
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    • pp.205-215
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    • 2009
  • Purpose: This paper was intended to identify various kinds of specialized in-service educational programs in the hospital. Method: The data was collected from June to July, 2006. The subjects were 67 general hospitals in Korea. Result: Specialized in-service educational programs were present at 36 general hospitals. Thirty-three programs were operating in the field of intensive care nursing. The purposes of specialized in-service education programs were to improve the quality of nursing care. Conclusion: Since the clinical nurse specialist was legally established in 2005 in Korea, various kinds of specialized in-service education programs for nurses are needed under the organized framework of the career development system.

가정전문간호사의 비판적 사고성향과 임상의사결정능력과의 관계 (Relationship between Critical Thinking Disposition and Clinical Decision-Making Abilities in Home Health Advanced Practice Nurses)

  • 최성미;이미경
    • 가정간호학회지
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    • 제21권2호
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    • pp.147-155
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    • 2014
  • Purpose: Clinical decision-making carried out by nurses is a complex process that influences the quality of care provided and various patient outcomes. This study examined the relationship between critical thinking disposition and clinical decision-making abilities in home health advanced practice nurses. Method: The study had a non-experimental correlational design. Data were collected from 100 home health advanced practice nurses in 20 hospitals. Results: The mean critical thinking disposition score was $3.69{\pm}.39$ out of 5 and the mean score for clinical decision-making abilities was $3.48{\pm}.22$ out of 5. In this correlation analysis, a significant positive correlation (r=.58, p<.001) was found between critical thinking disposition and clinical decision-making abilities of home health advanced practice nurses. Conclusion: In order to improve the clinical decision-making ability of home health advanced practice nurses, we need to improve their critical thinking disposition. In order to make this change, appropriate training program are needed to increase the critical thinking disposition and clinical decision-making abilities of home health advanced practice nurses.