• Title/Summary/Keyword: Clinical Data

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A HGLM framework for Meta-Analysis of Clinical Trials with Binary Outcomes

  • Ha, Il-Do
    • Journal of the Korean Data and Information Science Society
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    • v.19 no.4
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    • pp.1429-1440
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    • 2008
  • In a meta-analysis combining the results from different clinical trials, it is important to consider the possible heterogeneity in outcomes between trials. Such variations can be regarded as random effects. Thus, random-effect models such as HGLMs (hierarchical generalized linear models) are very useful. In this paper, we propose a HGLM framework for analyzing the binominal response data which may have variations in the odds-ratios between clinical trials. We also present the prediction intervals for random effects which are in practice useful to investigate the heterogeneity of the trial effects. The proposed method is illustrated with a real-data set on 22 trials about respiratory tract infections. We further demonstrate that an appropriate HGLM can be confirmed via model-selection criteria.

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Stress, Anxiety and Fatigue of Nursing Students in Clinical Practice (일 간호학생의 임상실습 스트레스, 불안 및 피로조사)

  • Kim, Chang-Sook;Kim, Ran;Kim, Young-Jae;Park, Myung-Hee;Park, In-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.151-160
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    • 2005
  • Purpose: The purpose of this study was to identify the levels of stress, anxiety and fatigue of nursing students in clinical practice, and the relationship among these variables. Method: Data was collected by structured questionnaires from 223 nursing students who have practiced at the hospital in Gwangju. Data was analyzed by using descriptive statistics, ANOVA, t-test and Pearson's correlation coefficient. Result: The mean score for stress was 3.87. The mean score for anxiety was 44.88. The mean score for fatigue was 30.79. There was a significant difference of stress according to student grade, practice unit, practice time, satisfaction of clinical practice. There was a significant difference of anxiety according to religion, health status, satisfaction of clinical practice, satisfaction on nursing. There was a significant difference of fatigue according to religion, health status, practice time, satisfaction of clinical practice, selective motivation on nursing, satisfaction on nursing. Conclusion: This study revealed that there was a significant correlation among stress, anxiety and fatigue of nursing students in clinical practice.

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Ego Resilience, Problem Solving Process and Clinical Practice Competency in Nursing Students (간호대학생의 자아탄력성, 문제해결과정 및 임상수행능력)

  • Park, Yeong Sook;Kwon, Yunhee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.3
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    • pp.341-350
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    • 2013
  • Purpose: This study was done to identify the relationship among ego resilience, the problem solving process and clinical competency in nursing students. Methods: Data were collected by questionnaires from 265 nursing students in D city. Measures were ego resilience, problem solving process and clinical competency. Data was analyzed using frequency analysis, t-test, one-way ANOVA, person's correlation coefficients, and multiple regression analysis with SPSS/WIN 19.0 version. Result: The Ego resilience score of subjects was 2.80 out of a perfect score of 4, the problem solving process score of subjects was 3.12, and the clinical competency score of subjects was 3.49 out of a perfect score of 5. There was a significant positive correlation among ego resilience, problem solving process and clinical competency. The significant predictors of problem solving process and clinical competency were ego resilience. Conclusion: These findings indicate that there is a need to increase ego resilience to improve the problem solving process and clinical competency of nursing students. The results should be reflected in the development of effective curricula.

Influencing factors on attitude, stress and satisfaction in clinical practice (교내임상실습 및 현장임상실습의 참여태도, 만족도, 스트레스에 영향을 미치는 요인)

  • Jang, Mi-Hwa;Kim, Ju-Hu
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.407-415
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    • 2014
  • Objectives : The purpose of this study is to investigate the influencing factors on attitude, satisfaction and stress in clinical practice in dental hygiene students. Methods : The subjects were 304 dental hygiene students living in Suwon. The data were collected from 2012 to 2013 by a self-reported questionnaire. The data were analyzed using SPSS. Results : Clinical practice showed good results in attitude, satisfaction and stress than that in the classroom. Satisfaction in the classroom practice was proportional to clinical practice. The contents, learning management system, and the assessment tool in the classroom influenced on the dental clinical practice. As the dental clinic practice became stressful, the students tended to have negative feelings for the practice. Conclusions : In order to provide the best clinical practice contents to the dental hygiene students, it is important to prepare the best combination of the contents, learning management system, and the assessment tool in the classroom.

Influence of Clinical Nurse Specialists' Emotional Intelligence on Their Organizational Commitment and Turnover Intention (전문간호사의 정서지능이 조직몰입과 이직의도에 미치는 영향)

  • Sung, Young-Hee;Hwang, Moon-Sook;Kim, Kyeong-Sug;Chun, Na-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.3
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    • pp.259-266
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    • 2010
  • Purpose: The purpose of this study was to identify the influence of clinical nurse specialists' emotional intelligence on their organizational commitment and turnover intention. Methods: A descriptive study with second data analysis was conducted with permission. The original data was from the policy research on the status of clinical nurses with extended role hosted by the Hospital Nurses Association in 2007. Results: The mean score of emotional intelligence, organizational commitment, turnover intention were 58.66 (${\pm}6.63$), 46.71 (${\pm}3.54$), 12.87 (${\pm}3.98$) respectively. Emotional intelligence had 40% positive influence on organizational commitment (F=50.58, p<.01, adj.$R^2$=.16) and 24% negative influence on turnover intention (F=16.68, p<.01, adj.$R^2$=.06). Conclusion: The results recommend to develop a program that enhances clinical nurse specialists' emotional intelligence. The program could be utilized as an institutional retention strategy to increase clinical nurse specialists' organizational commitment and decrease their turnover intention.

Impact of DISC Behavioral Styles on Job Satisfaction and Clinical Competencies among Newly Hired Nurses (신규간호사의 DISC 행동유형이 직무만족과 업무수행능력에 미치는 영향)

  • Mun, Mi Yeong;Hwang, Seon Young
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.1
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    • pp.43-52
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    • 2015
  • Purpose: In this study, behavioral styles of Dominance, Influence, Steadiness, and Conscientiousness (DISC) were examined and differences in job satisfaction and clinical competence among newly hired nurses were explored. Methods: For this explanatory correlational research, 176 newly hired clinical nurses were recruited from three university hospitals and one general hospital located in Seoul and Gyeonggi province. Data were collected in August, 2013 though self-report questionnaires. Results: The distribution of behavioral styles was 11.4%, 42%, 29% and 17.6% for Dominance, Influence, Steadiness, and Conscientiousness respectively. DISC behavioral styles were associated with sub-areas of job satisfaction such as professional position and doctor-nurse relationship. DISC behavioral styles were significantly associated with the total score for clinical competence and sub-areas of data collection, basic nursing skills, critical thinking, education and leadership, and attitudes toward professional development and practical skills. Multiple linear regression analysis showed that DISC behavioral styles predicted clinical competence (Adj. $R^2$=.14, F=9.42, p<.001). Conclusion: A focus on cultivating influential and steady behavioral styles among newly hired nurses can be helpful in improving job satisfaction and clinical competence. There is a need to improve interpersonal relationships through a deeper understanding of each person's behavioral style based on the analysis of DISC behavioral styles.

The Relationship of Clinical Competency and Self-directed Learning in Nursing Students (간호학생의 임상수행능력과 자기주도적 학습의 관계)

  • Yang, Jin-Ju;Park, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.2
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    • pp.271-277
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    • 2004
  • Purpose: The purpose of this study was to identify the relationship of clinical competency and self-directed learning in nursing students. Method: This study was conducted at two nursing colleges with students in a 2 year undergraduate nursing program. Data were collected from 182 students by means of self reporting questionnaires from October 1 to October 8, 2004. The data were analyzed by SPSS 10.0 PC programs using descriptive statistics, one-way ANOVA, Pearson correlation coefficient. Result: The questionnaire of students' clinical competency consisted of nineteen items based on a five point summated rating scale and was categorized into six subscales by factor analysis. The six subscales are nursing process, major nursing intervention, education for clients, observation and physical examination, and fundamental nursing. The more adaptable to major, the higher clinical competency (F= 3.406, p= .035) and self-directed learning (F= 7.444, p= .001). There was a positive correlation between students' clinical competency and self-directed learning (r= .367, p= .001). Conclusion: we concluded that future research should explore strategies for the development of self-directed learning to improve clinical competency of nursing students.

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The Mediating Effect of Self-Efficacy in the Relationship between Emotional Intelligence and Clinical Performance among Nursing Students (간호대학생의 감성지능과 임상수행능력 간의 관계에서 자기효능감의 매개효과)

  • Kim, Mi Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.4
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    • pp.504-513
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    • 2016
  • Purpose: The purpose of this study was to identify the mediating effect of self-efficacy in the relationship between emotional intelligence and clinical performance in nursing students. Methods: Data were collected through structured questionnaires between March 1 and March 25, 2016. Study participants were 223 fourth year nursing students in B and K metropolitan city. Data were analyzed using t-test, ANOVA, Scheffe' test, Pearson's correlation coefficients, and hierarchical multiple regression with SPSS WIN v 18.0. Results: The mean scores of emotional intelligence was $3.85{\pm}0.43$, self-efficacy was $3.25{\pm}0.40$, and clinical performance was $3.63{\pm}0.51$. There were significant positive correlations between emotional intelligence, self-efficacy and clinical performance. There were partial mediating effect of self-efficacy in the relationship between emotional intelligence and clinical performance. Conclusion: In order to enhance nursing students' clinical performance, strategies for intervention development such as stimulating emotional intelligence and motivation by self-efficacy are necessary.