• Title/Summary/Keyword: Clinical Data

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Critical thinking disposition, stress of clinical practice and clinical competence of nursing students (간호학생의 비판적 사고성향과 임상실습 스트레스 및 임상실습수행능력)

  • Kim, In-Sook;Jang, Youn-Kyoung;Park, Su-Ho;Song, So-Hyeon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.337-345
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    • 2011
  • Purpose: This study was done to identify the relationship among Critical Thinking Disposition (CTD), stress of clinical practice and clinical competence in Korean nursing students. Methods: Participants were 407 baccalaureate nursing students (3rd and 4th grades) in Korea. Variables included CTD, stress of clinical practice, clinical competence, and demographic variables. Data was analyzed by frequencies, t-test, ANOVA, Pearson's correlation and multiple regression. Results: Clinical competence positively correlated with CTD, but negatively correlated with stress of clinical practice. The regression model explained 25.6% of clinical competence. The significant predictors of clinical competence were intellectual eagerness, intellectual fairness in CTD, conflict with patients, and clinical environment in stress of clinical practice. Conclusions: CTD and stress of clinical practice contribute to nursing student's clinical competence. Therefore, efforts to encourage nursing student's CTD, increase stress management skills, especially in conflict with patients, and build a supportive clinical environment should be made to strengthen clinical competence.

A Survey Study on Clinical Practice of Clinical Laboratory Science Students (임상병리과 학생들의 임상실습에 관한 의식조사 연구)

  • Shim, Moon-Jung
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.233-238
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    • 2004
  • This study was conducted to investigate an attitude related to clinical laboratory science students' clinical practice. Data for this analysis was gathered from March to May, 2004 by the questionnaires of 348 students who are in their third year in 5 colleges and have experienced clinical practice. The students were satisfied with the term of clinical practice (70.4%) and the first factor influencing them in clinical practice was sincerity (45.1%), and the second was basic knowledge (19.8%). In the contents of clinical practice, 53.2% were satisfied but 43.3% of them showed negative responses because their practice was limited and they were simply assistants. 74.1% were satisfied after experiencing clinical practice and the first factor was improvement of understanding and interest in their major (65.9%) and the second was the gain of confidence (20.1%). Among anxieties in the clinical practice, a shortage of self-confidence (47.7%) was the highest. 81.3% of them wanted to maintain medical technologist's life continuously. It appeared that the more satisfied with their major, the more satisfied with the clinical practice (p<0.05). As a result, the students were satisfied with the clinical practice and fresh experience generally. But they were relatively unsatisfied with the practicality, and connection with the lecture. As a part of efforts to formulate an effective system for clinical practice, it is necessary to establish concrete goals and detail check lists to guide these students among professors, trainers and students.

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Ego-Resilience and the Clinical Competence of Nursing Students (간호대학생의 자아탄력성과 임상수행능력과의 관계)

  • Lee, Eun Kyung;Park, Jin Ah
    • Journal of Korean Public Health Nursing
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    • v.27 no.2
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    • pp.293-303
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    • 2013
  • Purpose: This study was performed to understand the relationship between ego-resilience and the clinical competence of nursing students. Methods: The subjects were 291 juniors and seniors who received clinical training from nursing universities in Gyeongsang, Jeolla, and Chungcheong. General characteristics, main study variables were analyzed using descriptive statistics such as frequency, percentage, mean, standard deviation; ego-resilience and clinical competence by general characteristics were analyzed using t-test, ANOVA; correlations between ego-resilience and clinical competence were analyzed using Pearson correlation coefficients. Results: The mean score for ego-resilience was 3.44; and the mean score for clinical competence was 3.71. The data showed a positive correlation between ego-resilience and clinical competence. Conclusion: According to the results, there is a correlation between clinical competence and the ego-resilience of nursing students. Therefore, to enhance clinical competence, a follow-up study on the development of a program for advanced ego-resilience is needed.

Clinical Judgment Force and Nursing Performance Satisfaction by Application of Simulation-based Myocardial Infarction Education (시뮬레이션 기반한 심근경색증 상황 교육 적용에 따른 임상판단력과 간호수행자신감)

  • Shin, Seung-Ok
    • Journal of the Korean Society of Industry Convergence
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    • v.22 no.6
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    • pp.721-727
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    • 2019
  • The purpose of this study is to investigate the relationship between clinical judgment and nursing performance based on myocardial infarction simulation applied to nursing students. Method: 39 fourth grade nursing students participated in this explanatory study with sampling of accommodations. The Lasater Clinical Judgment Rubric has been used in self-reported clinical trials and satisfaction with judging practices. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficient using SPSS WIN 19. Results: Scenarios with myocardial infarction were scored by self-reported clinical judgment. Total mean score of clinical judgment and total mean value of clinical judgment is 4.17 ± 0.80. Correlation Between Variables After Simulation Practice is highly significant for providing positive clinical judgment and satisfaction with nursing performance. Conclusion: The simulation-based practice associated with adult nursing in myocardial infarction was useful for clinical judgment and nursing performance satisfaction, which improved the core basic skills of nursing students.

Effect of clinical practice of dental hygiene students on professional identity (임상실습이 치위생 전공학생의 전문직 정체성에 미치는 영향)

  • Lee, Sun-Mi;Kim, Soo-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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    • pp.189-196
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    • 2011
  • Objectives : This study aimed to get the data necessary for dental hygiene students to perceive the need for establishing a professional identity as dental hygienists and developing a program which reinforce pride as a preliminary professional. Methods : The subjects were 695 dental hygiene students in Seoul, Gyeonggi and Chungcheong areas. The collected data were analyzed using the SPSS program. Results : 1. The professional identity of dental hygiene students was 3.02 points, and the satisfaction with institutes for practice was 2.96 points. 2. The higher the satisfaction with the major was, the higher the identity was. Also, the identity was high when the frequency of clinical practice was 1 (3.11 points) and when they selected their major which corresponds with his aptitude (3.20 points). 3. The satisfaction with clinical practice was high when they didn't have any experience in dental clinic before clinical practice and when the satisfaction with the major was high. 4. Regarding the correlation between the professional identity and the satisfaction with clinical practice, the higher the satisfaction with clinical practice, the higher the professional identity. 5. The effective variables regarding the professional identity were satisfaction with a major, satisfaction with clinical practice, and frequency of clinical practice. Conclusions : The professional identity of students may be established through school education involving clinical practice. The identity of students may affect the occupational satisfaction, the identity and the work efficiency of dental hygienists in the future. Thus, it is deemed necessary to have a continued collaborative relationship between a school and an institute for clinical practice so that students may establish their correct views and identity.

Clinical Factors Predictive of Metastases from Renal Cell Carcinomas

  • Widia, Fina;Hamid, Agus Rizal AH;Mochtar, Chaidir A;Umbas, Rainy
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.9
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    • pp.4503-4506
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    • 2016
  • Background: Lymph node and distant metastases are known as the prognostic factor in renal cell carcinoma (RCC). Clinical parameters are needed to predict metastases preoperatively. The aim of this study was to assess clinical predictive factors for lymph node and distant metastases. Materials and Methods: We collected RCC data from January 1995 until December 2015 at Cipto Mangunkusumo hospital in Jakarta. We only reviewed data that had renal cell carcinoma histopathology by operation or biopsy. Clinical information such as patient age, gender, hemoglobin (Hb), erythrocyte sedimentation rate (ESR), and tumor size (clinical T stage) were reviewed and analyzed by Chi-squre and logistic regression to establish clinical predictive value. Results: A total of 102 patients were reviewed. There were 32 (31.4%) with lymph node metastases and 27 (26.5%) with distant metastases. Age, Hb and clinical T staging were associated with nodal metastases. However, only Hb and clinical T staging were found to be associated with distant metastases. By logistic regression, we found T3-4 in clinical T-stage to be the only predictor of nodal metastases (OR 5.14; 1.87 - 14.09) and distant metastases (OR 3.42; 1.27 - .9.23). Conclusions: Clinical T-stages of T3 and T4 according to The AJCC TNM classification could be used as independent clinical predictive factors for lymph node or distant metastases in patients with RCC.

The Relationship between the Satisfaction with Clinical Practice and Clinical Competence by Types of Self-directed Learning Ability of Nursing Students (간호대학생의 자기주도적 학습유형에 따른 임상실습만족도와 임상수행능력)

  • Lee, Ji Hyun;Jun, So Yeun;Kim, Jung Hee;Woo, Kyung Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.1
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    • pp.118-130
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    • 2017
  • Purpose: The purpose of this study was to identify the relationship between the satisfaction with clinical practice and clinical performance ability by types of self-directed learning ability of nursing students. Methods: This was a triangular study that was conducted to understand clinical performance ability. The subjects were 260 junior and senior students from a university in P city. The data were collected from April 22 to December 30, 2015. Data were collected by Q-card, Q-block an assessment tool, a structured self-reporting survey and a questionnaire. Results: We classified the self-directed learning abilities into four types: Type 1: a self-reflective person; Type 2: a person who prepares for the future; Type 3: a person with a sense of responsibility and obligation; and Type 4: an enthusiastic learner. We found that clinical performance ability was higher for Type 4 than Type 3. We found that clinical performance satisfaction with clinical practice was also higher for the Type 4 individual than a Type 3 person. Conclusion: To improve students' clinical performance ability, we need plans and support to lead students toward becoming an 'enthusiastic learner' type of person with self-directed learning ability. It is necessary to increase students' satisfaction with clinical practice.

Examination of Clinical Pharmacy Curriculum in Korea and Its Comparison to the U.S. Curriculum (국내 임상약학 교과과정 현황 및 미국 교과과정과의 비교)

  • Jung, Gui-Yeun;Lee, Yun-Jeong
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.4
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    • pp.304-310
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    • 2014
  • Objective: The objective of this study was to evaluate the 6-year clinical pharmacy curriculum in Korea among 35 schools of pharmacy and to compare the pharmacy practice experience curriculum with the U.S. Methods: Data on the 6-year clinical pharmacy curriculum was collected and analyzed from 35 schools of pharmacy in Korea. Data were collected from each school's website, or through professors in clinical pharmacy or the administrative office, when not available online. Guidance for U.S. clinical pharmacy curriculum was referenced from the Accreditation Council for Pharmacy Education (ACPE) Accreditation Standards and Guidelines. Results: Pharmacotherapy was the only course that was offered in every school of pharmacy with average of $11.5{\pm}2.8$ credit hours offered. Only six subjects were offered in more than half of the schools. Average pharmacy practice experience credit hours in Korea were $1.8{\pm}0.6$, $7.8{\pm}1.5$, $4.9{\pm}1.2$, $3.5{\pm}1.1$, $11.8{\pm}1.2$ in introductory, hospital, community, pharmaceutical industry and administration, and intensified pharmacy practice experience, respectively. While the U.S. required introductory pharmacy practice experience (IPPE) to be conducted in the real pharmacy setting, the IPPE in Korea was conducted as an in-class simulation. The total required hours of IPPEs and APPEs were 1400 hours in Korea and 1740 (300+1440) hours in the U.S. Conclusion: Clinical pharmacy curriculum in Korea is offered through a variety of courses and the pharmacy practice experience curriculum has been adopted by every school of pharmacy. A guidance outlining the major required contents of clinical pharmacy curriculum could help standardize and advance the clinical pharmacy education in Korea.

The effect of Clinical Practice Satisfaction on Career Decision Levels among Dental Technology Students (치기공과 학생의 임상실습 만족도가 진로결정수준에 미치는 영향)

  • Jung, Hyo-kyung;Kwak, Dong-Ju;Lee, jong-do
    • Journal of Technologic Dentistry
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    • v.38 no.4
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    • pp.353-363
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    • 2016
  • Purpose: This study aims to assess clinical practice satisfaction among dental technology students and to identify the factors that may influence their career decision levels. In doing so, the present study provides preliminary data as to ways to improve clinical practice satisfaction levels and career decision levels that would be optimal for one's competence. Methods: he survey was conducted on dental technology students. The collected data was analyzed by the statistical program SPSS 21.0. The results were analyzed by reliability, frequency, multiple-way ANOVA, correlation, multiple regression. To test for significance on each item, p<0.05 has been decided as a standard. Results: Analysis results indicate that the factors influencing clinical practice satisfaction of dental technology students include school year, satisfaction of major, area of clinical practice, and assigned department for clinical practice, while the factors that influence career decision levels include satisfaction of major and clinical practice satisfaction. Conclusion: Results of present study suggest that in order to improve clinical practice satisfaction among dental technology students and thereby career decision levels, one needs to focus on satisfaction of major and quality of clinical practice. Such efforts will enable a more active and effective approach toward clinical practice for the dental technology students, and with appropriate understanding and assessment of the experience, they will be better equipped to make a career decision where they can live up to their competence.

Influence of Nurses' Critical Thinking Disposition and Self-Leadership on Clinical Competency in Medium Sized Hospitals (중소병원 간호사의 비판적 사고성향과 셀프리더십이 임상수행능력에 미치는 영향)

  • Lee, Sun Hwa;Lee, Eun Ja
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.336-346
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    • 2018
  • Purpose: This study was conducted to identify nurses'critical thinking disposition, self-leadership and clinical competency in small to medium sized hospitals less than 300beds. Methods: Data were collected using the questionnaire from 227 nurses in Incheon city and Gyeonggi province from March to April, 2017. The data were analyzed using t-test, ANOVA and $Scheff{\acute{e}}^{\prime}s$ test to identify differences in critical thinking disposition, self-leadership and clinical competency. Pearson correlation coefficients were used to identify the correlation among the study variables, and multiple regression was used to identify factors contributing to clinical competency. Results: There were significant differences in critical thinking disposition according to age, marital status, clinical career, career in currently working department and education about leadership. Significant differences in self-leadership were identified according to marital status, work position, working department, work type, education about leadership, and turnover intention. Clinical competency was significantly different depending on age, education, monthly income, work position, career in currently working department, work type, education about critical thinking disposition and education about leadership. Clinical competency was positively correlated critical thinking disposition and self-leadership. Critical thinking deposition, monthly income and self-leadership explained 30.1% of clinical competency of nurses working in small to medium sized hospitals. Conclusion: The results of this study suggest that we need to improve nurses'critical thinking disposition, self-leadership, and the clinical competency.