• 한방안이비인후피부과학회지
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• 제30권3호
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• pp.76-87
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• 2017

Objectives : This study aimed to analyze the recent acupuncture clinical trial on atopic dermatitis and to suggest the plan about how to improve its quality. Methods : Data were collected through electronic database including MEDLINE. We set up the search terms for "atopic dermatitis AND acupuncture" and limited period of data within 6 years and type for RCT(Randomized Clinical Trial), SR(Systemic Review). Results : Total 5 studies were selected. Two were RCTs, and the rest were SRs. RCTs were insufficient about acupoint selection criteria and foundation. SRs both pointed out that systematic clinical trial is required. Conclusions : Based on these, we suggested the plan as follows. 1. Selection criteria - We should reevalute the participants by using diagnostic criteria and scales. 2. Selection acupoints - We should present the foundation that why we choose these acupoints. 3. Establishing acupuncture and control group - We should make control group clearly after calculating the number of participants statistically. 4. Blinding - We should propse the method, type, procedure and evaluation about randomization. 5. Evaluation scale - We should select the suitable scales for research objectives.

• 한국응급구조학회지
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• 제18권2호
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• pp.109-123
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• 2014

Purpose: This study attempts to provide information for developing a preceptorship education program by analyzing the recognition and acceptance of the introduction of paramedic preceptorship in the clinical practice of paramedic students in Korea. Methods: Data were collected from 120 paramedics from December 26, 2013, to February 20, 2014. A questionnaire consisting 33 questions was administered, and the collected data were analyzed using SPSS version 21.0. Results: The overall responses were positive, and the subjects were very interested in the introduction of paramedic preceptorship in paramedic education and clinical practice settings. The mean score for preceptorship acceptance was 3.97 on a 5-point Likert scale. In terms of recognition, 59.0% of the 78 subjects were able to explain preceptorship. In terms of acceptance, 85.8% of the subjects agreed with preceptorship and 81.7% considered an effective training method. Conclusion: Most of the subjects agreed that preceptorship is very important for the education of paramedic students. The preceptorship education program development will be the basis of clinical practice.

• 한국임상약학회지
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• 제18권1호
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• pp.28-37
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• 2008

Objectives: Overactive bladder(OAB), defined as 'urgency, with or without urge incontinence, usually with frequency and nocturia', is a major burden for patients and impairs quality of life. The aim of this study is to evaluate the cost-effectiveness of antimuscarinic agents for the treatment of overactive bladder including quality of life in societal perspective. Methods: A decision-analysis model was developed to compare the cost-effectiveness of solifenacin and tolterodine IR over 12 weeks. We used data from the published literature to develop the framework for the model. Resource utilization and costs were calculated with public institutional data and supplemented this information with clinical expert opinion, where necessary. Results: The expected costs per patient for solifenacin were 48,762 KRW less expensive than tolterodine IR over 12 weeks. Also, all outcomes including quality of life for solifenacin were more effective than tolterodine IR over 12 weeks. In conclusion, solifenacin dominates tolterodine IR and appears to be cost-effective options for the management of overactive bladder.

• 한국간호교육학회지
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• 제26권3호
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• pp.299-310
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• 2020

Purpose: This study is a content analysis to understand the nursing informatics competence of clinical nurses. Methods: Focus group interviews were used to collect data. Two focus group interviews were held with a total of nine clinical nurses. All interviews were recorded and transcribed. Content analysis was used to analyze data. Results: The five main categories of nursing informatics competence that emerged are 1) software program use, 2) use of nursing information, 3) use of information communication technology in nursing, 4) professional responsibilities and ethics, and 5) active attitudes and recognition. Next, there are three strategies to improve nursing informatics competence: 1) organizational approach, 2) opportunity of continuous education, 3) presentation of standards in nursing informatics competence. Conclusion: Further studies such as educational program development and evaluation tool development are necessary. Moreover, there is a need to enhance clinical nurses' nursing informatics competence by using the proposed strategies.

• Perspectives in Nursing Science
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• 제9권2호
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• pp.111-118
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• 2012

Purpose: This study investigated the effects of simulation-based nursing education (for the care of congestive heart failure patients) on self-directed learning competency, clinical knowledge and problem-solving ability among nursing students. Methods: A one-group, pre-post design was utilized with 87 nursing students as the subjects. The scenario of simulation-based nursing education was created using a high-fidelity patient stimulator, and consisted of four states ((1) assessment, (2) reviewing laboratory data and administering medications and treatments, (3) managing increased dyspnea and decreased urine output, and (4) handling the "getting better" state). The simulation-based nursing education included orientation, team-based learning, team-based practice, and debriefing. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and paired t-tests. Results: The scores on the factors for self-directed learning competency (t=-2.57, p= .011), clinical knowledge (t=-6.85, p<.001), and problem-solving ability (t=-3.01, p= .003) increased significantly after the education intervention. Conclusion: Simulation-based nursing education is useful in improving self-directed learning competency, clinical knowledge, and problem-solving ability in nursing students.

• 간호행정학회지
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• 제15권1호
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• pp.37-44
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• 2009

Purpose: The purpose of this study was to investigate the relationship between professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. Method: Data was collected from convenient sample of 407 nurses in 3 cities. The questionnaire measured the level of professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient, partial correlation. Result: The mean score of professional self-concept was 2.83(${\pm}.34$) self-efficacy was 3.64(${\pm}.31$), job satisfaction was 3.12(${\pm}.38$). There were significant differences on three variables according to age, a clinical career, level of education. There was a significant positive correlation between professional self-concept and self-efficacy, job satisfaction. The self-efficacy was a significant positive correlation with job satisfaction. Conclusions: From the studies reviewed, it can expect the positive effect to improve the self-efficacy, professional self-concept and job satisfaction when the nurses who have continuous education and organizational support. These findings would be important resource to nurse administrators for clinical implication.

• 간호행정학회지
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• 제15권2호
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• pp.182-192
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• 2009

Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Methods: A descriptive correlational research design was used for this study. All 329 clinical nurses were obtained by convenience sampling from 3 National or public hospitals, 3 university hospitals, and two private hospitals located in Seoul and Kyunggi province. The data were collected using a self-reporting questionnaire contained four instruments and questions for demographic characteristics of subjects from April 21st to September 1st, 2008. Collected data were analyzed on SPSS Win 16.0. Results: There was a significant relationship between nursing professionalism, nursing performance, job satisfaction and retention intention among clinical nurses. The nursing professionalism was identified as a predictor of nursing performance, job satisfaction, and retention intention. Conclusion: The strategies to promote and enhance the nursing professionalism of clinical nurses, in this era in which the nursing shortage become more and more problematic issue, are needed to design and be integrated into the management of human resource in nursing organizations.

• 보건의료산업학회지
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• 제14권2호
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• pp.41-54
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• 2020

Objectives: The purpose of this study was to identify the influences of nursing professionalism and emotional intelligence on the clinical performance ability of nursing students. Methods: The subjects of this study included 234 nursing students from three universities located in two regions of South Korea. Data were collected from June 15 to 30, 2018 by using self-reported questionnaires. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis using the IBM SPSS 21.0 program. Results: The factors which influenced the clinical performance ability in nursing students were self-concept of the profession(β=.28, p<.001), roles of nursing service (β=.22, p<.001), use of emotion (β=.22, p<.001), self-emotional appraisal (β=.18, p=.002), regulation of emotion (β=.16, p=.004), and grade (β=.16, p=.002) which explained 51.7% of the variance. Conclusions: These results suggest that to improve clinical performance ability in nursing students, an intervention that enhances their nursing professionalism and emotional intelligence should be considered.

• Journal of Korean Neurosurgical Society
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• 제30권sup2호
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• pp.242-246
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• 2001

Objective : The short hospitalization or outpatient care for patients undergoing laminectomy is not popular practice in Korea. We evaluated the clinical and economical significance of short hospitalization for patients undergoing microdiscectomy for their lumbar disc herniation. Material and Methods : From March 1999 to December 2000, patients were hospitalized for intended short period hospitalization for lumbar disc surgery. Their radiological and clinical data were analyzed for their clinical and economical results. We compared these data with 20 patients who hospitalized conventionally. Results : Total of 64 patients were evaluated. Three were lost to follow-up. Mean postoperative hospitalization period is 2.0 days(excluding one patient). Excellent to good outcome was achieved in 90.6 % of the patients. They payed about half expenses for hospitalization compared with conventional group. Their mean number of outpatient visit was 3.0. Conclusion : Short hospitalization for lumbar disc surgery is an acceptable option in Korea. It is also economically beneficial while achieving acceptable clinical results.

• 임상간호연구
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• 제17권1호
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• pp.16-26
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• 2011

Purpose: The purpose of this study is to investigate nurses readiness to self-directed learning and its correlations with nursing practice competence in a tertiary hospital in Seoul, Korea. Methods: A cross sectional survey design was utilized to assess nurses readiness to self-directed learning and job performance. The data used in this study were obtained from 286 nurses who have been working on general ward for over 1 year. Data were analyzed by ANOVA, t-test, Pearson's correlation analysis, and multiple regression using SAS 9.1 program. Results: The mean score of the readiness to self-directed learning is 3.56 and that of nursing practice competence is 2.71. The readiness to self-directed learning was statistically different according to level of education, and clinical work experience. Nursing practice competence was also significantly different according to level of education, clinical work experience, marital status, age, and working division. The readiness to self-directed learning and nursing practice competence seem to have significant positive correlation to each other (r=.555, p<.001). The readiness to self-directed learning explains 32.0% of nursing practice competence (F=20.20, p<.001). Conclusion: These findings indicate that program development for enhancing the readiness to self-directed learning is needed to improve nursing practice competence. We also need continuous efforts to improve nurses initiatives and creativity.