• Title/Summary/Keyword: Clinical Integration

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Implementation of database and E-CRF for efficient integration of Korean clinical data (한의 임상 정보의 효율적 통합을 위한 한의임상 데이터베이스 및 E-CRF 입력 시스템 구축)

  • So, Ji Ho;Jeon, Young Ju;Lee, Bum Ju
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.5
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    • pp.205-212
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    • 2016
  • Recently, researches for the integration and standardization of clinical data in the Western medicine and Korean medicine is in progress. If an integration of similar clinical data as well as heterogeneous clinical data is possible based on one standardization, we can able to derive implicit medical knowledge from integrated clinical data. In this paper, we implemented Korean clinical database based on internationally known CDISC standardization to efficiently store Korean clinical data and constructed E-CRF system for convenient data input in clinical sites. Furthermore, we showed example of an integration of Korean clinical data from 4 clinical sites. The results of our study will help to establish the foundation for the extraction of implicit medical knowledge from integrated clinical data. Also, our results may support efficient management through data integration, prevention of repetitive or unnecessary clinical trials, facilitation of collaborative study and convenient research through the distribution of refined clinical data.

Perception of Professors and Nurses on Clinical Practice Teaching and Organizational Integration of Colleges and Clinical Nursing Departments (임상간호실습교육과 학교-임상 연계 조직에 대한 교수와 실습지도 간호사의 인식)

  • Kim, Yong-Soon;Park, Jee-Won;Kim, Hyo-Sim;Yoo, Moon-Sook;Bang, Kyung-Sook;Park, Jin-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.292-300
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    • 2007
  • Purpose: This study was intended to describe the perception of professors and nurses on clinical practice teaching and organizational integration of colleges and clinical nursing departments. Method: Fifty-three professors of five nursing colleges and eighty-four nurses of one university hospital participated. A structured questionnaire was used for data collection. Result: Disposition for a good clinical instructor was both teaching skill and abundant clinical experience. Professors were competent at adapting nursing process and critical thinking, whereas, nurses were good at clinical skills. Most of the subjects agreed on the organizational integration of nursing colleges and the nursing departments of the hospital, and the proper position for a clinical teacher would be a concurrent instructor. Conclusion: Cooperation between the nursing college and clinical nursing department is needed, and organizational integration of these two is one way for better instruction in clinical practice.

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Historical Review of Sensory Integration in Korea (감각통합치료의 역사적 고찰)

  • Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.1 no.1
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    • pp.73-79
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    • 2003
  • The significant historical events and developments in the area of approach for sensory integration in Korean Society of Sensory Integration Therapists(KSSIT) are reviewed to stimulate future planning and clinical application in professional and health promotion. The paper reviewed the purposes of establishment, the role of members, progress of regular meetings and education for members and seminars in KSSIT. This review is placed within the context of the progressive period of KSSIT history, 1997-2003. Historical data are used as primary sources as records of events in KSSIT's homepage, official transcripts, professional articles, and secondary sources such as news letters for occupational therapists and oral information from first members. This review examined current actions and thinking, and suggests further actions and thinking for progressive professional education programs, research, clinical applications and public relations in sensory integration approach in KSSIT.

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The Effect of Clinical Performance Improving by Application of Core Skill-TLP (Core Skill-TLP가 임상수행능력 향상에 미치는 효과)

  • Hwang, Hyun-Sook
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.231-239
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    • 2012
  • Purpose : The purpose of this study is to investigate the effect of clinical performance improved by the application of the Core-Skill TLP to students. Methods : The subject of the study were 48 students who are enrolled in the 2nd semester of the 3rd year in the department of physical therapy. In order to compare the difference in physical examination and intervention, clinical practice integration as well as interpersonal communication skills were measured before and after clinical performance experiments by using the questionnaire. Result : The results are as follows. There was an improvement after examination & intervention about mean 1.52(t=16.928, p=.000), in clinical practice integration 1.30(t=14.541, p=.000) and in interpersonal communication skills 0.86(t=9.510, p=.000). It shows the significant difference in statistics. Conclusion : According to these results, the Core-Skill TLP is proved as a good learning strategy and could be strongly recommended since it significantly improved physical examination & intervention, clinical practice integration and interpersonal communication skills.

Relationships between Integration, Clinical Practice Stress, Department Satisfaction in Nursing Students (일 간호대학생의 통합성과 임상실습 스트레스가 학과만족도에 미치는 영향)

  • Baek, Myung-Wha;Lee, Mi-Suk;Kim, Ji-Youn
    • Journal of Digital Convergence
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    • v.20 no.2
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    • pp.543-551
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    • 2022
  • The purpose of this study was to understand the integration and clinical practice stress of nursing students and to understand the relationship with department satisfaction. Data collection was from June to July 2021. Data were collected through questionnaires consisting of scales of integration, clinical practice stress, and departmental satisfaction, targeting 3rd and 4th grade nursing students who have had more than one clinical practice experience. A total of 394 copies were analyzed using the SPSS program to analyze the data. As a result of the study, integration showed a positive correlation with department satisfaction (r=.412, p<.01) and a negative correlation with clinical practice stress (r=-.193, p<.01). The predictive factors affecting the department satisfaction of nursing students were integration (β=.406, p<.001) and admission motivation (β=.166, p=.006), which accounted for 20% of the total variance. Integration Performance It was confirmed that the motivation for entering the nursing department affects department satisfaction. In order to increase the department satisfaction of nursing students, it is thought that it is necessary to operate an integration promotion program and department adaptation program from the early stage of admission.

Characteristics of Hospital by Network Type in Korea (네트워크의 유형별 의료기관의 특성)

  • Shim, Jae-Sun;Kwon, Young-Dae;Chang, Hye-Jung;Kang, Sung-Wook
    • Health Policy and Management
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    • v.16 no.4
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    • pp.68-85
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    • 2006
  • With the competitive environment accelerating in healthcare industry, the hospital network system is considered as one of the strategies for clinical and managerial efficiency. This study was intended to offer a theoretical view on the hospital network system and to analyze the current network status of hospitals in Korea. Specifically, network types were classified based on the criteria modified from previous studies, and were used to describe and compare the scope and intensity of associated activities. The questionnaire survey was conducted with 237 hospitals during the period of December 27 2005 to January 25 2006. Above 90% of tertiary and secondary care hospitals were under the network system, while only 20% of primary care clinics were affiliated. In general, the scope and intensity of network activities was limited. Vertical and/or clinical integration was more common than horizontal and/or managerial integration. Three most frequent types of hospital network systems were clinical-vertical integration (Type A), clinical/managerial-vertical integration(Type B), and clinical/managerial-horizontal /vertical integration (Type C). Such network types differentiated significantly different features of affiliated hospitals and network systems. The affiliation duration to the network system was the only significant factor influencing on the network type. The strategic approach to the network system was emphasized for hospitals to increase the potential advantage of hospital network systems.

A Survey on a Status of Sensory Integration Therapy in Korea (국내 감각통합치료 실태조사)

  • Kim, In-Sun
    • The Journal of Korean Academy of Sensory Integration
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    • v.13 no.2
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    • pp.1-19
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    • 2015
  • Objective : To provide a foundation to develop clinical training program based on a status of sensory integration therapy in Korea identified through the study. Methods : A questionnaire has been developed that is investigating such as environment of therapy, level of knowledge of therapist, and etc. The questionnaire was distributed from June 1st,2014 June 1 to August 31st,2014. The total questionnaire result collected and analyzed are 232 responses. Results : In terms of ratio of therapist who are administrating sensory integration, occupational therapist takes biggest percentage. In most case, it is equipped enough to do treatment in terms of space and tools. Generally, therapists are performing evaluation and documentation earnestly, and willingly participating to continued education and clinical training coursework. However, it is found that some cases are implementing treatment without through evaluation and/or without professional training. Conclusion : This study propose that sensory integration therapists need to train their clinical knowledge and skills through professional training education based on the Ayres Sensory Integration (ASI) theory. Most of professional trainings are administered in capital area currently. The educational opportunities need to be extend to outside of capital region so the level of clinical competence and the quality of the therapy service can be improved.

Sensory Integration Clinical Adaptation of Novice Occupational Therapists Working at a Child Private Clinic Center (아동 발달센터에서 근무하는 신입 작업치료사의 감각통합 임상 적응과정)

  • Hong, Hyeon-Taek;Lee, Hye-Rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.1
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    • pp.39-54
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    • 2022
  • Objective : The purpose of this study was to identify the experiences of novice occupational therapists working at a child private clinic center in the clinical experience process of sensory integration therapy and to understand the adaptation process in child private clinic center. Methods : The participants were four occupational therapists with less than 1 year of clinical experience. Data collection was conducted through in-depth interviews, and the recorded interview responses were transcribed and analyzed. The analysis of the data was made by phenomenological analytic method suggested by Giorgi. Results : As a result of analyzing the adaptation process of novice occupational therapists working at the child private clinic center, 3 categories, 6 themes, and 16 main meanings were derived. Novice occupational therapists experienced difficulties arising from clinical, obstacles from the working environment, positive factors inside the center, support from outside the center, self-effort, and changes through adaptation experience. Conclusion : Along with changes to the social system and pediatric rehabilitation institution, one's own effort are also required so that novice child occupational therapists working at child private clinic centers can adapt and perform at their roles.

A Comparative Study on Learning Outcomes according to the Integration Sequences of S-PBL in Nursing Students: Randomized Crossover Design (S-PBL의 연계순서에 따른 간호대학생의 학습성과 비교: 무작위 교차설계)

  • Yun, So Young;Choi, Ja Yun
    • Journal of Korean Academy of Nursing
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    • v.49 no.1
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    • pp.92-103
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    • 2019
  • Purpose: This study aimed to compare the effects of simulation integrated with problem based learning (S-PBL) according to the sequences of problem-based learning (PBL) and high fidelity simulation training (HFS) on knowledge, clinical performance, clinical judgment, self-confidence, and satisfaction in fourth-grade nursing students. Methods: In this randomized crossover design study, four S-PBLs on medical-surgical nursing were applied alternatively to two randomly-assigned groups of 26 senior nursing students for 8 weeks. The collected data were analyzed using an independent t-test. Results: The method of administering PBL prior to HFS led to significantly higher scores on knowledge (t=2.28, p=.025) as compared to the method of administering HFS prior to PBL. However, the latter method led to significantly higher scores on clinical performance (t=-6.49, p<.001) and clinical judgment (t=-4.71, p<.001) as compared to the method of administering PBL prior to HFS. There were no differences in the effect of the two methods on self-confidence (t=1.53, p=.128) and satisfaction (t=1.28, p=.202). Conclusion: The integration sequences of S-PBL was associated with different learning outcomes. Therefore, when implementing S-PBL, it is necessary to consider the educational goal to executes an appropriate sequence of integration.

A Phenomenological Study of Occupational Therapists' Experiences of Transitioning from Adult to Child Occupational Therapy (성인작업치료에서 아동작업치료로 전환한 작업치료사의 임상경험에 관한 현상학적 연구: 감각통합치료 중심으로)

  • Roh, Geummi;Jung, Minye
    • The Journal of Korean Academy of Sensory Integration
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    • v.22 no.1
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    • pp.54-68
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    • 2024
  • Purpose : This study aimed to explore the clinical experiences of occupational therapists who have transitioned from adult to child occupational therapy to provide a basis for developing programs to facilitate rapid clinical adjustment for transitioning occupational therapists. Method : Telephone interviews and Colaizzi's phenomenological research method were employed. The interviewees were six occupational therapists with at least three years of clinical experience who had transitioned from hospital-based adult occupational therapy to sensory integration-focused children's occupational therapy. The interviews were recorded, transcribed, and analyzed with the participants' consent. Results : The analysis of the interview transcripts yielded 3 categories, 7 themes, and 17 meanings. The three categories were the challenges facing transitioning occupational therapists in clinical practice, the strengths gained from their post-transition clinical experiences, and the facilitators needed before the transition to ensure quick clinical adjustment. Conclusion : Training and institutional arrangements must be in place to ensure that adult occupational therapists transitioning to sensory integration-focused child occupational therapy can quickly adapt clinically and professionally to their new environments.