• Title/Summary/Keyword: Clinical Practice Adaptation

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Effects of Prenatal Breast Self-massage Education on Breastfeeding Self-efficacy, Adaptation, and Practice in Primiparous Women (산전 자가유방 마사지 교육이 초산모의 모유수유 자기효능감, 모유수유 적응과 실천에 미치는 효과)

  • Kim, Sue;Lee, Hyejung;Kim, Sun-Hee;Kim, Sung Yeon
    • Korean Parent-Child Health Journal
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    • v.20 no.1
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    • pp.18-27
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    • 2017
  • Purpose: This study aimed to verify the effects of prenatal breast self-massage education on first-time mothers' breastfeeding self-efficacy, breastfeeding adaptation, and breastfeeding practice. Method: The experimental group (n=26) received prenatal breast self-massage education focused on self mamma care (SMC) at 34-36 weeks gestation and 2 weeks later face-to-face. The control group (n=25) was recruited immediately following birth and received usual care. Breastfeeding self-efficacy was measured 4 hours after childbirth and 3 days later, and breastfeeding practice, breastfeeding adaptation, and breastfeeding-related characteristics were measured 2 weeks and 4 weeks after childbirth through online survey. The data were analyzed by $x^2$ test and t-test using SPSS/WIN 24.0. Results: There was no significant difference in breastfeeding self-efficacy of the experimental group at 4 hours after childbirth (t=0.83, p=.410) whereas it was statistically significantly higher at 3 days postpartum (t=2.86, p=.006). There were no significant differences in breastfeeding adaptation between the two groups at both 2 weeks (t=1.76, p=.084) and 4 weeks postpartum (t=0.87, p=.388). For breastfeeding practice a statistically significant difference was found at 4 weeks for the experimental group ($x^2=4.77$, p=.036). Conclusion: This antenatal SMC intervention was found to be a feasible intervention for use in clinical practice.

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A Concept Mapping Study on Factors Inducing Dental Hygiene Student's Activeness During Clinical Practice (치위생학과 학생의 임상실습 적극성 유발요인에 대한 개념도 연구)

  • Kim, Hyeong-Mi;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.359-366
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    • 2020
  • The purpose of this study is to explore factors inducing dental hygiene student's activeness during clinical practice. A conceptual study was conducted for dental hygiene students who participated in the clinical practice for the first semester of 2019. The focus question was, 'What factors induced activeness during clinical practice?', a total of 33 statements were drawn by analyzing the responses. Results of multidimensional scale analysis and cluster analysis, there are six factors that induce activeness 'provide information on clinical practice', 'possibility to participate in clinical practice', 'possibility of adaptation', 'attitude of educator', 'patience of educator', and 'attitude toward trainees'. Among them, the most factor inducing activeness was the 'possibility to participate in practice'. The four items inducing activeness were 'provide a training manual', 'can be observed closely,' 'practice for a sufficient period', and 'the educator's attitude is kind'. The results of this study could be used as basic data to enhance the clinical practice effect of dental hygiene students.

Effects of Emotional Intelligence and Ego-Resilience on Clinical Practice Adaptation of the Nursing Students (간호대학생의 감성지능과 자아탄력성이 임상실습적응에 미치는 효과)

  • Lee, Song-Heun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.131-138
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    • 2019
  • This study investigated the effects of emotional intelligence and ego resilience on the clinical practice of nursing students. The subjects of this study were 203 college students who were in the third year of a nursing college in G province, Korea from June 12 2018 to August 29, 2018. The data was analyzed using means, standard deviations, Pearson correlation coefficients, t-tests, ANOVA, and multiple regression analysis of the SPSS 26.0 statistical program. The emotional intelligence, ego resilience, and clinical practice showed significant differences according to students' satisfaction with the nursing department, and these variables all have significant positive correlation. The regression analysis showed that emotional intelligence (β=.23, p<.001) and ego-resilience (β=.20, p<.05) were the significant variables affecting the clinical practice of nursing students, and these variables explained 15% of adaptation to their clinical practice (F=18.71, p<.001). Based on the results of this study, it is necessary to develop and utilize a program to enhance emotional intelligence and self-elasticity as a way to improve the adaption to clinical practice of nursing students.

A Study on the Critical Thinking Disposition and Clinical Competency of Nursing Students (간호대학생의 비판적 사고성향과 임상수행능력에 관한 연구)

  • Cho, Hak-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.222-231
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    • 2005
  • Purpose: The purpose of this study was to identify the relationship between critical thinking disposition and clinical competency of nursing students. Method : The sample consisted of 151 nursing students, who have ever had clinical practice. Data were collected by self reporting questionnaire for 13 days from April 18-30, 2005. The data were analyzed by descriptive statistics, t-test, ANOVA, Duncan test, Pearson Correlation Coefficient with SPSS Programs. Result : The result of this study were as follows : 1. The total mean score of critical thinking dispositions in the nursing students was moderately(3.50). There was a statistically significant difference in critical thinking disposition according to satisfaction with the nursing major(F=5.563, p=.005). 2. The total mean score of clinical competency in the nursing students was slightly high(3.37). There was a statistically significant difference in clinical competency according to adaptation with the nursing major(F=5.202, p=.007), satisfaction with clinical practice(F=3.172, p=.045). 3. A significant positive correlation between critical thinking disposition and clinical competency was founded(r= .421, p<.000). Conclusion : In conclusion, this study revealed that critical thinking disposition influences clinical competence. Therefore, the finding of this study may provide significant basic data for nursing education and nursing practice.

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Development of the Nursing Practice Guidelines for Preventing Postoperative Pulmonary Complications using the Guideline Adaptation Process (수용개작방법을 활용한 전신마취 수술 후 폐합병증 예방 간호실무지침 개발)

  • Choi, Jin Ju;Kim, Hyeon Jeong;Kang, Hye Min;Chu, Hee Young;Kim, Kyeong Sug
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.187-198
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    • 2021
  • Purpose: This study aimed to develop an evidence-based nursing practice guideline for preventing postoperative pulmonary complications (PPCs). Methods: The guideline adaptation process was conducted through the 24 steps based on the guideline adaptation manual of Korean Hospital Nurses Association. Results: The newly developed guideline to prevent PPCs consisted of four domains and 30 recommendations. The number of recommendations in each domain was 7 for assessment of PPCs, 17 for nursing interventions to prevent PPCs after general anesthesia, 4 for education (intended for patients and medical staff), and 2 for monitoring and recording. Conclusion: The developed guidelines will contribute in standardization of nursing practice and PPCs prevention and management. We recommend the dissemination and utilization of these guidelines nationwide to improve the quality of postoperative pulmonary complication prevention.

Clinical Practice Guideline for Assessment and Prevention of Falls in Adult People (낙상위험요인 평가 및 낙상예방활동 임상진료지침)

  • Chun, Ja-Hae;Kim, Hyun-Ah;Kwak, Mi-Jeong;Kim, Hyuo-Sun;Park, Sun-Kyung;Kim, Moon-Sook;Choi, Ae-Lee;Hwang, Jee-In;Kim, Yoon-Sook
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.41-61
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    • 2018
  • Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.

CLINICAL CONSIDERATION OF INDIRECT BONDING TECHNIQUE (INDIRECT BONDING TECHNIQUE에 대한 고찰)

  • Lee, Kyung Hwan;Kim, Sang Cheol
    • The korean journal of orthodontics
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    • v.19 no.2
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    • pp.155-163
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    • 1989
  • Indirect bonding is done by placing the brackets on a model in the laboratory and using a template or tray to transfer the laboratory positioning to the teeth. The advantages of this technique are 1. decreased chair time 2. less patient discomfort 3. accuracy of a attachment placement 4. good adaptation of attachment to tooth contour 5. occlusal relationship of brackets and opposing teeth can be checked The disadvantages of the technique are 1. complex laboratory procedure 2. sometimes difficult on very short clinical crowns 3. teeth with crowns, large buccal restoration will not bond 4. may not be fitted close, if poor adaptation 5. likely to be disturbed setting Several indirect bonding techniques have proved reliable in clinical practice. However, they differ in the way the brackets are attached temporarily to the model, the type of transfer tray or other mechanism used, the adhesive or sealant employed, whether segmented or full bonding used, and the way the transfer is removed so as not to exert excessive force on a still maturing bond.

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Convergence Factors Influencing Clinical Practice Satisfaction of Nursing Students (간호학생의 임상실습만족도에 미치는 융복합적 영향요인)

  • Jung, Young-Mi
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.55-65
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    • 2016
  • The aim of this study was to identify the convergence factors contributing to clinical practice satisfaction in Korean nursing students. Data were collected using self-administered questionnaires from April 1 to May 15, 2015. The participants were 83 nursing students, and a mid-sized private university school of nursing in the Korea was selected. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 22.0 program. Satisfaction in major significantly differed by age. Clinical practice satisfaction was positively correlated with satisfaction in major and clinical competence. The factors that significantly influenced clinical practice satisfaction were clinical competence and satisfaction in major, which together explained 26% of the total variance. To improve satisfaction in major and clinical competence among Korean nursing students, it will be necessary to provide nursing students with clinical adaptation programs and preceptor education.

A Study on the education status in department of Dental Technology (Focusing on the Dental Laboratory practice education) (임상 실습을 중심으로한 치기공(학)과 교육 실태조사)

  • Park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.37 no.3
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    • pp.131-144
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    • 2015
  • Purpose: This study set out to propose plans for more efficient and effective clinical practice by investigating the current state of clinical practice in the field of dental technology and thus provide basic data to develop pre- and post-education programs for clinical practice. Methods: The subjects include dental technicians at dental technical laboratories that were appointed as the place of clinical practice by the Department of Dental Technology of G University. The survey period spanned from December 22, 2014 to January 20, 2015. Total 250 questionnaires were distributed to them, and 190(76.0%) were returned. After excluding 23 whose answers were uncertain or seemed to lack reliability, total 167(66.8%) were used in final analysis. Results: 1. The most frequent practice the student did during clinical practice was articulator attachment, which was followed by pin operation or model making, one's own task and practice, sand and crow sculpturing, burying, casting, and grinding. 2. In case of going through the entire process, porcelain had the most students at 39(23.4%), being followed by crown & bridge at 28(16.8%), clinical model at 23(13.8%), full denture at 17(10.2%), and partial denture at 17(10.2%) in the order. 3. Of the students, 59.8%(30.5% for reinforced basic practice; 29.3% for intensive practice education) said that intensive practice education should be reinforced in school; and 22.3% said that intensive theory and practice education was needed, which indicates that 82.6% voiced their opinion of reinforcing education around practice. 4. The students felt that they lacked diligence, passion, and theoretical knowledge somewhat and were relatively good at clinical adaptation and operational skills. Conclusion: The findings show that the students felt an absolute lack of practice education as the school education was focused on theory and national exams in the field of dental technology, thus raising a need to reinforce practice education. Of all the respondents, 62.9% said there was a need to improve the current education with a focus on jobs. In future, education of dental technology should work to bring up able dental technicians that can perform in clinical dental technology right after graduation by reinforcing job-based practice education.