• 한국응급구조학회지
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• 제22권2호
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• pp.67-77
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• 2018

Purpose: This study was conducted to identify the factors influencing performance confidence by knowledge and experience of respiratory-assistant therapy in paramedic students. Methods: A descriptive survey study used a convenience sample comprising 387 students from September 15 to October 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and regression analysis. Results: Knowledge was statistically significant by college(3-year), acquired certification, and observation experience in respiratory-assistant therapy. Performance confidence was statistically significant by sex, academic grade($3.0{\leq}$), acquired certification, and observation and performance experience in respiratory-assistant therapy. There was a significant correlation between knowledge and acquired certification, clinical practice, and major satisfaction. There was a significant correlation between performance confidence and acquired certification, clinical practice, major satisfaction, and knowledge. Regression analysis revealed that performance confidence accounted for 22.9% of the variance by academic grade(3.0~3.99), acquired certification, and major satisfaction. Conclusion: For paramedic students in clinical practice and in-school classes, it is important to improve performance confidence by combining training instruction with experience and education of respiratory-assistant therapy.

• 동서간호학연구지
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• 제14권1호
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• pp.5-13
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• 2008

Purpose: The study was to identify the relationship among perceived stress, coping strategies and satisfaction f clinical experience in nursing students and to examine difference of grade. Methods: A total 238 nursing students (second grade: 141 students, third grade: 97 students) from K. Womens' College were provided with self reported questionnaires from July 26, 2006 to July. 30, 2006. Perceived stress was measured using Perceived Stress Scale. Coping was measured using Coping Responses Inventory-Adult form. Satisfaction of clinical experience was measured using Satisfaction Inventory. The data were analyzed by descriptive statistics, t-test, ANOVA and Pearson's Correlation Coefficient with SPSS 12.0 program. Result: Participants showed that a high level of perceived stress score $2.71{\pm}.47$ of total 4 (2nd grad) and $2.67{\pm}.35$ of total 4 (3rd grade). Approach Coping Scales score of coping strategies was $68.19{\pm}6.06$ (2nd grade), $63.38{\pm}6.69$ (3rd grade) of total 96, then coping mechanism's mean among 2nd grade nursing students was higher than 3rd grade nursing students. Satisfaction score of clinical experience in 2nd grade nursing students was $3.01{\pm}.32$ and higher than 3rd grade ($2.99{\pm}.38$). There was a negative correlation r=-.264 (p=.000) between perceived stress during clinical practice and satisfaction. It was statistically significant. There was a positive correlation r=.154 (p<.05) between satisfaction score of clinical experience in nursing students and approach coping scales score. Conclusion: With these findings, we found that the more approach coping level, the more satisfaction of clinical practice. It is needed to developing effective teaching method and coping strategies for nursing students to improve their coping ability and prepare qualified nursing profession.

• 한국치위생학회지
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• 제18권6호
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• pp.891-902
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• 2018

Objectives: The purpose of this study was to propose contents of a curriculum and training program for dental hygienists as medical professionals by surveying the opinions of clinical dental hygienists and dental hygiene professors. Methods: The subjects were 192 clinical dental hygienists and 193 dental hygiene professors. They answered questionnaires that consisted of grading each task based on its importance: a) for dental hygiene students to learn, b) to perform autonomously in clinical practice, and c) the expectancy of the task to change when dental hygienists become medical professionals. Data analysis was performed using an independent sample T test to capture differences between clinical dental hygienists and dental hygiene professors. The terms in the answers of open-ended questionnaires were extracted. We used R 3.5.0, R Recommender, and Wordcloud software packages. Results: Calculus removal had the highest scores for dental hygiene students to learn and expectancy to change when dental hygienists become medical professionals. Physiotherapy of temporomandibular disorders (TMD), planning, performing, and assessment of community oral health programs had the lowest scores in autonomy in clinical practice. The dental hygiene professors gave higher scores in most of the tasks for dental hygiene students to learn, autonomy in clinical practice, and expectancy to change, than did clinical dental hygienists. Cardiopulmonary resuscitation (CPR), job ethics, and communication were the most frequently mentioned terms in the training as medical professionals program contents. Conclusions: In the future, it will be necessary to study the curriculum to improve the proficiency of dental hygienists as medical professionals.

• 융합정보논문지
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• 제9권12호
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• pp.88-97
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• 2019

본 연구는 임상실습을 경험한 간호학생들의 환자안전관리 실천에 영향을 미치는 요인을 분석하기 위해 수행하였다. 연구대상자는 국내 5개 도시의 5개 대학에 재학 중인 간호학생 232명이었다. 자료수집은 2019년 6월 17일부터 7월 30일까지 시행되었고, 구조화된 자가보고식 설문지 작성을 통해 수집하였다. 자료분석은 SPSS 22.0 windows program을 이용하여, T-test, ANOVA, Pearson's correlation coefficient, multiple regression을 이용하였다. 상관분석 결과, 환자안전관리 실천은 환자안전관리 중요성 인식(r= .42, p<.001), 지식(r= .29, p<.001), 태도(r= .35, p<.001)와 유의한 양의 상관관계가 있었다. 다중회귀분석 결과, 환자안전관리 중요성 인식은 환자안전관리 실천에 유의한 영향(β=.19, p<.001)을 미치는 것으로 확인되었으며, 모형의 설명력은 36.2%였다. 이에 본 연구에서는 간호학생들의 환자안전관리 역량을 개선시킬 수 있는 대학단위의 교육이 꾸준하게 이루어질 필요가 있음을 강조한다.

• 보건행정학회지
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• 제14권4호
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• pp.48-74
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• 2004

Considering the existence of asymmetric information between doctor and patient, the doctor's reimbursement method has been considered as a desirable policy device of improving efficiency of patient's use of medical care in terms of its affecting doctor's practice pattern by determining doctor's practice revenue. By using the Community Tracking Study (CTS) physician data set, which includes not only various information on doctors practice arrangements and sources of practice revenue, but also vignettes of various clinical presentations, this paper investigates doctor's reaction to the financial incentive under the control of patient's specific medical situation. Under the econometric model for exploring the effect of doctor's reimbursement method on his/her practice patterns; referring patients, recommend doctor-visit or medical tests, the Hausman's specification test was used for checking out the possibility of the doctor's reimbursement method being endogeneized explanatory variable. In the case where the endogeneity problem of doctor's reimbursement method exists, the 2SLS method was used for correcting that problem, and the multiple regression method was used in the case where the problem is found to be nonexistent. Based on the empirical results, this paper finds that doctors do appear to respond to financial incentive. The empirical results show that the doctor's reimbursement method statistically significantly affects doctor's practice pattern and are coincident with the theoretical result proposed by previous researches, This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would more refer their patients to specialists, and hesitate in recommending doctor-visit or medical exam.

• 대한디지털의료영상학회논문지
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• 제8권1호
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• pp.21-26
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• 2006

Hospitals these days are trying to introduce the a practice has recently been generalized in the test or diagnosis process, where test results and images from different test labs are interlinked together. This process is identical to that of physical aspect in EMR process, which computerizes the paper results within the hospital. One of the prerequisites for the process of computerizing test results is the interface between clinical test devices in the test labs. However, due to the variety of prescription inputs, disparity of test result papers, complexity of job in test labs and diversify of interfaces among the different devices, interconnection with the hospital information system is a complicated job. A universal control of clinical test devices which have independent communication protocols has become possible by connecting them with an interface workstation. As for the patients, waiting time for test has been reduced, and, thanks to the synchronized result retrieval system, it has become possible to check the test results on the very day of the test. As a result, the length of hospitalization has been reduced, too. In terms of workflow, as the transfer of charts and transfer of result papers are separated, the embarrassing job of collecting result papers has disappeared. As patients' test appointment and the results processing can be made on-line, extra work for doctors have disappeared. And, thanks to the computerization of test results information management, the job of statistical processing has become convenient.

• Child Health Nursing Research
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• 제28권3호
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• pp.167-175
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• 2022

Purpose: The present study aimed to develop and examine the effectiveness of a pediatric nursing competency-building program for nursing students. Methods: This was a quasi-experimental study with a nonequivalent control group pretest-posttest design conducted between October and December 2021. The participants included 40 nursing students (20 each in the experimental and control groups) at a university in a South Korean city. The pediatric nursing competency-building program integrated problem-based learning and simulation into clinical field practice. The experimental group participated in the program, while the control group did not. Data were analyzed using the 𝑥² test, the independent t-test, and repeated-measures analysis of variance. Results: Pediatric nursing competency and clinical performance showed a greater increase in the experimental group than in the control group. However, the change in problem-solving ability in the experimental group was not significantly different from that in the control group. Conclusion: The pediatric nursing competency-building program effectively improved students' pediatric nursing competency and clinical performance.

• 문화기술의 융합
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• 제10권3호
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• pp.683-692
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• 2024

본 연구는 간호대학생의 통합시뮬레이션 실습 교육이 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과를 파악하고자 시도된 단일군 사전·사후 유사실험연구이다. 연구대상은 G광역시에 소재한 일개 대학의 4학년 간호대학생 41명으로 2023년 9월부터 11월까지 9주간 운영되었다. 수집된 자료는 SPSS 23.0을 이용하여 기술통계, paired t-test, Pearson's correlation coefficient로 분석하였으며 연구결과는 다음과 같다. 첫째, 시뮬레이션 실습 교육 후 학습자신감(t=-2.21, p=.033), 임상추론역량(t=-2.97, p=.005), 임상수행능력(t=-2.84, p=.007)은 유의미한 효과가 있는 것으로 나타났으나 의사소통능력은 유의미한 차이를 나타내지 않았다(t=-.224, p=.824). 둘째, 간호대학생의 시뮬레이션 수업 후 임상수행능력은 의사소통능력(r=.650, p<.001), 학습자신감(r=.440, p<.001), 임상추론역량(r=.824, p<.001)와 정적 상관관계가 있는 것으로 나타났다. 본 연구결과를 바탕으로 간호대학생의 통합시뮬레이션 실습 교육은 간호대학생의 학습자신감과 임상추론역량, 임상수행능력 향상에 효과적인 교육방법이며 간호대학생의 임상수행능력을 높이기 위해서는 다양한 시나리오를 통한 시뮬레이션 실습 운영이 필요하다.

• 디지털융복합연구
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• 제16권12호
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• pp.489-503
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• 2018

본 연구는 임상실습을 하는 간호학과 학생의 외상 경험과 외상 후 성장에 대해 조사한 연구이다. 자료수집 기간은 2017년 11월20일부터 12월20일까지였으며 대상자는 4개 간호학과에 재학 중으로 임상실습 경험이 1년 이상된 4학년 학생 490명이었다. 자료는 SPSS/WIN 25.0으로 t-test, ANOVA 및 $Scheff{\acute{e}}$ test로 분석하였고, 외상경험은 내용분석법으로 분석하였다. 일상생활 중 외상경험을 한 경우는 26.5%였으나 임상실습 중 외상경험은 61.2%로 높았고, 외상 후 성장 점수는 5점 만점에 2.63점이었다. 외상경험 내용은 의료진의 폭력경험, 간호직에 대한 부정적 인식, 비교육적인 실습환경, 열악한 환경에서의 실습, 중증 환자 목격 등이 있었다. 본 연구의 결과는 향후 간호학과 학생의 외상 후 성장을 돕기 위한 임상실습교육 프로그램 개발의 기초자료로 활용 될 수 있다.

• 기본간호학회지
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• 제24권3호
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• pp.181-188
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• 2017

Purpose: Competency in physical assessment is an important component of nursing practice. However, some physical assessment skills are not being utilized within the current teacher-centered, content-heavy curriculum. This study was conducted to identify the effects of student-centered, self-directed learning in the physical assessment class. Methods: An experimental study with a post-test only control group design was used to compare an intervention group that was provided self-directed learning classes and a control group that was provided traditional lecture and practice classes. Competency in physical assessment, academic self-confidence, and learning satisfaction were evaluated. Collected data were analyzed using $x^2$-test (Fisher's exact test) and independent t-test. Results: Competency in physical assessment was significantly higher in the experimental group. However, academic self-confidence and learning satisfaction were not significantly different between the groups. Conclusion: The findings in this study indicate that self-directed learning can improve nursing students competency in physical assessment and that self-directed learning is a good education method to improve nursing students' competency in physical assessment during clinical practice and perform quality patient care by making active use of physical assessment skills.