• Safety and Health at Work
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• v.8 no.1
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• pp.1-10
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• 2017

Considerable effort has been made to address the issue of occupational health and environmental exposure to mercury. This review reports on the current literature of mercury exposure and health impacts on dental personnel. Citations were searched using four comprehensive electronic databases for articles published between 2002 and 2015. All original articles that evaluated an association between the use of dental amalgam and occupational mercury exposure in dental personnel were included. Fifteen publications from nine different countries met the selection criteria. The design and quality of the studies showed significant variation, particularly in the choice of biomarkers as an indicator of mercury exposure. In several countries, dental personnel had higher mercury levels in biological fluids and tissues than in control groups; some work practices increased mercury exposure but the exposure levels remained below recommended guidelines. Dental personnel reported more health conditions, often involving the central nervous system, than the control groups. Clinical symptoms reported by dental professionals may be associated with low-level, long-term exposure to occupational mercury, but may also be due to the effects of aging, occupational overuse, and stress. It is important that dental personnel, researchers, and educators continue to encourage and monitor good work practices by dental professionals.

• Journal of Society of Preventive Korean Medicine
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• v.14 no.1
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• pp.13-24
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• 2010

Objectives : This study aimed to investigate the current job-related characteristics coordinators in East-West Collaborative Medical Practices(EWCMP) and to develop activation plans for them. Method : The participants were 51 personnel who were supporting EWCMP in the 28 institutions. Data were collected with self-administered questionnaires and analyzed with descriptive statistics. Results : The major role of the participants was educating and consulting patients(74.5%) and followed by supporting collaborating physician(70.6%). They assumed to be helpful to make the patients easy to use EWCMP(98%) and to give patients full information what they asked(96%). However, participants responded lack of adequate educational programs and role ambiguity as chief complaints(91.7%). They showed relatively high level of job importance(78.7points on 100points) and job satisfaction(72.8points on 100points). Coordinators were expected to have bachelor and more than 8 years clinical career, and communication skill. Conclusions : Coordinators have played key roles in giving information for the patients and coordinating EWCMP. However their roles and job description was not clear, and educational programs was insufficient as required. Therefore, it is needed to clarify their roles and job description and establish professional educational programs for supporting coordinators.

• Journal of Acupuncture & Meridian Studies
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• v.11 no.6
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• pp.355-360
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• 2018

Introductions: Pneumothorax is the most frequent severe acupuncture-related adverse event occurring at the GB 21 acupoint. This study used ultrasonography (US) to measure the depth of the GB 21 acupoint in adults and assessed its applicability for ensuring safe acupuncture practices. Materials and methods: A US probe was used to measure the vertical depth from the skin to the pleural line of the apex of the lungs at the right and left GB 21 acupoints. The sex, age, body weight, height, and body mass index of each person were recorded. Student t test and generalized estimating equations were used for statistical analysis. Results: Sixty women and 41 men with a median age of 29 years were included in this study. The depth of GB 21 increased with body weight, height, and body mass index (p < 0.001). The mean depth of GB 21 in men (17.4 mm) was greater than that in women (14.6 mm; p < 0.001). The depth difference between the right and left shoulders was significant in men (p < 0.001) but not in women. Conclusions: US can be used to measure GB 21 acupoint depth. Further control studies on its use to ensure safe clinical practices, including preventing acupuncture-related pneumothorax, are warranted.

• Archives of Plastic Surgery
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• v.50 no.4
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• pp.443-444
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• 2023

Point-of-care photography and photo sharing optimize patient outcomes and facilitate remote consultation imperative for resident surgeons. This literature review and external pilot survey study highlight the risks associated with current practices concerning patient privacy and biometric security. In a survey of 30 plastic surgeon residents and attendings, we found that the majority took photos of patients with their iPhones and shared them with colleagues via Apple iMessage. These findings corroborate previous reports and highlight a lack of physician user acceptance of secure photo-sharing platforms. Finally, we frame a successful example from the literature in the context of a postulated framework for institutional change. Prioritizing the privacy and safety of patients requires a strategic approach that preserves the ease and frequency of use of current practices.

• The Journal of Korean Academic Society of Nursing Education
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• v.9 no.1
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• pp.81-93
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• 2003

Purpose: The purpose of this study was to develop a PBL module in maternity nursing based on the clinical cases. A PBL module applied to maternity nursing class to test the effects on improving the learning ability of students. And it would be used for developing further PBL module even more perfectly. Method: We selected the concept of the PBL module which is based on the purpose of the contents of maternity nursing class and national test held by Korean Nursing Association. The module scenario was composed up of the cases of clinical practices and was also checked by clinical practice professionals as well as the nursing professionals in other colleges. We used this PBL module for the 20 second grade student nurses in K college for 6 weeks. Besides, we checked self-analyses on the PBL class, assessments done by students on the PBL class itself and on the academic adviser and analyzed the students' subjective statements on the PBL class . Results: The achievements of the experimental students given a PBL class, are better than those of the control group statistically. And the experimental group do their almost all learning planned actively for themselves and show their positive responses on the PBL class being helpful in practicing clinical cases. Conclusion: PBL class could be considered the method to fortify student nurses' abilities on adjusting themselves to clinical real situations through the learning planned by themselves. Afterwards it is necessary to activate PBL class in nurse education. Most of all, it is more important that nurse educators should recognize the values of this PBL class and try to apply it in reality.

• Journal of Convergence for Information Technology
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• v.8 no.6
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• pp.85-91
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• 2018

The purpose of this study to investigate the effects of self-efficacy and clinical practice satisfaction among nursing students and to provide counseling and guidance for nursing. There are 121 nursing students 4th grade students who accomplished all clinical practices cited one specific location. Collected data were analyzed using Pearson's correlation and Multiple regression. The results shown by the study were shown to be positively correlated. The results of the study were clinical practice satisfaction 13.3%(${\beta}=.248$) and self-efficacy 38.6%(${\beta}=.570$), respectively. A total of 44% were the factors affecting the career attitude maturity. Therefore, it is necessary to develop a curriculum to enhance the self-efficacy of nursing students and to improve the satisfaction of clinical practice.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.157-174
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• 2010

Purpose: This study aims to develop, verify, and suggest outcome indicators for advanced practice nurses (APNs) in order to clarify their usefulness. Methods: To develop outcome indicators, the following methods were applied: reviewing literature intended to identify preliminary outcome indicators; surveying outcome indicators currently used for APNs and collecting the opinions from representatives of the professionals in clinical practice; verifying the content validity of preliminary outcome indicators by professionals and verifying the preliminary outcome indicators with 252 APNs. Results: Suggested outcome indicators are categorized into 84 items in total. Of these, the number of outcome indicators commonly appearing across disciplines was 18, mostly related to satisfaction and education. A majority of other outcome indictors exhibiting high relevance to individual disciplines are associated with care, including critical care (19 items), oncologic care (9 items) and emergency care (10 items). Conclusion: As the outcome indicators identified in this study are available to demonstrate the usefulness of APNs, it is recommended that future studies need to select and use appropriate outcome indicators according to characteristics and conditions of the discipline under examination. In addition, it is necessary to validate whether the suggested outcome indicators reflect adequately the practices of APNs.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.216-223
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• 2019

This study was conducted to identify the effects of patient safety competency on patient safety management practice by nursing students and provide basic data for the development of the program to improve patient safety management practice. Participants were 293 fourth year nursing students who had clinical practice as student nurses for more than one year. Data were collected from April 26 to May 9, 2018. Collected data were analyzed for frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson' s correlation coefficient, and multiple regression with SPSS/WIN 24.0 computer program. Nursing students' patient safety competency was an average $2.90{\pm}0.38$ points (patient safety knowledge $2.68{\pm}0.65$; patient safety skills $3.26{\pm}0.56$; patient safety attitudes $2.75{\pm}0.40$). The average core of management practices to patient safety recorded $4.13{\pm}0.57$ points. In terms of the correlation among subjects' patient safety knowledge, skills, attitudes and patient safety management practices, significant correlation existed between skills and management practices (r=.337, p<.001), attitudes and management practices (r=-.150, p =.010), knowledge and management practices (r=.171, p=.003). Regression analysis revealed that 15.7% of the variance in patient safety management practice by nursing students could be explained by patient safety skills (${\beta}=.307$, p<.001), patient safety accident experience of Fire (${\beta}=-.127$, p=.026), patient safety attitudes (${\beta}=-.121$, p=.026), and patient safety accident experience of patient education (${\beta}=-.119$, p=.034). Additional studies to determine the various factors affecting patient safety management practice of nursing students and to develop educational program for increasing patient safety management practice should be conducted.

• Asian Journal for Public Opinion Research
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• v.10 no.4
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• pp.316-339
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• 2022

The effects of the COVID-19 pandemic across various sectors are far-reaching, and the education sector is not an exemption. Approved and recognized vaccines are clinically proven to provide protection and have been considered one of the primary mitigations against the virus. Knowledge, attitude, and related practices (henceforth KAP) toward the virus is widely considered to be an essential cognitive key in public health for health intervention, prevention, and promotion. Previous studies revealed a positive correlation between knowledge and attitude. This study investigated the KAP and their relationship among the 857 college students in one state college in the Philippines using an online survey. Using descriptive statistics, the findings showed that the majority of the respondents have been fully vaccinated against COVID-19. Respondents were shown to be knowledgeable about COVID-19, specifically about its transmission, clinical symptoms, treatment, risk groups, isolation, prevention, and control. Positive attitudes toward individual and governmental mitigation and control of the virus were shown. Their scores on practices revealed that they always exhibit protective and preventive behavioral practices. Pearson correlation revealed a weak significant relationship between knowledge and practice, and a fair significant relationship between attitude and practice. No significant relationship is found between knowledge and attitude. This study hopes to find its place in the literature worthy of consideration as empirical support toward understanding a specific group's perceptive risk and preventive behavior toward the virus, policy making, and health intervention and promotion.

• Journal of Preventive Medicine and Public Health
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• v.52 no.5
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• pp.323-332
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• 2019

Objectives: The aim of this study was to describe general practitioners (GPs)' opinions and practices of preventive care and patients' opinions, attitudes, and behaviors towards prevention. Methods: The data stemmed from a cross-sectional national survey on prevention conducted in Switzerland from 2015 to 2016. In total, 170 randomly drawn GPs and 1154 of their patients participated. The GPs answered an online questionnaire and the patients answered a questionnaire administrated by fieldworkers present at their practices. Results: Both patients and GPs agreed that delivering preventive care is the dedicated role of a GP. It appeared that beyond classical topics of prevention such as cardiovascular risk factors, other prevention areas (e.g., cannabis consumption, immunization, occupational risks) were scarcely covered by GPs and reported as little-known by patients. In addition, GPs seemed to use a selective approach to prevention, responding to the clinical context, rather than a systematic approach to health promotion. The results also highlight possibilities to improve prevention in family medicine through options such as more supportive tools and public advertising, more time and more delegated tasks and, finally, a more recognized role. Conclusions: Despite an unfavorable context of prevention within the healthcare system, preventive care in family medicine is reasonably good in Switzerland. However, some limitations appear regarding the topics and the circumstances of preventive care delivery. A global effort is needed to implement necessary changes, and the responsibility should be broadened to other stakeholders.