• 한국산업융합학회 논문집
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• 제22권6호
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• pp.721-727
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• 2019

The purpose of this study is to investigate the relationship between clinical judgment and nursing performance based on myocardial infarction simulation applied to nursing students. Method: 39 fourth grade nursing students participated in this explanatory study with sampling of accommodations. The Lasater Clinical Judgment Rubric has been used in self-reported clinical trials and satisfaction with judging practices. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficient using SPSS WIN 19. Results: Scenarios with myocardial infarction were scored by self-reported clinical judgment. Total mean score of clinical judgment and total mean value of clinical judgment is 4.17 ± 0.80. Correlation Between Variables After Simulation Practice is highly significant for providing positive clinical judgment and satisfaction with nursing performance. Conclusion: The simulation-based practice associated with adult nursing in myocardial infarction was useful for clinical judgment and nursing performance satisfaction, which improved the core basic skills of nursing students.

• Asian-Australasian Journal of Animal Sciences
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• 제15권5호
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• pp.751-756
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• 2002

A study was carried out to evaluate the incidences and causes of bovine mastitis in Tanzanian shorthorn zebu (Bos indicus) in the traditional sector and crossbred cows (Bos taurus${\times}$Bos indicus) in the dairy ranching sector, both found under the extensive range management system. Management practices were evaluated through a survey study using structured questionnaires. A total of 120 lactating cows (60 cows from each sector) were screened for the disease using the California Mastitis Test (CMT). Confirmatory tests used for infected cows included; the Direct Microscopic Somatic Cell Count (DMSCC), culture, bacteriological and biochemical laboratory assays. Survey results showed that management practices were generally very poor in both sectors with 84% of the surveyed herds being kept and milked under very unhygienic environmental conditions. The level of infection was higher in the crossbred cows (5% clinical and 38.3% sub-clinical mastitis) and lower in the zebu cows with only sub-clinical mastitis (23.3%). Crossbred cows had (p<0.05) higher somatic cell counts than zebu cows. The four highest-ranking bacterial isolates in order of importance were Staphylococcus aureus, Escherichia coli, Streptococcus agalactiae and Bacillus spp. It was concluded that bovine mastitis under the extensive management system in Tanzania was a result of poor management practices and that zebu cows were more resistant to the diseases than crossbred cows.

• 한국임상약학회지
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• 제33권1호
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• pp.35-42
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• 2023

Objective: There is a growing interest in the safe use of medications in pregnant and breastfeeding women. Therefore, the purpose of this study is to find ways to improve education about safe medication use by investigating the status of medication use of pregnant and breastfeeding women, and by evaluating their knowledge, attitudes, and practices toward safe medication use. Methods: In this study, a self-report questionnaire was conducted on pregnant or breastfeeding women in Seoul and Gyeonggi Province. The questionnaire consisted of the following four sections; 1) sociodemographic characteristics of participants, 2) experience of medication use, 3) experience of being educated on safe medication use, and 4) knowledge, attitudes, and practices about medication use during pregnancy/breastfeeding. Results: A total of 203 participants were included in the analysis. Of these, 38.4% reported to take prescription medications during pregnancy and breastfeeding. Regarding education on safe medication use, nearly 90% of the participants answered that they were not educated or were unsure whether they had it. In the knowledge-attitude-practice evaluation on safe medication use, the knowledge level was the highest (mean, 4.45), followed by the attitude level (mean, 3.58) and the practice level (mean, 3.33). The preferred education method of the participants was online education using a computer or mobile phone application, etc. Conclusions: This study suggests that there is a need for systematic and effective education that can link knowledge of safe medication use with attitudes and practices in pregnant and breastfeeding women.

• Asian Pacific Journal of Cancer Prevention
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• 제14권2호
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• pp.733-738
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• 2013

Background: Breast and cervical cancers are significant causes of mortality and morbidity for Asian women, and poor English-speaking ability is a barrier to cancer prevention practices. Materials and Methods: This project tested relationships among English-speaking ability and early detection practices regarding to breast and cervical cancer among female Chinese immigrants. A descriptive cross-sectional survey was used. Results: 175 female Chinese immigrants completed the survey in the breast cancer prevention section, and 35 of them also completed the cervical cancer prevention section. Some 63% of them had heard about the clinical breast exam (CBE), but only 54% had had a CBE. While 46% of the participants were aware of their need for a Pap smear, only 31% had heard about it and had undergone a pelvic exam. Conclusions: English-speaking ability was strongly associated with immigrant women's knowledge of female cancer early detection. Culturally and linguistic issues should be considered as the first step to access immigrant population in designing future education intervention.

• Journal of Neurogastroenterology and Motility
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• 제24권4호
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• pp.536-543
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• 2018

Culture forms an integral aspect of environmental factors which influences disease presentation and clinical outcomes in functional gastrointestinal disorders (FGIDs). In this review, the role of culture in FGIDs in the East is briefly explored with regards to symptom presentation and diagnostic issues, lifestyle and cultural habits, epidemiology, and healthcare seeking behavior. In both functional dyspepsia and irritable bowel syndrome, symptom presentation and disease sub-typing in Asians are known to differ from their Western counterparts, possibly relating to cultural dietary practices and from cultural perception of symptoms. Dietary patterns, together with defecating practices are explored as factors contributing to a lower prevalence of constipation in the East. An urban-rural difference in the prevalence of FGIDs in Asia is attributed to a change in dietary patterns in rapidly developing urban communities, together with an increased level of psychological morbidity. Lastly, cultural attitudes towards traditional/local remedies, variation in healthcare systems, anxiety regarding organic disease, and religious practices have been shown to influence healthcare seeking behavior among FGID patients in the East.

• International Journal of Advanced Culture Technology
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• 제11권3호
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• pp.142-148
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• 2023

Nursing majors are a combination of theoretical and practical education, and since the advisor cannot participate in all practices in clinical practice, the efficiency and effectiveness of practical education are limited in judging the results according to students' reactions. Therefore, the purpose of this study was to analyze the domestic literature on the efficiency of clinical practice of nursing college students.The analysis target was selected through PRISMA flow, and the results were derived through categorization and questioning based on content analysis. Looking at the results, research related to the adaptation of trainees was mainstream, and specifically, research related to the characteristics, conflicts, clinical practice environment, and interpersonal anguish of trainees was conducted. In addition, it was confirmed that active and systematic intervention of practical guidance professors was required, such as possible safety accidents, emotional labor problems, and dilemmas during the practice period. Through this study, it is suggested that a systematic framework for nursing and clinical practice should be prepared.

• 연구윤리
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• 제4권1호
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• pp.15-21
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• 2023

Purpose: Psychological and clinical studies targeting children and adolescents have become increasingly important in recent years as researchers strive to understand better the psychological and physiological development of children and teens. The purpose of the study is to explore significant research ethics on the psychological and clinical study targeting children and adolescents. In addition to these ethical considerations, international and national codes of ethics and regulatory bodies guide ethical research practices with children and adolescents. Research design, data, and methodology: The present study used the qualitative textual collection through investigating the past and current literature review. Numerous prior studies have conducted this research design to obtain the right prior studies. Results: Previous Research has indicated there are four research ethics on the psychological and clinical study targeting children and adolescents. (1) Respect for autonomy, (2) Respect for privacy and confidentiality, (3) Respect for vulnerability, (4). Respect for beneficence. Conclusions: In conclusion, research ethics are essential for protecting children and adolescents when conducting psychological and clinical studies. In the future, research should focus on developing innovative methods to ensure the safety of children and adolescents while still allowing them to participate in research.

• 여성건강간호학회지
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• 제9권4호
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• pp.410-421
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• 2003

Purpose : The purpose of this study was to develop core competency of midwife practices to improve midwifery education, national examination and clinical practices. Method: Literature and. document review and internet search and survey were used. 127 registered in the Korean Midwifery Association midwives by structured instrument were surveyed to analyze midwife's practices and work situation. Result : Midwifery education program has to be either a post graduate or a graduate program for people with nursing license. Midwifery practice has to be extended to a lifelong health care of all women including non-pregnant women, not just a health care of pregnant women and newborns. Thus, a primary health care of women, laws/ethics, and management skills were included in the core competencies of midwifery practice considering the international trend of future-oriented and extended role of a midwife. Also, newborn care and ability to cope with emergency situations were emphasized based on the midwife´s opinion. Conclusion: This study has to be developed midwifery practices and education and the standard of midwifery practice has to be stated based on that result.

• 간호행정학회지
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• 제12권3호
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• pp.434-443
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• 2006

Purpose: This study was to compare effects of preceptorship on nursing students' critical thinking propensity, clinical competency, and the satisfaction of clinical practice. Method: The subjects were 80 by preceptorship group and 51 by conventional method group. The data were analyzed by SPSS 12.0 program. Results: The subject's critical thinking propensity, clinical competency and satisfaction of clinical practices between the preceptorship group and the conventional method group revealed statistically significant difference. Subject's critical thinking propensity revealed significant correlations, along with the clinical competεncy and the satisfaction for clinical practice. And the clinical competency revealed statistically significant correlations with the satisfaction for clinical practice. Conclusion: Findings of this study reveals that the nursing students who had clinical practice by preceptorship showed higher scores in the critical thinking propensity, clinical competency, and the satisfaction for clinical practice than the conventional method group. Consequently, we are quite consciously encouraged to reinforce the preceptorship for realization of an effective clinical practice education for nursing students.

• 한국산학기술학회논문지
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• 제18권1호
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• pp.669-678
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• 2017

본 연구는 간호대학생의 임상실습스트레스와 임상수행능력에 대한 극복력의 매개효과를 파악하고자 시도되었다. 연구대상은 C 지역의 3개 대학 간호학과에 재학 중인 4학년 137명이다. 연구기간은 2016년 10월 15일부터 11월 15일까지이고, 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 SPSS 22.0 통계프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation, Multiple regression으로 분석하였다. 대상자들의 임상실습스트레스와 임상수행능력은 총 5점 중 각각 평균 $3.09{\pm}0.43$점, $3.54{\pm}0.45$점이었고, 극복력은 총 7점 중 평균 $4.93{\pm}0.66$점이었다. 임상실습스트레스와 극복력 간(r=-.24, p=.005), 임상실습스트레스와 임상수행능력 간(r=-.21, p=.012)에 음의 상관관계를 보였고, 극복력과 임상수행능력 간(r=.59, p<.001)에 양의 상관관계를 보였다. 임상실습스트레스와 임상수행능력과의 관계에서 극복력의 매개효과를 검정한 결과, 극복력은 두 변수 간 관계를 완전 매개하는 것으로 나타났고, Sobel test을 통해 확인한 결과 매개효과는 통계적으로 유의하였다(Z=-3.02, p=.003). 즉, 임상실습스트레스는 임상수행능력에 미치는 부정적 효과는 극복력이 투입된 후 더 이상 유의한 영향이 없는 것으로 나타났다. 임상실습교육은 간호학과 교과 과정에서 매우 중요한 요소이며 반드시 수료해야 하는 교과과정이다. 따라서 불가피하게 직면하는 스트레스 상황에서 간호대학생이 갖추어야 할 임상수행능력을 향상시킬 수 있도록 다양한 교과 내 외 과정에 극복력 강화 프로그램을 개발하고 그 효과를 검증할 것을 제언한다.