• Title/Summary/Keyword: Clinical Scale

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A Relationship between Burden of Clinical Nursing Instructor and Teaching Effectiveness (임상실습 지도자의 부담감과 교수 효율성과의 관계)

  • Son Haeng-Mi;Kim Sook-Young;Lee Hwa-In;Jun Eun-Mi;Han Shin-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.2
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    • pp.187-203
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    • 1998
  • The purpose of this study was to identify the correlation between burden and teaching effectiveness on clinical nursing practice. The subjects were collected 135 clinical nurses who have taught nursing students and worked at hospitals which have over 400 beds in Seoul, Inchon, and Kyoung-gi Do. The instruments used in this study were : the burden on clinical nursing education was measured by Montgomery (1985) developed and visual analogue scale, and effectiveness of clinical instruction was measured by Reeve (1994) developed. The results of this study were as follows. 1) Seeing that the general characteristics of participants : average ages we 32.8 years old, 29.6% of them have Catholics in religions. 75.6% of them were graduated from 3-year nursing college. 20.7% of nurses are working at the surgery ward and I.C.U in each. Clinical nursing career is average 10.03 years, clinical instructional career is 5.22 years, and clinical teaching time is 5.26 hours in a day. Contents of clinical teaching were composed of basic nursing skills 80.7%, orientation 78.5%, inspection(making rounds) 71.9%. 2) The mean score of the burden on clinical nursing instructor was 2.42 by Montgomery's scale and 4.69 by the visual analogue scale. Theses scores represented that subjects were not affected burden highly. The mean score of leaching effectiveness on clinical nursing education was 3.47 and the almost items were found to have higher level. 3) There is no statistically significant differences in the burden according to general characteristics. And the teaching effective ness on clinical nursing education according to general characteristics regarding the age, job position, clinical career and clinical educational time were shown statistically significant differences. 4) There is a negative correlation between the burden and teachin effectiveness on clinical nursing education with a correlation efficient(r=-0.396, p<0.01). Further study is recommended to explore the meaning of burden experiences of clinical instructor deeply and to identify the correlation between the burden of clinical instructor and teaching effectiveness as the job position, and to analysis differences in teaching effectiveness as subcategories.

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The Comparison of Pattern Identification Diagnosis According to Symptom Scale Based on Obesity Pattern Identification Questionnaire (한방비만병증 설문지를 바탕으로 증상 척도에 따른 변증진단 비교)

  • Kang, Kyung-Won;Moon, Jin-Seok;Kang, Byung-Gab;Kim, Bo-Young;Shin, Mi-Sook;Choi, Sun-Mi
    • Journal of Korean Medicine for Obesity Research
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    • v.9 no.1
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    • pp.37-44
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    • 2009
  • The study was to investigate the distribution for the diagnosis of pattern identification questionnaire and agreement rate between diagnosis of pattern identification based on obesity pattern identification questionnaire and the clinical diagnosis of pattern' identification by medical specialist. The distribution for the diagnosis of pattern identification based on obesity pattern identification questionnaire was shown in order of stagnation of liver Gi, retention of undigested food, deficiency of Yang at scale of 5, 3, 2 score and the diagnosis rate of single pattern identification at scale of 5, 3, 2 score was 89.96%, 79.33%, 54.64%, respectively the agreement rate between the diagnosis of pattern identification based on obesity pattern identification questionnaire and the clinical diagnosis of pattern identification by medical specialist was 0.1013. Therefore, the complementary management in CRF questionnaires with consultation from experts and the study for score difference of pattern identification will improve the accuracy and agreement rate, which will will be helpful for pattern identification of obesity by clinical experts.

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A Research of Body Size Analysis and Graphing in 30yrs Korean Women (30대 한국 여성의 체위 분석과 도식화 연구)

  • Park, Hyun-Jung;Choi, Min-Sun;Lee, Jeong-Won;Jeon, Gyu-Il;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.2
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    • pp.232-251
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    • 2008
  • Purpose: Obesity is already a major clinical problem in Korea, so obesity prevention and treatment practices are gradually interested in Korean Medicine doctors. Moreover subjective body shape image entered as a important medical topic recently. To make a graph system for clinical tool which based on the Korean national standard physical scale in 30yrs Korean women. Methods: Physical data of the girth of upper arm, abdomen, hip, buttock, flank, calf, and body weight were statistically analyzed, which collected through the fifth national standard physical scale research. And then reviewed those statistical validation. Results: Relationship of the each body scale data and those graphs were fit and right statistically. Conclusion: These new achieved graph system of Korean standard body scales could be adopt as a useful clinical tool for body image related patients such as obesity, PCOD and postpartum patient in 30yrs Korean women.

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Evaluation of Mental Status in High-Risk Neonates using Infants Coma Scale (고위험신생아의 의식수준 사정을 위한 Infants Coma Scale의 개발과 적용)

  • Ahn, Young-Mee;Sohn, Min;Lee, Sang-Mi
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.561-570
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    • 2010
  • Purpose: This was a cross sectional descriptive study to introduce the Infants Coma Scale (ICS), describe mental status of high risk infants using ICS and explore the relationships between ICS and clinical variables in infants hospitalized in a neonatal intensive care unit of a university hospital in Korea. Methods: After ICS was developed and tested by the authors, a research nurse evaluated the mental status of the infants using the English version of ICS and obtained clinical information on the infants from their medical records. Results: Data from 88 infants were analyzed. About 60% were male, 90% were preterm births, and 40% had pathologic abnormalities. Their mean gestational age was 32.4 (${\pm}3.50$) weeks and the mean birth weight was 1,842 (${\pm}728.6$) grams. The Cronbach's alpha for the ICS was .78. There was a statistically significant positive correlation between ICS total score and five clinical variables including gestational age, birth weight, 1 and 5 min Apgar scores and respiration status. Conclusion: Mental status is an important parameter in nursing assessment. ICS is a valid and reliable instrument, which clinicians can easily use to evaluate the mental status of high risk infants.

A Review on Clinical Research Trends in the Treatment of Tai Chi for Depression (우울에 대한 태극권 치료의 해외 임상연구 동향)

  • Kim, Ju-Young;Hong, Min-Ho;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.4
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    • pp.371-383
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    • 2019
  • Objectives: The purpose of this study was to review the research trends in the treatment of tai chi on depression. Methods: We searched articles in Pubmed and the China National Knowledge Infrastructure (CNKI) July 2009~June 2019. Selected studies were evaluated by the Jadad scale. Results: Fifteen controlled clinical trials were selected. The GDS (Geriatric Depression Scale) and SDS (Self-rating Depression Scale) were most frequently used as diagnostic criteria. The GDS was also the most commonly used outcome measurement. From the Jadad scale of 15 articles, the quality of the studies was low, overall. Conclusions: According to this study, it seems that tai chi treatment for depressive disorder is an effective and safe intervention. Thus, based on this study, more clinical research on diverse forms of treatments for depressive disorder should be performed in Korean medicine in the near future.

Development of the Nursing Competency Scale for Outpatient Nurses in a Tertiary Hospital (상급종합병원 외래간호사의 간호역량 평가도구 개발)

  • Lee, Mi Kyoung;Jeong, Jeong Hee;Lee, Eun A;Oh, Kyung Hwa
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.3
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    • pp.259-270
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    • 2020
  • Purpose: This study aimed to identify nursing competencies of outpatient nurses, to develop a tool to assess the same, and to verify the validity and reliability of the tool. Method: Preliminary items of the scale were developed based on a literature review and nurses' interviews. The tool's content validity was verified by an expert panel and by conducting a pilot study. Subsequently, to verify the validity and reliability of the scale, data were collected from 233 outpatient nurses from 7 certified tertiary hospitals. Data were analyzed using exploratory factor analysis, independent t-test, and internal consistency and correlation analysis. Result: The factor analysis revealed the following 9 factors for the 48 items of the scale: organizational management, customer orientation, personality and ethics, problem solving, nursing practice, interpersonal relationships, communication, crisis management, and professionalism. The Cronbach's α coefficient of the final instrument was .97. Conclusion: The tool developed in this study exhibited adequate validity and reliability. It was effective in reflecting the changing roles of outpatient nurses. Therefore, in future, this tool is expected to help improve outpatient nurses' competencies and nursing quality.

A Clinical case of a Hepatocellular carcinoma Patient with abdomen pain Improved by Daegunjoong-tang and Moxibustion. (대건중탕 및 쑥뜸치료로 호전된 간세포암 환자의 암성 통증 1례)

  • Lee, Su-jung;Ha, Jeong-been;Lew, Jae-hwan
    • Journal of Korean Traditional Oncology
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    • v.25 no.2
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    • pp.13-21
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    • 2020
  • Objective: Most cancer patients suffer from various forms of pain. This study presents the case of a patient with hapatocellular carcinoma with abdominal pain treated by Daegunjoong-tang. Method: For 7 days, the patient was treated with Daegunjoong-Tang and Moxibustion. We planned to maintain moxibustion CV12(中脘), CV4(關元) for 20 minutes everyday. To evaluate the therapeutic effect, we used Visual Analogue Scale (VAS) and Clinical Opiate Withdrawal Scale (COWS). Results: After the treatments, Visual Analogue Scale (VAS) and Clinical Opiate Withdrawal Scale (COWS) score about abdominal pain are decreased. Conclusions: These results suggested that Daegunjoong-tang and Moxibustion have a beneficial effect on relieving abdominal pain caused by cancer.

Validity and Reliability of the Transition Shock Scale for Undergraduate Nursing Students (간호대학생의 전환충격 척도 신뢰도 및 타당도 검증 연구)

  • Kim, Soo Yeon;Shin, Yong Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.1
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    • pp.17-26
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    • 2019
  • Purpose: This study was conducted to verify the validity and reliability of the modified Transition Shock Scale for use among nursing students. Methods: From March 8-April 3, 2018, 207 nursing students participated in this study and were asked to complete self-reported questionnaires, including transition shock, clinical stress, and adapting to clinical practicums. The IBM SPSS Win 18.0 and AMOS 18.0 programs were used for data analysis. Results: A confirmatory factor analysis supported good convergent and discriminant validities ($x^2/df=1.58$, TLI=.92, CFI=.95, RMSEA=.053, AVE=.51-.68, CR=.75-.68). Correlations among transition shock, clinical stress (r=.34, p<.001), and adapting to clinical practicums (r=-.54, p<.001) were significant. Cronbach's alpha for the overall scale was .85, and for the six subfactors it ranged from .65 to .75. Conclusion: The findings suggest that the 17-item transition shock questionnaire is an appropriate instrument for measuring nursing students' transition shock with good validity and reliability.

A Review of Domestic and International Clinical Research Trends on Pharmacopuncture Treatment for Fractures (골절의 약침치료에 대한 임상 연구 동향)

  • Hea Sun Chun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.37 no.6
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    • pp.185-192
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    • 2023
  • The purpose of this study is to analyze trends in domestic and international clinical research studies on pharmacopuncture treatment for fractures. We searched five online databases (PubMed, CNKI, RISS, KISS, and OASIS), and selected a total of 13 clinical research studies from Korea and China. Selected studies were analyzed according to publication year, subject, intervention, treatment method, evaluation scale, adverse event, risk of bias, etc. A total of 10 case studies and 3 randomized controlled trials were included. The study subjects were more often female, and the most common type of fracture was vertebral compression fracture. In Korea, herbal medicine preparations and bee venom were used for pharmacopuncture solution, whereas in China, both herbal medicine preparations and Western medicine preparations were used. All studies commonly used local acupoint needling, and in most cases, the treatment period for case study was less than 1 month, and the observation period of randomized controlled trials was diverse. The most frequently used evaluation scale was numeric rating scale, adverse events were mentioned in only three studies, and no adverse events were reported. Overall risk of bias of all included randomized controlled trials was judged "some concerns". According to this study, pharmacopuncture treatment for fractures was found to be relatively effective and safe, but research that complements the limitations of this study is needed.

Genomic Applications of Biochip Informatics (유전체 발현의 정보학적 분석과 응용)

  • Kim, Ju-Han
    • KOGO NEWS
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    • v.5 no.4
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    • pp.9-16
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    • 2005
  • Bioinformatics is a rapidly emerging field of biomedical research. A flood of large-scale genomic expression data transforms the challenges m biomedical research into ones in bioinformatics. Clinical informatics has long developed technologies to imp개ve biomedical research by integrating experimental and clinical information systems. Biomedical informatics, powered by high throughput techniques, genomic-scale databases and advanced clinical information system, is likely to transform our biomedical understanding forever much the same way that biochemistry did to biology a generation ago. The emergence of healthcare and biomedical informatics revolutionizing both bioinformatics and clinical informatics will eventually change the current practice of medicine, including diagnostics, therapeutics and prognostics.

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