• 제목/요약/키워드: Clinical Skills

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아토피 피부염 증례를 이용한 표준화환자 프로그램 연구 (Study of Standardized Patient Program Using Case Report of Atopic Dermatitis)

  • 이현우;홍승욱
    • 대한한의학회지
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    • 제32권5호
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    • pp.78-89
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    • 2011
  • Objectives: The purpose of this study was to design a standardized questionnaire for patients with atopic dermatitis in oriental dermatology. Methods: We selected atopic dermatitis from the evaluation of students' satisfaction conducted by the Department of Oriental Dermatology, Dong-guk University College of Oriental Medicine in 2011. To design the questionnaire for atopic dermatitis, we made up descriptive materials consisting of history of the present illness, patient risk factors, past medical history, personal history, and physical examination. Results: Standardized patients (SP) were used in teaching and practicing interviewing and physical examination skills for students. The SP offers a readily available tool for teaching and evaluating the clinical performance and interpersonal skills of medical students. However, the SP program needs to be more thoroughly researched and developed. Research of pattern identification in atopic dermatitis is needed to design the questionnaire. Conclusions: Using an SP program is strongly recommended to teach and evaluate in oriental medicine clinical clerkships.

간호대학생의 간호기록 작성 지식의 중요도, 비판적 사고성향, 핵심간호술에 대한 수행 자신감이 임상수행능력에 미치는 영향 (Effects of Importance in the Knowledge of Nursing Records, Critical Thinking Disposition and Self-confidence of Core Nursing Skills on Clinical Competence with Nursing Students)

  • 오은영
    • 디지털융복합연구
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    • 제19권12호
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    • pp.627-639
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    • 2021
  • 본 연구의 목적은 간호대학생의 간호기록 작성 지식의 중요도, 비판적 사고성향, 핵심간호술에 대한 수행 자신감이 임상수행능력에 영향을 미치는 요인을 확인하기 위함이다. 간호대학생 201명을 대상으로 2020년 10월부터 12월까지 자가보고식 설문조사를 수행하였다. 수집된 자료는 SPSS WIN 20을 이용하여 다중회귀분석방법으로 분석하였다. 연구결과 간호대학생의 임상수행능력에 영향을 미치는 요인은 비판적 사고성향, 간호기록 작성 지식의 중요도, 핵심간호술에 대한 수행 자신감(β=.43, .31, .24)순이었고, 설명력은 61.9%이었다. 따라서 간호대학생의 임상수행능력 향상을 위해 본 연구에서 확인된 주요요인들을 통합적으로 활용할 수 있는 교수학습전략을 개발하고 적용해볼 것을 제안한다.

약학교과과정의 개국약국실습 방향에 관한 연구 (The Study on Identifying the Components of Community Pharmacy Externship Based on Korean Community Pharmacists' Consensus)

  • 김성현;오정미
    • 한국임상약학회지
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    • 제9권2호
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    • pp.109-118
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    • 1999
  • The need for and components of a contemporary community pharmacy externship for pharmacy students have not been clearly identified in Korea. Mail survey was performed among 20 college of pharmacy deans and 800 community pharmacists to analyze the current status and develop a consensus regarding major focus area and criteria of community pharmacy externship to be implemented under the separation of dispensary from medical practice in year 2000. Mail survey yielded $80\%\;and\;23.5\%$ response rate for pharmacy school deans and community pharmacists, respectively. Of the 16 pharmacy schools that responded 14 said they have externship program in hospital pharmacy, and only 8 pharmacy schools responded of having externship program for community pharmacy. However, these community pharmacy programs lacked criteria and standard guideline for the externship. The results of survey revealed that community pharmacy externship program for students should be organized and directed toward developing expert knowledge and skills in pharmacy practice activities, clinical services, communications, pharmacy management, and professionalism. Pharmacy practice components should include competencies and skills in computer application, prescription processing, dispensing, pharmaceutical compounding, Narcotics Control Law application, maintenance and provision of drug information, and laws and regulations. Clinical service components should include the ability to identify patient's drug-related problems, provide long-term patient care and appreciate drug therapy services. Communication skills should be taught to effectively express his/her professional opinion, deduce the needs of others, utilize appropriate techniques and media to communicate ideas and conduct a patient interview and to obtain patient drug history. Pharmacy management skills should be taught to be efficient in medical insurance and drug control process. It was found that professionalism, morality, pharmacy practice experience, ability to provide clinical services, collect and provide drug information and regality are important criteria of preceptors. Externship sites should possess the ability to stock various drugs, access and provide diverse pharmacy services and should have private patient counseling area. Most pharmacists agreed that top 200 drugs' generic and brand name, indications, dosage, side effects, and contraindication should be instructed during the externship. It was also found that student and preceptor should be evaluated for their performances during the externship. This information will be incorporated into teaming objectives for students and to develop Academic Extemship Program Guidelines.

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졸업학년 간호학생의 핵심기본간호술 학습경험과 수행자신감 조사연구: 실습교과를 중심으로 (A Study on Learning Experiences and Self-Confidence of Core Nursing Skills in Nursing Practicum among Final Year Nursing Students)

  • 한애경;조동숙;원종순
    • 기본간호학회지
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    • 제21권2호
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    • pp.162-173
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    • 2014
  • Purpose: This study was done to identify learning experiences and self-confidence and to analyze nursing students' self-confidence according to learning experiences for core nursing skills (CNS). Method: Participants were 502 final year nursing students. Data were collected using a structured questionnaire and analyzed using descriptive statistics and t-test. Results: Over 60% of participants had practiced 15 items of the 24 CNS in the basic nursing lab (BNL). In clinical practice (CP), they had practiced five items but experienced only one item in a simulation lab (SL). Items with the highest confidence level were vital signs (4.69) followed by blood sugar test (4.60), pulse oximeter (4.38), and oral medication (4.12). Items with the lowest confidence level were blood transfusion (2.17) followed by enema (2.64) and indwelling catheterization (2.67). The group with CNS experience in the practice curriculum was generally more confident than the group with no experience. Self-confidences in some skills was significantly different depending on availability of SL, credits for BNL and CP, and presence of preceptors. Conclusion: Results indicate a need to develop practice education strategies such as changing the CP to practice-centered learning with preceptors and including well-designed SL to increase confidence of nursing students.

통합시뮬레이션 실습 교육이 간호대학생의 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과 (Effect of Integrated-Simulation Practice Education on Nursing Students' Communication Ability, Learning Confidence, Clinical Reasoning Competence, and Clinical Performance)

  • 김미정;나은하
    • 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.

일개 간호대학에서 4년간 실시한 임상수행력평가 (Clinical Performance Examination for Nursing Students: 2006-2009)

  • 최자윤
    • 동서간호학연구지
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    • 제17권2호
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    • pp.87-95
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    • 2011
  • Purpose: The aim of this study was to share the experience of clinical performance examinations (CPXs) using standardized patients, which was to test comprehensive clinical competence of fourth-year nursing students for four years. Methods: The assessment strategies for CPXs were developed. It included clinical scenarios, the roles of standardized patients, and appraisal criteria in the areas of fundamental and comprehensive nursing care. The CPXs were implemented to about 60-70 fourth-year nursing students of C University in G-city, South Korea, during every second semester from the year of 2006 to 2009. Results: The effects of CPXs were measured by 10 or 25-item rating checklist. Internal reliability of the checklists was distributed from .511 to .956 and interrater agreement between faculties and standardized patients was moderate (r=.250-.949). Students' satisfaction level was 4.27 out of 5 points for four years. Conclusion: The use of CPXs was an innovative educational strategy to evaluate nursing students' comprehensive performance ability including knowledge, skills and attitude. Further studies are needed to evaluate the levels of critical thinking and problem solving skills of clinical nurses who were taken CPXs as well as employers' satisfaction.

정맥주사간호를 위한 사례중심 임상수행능력평가 실습교육의 효과분석 (Effects of an Intravenous Injection Case-based Clinical Performance Examination on Problem Solving Skill, Nursing Process Application, Nursing Skill and Learning Satisfaction)

  • 김영일;박정숙
    • 한국간호교육학회지
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    • 제17권1호
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    • pp.25-35
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effects of an intravenous injection case-based clinical performance examination for improvement of problem-solving skill, nursing process application, nursing skill, and learning satisfaction. Method: This study's design was a randomized control group design. A total 93 students (experimental group, 49 control group, 44) who were junior nursing students in South Korea were included in this study. Data were collected from August 12th to 19th, 2010 and analyzed using SPSS 18.0. Result: The mean score of problem solving skills, intravenous injection skill, and learning satisfaction were significantly higher in the experimental group than the control group. However, the mean score of nursing process application was not significantly different between the two groups. Conclusion: These results indicate that the case-based clinical performance examination is effective for problem solving skill, nursing skill, and learning satisfaction. Therefore, it is recommended to adapt such teaching methods with integrated nursing practice education for various clinical skills development.

간호학 실습교육에서 시뮬레이션기반학습의 방향 고찰 (Directions of Simulation-Based Learning in Nursing Practice Education: A Systematic Review)

  • 임경춘
    • 한국간호교육학회지
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    • 제17권2호
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    • pp.246-256
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    • 2011
  • Purpose: With the decrease in available clinical sites, a decrease in adequately prepared clinical faculty, and demand to prepare health care students to begin work, we need alternative methods to teach clinical skills for health care professionals. The use of simulation as an educational process that can replicate clinical practices is becoming popular in nursing. Therefore, this study was conducted to review directions of simulation-based learning in nursing education. Methods: A systematic review of quantitative studies was undertaken using Medline, KERIS, and KISS. The primary search terms were simulation and nursing. Reference lists from relevant papers and the websites of relevant nursing organizations were also searched. Nine studies met inclusion criteria and were analyzed in detail. Results: All studies reported simulation as a valid teaching/learning strategy. Six of the studies (66.7%) showed that simulation technology was a practical and successful model to use in teaching a variety of clinical skills for nursing students and nurses. Conclusion: Simulation may have some advantages over other teaching methods, depending on the scenario, context, topic, and method. Further study is needed to determine the effect of team size on learning and to develop a universal method of outcome measurement.

간호대학생의 자기주도학습, 핵심간호술 수행자신감, 임상실습 교육환경과 임상수행능력 간의 관계 (Correlations among Self-directed Learning, Confidence of Performance in Core Nursing Skills, Clinical Learning Environment and Clinical Competency in Nursing Students)

  • 구윤정
    • 문화기술의 융합
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    • 제9권1호
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    • pp.501-511
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    • 2023
  • 본 연구는 G시에 소재하는 간호대학생 178명을 대상으로 자기주도학습, 핵심간호술 수행자신감, 임상실습 교육환경 및 임상수행능력 간의 상관관계를 살펴보기 위한 서술적 조사연구이다. 자료수집은 2019년 9월 24일부터 10월 19일까지 이루어졌으며, 자료분석은 IBM SPSS Statistics 21.0 프로그램을 사용하여 변수의 평균과 표준편차, 실수와 백분율로 분석하였고, 일반적 특성에 따른 변수의 차이는 independent t-test, ANOVA로 분석하였고, 변수 간의 상관관계는 Pearson's correlation coefficients로 분석하였다. 연구결과, 자기주도학습 3.36점, 핵심간호술 수행자신감 3.42점, 임상실습 교육환경 3.20점, 임상수행능력 3.66이었다. 자기주도학습, 핵심간호술 수행자신감, 임상실습 교육환경과 임상수행능력 간에는 유의한 정적 상관관계가 있었다. 이에 간호대학생의 임상수행능력을 향상사키기 위하여 핵심간호술 교육을 체계화하고, 유기적인 산학협력을 통하여 임상실습 교육환경을 지속적으로 개선시켜 나가야 할 것이다.