• Title/Summary/Keyword: Clinical Skills

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Effect of Practical Delivery-nursing Simulation Education on Team-based Learning on the Nursing Knowledge, Self-efficacy, and Clinical Competence of Nursing Students (팀기반 학습을 적용한 분만간호 시뮬레이션 실습교육이 간호대학생의 간호지식, 자기효능감과 임상수행능력에 미치는 효과)

  • Lee, Sun Hee
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.150-162
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    • 2018
  • Purpose: To identify the effects of delivery-nursing simulation education using team-based learning on the delivery nursing knowledge, self-efficacy, and clinical competence of nursing students. Methods: The study used a nonequivalent, control group, quasi-experimental design. The team-based learning was applied to the experimental group, while the individual learning was applied to the control group. Data were collected from October 12 to December 7, 2016, and analyzed using the SPSS/WIN 22.0 program. Results: Comparison between the experimental and control group showed no significant difference in delivery-nursing knowledge (t=-0.33, p=.741) or self-efficacy (t=-0.65, p=.515). However, a significant difference (t=-2.09, p=.048) in the nursing-skills aspect of clinical competence was found between the experimental and control groups after the practical simulation education. Conclusion: Delivery-nursing simulation education using team-based learning was more effective in improving the nursing-skills aspect of nursing competence than was delivery-nursing simulation education based on individual learning.

Relationship among Essentials of Fundamental Nursing Skills Performance, Stress from Work and Work Capability of New Clinical Nurses (신규간호사의 핵심기본간호술 수행과 업무스트레스 및 업무수행능력과의 관계)

  • Bang, Soon Sik;Kim, Il-Ok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.628-638
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    • 2014
  • Purpose: This study identifies the relation among the essentials of fundamental nursing skills performance (EFNSP), work capability and stress from work experienced by new clinical nurses. Method: This is a cross-sectional descriptive study with a self-reported questionnaire. The subjects were 224 new clinical nurses employed by general hospitals having more than 400 beds. The data, collected from February 10 to March 7, 2014, were analyzed using descriptive statistics, t-tests, ANCOVA, Pearson's correlation analysis and hierarchical linear regression. Results: The highest frequency of EFNSP of new clinical nurses was vital sign measurement (4.74, ${\pm}.89$) and the lowest frequency of performance was Basic CPR & defibrillator application (1.81, ${\pm}.94$). There were significant positive correlations between frequency and confidence of EFNSP (r=.64, p<.001), frequency and work capability (r=.34, p<.001), and confidence of EFNSP and work capability (r=.48, p<.001), but negative correlation stress from work and work capability (r=-.17, p=.009). General characteristics, stress from work, frequency and confidence in EFNSP and stress from work explain 25.1% of work capability. Conclusion: This result suggests the importance of EFNSP education in nursing schools and availability of opportunities to practice EFNSP during the post-graduation waiting period until assignment to a hospital.

A Study for the Improvement of a Fundermental Nursing Practice Course (기본간호학 실습교과과정 개선에 관한 연구)

  • Yoo Moon-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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    • pp.60-70
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    • 2000
  • It was reported that nursing students had most difficulties in clinical competency due to their short of knowledge and skills in nursing care. Environmental difference between laboratory in nursing school and hospital was another difficulty to them. This implicated that more preclinical competency education is needed in fundermental nursing to achieve skills of care and the laboratory environment of nursing school had to be improved. The purpose of this study was to examine contents, total lecture and practicum house of the fundermental nursing education in nursing schools. It was also examine the difference of contents between hospital in-service education and nursing school. It's study is a descriptive study with study sample of 56 nursing professors who teach fundermental nursing in colleges and universities. Structured Questionnaires was used in collecting data. The result showed that practicum hours total 96.8 hours which was 59% of funderm nursing course. The education regar medication account for large numbers of h Aseptic technique, elimination care, vital oxygen related care were the next common contents. When compared with hospital in-service education, 76% of the education were the same. This suggested that pre-clinical education in fundermental nursing needed to be enforced in its contents & education hours to establish clinical practice centered nursing education.

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Loss of Acquired Skills: Regression in Young Children With Autism Spectrum Disorders

  • Ye Rim Kim;Da-Yea Song;Guiyoung Bong;Jae Hyun Han;Hee Jeong Yoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.1
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    • pp.51-56
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    • 2023
  • Objectives: Regression, while not a core symptom of autism spectrum disorder (ASD), has been suggested to be a distinct subtype by previous studies. Therefore, this study aimed to explore the prevalence and clinical differences between those with and without regression in children with ASD. Methods: This study includes data from toddlers and young children aged 2-7 years acquired from other projects at Seoul National University Bundang Hospital. The presence and characteristics of regression were explored using question items #11-28 from the Autism Diagnostic Interview-Revised. Chi-square and independent t-tests were used to compare various clinical measurements such as autistic symptoms, adaptative behavior, intelligence, and perinatal factors. Results: Data from 1438 young children (1020 with ASD) were analyzed. The overall prevalence rate of regression, which was mainly related to language-related skills, was 10.2% in the ASD group, with an onset age of 24 months. Regarding clinical characteristics, patients with ASD and regression experienced ASD symptoms, especially restricted and repetitive interests and behaviors, with greater severity than those without regression. Furthermore, there were significant associations between regression and hypertension/placenta previa. Conclusion: In-depth surveillance and proactive interventions targeted at young children with ASD and regression should focus on autistic symptoms and other areas of functioning.

The impacts on school life of a occupational therapy student use of smartphone

  • Lee, Sun-Myung
    • Journal of Korean Clinical Health Science
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    • v.7 no.2
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    • pp.1289-1297
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    • 2019
  • Purpose: The purpose of this study was to investigate occupational therapy at M college in Changwon and the impact of smart phone use on the school life of college students and to help them find ways to further develop in the future. Methods; Data collection was conducted using questionnaires, and the questionnaires consisted of 152 total questions with 15 interpersonal questions, 23 problem solving skills, 43 self-efficacy, 16 class participation scale, and 55 self-directed learning scale. It was conducted to first and second graders of M college and conducted a survey through the corresponding academic year from March 26, 2019 to March 29, 2019 to retrieve 120 questionnaires and use them for analysis. The collected data were analyzed using SPSS. Statistic 20.0. Results: Studies show that "school life satisfaction" is usually the highest at 53 percent. The "smartphone user motivation" was the highest with 50.8 percent, while the "most frequently used feature on smartphones" was the highest with 57.5 percent on SNS. Satisfaction after using a smartphone was the highest with 49.2 percent, while 41.7 percent said it would be easier to acquire and utilize information in the areas of satisfaction. Conclusion: Smartphone addiction, interpersonal relationships, problem-solving skills, self-efficacy, participation in classes, and self-control learning items are not only affected by one part, but also by the other.

Beyond Cognitive Empathy: Suggestions for Strengthening Medical Students' Empathy (인지적 공감을 넘어: 의과대학생의 공감능력 증진을 위한 제안)

  • Youngjoon Lee
    • Korean Medical Education Review
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    • v.26 no.2
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    • pp.140-154
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    • 2024
  • A physician's empathy plays a crucial role in patient-centered care, and in modern medicine, patients, their caregivers, and society demand a high level of empathy from healthcare providers. The conceptualization of clinical empathy, which has emphasized cognitive empathy since the mid-20th century, has been widely accepted in medical schools and the healthcare industry without much critical ref lection. This study provides an overview of the ongoing debates on empathy versus sympathy and cognitive empathy versus affective empathy to clarify the concept of empathy. Based on recent research findings, clinical empathy is proposed to encompass three components: cognitive empathy, affective empathy, and empathic motivation. It is suggested that fully demonstrating these components requires empathic communication skills. Additionally, the cognitive characteristics of medical students and the features of the academic environment demonstrate the need for education to strengthen their empathy skills. Considering this, proposed intervention methods that medical schools can consider include utilizing tutoring programs and debriefing processes for team activities, which can facilitate problem-solving as a coping strategy for stress. Learning communities can create an environment where students can receive social support and recover from stress. Medical schools can contribute to the development of students' professional identities as practicing clinicians who embody empathy and respect by cultivating professors as positive role models. Additionally, utilizing scales to assess the empathic nature of doctor-patient communication or incorporating patients and caregivers as evaluators can actively improve empathic communication skills.

Effects of Simulation Training on Communication Ability, Learning Self-Efficacy and Clinical Reasoning among Nursing Students (시뮬레이션 교육이 간호대학생의 의사소통능력, 학습자기효능감, 임상추론역량에 미치는 효과)

  • Jiyeong Lee;Kyoung Hee Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.1
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    • pp.353-361
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    • 2024
  • Simulation education is a method that allows learners to learn repeatedly in realistic simulated situations. It solves the limitations of clinical practice that lacks direct nursing performance and is useful for acquiring and developing the knowledge, nursing skills, communication skills, learning self-efficacy, and clinical reasoning required for nursing students. The purpose of this study was identify the effects of High fidelity simulation-based education on communication ability, learning self-efficacy and clinical reasoning of nursing students. The subjects were 84 nursing students who were enrolled in the senior who had received simulation training using dysphagia patient care scenario. Data were analyzed using SPSS/WIN 22.0. As a result, There was a statistically significant difference in the communication ability, learning self-efficacy, clinical reasoning. And the mean score of simulation effectiveness is 2.64 points (a perfect score of three). Therefore, In order to improve the communication ability, learning self-efficacy and clinical reasoning of nursing students, it is necessary to develop and apply realistic scenarios that reflect various clinical situations.

The Effects of a Self-Management Course on Self-Efficacy, Fatigue, Coping Skills and Self-Care Activities in Patients with Systemic Lupus Erythematosus (자기관리과정이 루푸스 환자의 자기간호활동에 미치는 영향)

  • Sohng Kyeong-Yae;Kang Sung-Sil
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.324-333
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    • 2001
  • Purpose: A quasi-experimental study was conducted to identify the effects on Self-efficacy, Fatigue, Coping Skills and Self-care Activities by Korean patients following a Systemic Lupus Erythematosus Self-Management (SLESM) Course. Methods : A two group pre-test and post-test design was used. The participants in the study were forty-one people with Systemic Lupus Erythematosis of which 21 subjects were assigned to the experimental group and 20 to the control group The experimental group received six weekly 2-hour group sessions, while the control group did not receive any intervention Outcome measures included self-efficacy, fatigue, coping skills and self-care activities. Baseline demographic and clinical variables did not differ between the two groups. Results : Patients who Participated in the self-management course showed significant decrease in fatigue (p= .038), improvement in self-efficacy (P= .001) and coping skills (p= ,048), increase in self-care activities (p= .003), and in the number of types of self-care activities(P= .048). Conclusion: Self-efficacy, coping skills and self-care activities improved and fatigue was reduced following the SLESM course. This study showed that a SLESM course is a good nursing intervention that can be offered in community settings.

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Application of Counseling in Sasang Constitutional Medicine (사상의학진료에서 상담기법의 활용)

  • Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.4
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    • pp.311-316
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    • 2017
  • Objectives The purpose of this study was to investigate the relationship between counseling skills and Sasang constitutional medicine(SCM). Methods Reviewing the texts relevant to SCM, comparison between counseling skills and the excerpt from the relating books was conducted in terms of the attitude of the counselor, the observation method, the evaluation of the counselee, the relationship between the counselor and counselee, and the counseling method. Results As the attitude of the counselor, many kinds of attitudes and skills including respecting the counselee and reciprocal belief were needed. The excerpt from "Gyeokchigo" meant that the counselor or a doctor should have the virtue of Truth. To evaluate the patient's problems in SCM and the counseling, diet, digestion, and sleep could be asked, but questions about the emotions such as Joy, Anger, Sorrow and Pleasure should be more carefully modified in a modern way, when applying clinical practices. Empathy as the main principle of the counseling could be attributed to the main idea of Dongmu Lee Jema, in which all the people could be in the same status in a natural way reflecting that they like the virtue and dislike the evil. Recommendations of regimen and directives could be followed according to SCM Conclusions Several items of counseling skills and SCM coincide but some of the modern counseling skills are still needed to apply SCM to make the patients with psychiatric problems treated efficiently.

A structural model of nursing students' performing communication skills (간호대학생의 의사소통기술 수행 구조모형)

  • Gil, Cho Rong;Sung, Kyung Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.2
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    • pp.148-160
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    • 2023
  • Purpose: The purpose of this study was to construct and test a structural model of nursing students' performing communication skills. Methods: The data collection was conducted from October 13 to October 20, 2020. The participants were 286 students from nursing colleges located in three cities. The data analysis method was a covariance structure analysis with using IBM SPSS statistics version 23.0 and AMOS 21.0 statistical programs. Results: The hypothetical model showed a proper fit with the data: root mean square error of approximation=.08, standardized root mean square residual=.06, adjusted goodness of fit=.85, normed fit index=.91, and comparative fit index=.94. The model fit indices were normed to fit index=2.96. Statistically significant explanatory variables for the performing communication skills of nursing students were peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. The variables accounted for 66.1% of the performing communication skills of nursing students. Conclusion: Based on the above results, it appears necessary to develop strategies for improving the performing communication skills of nursing students, and having positive effects on health outcomes of the subjects by considering the variables of peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. Such strategies could potentially have positive effects on the health outcomes of the patients.