• Title/Summary/Keyword: Clinical adaptation

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A Study on the Critical Thinking Disposition and Clinical Competency of Nursing Students (간호대학생의 비판적 사고성향과 임상수행능력에 관한 연구)

  • Cho, Hak-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.222-231
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    • 2005
  • Purpose: The purpose of this study was to identify the relationship between critical thinking disposition and clinical competency of nursing students. Method : The sample consisted of 151 nursing students, who have ever had clinical practice. Data were collected by self reporting questionnaire for 13 days from April 18-30, 2005. The data were analyzed by descriptive statistics, t-test, ANOVA, Duncan test, Pearson Correlation Coefficient with SPSS Programs. Result : The result of this study were as follows : 1. The total mean score of critical thinking dispositions in the nursing students was moderately(3.50). There was a statistically significant difference in critical thinking disposition according to satisfaction with the nursing major(F=5.563, p=.005). 2. The total mean score of clinical competency in the nursing students was slightly high(3.37). There was a statistically significant difference in clinical competency according to adaptation with the nursing major(F=5.202, p=.007), satisfaction with clinical practice(F=3.172, p=.045). 3. A significant positive correlation between critical thinking disposition and clinical competency was founded(r= .421, p<.000). Conclusion : In conclusion, this study revealed that critical thinking disposition influences clinical competence. Therefore, the finding of this study may provide significant basic data for nursing education and nursing practice.

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The Male Nurses′ Experiences of Adaptation in Clinical Setting (남자 간호사의 실무 적응 경험)

  • 손행미;고문희;김춘미;문진하;이명선
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.17-25
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    • 2003
  • Purpose: The purpose of this study was to identified the male nurses' encounter in adapting themselves in the hospital settings dominated by the female nurses in number. Method: Data were collected through the in-depth interview of 16 male nurses and analysed through the grounded theory methodology. Result: The behaviors of have made tremendous for job-adaptation can be summarized as a series of struggles to consolidate their own ground. They have made tremendous efforts to hold their own ground in the nursing profession composed of a large numbers of female nurses, while they have experienced many difficulties and problems as minorities. They have struggled to adapt themselves professionally through efforts such as; challenging the social and professional barriers, identifying the job identity, empowering themselves through self-development and dedication, expanding their influence among colleagues. In spite of these efforts, they had the perception that nursing is not a lifelong occupation for them. Thus, they had tendency to find outlets of change to occupations. Conclusion: A specific strategy is needed to provide an environment that is helpful for males in integrating into and adapting to the nursing profession.

Development of the Nursing Practice Guidelines for Preventing Postoperative Pulmonary Complications using the Guideline Adaptation Process (수용개작방법을 활용한 전신마취 수술 후 폐합병증 예방 간호실무지침 개발)

  • Choi, Jin Ju;Kim, Hyeon Jeong;Kang, Hye Min;Chu, Hee Young;Kim, Kyeong Sug
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.187-198
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    • 2021
  • Purpose: This study aimed to develop an evidence-based nursing practice guideline for preventing postoperative pulmonary complications (PPCs). Methods: The guideline adaptation process was conducted through the 24 steps based on the guideline adaptation manual of Korean Hospital Nurses Association. Results: The newly developed guideline to prevent PPCs consisted of four domains and 30 recommendations. The number of recommendations in each domain was 7 for assessment of PPCs, 17 for nursing interventions to prevent PPCs after general anesthesia, 4 for education (intended for patients and medical staff), and 2 for monitoring and recording. Conclusion: The developed guidelines will contribute in standardization of nursing practice and PPCs prevention and management. We recommend the dissemination and utilization of these guidelines nationwide to improve the quality of postoperative pulmonary complication prevention.

The Coping Experience of Nursing Students in Clinical Practice: Trying to be a Meaningful Presence (간호학생들의 임상실습 대처 경험: '의미 있는 존재가 되기 위해 노력하기')

  • Oh, Doo Nam;Um, Young-Rhan;Kim, Chunmi;Ju, Sejin;Choi, Jung Hyun;Park, Myung Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.4
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    • pp.430-440
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    • 2016
  • Purpose: The purpose of this study was to understand the coping experience of nursing students in clinical practice. Methods: In-depth interview was done with semi-structured questionnaire on 32 nursing students taking clinical practice. Data was analyzed through the grounded theory. Results: Core category of coping experience of nursing students was 'trying to be a meaningful presence' while clinical practice. Students' coping strategies were 'overcoming inexperience', 'receiving the recognition from the clinical instructors', and 'governing mind and body'. Helping components for their coping behaviors were 'support from people', 'personal experience before clinical practice', 'dynamics with partners'. Through the coping experience during clinical practice, nursing students became mature and confirmed their identities as student nurses. Conclusion: Nursing students taking clinical practice tried to be a meaningful presence.

Effects of Case-Based Learning on Clinical Decision Making and Nursing Performance in Undergraduate Nursing Students (사례기반학습이 간호대학생의 임상 의사결정 능력과 간호수행 능력에 미치는 효과)

  • Jeong, Mi-Eun;Park, Hyoung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.3
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    • pp.308-317
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    • 2015
  • Purpose: The aim of this study was to examine the effects of case-based learning (CBL) on clinical decision making and nursing performance. Methods: This research was conducted between September, 2011 and January, 2012 as a nonequivalent comparison group design. The participants were 55 third year nursing students who were enrolled in a college of nursing in a university in Korea. The intervention was the CBL procedures which involved role-play practice videoed by camera and watched on the computer by the students. Questionnaires were used before and after the intervention to measure clinical decision-making. Nursing performance tests were done after the intervention. Results: Statistically significant group differences were observed in clinical decision-making. Nursing performance was significantly higher in the CBL group than in the control group. Conclusion: CBL focused on the solving problem process and clinical cases which are based on clinical setting allowing students to develop efficiency in clinical practice and adaptation to the clinical situation.

Tooth-colored Adhesive Restoration for Posterior Teeth

  • Krejci, I.
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.579-579
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    • 2001
  • One of the most important factors for the clinical success of adhesive posterior restorations is marginal adaptation. This property is very closely related to mechanical properties and to the shrinkage behavior of composite materials. Most of modem composite materials are light-cured. This is why the first part of this lecture will be confined to our recent research on light curing, such as plasma polymerization, LED polymerization and the power of modem halogen lamps. In the second part of the lecture the shrinkage properties such as dimensional shrinkage and shrinkage forces of different light curing materials and during different curing procedures will be discussed. Finally, in the third part of the lecture, marginal adaptation before and after loading in different cavity classes and by using different restorative techniques and curing procedures will be presented. Data will also be given on wear resistance, abrasiveness against opposing cusps and postcuring of composite materials.(omitted)

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An evaluation of quality of dental prostheses printed by dental 3-dimensional printing system (치과용 3D 프린팅 시스템에 의해 출력된 보철물의 품질 평가)

  • Han, Man-So
    • Journal of Technologic Dentistry
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    • v.38 no.3
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    • pp.185-191
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    • 2016
  • Purpose: The purpose of this study were to evaluate the quality of dental prostheses printed by 3-dimensional printing system. Methods: Mater model was prepared and ten study models were fabricated. Ten single crowns were printed by 3D-printing system(Resin group) and another ten single crowns using casting method were manufactured(Metal group). The marginal adaptation of single crowns were measured using by silicone replica technique. Silicone replicas were sectioned four times. The marginal adaptations were evaluated using by digital microscope. Statistical analyses were performed with Mann-Whitney test(${\alpha}=0.05$). Results: $Mean{\pm}standard$ deviations of all marginal adaptations were $92.1(20.0){\mu}m$ for Metal group and $69.7(12.3){\mu}m$ for Resin group. Two groups were no statistically significant differences(p>0.05). Conclusion: Marginal adaptation of single crowns printed by 3D-printing system were ranged within the clinical recommendation.

Confidence Bounds following Adaptive Group Sequential Tests with Repeated Measures in Clinical Trials (반복측정자료를 가지는 적응적 집단축차검정에서의 신뢰구간 추정)

  • Joa, Sook Jung;Lee, Jae Won
    • The Korean Journal of Applied Statistics
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    • v.26 no.4
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    • pp.581-594
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    • 2013
  • A group sequential design can end a clinical trial early if a confirmed efficacy or a futility of study medication is found during clinical trials. Adaptation can adjust the design of clinical trials based on accumulated data. The key to this methodology is considered to control the overall type 1 error rate while maintaining the integrity of clinical trials. The estimation would be more complex and the sample size calculation will be more difficult if the clinical trials have repeated measurement data. Lee et al. (2002) suggested a repeated observation case by using the independent increments properties of the interim test statistics and investigated the properties of the proposed confidence interval based on the stage-wise ordering. This study extend Lee et al. (2002) to adaptive group sequential design. We suggest test statistics for the adaptation as redesigning the second stage of clinical trials and induce the stage-wise confidence interval of parameter of interests. The simulation will help to confirm the suggested method.

The Motivation of selecting major, the satisfaction of major and view of occupation for EMT students (응급구조(학)과 학생의 전공선택 동기와 전공만족도 및 직업관)

  • Kim, Mi-Sook;Park, So-Mi;Wang, Chengying;Seo, Ha-Yan;Joo, Young-Ju;Lee, Kyoung-Youl;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.14 no.3
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    • pp.29-40
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    • 2010
  • Purpose: We investigated the motivation of selecting major, the satisfaction of major and the view on occupation of emergency medical technology (EMT) students. The results of study will be used to increase the satisfaction of major of university students. Also, it can be used to support decision of major for high school students. Method: We conducted 1,586 surveys from 665 students at six four-year colleges and 921 students at seven three-year colleges. Our research period was from Aug. 27th to Oct. 31st in 2010. The surveys were analyzed by SPSS 18.0 using description statistics, t-test, ANOVA, Scheffe and Pearson correlation coefficient. Result: In our study, the motivation of selecting major is 35.8% of students selected 'good employment prospects', satisfaction of major's $M{\pm}SD$ is $3.15{\pm}.486$, adaptation of major's $M{\pm}SD$ is $3.11{\pm}.472$. The satisfaction of major show difference (t = 4.548 p = .000) by sex, also the adaptation of major show difference (t = 2.279, p = .023) by sex. The satisfaction of major show first grade students higher (F = 3.605, p = .013) than fourth grade students at four-year colleges. If satisfaction of major is high, accumulation evaluation score is high (F = 3.276, p = .011), too. Clinical practice experienced students was higher (t = -2.878, p = .004) than non experienced it satisfaction. In view of occupation, ideal job's factors and actual job's factors a lot of students selected 'aptitude'. Also, there is a statistically significant correlation (r = .618, p = .000) between the satisfaction of major and the adaptation of major. High satisfaction indicates high adaptation of major. Conclusion: In our study satisfaction of major and adaptation of major was very high score. EMT students concern about employment prospects at most. It is inferred that they select job which match with one's aptitude. We can suppose that students select major as a tool for employment by seeing result that a lot of students consider employment prospects at most when they select major. A method to improve the satisfaction and adaptation of major should be developed by realizing problems which occur the dissatisfaction of major. Also, there as on why students conflict between ideal and actual job should be revealed. There as on seems students want stable occupation in unstable job market situation. Therefore, the expansion of job matching aptitude and being stable should be processed. Finally, university should actively support the method that help to finding jobs for student by identifying job preparation of students.

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Constitution of Prescription and Medicinal Effect & Adaptation Diseases of 'Bullsoosan(佛手散)' in Korean Medical Books (한국(韓國) 의서(醫書)에 보이는 불수산(佛手散)의 처방구성(處方構成)과 효능(效能)·주치(主治)에 대한 고찰)

  • Lyu, Jeong-ah;Jeong, Chang-hyun
    • Journal of Korean Medical classics
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    • v.29 no.1
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    • pp.17-41
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    • 2016
  • Subjects : A literature research on the constitution and medicinal effect & adaptation diseases of "Bullsusan". "Bullsusan" is a herbal prescription composed of Angelicae Gigantis Radix(當歸) and Cnidii Rhizoma(川芎). Objectives : Through the researching on the records of "Bullsusan" in Korean Traditional Medical Books, gain the literature evidence for adaptation to these days child labor as a pre-labor keeping herbal medicine. And have detailed consideration on the constitution of prescription and medicinal effect & adaptation diseases of "Bullsusan". Methods : First, researched the records of "Bullsusan" in Korean Traditional Medical Books which were included at A Series of Korean Medicine(韓國醫學大系) and analysed component ratio, nickname, herbal manufacture and drug processing method, medicinal effect and adaptation diseases. Second, referred related Korean and Chinese researches that examined the medicinal effect and adaptation diseases of "Bullsusan" by scientific experimentation. Conclusions : We found total 46 records of "Bullsusan" from 20 kinds of Korean Traditional Medical Books included at A Series of Korean Medicine. Prescription component ratio of Angelicae Gigantis Radix and Cnidii Rhizoma were 3:2, 1:1, 2:1, 1:1. 3:2 had most 20 records and 1:1 had second 14 records. Especially 1:1 had a tendency of having nickname "Goonguitang", but not must had. First herbal manufacture was powder, it had 8 records. First drug processing method was decocting with water and alcohol, had 19 records. Medical Effects of "Bullsusan" can be induced to next 8, that were "remove get bad blood, give birth new blood", "easy labor by reducing fetal volume", "acceleration of labor", "test of fetal survival, elimination of dead embryo", "elimination of placenta", "revive", "allaying pain", "nourish the blood". From these medical effects, 9 adaptation diseases can be induced. That were "threatened abortion", "womb ache and vaginal bleeding by spontaneous abortion", "pre-labor keeping(prevention of hard labor)", "acceleration of labor", "hard labor", "missed abortion", "postnatal vaginal bleeding, dizziness, asthma, headache, womb ache", "postnatal mastoptosis and mastodynia", "first aid symptom like as dizziness, unconsciousness, stroke caused by excessive bleeding". The medical effect of "acceleration of labor" and "elimination of placenta" have been examined by modern clinical research. The effect of "remove get bad blood, give birth new blood", "allaying pain" and "nourish the blood" have been examined by modern experimental study. But overdosing on "Bullsusan" to pregnant mouse can cause natural abortion, so the proper dose of "Bullsusan" in pregnant period is very important.