• Title/Summary/Keyword: Clinical characteristics

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Factors related to empowerment of paramedic students who experienced clinical practice (임상실습을 경험한 응급구조(학)과 학생의 임파워먼트 관련 요인)

  • Song, Seo-Yeong;Han, Mi-Ah
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.1
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    • pp.17-30
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    • 2016
  • Purpose: This study investigated factors related to empowerment of paramedic students. Methods: A total of 208 students in the department of emergency medical services who experienced clinical practice at 5 universities were selected by convenience sampling methods. Differences in empowerment by general and major-related characteristics were evaluated using a t-test and analysis of variance. The association between satisfaction with clinical practice and empowerment was tested using correlation coefficients. Multiple linear regression analysis was performed to investigate the factors associated with empowerment. Results: The levels of overall satisfaction with clinical practice and empowerment were 107.48 and 99.46, respectively. In simple analysis, empowerment level was associated with general characteristics, major-related characteristics, characteristics of clinical practice, and satisfaction with clinical practice. Empowerment level was significantly higher in older subjects (${\beta}=5.282$, p = .023), subjects with very good (${\beta}=8.487$, p = .002) or fair (${\beta}=4.879$, p = .010) subjective health status, and high subjective school record (${\beta}=5.837$, p = .008) in multiple linear regression analysis. Satisfaction with clinical practice was positively associated with empowerment (${\beta}=0.250$, p < .001). Conclusion: Empowerment was associated with major-related factors and satisfaction with clinical practice. Increased satisfaction with clinical practice could positively influence empowerment for paramedic students.

Development of Detailed Clinical Models of Nursing Information for Initial Assessment (초기사정을 위한 간호정보조사지의 임상내용 모델 개발)

  • Kim, Younglan;Park, Hyeoun-Ae;Min, Yul Ha;Lee, Myung Kyung;Lee, Young Ji
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.101-112
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    • 2011
  • Purpose: The purpose of this study is to develop a detailed clinical model for recording initial nursing assessment items, and to test the applicability of the model to facilitate semantic interoperability for sharing and exchanging nursing information. Methods: First, the researchers extracted items by analyzing initial nursing assessment records. Second, defining characteristics were identified by analyzing nursing records and reviewing the literature. Third, value sets for defining characteristics were identified and types and cardinalities of defining characteristics were defined based on the value sets. Finally, the detailed clinical model was tested through evaluation by experts and comparison with the initial nursing assessment in a clinical setting. Results: Sixty-one detailed clinical models were developed with 178 defining characteristics and value sets. The experts evaluation and comparison with the initial nursing assessment in a clinical setting showed that the detailed clinical model developed in this study was valid. Conclusion: Use of this detailed clinical model can ensure that the Electronic Health Record contains meaningful and valid information and supports semantic interoperability of nursing information. This use will promote quality in the nursing records and eventually quality of nursing care.

Fall Risk Factors and Characteristics of an Acute Hospital Setting across Clinical Departments (일 종합병원 입원환자의 진료과별 낙상특성 및 위험요인)

  • Jang, In-Sil;Lee, Sun-Gyo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.3
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    • pp.264-274
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    • 2014
  • Purpose: This study was done to determine inpatient fall rates in an acute hospital setting and to explore risk factors and characteristics across clinical departments. Methods: The medical records and standardized fall reports of 416 patients admitted between January 1 and December 31, 2012 were reviewed. Descriptive statistics and statistical tests were used, including: t-test, ${\chi}^2$-test, ANOVA. Results: The total fall rate per 1,000 inpatient days was 0.49. Fall rate, fall risk factors and characteristics such as age, type of fallers and mean MFS (Morse Fall Scale) differed significantly among clinical departments. Conclusions: The analysis results show that the fall rates, fall risk factors and characteristics of acute hospital inpatient falls varied significantly across clinical departments. The findings of this study suggest that hospitals should consider differences in fall related characteristics across clinical departments when implementation fall prevention strategies and interventions.

Clinical Manifestations and Imaging Characteristics of Gliomatosis Cerebri with Pathological Confirmation

  • Zhang, Chun-Pu;Li, Hua-Qing;Zhang, Wei-Tao;Liu, Ming-Hui;Pan, Wen-Jing
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.11
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    • pp.4487-4491
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    • 2014
  • Objective: To explore the clinical manifestations and imaging characteristics of gliomatosis cerebri to raise the awareness and improve its diagnostic accuracy for patients. Materials and Methods: Clinical data, imaging characteristics and pathological examination of 12 patients with GC from Jan., 2008 to Jan., 2012 were analyzed retrospectively. Results: Patients with GC were clinically manifested with headache, vomiting, repeated seizures, fatigue and unstable walking, most of whom had more than 2 lesions involving in parietal lobe, followed by temporal lobe, frontal lobe, periventricular white matter and corpus callosum. Magnetic resonance imaging (MRI) showed diffuse distribution, T1-weighted images (T1WI) with equal and low signals and T2-weighted images (T2WI) with bilateral symmetrical high diffuse signals. There was no reinforcement by enhancement scanning and signals were different in diffusion-weighted images (DWI). The higher the tumor staging, the stronger the signals. Pathological examination showed neuroastrocytoma in which tumor tissues were manifested by infiltrative growth in blood vessels and around neurons. Conclusions: In clinical diagnosis of GC, much attention should be paid to the diffuse distribution of imaging characteristics, incomplete matching between clinical and imaging characteristics and confirmation by combining with histopathological examination.

Recent progress in the understanding of clinical characteristics, epidemiology, and pathogenesis of new bronchopulmonary dysplasia (새로운 유형의 기관지폐이형성증의 임상적 특성, 역학, 병리기전에 대한 국내외 최근 연구동향)

  • Kim, Beyong Il
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.6-13
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    • 2009
  • Recent advances in perinatal care have resulted in improved survival of extremely low birth weight infants (ELBWI). However, bronchopulmonary dysplasia (BPD) remains one of the major complications in ELBWI. BPD was originally described over 40 years ago; the clinical characteristics, epidemiology, and pathogenesis of BPD have changed markedly through this period. In this article, I have reviewed recent progress in research concerning the clinical presentation and characteristics, epidemiology, and pathogenesis of BPD.

A Follow-up Study of Clinical Characteristics of Recurrent Aphthous Stomatitis Patients Treated with Herbal Medicine (한약 치료를 시행한 재발성 아프타성 구내염 환자의 임상소견에 관한 추적 관찰 연구)

  • Ha, Na-yeon;Lee, Jae-hyung;Lee, Jung-eun;Nam, Seong-uk;Ko, Whee-hyoung;Hwang, Mi-ni;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.812-819
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    • 2017
  • Objectives: The purpose of this study was to report the long-term efficacy of herbal medicine for treatment of patients with recurrent aphthous stomatitis (RAS). Methods: We reviewed the clinical records of 17 patients with RAS who visited the Oral Diseases Clinic of Kyung Hee University Korean Medicine Hospital from September 1st, 2014 to August 29th, 2017. The patients were treated with herbal medicine for more than 3 consecutive weeks, followed by a telephone survey. We evaluated the clinical characteristics of RAS, and compared the short-term and long-term efficacy of herbal medicine treatment. Results: After treatment with herbal medicine, the clinical characteristics improved in the 17 patients with RAS, especially in terms of the duration and interval of recurrence. Prolonged effects were reported upon the follow-up telephone survey. Conclusion: Herbal medicine treatment may have a long-term effect in patients with RAS.

DiSC Behavioral Types of Freshmen at the Clinical Laboratory Science Department in D College

  • Noh, Eun Kyung;Lee, Sun Kyung
    • Korean Journal of Clinical Laboratory Science
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    • v.46 no.2
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    • pp.54-58
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    • 2014
  • This study aims to understand some related types (to DiSC behavioral ones) through an analysis about DiSC behavioral types of freshmen at the clinical pathology department in the University. In order to do that, a total of 34 male and female students were surveyed. General characteristics and DiSC behavioral types for the targeted students were analyzed for frequency and percentage. For the frequency, the Chi-square test was performed and the level of significance was set to p<0.05. For the elements to select the university at general characteristics from the result of this study, 21 students were found to have selected the university voluntarily (61.8%). For the information about the clinical pathology department, 14 students were found to be informed through media (41.2%) and 7 students were informed through their parents (20.6%). For the DiSC behavioral types of the students majoring in clinical pathology, 18 students were found to be I type (53.0%), 8 students were C type (23.5%), 5 students were S type (14.7%) and 3 students were D type (8.8%). The relevance between general characteristics and DiSC behavioral type were found to be insignificant. As this study is aimed, there is no significant relevance between general characteristics and DiSC behavioral types, but through an understanding of characteristics of the students majoring in the clinical pathology, helping freshmen who are taking their first steps to adapt themselves to a new environment by diagnosing and understanding their behavioral types, understanding behavioral styles of those four types and guiding them in a positive direction, the method should be considered to raise their satisfaction about the major.

Ego-Resilience and the Clinical Competence of Nursing Students (간호대학생의 자아탄력성과 임상수행능력과의 관계)

  • Lee, Eun Kyung;Park, Jin Ah
    • Journal of Korean Public Health Nursing
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    • v.27 no.2
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    • pp.293-303
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    • 2013
  • Purpose: This study was performed to understand the relationship between ego-resilience and the clinical competence of nursing students. Methods: The subjects were 291 juniors and seniors who received clinical training from nursing universities in Gyeongsang, Jeolla, and Chungcheong. General characteristics, main study variables were analyzed using descriptive statistics such as frequency, percentage, mean, standard deviation; ego-resilience and clinical competence by general characteristics were analyzed using t-test, ANOVA; correlations between ego-resilience and clinical competence were analyzed using Pearson correlation coefficients. Results: The mean score for ego-resilience was 3.44; and the mean score for clinical competence was 3.71. The data showed a positive correlation between ego-resilience and clinical competence. Conclusion: According to the results, there is a correlation between clinical competence and the ego-resilience of nursing students. Therefore, to enhance clinical competence, a follow-up study on the development of a program for advanced ego-resilience is needed.

Comparison of Clinical Characteristics between Patients with Early-Onset and Adult-Onset Schizophrenia : A Retrospective Study (조기 발병 조현병과 성인기 발병 조현병의 임상적 특성의 비교 : 후향적 연구)

  • Kim, Pyung-Soon;Shin, Jae-Ho;Lee, Chang-Hwa
    • Korean Journal of Biological Psychiatry
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    • v.20 no.4
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    • pp.179-186
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    • 2013
  • Objectives This study is designed to compare the clinical characteristics of patients with early onset schizophrenia to those of adult onset schizophrenia patients in first episode. Methods Authors reviewed medical records of 16 early-onset schizophrenia patients and 22 adult-onset schizophrenia patients who had been admitted in the psychiatric ward and diagnosed as schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, fourth Edition (DSM-IV) at Eulji University Hospital during 2004-2008. Socio-demographic data and clinical characteristics such as duration between onset and active phase, number of significant positive and negative symptoms, positive and negative symptom scores of Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S) scores, duration from onset to admission, duration of admission, and equivalent dose of antipsychotics were reviewed. These clinical characteristics of early-onset group were compared to those of adult-onset group. Correlation between age of onset and other clinical characteristics was also analyzed. Results Early-onset group showed more insidious onset pattern and had longer duration of hospitalization than adult-onset group. Early onset group also exhibited more negative symptoms, higher negative symptom scores, and higher CGI-S scores than adult-onset group after treatment. However, there were no significant differences in family history of psychosis, positive symptom frequency at discharge and equivalent dose of antipsychotics between two groups. Conclusions This study revealed that patients with early-onset schizophrenia exhibited more insidious onset, more negative symptoms, and more severe symptoms than those with adult-onset schizophrenia after treatment.

The Relationship between Clinical Stress, Self-Efficacy, and Self-Esteem of Nursing College Students (간호대학생들의 임상실습 스트레스, 자기효능감 및 자아존중감과의 관계)

  • Whang, Sung-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.2
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    • pp.205-213
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    • 2006
  • Purpose: This study was to identify the relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. Method: The data were collected from 172 nursing students in J city. Result: The average scores were; clinical stress 3.56/5, self-efficacy 3.52/5, and self-esteem 3.10/4. Clinical stress level was significantly different according to the general characteristics of clinical tutors(t=2.04, p=.043) and degree of clinical satisfaction(F=6.44, p=.002). Self-efficacy level was significantly different according to the general characteristics of school grade(t=2.29, p=.023) and degree of nursing major satisfaction(F=5.00, p=.008). Self-esteem level was significantly different according to the general characteristics of degree of clinical satisfaction(F=6.56, p=.002) and degree of nursing major satisfaction(F=14.22, p=.000). Self-efficacy level and self-esteem level showed a statistically significant but low positive correlation(r=.171, p=.05). Conclusion: A strategy for development of clinical stress management program is needed for nursing students.

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