• Title/Summary/Keyword: Field experiences

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Off-label or Unlicensed Drug Prescriptions in Child and Adolescent Psychiatry (소아청소년정신과에서의 허가 초과 및 비승인 약물 처방)

  • Lee, So-Young Irene
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.22 no.2
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    • pp.67-73
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    • 2011
  • The purpose of licensing system is to ensure that the medicines are examined for safety, efficacy and quality. Nevertheless, off-label or unlicensed drug usages in pediatric practice is widespread in Korea and worldwide. Psychotropics are one of the most commonly used off-label or unlicensed drugs. The most valid approach to face this dilemma will be to have more evidences from pediatric pharmacological studies. Clinicians, in addition, need to monitor closely their off-label or unlicensed drug prescriptions to minimize the trial and error in practice. Researchers should publish their experiences and provide guidelines. Pharmaceutical companies, regulatory authorities, and consumer organizations should endeavor altogether for the children's right to get safe and efficacious drugs as adults do. Here, the definition as well as the current status of off-label and unlicensed drug prescriptions will be introduced. Critical issues regarding the off label drugs are discussed. In addition, I will describe the present condition as to the off-label and unlicensed drugs in child and adolescent psychiatry and the authorization process of off-label drug prescription in Korea. Lastly, direction we should like to take in this field will be mentioned.

Automated Design of Forward Extrusion Die by AutoLISP Language (AutoLISP을 이용한 전방압출 금형의 자동설계 연구)

  • 김종호;류호연;홍기곤
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1997.04a
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    • pp.584-588
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    • 1997
  • Lots of forginfs used in automobile and aerospce industries are made in hot or cold working conditions, depending on the size and shape of a product. Usually the die design for new items has been first made on the basis of experiences and many know-hows accumulated in the company and then slightly modified through trial and error method to get the desired forgings without defects. Most of drawings at the die design stage have been manually drawn, butrecently some of forging companies have begun to apply a computer-aided drafting technique to the die design for reducing drafting time as well as repeatedly utilizing standardized parts form registerd data base. In this paper the automated die design technique for forward extrusion of axisymmetric forgings is developed by using AutoLISP language. For this study the representative die system is determined form the investigation of several types of forging dies being currently employed in the metal forming field and the design rules for cold extrusion die are summarized and programmed on a personal computer. A few design examples of forward extrusion die are given and discusses.

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Role Adaptation Processes of Family Caregivers with Patients Transferred from Intensive Care Unit to General Ward: Becoming almost a Nurse with Hope and Fear (중환자실에서 일반병동으로 전실하는 환자 가족 돌봄제공자의 역할 적응 과정: 희망과 두려움 속에서 반(半)간호사 되어가기)

  • Kwon, Heui-Kyeong;Song, Misoon
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.603-613
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    • 2014
  • Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

A Study on the Need for Emergency Care Education in Nursing Homes (노인요양시설에서 노인수발 담당자의 응급처치에 대한 교육수요도 조사 - 일개 도시를 중심으로 -)

  • Uhm, Dong-Choon;Sung, Si-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.53-61
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    • 2009
  • Purpose: This study was conducted to evaluate the need for education for emergency care in nursing homes. Method: 312 people who were engaged in caring for the elderly at nursing homes in D-metropolitan c! ity answered the questionnaires about the experiences, the need, and the ideal methods of education for basic emergency care, from Jul. 1. 2007 to Jul. 30. 2007. Result: 69.9% were female. Only 7.1% were nurses and the rest did not have majors in the medical field. 83.0% had experienced education for emergency care, and 89.2%, 78.4% and 44.8% of them had been educated about cardiopulmonary resuscitation, airway obstruction care, and fracture/sprain/dislocation care respectively. Fifty-three who had not experienced education answered 'no opportunity' as a cause of non-education. The need for emergency care education was 4.53/5.00, and the desire to receive education was 2.81/3.00. Mainly workers wanted to be educated abo! ut airway obstruction (88.1%), and breathing assistance & cardiac massage (72.4%). Workers preferred to be educated 1-2 times per year for 2-3 subjects, through programs including both lecture and practice. Conclusion: It is essential to create an adequate program and apply it to the people engaged in caring for the elderly.

Mentoring Experience of Nursing Students Participating in a Health Promotion Program for Elementary School Students (간호대학생의 초등학생 대상 심신 건강증진 프로그램의 멘토링 경험)

  • Kim, Sungjae;Bang, Kyung-Sook;Kang, Kyungim;Song, Minkyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.137-148
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    • 2018
  • Purpose: The purpose of this study was to explore the monitoring experience of nursing students and to suggest considerations when developing mentoring programs. Methods: This qualitative study was conducted by online surveys and individual interviews with 7 nursing students who participated in the health promotion program as mentors. Data were analyzed using qualitative content analysis to identify motives for participating in mentoring and to explore their changes through mentoring. Results: The results were as follows: Motives for participating were 'inquisitiveness about children', 'interest in mentoring activities' and 'curiosity about research'. Recognition of mentor roles were 'actively involved guide', 'exemplary role model' and 'empathetic emotional supporter'. Changes through mentoring experiences were revealed by 'understanding the characteristics of children', 'improvement of interaction ability with children', 'understanding self and changes' and 'recognition of excellence in forest activities'. Conclusion: Nursing students had opportunities to learn the characteristics of general children and to understand themselves through natural interaction. Participation in mentoring has the potential to be a creative educational method of field learning as a form of service learning.

Current Status of Transcultural Nursing Education in Nursing Baccalaureate Programs (간호학과 교과과정 내의 횡문화 간호 교육 현황)

  • Jang, Seon Mi;Kim, Jeongeun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.181-189
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    • 2018
  • Purpose: This study presents the current status of transcultural nursing education in nursing baccalaureate programs. Methods: The nursing curricula from 185 out of 194 nursing colleges that received accreditation were collected and analyzed. Results: 109 (58.9%) nursing colleges offered 117 transcultural nursing-related courses. The courses were offered as elective (68.4%) as well as major (78.6%) courses. All courses were offered as a theoretical delivery class without any field experiences. The courses were offered mainly for sophomore (41.9%) and freshman students (33.3%), and most of them (79.5%) were two-credit courses. Instead of the term "transcultural nursing," "multicultural nursing" is mostly used in the title of courses. An inconsistency between the title of courses and their content was found. After analyzing the title of courses based on four nursing meta-paradigms, courses related to the environment were most common (41.9%). Conclusion: Transcultural nursing education has developed during the last decade. However, teaching methods and course content have not developed enough. Thus, a greater effort is needed to increase awareness of the importance of transcultural nursing education and to develop courses for it.

Experience of Job Satisfaction in Clinical Nurses : Application of Focus Group Methodology (임상간호사의 직무만족 경험: 초점집단 연구방법 적용)

  • Lee, Byoung-Sook;Kang, Sung-Rye;Kim, Hae-Ok
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.114-124
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    • 2007
  • Purpose: The purpose of this study was to describe the experiences of job satisfaction in clinical nurses. Methods: Data was collected from three focus groups composed of 17 hospital nurses. Each focus group had an interview for an average of two and a half hours with the guidance of researchers. The main question was 'how do you describe your lived experience of job satisfaction as a clinical nurse?' Qualitative data from the field notes and transcribed notes were analyzed using a grounded theory methodology developed by Strauss and Corbin. Results: The core category of experience of job satisfaction in clinical nurses was identified as 'Finding success.' Supportive interpersonal relationships and environment affected this category. In the process of attaining job satisfaction through finding success, the participants were using four interactional strategies such as giving meaning, finding self-esteem, extending the horizon of life, and strengthening self-capability. The dimensions of job satisfaction in clinical nurses were the sense of achievement, stability, and pride. Conclusion: The results of this study yields very useful information for nursing mangers to design a program which enhances job satisfaction of clinical nurses based on interactional strategies.

Identification of the Cultural Events of Traditional Korean Medicine and its Analysis - For the Success of 2013 DongUiBoGam Expo - (한의약 문화산업의 성격분류와 현황분석 - 2013 동의보감 엑스포 성공적 추진방향 모색 -)

  • Kwon, Oh-Min;Lee, Min-Ho;Ha, Jeong-Yong;Park, Sang-Young;Ahn, Sang-Young;Ahn, Sang-Woo
    • Korean Journal of Oriental Medicine
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    • v.14 no.3
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    • pp.23-29
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    • 2008
  • Below are the indications that cultural events in traditional Korean medicine nationwide give to the prospective 2013 DongUiBoGam World traditional Alternative Medicine Expo, especially to the se lection of the Expo's site. If the DongUiBoGam Expo is held as outdoor event, it can secure merits of current local council events' advantages: linking lived experiences to natural and historical resources. As in case of the EXOM and Hanghang EXPO that are held as indoor activivies in metropolitan area, if held the DongUiBoGam Expo can secure easily large-scale academic activities and health lectures. Thus, the key point for the DongUiBoGam Expo's success will he how to combine the good points of currently-held cultural outdoor and indoor activities in the field of traditional Korean medicine nationwide.

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Characteristics of Teacher Learning and Changes in Teachers' Epistemic Beliefs within a Learning Community of Elementary Science Teachers (초등 과학 교사들의 교사 공동체 내에서의 학습의 특징과 인식적 믿음의 변화)

  • Oh, Phil Seok
    • Journal of Korean Elementary Science Education
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    • v.33 no.4
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    • pp.683-699
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    • 2014
  • The purpose of this study was to explore the characteristics of teacher learning and changes in teachers' epistemic beliefs within a learning community of elementary science teachers. Three in-service elementary teachers who majored in elementary science education in a doctoral course of a graduate school of education participated in the study, and learning activities in the teachers' beginning learning community provided a context for the study. Data sources included field notes produced by the researcher who engaged jointly in the teacher learning community as a coach, audio-recordings of the teachers' narratives, and artifacts generated by the teachers during the process of teacher learning. Complementary analyses of these multiple sources of data revealed that epistemic beliefs of the three elementary teachers were different and that each teacher made a different plan of science instruction based on his own epistemic belief even after the learning experiences within the teacher community. It was therefore suggested that science teacher education programs should be organized in consideration of the nature of teachers as constructivist learners and their practical resources.

Nursing Students' Attitude towards Complementary and Alternative Therapies and Their Curriculum Expectations Regarding It (간호대학생의 보완대체요법에 대한 태도 및 교과목 개설희망 종류)

  • Chung, Myung-Sill
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.2
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    • pp.188-196
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    • 2012
  • Purpose: The purpose of this study was to identify attitudes of nursing students in terms of complementary and alternative therapies and to find out what curriculums they prefer. Methods: Data was collected through 283 participants from a nursing school by self-report questionnaires that were constructed to include scales. The scales were made as a measurement to search the attitudes of nursing students regarding complementary and alternative therapies. In addition, to find out some of the curriculum that are preferred by them. The data was analyzed using t-test and ANOVA with SPSS/WIN 18.0. Results: Students' attitudes of complementary and alternative therapies were positive. Students' attitudes of complementary and alternative therapies differed depending on factors like one's religion, experiences and education. Some of the curriculum that nursing students wished to be opened related to complementary and alternative therapies turned out to be massage therapy, art therapies that include music and dancing, medication therapy and aroma therapy. Conclusion: In order for nursing students to be able to apply these complementary and alternative therapies at the field after graduation while they are working as a registered nurse, constant effort should be accomplished in establishing complementary and alternative therapies as regular curriculum at University.