• Title/Summary/Keyword: First Clinical Experience

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Autonomy, Teaching Effectiveness, and Clinical Practice Satisfaction for Fundamentals Nursing Clinical Practice in Student Nurses (간호 대학생의 기본간호 임상실습에 관한 자율성, 교수효율성 및 임상실습 만족도)

  • Kim Yeong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.6-14
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    • 2006
  • Purpose: The purpose of this study was to investigate autonomy, teaching effectiveness, and clinical practice satisfaction for fundamentals nursing clinical practice in student nurses. Method: The participants were 244 sophomores, who had done the practice for 8 weeks from June 17 ${\sim}.33$ August 23, 2005. Autonomy the Caring Perspective(ACP) devised by Boughn(1995) was used to measure autonomy, Instrument to Measure Effectiveness of Clinical Instructor(IMECL) by Reeve(1994) for measuring teaching effectiveness, and an instrument by Moon(2002) for measuring satisfaction. Results: After practice, the role model was seen as rich in knowledge and experience(48.77%). Desirable categories for instructor were full-time professors with a practice background and head nurses(31.97%). Average score for autonomy was 3.71(${\pm}.33$), for teaching effectiveness, 3.67(${\pm}.48$) and for satisfaction 3.51(${\pm}.38$). Autonomy scores were high for students satisfied with their major(F=5.23, p=.006), and interested In practice(F=4.38, p=.014). Teaching effectiveness scores were high for students satisfied with practice (F=2.57, p=.038). Clinical practice satisfaction scores were high for students interested in practice(F=5.01, p=.007). Relationships between autonomy and teaching effectiveness (r=.174, p=.006), and between leaching effectiveness and satisfaction showed a positive correlation(r=.632, p=.000). Conclusion: Interest in clinical practice courses in first year affect autonomy, teaching effectiveness and satisfaction.

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Analysis of Healthcare Employment into United Arab Emirates : Focused on Korean and Overseas Sonographers (국내·외 초음파사의 아랍에미리트 취업 과정에 대한 고찰)

  • Youm, Jin-Young;Kim, Jung-Soo
    • Journal of radiological science and technology
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    • v.43 no.4
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    • pp.281-288
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    • 2020
  • This study was intented as an investigation of the employment process into UAE for Korean and overseas sonographers to understand requirements for working abroad in regards to primary education curriculum and employment expansion abroad. A total of 10 candidates are selected who were working together with a job title of a cardiac sonographer in the same department under one hospital in Abu Dhabi, UAE. The candidates had clinical experience over 2 years in other countries after graduation and for 1 year at least in UAE. Data was collected through in-depth interviews, a web search and literature reviews. We analyzed the process regarding their curriculums studying in colleges, educational courses and certificates related medical fields. The findings were created with four essential themes: first, there are specific colleges or diploma courses corresponding academic major in United states, Portugal, Turkey, India and Pakistan. Secondly, healthcare professions were systemized by certifying as a specialist relevant medical fields. Thirdly, it is mandatory to be employed in UAE that are clinical experience for 2 years at least after graduation of specific courses. Lastly, It is required to work in UAE that is a license of healthcare authority under each state by taking a national examination or transferring own certificates to a current license in UAE. In conclusion, the results indicate that employing process for healthcare professionals depends on the educational requirements or clinical experience accumulated due to the various systems to be certified in each country. We believe that this study suggests experimental information for Korean job seekers considering working abroad in the medical ultrasound fields.

Knowledge According to Learning Experiences of CPR for Health Occupation College Students (대학생의 심폐소생술에 대한 교육경험에 따른 지식 - 일 광역시를 중심으로 -)

  • Uhm, Dong-Choon;Jun, Myung-Hee;Hwang, Ji-Young;Choi, Jee-Yae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.138-146
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    • 2008
  • Purpose: The first responder's role during a cardiac arrest scene is to initiate CPR. The AHA has recognized and included the first responder's role for improving the survival rate of cardiac arrest patients. Health personnel working in nursing, emergency care, dental hygiene, radiology, and ocular optics frequently confront sudden cardiac arrest while working. This study was to identify the relationship between the educational experience and recognition with the level of knowledge about CPR for college students. Method: Five hundred forty college students enrolled in the department of nursing science, radiological technology, ocular optics, emergency medical technician, or dental hygiene in Daejeon city were surveyed. The tool used was CPR knowledge developed by the authors based on a literature review including 2005 AHA's CPR guideline. Result: The higher educational experience of CPR was, the higher the level of knowledge. The knowledge of the students in nursing or emergency medical technician was higher than students in dental hygiene, radiology, and ocular optics. Conclusion: CPR class should be included in the curriculum for college students in order to improve their accuracy as a first responder to cardiac arresting patients.

Increased Biceps Translation: A Clinical Sign of Complete Distal Biceps Tendon Rupture

  • Malhotra, Karan;Waheed, Abdul
    • Clinics in Shoulder and Elbow
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    • v.19 no.1
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    • pp.48-50
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    • 2016
  • Various tests to help in the clinical diagnosis of distal biceps tendon ruptures have been described. In our experience these tests are painful in the acute setting. We suggest a simple alternative test wherein the biceps muscle belly is held by the examiner and translated medially and laterally. This is done with the forearm flexed to 90 degrees. It is first performed with the biceps relaxed and subsequently performed with the forearm flexed against resistance. In the relaxed forearm the biceps easily translates over 50% of its width. When placed under tension (by flexing against resistance) this translation is significantly reduced. In cases of complete distal biceps tendon rupture, the biceps still translates, even under resisted flexion of the forearm. This simple test is less painful than other described tests, is easy to perform, and aids in clinical diagnosis of distal biceps tendon ruptures.

Surgical Treatment of Ten Adults with Spinal Extradural Meningeal Cysts in the Thoracolumbar Spine

  • Xu, Feifan;Jian, Fengzeng;Li, Liang;Guan, Jian;Chen, Zan
    • Journal of Korean Neurosurgical Society
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    • v.64 no.2
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    • pp.238-246
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    • 2021
  • Objective : To retrospectively analyze the clinical characteristics and surgical experience of 10 adults with spinal extradural meningeal cysts (SEMCs) in the thoracolumbar spine which may further provide evidence for surgical decision-making. Methods : Ten adults with SEMCs in the thoracolumbar spine were surgically treated and enrolled in this study. Clinical manifestations, imaging data, intraoperative findings and postoperative outcome were recorded. Results : Clinical manifestations of SEMCs included motor and sensory dysfunction of the lower limbs and urination and defecation disturbance. The cysts presented as intraspinal occupying lesions dorsal to the spine, ranging from the T8 to L3 level. Defects of eight cases were found on preoperative magnetic resonance imaging (MRI). Selective hemilaminectomy or laminectomy were used to reveal the defect within the cyst, which was further sutured with microscopic technique. The final outcome was excellent or good in seven cases and fair in three cases. No recurrence was observed during follow-up. Conclusion : SEMCs are rare intraspinal cystic lesions. Radiography and MRI are clinically practical methods to assess defects within SEMCs. Selective hemilaminectomy or laminectomy may reduce surgical trauma. Detection and microscopic suturing of the defects are the key steps to adequately decompress the nervous tissue and prevent postoperative recurrence.

Factors Influencing Organizational Socialization in Clinical Nurses (임상간호사의 간호조직사회화 영향요인)

  • Jung, Kwuy-Im
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.53-65
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    • 2017
  • Objectives : The purpose of this study was to explore and describe the factors related to clinical nurses' organizational socialization, process and to find out the strategic information for successful organizational socialization. Methods : Data were collected with a structured questionnaires from 300 clinical nurses. The data were analyzed with SPSS/WIN 21.0. Results : First, the average score for the organizational socialization($2.95{\pm}0.37$), organization climate($3.28{\pm}0.43$), autonomy($3.23{\pm}0.43$), role stress($3.21{\pm}0.56$), professional self-concept($3.19{\pm}0.46$), organization value internalization($3.11{\pm}0.59$), and perceptional justice($2.91{\pm}0.50$). Second, influencing factor of organizational socialization of the participant were organizational climate, role stress, professional self-concept, Job esteem, Living arrangement type, collaboration between medical professionals in hospital, the other hospital work experience, role model or Mentor, total hospital career, perceived health status, spouse, perceptional justice, Adjusted $R^2=.702$. Conclusions : These results suggest that organizational socialization of clinical nurses could be enhanced by organizational climate. Thus creating a positive organizational climate are mandated for clinical nurses to have constructive organizational socialization.

Effects of Simulation on Nursing Students' Knowledge, Clinical Reasoning, and Self-confidence: A Quasi-experimental Study

  • Kim, Ji Young;Kim, Eun Jung
    • Korean Journal of Adult Nursing
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    • v.27 no.5
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    • pp.604-611
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    • 2015
  • Purpose: Knowledge, clinical reasoning, and self-confidence are the basis for undergraduate education, and determine students' level of competence. The purpose of this study was to assess the effects of the addition of a one-time simulation experience to the didactic curriculum on nursing students' knowledge acquisition, clinical reasoning skill, and self-confidence. Methods: Using a quasi-experimental crossover design consisted of intervention and wait-list control groups. Participants were non-randomly assigned to the first intervention group (Group A, n=48) or the wait-list control group (Group B, n=46). Knowledge level was assessed through a multiple choice written test, and clinical reasoning skill was measured using a nursing process model-based rubric. Self-confidence was measured using a self-reported questionnaire. Results: Results indicated that students in the simulation group scored significantly higher on clinical reasoning skill and related knowledge than those in the didactic lecture group; no difference was found for self-confidence. Conclusion: Findings suggest that undergraduate nursing education requires a simulation-based curriculum for clinical reasoning development and knowledge acquisition.

Development of A Nurse는s Suffering Experience Scale (말기 암 환자를 간호하는 간호사의 고통경험 척도개발)

  • 조계화
    • Journal of Korean Academy of Nursing
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    • v.32 no.2
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    • pp.243-253
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    • 2002
  • The purpose of this study was to develop Nurse's Suffering Experience Scale and to test the reliability and validity of the instrument. Method: The subjects used to verify the scale's reliability and validity were 220 nurses who were taking care of the end stage cancer patients, while working at university and general hospitals in Daegu and Kyungbuk province from April 20. to July 10, 2001. The data was analyzed by the SPSS/WIN 8.0 program. Results: A factor analysis was conducted, and items that had a factor loading more than .40, and an eigen value more than 1.0. were selected. The factor analysis classified a total of seven factors statistically, and it's communality was 44%. The explanation of factors based on the conceptual framework and item content are as follows: The first factor was expanding self consciousness, the second factor was forming empathy with family, the third factor was professional challenge, the fourth factor was change of values, the fifth factor was spiritual sublimation, the sixth factor was helplessness, and finally the seventh factor was rejection to death. Cronbach's coefficient to test reliability of the scale was .8665 for total of 44 items. The Scale for Nurse's Suffering Experience developed in the study was identified as a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for the evaluation of the degree of nurse's suffering experience in clinical settings.

The Development of Certificates Criteria and Curriculum in Home Healthcare Nurse Specialist Program (가정전문간호사 교육프로그램 인정기준 및 표준 교육과정 개발)

  • 신경림;주수경;김혜영;김분한;양숙자
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.395-404
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    • 2003
  • Purpose: To make a contribution to raising the quality of nursing and home healthcare services through reviewing the present state of home healthcare nurse specialist training institutions and education programs and creating concrete measures to establish high-quality education courses. Method: International comparative study of accreditation criteria and curriculum in home healthcare nurse specialist program. Result: The Authorization Standards of home healthcare nurse training institutions consists of 8 items, 23 evaluation criteria and 72 evaluation indexes. Proposal to develop a specialist training program: Curriculum. Modify and complement a present homecare nurse education program. Curriculum I. Designate two forms of certification. The first certification has been granted the authority to serve as a manager and open a home healthcare agency to nurses having masters degrees and clinical experience for five years. The second certification is allowed to perform general home healthcare after having completed a short term training course. Currculum 2. To meet increasing demands, granting a certification to perform home healthcare to registered nurses having clinical experience of more than three years. Conclusion: These results can be utilized in the home healthcare educational program for raising the quality of nurses and home healthcare services.

A Phenomenological Study on the Stress Experience of Rural Mothers-in-Law with Highly Educated Foreign-Daughters-in-Law

  • Lee, Jeong-hwa;Jung, Yun-kyung
    • Journal of Korean Clinical Health Science
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    • v.5 no.4
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    • pp.1032-1039
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    • 2017
  • Purpose. The purpose of this study is to understand the stress of rural mothers-in-law by identifying the nature of their stress experiences with highly educated foreign daughters-in-law using phenomenological methods, and to provide basic data on nursing intervention plan. Methods. The method of this study is to first examine the relationship between marriage and marriage of highly educated immigrant women in Philippines, centered on the nuclear family, through literature reviews such as existing media reports, papers, books and reports, and then to analyze by using Colaizzi's phenomenological research methodology. Results. The results of this study were based on interviews with an elderly women who lives in a rural area and accepted a highly educated foreign daughter-in-law 10 years ago. The essential themes that fit into the context of the 4-existential grounds of Making an Inevitable Choice, Augmenting Conflicts, Expecting hope beyond the endless fence, Crisis in Crisis - Still my family Conclusions. Recently, interest in multicultural families and societies is growing, but there is little empirical study of the system for adopting international marriages, especially for rural mothers to live with foreign wives and to intake such cultural interactions.