• 간호행정학회지
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• 제8권1호
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• pp.73-83
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• 2002

To identify the effects of preceptorship on teaching effectiveness at clinical nursing education, a group of nursing students who participate in program under the instruction of the preceptors was compared with the other group of nursing students trained by head nurses.The data were collected from 14 Mary. 2001 to 8 June 2001. The subjects of this study were 85 nursing students trained by the preceptors in the G. medical college hospital in Inchon, and 122 nursing students trained by head nurses at several hospitals in Inchon and Puchon, Korea. The scale for measuring the teaching effectiveness and satisfaction of student for clinical practice developed by Kim, Miae and Lee, Sookja were employed as the tool for the study. The data collected were analysed with SPSS on the teaching effectiveness items, then mean value and SD were evaluated. The t-test were also employed to compare the teaching effectiveness and satisfaction of student for clinical practice of the both groups. The relation of teaching effectives and satisfaction of student for clinical practice were analysed with Pearson's correlation coefficient. The following findings were carried out from this study. 1) The group trained by preceptors showed significant higher teaching effectiveness statistically than the group trained by head nurses, scored mean value of 3.46 and 3.04 respectively in the item of teaching effectiveness. 2) The respective item showing high score of teaching effectiveness in both groups was 'smooth and reasonable dealing on the issues occurred in the wards'. But the items of 'help nursing students to familiarize with other staffs quickly'and 'help always at near' showed low scores. 3) For 5 causal factors classified on the teaching effectiveness, the factor of 'professional knowledge and capability' got the highest score, but 'availability as a supporter' showed the lowest score in both groups. 4) The group trained by preceptors showed significant higher students' satisfaction of clinical practice than the group trained by head nurses, scored mean value of 3.54 and 3.17. 5) Total teaching effectives were posive correlation with students' satisfaction of clinical practice significantly (r=0.603)

• 한국간호교육학회지
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• 제17권3호
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• pp.346-354
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• 2011

Purpose: This study examines the effects of integrating Evidence Based Practice (EBP) into a critical care clinical practicum on nursing students' access and use of information resources and EBP competency. Methods: A one-group pretest-posttest design was used. Fifty senior nursing school students from a university participated. A critical care clinical practicum combined with EBP consisted of six full days of clinical practicum in intensive care units with EBP education. Group and individual training in EBP skills, lectures, small group discussion and conferences were provided. Data were analyzed using paired t tests for 50 participants. Results: The scores of evidence based practice competency increased significantly (p<.001) showing significant improvement in searching and classifying the evidence. Nursing students' access and use of research evidence improved (p=.004). Conclusion: This study showed that the integration of EBP into a clinical practicum was effective in improving accessibility and usefulness in research evidence such as guidelines and research articles, and increasing EBP competency in undergraduate students.

• 한국보건간호학회지
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• 제7권2호
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• pp.77-88
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• 1993

The purpose of this study is to identify the relationship between perceived social support and nursing students. satisfaction of clinical practice. The subject consisted of 216 students of department of nursing in D. Junior College. The students were surveyed by means of a questionnaire during the period of Oct. 26 to Sep. 30, 1992. The data are analyzed by descriptive statistics. t-test, ANOVA, Pearson Correlation Coefficient, using the SPSS program. The results were summarized as follows: 1. Generally perceived social support level of nursing student was to high score 176 from low score 69. mean score was 137.005. 2. The total average mark satisfaction of clinical practice of nursing students is 2.944, which is unsatisfactory mark. According to each item rank, content (3. 162), time (2.983). environment (2.979). instruction (2.801), evaluation (2.758). 3. The result which was not correlated with the relation between generally perceived social support and satisfaction of clinical practice of nursing students. 4. The variables which is influenced generally perceived social support level were grade (t=­2.181. p<.05). order of entrance (t= 2.04, p<.05) and the variables which is satisfaction of clinical practice level was condition of health (r=-0.282. p<.05). satisfaction of school life (r=-0.232. p<.05).

• 대한예방한의학회지
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• 제20권1호
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• pp.55-64
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• 2016

Objectives : In 2007, a survey of how Kampo was regarded in Japanese clinical practice guidelines (CPGs) was first conducted by the Special Committee for Evidence Based Medicine (EBM), namely the Japan Society for Oriental Medicine (JSOM). A manual for CPG development was also published in 2007 by the Japan Council for Quality Health Care, and the revised edition came out in 2014. The purpose this study is to review the current state in CPGs applied to Kampo after 2007, while focusing on how Kampo products being regarded evidence based branch of medicine by CPG developers. Methods : Sources include the Kampo CPGs website of Japan Society for Oriental Medicine (JSOM) and MINDS (Medical Information Network Distribution Service) website of Japan Council for Quality Health Care. Results : Among the 784 CPGs existing by the end of 2015, 91 CPGs were considered containing descriptions of Kampo. Furthermore, 28 type A Kampo CPG (KCPG) which had quality of evidence and strength of recommendation with references were found. Also, most of type A KCPGs relied on the MINDS Handbook for Clinical Practice Guideline Development that was published in 2007. Conclusions : The number of KCPGs are increasing yearly. However, there is still not much Kampo evidence found in CPGs in Japan. Overall, it could be said that we need to not only make evidence vertically but preach it horizontally well.

• 산업융합연구
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• 제20권12호
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• pp.245-250
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• 2022

본 연구는 COVID-19로 인해 실습을 할 수 없는 상황에 교내실습으로 대체 한 후 참여한 간호대학생의 실습만족도에 영향을 미치는 요인을 파악하고자 한다. 연구대상자는 G도에 소재한 일개 대학교에서 2021년 9월 13일부터 12월 3일까지 시행된 임상실습 대체 교내실습에 참여한 간호대학생 144명을 대상으로 자료수집하였다. 자료분석은 ANOVA, Pearson's 상관계수, 위계적 다중회귀분석으로 분석하였다. 대상자의 실습만족도는 일반적 특성으로 자기효능감(r=.540, p=.000), 셀프리더십(r=.553, p=.000), 비판적사고능력(r=.382, p=.000), 전공만족도(r=.248, p=.003)간에 유의한 상관관계가 있는 것으로 나타났다. 대상자의 임상수행능력에 영향을 미치는 변인은 자기효능감 20.4%(𝛽=.266, p=.047), 셀프리더십 51.2% (𝛽=.271, p=.047)로 나타났으며, 실습만족도에 대한 변인들의 설명력은 33.8%였다. 따라서 간호대학생의 실습만족도를 높이기 위해서는 셀프리더십과 자기효능감을 높일 수 있는 교육과정 개발하고 적용하는 것이 필요하다.

• 의학교육논단
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• 제25권3호
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• pp.229-242
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• 2023

Health systems science is a new medical educational field added to the traditional medical education curricula of basic and clinical sciences. Health systems science emphasizes a more comprehensive approach utilizing systems thinking to care for patients, including interactions between multiple healthcare systems. In this review, I explore how health systems science education can be applied when medical instructors teach students in clinical clerkships through representative case studies. This study first looks at examples of health systems science education in clinical clerkship in the United States and suggests how to develop the curriculum of health systems science for clinical learning environments in Korea by combining Kotter's 8-step change management model and Kern's 6-step curriculum development model. Finally, based on practical examples from actual clinical practice education situations, suggestions are made regarding how to develop the entire educational program of a medical school from the stage of applying health systems science at the individual level to clinical practice education.

• 동의신경정신과학회지
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• 제27권4호
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• pp.235-248
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• 2016

Objectives: The aim of this review was to investigate whether evidence of complementary and alternative medicine (CAM) was reflected in clinical practice guidelines (CPGs) for insomnia based on relevant clinical trials. Methods: We conducted a systematic search on domestic and international CPG databases and medical databases. In addition, we conducted manual searches of relevant articles. Three authors independently searched and selected relevant studies; any disagreement was resolved by discussion. We extracted and analyzed the following data: published language, country, development group, participants, interventions, presence or absence of recommendations for CAM, level of evidence, grade of recommendation for CAM, and methods of development. Results: We identified 8,241 records from domestic and international databases, and 22 CPGs were included. Eleven of the 22 CPGs mentioned CAM interventions including herbal medicine, relaxation, acupuncture moxibustion, Tai Chi, meditation, hypnosis, biofeedback, Tuina, and external herbal medicine. However, most of the CPGs indicated 'no recommendation' or 'weak recommendation' for CAM interventions. Only Valeriana dageletiana Nakai and relaxation were considered to have experimental evidence. Valeriana dageletiana Nakai was recommended for improvement of sleep latency, sleep maintenance, total sleeping time, and sleep cycle. Relaxation was recommended as effective intervention for relieving physical and psychological arousal. Conclusions: Despite systematic reviews and randomized controlled trials on CAM for insomnia, most of the CPGs for insomnia did not reflect the evidence obtained. Further CPGs for insomnia should be developed by considering the current advanced studies in the field of CAM.

• 한국학교ㆍ지역보건교육학회지
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• 제13권1호
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• pp.45-53
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• 2012

Purpose: The purpose of this study was to identify relationship between knowledge and infection control behavior about Hepatitis B patient in health care-related majors. Methods: Data was collected from health care related majors-nursing, emergency rescue and dental hygiene with questionaire. Total respondents were 306 and we use all of them. We analysed students' knowledge and infection control behavior about Hepatitis B patient and their relationship. Uni-variate analysis, t-test, ANOVA and correlation analysis test were conducted using SAS version 9.2. Results: Students who go the Hepatitis B lecture were significantly high Knowledge level about Hepatitis B(p<.05). Students who go to clinical education about Hepatitis B were significantly better behavior about infection control in clinical practice(p<.05). The relationship between knowledge about Hepatitis B and infection control in clinical practice was significantly negative(p<.05). Conclusions: It needs to be educated both infection control lectures and clinical practice to health care-related majors to prevent cross-infection between patients and health care providers.

• The Journal of Korean Physical Therapy
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• 제26권6호
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• pp.398-402
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• 2014

Purpose: This study was carried out in order to verify actual applicability of mental practice in the clinical field by applying it to Parkinson disease patients. Methods: : The number of subjects was three and they were aged between 65 and 69. One year or longer period has passed since they were diagnosed with Parkinson disease. The baseline A consisted of three sessions. After the baseline period, the researcher applied mental practice to the subjects once per day, for 20 minutes per each time, for 10 sessions. The no-intervention withdrawal phase was composed of three sessions. Outcome measures 10 meter walking test(10MWT), timed up and go (TUG) test, 8-figure walk test (8FWT). Results: All results indicated that 10 MWT, TUG, F8WT was improved when compared mental practice(B) to pre base line(A). base line(A) after mental practice intervention(B) was also sustained. Conclusion: As a result of the mental practice, we can know that it helps straight gait, dynamic balance, curved gait to improve.

• 임상간호연구
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• 제21권3호
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• pp.277-292
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• 2015

Purpose: The purpose of this study was to develop a Clinical Ladder System (CLS) model for staff nurses working in inpatient units of tertiary care hospitals in Korea. Methods: The study was carried out in 2 steps. First, a nursing competence evaluation scale was developed. Second, evaluation of the nursing competences, qualifications, and professional activities of 230 nurses from five tertiary care hospitals was done by 49 head nurses between Feb. and Dec., 2014. Nurses were selected by head nurses according to their clinical experience and expected behavioral characteristics at each level of the ladder. Results: A nursing competence scale was developed consisting of 5 subcategories (clinical practice, ethical practice, education, leadership, and professional development) and 11 elements, and 5 levels of behavioral indicators for each element. Cronbach's alphas for the entire tool and subcategories were over .853 and stability of the scale was confirmed. There were significant differences in nursing competence according to the 5 levels of the ladder. Conclusion: The findings indicate that the proposed CLS model with a standard score for nursing competence, recommended or obligatory criteria for qualifications and professional activities provides a good tool for developing nurses' competences and retaining excellent nurses in clinical practice.