• 제목/요약/키워드: Judgment

검색결과 1,766건 처리시간 0.03초

시뮬레이션 기반한 심근경색증 상황 교육 적용에 따른 임상판단력과 간호수행자신감 (Clinical Judgment Force and Nursing Performance Satisfaction by Application of Simulation-based Myocardial Infarction Education)

  • 신승옥
    • 한국산업융합학회 논문집
    • /
    • 제22권6호
    • /
    • pp.721-727
    • /
    • 2019
  • The purpose of this study is to investigate the relationship between clinical judgment and nursing performance based on myocardial infarction simulation applied to nursing students. Method: 39 fourth grade nursing students participated in this explanatory study with sampling of accommodations. The Lasater Clinical Judgment Rubric has been used in self-reported clinical trials and satisfaction with judging practices. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficient using SPSS WIN 19. Results: Scenarios with myocardial infarction were scored by self-reported clinical judgment. Total mean score of clinical judgment and total mean value of clinical judgment is 4.17 ± 0.80. Correlation Between Variables After Simulation Practice is highly significant for providing positive clinical judgment and satisfaction with nursing performance. Conclusion: The simulation-based practice associated with adult nursing in myocardial infarction was useful for clinical judgment and nursing performance satisfaction, which improved the core basic skills of nursing students.

간호대학생의 시뮬레이션실습 기반 임상판단력과 흡인간호수행능력 (Simulation-based Clinical Judgment and Performance Ability for Tracheal Suction in Nursing Students)

  • 임경춘
    • 한국간호교육학회지
    • /
    • 제23권3호
    • /
    • pp.330-340
    • /
    • 2017
  • Purpose: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. Methods: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. Results: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were $36.44{\pm}4.82$, $13.44{\pm}1.71$, and $42.32{\pm}5.05$, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. Conclusion: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.

Applying Clinical Judgment Rubric for Evaluation of Simulation Practice for Nursing Students : A Non-Randomized Controlled Trial

  • Kim, Hyun-Ju
    • International Journal of Contents
    • /
    • 제14권2호
    • /
    • pp.35-40
    • /
    • 2018
  • The purpose of this study is to investigate the effects of debriefing using Lasater's Clinical Judgment Rubric to study nursing students' academic self-efficacy, clinical performance, and clinical judgment. The experiment group was subjected to debriefing by applying the Clinical Judgment Rubric, while general debriefing was applied to the control group. The results of the study are as follows: Clinical judgment scores were improved after debriefing for both groups, significantly higher for students in the experimental group compared to the control group. However, there was no significant difference between the two groups in academic self-efficacy or clinical performance. In conclusion, the debriefing based on the Clinical Judgment Rubric used in this study proved to be effective in improving the clinical judgment of nursing students.

Effects of Simulation Learning Using SBAR on Clinical Judgment and Communication Skills in Undergraduate Nursing Students

  • Oh, Hyekyung
    • International Journal of Contents
    • /
    • 제17권3호
    • /
    • pp.30-37
    • /
    • 2021
  • This study aimed to determine the effects of simulation learning program using SBAR (Situation, Background, Assessment, Recommendation) techniques on undergraduate nursing students' clinical judgment and communication skills. A quasi-experimental research design (one-group pretest-posttest design) was used in this study. The participants included 88 students from a nursing college. There were statistically significant differences in clinical judgment, communication clarity, and communication confidence between pre-simulation learning using SBAR and post (t=10.32, p<.0001; t=6.05, p=<.0001; t=7.42, p=<.0001). The simulation learning program using SBAR was found to improve nursing students' clinical judgment as well as clarity and confidence in interprofessional communication.

The Asymmetric Effects of Identity Salience on Judgement: The Role of Valence and Attribute Congruence

  • DaHee Han;Claire Heeryung Kim
    • Asia Marketing Journal
    • /
    • 제25권2호
    • /
    • pp.84-98
    • /
    • 2023
  • A salient identity influences individuals' judgment on products. The current research investigates why identity salience sometimes produces asymmetric effects on an individual's judgment such that a salient identity often influences judgment on identity-congruent products only or identity-incongruent products only. Across two experiments, this research proposes and shows that the valence of identity-incongruent and identity-congruent attributes determines the direction of the asymmetric identity salience effects. Specifically, when an attribute of an identity-incongruent product is positively- (negatively-) valenced, identity salience influences judgment through a decreased (increased) preference for the identity-incongruent (identity-congruent) product.

간호학생의 임상적 판단 경험에 관한 내용분석 (Content Analysis of Experience of Nursing Students in Clinical Judgment during Nursing Practicum)

  • 서연옥;안양희;박경숙
    • 성인간호학회지
    • /
    • 제21권2호
    • /
    • pp.245-256
    • /
    • 2009
  • Purpose: To describe the lived experience of nursing students when faced with clinical judgment in a nursing practicum at the hospital. Methods: A descriptive research design was utilized. Participants were 79 students in the clinical practicum. Participant consent was obtained for ethical protection. Data were collected from August to December 2007 using a semi-structured questionnaire. Content analysis was utilized for data analysis. Results: Two categories and 5 themes were extracted from the data for 'difficult' and 'easy' clinical judgments. For the student category, the two themes were 'knowledge' and 'skill', while the three themes for the clinical education environment category were, 'judgment of clinical symptoms and signs', 'differences between theory and practice' and 'human relationships'. For coping, 2 categories and 5 themes were extracted for the difficult clinical judgment situation, while one category and one theme were found for the easy clinical judgment situation. Conclusion: To develop students' clinical judgment, there is need to develop the method of clinical skills using simulation in clinical teaching. For future research, a study on factors affecting clinical judgment of nursing students in hospitals is needed.

  • PDF

간호교육에서의 비판적 사고, 임상적 추론, 임상적 판단 개념의 고찰 (A Review for Concept Clarification of Critical Thinking, Clinical Reasoning, and Clinical Judgment in Nursing Education)

  • 이동숙;박지연
    • 한국간호교육학회지
    • /
    • 제25권3호
    • /
    • pp.378-387
    • /
    • 2019
  • Purpose: This article is a comprehensive review for concept clarification of critical thinking, clinical reasoning, and clinical judgment, which still lack a consensus and are of mixed use. Methods: Norris's method of concept clarification was used to review concepts that have no clear definition or conceptualization yet. Results: This review summarized literature from various disciplines, classified each concept based on similarities and differences, and provided hypothetic conceptual schema. Conclusion: Clinical reasoning and clinical judgment are clinical situation specific concepts, while critical thinking is a concept applied in general situations. Critical thinking is a broader concept and serves as a foundation for clinical reasoning and clinical judgment. Clinical reasoning precedes clinical judgment. Clinical judgement implies the end point or conclusion of clinical reasoning. Each of critical thinking, clinical reasoning, and clinical judgment is a cognitive and affective process not a psychomotor process. The concept of clinical competency involves action taken after the cognitive processes of clinical reasoning and clinical judgment.

한중일 3국의 중재제도의 조화를 위한 소고 - 특허권 중재를 중심으로 - (A Study on the Harmonization of a Mediation System through a FTA among China, Japan, and Korea - Focused on the Patent Mediation -)

  • 이헌희
    • 한국중재학회지:중재연구
    • /
    • 제23권1호
    • /
    • pp.153-175
    • /
    • 2013
  • The issue of patent validity becomes a subject of dispute under the FTA and there is a definite difference of opinion between China, Japan, and Korea. In other words, the validity of a judgment on the patent was exclusively under the jurisdiction of the administrative agency at a particular patent office. Thus, the issue arises where there is a potential judgment on patent validity. In this case, the Supreme Court rather than the patent office can offer a judgment from a judicial institution and can make a judgment in the case of a medication. In China, however, the lowest possibility of judgment on patent validity is predicted to occur in judicial institutions. Such a judgment is recognized as the Grand Bench Decision in Korea, and the court can judge the patent validation rather than the patent office. That is just the case in the Kilby case-it is invalid for reasons obvious in Japan. Therefore, there is a substantial difference between the three countries. Especially in Japan, where after the Kilby case, they revised the patent law in 2004 to introduce Article 104-3, placing the judgment of patent validity in the court, even if the "Apparentness"is not requisite. Per this law, infringers can argue for patent invalidity not only the judgment of the patent invalidation but also the infringement lawsuit. From the point of view of Japan, Korea became the judgment of trademark validation by extension and obvious cases can become directly to judge through the Supreme Court about the right that needs to examinations and registrations. In terms of the mediation, it also provides a clue about the judgment of intellectual property validation and expands the scope of the mediation in the future. From now on, in order to have active mediation procedures in the three countries, China, Japan, and Korea would need to unify regulations and application scopes for mediation in the FTA negotiation and to look forward to achieve a vigorous mediation approach.

  • PDF

윤리적판단이 직무만족과 조직시민행동에 미치는 영향: 조직신뢰의 매개효과 (The Effect of Ethical Judgment Force on Job Satisfaction and Organizational Citizenship Behavior and the Mediation Effect of Organizational Trust)

  • 이용선
    • 벤처혁신연구
    • /
    • 제2권2호
    • /
    • pp.65-78
    • /
    • 2019
  • 윤리적 경영을 하는 기업은 구성원의 윤리적 판단력에 따라서 조직의 성과에 영향을 미친다고 할 수 있다. 본 연구에서는 윤리적 판단력(ethical judgement)을 주체로, 윤리판단력을 기업, 조직구성원인 상사와 동료를 윤리적 판단력의 요인으로 설정하였다. 연구에서는 윤리적 판단력이 직무만족과 조직시민행동에 미치는 영향을 살펴보고, 윤리판단력이 조직신뢰에 미치는 영향을 살펴보고자 하였으며, 윤리적 판단력과 직무만족과 조직시민행동의 관계에서 조직신뢰의 매개효과를 분석하였다. 본 연구의 대상은 2019년 10월 7일 부터 11월 2일 까지 서울, 경기, 충남지역 근로자 450명을 설문조사하여 실증분석 자료로 이용하였다. 자료의 분석은 SPSS 24.0 통계분석 프로그램을 사용하였다. 연구를 통하여 확인한 결과, 윤리적 판단력은 직무만족과 조직시민행동, 조직신뢰에 영향을 미치고 있음을 알 수 있으며, 조직신뢰와 같은 매개변수는 개인이 조직을 어떻게 인지하는지에 따라서 직무만족과 조직시민행동에 영향을 있음을 알 수 있었다. 윤리적인 판단력은 조직시민행동과 직무만족에 높은 영향을 미치고 있으며, 조직시민행동과 직무만족도를 높이기 위해서는 윤리적인 판단력을 향상시키는 방법의 윤리경영이 절대적으로 필요하며 조직과 일체감을 느낄 수 있도록 하는 다양한 프로그램을 개발하고 시행하는 것이 필요하다고 할 수 있다.

퍼지이론을 이용한 호소의 부영양화등급 판정방법 개발 (Development of Fuzzy Method for Judging Lake Eutrophication Grades)

  • 이용운;권병택
    • 환경영향평가
    • /
    • 제15권1호
    • /
    • pp.35-43
    • /
    • 2006
  • The eutrophication in lakes is caused by the inflow of excessive nitrogen and phosphorus, which are not only pollutants to reduce the value of water resource but also nutrients for algae growth that debases water quality. Several methods have been used to judge the eutrophication grades of lakes, but the judgment results can be different with one another even under same coditions because each method is different in judgment items and their standards. A method for overcoming the problem with the judgment of eutrophication grades is, therefore, developed in this study with the application of fuzzy theory. This method allows decision makers to represent the uncertainties (differences) of results by the existing judgment methods and also incorporate associated uncertainties directly into the judgment process, so the judgment results can be made that are more realistic and consistent than those made without taking uncertainty in account.