• Title/Summary/Keyword: Management clinical practice

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An Evaluation Study of the Practical Application of Preceptorship in an Ordered Elective Clinical Nursing Practice (실습지도자를 활용(preceptorship)한 주문식 선택실습의 평가연구)

  • Kim Chung-Youb
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.195-205
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    • 2005
  • Purpose: This study was done to use preceptorship in an ordered elective clinical nursing practice and to evaluate the effects on student nurses, nurses managers and preceptors. Method: The participants in this study were 208 students who were majors in the department of nursing, G college located in Inchon Metropolitan City, 54 nurse managers and 187 preceptors from 11 general hospitals. The instrument was a questionnaire which included general characteristics of participants, and 21 items to evaluate the ordered elective clinical nursing practice on a scale of 1 to 4. Data were collected from October 23 to November 7. 2004. Data analysis was done using SPSS WIN with the following statistics: frequency, percentage, mean, standard deviation, and ANOVA. Results and Conclusions: The results of data analysis were as follows: There were meaningful differences in the evaluation scores of the ordered elective clinical nursing practice with preceptors between students ($3.33{\pm}.39$) and nurse managers ($3.33{\pm}.28$) and preceptors ($3.23{\pm}.38$). Evaluation scores for the ordered elective clinical nursing practice with preceptors were categorized as follows: necessity and appropriateness, practice control and management, material for practice, practice report assignment and evaluation, practice ability improvement and connection with getting a job, and contribution to the hospitals.

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A Study on Approach toward Integrative Dental-Hygienist Curriculum Model (치과위생사 통합교육과정 모형 접근에 관한 연구)

  • Hwang, Mi-Yeong;Lee, Chun-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.595-609
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    • 2007
  • The purpose of this study was to classify the courses of the dental-hygiene curricula into several categories by field, to incorporate the subjects in the same category into an integrated course, and to suggest how to ensure the successful phase-in application of integrative education according to Ronald M. Harden's 11-stage integrative ladder model. The findings of the study were as follows: 1. When the existing curricula were analyzed, it's found that many credits were provided to the courses in the area of basic dentistry that offered both theory and practice. In particular, the subjects tested by the national examination were offered by every college. In the field of public oral health, the largest number of credits was allocated to theory of oral prophylaxis and practice courses. In clinical area, clinical practice, in the area of dental office management, dental insurance course was given the largest credit. There were 31 to 61 major subjects in the colleges, which indicated that the major subjects were segmented in detail. 2. It seemed necessary to incorporate the subjects in the field of basic dentistry into oral biology, and theory of oral prophylaxis/practice, preventive dentistry/practice, preclinical stage, emergency treatment and introduction to dental hygiene should be integrated in to clinical dental hygiene. The courses in clinical area should be combined into clinical dentistry, and in the field of medical management, dental insurance, hospital management and medical relation law should be incorporated into management of dental clinic. 3. In the 11-stage integrative ladder, the subjects in the same field could perfectly be incorporated as the stages advanced. Each of the subjects was less emphasized, and communication and joint plans among teachers who were respectively in charge of the courses were increasingly considered important. Specifically, there should be a consensus among the teachers in regard to the outline of teaching programs, order of education. objects and objectives of programs and what and how to evaluate.

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Medico Legal Aspects of Clinical Practice Guideline (표준 치료 지침서(Clinical Practice Guideline)의 의료법학적 의의)

  • Bae, Hyun-A
    • The Korean Society of Law and Medicine
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    • v.9 no.2
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    • pp.181-207
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    • 2008
  • With recent emphasis on evidence based medicine, clinical practice guidelines are seen as a potential mechanism by which unify various managerial and professional approaches to improving the quality of care. The development process of guidelines has been the subject of much research. and it is need translating the medical evidence of research into a clinical practice guidelines. the gathered evidence needs to be interpreted into a clinical, public health, policy, or payment context. The term 'clinical practice guidelines' can evoke a diverse range of responses from healthcare personnel. Clinical practice guidelines are increasingly used in patient management but some clinicians are not familiar with their origin or appropriate applications. Understanding the limitations as well as benefits of CPG could enable clinicians to have clearer view of the place of guidelines in every practice. In the context of increasing complaints and litigation in healthcare, the legal implications of clinical practice guidelines are of increasing importance. Clinical practice guidelines could, in theory, influence the manner in which the courts establish negligence by suggesting the doctor breached the duty of care by failing to provide the required standard of medical care. In several studies, the CPGs were relevent to and played a pivotal role in the proof of negligence. Much depends on the quality of guidelines and the tools developed and the authoritativeness of a guideline. Recently, there are several opinions the court also should review the validity and reliability of expert testimony including medical evidence. and widespread use of guidelines in malpractice lawsuit could lead the physicians to greater compliance with guidelines in the long term. In conclusion, Health care reformers, physicians as well as guidelines developers should understand that guidelines have both medical and legal aspects as a double-edges sword. so clinicians, legal representatives and decision-makers should not defer unduly to guidelines.

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The Analysis of Item Management on Foreign Pharmacists Examination (외국 약사 국가시험 문항관리 분석연구)

  • Kwon, Kyenghee;Lim, Sung Cil;Sohn, Uy Dong
    • YAKHAK HOEJI
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    • v.59 no.5
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    • pp.235-244
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    • 2015
  • The goal of this study is to help for the utilization the national pharmacists test through the analysis of item development management to the foreign pharmacists examination. The United States is going to NABP (National Association of Boards of Pharmacy) initiative under the curriculum in question on the basis of this assessment and develop standards and unified, systematic system to conduct tests pharmacist. Practice oriented (patient scenario, the participation of a pharmacist or perform work, clinical practice) examination is doing in Canada, The UK is asking the for more than 70 percent and the prescription needed for actual calculation in practice prior to testing program, and by the including that allows references use. Our country may introduce the job as a clinical pharmacist, positively. Item management system is integrated into four regions based on the six-year curriculum should be done in harmony proportion of each region. Integration of fusion of each region in accordance with the duties should be come out. It has gradually been able to item management system developed by the United States or Canada. This item notice pharmacist judging the results of the work must be carried out for management upgrading to a form of management with an emphasis on clinical practice in developed countries. Foundation design, development, production and management and test after actively reviewing ways to improve management system for to management systems, a pharmacist to improve the quality of the national examination could be contributing are involved.

Adaptation of the Evidence-Based Nursing Practice Guideline: Prevention and Management of Moisture Associated Skin Damage (근거 기반 간호 실무지침 수용개작: 습기 관련 피부 손상의 예방과 관리)

  • Baek, Kyu Won;Park, Joo Hee;Kim, Min Kyung;Kim, Kyung Sun;Jeon, Kyoung Ok;Park, Su Hyun;Yang, Weon Ji;Hwang, Ji Won
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.263-272
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    • 2018
  • Purpose: This study was done to develop an evidence-based nursing clinical practice guideline for Moisture associated skin damage (MASD) prevention and management for patients in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by the Korean Hospital Nurses Association. It consists of three main phases and 9 modules including a total of 24 steps. Results: The adapted MASD clinical practice guideline consisted of 4 sections, 8 domains and 28 recommendations. The number of recommendations in each section was: 7 on MASD assessment, 14 on MASD prevention and management, 4 on education, and 3 on organizational policy. Of the recommendations, 3.6% were marked as A grade, 28.6% as B grade, and 67.8% as C grade. Conclusion: This MASD clinical practice guideline is the first to be developed in Korea. The developed guideline will contribute to standardized and consistent MASD prevention and management. The guideline can be recommended for dissemination and utilization by nurses nationwide to improve the quality of MASD prevention and management. Regular revision is recommended.

A Comparison between the Contamination Level of Uniforms and the Nasal Staphylococcus aureus Colonization before and after the Clinical Practice of Nursing Students (간호대학생의 실습 전후 실습복 오염도 및 비강내 황색포도알균 집락정도 비교)

  • Park, Jin Hee;Shin, Gisoo;Kim, Jiyoung
    • Journal of Korean Biological Nursing Science
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    • v.16 no.2
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    • pp.90-97
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    • 2014
  • Purpose: The purpose of this study was to compare the contamination level of uniforms with nasal colonization of Staphylococcus aureus before and after the clinical practice of nursing students. Methods: This study was a survey research, conducting microbial culture by smearing the front surface and the pockets of uniforms, and the nasal cavity both before and after clinical practice on 70 nursing students. For the analysis, descriptive statistics, chi-square test, paired t-test were used for statistical analysis using SPSS 19.0. Results: The contamination level of uniforms increased more significantly after clinical practice on the front surface (p=.008) and pockets (p=.031) than before clinical practice, and Staphylococcus aureus, and Enterobacter aerogenes were detected. Conclusion: Through the results above, it is believed that it is reasonable to do the laundering of clinical uniforms of nursing students once a week. Because it is possible to disseminate disease germs with the contamination of clinical practice uniforms in a hospital environment, it is necessary to offer education for the laundering of uniforms with appropriate management.

An Analysis of the Role of Nurse Specialists in the General Hospital (일 종합전문병원의 전문간호사 업무 분석)

  • Park, Kwang-Ok;Kim, Jong-Kyung;Jeong, Jae-Sim
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.246-256
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    • 2007
  • Purpose: The purpose of this study was to explore the role of nurse specialist in the general hospital, and to provide basic data for the role management of nurse specialist. Method: The subjects were 38 staff nurses who worked in a medical, surgical, or other department in one general hospital. Survey tools were developed with criteria for a clinical nurse specialist by American Nurses Association(1986), Korean Nurses Association(2001), Kim(2005)'s research, and the nurse specialists' self job description. Validity of the tool was examined by 5 clinical nursing experts and nurse specialists. Data analysis was done by using SPSS Win 12.0 program. Result: The results of domains for the job of nurse specialists were 61.6% for direct clinical practice, 21.7% for education, 5.7% for consultation, 5.2% for management, 5.2% for research, and 1.1% for other domains. The results for the large classifications in nurse specialists domains were 57.6% for direct nursing practice in direct clinical practice domain, 89.1% for patient education in education domain, 57.5% for medical consultation in consultation domain, 57.5% for medical research in research domain, and 39.2% for documentation in management domain. Conclusion: This research revealed that direct clinical practice domain was higher than the other domains of research, education, and management. Discussion and development about the nurse specialist's various roles needs to be addressed on a continual basis.

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The Relationship between Leadership Styles and Self-esteem, Satisfaction of Clinical Practice in Nursing Students (간호학생의 리더십 유형과 자아 존중감, 임상실습 만족도의 관계 연구)

  • Choi, Myung-Sook;Ha, Na-Sun
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.1
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    • pp.13-21
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    • 2005
  • Purpose: The Purpose of this study was to identify the relationship between leadership styles and self-esteem, satisfaction of clinical practice in nursing students. Method:The subjects were 386 nursing students who were in college and university located around Seoul, Kyounggi, Chungchung, Kangwon province. The data were collected from July 26 to September 18, 2004 by the structured questionnaires. For data analysis, descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression with SAS package were used. Results: 1. The score of the nursing students' transformational leadership were higher than that of the nursing students' transactional leadership. 2. The mean of satisfaction of clinical practice perceived by nursing students was 3.07, and its subcategories were practice contents 3.28, practice evaluations 3.11, practice hours 3.00, practice environments 2.99, practice directions 2.98. 3. 'Transformational leadership', 'charisma', 'intellectual stimulation' and 'individual consideration' were positively related to 'self-esteem', 'satisfaction of clinical practice' of nursing students. 4. 'Contingent reward' was positively related to 'self-esteem'. And 'Management by exception' was negatively related to 'self-esteem'. 5. 'Transactional leadership', 'Contingent reward' were positively related to 'satisfaction of clinical practice' of nursing students. 6. As a result of multiple regression analysis, the key determinants of 'self-esteem' were 'charisma' and this explained 27.41% of the total variance of it. And the key determinants of 'satisfaction of clinical practice' were 'charisma' and this explained 10.94% of the total variance of it.

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A Study on the Clinical Practice Satisfaction of Ophthalmic Optics Students and Optical Shop Owners (임상실습에 대한 안경광학과 학생들과 실습업체의 만족도에 관한 연구)

  • Lee, Ok-Jin;Jung, Se-Hoon;Shin, Jin-Ah
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.4
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    • pp.363-373
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    • 2011
  • Purpose: To establish basic data for effective management and quality improvement on clinical practice by investigating the clinical practice satisfaction of ophthalmic optics students and optical shop owners. Methods: A survey was administered for 281 students with experience in clinical practices and 105 optical shop owners regarding satisfaction of ophthalmic optics students and optical shops. And a statistical analysis was performed on the survey results. Results: 92.% (97 shops) of optical shop owners responded that clinical practice was necessary and there was a significant difference (p=0.004) according to gender. 4 weeks was the preferred length of practice period (53.3%) and there was a significant difference according to the size of the optical shops (p=0.000). Clinical practice satisfaction of students was 3.50 ${\pm}$ 0.68 and satisfaction for clinical practice program, clinical practice time and clinical practice shop (3.74 ${\pm}$ 0.80) were the highest and there was a significant difference according to the age of the students (p<0.05). Clinical practice satisfaction for optical shops was 4.08 ${\pm}$ 0.64 which is higher than student satisfaction. Satisfaction for clinical practice program was (4.17 ${\pm}$ 0.54) was the highest. Conclusions: To maximize the effects of clinical practice, a clinical practice program reflecting the satisfaction of students and optical shops is required and further research and attention are required.

Factors Influencing Nursing Professionalism in Nursing Students (간호대학생의 간호전문직관에 영향을 미치는 요인)

  • Park, Ju-Young;Kim, Sun-Young;Jung, Young-Eun;Jeong, Eun;Choi, Eun-Da;Ha, Ji-Yeon
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.1-11
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    • 2022
  • Purpose : In order to respond to the needs of society, it is necessary for nursing students to develop into their professional roles and form a higher degree of positive nursing professionalism. This study investigated clinical practice stress, clinical practice satisfaction, academic major satisfaction, and self-esteem among nursing students, and identified factors influencing their nursing professionalism. Methods : The participants of this study were 200 nursing students who used the internet and e-mail, and who understood the purpose and methods of this study. Data were collected from June 21 to July 27, 2021. Data analysis, including the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression, was performed using SPSS version 26.0. Results : The mean score was 3.52±.47 for nursing professionalism, 2.99±.56 for clinical practice stress, 3.35±.44 for clinical practice satisfaction, 3.75±.55 for academic major satisfaction, and 3.49±.78 for self-esteem. There were no significant differences in nursing professionalism according to general characteristics. Nursing professionalism was positively correlated with clinical practice satisfaction (r=.36, p<.001), academic major satisfaction (r=.57, p<.001), and self-esteem (r=.41, p<.001), but negatively correlated with clinical practice stress (r=-.41, p<.001). Factors influencing nursing professionalism included academic major satisfaction (𝛽=.39, p<.001) and clinical practice stress (𝛽=-.16, p=.021). These variables explained 36 % of variance in nursing professionalism (F=29.43, p<.001). Conclusion : These findings indicate that academic major satisfaction and clinical practice stress could be considered in effective nursing educational interventions to improve nursing professionalism in nursing students. Therefore, multidimensional efforts are needed to establish educational programs for nursing students aiming to enhance their nursing professionalism. In addition, these findings will be helpful for establishing various emotional control programs for the management of clinical practice stress among nursing students.