• Title/Summary/Keyword: Management clinical practice

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Effects of critical thinking disposition, stress of clinical practice and self-confidence in performance of core nursing skill on nursing student's adapting to clinical practice (간호대학생의 비판적 사고성향, 임상실습 스트레스 및 핵심기본간호술 자신감이 임상실습 적응에 미치는 영향)

  • Jang, Young-Mi;Park, YeonHee
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.77-86
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    • 2020
  • This study is a descriptive research study to grasp the critical thinking tendency, clinical practice stress, core basic nursing confidence, and degree of adaptation to clinical practice in nursing students. From June to July 2019, 207 students in the fourth year of nursing college were surveyed through their own questionnaire. Collected data were analyzed by t-test, ANOVA and multiple regression analysis using SPSS/WIN v24.0. The negative correlation between clinical practice stress and critical thinking tendency(r=-.18, p=.010). The core self-confidence practice self-confidence showed a positive correlation with critical thinking tendency(r=.25, p<.001), and a negative correlation with clinical practice stress(r=-.17, p=.017). Adaptation to clinical practice showed a positive correlation with clinical practice stress(r=.44, p<.001), and the factor influencing clinical practice adaptation was stress(β=.40) (F=18.34, p<.001), and the explanatory power was about 23.1%. As mentioned above, stress brings a positive change to clinical practice, so it is necessary to identify stress factors received from clinical practice of nursing college students and reflect them in curriculum development.

Nursing Students' Clinical Competence and Decision-Making: Impact of a Multiple-components Practice-based Learning (간호학생의 임상수행능력과 임상의사결정: 다중요소 실습기반교육의 효과)

  • Xianqi Gao;Yoonjeong Lee;Moonkyoung Park
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.79-89
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    • 2024
  • This study is a one-group pre-post experimental design that investigates the effects of a practice-based learning program with multiple components on the clinical competence of nursing students, and clinical decision-making. From May 4 to 29, 2020, a total of 60 third-year nursing students with no clinical practice experience were divided into two teams and participated in multi-component practice-based education for two weeks each, and the data of the final 51 students were included in the analysis. Following the practicum, there was a significant increase in clinical competence (t=-4.74, p<.001) and self-confidence in clinical decision-making (t=-8.41, p<.001), and a decrease in anxiety related to clinical decision-making (t=2.54, p=.014). The findings suggest that a multi-component, practice-based learning approach for nursing students can enhance their clinical competence, reduce preclincal anxiety and increase confidence in clinical decision-making in patient care.

Clinical Practice Patterns for Benign Prostatic Hyperplasia: An Online Survey (전립선증식증(Benign Prostatic Hyperplasia)의 한의 임상 진료 현황 조사를 위한 온라인 설문 조사)

  • Ji-soo Baek;Seon-mi Shin;Chung-sik Cho
    • The Journal of Internal Korean Medicine
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    • v.44 no.4
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    • pp.703-725
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    • 2023
  • Objectives: This study investigated Korean medicine doctors' perspectives on clinical practice patterns in the process of developing Korean medicine clinical practice guidelines for benign prostatic hyperplasia. Methods: A questionnaire was developed for Korean medicine doctors. A total of 323 oriental medicine doctors participated in the survey, which was live for a total of 9 days from September 22, 2022, to September 30, 2022. Results: Regarding awareness of treatments for benign prostatic hyperplasia, 63.8% of respondents showed high awareness of Korean medical treatments. However, items such as diagnostic criteria (17.7%), evaluation methods (17.0%), and Western medical treatments (22.9%) showed low recognition rates. In clinical practice, 76.2% of respondents were found to treat five or fewer patients with benign prostatic hyperplasia per month, and the average treatment period was 1 to 3 months for most at 41.2%. Korean medicine doctors diagnosed benign prostatic hyperplasia based on clinical features. The main interventions used were acupuncture, herbal medicine (prescription medicine), and moxibustion. This study has several limitations because of the low response rate for this survey; therefore, the participants are not representative of all Korean medicine doctors. In addition, because the study was conducted broadly on various topics related to benign prostatic hyperplasia, sufficient quality management was not carried out. Further studies that include a larger sample size and more in-depth studies on benign prostatic hyperplasia are needed. Conclusions: It is necessary to develop appropriate and reasonable Korean medicine clinical practice guidelines for benign prostatic hyperplasia.

Experience of Turnover in New Nurses (신규간호사의 이직 경험)

  • Kim, Sun Ae;Jeon, Hye Won
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.644-657
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    • 2014
  • Purpose: The purpose of this study was to try to understand the essence of the experience early turnover of the new nurse by applying the phenomenological method and to provide basic data for a community-based management program. Method: Phenomenological approach was used to identify subjects experience. Subjects were five new nurses, with less than one year of clinical experience in clinical practice. This study used in-depth interview. Results: there were 104 meaningful sentences or phrases, with 41 generally comprehensive thema. Finally, thema were classified into 12 thema clusters. Conclusion: Finally, based on the results, some suggestions regarding management of early turnover of new nurses are needed. First, we proposed a new characterized of hospital selection method for each hospital. Second, practical training in clinical practice in the school and the community is necessary in order to reduce the real impact of new nurses. New nurses require various support elements in order to mitigate the real shock the first time they encounter clinical practice. Third, addition of work-related training and promotion of a self-esteem program will be needed. Fourth, interview opportunities with seniors who adapted successfully in clinical should be provided for new nurses. In addition, continuous communication should be provided for new nurses.

Knowledge and Performance of Cancer Pain Management of Nurses and Nurses' aides in Long-term Care Hospitals (요양병원 간호사와 간호조무사의 암성 통증관리에 대한 지식 및 수행)

  • Jeong, Sunjin;Kim, Kyeha
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.649-660
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    • 2014
  • The purpose of this study was to assess knowledge and performance of cancer pain management of nurses and nurses' aides in long-term care hospitals. Subjects were 84 nurses and 72 nurses' aides recruited from seven long-term care hospitals in Gwangju city and Jeonranam-do. SPSS/WIN 21.0 was used for data analysis by descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. The mean scores of knowledge of cancer pain management were 16.84, and the score for performance was 2.88. There were significant differences in the knowledge of cancer pain management according to education level, job, and cancer pain management guidelines. Significant differences in performance of cancer pain management were observed according to education level, job, number of beds, cognition of cancer pain management guidelines, and clinical practice guideline for cancer pain management. Knowledge, number of beds, and clinical practice guideline for cancer pain management affected in performance of cancer pain management. Education program for cancer pain management and clinical practice guideline for cancer pain management are needed to improve performance of cancer pain management of nurses and nurses' aides in long-term care hospitals.

The Effect of Emotional Labor of Clinical Practice, Self-esteem and Clinical Practice Satisfaction on Professional Identity in Nursing Students (간호대학생의 임상실습 감정노동, 자아존중감, 실습만족도가 직업정체감에 미치는 영향)

  • Nam, Mun Hee;Lee, Mi-Ryon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.4
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    • pp.527-536
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    • 2016
  • Purpose: This study was conducted to explore the factors affecting emotional labor, self-esteem and clinical practice satisfaction on professional identity in nursing students. Methods: A total of 262 nursing students participated in the study. Data were analyzed using SPSSWIN 18.0. Results: The mean scores for emotional labor, self-esteem, clinical practice satisfaction and professional identity were above-average. There were significant mean differences in professional identity according to ages, academic score, motivation for selecting nursing, satisfaction with college life and satisfaction with nursing majors. Professional identity correlated positively with self-esteem and clinical practice satisfaction, negatively with emotional labor. The significant predictors of professional identity included satisfaction with nursing majors, self-esteem, emotional labor and motivation for selecting nursing. The regression model explained 38.9% of professional identity. Conclusion: To enhance professional identity in nursing students, it is necessary to build effective strategic to focus on promoting their satisfaction with the nursing major, self-esteem and management of emotional labor.

Effect of Incivility, Resilience, and Social Support Experienced by Nursing Students on Burnout in Clinical Practice (간호대학생이 임상실습에서 경험하는 무례함, 극복력, 사회적 지지가 소진에 미치는 영향)

  • Lee, Eun Jung;Sung, Mi-Hae;Ahn, Hye-Kyong;Kim, Yun Ah
    • Women's Health Nursing
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    • v.25 no.1
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    • pp.86-98
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    • 2019
  • Purpose: The purpose of the study was to determine effect of incivility, resilience, and social support experienced by nursing students on burnout in clinical practice. Methods: Subjects were 140 nursing students who agreed to participate in this study. Collected data were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation and stepwise multiple regression with SPSS WIN 23.0 program. Results: Burnout showed significantly positive correlation with incivility but significantly negative correlations with resilience and social support. Factors affecting burnout were satisfaction with major-dissatisfaction, satisfaction with major-average, social support, grade, and relationship with peers. Satisfaction with major (dissatisfaction) had the greatest effect on burnout, explaining 41% of the total variance. Conclusion: According to this study, dissatisfaction with major was identified as the most significant factor influencing burnout of nursing students in clinical practice. Therefore, it is important to develop and implement programs that can reduce dissatisfaction with major and increase social support and relationship with peers in order to lower burnout of nursing students. In addition, a systemic management of fourth-grade students with a high level of clinical practice is necessary to reduce the level of clinical practice. The authors declared no conflict of interest.

Clinical Practice Patterns for Myofascial Pain Syndrome in Korean Medicine: An Online Survey (근막통증증후군의 한의 표준임상진료지침 개발을 위한 온라인 설문조사)

  • Seojae Jeon;Hyeonjun Woo;Won-Bae Ha;Jung-Han Lee
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.2
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    • pp.149-164
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    • 2024
  • Objectives This study aimed to develop Korean medicine clinical practice guidelines for myofascial pain syndrome that can actually be applied clinically. Methods A text message containing a link to an online survey was sent to 26,987 Korean medicine doctors registered with the association of Korean medicine. The survey period was from December 29, 2023 to January 19, 2024. Results There were 2,762 Korean medicine doctors who responded to an online survey over a three-week period. Awareness of the standard clinical practice guidelines of Korean medicine was 74.5%, and utilization was 35.8%. The most frequently used diagnostic tool was a numerical evaluation tool, the treatment tool was acupuncture, and the prognosis management guidance was lifestyle guidance. Conclusions If standard Korean medicine clinical practice guidelines for myofascial pain syndrome are developed based on the results of this survey, guidelines that are highly usable in clinical settings will be developed.

Development of evaluation criteria for dental hygiene intra-school clinical practice operation using CIPP evaluation model (CIPP 평가모형을 활용한 치위생과 교내임상실습 운영 평가기준 개발)

  • Jang, Mi-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.2
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    • pp.93-105
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    • 2022
  • Objectives: The purpose of this study was to develop operation management evaluation standards for efficient operation of practical courses conducted on campus and to verify validity and reliability. Methods: The draft evaluation criteria of this study were derived based on the CIPP program evaluation model, in order to verify the validity of the content, the Delphi survey was conducted targeting 30 dental hygiene professors and clinical field dental hygienists who had been in charge of practical education for more than 5 years. Main survey was conducted with 252 professors and clinical field dental hygienists in charge of practical education. Results: Through exploratory factor analysis, a total of 36 questions were confirmed with 7 factors. As a result of verifying the internal consistency of the final evaluation criteria, the degree of internal fit of the items in the entire domain was 0.914. Conclusions: According to the above results, the validity and reliability of the evaluation criteria for evaluating the operation and management of in-school clinical practice were verified to be appropriate, and it is thought that it can be used in follow-up studies related to the operation and management of the practice course in the future.

Influencing Factors on the Practice of Medical Waste Management of Nurses in Tertiary General Hospitals after COVID-19 (코로나 19 이후 상급종합병원 간호사의 의료폐기물 관리 실천에 미치는 영향요인)

  • Oh, Da In;Cho, Gyoo Yeong
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.327-336
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    • 2023
  • Purpose: This study aimed to identify the factors affecting the practice of medical waste management of nurses in tertiary general hospitals after the coronavirus disease 2019 (COVID-19). Methods: The participants were 154 nurses working in two tertiary general hospitals. Data were collected using structured questionnaires and analyzed using an Independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using the SPSS/WIN 27.0 program. Results: Factors significantly influencing the subject's practice of medical waste management include medical waste education(β=.18, p=.013), recognition of infection control organizational culture (β=.26, p=.007), and attitudes toward medical waste management (β=.23, p=.011). The explanatory power of these variables for medical waste management practice was 29.0% (F=7.34, p<.001). Conclusion: To improve the practice of medical waste management, a strategy to provide positive attitudes toward medical waste management should be needed when developing medical waste management training programs, and various measures are necessary to make the organizational culture positive for the implementation of infection control guidelines at the organizational level.