• 제목/요약/키워드: Nursing skills

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Coordinators' Experiences in Collaborative Practices between Korean Medicine and Western Medicine : A Qualitative Study (한.양방 협진 코디네이터의 실무경험 : 질적 연구)

  • Yu, Min-Hee;Son, Haeng-Mi;Lim, Byung-Mook
    • Journal of Society of Preventive Korean Medicine
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    • 제15권3호
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    • pp.83-99
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    • 2011
  • Objective : To explore and describe coordinators' experiences in collaborative practices between the traditional Korean medicine doctors and the western medicine doctors. Methods : Five coordinators who agreed and completed the informed consent to take part in this qualitative study were interviewed thoroughly and tape-recorded. Transcribed data were analysed thematically with ground theory. Results : Most participants started their coordinating work without sufficient knowledge and systemic support. They, however, could find their identity as coordinators for collaborative practices through preparing manuals and protocols, providing comprehensive patients care, and experiencing the partnership with doctors. To coordinate Korean medicine and western medicine practices efficiently, participants have tried to enhance their professional knowledge and skills, and establish favorable networks. On the other hand, they were in dilemmas of being a multi-player and imbalance of responsibilities and powers in their jobs. Conclusions : It is recommended to clarify job description of coordinator for collaborative practices, develop training programme, and provide the institutional support for wider recognition of coordinator. Findings from this study should be considered in both Korean medicine-western medicine collaborative research and practice.

Using Intervention Mapping to Develop a Community-based Disease Self-management Support Program for Patients with Osteoarthritis (Intervention Mapping을 적용한 지역사회기반의 골관절염 자기관리지지 프로그램 개발)

  • Ahn, Yang Heui
    • Journal of muscle and joint health
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    • 제22권3호
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    • pp.245-257
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    • 2015
  • Purpose: The purpose of this study was to apply intervention mapping (IM) to develop a community-based disease self-management support program for patients with osteoarthritis. Methods: IM was applied as follows: i) a needs assessment has been carried out by a literature review, survey and interview with osteoarthritis patients; ii) on the basis of the needs assessment, identification of expected outcomes and change objectives for the target population; iii) selection of theory-based methods and practical applications to influence self-management and the determinants of behavior; iv) design of the intervention by developing activities and materials such as osteoarthritis self-management guide and smart patient pocket book. The activities were integrated into an existing healthcare activities; v) implementation and evaluation plan has been developed. Results: The program is aimed at improving health status through activating patients by a patient-centered and tailored intervention for patients with osteoarthritis; consists of 8 sessions with coaching and cognitive emotional psychological skills; includes smart patient, communication, osteoarthritis, medication adherence, pain control, depressive mood control, physical activity and healthy diet. Conclusion: The IM is a systematic and feasible method for developing the program. The next step is to evaluate the impact of the intervention on activation, and health status.

The Effectiveness of Program to Promote Empowerment and Self-Advocacy of the Mentally Disabled Persons' Families (정신장애인가족의 임파워먼트와 자기옹호 증진을 위한 프로그램의 효과)

  • Ha, Jun-Sun;Bae, Kyung-Eui
    • Korean Parent-Child Health Journal
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    • 제11권1호
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    • pp.73-83
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    • 2008
  • Purpose: This study was to verify the effectiveness of group program for promoting empowerment and self-advocacy of the the mentally disabled persons' families. Methods: This program was set up for the mentally disabled persons' families to share their experiences, do consciousness raising, advocate themselves through group process. A pre-post control group design was used for this study. Results: The results of this study verified that group program was effective to promote empowerment and self advocacy of the mentally disabled persons' families. Also group program helped to express and ventilate family burden actively. Conclusion: This study suggests as follows. In the mental health social work practice we need to develop group programs for family to talk about themselves, to ventilate their emotions, to understand their circumstances and to initiative the change of mental health circumstances as well as education and coping skills about mental illness. For this, there is a need for mental health social worker to have a macroscopic viewpoint and work with family. Also there is a need for mental health social worker to promote family self-help groups and to support their construction and growth.

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Problem Based Learning in Physical Therapy (물리치료학에서의 문제중심학습(Problem Based Learning))

  • Lee, Kyung-Hee;Kim, Chul-Yong;Kim, Seong-Hak
    • Journal of Korean Physical Therapy Science
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    • 제9권4호
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    • pp.141-153
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    • 2002
  • Problem based learning(PBL) is one of the learning strategies from the constructivism. It is a learning centered students. The tutors are facillitators as activators, helpers and cooperators not organizer in the classrooms. PBL makes that students learn creativity, independence, reasoning skits, communication and collaboration for problem solving. As the PBL process, students get the problems that are in real situation, discussed with others for brain storming, self directed study and revisited to the situation. They think critically and apply to the real situation. When students are to be physical therapists, they are easy to adopt their job and efficient to manage well. But inspite of a lot of advantages to them, there are much conflict to use as the learning strategies. Students perceived one of best learning method that they have experienced, but there are stress, burden, anxiety, timeless to prepare, lack of information and so on. PBL is effective to learning health oriented subjects, problem solving, even a lot preparation and processing for learning. It is reduced the differences between theories in colleges and practices in the fields. In processing of PBL, students get more many skills than the conventional learning. As trying many times to the classrooms, we can fixed to PBL with mistakes and conflict for better the development of the teaching and learning.

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Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea (자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재)

  • Kwon, Shin-Young;Cho, Seong-Jin
    • Journal of Hospice and Palliative Care
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    • 제6권1호
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    • pp.58-64
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    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

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Perceptions and Attitudes towards Interprofessional Education in Medical Schools (의과대학에서의 보건의료 전문직 간 교육에 대한 현황과 인식)

  • Kim, Soyun
    • Korean Medical Education Review
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    • 제19권1호
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    • pp.10-17
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    • 2017
  • Since the World Health Organization identified interprofessional education (IPE) as an important component in primary health care in the 1980s, medical and health sciences educators have continued to debate factors for implementing effective IPE in the classroom. Although IPE research is widespread internationally, few studies have been done in South Korea. This study explored the current status of IPE and examined factors that influence IPE in South Korea. A total of 30 (70%) out of 41 medical education experts in medical schools participated. Forty-seven percent of the participants reported that they allocated less than 5% of their time implementing IPE in the curriculum of their schools throughout the 4 years of medical school. Although all experts (100%) agreed that IPE is essential for medical students, they expressed practical difficulties in implementing IPE in the current education system. Factors that influence IPE are scheduling and curriculum (e.g., rigid curriculum vs. providing learning environment) and attitudes (e.g., lack of reciprocal respect vs. willingness to change). In addition, participants reported that communication skills and collaborative practice employing clinical practice or role-playing would be appropriate education methods and content for IPE in the future. The findings of this study provide a foundation for the implementation of IPE in South Korea. Future research directions for IPE in medical, nursing, and pharmacy schools are discussed.

A Longitudinal Study of Bullying Victimization and Depression: Mediating Effects of Self-esteem and Self-resilience (학교폭력피해경험이 우울에 미치는 종단적 연구: 자아존중감과 자아탄력성의 매개효과)

  • Lee, Hanju
    • Journal of the Korean Society of School Health
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    • 제30권3호
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    • pp.274-283
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    • 2017
  • Purpose: The purpose of this study was to investigate the mediating effects of self-esteem and self-resilience while identifying the relationship between bullying victimization (being bullied) and depression based on a longitudinal study design. Methods: Participants were adolescent cohort of 1,971 middle school students participating in 2013 and 2014 Korean Children and Youth Panel Survey conducted by National Youth Policy Institute. Data were analyzed by Pearson's Correlation and regression. Results: The major findings are as follows. First, self-esteem and self-resilience were positively related to each other and negatively related to depression and bullying victimization. Second, bullying victimization effected the level of depression of adolescents and self-esteem played a mediating role between bullying victimization and depression while self-resilience did not. Conclusion: The results suggest that emotional factors continue to play an important role in promoting psychological adjustment of victims of bullying. Therefore, interventions are more likely to be successful if they focus on emotional skills development of adolescents.

Depression in Middle-aged and Elderly People with Pain: A Latent Profile Analysis (중고령자의 통증과 우울에 관한 연구: 잠재프로파일분석(Latent Profile Analysis)을 중심으로)

  • Kim, Yeon Ha
    • Journal of muscle and joint health
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    • 제27권3호
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    • pp.325-332
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    • 2020
  • Purpose: This study attempted to classify the potential layer for pain in the middle-aged and elderly based on the seventh Aging Research Panel Survey (2018) data and to identify the degree of depression by potential layer. Methods: This study used data from the 2018 Aging Research Panel Survey, whose participants included 6,890 middle-aged and elderly people. The data were analyzed using SPSS/WIN 22.0 and M-plus 8.0 for latent profile analysis. Results: In the study, Type 1 was a "general pain group", Type 2 was the "high back pain group", Type 3 was the "lower body pain group", Type 4 was the "shoulder pain group", and Type 5 was the "pain-free group", which included those who answered that there was no pain. Second, it was found that the variables such as gender, age, education, or not alone were statistically significant (p<.001). Third, the difference in income, subjective health conditions, depression according to the pain site type group were confirmed. Depression was significantly higher in the back pain group, lower body pain group, and shoulder pain group compared to the pain-free group. Conclusion: Developing integrative interventions is necessary to reduce depression using the pain coping skills in middle-aged and Elderly.

Radiation-training system with a custom survey-meter mock-up in a browser-based mixed reality environment

  • Hiroyuki Arakawa;Toshioh Fujibuchi;Kosuke Kaneko;Yoshihiro Okada;Toshiko Tomisawa
    • Nuclear Engineering and Technology
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    • 제56권6호
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    • pp.2428-2435
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    • 2024
  • Training for radiation protection and control requires a visual understanding of radiation, which cannot be perceived by the human senses. Trainees must also master the effective use of measuring instruments. Traditionally, such training has exposed trainees to radiation sources. Here, we present a novel e-training strategy that enables safe, exposure-free handling of a radiation measuring tool called a survey meter. Our mixed reality radiation-training system merges the physical world with a digital one. Collaborating with a mixed reality headset (HoloLens 2), this system constructs a mock-up of a survey meter in real-world space. The HoloLens 2 employs a browser-based application to visualize radiation and to simulate/share the use of the survey meter, including its physical movements. To provide a dynamic learning experience, the system adjusts the survey-meter mock-up readings according to the operator's movements, distance from the radiation source, the response time of survey meter, and shielding levels. Through this approach, we expect that trainees will acquire practical skills in interpreting survey-meter readings and gain a visual understanding of radiation in real-world situations.

Family Planning as a Part of the Nursing-Staff In - Service Education Program (임상 간호원을 위한 실무교육 과정으로서의 가족계획)

  • 전춘영
    • Journal of Korean Academy of Nursing
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    • 제5권1호
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    • pp.112-132
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    • 1975
  • When Korean family planning services began as a part of the National Policy in 1962, the annual population growth was 3.0%. This growth rate has been decreased to 2.0% during last ten year period. And it seems imperative that all hospitals, as well as related organizations, should participate in family planning in order to contribute to achieving the National goal of 1.5% population growth by 1976, the end of the Third Five Year Economic Development Plan. Nurses should be considered the most important human resources in charge of the core of family planning services in any setting. For the family planning services in the general hospital setting, nurses as a core members contribute much as change agent, motivators, counsellors, educators etc. A nurse can work with patients and their relatives when she is equipped with relevant knowledge and skills. Fur the more family planning cannot be ignored even in hospital setting where more comprehensive nursing care is needed Thus, the general objective of this study is to provide baseline data for better programming of In-service education in family planning so that effective hospital family planning nursing services can be made a part of comprehensive nursing care contributing to the national population program and human welfare. In order to meet the general objective, this study has the following specific objectives : 1. To find out the general characteristics of the clinical nurses working in Y Hospital 2. To evaluate their attitudes and practices of family planning 3. To assess their knowledge, attitudes and practices of population and family planning as professional nurses. 4. To examine and compare data collecting methods for the planning of an In-service Educational Program 5. To explore the contents to be included in this In-service Education Program. The study population randomly selected one hundred nurses working in Y Hospital A cross-sectional survey with questionnaires developed for this study was chosen for the study method. To collect reliable data, the questionnaires were distributed to and answered by the study population in a controlled situation. X²test and t-test was employed in analyzing the data. The findings of this study are as follows: 1. Y Hospital nurses had a lower ideal number of children (X=2.02) and showed no strong preference for male children, and 74% of them expressed the desire to use permanent methods of birth control 2. of this thirty Y Hospital nurses who were married 66.7% stated they were already practicing contraceptive methods. Most of them preferred male methods of contraception. 3. According to objective evaluation about knowledge of various aspects of population and family planning, respondents from collegiate programs significantly knew better the subjects on the average than did respondents from diploma programs of nursing. 4. There was a marked difference in the results of self-evaluation and objective evaluation in their family planning knowledge. It was found that the self-evaluation family planning knowledge seemed to be unreliable. Accordingly, the objective test methods appeared to be more reliable in the evaluation of knowledge levels. 5. The subject areas needed to be included in In-service education for the Hospital family planning services in Y Hospital are 1) rhythm methods, 2) tubal-legation, 3) family planning effects of contraceptives, 4) population growth, 5) demographic traction, 6) population structure and 7) infant mortality facts. In addition, 1) various oral contraceptives, 2) basal temperature method, 3) laparoscopic female sterilization, 4) interfering factors of family planning, 5) anatomy and physiology of the female reproductive organs were additional areas to be taught to respondents from 3-year diploma schools of nursing. Demographic transition was one subject area in which the four-year graduates need further study. 6. Population problems guidance and counselling in family planning instruction in the theory and practice of contraceptives should be included in future In-service Education Programs in order to provide more effective hospital Family Planning Services, stated 77.0% of the respondents.

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