• 제목/요약/키워드: Practice-based

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의료행위와 기본권: 헌법 해석적 접근 (Medical Practice and the Fundamental Rights: Approaching by Constitutional Interpretation)

  • 장철준
    • 의료법학
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    • 제15권1호
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    • pp.11-34
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    • 2014
  • Promulgation of the medical practice rule without specific definition in Medical Law has brought about many constitutional issues. The major issue is that the law has the government punish unlicensed medical practice without defining what it is. Instead, the law chooses a license-centered structure of criminal punishment for medical malpractice, saying "no one can practice medicine without the government-approved license." This regulation violates the rule of "void for vagueness" based on the principle of "nulla poena nullum crimen sine lege." Judicial interpretation should be required for a citizen to understand the Medical Law provision intuitively. In addition, the law infringes upon the freedom of occupation of the unlicensed and the licensed who wish to extend his or her practice area for "holistic medicine." The central issue of the law is that it was established under no ground of professionalism even though medical practice has been understood professional. The government has centrally controlled the medical field for its needs. Lastly, the current law violates the right of medical selection of the consumers of medicine. Because patients have the right of health and life, they have to hold the latitude of selection for medical treatments. Especially, they should have an opportunity for considering the Complementary and Alternative Medicine if they want. But under the current rules, this medicine is not permitted. To correct those problems, a new provision for the definition of medical practice should be adopted at once.

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간호대학생의 임상실습스트레스에 영향을 주는 요인 (Affecting Factors on Stress of Clinical Practice in Nursing Students)

  • 이윤정;장현정
    • 문화기술의 융합
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    • 제7권4호
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    • pp.429-434
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    • 2021
  • 본 연구는 간호대학생의 임상실습스트레스에 영향을 주는 요인을 확인하기 위해 시행되었다. 임상실습을 경험한 간호대학생 191명을 대상으로 자료를 수집하여 SPSS/WIN 22.0 프로그램을 이용하여 분석하였다. 간호대학생의 대인관계능력 3.61점(5점), 눈치 3.57점(5점), 임상실습스트레스 2.97점(5점)으로 나타났다. 임상실습스트레스에 영향을 주는 요인은 대인관계능력, 눈치-행동이었고, 대인관계능력과 눈치-행동이 높을수록 임상실습스트레스가 낮은 것으로 나타났다. 이들 변인은 간호대학생의 임상실습스트레스를 설명하는데 23%의 영향력을 나타내었다. 이 결과를 바탕으로 간호대학생의 임상실습스트레스를 감소시킬 수 있는 방안을 마련하는데 기초자료로 활용할 수 있을 것이다.

Effect on Preference of Clinical Practice Subjects

  • Jungae Kim
    • International Journal of Advanced Culture Technology
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    • 제11권1호
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    • pp.27-35
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    • 2023
  • This study was a cross-sectional descriptive survey study that confirms the effect on subjects that prefer clinical practice in order to prepare basic data for efficient clinical practice guidance for nursing college students. The study participants were 201 students attending C University, and the data collection period was from October 1 to October 15, 2022. The collected data were analyzed using SPSS 18.0 as descriptive statistics, Pearson correlation, Chi square test, ANOVA test, and Multiple regression test. As a result of the analysis, it was found that clinical decision-making and critical thinking were correlated under the statistical significance level (r=.730, p<0.01). The most favorite clinical practice department was community nursing, and male students preferred community nursing the most (Male=45.6%, χ2=.000), female students were found to prefer similar levels of practical subjects with child nursing , adult nursing, and maternal nursing(χ2=000).Clinical decision-making was found to be higher in students who preferred community nursing at a statistical significance level than those who preferred child nursing (F=4.91, p<0.01). Critical thinking was higher among students who preferred adult nursing than those who preferred other subjects (F=4.65, p<0.01). Through the analysis results, it was found that general characteristics vary, but clinical decision-making ability and critical thinking affect the preference of clinical practice subjects. Therefore, based on the results of this study, the professor of clinical practice suggests the development of a program to foster clinical decision-making and critical thinking to make students interested in clinical practice subjects.

일부지역 치위생(학)과 학생들의 교내·외 임상실습만족도와 전공만족도에 관한 조사연구 (Study of On- and Off-Campus Clinical Practice Satisfaction and Major Satisfaction among Dental Hygiene Students in Some Regions)

  • 문선정;구인영;최화영;가경환
    • 한국산학기술학회논문지
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    • 제15권11호
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    • pp.6793-6803
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    • 2014
  • 본 연구는 치위생(학)과 학생들의 실습수준을 향상시키고, 개선하여 실습 후에 전공에 대한 만족도를 향상시킬 수 있는 기초자료를 마련하고자 충청지역 소재 대학 치위생(학)과 재학생을 대상으로 자기기입식 설문조사를 실시하였다. 자료 수집은 2012년 12월부터 2013년 4월까지 수행하였고, 수집된 자료 중 응답이 불성실한 13부의 설문지를 제외한 766부를 SPSS/Win18.0을 사용하여 최종 분석하였고, 다음과 같은 결론을 얻었다. 교내 외 실습경험군은 각각 59.7%, 57.4%이었고, 실습 장소는 치과대학 병원, 병(의)원급, 보건소 순이었다. 학제의 경우 4년제가 3년제 보다 실습내용, 실습시간, 실습수행 요인에서 교내 실습만족도가 높았고, 학년이 높을수록 실습시간에 대한 만족도가 높았다. 교외 실습만족도는 4년제가 3년제 보다 모든 요인에서 만족도가 높았고, 학년이 높을수록 실습시간과 실습수행 요인에서 만족도가 높았다. 교내 외 실습경험에서 실습 경험군이 비경험군에 비해 전공만족도가 전반적으로 높았고, 실습수행, 실습시간, 실습환경, 실습내용 모든 요인이 전공만족에 유의한 영향을 미치는 것으로 나타났다. 교내 외 실습교육을 통해 전공에 대한 자부심을 가질 수 있도록 학생들에 대한 이해와 인식을 통해 만족할 수 있는 교육을 계획하고, 실시하여 임상실습이 최적의 학습상황이 될 수 있도록 효율적인 프로그램과 임상실습에 대한 교육지침의 마련이 필요할 것으로 사료된다.

문제중심학습 통합 시뮬레이션교육이 간호대학생의 간호지식, 비판적 사고성향, 문제 해결 능력 및 수업 몰입도에 미치는 효과 (Effects of integrative simulation practice on nursing knowledge, critical thinking, problem-solving ability, and immersion in problem-based learning among nursing students)

  • 송영아
    • 여성건강간호학회지
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    • 제26권1호
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    • pp.61-71
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    • 2020
  • Purpose: This study was conducted to investigate the effects of problem-based learning-integrative simulation practice (PBL-ISP) on nursing knowledge, critical thinking, problem-solving ability, and immersion among nursing students. Methods: The study used a nonequivalent control group post-test design. A PBL-ISP educational program was provided to the experimental group, and hands-on practice using a high-fidelity simulator (HFS) was administered to the control group. There were 42 subjects in the experimental group and 40 in the control group. Data were collected during the fall semester of 2019. Using SPSS for Windows version 23.0, data were analyzed in terms of frequency, percentage, mean, standard deviation, the chi-square test, t-test, and Pearson correlation coefficients. Results: Significant differences between the experimental and control groups were found in nursing knowledge (t=3.67, p<.001), critical thinking (t=3.40, p=.001), problem-solving ability (t=3.52, p=.001) and immersion (t=4.44, p<.001). Conclusion: PBL-ISP was more effective in improving nursing knowledge, critical thinking, problem-solving ability, and immersion than was hands-on practice using an HFS.

통증관리 근거중심 가이드라인의 국내 타당성 검증 - 복부수술 환자를 대상으로 - (Validation of a Translated Guideline on Pain Assessment and Management: Focused on Abdominal Surgery Patients)

  • 홍성정;이은주
    • 임상간호연구
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    • 제18권1호
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    • pp.159-170
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    • 2012
  • Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.

보건진료전담공무원의 간호연구 활용의 장애요인 및 근거기반실무 활동과 역량 (Community Health Practitioners' Perception of Barriers to Research Utilization, Current Status and the Competence in Evidence based Practice)

  • 송연이;소애영;김진순
    • 한국농촌간호학회지
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    • 제12권2호
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    • pp.29-44
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    • 2017
  • Purpose: The purpose of this study was to identify community health practitioners' (CHP) perception of barriers to research utilization, current status and competence in evidence-based practice (EBP). Methods: From all over the country, 126 CHP completed an e-mail survey. Results: The items with the highest barrier scores were that it is difficult to understand articles written in English and physicians will not cooperate with implementation. There were statistically significant differences in the scores for attitude toward EBP and knowledge in EBP by education level and nursing academic society membership status. When faced with a problem, the nurses usually use related regulations or asked a colleague for advice. Conclusion: Results indicate an awareness of the necessity of applying EBP, need to improve readiness to use EBP voluntarily and actively, and need to search for various factors that are barriers to research utilization. There is a need to develop and apply EBP training/education programs to find new evidence that might actually support previous practice for which nurses lack confidence. Guidelines that consider CHP task characteristics and barrier factors to research utilization should be developed.

완전학습모델기반 간호 미생물학 이론 및 실습프로그램의 개발과 효과평가 (The Development and Evaluation of a Clinical Practice Nursing Students' Microbiology Program Based on the Mastery Learning Model)

  • 김보환;장선주;최정실
    • Journal of Korean Biological Nursing Science
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    • 제15권2호
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    • pp.90-98
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    • 2013
  • Purpose: The purpose of this study was to develop a clinical practice nursing students' microbiology program based on the mastery learning model, and to evaluate the effects of the program on nursing students' knowledge, self-efficacy, performance, and satisfaction related to the nursing students' microbiology program. Methods: The program was developed by using the processes of the mastery learning model. The pre-experimental research design involved a one group pretest-posttest design. The setting was a university located in Incheon, Korea. A total of 130 nursing students participated in the program including a theoretical lecture, clinical practice, and formative and summative evaluation. Results: Using the program that was designed and developed, results for the total score of self-efficacy, knowledge, and performance in the post-test application were significantly higher than in the pre-test application (p<.05). The satisfaction of hand hygiene and disinfection/contaminated hand microbial culture and disinfection test received the highest ratings. Conclusion: The application of a clinical practice nursing students' microbiology program was effective, and can be expanded to other nursing students. Future research with other study designs was warranted in order to prove the effect of a microbiology program based on the mastery learning model.

Review for the Curriculum and License Exam of Physical Therapists in the United States

  • Choi, Chi-Whan;Jeong, Yeon-Gyu
    • The Journal of Korean Physical Therapy
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    • 제31권4호
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    • pp.184-192
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    • 2019
  • Purpose: This study was conducted to review the curriculum and license examination of physical therapists in the United States. Methods: The doctor of physical therapy (DPT) curriculum was evaluated by a review Course Work Tool version 6 (CWT6) data and current physical therapy licensure examination (National Physical Therapy Exam, NPTE) category in the United States. Results: The results indicated that they were required to meet the doctor of physical therapist degree based on 'Guide to Physical Therapist Practice' of American Physical Therapy Association (APTA). This includes general education in the areas of communications and humanities, physical science, biological science, social and behavioral science, and mathematics. A minimum of one course must be completed successfully in each area of general education. Moreover, there should be at least 68 didactic credits of professional education and 22 clinical education credits, which is a minimum of two full-time clinical internships with no less than 1050 hours in total, which were supervised by a physical therapist. Regarding the physical therapy licensure examination, National Physical Therapy Exam (NPTE, 2016) consisted of a physical therapy examination (26.5%), evaluation, differential diagnosis, baseline of prognosis (32.5%), intervention (28.5%), protection, responsibility, and research (6.5%) based on the 'Guide to Physical Therapist Practice'. Conclusion: Based on the study results provided above, it is considered a standard to meet domestic reality as the Guide to Physical Therapist Practice of APTA for South Korean physical therapists.

그래피칼 프로그램을 이용한 계측 및 제어 공학 실험실습 (Engineering Experiments and Practices on Measurement and Control using Graphical Program)

  • 갈리;최성주
    • 한국실천공학교육학회논문지
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    • 제4권1호
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    • pp.65-71
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    • 2012
  • 이 연구에서는 LabVIEW와 NI ELVIS를 이용하여 컴퓨터 기반의 공학교육 사례 즉 다양한 컴퓨터 기반의 공학실습을 소개한다. 여러 유명대학이나 연구소, 회사 등에서 웹/인터넷 또는 네트웍으로 제어되는 원격 실험과 같은 형태의 원격 실습이 가능하다. 컴퓨터 및 그래피칼프로그래밍 기술의 공학실습교육 적용을 통하여 공학 실험실습의 흥미와 효과를 제고하였다.

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