• Title/Summary/Keyword: Stress in Clinical Practice

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A Study on the perception Level of Nursing Students in the First Clinical practice (첫 임상 실습에 대한 간호학생의 인지 정도에 관한 연구)

  • Park Chung-Ja;Lee Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.1 no.2
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    • pp.149-164
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    • 1994
  • This stidy was carried out for purpose of investigating the degree of perception in the First clinical practice. The data of this study were collected by self-reported questionnaire composed of 5point rating scale measure the ideal level, satisfaction level and Stress level. For the analysis of the data, percentage, MANOVA, ANOVA and Scheffe test were 216 nursing students in 1 Junior College and 2 university in Taegu. Data was administrated from October 4 through 13, 1994 The results were as follow : 1. The average mean Score for the ideal level was 3.91 with a maximum possible score 5points. The highest mean score was infection controll 4.40 and the lowest mean score was comfort measure 3.44. The average mean score for the satisfaction level was 3.33 with a maximum possible score 5points. The highest mean score was Medication 3.54 and the lowest mean score was communication 3.01. The average mean score for stress level was 3.10 with a maximum possible score 5points. The highest mean score was spiritual and psychological care 3.45, the lowest mean score was Temperature controll 2.51. 2. In the analysis of the relationship between the ideal level, Satisfaction level and Stress level, no significant differance was found in college and university, religion, admission, satisfaction, health, economy, parent 3. In the analysis of the relationship between the ideal level, satisfaction level, stress level and general characteristics, significant difference was found in economicststus in the ideal level. Significant difference was found in economic status(upper class, middle class)in Scheffe test of the ideal level.

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Oncology Nurses' Professional Quality of Life in a Tertiary Hospital (일개 종합병원 종양간호사의 전문직 삶의 질)

  • Kim, Shin;Kim, Jeong Hye;Park, Jeong Yun;Suh, Eun Young E;Yang, Hwa Jeong;Lee, Su Yeon;Lee, Young Shin;Jeon, Mi Jin;Lee, Soon Haeng;Kim, Kyoung Ok
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.145-155
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    • 2010
  • Purpose: The purpose of this study was to investigate oncology nurses' professional quality of life and its correlations with job satisfaction and job stress in a tertiary hospital in Seoul, South Korea. Methods: A cross-sectional survey design was utilized to investigate 210 oncology nurses from various oncology and hemato-oncology units. Professional quality of life (ProQOL), which is conceptualized with three sub-dimensions (compassion satisfaction, burnout, and secondary traumatic stress), job satisfaction, job stress, demographic and work-related variables were measured. Results: The participants were all women, with the mean age of 28.4. The participants with high ProQOL was only 14.8%, and 75.3% and 77.6% of the participants reported a moderate to high level of burnout and secondary traumatic stress respectively. Job satisfaction, age, and the total years of nursing practice have positive correlations with compassion satisfaction. Also, compassion satisfaction was significantly different according to age group, work units, the level of education, nursing positions, and the years of practice. Conclusion: Since the level of professional quality of life among oncology nurses was relatively low, the program for oncology nurses to improve compassion satisfaction and to decrease compassion fatigue needs to be developed.

Evaluation of Good Clinical Practice(GCP) Implementability at the Designated Clinical Trial Hospitals (임상시험 지정병원의 "의약품 임상시험 관리기준(KGCP)" 수행 가능성 평가에 관한 연구)

  • Jang, Sun-Mee;Lee, Eui-Kyung;Park, Byung-Joo;Huh, Soon-Im
    • Quality Improvement in Health Care
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    • v.2 no.1
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    • pp.86-109
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    • 1995
  • Clinical trials of drugs on humans is the final and most important stage in evaluating the safety and efficacy of the drugs. Good Clinical Practice(GCP) standards were announced in 1987 to protect testees' rights as well as to ensure validity of the clinical trial results, but its implementation has been delayed until now. The purpose of this study is to evaluate the preparedness of the designated institutions to abide by GCP standards during clinical trials, and thereby to determine GCP implementability at the institutions. Survey on the status of clinical trials was conducted for the designated 83 clinical trial hospitals. Response rate was 95.2%. Donabedian's quality assessment model was applied as the basic framework for the study. And the relative - weights for the evaluation items were determined by expert's evaluation. Among the designated 83 hospitals, 39 conducted clinical trials to obtain drug manufacturing approval from 1990 to 1994. Only 19 institutions are found to be able to meet the requirements of KGCP. Structure variables - manpower, organization, and facility -, which are the basic elements for GCP, are evaluated as unsatisfied in many hospitals. Institutions which established IRB accounted for 41 or 51.9%, but those who have a protocol evaluation guideline, or Adverse Drug Reaction(ADR) reporting system were only 12 and 21 institutions, respectively. Also, the institutions providing educational programs on conducting clinical trials are few - 20. The study results indicates that the level of conducting KGCP is unsatisfactory. However, more institutions are expected to be able to meet the standards soon because GCP standards does not require so much regulation on facilities, but stress importance on research methodology and human right. At present as the institutions for clinical trials are primarily training hospitals with residency programs, such efforts as education will accelerate the implementability of GCP in Korea. Institutions must build the appropriate infrastructure and government must prepare to strongly enforce KGCP before it can successfully take place.

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Relation amang Stress, Ego-Resilience, Self-Efficacy, Clinical performance in graduate medical student (의학전문대학원생의 스트레스, 자아탄력성, 자기효능감과 임상수행능력과의 관계)

  • Hong, Sun-Yeun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5797-5804
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    • 2011
  • Recently, the medical education is undergoing system transition from a medical college to a medical graduate school and introduction of performance test in the doctor license state examination. Therefore, To deal with these challenges, it is needed that medical faculty prepare the education programs for considering student's personal characteristics and improving Clinical performance. So, The purpose of this study was to understand relation among Stress, ego-resilience, self-efficacy and Clinical performance in graduate medical student, and for this study, We conducted a survey of 97 medical graduate school students in D city during the period from August 19st to 20st. 2011. The study found a negative correlation between Stress and Ego-Resilience, a positive correlation of stress with confidence at low region in Self-Efficacy. Ego-Resilience correlates positively with CPX at low region in Clinical performance, Preference for difficulty level of the task at low region in Self-Efficacy correlates negatively with OSCE. OSCE and CPX at low region in Clinical performance are positively correlated. Therefore, Stress reduction of students can improve Self-Efficacy, Furthermore, improve ultimately Clinical performance. According to this study, To improve Clinical performance competence, student's personal characteristics should be considered and education programs for self-efficacy and ego-resilience advancement be reflected in curriculum.

The effects of academic stress, social network service addiction tendency, and upward social comparison on depression in nursing students (간호대학생의 학업스트레스, 소셜네트워크서비스 중독경향, 상향비교성향이 우울에 미치는 영향)

  • Park, Seungmi;Lee, Jung Lim;Yu, Soo-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.1
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    • pp.41-50
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    • 2023
  • Purpose: The aim of this descriptive study was to identify the factors influencing depression risk among South Korean nursing students. Methods: The data were collected from nursing students attending two universities through web-based questionnaires that surveyed them about depression, academic stress, social network service (SNS) addiction tendency, and upward social comparison from August 22 to September 4, 2021. The collected data from 196 nursing students were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression. Results: The mean score of depression (using CES-D Korean version) among nursing students was 13.91, which denotes probable depression. Concerning the variance with regard to depression among nursing students, 20.2% was explained by clinical practice period, academic stress, and upward social comparison. Conclusion: Programs to relieve academic stress and depression should be developed in a simple way and systematically provided at the organizational level so that nursing students secure sufficient support during the initial and continuing period of clinical practicums. Concomitantly, an attempt to reduce the upward social comparison should be highly considered.

Guarantee of Safety for the Patient: Subjectivity of unsafe clinical practice in Nursing Students (임상실습 안전에 대한 간호대학생의 주관성)

  • PARK, Euna
    • Journal of Fisheries and Marine Sciences Education
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    • v.29 no.2
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    • pp.343-353
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    • 2017
  • Nursing students who are in clinical practices under the complicated medical environment to become competent practitioners can be exposed to a variety of dangerous situations. In particular, nursing students can experience stress and compromised safety because they have difficulty in prioritizing their tasks and lack confidence in clinical and interpersonal skills. The purpose of this study is to investigate the types and characteristics of nursing students' attitudes toward the safety of clinical practices, and improve their safety related to clinical practices. A total of 40 statements about the safety of clinical practices were applied to 37 nursing students. Collected data were analyzed with the PC QUANL program. The Perception of nursing students to the safety of clinical practices was categorized into three types: 'Pursuit of perfection in overwhelming state type', 'Perseverance Patience type' and 'Cover up-meeting expectation type'. The subjects related to the safety of clinical practices need to be developed within the curriculum of nursing departments by examining the Perception of nursing students to the safety of clinical practices. In addition, a sense of responsibility shared by nursing students, educators and practitioners needs to be enhanced to improve the safety of clinical practices.

Diagnosis of Laryngeal Cyst using Respiratory Endoscopy in Hanwoo Cattle with Chronic Bronchopneumonia

  • Ro, Younghye;Choi, Woojae;Kim, Hoyung;Kim, Danil
    • Journal of Veterinary Clinics
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    • v.35 no.2
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    • pp.57-59
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    • 2018
  • A seven-month-old Hanwoo steer was presented immediately after transport with respiratory symptoms including a nasal discharge, depression, and anorexia. Though repeated treatments, bronchopneumonia had not been improved and had persisted for 10 months. Then, obstructive breath sound was heard. A cyst adjacent to the epiglottis could be observed with respiratory endoscopy. Consequently, chronic bronchopneumonia induced laryngeal cyst formation, resulting in obstructive dyspnea. And respiratory endoscopy may be useful for differentiating the causes of dyspnea in bovine clinical practice.

Critical Review of the Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress and Health-related Quality of Life (QOL) (Mindfulness Based Stress Reduction (MBSR) 프로그램이 스트레스 및 삶의 질에 미치는 효과에 대한 분석)

  • Song, Yeoung-Suk;Lindquist, Ruth;Choi, Eun-Ju
    • Korean Journal of Adult Nursing
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    • v.22 no.2
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    • pp.121-129
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    • 2010
  • Purpose: In numerous studies, MBSR programs have been shown to reduce stress and improve health-related QOL. Although MBSR programs have been shown to be beneficial, its effects have not been well-determined among Korean populations in clinical nursing practice. The purpose of this review was to describe the effects of MBSR on stress and health-related QOL so that the potential benefits of this intervention may be evaluated for wider application in Korea. Methods: Articles published in peer-reviewed journals in the English or Korean language up to 2009 were reviewed; 14 articles met the inclusion criteria for this review and there were no Korean papers. Results: MBSR groups were found to have significantly reduced stress outcomes relative to non-MBSR groups in 6 of 11 studies. In regards to health-related QOL, participants of the MBSR programs had increased scores after MBSR intervention relative to control groups in 5 of 7 studies. Conclusion: MBSR programs was effective in decreasing stress and increased the health-related QOL in the majority of studies reviewed. MBSR merits study in Korean patients to determine whether similar salutary patient outcomes may be obtained.

The Effects of Stress and Spirituality on Quality of Life of Nursing Students (간호대학생의 스트레스, 영성이 삶의 질에 미치는 영향)

  • Lee, Jung Lim;Kang, Seok-Jung
    • Journal of East-West Nursing Research
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    • v.27 no.1
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    • pp.87-93
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    • 2021
  • Purpose: The purposes of this study were to investigate the relationship between stress, spirituality and quality of life and verify the effect of mediating spirituality in the relationship between stress and quality of life among nursing students. Methods: A total of 173 fourth-year nursing students who have experienced clinical practice participated in this study. Data were collected using structured questionnaires to measure the stress, spirituality and quality of life in nursing students from November 9 to December 9 in 2020. Data analysis was conducted using independent t-test, ANOVA, Pearson's correlation coefficient, and mediated regression analysis of Baron and Kenny. Results: The results show that stress were negatively correlated with quality of life (r=-.49, p<.001) and spirituality (r=-.40, p<.001). In addition, spirituality was positively correlated with quality of life (r=.56, p<.001) and had a partial mediation effect on the relationship between stress and quality of life. Conclusion: The results of this study indicate that in order to reduce stress and improve the quality of life of nursing students, it is necessary to actively apply a spirituality promotion program recognizing and developing nursing student's spirituality.

A literature Review (1996-2014) on Critical Thinking in Korean Nursing Education for the Era of Convergence (융복합 시대 준비를 위한 국내 간호대학 교육에서의 비판적 사고 연구(1996-2014) 동향 분석)

  • Ha, Na-Sun;Pak, So-Young;Lee, Mi-Ja
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.341-349
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    • 2015
  • The critical thinking has become gradually important in nursing education for the era of convergence. The literature review was undertaken to identify the study trends of critical thinking in nursing education in Korea. 75studies from 1996 to 2014 were reviewed. The studies related to critical thinking were highly increased from 2006. The study design was identified descriptive studies to path model. The predictors to critical thinking were an academic system, age, interpersonal relationship, academic achievement, the duration of clinical practice, satisfaction on nursing, self-esteem, self-efficacy, learning methods and so on. The consequence variables were clinical practice stress, cognitive stress, the ability of problem-solving, clinical competency, emotion control, communication competence. It is necessary to develop education programs and curriculum based on evidence from the researches for increasing critical thinking.