• Title/Summary/Keyword: care instruction

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Control Effect of Oral Health Following Individualized Repeated Instruction (맞춤형 반복교육에 따른 구강건강 관리효과)

  • Jo, Min-Jung
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.361-365
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    • 2008
  • To educate the technique performing oral health care by oneself, four times individualized oral instruction was introduced to patients and control marks of plaque on sex, age, occupation, monthly average income, academic career were measured respectively. Through analysis of it's results and evaluation of oral health care grade on patients, this study arranged for basic data about individualized oral instruction to improve public oral health. 1. As individualized oral instruction was processed, control mark of dentalplaque improved greatly. 2. Control mark of dentalplaque on sex, female's control mark was higher than male's it. But, a gap of control mark was small. 3. Control mark of dentalplaque on age, control mark of patients in their 50s to 59s and 30s to 39s was higher than average of the whole. 4. Control mark of dentalplaque on occupation, control mark of inoccupation and professional was highly appeared. 5. Control mark of dentalplaque on monthly average income, control mark of patients whose monthly average income was below 2.5 million was highly appeared. 6. Control mark of dentalplaque on academic career, control mark of patients who graduated of university was highly appeared at first and second evaluation. On the other hand, control mark of patients who graduated of college or dropped out of university was highly appeared at third and fourth evaluation. According to the above statements, to effectively take care of oral health, our felt keenly the necessity of the individualized repeated instruction.

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Assessment of Students' Cognitive Conflicts and Anxiety

  • Kim, Yeoun-Soo;Bao, Lei
    • Journal of The Korean Association For Science Education
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    • v.28 no.3
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    • pp.227-240
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    • 2008
  • Cognitive conflict is well recognized as an important factor in conceptual change and is widely used in developing constructivism-based curricula. However, cognitive conflicts can also contribute to student anxiety during learning, which, when not properly addressed, can have negative impacts on students' motivation and achievement. Therefore, instructors need to be aware of the impacts of introducing cognitive conflicts in their instruction. We need a practical instrument that can help identify the existence and features of cognitive conflicts introduced by the instruction and the resulting anxiety. Based on the literature on studies of cognitive conflicts and student anxiety, we developed a quantitative instrument, the In-class Conflict and Anxiety Recognition Evaluation (iCARE), and used it to monitor the status of students' cognitive conflicts and anxiety in Physics by Inquiry (PBI) classes. In this paper, we introduce this instrument and present the types of information that can be obtained. Research and pedagogical values of this instrument are also discussed.

The Effectiveness of Standardized Patient Managed Instruction for a Fundamental Nursing Course (기본간호학 실습교육에 있어 표준화 환자를 이용한 학습방법의 효과)

  • Yoo, Moon-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.1
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    • pp.94-112
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    • 2001
  • The main purpose of this study was to investigate the effectiveness of a standardized patients managed instruction program for a fundamentals of nursing. The standardized patients managed instruction was evaluated by using a quasi-experimental, nonequivalent control group posttest design with two separate classes of sophomore students attending fundamentals of nursing classes at one baccaleureate nursing school in Korea. Control group was taught by traditional lecture/model instruction and experimental group was taught by standardized patient managed instruction. Data were collected from December, 1999 to July, 2000 using checklist developed by researcher on following areas; clinical nursing performance, communication skills, and learning motivation. There were 36 students in the experimental group and 40 students in the control group. Data analysis was done using SPSS WINDOW. The results were summarized as follows ; 1. Clinical nursing performances were evaluated by change position, back care and hot bag apply. The total score was statistically significant higher in the experimental group than the control group(t=3.325, p=.000). Thus hypothesis 1 was supported. 2. Communication skill was evaluated by professional attitude and ability to explain to patients. There was a statistically significant difference between the experimental group and the control group (t=4.232, p=.000). Thus hypothesis 2 was supported. 3. Learning motivation was evaluated by self-reported questionnaires. There was statistically a significant difference between the experimental group and the control group(t=3.024, p=.004). Thus hypothesis 3 was supported. In conclusion, this study suggests that standardized patients managed instruction is an effective learning method to nursing students. By utilizing a standardized patient managed instruction, learning can proceed in a more relaxed environment and reduce the risks to patients because student inexperience are avoided. It is recommended to develop more standardized patients cases for wider areas of nursing educational and evaluate the program with more students using logitudinal method.

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A Validation Study of Nursing Diagnosis in Emergency Care Unit (응급간호단위에 적용되는 간호진단의 타당도 연구)

  • Choi Kyung-Won;Oh Hae-Gyeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.2
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    • pp.145-153
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    • 2003
  • Purpose: Related factors for 24 nursing diagnoses frequently used in the emergency care unit were validated in this study. Method: A convenience sample of 65 registered nurses who had worked for 2 years or more in emergency care units and received instruction on nursing diagnosis was used for the study. The classification of nursing diagnoses was based on NANDA (1996) and validation, on Fehring (1987)'s DCV model. Result: Differences were found between emergency and general care units for related factors for nursing diagnosis. Newly reported related factors were not found for emergency care units. Conclusion: It is helpful for nurses who work in emergency care to be able to apply the nursing diagnosis validated in this study. These findings can be used as the database to provide a nursing diagnosis system appropriate to improving the emergency nursing practice.

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Legislative Approaches to Terminal Care Issue in the U.S.A. - Acts on Terminal Health-Care Decision (말기의료에 관한 미국 법제의 연구 - 말기의료결정 제도를 중심으로)

  • Suk, HeeTae
    • The Korean Society of Law and Medicine
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    • v.14 no.1
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    • pp.355-401
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    • 2013
  • The first legislation for terminal health-care decision was California's Natural Death Act (NDA) of 1976 that permitted any adult person to execute a directive directing the withholding or withdrawal of life-sustaining procedures. Advance directive legislation has subsequently progressed on a state-by-state basis. By 1992, all 50 states, as well as the District of Columbia, had passed legislation to legalize some form of advance directive. This state legislation, however, has resulted in an often fragmented, incomplete, and sometimes inconsistent set of rules. Statutes enacted within a state often conflict and conflicts between statutes of different states are common. In an increasingly mobile society where an advance health-care directive given in one state must frequently be implemented in another, there is a need for greater uniformity. In 1993, the Uniform Law Commissioners approved the Uniform Health-Care Decisions Act (UHCDA) in order to bring order to the existing chaos. Unfortunately, the Commissioners waited too long to act. By the time the UHCDA was approved, nearly all states had passed legislation governing advance directives. Consequently, the UHCDA has achieved only a limited success, picking up but one or two enactments a year. The UHCDA is currently in effect in around 10 states: Alabama, Alaska, California, Delaware, Hawaii, Kansas, Maine, Mississippi, New Mexico, Tennessee, Wyoming. In these states the previous laws related to the subjects have been all repealed. The overall objective of the UHCDA is to encourage the making and enforcement of advance health care directives including living will or individual instruction, power of health-care attorney and to provide a means for making health care decisions for those who have failed to plan. The U. S. House of Representatives in 1991 enacted the Patient Self-Determination Act (PSDA). The Act stipulates that all hospitals receiving Medicaid or Medicare reimbursement must ascertain whether patients have or wish to have advance directives. The Patient Self- Determination Act does not create or legalize advance directives; rather it validates their existence in each of the states. Now in America, terminal health-care decision or advance directive for health care is common and universal system. The problem, however, is how to let more people use these good tools to make their lives more beautiful and honorable.

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A Study on the Care Label of Vapor-Permeable and Water-proofed Fabric Clothes and Consumer's Understanding (투습방수포 제품 취급주의표시 레이블의 실태조사와 이에 대한 소비자의 인식조사)

  • Choi, Hae-Young;Lee, Jung-Sun
    • Korean Journal of Human Ecology
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    • v.10 no.4
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    • pp.333-347
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    • 2001
  • The purpose of this study is to find out the washing methods specified on the care labels of vapor-permeable & water-proofed fabrics and to investigate the consumers' real washing methods in their home and their cognition. In this study, the condition of care labels on 35 products was investigated and consumers' washing methods and cognition were surveyed. The subjects were consisted of majoring clothing textiles' female, female student attending in other major and married-women. Data were analyzed SPSS 10.0. The major results were as follows : 1. The care labels of Vapor-permeable & waterproofed fabric products used in this survey followed the rule of KS K that is stated that care labels must include over 3 instructions. It was the most popular type of care labels to organize with washing methods, bleaching methods, weaving methods, drying methods, ironing methods. 2. Most consumers have vapor-permeable & waterproofed fabric products, but their consciousness of this fabric is low. The rate of consumer confirming the care labels was 76.6% but 67.8% of them answered they take care of textile products with their experiences. 3. Consumers' understanding of care instructions on care labels was investigated that most consumers understand domestic care instruction, but they didn't know almost all international one.

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Childcare Teacher's Concept Map Analysis about Early Childhood Safety Educational Contents (유아안전교육에 대한 보육교사의 개념도 분석)

  • Lee, Song Yi;Son, Won Kyoung
    • Korean Journal of Childcare and Education
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    • v.8 no.5
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    • pp.67-87
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    • 2012
  • The purpose of this study is to investigate childcare teacher's knowledge of child safety education. In this study, Novak and Gowin(1984)'s concept map was applied to investigate knowledge of safety instruction. Forty teachers working at child centers were completed the concept map. The results of this study were as follows: First, Teachers used 194 higher concepts. 'Safe action in dander situation'(77.8%) was most frequently used higher concept and followed by 'traffic safety('35%). Second, Teachers used 1,270 dependent concepts. Third, there was significant difference in density according to frequency of safety instruction. These results can be meaningful to decide the contents of child safety instruction for teacher's education and as a basic data for teacher's education.

Effect of Mothers' Oral Health Knowledge and Behaviour on Dental Caries in Their Preschool Children (데이터마이닝을 이용한 유치치아우식증 관련요인 분석)

  • Kim, Jin-Soo;Kim, Hyo-Jin;Jorn, Hong-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.2
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    • pp.171-184
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    • 2005
  • In order to investigate correlation between mother's dental ca re for her children and their dental caries, this study was conducted wi th the dental examination record of 365 children who showed the same number of questionnaires with those examined for dental conditions and questionnaires written by mothers among children between three and six years of age and their mothers in Yeoncheon, Gyeonggi province in June 2004 to estimate frequency and percentage of general properties of subjects and mother's oral health care behaviors for her children by research items, to carry out cross-tabulation analysis and correlation analysis following Chi-square distribution for the presence of dental caries in deciduous teeth and oral health care behaviors, and to use decision tree analysis among data mining techniques for those factors associated with the presence of dental caries in deciduous teeth, and drew the following conclusions. 1. For mother's oral health care behaviors and attitudes for her children, 225 mothers(61.6%) confirmed their children's teeth-brushing; 278(76.2%) used no fluorine; and 286(78.6%) observed their children's teeth, 322 mothers(88.2%) instructed their children in teeth-brushing while 268 (73.4%) provided dental care, 232 mothers(63.7%) treated their children's cavity; 290(79.4%) believed that their children had good dental conditions; and 294(80.5%) answered that they began to provide their children with dental care in deciduous teeth. 2. As for the presence of dental caries in deciduous teeth and dental health care behaviors, there were statistically significant differences in employment, confirmation after teeth-brushing, teeth observation, instruction in time for teeth-brushing, use of fluorine, cavity treatment, time for dental care, and perception of dental conditions(p<0.05). 3. As for correlation between dental caries in deciduous teeth and oral health care behaviors, mothers who worked, who believed that their children didn't have good dental condition, and who thought that it was necessary to begin to provide dental care in permanent teeth were found to get their children to suffer from dental caries in deciduous teeth. Besides, those who failed to confirm teeth-brushing, who used no fluorine, and who failed to observe teeth and gave no instruction in time for teeth-brushing were shown to get their children to suffer from dental caries in deciduous teeth. 4. Variables to determine the presence of dental caries in deciduous teeth were classified by cavity treatment, mother's employment, time for dental care, and observation of children's teeth. The first node to determine the presence of dental caries in deciduous teeth was found to be cavity treatment; the next criteria for classification after cavity treatment were shown to be mother's employment and time for dental care. In case of children with no cavity, they were found to be mother's employment and teeth observation.

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Incidence of Medical Services and Needs for Hospital-based Home Care Nursing in Elder Care Institutions (노인요양시설 내 의료서비스 발생빈도와 병원중심 가정간호 요구도 조사)

  • Kim, Jae-Seung;Lee, Joo-Young;Song, Chong-Rye;Lee, Mi-Gyeong;Hwang, Moon-Sook
    • Journal of Home Health Care Nursing
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    • v.16 no.1
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    • pp.49-58
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    • 2009
  • Purpose: This study aimed to clarify the needs for hospital-based home care nursing medical services in elder care institutions by analyzing the details and frequency of medical services provided by, and the needs for, hospital based home care nursing in select institutions in Korea. Methods: Seventy-seven staffs at elderly care institutions located throughout the country completed self-report questionnaires between February 1 and May 31, 2009. SPSS ver. 14.0 was used for data analysis regarding frequency and percentage, mean and standard deviation. Results: Forty-eight hospital-based home care nursing medical services in eight domains were identified as being needed in elderly care institutions. The most commonly used medical services were providing instruction in oral drug administration, checking drug beneficial/adverse effects, and administering blood glucose test, while the most needed medical services requiring hospital based home care nursing were complex pressure ulcer care, followed by diabetic foot ulcer management and nutrient injection. Conclusion: The present results should provide fundamental data for better healthcare services with hospital based home care nursing at elderly care institutions as part of a 'win-win' strategy through which medical expenses are reduced, insurance costs are kept stable, and safe and high-quality medical services are provided for residents of elder care institutions. Political decisions intended to promote visits by hospital based home care nurses to elder care institutions would be a prudent course.

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A study on the effect of constructive instruction and analysis of response pattern of on scientific concepts among 3, 4, 5 years old (구성주의 교수방법에 의한 유아의 연령별 과학 개념변화 및 반응유형 분석)

  • Park, Choong ll;Kim, Sin Gon
    • Korean Journal of Childcare and Education
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    • v.5 no.1
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    • pp.59-79
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    • 2009
  • The purpose of this study to analysis the response pattern of the constructive instruction model that reflect constructivism learning theory for change on 6 science concepts. Specially, this study analyzes the constructive instruction model's effect among 3, 4, 5 years old and explain to the 6 scientific concepts that change from false response to correct response. The subjects are 34 public institution children who located in the Jinju city and was need to explain the scientific concepts. For the response pattern analysis of the this study is using scientific conceptual task on the function of ear and blood, the reason of thunder, typhoon, evaporation and ship's flotage. Conclusions that appear through result of constructivism activities effect on change of six scientific concepts and the constructive instruction's effect is more 5 year old than 3, 4 years old age.

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