• Title/Summary/Keyword: clinical efficacy

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The Effect of Debriefing using Reflective Questions and Writing in Simulation Training - Post Operative Care of Abdominal Surgery (시뮬레이션 교육에서 성찰질문과 글쓰기를 이용한 디브리핑의 효과 - 복부수술 후 환자 간호에서)

  • Bang, SulYeong;Eun, Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.463-473
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    • 2017
  • Purpose: The purposes of study was to evaluate the effect of debriefing using reflection questions and writing on the critical thinking disposition, self-efficacy, and clinical judgement ability in simulation of post-operative care of abdominal surgery. Methods: The research method was a nonequivalent control group no-synchronized design. The study period was from August 22 to 30, 2016. The subjects were comprised of 34 people in the experimental group and 36 in the control group. In a simulation session for post-operative care of abdominal surgery, the treatment of the experimental group was to debrief for 30 minutes using Lasater's reflection questions and writing. For the control group, a typical debriefing was conducted in the same environment. Results: Critical thinking disposition, self-efficacy, and clinical judgement were significantly higher in the experimental group than the control group. Conclusion: To enhance the critical thinking disposition, self-efficacy, and clinical judgement of nursing students in simulation, it is recommended to debrief using reflection questions and writing.

Effect of Incivility Experienced by Clinical Nurses on Job Stress and the Moderating Effect of Self-efficacy (병원간호사가 경험하는 무례함이 직무 스트레스에 미치는 영향과 자기효능감의 조절효과)

  • Kim, Song Yi;Yoon, Sook Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.1
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    • pp.8-17
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    • 2017
  • Purpose: The aim of this study was to analyze the effects of incivility experienced by clinical nurses on their job stress, and to identify the moderating effects of self-efficacy on the relationship between job stress and incivility. Methods: A structured self-report questionnaire was used to measure job stress, incivility and self-efficacy. Data were collected from 140 nurses currently working in three general hospitals of more than 300 beds. Data were analyzed using descriptive statistics, ANOVA, Scheffétest, Pearson correlation coefficient, hierarchical multiple linear regression with the SPSS Version 19.0 program. Results: Incivility from supervisors, patients and patients' families showed a significant effect on job stress and self-efficacy had an effect on incivility from patients and patients' families and also incivility from doctors and job stress. These variables have total explanatory power of 46.6% on job stress. Conclusion: The results indicate a need to recognize the seriousness and damage of incivility in order to reduce hospital nurses' job stress and to awaken nurses to the relationship of stress and incivility and establish institutional programs to combat incivility. Moreover, there is also a need to improve self-efficacy on the ward through hospital education and coaching.

A Study on the Relationship of Cultural Competence, Self Efficacy and Job Stress in Nurses Caring for Hospitalized Foreign Patients (외국인 환자 입원병동 간호사의 문화적 역량, 자기효능감, 직무 스트레스 간의 상관관계)

  • Ko, Mi Suk;Choi, Eun Hee;Choi, Kyung Ok
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.1
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    • pp.68-77
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    • 2016
  • Purpose: The present study was done to identify the relationship of cultural competence, self efficacy and job stress of nurses working on wards for foreign patients. Methods: The participants were 133 clinical nurses who agreed to participate in the study and were working on wards for foreign patients in three general hospitals in Seoul. A structured questionnaire that covered the three tested constructs was conducted between Dec. 15, 2014 and Jan. 15, 2015. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficients with SPSS/WIN 21.0 program. Results: Cultural competence was found to have a significant positive correlation with self efficacy (r=.464, p<.001) and self efficacy had a significant negative correlation with job stress (r=-.397, p<.001). Conclusion: The findings of the study suggest that programs designed to nourish cultural sensitivity and cultural skills need to be developed in order to promote cultural competence. The results also suggest that in these programs to improve self efficacy and reduce job stress should be considered.

A Study on the Relationship between Job Stress, Self-Efficacy and Job Satisfaction in Nurses (간호사의 업무스트레스, 자기효능감과 직무만족에 관한 연구)

  • Bong, Young-Suk;So, Hyang-Sook;You, Hye-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.425-433
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    • 2009
  • Purpose: This study was conducted to examine relationships among job satisfaction, job stress, and self-efficacy and to identify predicting factors on the job satisfaction among a general hospital nurses. Method: The subjects were 266 nurses working at C university hospital in G city. Data were collected using a self-reported questionnaires. The data were analyzed using t-test, one-way ANOVA, Scheffe test, Pearson's correlation coefficients, & multiple stepwise regression by SPSS 12.0 program. Result: The job satisfaction indicated a significant relationship to self-efficacy (r=.310, p<.001) and work stress (r=-.273, p<.001) respectively. The powerful predictors of job satisfaction were general self-efficacy (22.6%), over ₩2,500,000 at monthly income (7.3%), job stress (4.9%), work period at present unit (2.6%), which explained 41.3% of total variance of job satisfaction. It has been confirmed that the regression equation model of this research may serve as a predictor of clinical nurses' job satisfaction. Conclusions: We need to develop self-efficacy promoting and stress relief program for clinical nurses in order to improve job satisfaction.

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A Study on Effects of Self-Directed Learning Ability and Self- efficacy on Learner Satisfaction in Nursing Students (간호대학생의 자기주도학습능력과 자기효능감이 학습만족도에 미치는 영향 연구)

  • Son, Yu-Lim;Kim, Geum-Soon;Cho, Eun-Ha
    • Journal of Korean Clinical Health Science
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    • v.6 no.2
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    • pp.1136-1146
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    • 2018
  • purpose: The study was performed by targeting nursing students in order to examine the level of their self-directed learning ability, self efficacy and learner satisfaction and to identify their effects on learner satisfaction. methods: A structured self-administered questionnaire was used, and a total of 150 questionnaires were distribute. Data were collected from 150 nursing students at D university located in D city, and a total of 141 students were included for the final analysis. Data were collected between November 15, 2017 to December 16, 2017, and questionnaire comprised items to measure general characteristics, self-directed learning ability, self efficacy and learner satisfaction. results: In addition, learner satisfaction was positively correlated with self-direct learning ability, self-efficacy. Finally, self-direct learning ability, self-efficacy and interpersonal relationship were found to explain 42.9% of the variance of learner satisfaction. conclusion: The findings of this study could be utilized as base data when developing a program to enhance nursing students's learner satisfaction and it is suggested that an interventional research of analyzing validity and effectiveness of developed education program would be also required.

Effect of Integrated-Simulation Practice Education on Nursing Students' Communication Ability, Learning Confidence, Clinical Reasoning Competence, and Clinical Performance (통합시뮬레이션 실습 교육이 간호대학생의 의사소통능력, 학습자신감, 임상추론역량, 임상수행능력에 미치는 효과)

  • Mi-Jung Kim;Eun-Ha Na
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.683-692
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    • 2024
  • This study aimed to examine the effects of integrated simulation practice education for nursing college students on their communication skills, self-efficacy in learning, clinical reasoning ability, and clinical performance through a pre-post quasi-experimental design with a single group. The participants were 41 fourth-year nursing college students from a university located in G City, and the intervention took place from September to November 2023 over a period of nine weeks. The collected data were analyzed using SPSS 23.0, and the research findings are as follows. First, after simulation practice education, significant effects were observed in self-efficacy in learning (t=-2.21, p=.033), clinical reasoning ability (t=-2.97, p=.005), and clinical performance (t=-2.84, p=.007), but no significant difference was found in communication skills (t=-.224, p=.824). Second, after simulation classes for nursing students, clinical performance showed significant positive correlations with communication skills (r=.650, p<.001), self-efficacy in learning (r=.440, p<.001), and clinical reasoning ability (r=.824, p<.001). Based on these results, integrated simulation practice education for nursing students appears to be an effective educational method for enhancing their self-efficacy in learning, clinical reasoning ability, and clinical performance. To improve nursing students' clinical performance, it is necessary to operate simulation practices with various scenarios.

Factors Affecting Satisfaction of Clinical Practice among Prospective Graduates in Nursing Colleges (간호대학 졸업예정자의 임상실습 만족도 영향요인)

  • Kwon, Young-Eun;Kim, Seon-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.1
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    • pp.80-88
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    • 2018
  • Purpose: This study was designed in order to explore the factors affecting the satisfaction of clinical practice among prospective graduates in nursing colleges and attempt to provide the base data for the quality improvement of clinical practice education. Methods: A total of 205 perspective graduates in nursing who have completed the clinical practice at four colleges of nursing located in Gyeonggi-Do and Chungcheongnam-Do participated in the study. Using structured questionnaires, the data was collected between October 10th, 2016 and November 9th, 2016. Results: The average scores for the image of nurses ($3.86{\pm}0.66$), satisfaction of major ($3.85{\pm}0.55$), self-efficacy ($3.44{\pm}0.51$), nursing professionalism ($3.70{\pm}0.47$), and satisfaction of clinical practice ($3.32{\pm}0.56$) were calculated. The satisfaction of clinical practice was in significant statistical correlation with the image of nurses (r=.59, p<.001), major satisfaction (r=.47, p<.001), self-efficacy (r=.21, p<.001), and professional identity (r=.46, p<.001). The significant predictors of the satisfaction of clinical practice included the image of nurses (${\beta}=.48$, p<.001) and nursing professionalism (${\beta}=.19$, p=.008). The regression model resulted in 36.0% satisfaction of clinical practice. Conclusion: Active development and implementation of programs for establishing positive images of nurses and nursing professionalism are needed in order to improve the satisfaction of clinical practice for nursing students.

Photobiomodulation and implants: implications for dentistry

  • Tang, Elieza;Arany, Praveen
    • Journal of Periodontal and Implant Science
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    • v.43 no.6
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    • pp.262-268
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    • 2013
  • The use of dental implants has become a mainstay of rehabilitative and restorative dentistry. With an impressive clinical success rate, there remain a few minor clinical issues with the use of implants such as peri-implant mucositis and peri-implantitis. The use of laser technology with implants has a fascinating breadth of applications, beginning from their precision manufacturing to clinical uses for surgical site preparation, reducing pain and inflammation, and promoting osseointegration and tissue regeneration. This latter aspect is the focus of this review, which outlines various studies of implants and laser therapy in animal models. The use of low level light therapy or photobiomodulation has demonstrated its efficacy in these studies. Besides more research studies to understand its molecular mechanisms, significant efforts are needed to standardize the clinical dosing and delivery protocols for laser therapy to ensure the maximal efficacy and safety of this potent clinical tool for photobiomodulation.

Clinical and Roentgen Pelvimetry;A Correlation and Efficacy (X선골반계측;임상적 가치와 유효성여부에 관하여)

  • Lee, S.H.;Park, T.K.;Kwak, H.M.
    • Clinical and Experimental Reproductive Medicine
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    • v.8 no.2
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    • pp.35-43
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    • 1981
  • In order to evaluate the clinical utilization and efficacy of X-ray pelvimeter, a study of selective information from 292 cases, who had clinical and X-ray pelvimetry, among 7346 single term deliveries in the years 1975 and 1978 was undertaken in Yonsei University Medical Center. The results revealed that there were no significant statistical difference between X-ray and clinical pelvimetry groups in terms of the outcome of labor and in regard to determining the pelvic size (p > 0.05). Most X-ray examination which caused significant fetal exposure were pelvimetries.

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Dienogest in endometriosis treatment: A narrative literature review

  • Joowon Lee;Hyeon Ji Park;Kyong Wook Yi
    • Clinical and Experimental Reproductive Medicine
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    • v.50 no.4
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    • pp.223-229
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    • 2023
  • Endometriosis is characterized by the implantation of endometrial cells outside the uterus. This hormone-dependent disease is highly prevalent among women of reproductive age. Clinical symptoms of endometriosis include dysmenorrhea, pelvic pain, and infertility, which can negatively impact the overall quality of life of those affected. The medical treatment of endometriosis serves as an important therapeutic option, aimed at alleviating pain associated with the condition and suppressing the growth of endometriotic lesions. As such, it is employed as an adjuvant therapy following surgery or an empirical treatment after the clinical diagnosis of endometriosis. Dienogest, a fourth-generation progestin, has received approval for the treatment of endometriosis in many countries. A growing body of evidence has demonstrated its efficacy in managing endometriosis-associated pain, preventing symptoms, and reducing lesion recurrence. In this review, we examine the clinical efficacy, safety, and tolerability of dienogest in treating endometriosis. We also provide updated findings, drawing from clinical studies that focus on the long-term use of this medication in patients with endometriosis.