• Title/Summary/Keyword: clinical efficacy

Search Result 3,392, Processing Time 0.032 seconds

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
    • /
    • v.12 no.12
    • /
    • pp.5797-5804
    • /
    • 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.

Current Clinical Evidence for Korean Red Ginseng in Management of Diabetes and Vascular Disease: A Toronto's Ginseng Clinical Testing Program

  • Vuksan, Vladimir;Sievenpipper, John;Jovanovski, Elena;Jenkins, Alexandra L.
    • Journal of Ginseng Research
    • /
    • v.34 no.4
    • /
    • pp.264-273
    • /
    • 2010
  • While ginseng is reported to have a wide array of applications, there is growing evidence for its indications in diabetes and vascular disease. A clear connection, however, has not been established between ginseng's composition, dose and its targeted efficacy in humans. We therefore developed and initiated the Korean Red Ginseng Clinical Testing Program for diabetes and vascular function which is an efficacy and safety-based clinical screening model for ginseng. The most efficacious sources, ginsenoside profiles, doses, and modes of administration were examined in sequential, acute, followed by long term, randomized-controlled trials to investigate the efficacy and safety profiles. This review discusses the current state of the clinical research of Korean red ginseng program conducted in Toronto, paving the way for the use of clinically selected ginseng and its ginsenoside fractions in the management of diabetes and vascular diseases.

A Systematic Review on the Clinical Efficacy of Digital Therapeutics for Sleep Disorders: Subgroup Analysis by Control Groups (수면 장애가 있는 환자에게 적용한 디지털 치료기기의 임상적 유효성에 대한 체계적 문헌고찰: 대조군분류에 따른 하위 분석)

  • Hyosun Jeon;Eunjee Kang;Soojung Yoo
    • Korean Journal of Clinical Pharmacy
    • /
    • v.33 no.4
    • /
    • pp.221-241
    • /
    • 2023
  • Background: The purpose of this systematic review was to investigate the effects of digital therapeutics for insomnia on sleep disorders and mental health improvement compared to the control group. Methods: Following the guidelines on systematic review(PRISMA, NECA), a literature search was conducted through PubMed, Cochrane Library, EMBASE, RISS, KISS, and KoreaMed using keywords. The Cochrane Risk of Bias Tool and Review Manager version 5.3 were used for risk of bias and effect size assessment. Results: Thirty eight RCT met criteria for inclusion. When compared against three control conditions, the digital therapeutics for insomnia was an effective intervention for improvement sleep disorders and mental health in comparison to waiting list and Patient-directed care with some intervention by medical staff. However, digital therapeutics for insomnia were no more effective than face-to-face CBT-I control group. Conclusion: The efficacy of digital therapeutics for insomnia was evaluated differently depending on the control group. Therefore, in phase 3 clinical trials for efficacy evaluation, it is necessary to review whether the control group has been properly established.

The Development and Evaluation of a New Educational Program, Introduction to Clinical Nursing, for Third Year Nursing Students (간호학 임상실습 입문 교육과정(Introduction to Clinical Nursing) 개발과 교육 효과)

  • Song, Kyung-Ae;Park, Hyun-Jung;Yeom, Hye-A;Lee, Jong-Eun;Joo, Ga-Eul;Kim, Hee-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.19 no.3
    • /
    • pp.322-333
    • /
    • 2012
  • Purpose: The purpose of this study was to evaluate the effects of a newly developed Introduction to Clinical Nursing (ICN) program on critical thinking skills, communication competence, self-efficacy, and clinical performance self-confidence in nursing students in their third year. Methods: One group pre-test and post-test design was used with three data collection time points (pre-test, post-test1 and post-test2). Participants were 74 third year nursing students approaching their first clinical practicum. The new program included (a) simulated clinical encounters regarding situations of assessing hospitalized patents and caring for patients with oxygenation needs, (b) objective structured clinical examination of skills, (c) lectures, and (e) field trips. Data were analyzed using paired t-tests. Results: After the ICN course, critical thinking skills(significant only between pretest and post-test2), communication competence, and clinical performance self-confidence improved significantly (p<.05). There was no improvement in the self-efficacy total score but there was significant improvement in the subscale, self-regulatory efficacy. Conclusions: The study results indicate that the ICN course may be effective in increasing critical thinking skills, communication competence, and clinical performance self-confidence in nursing students. However, the effect size was very small and modifications of this program should be considered to develop more cost-effective educational programs.

A Study on the Relationship between Professional Self-Concept, Self-Efficacy and Job Satisfaction in Clinical Nurses (임상간호사의 전문직 자아개념, 자기효능감과 직무만족에 관한 연구)

  • Lee, Seung-Hee
    • Korean Journal of Adult Nursing
    • /
    • v.20 no.1
    • /
    • pp.10-20
    • /
    • 2008
  • Purpose: The purpose of this study was to analyze the effects of professional self-concept and self-efficacy on job satisfaction and to identify the relationship among them in clinical nurses. Methods: The subjects were nurses who were working for three general hospitals in Seoul and Gangwon province for two month starting in July 2007. Three questionnaires were used. One was job satisfaction and the others were professional self-concept and self-efficacy. The data were analyzed by SPSS/PC ver 12.0. Results: The mean score of job satisfaction was 2.99 (range: 1-5). The mean score of professional self-concept and self-efficacy were 2.71(range: 1-4) and 3.49(range: 1-5), respectively. Differences of job satisfaction were significantly related to differences in age, marital status, level of education, clinical career, annual salary, and shift pattern. With respect to job satisfaction, the pearson correlation coefficients were .43 for professional self-concept and .29 for self-efficacy. The multiple regression revealed that the significant predictor of job satisfaction was professional self-concept. Conclusion: This study showed that a strong professional self-concept improves job satisfaction, so professional self-concept improvement programs should be developed to improve job satisfaction and to improve the quality of nursing.

  • PDF

Review on Effects of Hyangsapyeongwi-san in Gastrointestinal Diseases (소화기질환에서의 향사평위산의 효과에 대한 문헌적 고찰)

  • Cho, Jung-Hyo
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.24 no.1
    • /
    • pp.22-25
    • /
    • 2010
  • Hyangsapyeongwi-san has been used for various gastrointestinal diseases in Oriental medicine. Nevertheless, there is little known to scientific evidence for its efficacy and mechanism. This study was aimed to investigate effects of Hyangsapyeongwi-san in gastrointestinal diseases through the analysis of articles. A total of 15 articles were selected from PubMed, KTKP, and Weipu. The selected articles were analyzed according to three aspects of study types, target diseases and its efficacy, and results of clinical studies. Hyangsapyeongwi-san has positive effects in gastrointestinal disorders, such as prevent gastric mucosal injury, improve hyperacidity and dyspepsia, protect oxidative damage, and antitumor effects and enhance both cellular and humoral immunity. However, it proved insufficient to confirm its efficacy owing to lack of clinical studies of high quality. So, we need well designed studies to verify clinical efficacy of Hyangsapyeongwi-san hereafter.

Satisfaction of Practice and Clinical Skill in Participation Learning and Observation Learning (참여학습과 관찰학습의 실습만족도 및 임상수기술)

  • Shin, Eun-Ju
    • Journal of Oriental Neuropsychiatry
    • /
    • v.19 no.2
    • /
    • pp.195-207
    • /
    • 2008
  • Objective: The purpose of this study was to compare satisfaction of practice and clinical skill in different participation learning and observation learning, and to offer the basic data to promote quality of nursing education. Method: The study used a quasi-experimental, nonequivalent control group post-test design. The subjects were 62 nursing students of K college in Jeonbuk, and the period of data gathering was limited from 19 Nov. 2006 to 30 Nov. 2006. Experience group was taught by hand-on education and control group was taught by conventional education. The instrument tools included self-efficacy, satisfaction of practice and clinical skill. The collected data were analyzed by SPSS-PC programme. Result: The results of this study were as follows: There was statistically a significance difference between the two group about satisfaction of practice(t=2.011 p=.043), and clinical skill(t=11.997, p=.000). Self-efficacy showed a significantly positive correlation with satisfaction of practice(r=.476, p=.000) and clinical skill(r=.178, p=.014). Also, satisfaction of practice showed a significantly positive correlation with clinical skill(r=.l82, p=.000). Conclusion: In conclusion, this study suggests that hand-on education is an effective learning method to nursing students. By utilizing hand-on education, makes nursing students plan self-directed nursing performance and improve their clinical skills.

  • PDF

The Effects of Self-Leadership on Academic Self-Efficacy and Communication Ability of Nursing Students (간호대학생의 학업적 자기효능감, 의사소통 능력이 셀프리더십에 미치는 영향)

  • Lee, Keyoung-Im;Jeong, Gyeong-Sun
    • Journal of The Korean Society of Integrative Medicine
    • /
    • v.10 no.4
    • /
    • pp.209-218
    • /
    • 2022
  • Purpose : This study examined how of nursing students affects their academic self-efficacy and communication ability on self-leadership. Methods : The subjects of this study included 269 nursing students enrolled in a college located in City B, South Korea during a period between June and July 2021. The collected data were analyzed using SPSS/WIN 22.0 program to compute frequency, percentage, mean and standard deviation and conduct t-test, ANOVA, Scheffe's test, Pearson Correlation Coefficient, and multiple regression analysis. Results : The nursing students had average academic self-efficacy of 3.10±.42, communication ability of 3.78±.53, and self-leadership of 3.16±.44. Among the self-leadership sub-factors, self-reward was the highest with 3.94±.74 points. The academic self-efficacy of the subjects demonstrated a significant difference according to happiness index (F=8.83, p<.001) and health (F=3.38, p=.035). The communication ability showed a significant difference depending on year of study (F=5.62, p<.001), happiness index (F=5.95, p<.001), and experience of clinical training (t=-3.57, p<.001). The self-leadership demonstrated a significant difference according to year of study (F=4.28, p=.006), satisfaction with major (F=7.37, p<.001), happiness index (F=3.68, p=.013), and experience of clinical training (t=-3.41, p<.001). A positive correlation was observed between the subject's academic self-efficacy and communication ability (r=.40, p<.001), as well as the academic self-efficacy and self-leadership (r=.45, p<.001). The communication ability (𝛽=.36, p<.001) was proven to be the strongest influential factor on the self-leadership, followed by academic self-efficacy (𝛽=.28, p<.001), satisfaction with major (𝛽=.13, p=.011), and experience of clinical training (𝛽=.13, p=.013). Conclusion : This study results imply that repeated studies that investigate the nursing students' academic self-efficacy, communication ability, and self-leadership are required. Furthermore, efforts should be made to develop programs aimed at enhancing nursing students' academic self-efficacy, communication ability, and self-leadership.

Effects of Academic Stress and Academic Self-Efficacy on Positive Psychological Capital of Nursing Students (간호대학생의 학업스트레스, 학업적 자기효능감이 긍정심리자본에 미치는 영향)

  • Jung, Mi-Ra
    • Journal of Korean Clinical Health Science
    • /
    • v.10 no.1
    • /
    • pp.1578-1586
    • /
    • 2022
  • Purpose. The purpose of this study was to examine relationships among academic stress and academic self-efficacy on positive psychological capital and identify the factors that influence on positive psychological capital in the nursing students. Methods. The data were collected from 184 nursing students in the five colleges located Y and S city using self-reported questionnaires and Oct. 25 2020 to Nov. 5 2020. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS 20.0 program. Results. The result of positive psychological capital was found to be in a significant positive correlated with academic self-efficacy. the multiple regression indicates the Major satisfaction and academic self-efficacy 22.1%(F=11.4 P<.001) of positive psychological capital. Conclusions. Therefore, it is necessary to develop academic self-efficacy increase education program for strategy positive psychological capital in nursing students.

The Moderating Effect of Organizational Justice on the Relationship between Self-Efficacy and Nursing Performance in Clinical Nurses (임상간호사의 자기효능감과 간호업무성과의 관계에서 조직공정성의 조절효과)

  • Kim, Ju-Ra;Ko, Yukyung;Lee, Youngjin;Kim, Chun-Ja
    • Journal of Korean Academy of Nursing
    • /
    • v.52 no.5
    • /
    • pp.511-521
    • /
    • 2022
  • Purpose: This study aimed to examine the moderating effect of organizational justice on the relationship between self-efficacy and nursing performance among clinical nurses. Methods: In January 2021, a cross-sectional survey was conducted with 224 clinical nurses recruited from a university-affiliated hospital in Suwon, South Korea. Participants completed online-based, self-report structured questionnaires. Collected data were analyzed using multiple regression and a simple model of PROCESS macro with a 95% bias-corrected bootstrap confidence interval. Results: Self-efficacy and organizational justice were found to be significant predictors of nursing performance. These two predictors explained the additional 34.8% variance of nursing performance in the hierarchical regression model, after adjusting the other covariates. In addition, organizational justice moderated the relationship between self-efficacy and nursing performance among the clinical nurses. In particular, at low self-efficacy level, participants with high organizational justice had higher nursing performance compared to those with low organizational justice. Conclusion: Enhancing organizational justice can be used as an organizational strategy for improving the organizational culture in terms of distribution, procedure, and interaction. Ultimately, these efforts will contribute to the improvement of nursing performance through a synergistic effect on organizational justice beyond nurses' individual competency and self-efficacy.