• Title/Summary/Keyword: clinical knowledge

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A Survey on Korean Medicine Doctors' Recognition for Developing Korean Medicine Clinical Practice Guidelines for Gastric Cancer (위암 한의표준임상진료지침 개발을 위한 한의사 인식조사)

  • Dong-hyeon Kim;Jong-hee Kim;Ji-hye Park;Hwa-seung Yoo;So-jung Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.3
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    • pp.466-484
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    • 2023
  • Objective: The purpose of this study was to provide data for the development of Korean medicine (KM) clinical practice guidelines (CPG) for gastric cancer (GC) by identifying the awareness and knowledge needs of KM doctors (KMD) through an online survey. Methods: A survey questionnaire was produced by referring to the previous recognition survey studies for clinical KMDs. The survey questionnaire was composed of questions regarding the current status of clinical care for GC, the knowledge level of clinicians about GC, and other details that clinicians use during practice. The survey was conducted from September 20 to October 22, 2021. An online survey was conducted with 195 KMDs from the Society of Korean Medicine and the Korean Association of Traditional Oncology of KM. Results: A total of 195 respondents participated in the online survey regarding the current status of GC treatment. Of this number, 10.3% of the respondents specialize in GC, but even if they do not currently specialize in GC, they are more likely to treat patients with GC in the future. In terms of the specifics of KM treatment, there was a demand for information on comprehensive KM treatment methods, such as herbal medicine, acupuncture, moxibustion, cupping, and chuna, as well as on analyzing the effectiveness of combined treatment with chemotherapy and radiation. Conclusion: In this study, we were able to understand the clinical KMDs' perception of GC, knowledge level, and requirements in the CPG. The results of this study will provide the basic data for the development of CPG for GC.

Knowledge and Compliance Level of the Multidrug-resistant Organisms of Nursing Students (간호대학생의 다제내성균에 대한 지식 정도와 감염관리 이행도)

  • Kim, Kyung-Mi;Kim, Og-Son;Jeon, Mi-Yang
    • Journal of Korean Biological Nursing Science
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    • v.14 no.1
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    • pp.8-15
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    • 2012
  • Purpose: This study was undertaken to identify the knowledge and compliance level of nursing students. It was based on self-administered questionnaires about multidrug-resistant organisms (MDROs). Methods: The test group was 184 nursing students who had contact with MDROs during clinical practice. The study was conducted from May 1 to September 16, 2011. Results: The average knowledge level of MDROs was 16.20 (correct answer rate: 67.5%). The nurses' compliance level of MDROs infection control was on average 40.50 (range: 13-52). "Hand hygiene" ranked highest in the compliance level of MDROs infection control. The lowest level of MDRO infection control was the wearing of disposable aprons or gowns. Conclusion: This study demonstrated the nursing students' knowledge and the compliance level of infection control. We suggest that nursing students receive mandated systematic education of MDROs in the nursing curriculum. And clinical practice experience of MDROs infection control is required in hospitals. These steps will help prevent transmission of MDROs in nursing settings.

A Preliminary Report on the Differences in the Perceived Impacts of Undergraduate Bioscience Knowledge on Clinical Practice Among Korean RNs

  • Choe, Myoung-Ae;Kwon, Smi Choi;Song, Kyung Ja
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.464-470
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    • 2003
  • Purpose. Nursing has evolved as a unique and independent field over the last decades. Unfortunately, many nurses in Korea express concern that they lack appropriate background knowledge in bioscience necessary to practice nursing competently. To determine the reasons of their concerns, we examined the perceptions of RNs regarding bioscience courses in their undergraduate (Baccalaureate and 3 year diploma program) and their perceived relations to the practice of nursing. Methods. The structured questionnaires were sent to 3 university-affiliated tertiary hospitals in Seoul, Korea. Results. The responses given by the nurses in the two groups were similar. The nurses in this study reported that the bioscience courses they took as undergraduates had little relation to their professional tasks. This lack of link between bioscientific knowledge and nursing practice may be partly due to the fact that the courses are taught by non-nursing faculties who are not familiar with nursing tices. It also appears that bioscience knowledge deficit was most prominent during nursing assessment regardless of the program they attended or the unit they are currently working. Conclusion. Bioscience courses should be integrated into the nursing curriculum properly and taught by nursing faculty who have a strong background in biological sciences.

The Effect of CPR Clinical Training in Nursing Students's Knowledge and Practical Ability (심폐소생술 실습교육이 간호학생의 지식 및 수행능력에 미치는 효과)

  • Oh, Suk-Hee;Sun, Jung-Joo;Kim, Sang-Hee
    • Journal of Korean Public Health Nursing
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    • v.23 no.2
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    • pp.153-161
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    • 2009
  • Purpose: This study was done to evaluate the differences between an experimental group and a control group of nursing students for their knowledge of CPR and their practical ability after undergoing CPR training. Method: This experiment was done with nursing students, who are divided into the experimental group (20 students) and the control group (23 students) in Chunbuk C city. The data were analyzed using the SPSS PC+ 12.0 program for the Chi-square tests, t-tests and Wilcoxon rank sum tests. Results: The 1st hypothesis, that the CPR knowledge scores for the experimental group will be higher than the scores for the control group (t=-3.934, p=<.001), was supported. On the other hand, the control group showed a conspicuous and meaningful improvement (t=-3.932, p=<.001). The 2st hypothesis, that the practical ability scores for the experimental group will be higher than the scores for the control group (t=-3.926, p=<.001), was supported. Conclusion: The CPR training in combination with theory and clinical placement is seen as a means to effectively develop the knowledge and practical ability of CPR.

The Need for a New Curriculum in Clinical Genetic Education (임상유전학 교육에서 새로운 교과과정 개발의 필요성)

  • Lee, Chang-Woo
    • Korean Medical Education Review
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    • v.16 no.1
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    • pp.50-54
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    • 2014
  • It is becoming increasingly important for medical doctors to have a thorough understanding of human genetics and the ethical, legal, and social implications of genetic testing, counseling, and treatment. As genetic engineering and technology evolves, medical doctors will find themselves called in to counsel patients about a rapidly increasing number of diseases for which genetic testing and treatments are available. Medical doctors will need to master a new set of principles and clinical skills. A lack of knowledge about these issues and problems may lead to serious, lifelong or even fatal negative effects on patients. Medical genetics has moved from the study of rare conditions to the illumination of disorders that impact the entire spectrum of medical practice. This study demonstrates several areas in which medical genetics is clearly an important tool in medical practice and the necessity of establishing new curriculum for clinical genetic education in Korea. Medical students nearing graduation may lack genetic knowledge that is essential for daily practice because genetics has little or no place in clinical teaching. Medical schools should make extensive curriculum changes to increase students' awareness of clinical genetics and its ethical implications. The medical school curriculum will need creative new approaches to keeping up with the rapid pace of evolution of clinical genetics.

Bridging Basic Knowledge and Clinical Practice in the Education of Traditional Korean Medicine: A case of Pubescent Angelica usages in Internal Bodily Elements section, Treasured Mirror of Eastern Medicine (동의보감·내경편 독활(獨活)의 용법을 통해 본 한의학 기초와 임상의 연계 교육 방안)

  • Hong, Jiseong;Kang, Inhye;Lee, Youngmi;Lee, Hoon-Yeon;Kang, Yeonseok
    • The Journal of Korean Medical History
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    • v.33 no.1
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    • pp.1-9
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    • 2020
  • Pubescent Angelica is generally used in musculoskeletal diseases of lower extremity, itching, external contraction (外感) and furuncle, with the effect of dispelling wind, draining dampness, dispersing the external (解表) and stopping pain. The disease parts of Treasured Mirror of Eastern Medicine (東醫寶鑑) contain 121 examples of the usage of Pubescent Angelica. Cases of musculoskeletal diseases and itching are mainly in the External Bodily Elements section (外形篇), and those of external contraction and furuncle are mainly in the Miscellaneous Disorder section (雜病篇). Internal Bodily Elements section (內景篇) has 10 prescriptions that involve Pubescent Angelica, in Dreams (2), Voice (1), Uterus (4), Parasites (1), and Feces (2) chapters. Their specific symptoms are insomnia and sleep paralysis (Dreams), loss of voice due to external contraction (Voice), uterine hemorrhage (Uterus), phthisis (Parasites), and constipation and diarrhea (Feces). It is not easy for students beginning their clinical training to link the effects of Pubescent Angelica and its actual usage, especially in the area of internal medicine. By Analyzing the whole cases of Pubescent Angelica in the Treasured Mirror, we found various usages out of reach of basic knowledge of the herb. Such method can be utilized not only in developing herbal knowledge-based products, but also in improving Korean medicine education, by enhancing the occupational competency bridging basic and clinical knowledge.

A study on dental hygienists' knowledge and attitude towards medical related laws (치과위생사의 의료관련법에 대한 지식 및 태도에 관한 연구)

  • Jang, Yun-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.2
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    • pp.295-305
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    • 2017
  • Objectives: This study was performed to provide a reference base to establish foundation for education about dental hygienist-related medical law and introduction of the system. Methods: A survey was conducted on 210 dental hygienists working at a dental clinic/ hospital in Jeollado. Data were analysed through chi-square test, one-way ANOVA, independent t-test, and Pearson's correlation analysis using SPSS 21.0 program. The study instruments included general characteristics of the subjects, knowledge on laws related to dental hygiene, attitude towards dental hygienist-related medical laws, level of understanding of medical related laws, and medical dispute educational hours. Results: The knowledge of dental hygienist-related medical law was high in dental hygienists aged 25 years and younger and with less than 3 years of clinical experience (p<0.05). The attitude towards the law was low in age of younger than 25 years, a three year college degree, a job position as a staff member, more than 5 years of work experience at present work place, and less than 3 years of clinical experience (p<0.05). Understanding of medical related laws was high in clinical staff members and with less than 3 years of clinical experience (p<0.05). Educational needs for medical dispute prevention was high in a job position as a staff member, low level of attitude towards dental hygienist-related medical law, and no attainment of education on medical dispute (p<0.05). Conclusions: The above results demonstrate that education and public relations about laws related with dental hygiene practice are essential. It is imperative to establish a systematic and bureaucratic legal system to prevent dental malpractice.

The Effects of the Home Health Nursing Practical Education Program Applying Simulation on Knowledge related Home Health Nursing, Problem-solving Ability, and Clinical Competency (시뮬레이션을 적용한 방문건강관리 실습교육 프로그램이 방문간호 지식, 문제해결 능력, 임상수행 능력에 미치는 효과)

  • Kim, Mi-Han;Ha, Young-Sun;Na, Yoon-Joo
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.605-616
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    • 2021
  • This study examined the effect of using home health practical education program applying simulation for nursing college students. The study was carried out according a nonequivalent control group design. The study subjects were 60 nursing college students. The home health practical education program applying simulation program was carried out for 2 weeks. The data collection period was from March 29, 2021 to May 7, 2021. Collected data were analyzed using SPSS PC+ 19.0. The experimental group had significantly different in knowledge related home health nursing, problem-solving ability, and clinical competency in comparison to the control group. This suggests that the home health practical education program applying simulation can be applied as a way to increase nursing students' knowledge related home health nursing, problem-solving ability, and clinical competency.

The Effects of Repeated Cardiopulmonary Resuscitation Training using Smart Learning on Nursing Students' Knowledge, Self-efficacy, Clinical Competency. (스마트 러닝을 활용한 심폐소생술 재교육이 간호대학생의 심폐소생술 지식, 자기효능감, 수행능력에 미치는 영향)

  • Kim, Eun-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.261-269
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    • 2018
  • This study was conducted to identify the effects of repeated cardiopulmonary resuscitation (CPR) training using smart learning on nursing students' knowledge, self-efficacy, and clinical competency. A quasi-experimental nonequivalent control group, pretest-posttest design was used. The subjects of the study were 102 nursing college students who had received CPR training for 6 months. The CPR training was divided into smart learning, lecture education, and practical education. Data were collected from November to December, 2016 and analyzed by descriptive statistics, ${\chi}^2$-test, t-test and one way ANOVA using the SPSS/WIN 21.0 program. The scores of cardiopulmonary resuscitation knowledge were higher in the lecture education group than the practical education group and the smart learning group. Scheffe's post hoc test revealed a statistically significant difference among groups (F=8.23, p=<.001). The self-efficacy of the practical education group was higher than that of the lecture education group and smart learning group, but this difference was not significant (F=2.46, p=.091). The clinical competency of the practical education group and smart learning group were higher than that of the lecture education group. Scheffe's post hoc test revealed that the value of clinical competency differed significantly among groups (F=59.90, p=<.001). Overall, the results showed that effective education differs based on nursing students' knowledge, self-efficacy, ad clinical competency. Combination training would be required for more effective repeated cardiopulmonary resuscitation training.

Clinical Reasoning by Pediatric Physical Therapists in South Korea (우리나라 소아 물리치료사의 임상적 추론)

  • Lee, Hye-Young;Lee, In-Hee;Kim, Kyoung
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.377-382
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    • 2012
  • Purpose: The purpose of this qualitative study was to understand the application of clinical reasoning throughout clinical and therapeutic knowledge of clinical pediatric physical therapists under physician prescriptions. Methods: Purposive sampling techniques were used in selection of nine clinical pediatric physical therapists in South Korea. Open and semi structured interviews were conducted, and were thoroughly examined and reviewed, followed by analysis of the clinical reasoning portion. Results: Pediatric physical therapists have been influenced by information gathering, physical function and evaluation of their patients, hypothesis-orientation, and re-evaluation and self-monitoring. Novice physical therapists were more dependent on physician prescriptions and parent's hope than the result of their own evaluation and critical pathway. Middle experienced pediatric physical therapists were more dependent on rapport with children and their parents. Highly experienced pediatric physical therapists were more reliant on hypothesis-orientation and self-monitoring. As reports on clinical experience of pediatric physical therapists have accumulated, clinical reasoning of pediatric physical therapists has been influenced by their experience, such as education, clinical pathology conference, their own clinical experience and rapport with patients and their parents than physicians' prescriptions. Conclusion: The findings of the current study are generally consistent with existing research on clinical reasoning. The results of the current study may be used by educators for enhancement of clinical reasoning abilities and knowledge of students or novices as well as development of a guide for use by suitable novices or students, and could provide important information for use in physical therapy practice and research.