• Title/Summary/Keyword: clinical questions

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Health Status Assessment Tool Development based on Dietary Patterns in Middle-Aged Women (중년 여성의 식생활 중심 건강상태 판정 도구 개발)

  • Lee, Hye-Jin;Lee, Kyung-Hea
    • Korean Journal of Community Nutrition
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    • v.21 no.1
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    • pp.37-52
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    • 2016
  • Objectives: This study was performed to develop an assessment tool for middle aged women's health status based on dietary patterns, which will have practical applications in the working field of health and hygiene, aiming at improving the middle aged women's quality of life through their health improvement. Methods: As a first step, a literature review was conducted and the original data of '2008~2009 Korea Health and Nutrition Examination Survey' were reanalyzed. This analysis identified 65 preliminary questions that may be relevant to the study. After verifying the content validity by experts, the 65 questions were reduced into 51 questions. In order to secure higher validity of the candidate items, verification of their clinical validity was conducted among women aged between 45 and 60 years. Finally, an assessment tool was developed by applying weight and scoring. Results: Selected 51 questions were used to verify clinical validity and the results showed that 20 questions were relevant, nine questions ('regular meal time', 'regular amount of meal', 'intake frequency of dairy products', 'intake frequency of fruits', 'intake frequency of meat products', 'intake frequency of high cholesterol foods', 'intake frequency of salty foods', 'appetite', 'eat breakfast everyday') were related to dietary life. Eleven other questions ('self-rated health status', 'deep sleep', 'smoking', 'frequency of drinking', 'stress levels', 'health-related fitness levels', 'pounding of the heart', 'strange feelings on the skin', 'interfere with daily life', 'menopause will bring you a chance to see the life in a different perspective', and 'body mass index') were selected as valid questions. For the response scale for each question, 5 point Likert scale was used to make total 100 point score. Conclusions: This study is the first attempt to develop a health status assessment tool for middle aged women based on their dietary patterns. We conclude that this tool is expected to be a useful and practical tool in the field.

Influencing factors on happiness index in clinical dental hygienists (임상치과위생사의 행복지수에 영향을 미치는 요인)

  • Min, Hee-Hong
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.1-9
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    • 2015
  • Objectives: The purpose of this study is to investigate the use of happiness index in dental hygienists. This study can be used to improve the quality of life and the turnover intention in the dental hygienists. Methods: The subjects were 281 dental hygienists in Seoul, Gyeonggi-do, and Chungcheong province. A self-reported questionnaire was completed by the subjects. The questionnaire consisted of 7 questions of general characteristics of the subjects, 7 questions of dental hygiene performance, and 9 questions of happiness index. The instrument for happiness index was modified from Suh and Koo. Cronbach's alpha was 0.850 in the happiness index measure by Likert 7 scale. The instrument for professionalism was modified from Baek and consisted of 25 questions measure by Likert 5 scale. Cronbach's alpha was 0.694 in the professionalism. The instrument for turnover intention was modified from Lee and consisted of 5 questions measured by Likert 5 scale. Cronbach's alpha was 0.712 in turnover intention. Data were analyzed using SPSS 18.0. for one way ANOVA, Duncan posthoc test, Pearson correlation coefficients and hierarchical regression. Results: The means of happiness index, professionalism and turnover intention of subjects were 4.44, 3.06 and 3.05, respectively. The happiness index was higher in those who are married(4.66), those who have high income, and those who have careers in dental hygienists(4.61). There were significant differences in the happiness index by the average daily working hours, place of treatment, work intensity and off duty hours. Conclusions: This study suggests that improvement of the happiness index in clinical dental hygienists requires the continuing and systematic education program and administrative support that can reduce the turnover intention.

Controlled Inquiry Rates of Clinical Interviews in Telehomecare

  • Moskowitz, Samuel E.
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.1945-1950
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    • 2003
  • Conceived to acquire personal information for an electronic medical record, the clinical interview contains probing questions. The number and type of inquiries are assumed to fulfill medical protocols, and therefore are deemed essential for treatment - but the rate can and should be controlled. High rates of inquiry merely intimidate the patient and affect replies. The purpose of this paper is to mathematically formulate permissible rates of clinical interviews held during telehomecare virtual visits and designed to avoid patient anxiety. Mental stress is derived as a function of the weight of importance assigned by the patient, virtual visit duration, and the rate of questioning in the direction of greater sensitivity. Two operations are of interest: Collecting and recording information by the provider, and maintaining synchrony of questions and answers by the patient. The Lorentz transformation yields the patient’s view of the operational rates. Conservation of information momentum is postulated and applied before and after replies are recorded. It is shown that the weight of importance designated by the patient to collecting and recording personal information is driven by a singularity that depends on the rate of questioning. The findings should serve as a guideline in interviewer training programs.

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A Concept Mapping Study on Clinical Stress for Nursing Students during Clinical Practice (간호대학생의 임상실습 스트레스 요인에 대한 개념도 연구)

  • Hyoung, Hee;Ju, Youn;Im, Shin Il
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.4
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    • pp.394-404
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    • 2014
  • Purpose: The purpose of this study was to identify the conceptual structure of stressors experienced by nursing students during clinical practice. Methods: Ten men and 10 women nursing college students were interviewed. The results were 208 ideas. By synthesizing and editing these ideas, the final statement was trimmed down to 39 questions. The next step was to have the participants classify these 39 final questions. They were asked to rate stress scores using a five-point scale. Through multidimensional scaling analysis and hierarchical cluster analysis yielded dimensions and clusters. Results: Results of the study showed 2 dimensions which were classified as 'interpersonal relationship-practice system' and 'identity-practice environment'. It also yielded 8 clusters which were classified as 'role confusion', 'gender discrimination', 'attitudes of medical personnel and patients', 'comparison between fellow students', 'difference between theory and practice', 'disestablishing the role of practice guide', 'interference with training', and 'problems of the practice environment'. Further, stress factors and stress levels were differentiated depending on the gender of the student. Conclusion: The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to nursing students.

A Study of Clinical Characteristics of Female Patients with Cold Hypersensitivity on Hands and Feet (여성 수족냉증 환자의 임상 특성에 관한 연구)

  • Kwon, Jung-Yeon;Kim, Young-Ji;Kong, Kyung-Hwan;Jeon, Chan-Yong;Go, Ho-Yeon;Ko, You-me
    • The Journal of Korean Medicine
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    • v.39 no.2
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    • pp.64-79
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    • 2018
  • Objectives: This study was aimed to research clinical characteristics of female patients with cold hypersensitivity on the hands and feet compared with non-cold hypersensitivity group. Methods: 134 women patients were collected from 6 Korean medicine hospitals, and divided into 2 groups(cold hypersensitivity group and non-cold hypersensitivity group). This survey was composed of 19 questions related to clinical symptoms of cold hypersensitivity. Results: We found out the differences between 2 groups in 10 questions among 19 questions in the survey results. (Body Type, Energy, Digestibility, Skin Type, Facial Complexion, Chill, Dry Mouth and Thirst, Preference between Coolness and Warmth, Thickness of Tongue Fur, Floating and Sinking of Pulse) Conclusions: From these results, Patients with cold hypersensitivity on hands and feet have relative clinical characteristics as follows. They are relatively weak and lethargic. They have dry skin and look more pale. They feel chill easily and have dry mouth and thirst. They prefer warmth and have indigestion more. They had more various infirm and ill clinical characteristics compared with the other group from the view of Korean medicine.

Clinical Pharmacy Research: Theory and Practice (임상약학 연구의 이론과 실제)

  • Sands Charles D.
    • 한국임상약학회:학술대회논문집
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    • 1994.11a
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    • pp.97-130
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    • 1994
  • 'The formulation of a research problem is far more often essential than its solution, which may be merely a matter of mathematical or experimental skill. To raise new questions, new possibilities, to regard old problems from a new angle requires creative imagination and marks real edvance in science.'

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Delphi Study on Introduction of Practical Skills Test in National Examination for Nursing Licensure (간호사 국가고시의 문제점과 개선방안에 대한 전문가 집단 연구)

  • Lim, Nan-Young;Song, Jung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.157-165
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    • 2007
  • Purpose: The purpose of this study was to investigate the plan to introduce a practical skills test as part of the national examination for nursing licensure. Method: The delphi method was used. The first set of data was collected by open questionnaire from universities and hospitals nationally. The second and third were collected by structured questionnaire. Results: The biggest problem for clinical Practice in nursing education was reported as the lack of opportunities for direct nursing practice. The biggest performance problem in job duties for novice nurses was reported as the lack of integrated problem solving skills in a clinical situation. The biggest problem with the current national examination was reported as the use memorizing solutions to test questions. It was suggested that the best plan to resolve problems with the national examination would be to develop test questions representative of the clinical setting and increase personnel in clinical education. About the introduction of a practical skills test as part of the national examination, 56.9% were in agreement and 38.5% disagreed. Conclusion: The current national examination has many problems when it comes to testing clinical competency. So, a practical skills test must be deferred to a future time. There are also many difficulties in presenting a real situation, therefore further research is needed in preparation for the introduction of a practical skills test.

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Relations between the Questionnaire and Health State in each Sasang Constitution based on the Oriental medical doctors' diagnoses (전문가 진단을 통한 체질별 건강수준과 설문결과의 연관성 연구)

  • Lee, Jae-Chul;Lee, Hae-Jung;Lee, Yu-Jung;Kim, Keun-Ho;Kim, Sang-Hyuk;Lee, Si-Woo;Jang, Eun-Su;Kim, Jong-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.1
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    • pp.108-114
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    • 2011
  • 1. Objectives: We report the relation between the questionnaire and the health state on the Sasang Constitution. 2. Methods: We carried out a clinical test, in which 2 Oriental medical doctors participated to diagnose health state in each Sasang Constitution with 239 subjects. The subjects were divided into 3 subgroups, which are allocated to healthy group, poor health group and disease group. 3. Results: We extracted 4 questions for Taeeumin, 5 questions for Soyangin and 3 questions for Soeumin from the whole 98 questions respectively. Soyangin and Taeeumin share a same question that shows significant difference by health status. For the statistical analysis, we used a Chi-square test. As a result, we found out that Taeeumin showed different distributions of answers in direct/indirect characteristic, perspiration, frequent urination, regular defecation. According to the health status Soyangin showed the different distribution of the answers in color of urination, frequent urination, mouth dryness, abnormal perspiration, discomfort of head. Soeumin showed the different distribution of the answers in cold and chilly feel of abdomen, digestion status and cause of digestion problems when body condition gets worse. 4. Conclusions: This is the first work which reports the relatedness between Questionnaire and Health State in each Sasang Constitutions by an objective clinical test. We found out that several questions have different distributions by health status in each Sasang Constitution. These extracted questions are categorized not only by Wansilmoobyung(완실무병), but also by other symptoms and body status.