• Title/Summary/Keyword: clinical skills training

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The Effect of Pre-training about Role Behavior on Communication and Evaluation or Clinical Skills (역할행동 사전교육이 의사소통, 진료기술의 평가에 미치는 영향)

  • Kim, Kyung-Soo;Kim, Cheon-Jung;Jeong, Seo-Yun;Kim, Kyeong-Ok
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.4
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    • pp.223-230
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    • 2018
  • Objectives: The objective of this study was to clarify the effect of pre-training about role-behavior on the evaluation of communication and clinical skills in clinical training using role-playing. Methods: This study used data of 116, 4th grader students from Korean Medicak College of Dongshin University in 2016 and 2017. The data was divided into two groups: those who did pre-training about role-behaviors and those who did not. After performing their role-playing, they were asked to fill out questionnaires about 2 categories-communication and evaluation skills-, composed of 10 items each. Results: 1. Through pre-education, communication skills required the form and content of questions and the practice of communicating with patients. 2. Through pre-education, there was the need to practice listening for medical history, diagnosis skills and establishing relationships with patients. 3. Pre-training of communication skills and clinical skills helps to expose the shortcomings of clinical practice. Conclusions: In conclusion, pre-training about role-behaviors can help improve communication skills and clinical skills in clerkship using role-playing.

Student Satisfaction Study of Clinical Skills Training in Korean Medical Education (한의학교육에서 임상술기교육의 만족도 연구)

  • Sim, Sung Bo;Kweon, Ji Hyeon;Kim, Hyung Woo;Hong, Jin Woo;Shin, Sang Woo
    • The Journal of Korean Medicine
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    • v.34 no.3
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    • pp.37-53
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    • 2013
  • Objectives: This study aimed to evaluate the 1st class and 2nd class's satisfaction with clinical skills training in the Korean medical curriculum. A questionnaire was given to clinical clerkship students of Pusan National University School of Korean Medicine. Methods: These items covered overall satisfaction with training, learning support environment, curriculum interconnection, training and guidance, and self-assessment. Results: Most 1st class and 2nd class respondents were satisfied with their learning support environment. However, satisfaction with curriculum interconnection was lower. Conclusions: The results of this study demonstrate that students have a high level of satisfaction with clinical skills training. It might be concluded that clinical skills training has been effectively implemented into the Korean medical education.

Does Practicing Communication Skills with Standardized Patients or Completion of Elective Course of Communication Skills Affect the Scores of Clinical Performance Examination? (표준화환자와의 의사소통기술 훈련이나 선택과목 '의사소통기술' 이수가 임상수행평가 성적에 영향을 미쳤는가?)

  • Kim, Jong Hoon
    • Korean Medical Education Review
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    • v.13 no.1
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    • pp.35-43
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    • 2011
  • Purpose: Communication skills are considered as one of the essential requirements in medical education, and the training often involves exercising medical interviews with standardized patients(SP) or role play. This study investigated the helpfulness of the communication skills training programs for students' performance on the clinical performance examination (CPX). Methods: Fourth-year students who have taken one of two communication skills programs(exercising communication skills with SP or elective communication skill course with role play) completed a questionnaire on their evaluation of the helpfulness of communication skills programs immediately after finishing the CPX. Then, the programs were objectively assessed by comparing all fourth-year students' CPX scores between program participants and non-participants. Results: About 70% of participants answered that the programs were helpful to perform clinical clerkship and CPX. However, there was no difference in either the total CPX score or 2 categorical scores(integrated clinical encounter, communication and interpersonal skill) between program participants and non-participants. Conclusion: Although the students felt that the communication skills programs were helpful to their clinical activities, this study failed to find objective evidence of any effect of the programs on the CPX results. Communication skills training should be continued during clinical clerkship to maintain or enhance the skills, and it is necessary to introduce more effective methods for precise evaluation of students' communication skills.

The Effects of Imagery Training on Outcomes of Clinical Competence, Voluntary Practice Time and Nursing Skills (이미지 상상훈련을 적용한 핵심기본간호술 실습교육이 간호대학생의 임상수행능력, 자율실습시간에 미치는 효과)

  • Kim, Su youn
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.1
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    • pp.76-85
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    • 2017
  • Purpose: The aim of this study was to explore the effects of imagery training on outcomes of clinical competence, voluntary practice time and basic nursing skills performance during a core basic nursing skills course. Methods: The design was a pre-post test design with two groups consisting of 88 nursing 3rd-year students. Clinical competence was assessed with a pre-post test, and basic nursing skills' performance and voluntary practice time were assessed at the post-test point. Data were collected from March, 2016 to June, 2016. Results: The pre-post differences of all subcategories of clinical competence were significantly improved in the experimental group (p<.05). but the control group did not show significant differences in the teaching/coordinating and professional development areas (p>.05). The experimental group practiced 1.33 hours more than the control group in voluntary practice. The two groups showed no significant difference in basic nursing skills' performance (p>.05). Conclusion: Imagery training during a core basic nursing skills course showed positive effects on nursing students' clinical competence improvement and increase of voluntary practice time.

Multifaceted validity analysis of clinical skills test in the educational field setting (교육 현장에서 시행된 임상 술기 시험의 다면적 타당도 분석)

  • Han Chae;Min-jung Lee;Myung-Ho Kim;Kyuseok Kim;Eunbyul Cho
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.1-16
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    • 2024
  • Introduction: The importance of clinical skills training in traditional Korean medicine education is increasingly emphasized. Since the clinical skills tests are high-stakes tests that determine success in national licensing exams, it is essential to develop reliable multifaceted analysis methods for clinical skills tests in actual education settings. In this study, we applied the multifaceted validity evaluation methods to the evaluation results of the cardiopulmonary resuscitation module to confirm the applicability and effectiveness of the methods. Methods: In this study, we used internal consistency, factor analysis, generalizability theory G-study and D-study, ANOVA, Kendall's tau, descriptive statistics, and other statistical methods to analyze the multidimensional validity of a cardiopulmonary resuscitation test in clinical education settings over the past three years. Results: The factor analysis and internal consistency analysis showed that the evaluation rubric had an unstable structure and low concordance. The G-study showed that the error of the clinical skills assessment was large due to the evaluator and unexpected errors. The D-study showed that the variance error of the evaluator should be significantly reduced to validate the evaluation. The ANOVA and Kendall's tau confirmed that evaluator heterogeneity was a problem. Discussion and Conclusion: Clinical skills tests should be continuously evaluated and managed for validity in two steps of pre-production and actual implementation. This study has presented specific methods for analyzing the validity of clinical skills training and testing in actual education settings. This study would contribute to the foundation for competency-based evidence-based education in practical clinical training.

Effects and Adequacy of High-Fidelity Simulation-Based Training for Obstetrical Nursing (산과 간호 영역에서의 시뮬레이션 실습 교육의 효과 및 적절성)

  • Lee, Woo-Sook;Kim, Mi-Ok
    • Journal of Korean Academy of Nursing
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    • v.41 no.4
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    • pp.433-443
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    • 2011
  • Purpose: Clinical training for nursing students is limited to rudimentary skills to avoid potential risks. Simulation-Based Training (SBT) can overcome the shortcomings of clinical training. We evaluated the educational effect of SBT for obstetrical nursing students using high-fidelity simulation courses. Methods: We developed a simulation program for obstetrical nursing students to practice nursing skills that are necessary to provide quality care. The program consisted of four sessions. 1st: An orientation and a preliminary test. 2nd: Learning core skills required in obstetrical nursing. 3rd: Testing each student with scenario. 4th: Providing a debriefing session. At the beginning of the program, students were surveyed about their self-confidence in obstetrical nursing care, and at the end of the program, they were surveyed about the adequacy of SBT as well as self-confidence. Results: Students' self-confidence showed a significant difference before and after simulation. Mean adequacy of SBT was $7.15{\pm}1.35$ (out of 10). Most students became more interested in Women's Health Nursing after SBT. Conclusion: The results from evaluating the effects of simulation-based obstetrical nursing training show that SBT provides invaluable clinical experience for obstetrical nursing students by overcoming the lack of actual clinical involvement in clinical training programs.

Perception and Inner Struggle Experienced by Nursing Students in Relation with Infection Management through Observation and Performance of Infection Control Activities (임상실습을 경험한 간호대학생의 감염관리 활동의 관찰과 수행을 통한 감염관리에 대한 인식 및 심리적 갈등)

  • Kim, Mi Young;Kim, Myeongjun;Kim, Jongwon;Maeng, Jiseon;Park, Sumin;Son, Jia;Kim, Ji-A
    • Perspectives in Nursing Science
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    • v.14 no.1
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    • pp.1-9
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    • 2017
  • Purpose: To study the internal psychological conflicts among nursing students during an infection control protocol carried out in the hospital by measuring their observation skills and performance during clinical training. Methods: Investigation of both pre- and post- infection control was conducted using questionnaires for clinical infection practices. We identified and evaluated the students' observation skills, clinical performance, clinical perception, and internal conflict regarding clinical infection control. We also interviewed the students as part of our study. Results: Among parameters such as clinical performance, observation skills, clinical perception, and internal conflict, the average observation skills (t=5.49, p<.001) were significantly lower, while internal conflict among students (t=-7.23, p<.001) was significantly higher than expected prior to clinical training. Generally, there was a negative correlation between observation skills and internal conflict in every aspect of infection control practice (r=-.281, p=.031). Internal conflict was significantly higher than expected in the context of hand hygiene (t=-2.135, p=.037), personal hygiene (t=-3.48, p=.002), and ventilator management (t=-3.69, p<.001). Clinical performance of students in the context of hand hygiene (t=4.69, p<.001), personal hygiene (t=2.06, p=.044), and ventilator management (t=2.68, p<.001) was significantly lower than expected prior to clinical training. Conclusion: Our findings showed that internal psychological conflict is higher when infection control practices are observed or performed to a lesser degree. Therefore, reinforcing education regarding infection control among students, such as developing a systematic program, or consecutive training and monitoring, is suggested.

The Effects of a Communication Training Program on Communication and Interpersonal Relationship for Student Nurses in Clinical Practice (의사소통 훈련 프로그램이 실습 간호학생의 의사소통, 대인관계에 미치는 효과)

  • Song, Eun-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.467-473
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    • 2006
  • Purpose: This study was done to Identify the effects of a communication training program on communication skills and interpersonal relationships. Method: A communication training program was provided to student nurses who were selected as participants during a course of clinical practice. Of the students 23 were assigned to experimental group and 22 to the control group. The experimental part of the study was done with the experimental group during 6 week program course. The control group received only a communication theory course. Results: Communication and interpersonal relations scores on the post-test in the experimental group were significantly higher than in the control group. Conclusion: This program allowed nursing students to advance their communication skills during their clinical trials. These are skills which are necessary for nursing practice. The study demonstrated that a group training program that can provide students with practical support by improving the personal relationship.

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Effect of Core Practical Capacity Enhancement Training on the Key Competences and Clinical Practice Satisfaction of Nursing Students (핵심실기역량강화교육이 간호학생의 핵심역량과 임상실습만족도에 미치는 효과)

  • Shin, Hwa-Jin
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.279-287
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    • 2020
  • For effective clinical practice education, this study was conducted to find out the effects of learning practical subjects on the core competency and satisfaction level of clinical practice on nursing students. The research subjects were divided into groups that conducted four core nursing education classes eight hours a day for two weeks, and groups that received traditional lecture-oriented education, and a questionnaire was prepared and reported by themselves after 15 weeks of clinical practice. The collected data was analyzed using frequency, percentage, mean and standard deviation, chi-square test, and t-test using the SPSS 21.0 program. The findings supported the hypotheses in critical thinking propensity and clinical practice satisfaction, and the hypotheses in leadership, problem-solving and communication skills were rejected. The results of this study confirmed that practical training for strengthening core practical skills has a positive effect on the critical thinking tendency and clinical practice satisfaction of nursing students. Therefore, it can be used as an effective practical training arbitration in nursing education.

The Effectiveness of School Based Short-Term Social Skills Training in Children with Attention-Deficit/Hyperactivity Disorder(ADHD) (ADHD 초등학생을 위한 학교 중심 사회성기술 훈련 프로그램의 효과에 대한 연구)

  • Paek, Myung-Jae;Ahn, Jung-Kwang;Lim, So-Yun;Kim, Yang-Ryul;Park, Min-Hyeon;Kim, Boong-Nyun;Cho, Soo-Churl;Shin, Min-Sup;Kim, Jae-Won;Kim, Hyo-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.20 no.2
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    • pp.82-89
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    • 2009
  • Objectives: Children with attention-deficit hyperactivity disorder(ADHD) often have difficulties in social behavior. The aim of this study was to evaluate the effectiveness of a short-term training program for improving social skills, self-perception and attention deficits. Methods: The subjects were nine children diagnosed with ADHD with(or without) other mental disorders using the Diagnostic Interview Schedule for Children(DISC-ADHD) module. Children were given eight sessions of a social skills training program. Parents of children simultaneously participated in their own training which was designed to support their children's generalization of skills. Assessments included child, parent and teacher ratings of social skills, self-perception and attention deficit at baseline and post-treatment. Results: Social skills training led to significant improvements in child-reported measures of self-esteem, in teacher reported measures of social skills, and in parent-reported measures of attention deficit. Conclusion: This study suggests that short-term social skills training programs for children with ADHD may improve their social skills, self-perception and attention deficits.

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