• 제목/요약/키워드: clinical skills training

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객관 구조화 절차 기술 평가에서 채점자로서의 표준화환자의 신뢰도 (Reliability of Standardized Patients as Raters in Objective Structured Clinical Examination)

  • 손희정;문중범;이향아;노혜린
    • 한국산학기술학회논문지
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    • 제12권1호
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    • pp.318-326
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    • 2011
  • 본 연구는 절차기술의 객관구조화 진료시험(Objective Structured Clinical Examination)에서 표준화환자가 평가자의 역할을 수행할 수 있는지 알아보기 위해 신뢰도를 평가하는데 그 목적이 있다. 시험의 주제는 남성 도뇨관삽관과 창상드레싱 2가지로 정하고, 2년 이상의 객관구조화 진료시험 채점 경력이 있는 표준화환자와 교수 각 4명을 2명씩 짝을 지워 한 주제 당 표준화환자 그룹과 교수 그룹이 동시에 채점하게 하였다. 표준화환자들에게는 술기의 정의, 방법, 주의점, 후유증에 대한 교육이 이루어졌으며 동영상이 포함된 강의, 교수의 시연 후 표준화환자가 직접 실습해보고 교수로부터 되먹임을 받는 순서로 총 8시간( 주제당 4시간)의 교육이 시행되었다. 8명의 평가자 모두 객관구조화 진료시험 전날 모여 기존의 동영상자료를 이용한 가상 채점으로 1시간동안 채점 표준화를 이루었다. 채점표는 체크리스트 14문항과 총괄평가 1문항으로 이루어졌다. 한 학생당, 주제당 5분간의 시험 후 2분간의 평가가 이루어졌다. 표준화환자와 교수간의 분석은 GENOVA program을 이용하였다. 연구 결과 주제 전체에서 G상수는 0.839, 평가자의 신뢰도는 0.946으로 매우 높았다. 표준화환자그룹과 교수그룹 사이의 평가자간 일치도는 체크리스트에서 0.949, 총괄평가에서 0.908이었다. 따라서 적절한 교육이 선행되어진다면 표준화환자도 절차기술의 객관화진료시험에 신뢰할 만한 평가자로 이용되어질 수 있을 것이다.

ARCS모형 적용 온라인 기반 지역사회정신간호학실습 프로그램 개발 및 효과 (The development and effects of an online-based community psychiatric nursing practice program with the ARCS model)

  • 김판희;김희숙
    • 한국간호교육학회지
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    • 제30권1호
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    • pp.5-18
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    • 2024
  • Purpose: This study aimed to identify whether there is a difference between an online-based community psychiatric nursing practice program with the ARCS model and a conventional community psychiatric nursing practice program in promoting nursing students' learning motivation, knowledge of community psychiatric nursing, communication skills, and learning self-efficacy. Methods: This study used a quasi-experimental design with a non-equivalent control group. The participants were 44 nursing students at three nursing colleges in Gyeongsangbuk-do. The experimental group was provided the online-based community psychiatric nursing practice program with ARCS model, while the control group was provided the conventional community psychiatric nursing practice program from July 9, to September 3, 2022. Both groups received practice training 8 hours a day, 5 days two weeks. The collected data were analyzed using the exact χ2, Mann-Whitney U-test, and Quade's two-way ANCOVA with the IBM SPSS Statistics 28.0 program. Results: The results of the comparison of an experimental group training with the online-based community psychiatric nursing practice program with ARCS model and a control group training with the conventional community psychiatric nursing practice program showed that, there was no statistically significant difference between the two groups in learning motivation knowledge of community psychiatric nursing, and learning self-efficacy. However, communication skills were statistically significantly higher in the experimental group (F=6.23, p=.017). Conclusion: The online-based community psychiatric nursing practice program with ARCS model can be used as a substitute learning to improve community psychiatric nursing capabilities in situations when clinical practice is suspended due to infectious diseases such as coronavirus disease 2019 or when is a shortage of community psychiatric nursing practice institutions.

동료 교수학습이 핵심기본간호술 수행자신감, 숙련도와 학습만족도에 미치는 효과 (The Effects of Self-directed Practice using Peer-tutoring on Confidence, Performance and Learning Satisfaction of Nursing Students in Practicing Core Nursing Skills)

  • 유명란;강명숙;김혜원;한혜리;최주영
    • 한국간호교육학회지
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    • 제23권1호
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    • pp.27-36
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    • 2017
  • Purpose: The purpose of the non-equivalent control group pretest-posttest study was to test the effects of self-directed nursing practice using peer-tutoring, on the level of confidence, performance and learning satisfaction of nursing students in practicing core nursing skills. Methods: The data were collected from 80 junior nursing students at a nursing college in Daejeon before and after 3 weeks of intervention on practicing six core nursing skills, according to the highest order of priority. The subjects were divided into the peer-tutoring practice group (PTPG, n=40) and the lecturer-guided practice group (LGPG, n=40). The data were analyzed using mean, frequency, and t-test. Results: The PTPG scored statistically higher than the LGPG on the performance of 'indwelling urinary catheterization' and 'wearing protection equipment while entering quarantine room & disposing waste'. The PTPG scored statistically higher than the LGPG on the confidence of 'indwelling urinary catheterization' and 'inserting intravenous catheterization'. The PTPG scored statistically higher on learning satisfaction than LGPG. Conclusion: The results showed that self-directed nursing practice using peer-tutoring could be effective for nursing students in improving proficiency in core nursing skills and might be applied to core nursing skills training.

핵심기본간호술 VR 교육 콘텐츠 개발을 위한 융복합 연구 (A Convergence Research for Development of VR Education Contents for Core Fundamental Nursing Skills)

  • 김정기;유혜연;이영수
    • 한국콘텐츠학회논문지
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    • 제21권9호
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    • pp.714-722
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    • 2021
  • 본 연구에서는 가상현실을 이용한 VR 기본간호술 교육 콘텐츠를 제안하고자 하였다. 핵심기본간호술 20가지 중 간이혈당검사와 인슐린피하주사 항목은 간호술 항목에서 빈번히 수행하는 기본간호술 중 하나이며, 당뇨환자들에게 자가관리 교육을 할 때도 사용할 수 있는 항목이다. 본 연구는 이 항목을 가지고 학습자의 체험을 중심으로 가이드, 미션, 피드백의 3단계로 나누어 몰입형 VR기반 핵심기본간호술 콘텐츠를 설계하였다. 이 콘텐츠에서는 실제 간호술처럼 콘트롤러를 사용하지 않고 손가락 관절인식을 통해 손의 움직임을 트랙킹하여 몰입하며 훈련할 수 있다. 이 연구는 임상 수행 능력 향상을 도울 수 있는 VR 간호술 교육 콘텐츠 개발에 도움이 될 것이다.

의학 교육에서 인공지능의 응용: 임상의학 교육을 위한 ChatGPT의 활용을 중심으로 (Application of artificial intelligence in medical education: focus on the application of ChatGPT for clinical medical education)

  • 홍현미;강영준;김영전;김봄솔
    • Journal of Medicine and Life Science
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    • 제20권2호
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    • pp.53-59
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    • 2023
  • This study explores the potential use of artificial intelligence (AI)-based services, specifically ChatGPT-3.5, in medical education. The application of this technology is acknowledged as a valuable tool for simulating authentic clinical scenarios and enhancing learners' diagnostic and communication skills. To construct a case, students received ChatGPT training using a clinical ethics casebook titled "Clinical Ethics Cases and Commentaries for Medical Students and Physicians." Subsequently, a role-play script was generated based on this training. The initial draft of the script was reviewed by two medical professors and was further optimized using ChatGPT-3.5. Consequently, a comprehensive role-play script, accurately reflecting real-world clinical situations, was successfully developed. This study demonstrates the potential for effectively integrating AI technology into medical education and provides a solution to overcome limitations in developing role-play scripts within conventional educational settings. However, the study acknowledges that AI cannot always generate flawless role-play scripts and recognizes the necessity of addressing these limitations and ethical concerns. The research explores both the potential and limitations of employing AI in the early stages of medical education, suggesting that future studies should focus on overcoming these limitations while further investigating the potential applications of AI in this field.

치위생과 학생이 임상실습에서 경험한 무례함과 스트레스 대처와의 관련성 (Incivility and stress coping experienced by dental hygiene students in clinical practice)

  • 최정희;황지민
    • 대한치과의료관리학회지
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    • 제11권1호
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    • pp.19-27
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    • 2023
  • This study aimed to investigate the relationship between the experience of incivility in clinical practice and stress coping strategies among students enrolled in the Department of Dental Hygiene with clinical practice experience. The study randomly sampled subjects from a group of 150 dental hygiene students attending the Chungcheong area. Descriptive statistics, t-test, ANOVA, and Pearson's correlation analysis were conducted. The trainees experienced a level of incivility of 1.69, and their level of coping with the resulting stress was 2.58. The study found significant results in terms of gender, clinical practice, and major satisfaction when examining the incivility experienced by trainees based on general characteristics. Among these general characteristics, there were statistically significant differences in the avoidance focus among the sub-domains depending on the grade, number of practicums, and satisfaction with clinical practice. Additionally, the problem-solving focus showed significant results depending on satisfaction with the major. The incivility experienced by trainees showed a positive correlation with avoidance-oriented coping among stress coping strategies (r=.268), social support-seeking coping (r=-.045), and problem-solving-oriented coping (r=-.034) was found to have a negative correlation. If you find yourself in a situation where you encounter incivility, it is believed that developing communication skills and assertiveness training can help you respond more actively instead of passively, which is an avoidance-oriented approach. In addition, it is important to consider that schools and training organizations should collaborate to establish an official reporting system to ensure that any instances of incivility experienced by trainees are not ignored.

근거중심실무 연계 중환자간호 실습교육의 적용 및 효과 (Effects of Evidence Based Practice Integrated Critical Care Clinical Practicum)

  • 박명화
    • 한국간호교육학회지
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    • 제17권3호
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    • pp.346-354
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    • 2011
  • Purpose: This study examines the effects of integrating Evidence Based Practice (EBP) into a critical care clinical practicum on nursing students' access and use of information resources and EBP competency. Methods: A one-group pretest-posttest design was used. Fifty senior nursing school students from a university participated. A critical care clinical practicum combined with EBP consisted of six full days of clinical practicum in intensive care units with EBP education. Group and individual training in EBP skills, lectures, small group discussion and conferences were provided. Data were analyzed using paired t tests for 50 participants. Results: The scores of evidence based practice competency increased significantly (p<.001) showing significant improvement in searching and classifying the evidence. Nursing students' access and use of research evidence improved (p=.004). Conclusion: This study showed that the integration of EBP into a clinical practicum was effective in improving accessibility and usefulness in research evidence such as guidelines and research articles, and increasing EBP competency in undergraduate students.

산업체 및 학습자 수요 간호 교육과정 개발에 관한 연구 : P 대학의 사례 (A Study on Industry and Learner's Demand-Based Curriculum Development on Nursing Education : A Case of P University)

  • 신화진
    • 한국임상보건과학회지
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    • 제4권4호
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    • pp.769-781
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    • 2016
  • Purpose. The purpose of this paper was to analyze the educational needs of industry which will hire learner and to develop curriculum to meet the demand. Methods. This study was a descriptive research based on survey results. In each questionnaire, the number of responses and ratios were measured to determine the priorities of the questionnaire items and the education demand was evaluated based on these priorities. Results. The core competency keywords for nurses in industry are knowledge, technology, and communication. In the industry needs for curriculum development, the importance of education to be strengthened for nurse training was found to be core basic nursing skills, nursing process application ability, communication ability, creative nursing problem solving ability, personality and foreign language ability. Conclusion. This study has laid the groundwork for the development of competency based curriculum based on environmental factors and reducing the problems of mis - matching between industry and education.

조기 위암의 진단에 있어서 확대 내시경을 동반한 협대역 내시경의 역할 (Clinical Role of Magnifying Endoscopy with Narrow-band Imaging in the Diagnosis of Early Gastric Cancer)

  • 최수인
    • Journal of Digestive Cancer Research
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    • 제10권2호
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    • pp.56-64
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    • 2022
  • Narrow-band imaging (NBI) is the most widely used image-enhanced endoscopic technique. The superficial microanatomy of gastric mucosa can be visualized when used with a magnifying endoscopy with narrow-band imaging (ME-NBI). The diagnostic criteria for early gastric cancer (EGC), using the classification system for microvascular and microsurface pattern of ME-NBI, have been developed, and their usefulness has been proven in the differential diagnosis of small depressed cancer from focal gastritis and in lateral extent delineation of EGC. Some studies reported on the prediction of histologic differentiation and invasion depth of gastric cancer using ME-NBI; however, its application is limited in clinical practice, and further well-designed studies are necessary. Clinicians should understand the ME-NBI classification system and acquire appropriate diagnostic skills through various experiences and training to improve the quality of endoscopy for EGC diagnosis.

음악치료에서의 개인적 역량: 교육과 임상적 훈련에 대한 도전 (Intrapersonal Competency in Music Therapy: Challenges for Education and Clinical Training)

  • 정현주
    • 인간행동과 음악연구
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    • 제4권2호
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    • pp.106-114
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    • 2007
  • 음악치료사의 자질과 능력 증진은 많은 연구자들과 학자들에 의해 연구되어온 분야이며 이를 위한 효과적인 교육 및 임상 전략들이 규명되고 개발되고 있다. 본 연구에서는 기존의 음악치료의 정의를 중심으로 음악치료사의 기본 자질을 규명하고 학술단체와 기관에서 정의하는 음악치료가 강조하는 다른 항목들을 비교분석함으로써 공통적으로 음악치료사가 갖추어야 하는 역량들을 규명하였다. 그 결과 본 연구에서는 음악치료사는 세 가지 역량을 갖추어야 하고 기존의 교육과정은 이러한 역량들을 강화할 수 있는 내용으로 구성되어야 하는데 이에는 학문적 역량, 실기역량, 그리고 개인적 역량이 포함된다. 여기서 개인적인 역량은 음악치료 교육과정에서 다루어야 하는 새로운 역량 분야로 규명되었다. 이는 음악치료가 지식기반 내용만을 다루는 학문이 아님으로 치료를 위한 음악중심의 개입을 제공할 수 있는 내적 성찰과 치료사적 통찰력이 기반이 된 역량을 갖추어야 하기 때문이다. 음악치료가 정의하는 학문과 전문성을 갖추기 위해서 음악치료사는 이 세 가지 역량을 갖추어야 하며 이러한 역량 강화를 위해서는 효율적인 교과내용들이 기존의 교육과정에 반영되어야 한다.

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