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A Study on the Effect of Doula's Roles including Therapeutic Touch on Labor and Delivery Process (치료적 터치를 병용한 듀라 (Doula)의 역할이 분만 제 요인에 미치는 영향에 관한 연구)

  • Kim, Gum-Juing;Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.5 no.2
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    • pp.262-277
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    • 1999
  • The purpose of this study is to define the effects of the roles played by the Doulas : one group educated on the conventional Lamaze method known to have effects on birth pang during delivery process and the other group educated both on Lamaze and therapeutic touch. On the various factors of delivery, and thereby, provide for some basic data to develop an effective nursing intervention to relieve women of their birth pang. 136 mothers who were hospitalized in a general hospital from June 13, 1998 to May 13, 1998 to May 13, 1999 to deliver their first babies were sampled to be divided into control group, test group I and test group II and thus be subject to interviews and observations. As for the tool of study, melzack's(1975) 'pain scale', McCaffery's(1972) and Mcrachlan's(1974) 'pain expression scales' and Spielberger's (1975) 'anxiety scale' were used. The preparatory educational programs consisted of 5week Lamaze method and therapeutic touch. The research, design was quasi-experimental, non equivalent, posttest only control group design. The collected data were processed using the SPSS/PC statistics software for frequencies, means and one-way Anova as well as Tukey HSD and Scheffe test as post hoc for individual comparison. Moreover, chi-square test was used to test the differences between groups, while Pearson's correlation coefficients were analyzed to determine the correlations between anxiety and variables. The findings are as follows ; 1. The birth pain of the mothers delivering first babies scored in a subjective and objective pain scale; 1) There was a significant difference of subjective birth pain at 8~10cm opening of cervix between control group and two test groups. 2) There was no significant difference of objective birth pain as per opening of cervex among three groups in terms of sweating, facial movement, bodily posture and vocal changes. 2. There was no significant difference of trait anxiety among three groups. however, there was a significant difference of state anxiety during labor process between control group and two test groups. On the other hand, all the three groups showed a significantly lower level of anxiety during labor process than when they were carried to the hospital. 3. There was a significant difference of the time of total and first-stage labor among three groups, while there was a significant but small difference of the time elapsed from 8~10cm cervix open to the full among three groups. 4. Two test groups showed a higher frequency of natural deliveries than the control group. 5. Two test groups were subject to these drugs than the control group. In conclusion, it was found that the test group I and II showed a shorter delivery time than the control group, a higher frequency of natural delivery and a lesser use of anodyne or epidural. In particular, this study is significant to develop a nursing intervention service or a therapeutic touch which the nursing administrators can apply to their hospitals in marketing programs.

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The Effects of Smart Learning on the Academic Performance of Pediatric Nursing Education (스마트 러닝을 활용한 아동간호학의 학습성과)

  • Seo, Ji-Hye;Jeong, Jong-Pil;Choi, Eun-Ju
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.784-795
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    • 2016
  • This study was to examine the effects of smart learning on the academic performances of nursing students. The study examined and compared the level of academic achievement, critical thinking skill, and class satisfaction, between control and experimental groups after applying the smart learning program to the experimental group. The study was designed using a nonequivalent control group pretest-posttest design. The subject of this study consisted of 78 nursing students (experimental group of 37 and the control group of 41) who were the third year nursing students of a university in a S city located in J province. The data were analyzed using the SPSS 20.0 program to perform ${\chi}^2$-test, Fisher's exact test, and independent t-test. There were statistically significant differences in academic achievement (t=2.50, p=.014), critical thinking (t=4.83, p<.001), and class satisfaction (t=6.65, p<.001) between the control and experimental groups. The study results indicate that the smart learning program was effective in increasing academic achievement, critical thinking, and class satisfaction for nursing students.

Effects of Sex Education Program on Careworkers' Knowledge, Attitudes and Coping toward Sexuality of the Elder (노인 성교육 프로그램이 요양보호사의 성에 대한 지식, 태도 및 대처에 미치는 효과)

  • Yun, Hyeon-Kyeong;Oh, Hyun-Sook
    • The Journal of the Korea Contents Association
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    • v.14 no.12
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    • pp.835-844
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    • 2014
  • The objectives of this study is to identify the Effects of Sex Education Program on careworkers' Knowledge, Attitudes and Coping toward sexuality of the Elders. The experimental design for this study was nonequivalent control group pretest-posttest design. Research was done from September 10, 2013 to October 10, 2013. Participants included a total of 37 subjects. 19 in the experimental group and 18 in the control group. The data were analyzed by frequency, percentage, Pearson's correlation coefficients, Shapiro - Wilk test, ${\chi}^2$-test, Independent Samples t-test, Mann-Whitney U test, paired t-test, Wilcox signed rank test using SPSS/PC WIN 18.0 program. The results showed that program was effective in increasing the knowledge of sex, but attitude and positive coping, negative coping did not differ significantly between the groups. In conclusion, this study showed that sex education could be effective higher sex knowledge of careworkers, but could not be effective sex attitudes and coping. Therefore, it is necessary that develop sex education program to be effective sex attitudes and coping of careworkers.

The Effects of Simulation-based Education on the Clinical Reasoning Competence, Clinical Competence, and Educational Satisfaction (시뮬레이션 교육이 간호학생의 임상추론역량과 임상수행능력 및 교육만족도에 미치는 효과)

  • Kang, Hee;Kang, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.107-114
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    • 2020
  • This study was conducted to examine the effects of simulation-based education on the clinical reasoning competence, clinical competence, and satisfaction with simulation experience (SSE). The research design was one group pretest-posttest. Study participants were 89 third-year nursing students from C University in G city, who were engaged the simulation-based education for eight weeks from August to October 2019. Learning scenario titles were blood transfusion reaction patient care with postoperative total hip replacement, hypoglycemia patient care with diabetes mellitus, and hyperkalemia patient care with liver cirrhosis. The data were analyzed by paired t-test using SPSS Win 23.0 program. After applying simulation-based education, nursing students' clinical reasoning competence (t=-17.082, p<.001) and clinical competence(t=-18.40, p<.001) improved significantly. SSE score was 4.65 out of 5 points. The results indicate that the simulation-based education in this study gave the students the experience of providing qualified and secure nursing care under conditions similar to those in the real clinical field. To improve the clinical reasoning competence and clinical competence of nursing students, various cases scenarios are developed and simulation-based education should be applied to more subjects in the nursing curriculum.

Effects of Simulation-Based Training on the Clinical Competence and Confidence of Nursing Students in Intravenous Injection Performance and the Satisfaction of Clients (시뮬레이션 기반 정맥주사 교육이 간호학생의 임상수행능력과 수행자신감 및 대상자 만족도에 미치는 효과)

  • Jeong, Hyeon-Cheol;Choi, Na-Young;Kim, Mi-Seon;Jeon, Mi-Yang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2600-2606
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    • 2012
  • Purpose: This study was conducted to examine the effect of simulation-based training on the clinical competence and confidence of nursing students in intravenous injection performance and the satisfaction of clients. Methods: This study employed a randomized control posttest non-synchronized design. The participants were 90 second-year nursing students(31 multimedia group, 28 IV model group, 31 IV computerized systems group) of S-University in Seoul, Korea. Each group was given 30 minutes for five trial injections, then the students performed intravenous injections on the back of hands of the clients, and the results were measured. Results: There were significant differences in competence of clinical performance among the three groups showed no significant differences in confidence before and after intravenous injections. While there was no significant difference in the satisfaction of clients among the three groups, there were significant differences in the satisfaction of clients resulting from the success or failure of intravenous injections(p=<.001). Conclusion: This study shows that simulation-base training contributes to the enhancement of competence and confidence of nursing students in clinical performance. It would be helpful to use various simulation-based training media as another choice of education in different fields.

The Effects of Application of PBL(Problem-Based Learning) Class on Nursing Education (간호교육에서 PBL(Problem-Based Learning) 수업의 적용 효과)

  • Kang, Ji-Soon;Lee, Hyun-Ju;Kim, Joo-Ok
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.4
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    • pp.1460-1471
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    • 2019
  • This study applied the PBL class to the 'Nursing Process and Critical Thinking' courses in the second semester of 2018, and is a primitive research that utilized a single-group, pretest-posttest experimental design in order to examine the effects of the class on Critical Thinking Disposition, Problem Solving Ability, and Professional Self-Concept. Self-report questionnaires were administered to 59 nursing college students in G province. The PBL class consisted of 8 weeks of traditional lectures and 4 weeks of PBL classes. The SPSS/WIN 23.0 program was used for data analysis. Frequency and percentage were used to analyze the general characteristics, and mean, standard deviation and paired t-test were used to analyze the difference between the two groups. As a result, the Critical thinking Disposition of nursing college students was significantly increased(t=4.39, p<.001) after PBL class(3.71±.36) than before PBL class(3.41±.40). The Problem Solving Ability was notably improved(t=3.97, p<.001) after PBL class(3.70±.59) than before PBL class(3.36±.38). The Professional Self-Concept was considerably increased(t=4.84, p<.001) after PBL class(3.22±.50) compared to before PBL class(2.92±.28). Therefore, applying Problem-Based Learning in nursing education to a greater extent is estimated to be effective in increasing the core competencies of nursing college students.

The Effects of Education for Women's Health on the Performance of Health Promoting Behavior and Self Esteem of College Women (여성건강교육이 여대생의 건강증진행위와 자아존중감에 미치는 영향)

  • Sin, Hye-Suk;Kim, Yeong-Hui
    • The Korean Nurse
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    • v.37 no.4
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    • pp.72-84
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    • 1998
  • This study has been done for the purpose of testing the effects of education for women's health on the performance of health promoting behavior and self esteem of college women. The study was designed as simulated control group pretest-posttest design, the experimental group was composed 182 college women and the control group was composed 151 college women at D University in Seoul. The instruments used for this study were Health Promoting Behavior Scale developed by Walker et al(1987)were modified by Shin(1997) and Self Esteem Scale developed by Rosenberg(1965). The data were analyzed by chi-square test, t-test and ANCOVA using $SPSSIPC^+$ program. The results were as follows: 1. The result of the homogeneity test in terms of the demographic characteristics of two group showed that there were significant difference in major discipline($x^2=155.854$, p=.000), religion($x^2=6.325$, p=.011), and disease experience($x^2=3.949$, p=.046). 2. Hypotheses 1 that the college women who get women's health education will have a higher score of health promoting behavior than the college women who do not get women's health education was supported. The score of health promoting behavior between two group showed statistically difference(t=7.25, p= .000). Mer control of covariates(major discipline, religion, and disease experience), the score of health promoting behavior between two group showed statistically difference(F=31.817, p= .000). 3. Hypotheses 2 that the college women who get women's health education will have a higher score of self esteem than the college women who do not get women's health education was supported. The score of self esteem between two group showed statistically difference(t=4.91, p= .000). After control of covariates(major discipline, religion, disease experience), the score of self esteem between two group showed statistically difference(F=12.688, p= .000). The following suggestions are made based on the above results : 1) Replication of the research is needed to confirm effects of health education including the college man and various demographic differences. 2) More effective health education programs appropriate to subject need to be developed. 3) Nursing college or departments of nursing should make an effort to develop and carry out various health education program for health for all.

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A Design of an UDDPAAP Competence Teaching-Learning Model to Improve Computational Thinking in College Students (대학생들의 컴퓨팅 사고력 향상을 위한 UDDPAAP 역량 교수·학습 모델 설계)

  • Jeon, Mi-Yeon;Kim, Eui-Jeong;Kang, Shin-Cheon;Kim, Chang-Suk;Chung, Jong-In
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.05a
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    • pp.327-331
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    • 2018
  • The purpose of this study was to design a competence teaching-learning model that could help college students improve their computational thinking among core competences in SW education. A competence teaching-learning model, UDDPAAP (Unplugged-Demonstration-Decomposition-Pattern Recognition-Abstraction-Algorithm-Programming), was designed by analyzing competences of learners with no experience in software coding, by reconstructing DMM, DDD, and DPAA among the five existing SW-based teaching-learning models, and by analyzing unplugged activity and the Bebras challenge computational thinking scale carefully. The unplugged activity partially adapted to instruction for college students and some items chosen from the Bebras challenge computational thinking scale were applied to the existing teaching-learning model. To determine the effects of the study, pretest was conducted in freshmen for computational thinking and self-confidence on the basis of the experience in SW and computer information literacy education, and posttest following instruction applying the UDDPAAP teaching-learning model. The students provided with SW education based on the UDDPAAP teaching-learning model saw their computational thinking competence improved.

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Effects of Self-foot Reflexology in Female College Students Wearing High Heels (하이힐을 착용하는 여자대학생의 자가 발반사 마사지 효과)

  • Kang, Young Suk;Hwang, Sun Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.615-627
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    • 2017
  • The purpose of this study is to identify the physical and psycho-social effects of self-foot reflexology on female college students wearing high heels. The research design used was the nonequivalent control group pretest-posttest design. A total of sixty-eight participants were assigned to the experimental group (n=35) or control group (n=33). Data were collected at baseline and after 6 weeks and 10 weeks. The data were analyzed using descriptive statistics, the chi-square test, t-test, and repeated measures ANOVA with the SPSS WIN 20.0 program. In the analysis of the physical effects of self-foot reflexology, there were significant interactions of group by time in terms of the lower extremity edema and fatigue (p<.05). In the analysis of the psycho-social effects of self-foot reflexology, there were significant interactions of group by time in terms of the perceived health status and self-efficacy (p<.05), except for health promoting behavior. Self-foot reflexology was effective in reducing lower extremity edema and fatigue and in improving the perceived health status and self-efficacy. Consequently, self-foot reflexology as a nursing intervention was found to be a method of providing female college students wearing high heels with physical and psycho-social relief.

Effects of Simulation-based Education focusing on Cardiopulmonary Resuscitation on Attitude, Self-efficacy and Satisfaction of the Elderly in Rural Community (시뮬레이션 기반 심폐소생술교육이 노인의 태도, 자기 효능감, 만족도에 미치는 효과)

  • Yoo, Je-Bog;Jeong, Jeong-Hee;Bang, Sul-Yeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.460-468
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    • 2017
  • The purpose of this study was to compare the effects of class-based and simulation-based CPR education for the rural elderly on their attitudes toward CPR, self-efficacy, and satisfaction. Using a quasi-experimental design with a nonequivalent control group, this study used a pretest-posttest method with a sample of 43 elderly people aged 65 or older in rural areas. The twenty-two elderly people in the control group received class-based CPR education, while the experimental group underwent both class-based and simulation-based education. Both groups were given surveys to complete before and after the education. The statistical analysis was based on the $X^2$-test, Fisher's exact test, paired t-test, and ANCOVA. The study found no significant differences between the two groups in terms of their attitudes (F=0.89, p=.353). However, statistical differences were found in the self-efficacy (F=5.54, p=.025) and satisfaction (F=4.66, p=.039) between the two groups. This study provides the baseline data indicating that the education methods implemented in this study were effective for the elderly living in rural areas. Thus, it is necessary to make efforts to ensure that the elderly are able to manage emergency situations by boosting their CPR self-efficacy and educational satisfaction through simulation-based education.