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Development of ICT-Based Simulation Scenarios against the CRISIS of Dyspnea Patients

Vol.4 (No.1) 2019
Author
admin
Date
2019-03-30 12:13
Views
41

Abstract


Simulation is drawing attention in student education as a means of patient safety in today's hospital and med-ical environments. We have tried to raise the ability to cope with situations through various cases through simulations in nursing education. In order to improve the adaptability of clinical nurses to graduate nurses who have to become increasingly complicated and have a high degree of nursing care, simulation training has become an essential curriculum. As a core competency in nursing education, Critical thinking skills and communication skills. The purpose of this study was to develop simulated learning scenarios, which is ICT-based to be applicable as virtual reality programs, in order to cope with the crisis of dyspnea patients who visit the hospital. The study was made from March 10th, 2018 to Feb. 10th, 2019 in which the research developed simulated learning scenarios, algorithms and assessment tables and tested the content validity of the scenarios. In this study, we conducted physical assessment and immediate emergency management of patients with basic dyspnea as Level 1 basic stage to enable stepwise learning of scenarios in nursing situation of respiratory distress crisis. Level 2, which is deepening level, we know how to assess the symptoms of respiratory insufficiency, and aim at differentiating patients, medication, and first aid treatment. Level 3, an integration stage, was designed to allow additional assessment of patients with dyspnea and role-sharing among clinicians, appropriate communication, and level-specific learning that aims to serve as a team leader. The developed simulation scenarios that respond to dyspnea patients in crisis are expected to provide basic information that will be applicable to a variety of education processes in the future.

Keyword:Crisis, ICT, Simulation, Dyspnea, Patients
  • The purpose of this study was to make a descriptive research study to examine the educational needs of adult learners for lifelong education centers, their importance awareness, requests for improvement and requests for supplementation. The subjects in this study were the adult learners who were taking one or more course(s) in the lifelong education centers of five different technical colleges located in Gyeonggi Province. A survey was con-ducted from May 1 to June 30, 2018, and the answer sheets from 396 learners were gathered and analyzed. As for analysis, SPSS version 23.0 for Windows was used to obtain statistical data on frequency, percentage, mean and standard deviation. Concerning the program needs of the adult learners, what they participated in lifelong education programs for was analyzed, and they felt the most needs for "the acquisition of new knowledge and skills." In regard to importance, the item that they responded the most in the area of learning environments is that "the center is convenient for transportation and easily accessible." The item that they did the most in the area of instructional design is that "the lecturers have a professional knowledge of or competence in what they teach." The item that they did the most in terms of the content and quality of the programs is that "I have felt a sense of unity or fellowship with my peer learners." As a result of analyzing what needed to be improved or supplemented in the lifelong education programs, they pointed out "the way of running the center and pro-grams," "good educational facilities," "learner-centered evaluation," "courses geared toward acquiring practical job skills" and "lifelong education for the sake of local residents." In order for lifelong education centers to satisfy national and social needs and the needs of adult learners for lifelong education, it seems important above all to keep track of the learning needs of learners and to reflect their needs in developing and operating lifelong edu-cation programs.
    Keyword:Safety, Lifelong Education Center, Adult Learner, Needs, Importance
  • Simulation is drawing attention in student education as a means of patient safety in today's hospital and med-ical environments. We have tried to raise the ability to cope with situations through various cases through simulations in nursing education. In order to improve the adaptability of clinical nurses to graduate nurses who have to become increasingly complicated and have a high degree of nursing care, simulation training has become an essential curriculum. As a core competency in nursing education, Critical thinking skills and communication skills. The purpose of this study was to develop simulated learning scenarios, which is ICT-based to be applicable as virtual reality programs, in order to cope with the crisis of dyspnea patients who visit the hospital. The study was made from March 10th, 2018 to Feb. 10th, 2019 in which the research developed simulated learning scenarios, algorithms and assessment tables and tested the content validity of the scenarios. In this study, we conducted physical assessment and immediate emergency management of patients with basic dyspnea as Level 1 basic stage to enable stepwise learning of scenarios in nursing situation of respiratory distress crisis. Level 2, which is deepening level, we know how to assess the symptoms of respiratory insufficiency, and aim at differentiating patients, medication, and first aid treatment. Level 3, an integration stage, was designed to allow additional assessment of patients with dyspnea and role-sharing among clinicians, appropriate communication, and level-specific learning that aims to serve as a team leader. The developed simulation scenarios that respond to dyspnea patients in crisis are expected to provide basic information that will be applicable to a variety of education processes in the future.
    Keyword:Crisis, ICT, Simulation, Dyspnea, Patients
  • Purpose: This Research intends to apply oral care protocol including preventative nursing intervention for lung cancer patients under anticancer chemotherapy to find its effects on oral safety and nutrition status. Methods: This Research employs one-group pre-post design intended to find out the impacts of oral care protocol on the oral safety and nutrition status of lung cancer patients under anticancer chemotherapy. Pre-investigation was conducted on the subjects twice at 4-week interval, and post-investigation was conducted once 4 weeks after the oral care protocol was applied. The Oral Assessment Guide(OAG) was used to determine objective aspects of oral safety. The Patient Generated Subjective Global Assessment(PGSGA), aspects of nutrition status. For collected data, frequency, percentage, average, standard deviation and Repeated Measures ANOVA were con-ducted using SPSS 20.0. Results: The major findings of this study were as follows. 1)The OAG score of participants to which an oral care protocol was applied(F=4.085, p=.022) showed significant difference by measurement times. 2)The Nutrition status of participants to which an oral care protocol was applied showed a relation by measurement times. For PGSGA score(F=7.498, p=.003), there were significant difference by measurement times. Conclusion: The finding of this study gives a useful information for the strategies of improving oral safety and nutrition as performing oral care protocol
    Keyword:Safety, Oral, Stomatitis, Nutrition, Cancer
  • Purpose; The purpose of this study is to identify the levels of stress, self-esteem and resilience of nursing college students’ safety management and to recognize the correlations between them. Methods; The research design is a descriptive correlational study design and used convenience sampling on 203 senior nursing students in G city. The used research measures were tools which measure stress, self-esteem and resilience. Data collection was conducted from June 2, 2017 to June 15, 2017 using SPSS 21.0 for data analysis. Results; The results show that stress is affected by health status, major satisfaction and clinical practice satisfaction. Meanwhile, resilience is affected by health status, selective motivation for nursing major, interpersonal relationships, personality trait and major satisfaction. Stress and resilience are negatively correlated while self-esteem and resilience are positively correlated. In other words, an increase in stress levels correlates with a decrease in resilience and conversely, a decrease in stress levels correlates with an increase in resilience. An increase in self-esteem correlates with an increase in resilience and a decrease in self-esteem correlates with a decrease in resilience. Conclusion; Therefore, there is a need for institutions that are responsible for the education and management of nursing colleges to preferentially take interest in helping nursing students with their stress and college adjustment. In addition, if the social support system that protects nursing students is systemically formed and utilized, it can not only help increase self-esteem and resilience of nursing students but also improve their quality of life, contributing to higher level of nursing profession settings.
    Keyword:Safety Management, Stress, Self-Esteem, Resilience, Nursing Students
  • The purpose of this study was to examine the wellbeing behaviors, life satisfaction and subjective quality of life of community elderly people and to verify the effectiveness and usefulness of a wonderful life program provided for successful life in old age. This study made an attempt to examine the wellbeing behaviors, life satisfaction and subjective quality of life of community elderly people and to verify the effectiveness and usefulness of the wonderful life program so that community elderly people could lead a successful life in old age. This study is a quasi experimental research that adopted nonequivalent control group pretest posttest design to determine the effects of the wonderful life program on wellbeing behaviors, life satisfaction and the subjective quality of life after offering it to the selected community elderly people. We selected 30 people who were given permission from elderly people over 65 years of age at the social welfare center in W city. In the homogeneity test, there was no statistically significant difference in well being behavior, life satisfaction, and subjective quality of life, indicating that the experimental group and the control group before the experiment were the same level. The findings of the study were as follow s: The program was found to have effects on the wellbeing behaviors(z= 3.408, p=.001), life satisfaction(z= 3.225, p=.001) and subjective quality of life(z= 3.419, p=.001) of the experimental group. In contrast, there were no changes in the wellbeing behaviors(z= z=--.253, p=.800), life satisfaction(z= 1.418, p=.156) and subjective quality of life(z= z=--.000, p=1.000) of the control group. Therefore intensive efforts should be directed into the development and supply of various educational programs that could encourage elderly people to keep boosting their wellbeing behaviors, life satisfaction and subjective quality of life. In the future, this program will be indispensable to senior citizens who are increasingly larger in number due to the advancement of the time s and the growing elderly population, and the program is expected to make a great contribution to fast developing aging society
    Keyword:Safety, A Wonderful Life Program, Wellbeing Behavior, Life Satisfaction, Subjective Quality of Life
  • The purpose of this study was to investigate the relationship between the team cohesiveness from the characteristics of university licensing products, school satisfaction, and purchase intention perceived by university students to give managerial suggestions for the self-reliance ratio of finance. A total of 243 valid data were collected from 260 university students using the questionnaire with the self-administration method and the data were analyzed by using descriptive statistics, exploratory factor analysis, and multiple regression. The results could be derived as follow. First, the team cohesiveness from the licensing products had an effect on the satisfaction of school. Second, the team cohesiveness of licensing products had an effect on the purchasing intention. Third, the satisfaction of school had an effect on the purchasing intention of university licensing products. As the previous study confirmed that the high level of team(university) cohesiveness gives a positive affection on the satisfaction of the school and purchase intention of their licensing products, the government of the university should have the managerial strategies to raise their team cohesiveness so that it makes positive team cohesiveness and total sales of licensing products. With the strategic plan to make high level of the team cohesiveness, the university government needs to attract talented student athletes for improving the quality of the games and other services so that general students and alumni give their support by watching the games and purchasing the licensing products of their school. Also, if the university pays attention to the revenue-making business through the efficient operation and to corporate sponsorship program with marketing activities, the university can be obtain the high level of cohesiveness, brand quality, and student attraction.
    Keyword:Financial Crisis, Product Attribute, Team Cohesiveness, Licensing Product, Purchase Intention
  • This study was a descriptive study conducted to investigate nursing college students’ degree of patient safety management during their clinical training. This study aimed to provide a baseline data for developing systematic nursing educational curriculum for the enhancement of competence in nursing college students’ fundamental patient safety nursing intervention. The participants consisted of 372 senior nursing college students who have had clinical practice at a nursing college in Gwangju metropolitan city. The data was collected from December 4th to 28th in 2017 at the end-point of their clinical training education in nursing college, and convenience sampling was the method of inves-tigation for this research. For the assessment of patient safety management knowledge(PSM-K), instrument modified by Choi & Lee(2015) from Park & Park(2014) was used. The instrument for patient safety management attitude(PSM-A) assessment was by Chenot & Daniel(2007), for confidence in performance of patient safety man-agement(PSM-CP) by Park(2011), and for patient safety management practice(PSM-P) by Yoo & Lee(2014). The collected data was analyzed with SPSS 19.0 using descriptive statistics, t-test, One-way ANOVA, and Scheffé test. The results of this study indicated that the ratio of correct answers of PSM-K was 70.7%, PSM-A was 3.85, PSM-CP was 3.99, and PSM-P was 4.24 out of 5 points. And also in terms of the correlations between PSM-K, PSM-A, PSM-CP, and PSM-P, significant positive correlations existed between PSM-K and PSM-A(r=.28, p<.001), PSM-CP and PSM-K(r=.19, p<.001), PSM-CP and PSM-A(r=.48, p<.001), PSM-P and PSM-A(r=.37, p<.001), and PSM-CP and PSM-P(r=.37, p<.001). Therefore, in order to enhance nursing college students’ competence in patient safety nursing intervention, nursing college students must experience various exercises and training for patient safety management during the clinical practicum as well as with scenario-based simulation. And nursing education facilities should develop educational contents about patient safety for nursing college students.
    Keyword:Patient Safety, Safety Management, Nursing, Nursing College Student, Republic of Korea
  • Manufacturers of lead-acid batteries have made great efforts to reduce the production cost of batteries. Simplifying the manufacturing process is an effective way to reduce costs. In general, it has been recognized that tubular electrode plates should be pickled after filling with the positive active material(PAM). This process requires a pickling and drying process. During this process, curing of the active material occurs. Generally, the curing process is the most time-consuming part of the lead-acid battery manufacturing process. This study deals with the simplification of the manufacturing process for lead-acid batteries using a tubular type positive plate. The effect on discharge capacity of pickling and curing time for the tubular plate was investigated. In this study, tubular positive plates filled with the active material were subjected to case formation(CF) by assembling the cell without pickling. The investigation illustrated that pickling conditions were a determinant for modifications of the chemical and phase composition of the PAM and for electrochemical performance. Thus, a better under-standing of the pickling mechanism is required in order to optimize the tubular positive plate’s performance. It has been observed that the key to successful pickling is the maintenance of an exact balance between the concentration of H2SO4, and the duration of the pickling process. The comparative study showed that longer pickling times and higher concentrations of H2SO4 do not necessarily result in electrodes with better first capacity performance. Also, it was noted that if the concentration of H2SO4 for pickling was too low or too high, the capacity of the battery was reduced. In this study, the best cell performance was obtained after 3 hours of pickling in H2SO4 solution with a specific gravity of 1.20 and after 16 hours of pickling in H2SO4 solution with a specific gravity of 1.10. This result will be commercially valuable to tubular type lead-acid battery manufacturers in terms of simplifying the manufacturing process.
    Keyword:Crisis, Manufacturing Process, Pickling, Tubular Positive Plate, Lead-Acid Battery
  • Purpose; The purpose of this study was to analyze papers on the self-leadership of nursing students, which were included in domestic academic journals over the past 15 years, in an attempt to determine the research trend. Methods: This is a descriptive research study that analyzed 41 papers included in domestic academic journals over the past 15 years(2003-2018). Results: The studies related to the self-leadership of nursing students numbered five(12.2%) between 2009 and 2014 and 36(87.8%) between 2015 and 2018. As to the distribution of the papers by journal, 10 papers(24.3%) that were largest in number were included in the Journal of Korea Academia- Industrial Cooperation Society. Concerning variables related to self-leadership, critical thinking disposition was a major variable that was covered in 10 papers(24.3%) that were largest in number, and another major variable was self-efficacy that was covered in seven(17.5). As a result of analyzing the papers by research method, every study was quantitative research that numbered 41(100%). Out of them, the descriptive research studies were most common, and the experimental studies numbered 17(17.0%). In regard to sample size determination, G*Power was used the most in 31 papers(75.6%). Regarding institutional review board, eight(19.5%) out of the 41 papers were implemented with the approval of IRB. As for data analysis in the studies using descriptive statistics, t-test was used mainly in 35 papers(85.3%); ANOVA, in 26(63.4%); Pearson correlation coefficient, in 26(63.4%). In the experimental studies, x2-test was dominant, which was used in 10 papers(24.3%) . Conclusion: The findings of the study are expected to provide some information on how to nurture the self-leadership of would-be professional nurses to step up their competency development to affect their clinical performance in a positive way and on how to set the right directions for the development of nursing to make a contribution to the improvement of the quality of nursing.
    Keyword:Nursing Students, Self-Leadership, Domestic Research Trend, Analysis, In Republic of Korea
  • The purpose of the article is to examine whether and how the regime value approach proposed by John Rohr can be applied to the learning of administrative ethics in South Korea. It focuses on the issue of unification as a critical regime value among others in Korea. Unification is a good example as a regime value in Korea because its Constitution emphasizes the mission of peaceful unification based on the principles of freedom and democracy. Furthermore, a pre-dominant number of the people agree with the fact that unification is an unchangeable supreme task for Koreans. To begin with the history of Korea’s division unintended by the people, the article describes and analyzes why Korea was divided and should be reunified. The success of unification as a regime value heavily depends on how to resolve its tension with the need for national security. Korean administrators need to pay special attention to such a subtle dilemma whenever they use unification as a criterion for decision-making and administrative discretion. Rohr argues that the opinions of the Supreme Court are the most suitable teaching device in the US. In Korea, the decisions made by the Constitutional Court, not the Supreme Court, are “dialectic,” including concurring and dissenting opinions, so they will be excellent teaching devices to help learners experience diverse political opinions and Korean values. In administrative fields, they will also be great guidelines for right and wise decision-makings in the Korean context. In addition to those decisions, Korean values can be found in a wide variety of sources, which include the writings and speeches of prominent political leaders, campaign platforms, scholarly interpretations of Korean history, and literary works of all kinds. These various teaching devices as well as the living and concrete guideline like regime values will en-able present and future administrators, who have often lost right ways, to make ethical decision-makings in the Korean context and to overcome ethical crisis that still remains in Korean bureaucracy. However, there may be a cultural obstacle such as Confucianism for regime values to be successfully embedded in real bureaucracy. Confucianism greatly influences a way of thinking of Koreans and the substantial operation of the Korean administrative system. Its major values such as “Harmony,” “loyalty” and “consensus” sometimes outweigh individual consciousness or ethical decisions to be secured by the status of public servants.
    Keyword:Ethical Crisis, Korea Peninsula Unification, Regime Value, Administrative Ethics, Korean Bureaucracy