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Background: Early conversion from intravenous to oral antibiotics plays an important role in lowering the risk of catheter-associatedinfections, reducing the workload of nurses, decreasing direct and indirect costs, and shortening hospital stays. In August2015, an antimicrobial stewardship program (ASP) was implemented to facilitate conversion from intravenous to oral administrationof fluoroquinolones in our institute. This study evaluated the clinical and economic impact of the intervention. Materials and Methods: Data were retrospectively collected by reviewing electronic medical records. All hospitalized patientsaged 18 and older who met the study inclusion criteria for the conversion were included between August and November 2015. We computed the physicians' adherence rate to the ASP recommendations. We also measured the total use of fluoroquinolones,length of hospital stay, and medication costs. Results: During 4 months, 129 cases were enrolled in the study. The adherence rate was 79.8%. The average total prescriptionvolume of intravenous fluoroquinolones, the length of hospital stay, and the total cost of the fluoroquinolones statistically significantlydecreased in the intervention-adherent group. Conclusion: Intervention to facilitate conversion from intravenous to oral administration has reduced excess use of intravenousfluoroquinolones and length of hospital stay. With these findings, further implementations of the ASP extending to other antibioticsmay be warranted.
Objective: The purpose of this study was to verify the algorithm on bio-signals for a home-health management system. Methods: A methodological study was done to verify the blood pressure and blood sugar algorithm to deliver tailored patient information. The verifying process was as follows: Step 1; development of the algorithm through a literature review, Step 2; programming the algorithm using Microsoft SQL Server 2005 and Visual Studio 2005, Step 3; Reviewing of the algorithm by examining results from the home-health management system and experts' evaluation Step 4; evaluating the agreement of the algorithm by comparison between results from the home-health management system and intended results using bio-signal data set, and completion of the algorithm. Results: Discordance rate between results from the home-health management system and intended results for blood pressure and blood sugar were 5.72% and 2.04%, respectively. Also, discordance rate between results from the home-health management system and experts' evaluation of blood pressure and blood sugar were 30.38% and 20.41%, respectively. All discordance were revised until all the researchers reached agreement. Conclusion: The home-health management system with an accurate algorithm on bio-signals can contribute to promote clients' health and reduce the cost of medical services.
Purpose : We investigated the career choice and the employment preparation of emergency medical technology (EMT) students. The results of study will provide the base information about the consciousness for career choice and employment of the EMT students. Method : We conducted 1,586 surveys from 665 students at six four-year colleges and 921students at seven three-year colleges, from Aug. 27th to Oct. 31st in 2010. The result was analyzed by SPSS 18.0 using description statistics, t-test, ANOVA, Scheffe and Pearson correlation coefficient. Result : The general characteristics showed male 50.2% and female 49.8%, and first grade 34.6%, second grade 27.4%, third grade 28.2%, and fourth grade 9.8%. The 53.9% of students had experienced the hospital training and the 44.8% did the fire station training. For the choice of job, there were the 61.8% student who hope to enter the employ in fire station or public service, while 25.7% students hope to be employed in hospitals. The reason for a wish job were ‘majors-related job' in 18.2% students, ‘employment stability' in 17.2% and ‘hit on the aptitude and talent' in 16.7%, ‘appropriate salaries' in 15.9%. In the questionnaire of the University what to assist you for job preparation, they chose the ‘support for get major related license', ‘support for officer exam preparation' and ‘support of foreign language study' in 34.6%, 16.8% and 16.6%, respectively. For achieved licence, they had a driver's license in 53.9%, BLS (basic life support) provider in 20.3%, life guard in 16.2% and scuba in 8.8%. The statistically significant correlation was identified between the awareness of University that provides job information and one's career awareness (r= .203, p< .000), the awareness that University provide job information and one's confidence in employment (r=.236, p< .000), and one's career awareness and one's confidence in employment (r = .356, p =.000). Conclusion : The most of EMT Students are well conscious of the their future employment and has prepared career to be employed their preference job.
Purpose: Simulation-based education combined with mastery learning is more effective than simulation-based education alone. This study aimed to evaluate its effectiveness with regard to both technical and non-technical skills of simulation-based mastery learning (SBML) in blood transfusion training among undergraduate nursing students. Method: A nonequivalent control group pretest-posttest design was used. Fifty-one second-year students at a college of nursing in W city, South Korea, who had not started clinical practice were selected by convenience sampling and allocated to either the experimental or control group using the zigzag method. SBML program was consisted of a diagnostic test, repeated learning and formative assessments for non-passers. All outcome variables were measured before and after completion of the program. Results: The experimental group showed significantly increased performance scores of blood transfusion as compared to the control group (z=29.50, p<.001), with better outcomes in number of students achieving minimum passing score (χ2 =20.07, p<.001), self-confidence (F=17.68, p<.001), and communication skills (z=166.00, p=.003). Conclusion: This program was effective for undergraduate students to better improvement in performance, self-confidence, and communication skills, which can ensure greater safety in the transfusion. The results suggest that SBML ensures skill acquisition for clinical practice through improved performances in both technical and non-technical skills.
Purpose: The purpose of the study was to investigate the core competency and educational needs of paramedic students in disaster management. Methods: A self-reported questionnaire was completed by 207 paramedic students between June 1 and October 29, 2017. The study instrument included disaster preparedness (15 items), disaster management core competency (26 items), disaster education needs (26 items). Data were analyzed using t-test, ANOVA, and Duncan's multiple range test using IBM SPSS 24.0. Results: The students reported that only 13% had experienced or witnessed disasters; however, 95.2% would be willing to help in the event of a disaster. Their disaster preparedness was 1.84 points on a 3-point scale. We did see differences in disaster preparedness by background: hospital practice (F=5.352, p=.001); fire-fighting practice (F=8.994, p=.000). The students had a core competency of disaster management at 3.25 points on a 5-point scale with differences depending on major satisfaction (F=3.760, p=.006). The level of student demands for disaster education was 4.29 points. Conclusion: If variety of educational environments are provided for disaster-related learning and training, the core competency of disaster management for paramedic students will improve. The students will be available as disaster management experts in various fields, even after graduation.
Objectives : To explore the cognitive and affective responses that women experienced during a Pap smear test. Methods : A qualitative method was used in which 54 women participated in focus groups. For the content analysis meaningful words, phrases, and sentences were first extracted from the data. These extractions were collected into categories and themes reflecting women's affective and cognitive responses to the experience of Pap testing. Results : There were three categories reflecting women's affective responses to the Pap test; test process, relationship with doctors, and test results. Shame, embarrassment, and anxiety were the main responses to the test process. For relationship with doctors affective responses were poor communication, male physician, and lack of respect. Women's cognitive categories included correct, confused, and wrong knowledge and information regarding cervical cancer and Pap test. Conclusions : Women's privacy and respect from doctors should be guaranteed in practice. Availability of female doctors, improvement of service systems and environments in Korea, as well as educational support would contribute to increase women's in Pap testing and service satisfaction.