근거기반실무를 활용한 기본간호학 수업 운영의 효과

김윤희(Yun-Hee Kim),류세앙(Seang Ryu),김희영(Heeyoung Kim) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.6

근거기반실무 간호교육은 학습자의 수준에 따라 단계적으로 경험하며 숙련되도록 이끌어야한다. 본 연구는 근거기반실무의 일부를 통합한 간호학과 2학년의 기본간호학 수업을 운영하고 근거기 반실무의 기초역량 향상에 대한 효과를 검증하였다. 연구 설계는 비동등성 대조군 전후 유사실험설계이었다. 대상자는 2개 대학교의 간호학과 2학년 재학생 108명이었다. 실험군은 2016년 2학기 15주 수업기간 중 총 8주, 24시간의 근거기반실무를 활용한 기본간호학 수업에 참여하였고 대조군은 일반적 기본간호학 수업에 참여하였다. 자료는 자가보고형의 문제해결 적극성, 근거기반실무 적용의도, 그리고 비판적 사고성향 측정도구로 수집하였다. 수집된 자료는 SPSS/WIN 23.0 program을 이용하여 동질성은 Chi-square 검정과 독립표본 t-검정으로, 가설 검정은 독립표본 t-검정으로 분석하였다. 분석 결과 실험군은 대조군에 비해 문제해결 적극성과 근거기반실무 적용의도에서 유의한 증가를 보였다. 그러나 비판적 사고는 두 군 간에 차이가 없었다. 근거기반실무를 활용한 기본간호학 수업은 저학년 학생의 근거기반실무 기초역량인 문제해결 적극성과 근거기반실무 적용의도의 증가에 효과적이었다. 근거기반실무에 대한 학년별 목표에 적합한 교과과정에 의한 간호학생들의 근거기반실무 역량과 비판적 사고의 향상에 대한 장기적 노력이 더 필요하다. The nursing education with evidence-based practice (EBP) should set a differentiated education strategy according to the level of the learner, so that the students experience it step by step and it leads them to be skilled. The purpose of this study was to integrate and operate the EBP in the fundamental nursing classes of the second grade students and to verify the effectiveness on improvement of EBP basic competency of them. A non-equivalent control group pretest-posttest design was used. The subjects were 108 students in the second year of nursing at the two universities. The experimental group participated in the class for 8 weeks and 24 hours during the 15-weeks, second semester 2016 and the control group participated in general fundamental nursing class. Data were collected proactivity in problem solving, future use of EBP, and critical thinking disposition instrument and analyzed using SPSS/WIN 23.0 program with Chi-square test, independent t-test. The experimental group had a significant increase in proactivity in problem solving and future use of EBP compared to the control group. However, there was no significant difference in critical thinking disposition between the two groups. Findings indicate that the fundamental nursing class used EBP was an effective lesson to improve proactivity in problem solving and future use of EBP, which is the EBP basic competency for the lower grader. Long-term efforts are needed to improve the EBP competence and critical thinking of nursing students by curriculum appropriate to grade-based goals of EBP.

Is gender still a predisposing factor in contrast-media associated adverse drug reactions? A systematic review and meta-analysis of randomized trials and observational studies

Lee, Heeyoung,Song, Seungyeon,Oh, Yun-Kyoung,Kang, WonKu,Kim, Eunyoung Elsevier 2017 European journal of radiology Vol.89 No.-

<P><B>Abstract</B></P> <P><B>Objective</B></P> <P>To evaluate the role of gender as a risk factor for developing contrast media-associated adverse drug reactions (CM-ADRs) by comparing the incidence of CM-ADR between male and female patients according to study design, ADR type, and computed tomography (CT) examination.</P> <P><B>Material and methods</B></P> <P>We systematically searched three electronic databases for eligible studies. In the studies included (n=18), we assessed effect estimates of the relative incidence of CM-ADR, analysed by experimental design, ADR type and CT examination. This was calculated by using a random effects model if clinical conditions showed heterogeneity; otherwise, a fixed effects model was used.</P> <P><B>Results</B></P> <P>We identified 10,776 patients administered CM. According to the designs, studies were classified into randomised controlled trials (RCTs) and observational studies. Results were as follows: risk ratio (RR)=1.07 (95% confidence interval (CI): 0.79–1.46, P=0.66) for RCTs, and RR=0.77 (95% CI: 0.58–1.04, P=0.09) for observational studies. The results of analysis according to ADR type and for undergoing CT demonstrated that the incidence of CM-ADR did not differ between males and females.</P> <P><B>Conclusions</B></P> <P>We found no significant difference in the incidence of CM-ADRs between male and female patients according to study design, ADR type, or CT examination. Future studies to determine why gender has shown different roles as a risk factor between CM-ADRs and non-CM ADRs are needed.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Analyzing RCTs and observational studies shows similar CM-ADR developments between genders. </LI> <LI> Gender factor is not related to developing CIN and non-renal CM-ADR. </LI> <LI> Gender is not a predisposing factor of CM-ADRs under current evidences. </LI> </UL> </P>

Comparative analysis between combination and single-agent chemotherapy for elderly patients with advanced non-small cell lung cancer: A nationwide population-based outcome study

Lee, Yun-Gyoo,Lee, Ju Hyun,Kim, Se-Hyun,Kim, Yu Jung,Lee, Heeyoung,Ahn, Soyeon,Jang, Joung-Soon,Lee, Jong-Seok,Kim, Jee Hyun Elsevier 2018 Lung cancer Vol.122 No.-

<P><B>Abstract</B></P> <P><B>Introduction</B></P> <P>To determine whether an upfront combination compared to single-agent therapy is beneficial for elderly patients with advanced non-small cell lung cancer (NSCLC) in the real world, a population-based epidemiologic study was conducted.</P> <P><B>Methods</B></P> <P>Patients ≥70 years with advanced NSCLC from 2007 to 2012 were identified in the National Health Insurance Service Database of Korea. A Cox proportional-hazards regression model and propensity score analysis were used to examine the effect of treatment modality on survival.</P> <P><B>Results</B></P> <P>Among 41,276 patients newly diagnosed with lung cancer, 8274 (20.0%) identified to be treated with upfront palliative chemotherapy were eligible for this study. After excluding 976 patients who received a first-line anti-epidermal growth factor receptor (EGFR) treatment, 7298 (88.2%) who received cytotoxic chemotherapy were included in further analyses: 5636 (77.2%) received doublet chemotherapy and 1662 (22.8%) received monotherapy. The most frequent regimen in combination group was gemcitabine and platinum doublet (44.7%), whereas that in monotherapy group was gemcitabine (46.7%). Multivariate analyses indicated lower use of combination chemotherapy with increasing age (odds ratio [OR] 0.73; 95% CI 0.67–0.79; <I>P</I> < 0.001) and female sex (OR 0.71; 95% CI 0.62–0.80; <I>P</I> < 0.001). Receipt of combination over single-agent chemotherapy was associated with a reduced risk of death (hazard ratio [HR] 0.91; 95% CI 0.86–0.96; <I>P</I> = 0.001) in overall population and (HR 0.89; 95% CI 0.80–0.98; <I>P</I> = 0.019) in the propensity-matched cohort.</P> <P><B>Conclusion</B></P> <P>In elderly patients with advanced NSCLC excluding those receiving frontline anti-EGFR targeted agents, receiving initial combination chemotherapy compared to single-agent was associated with improved survival.</P> <P><B>Highlights</B></P> <P> <UL> <LI> This population-based study included all patients ≥70 years of advanced NSCLC. </LI> <LI> We examined if an upfront combination compared to singlet therapy is beneficial. </LI> <LI> Combination over singlet chemotherapy was associated with a reduced risk of death. </LI> <LI> Our results were consistent between overall and propensity score-matched cohort. </LI> </UL> </P>

금형가공을 위한 고속ㆍ고정도 가공기술의 연구

박희영(Heeyoung Park),고해주(Haiju Ko),윤헌구(Heonku Yun),정윤교(Yoongyo Jung) 한국생산제조학회 1999 한국공작기계학회 추계학술대회논문집 Vol.1999 No.-

간호대학생의 청력수준과 혈압측정의 정확도

김희영(Kim, Heeyoung),정영해(Chung, Young Hae),김윤희(Kim, Yun Hee) 기본간호학회 2016 기본간호학회지 Vol.23 No.3

Purpose: This study was done to examine the relationship between nursing students" hearing levels and accuracy of blood pressure (BP) measurements. Methods: Participants were 107 students who had finished their fundamental nursing practice and clinical practicum and who used earphones. Data were collected from October 13 to November 30, 2014 and from April 30 to May 19, 2015. Students’ hearing thresholds were examined using an audiometer. Students were assigned to take two BP measurements on BP measurement training simulators, but only the second measurement was used for analysis. Results: All nursing students" hearing levels were within normal range, and there was no significant difference found among the settings for diastolic blood pressure. However, there were significant differences between low systolic blood pressure (SBP) (below 120mmHg) and high SBP (over 140mmHg) (z=9.02, p=.011). Measurement error in SBP showed a positive correlation with hearing threshold in the right ear at frequencies of 1000Hz and 500Hz. Conclusion: Findings indicate that BP measurement error is correlated with hearing threshold at some frequencies. To reduce measurement error, nursing students should be provided with health education about hearing and to improve training for students, further studies need to examine other factors influencing BP measurement error.

Echocardiographic evaluation of efficacy of anacetrapib in CETP-apoB100 transgenic mice

Woori Jo,HeeYoung Lee,Eunah Kang,Mi Jeoung Choe,Hyun Ho Yun,Woo Suk Koh,Kil-Soo Kim,Heejaung Kim 한국실험동물학회 2018 한국실험동물학회 학술발표대회 논문집 Vol.2018 No.1

Strain and Strain Rate Echocardiography in Rat Myocardial Ischemia Reperfusion Injury Model

Woori JO,HeeYoung LEE,Eunah KANG,Mi Jeoung CHOE,Hyun Ho YUN,Seokyoung SONG,Heejaung KIM,Woo Suk KOH,ChoongYong KIM 한국실험동물학회 2017 한국실험동물학회 학술발표대회 논문집 Vol.2017 No.8

수업디자인 모형을 적용한 기본간호학실습 수업 개선의 실행연구

김희영(Kim, Heeyoung),김윤희(Kim, Yun-Hee) 기본간호학회 2015 기본간호학회지 Vol.22 No.2

Purpose: The purpose of this study was to improve the quality of fundamental nursing practice course. Methods: Participants were 132 students who took the fundamental nursing practice course at D university in N city. The study included processes of planning, action, observation, and reflection. Quantitative data were analyzed using SPSS 20.0 program and qualitative data were evaluated through content analysis. Results: The 12-step designing college courses model by Fink was applied in the planning. In the acting stage, the course was conducted according to the instruction in designing the course, students wrote reflective journals and the professor gave feedback to the reflective journal and the class observation journal was used for lessons. In the observation stage, the course evaluation was surveyed and analyzed, evaluations were positive with 47.1% of students positively evaluating the teaching strategy. In the reflecting stage, outcomes in course improvement were reflected on and, the number of students at the lower level-of-achievement decreased. Conclusion: Action research was a useful research method that could capture the quality improvement process in college courses. Expression of effort and passion to improve quality of education through action research in various ways and to share quality improvement strategies for nursing education are important.

플립러닝 적용 기본간호학실습 수업에 대한 실행연구

김희영(Kim, Heeyoung),김윤희(Kim, Yun-Hee) 기본간호학회 2017 기본간호학회지 Vol.24 No.4

Purpose: This study was conducted to design and implement a fundamental nursing practice based on flipped learning and to examine the effects. Methods: Participants were 57 students who were taking the fundamental nursing practice course at D university in N city. The study included processes of instructional design, action/effects and reflection. Data were analyzed using paired t-test with the SPSS/WIN 23.0. Results: In the instructional design stage, the class consisted of 3 parts: outside class (pre-learning), inside class (assessment, collaborative practice, peer review, reflection), after-class (self-directed practice, feedback). In the action/effects stage, the flipped learning was applied for 15 weeks according to the instructional design and then the effects of flipped learning were evaluated. Students showed a significant improvement in self-directed learning ability (t=-3.56, p=.001) and critical thinking disposition after the class (t=-3.72, p<.001). Finally, in the reflection stage, the researchers examined whether the four pillars of flipped learning occurred. Conclusion: Findings indicate that flipped learning applied in fundamental nursing practice is effective in improving self-directed learning ability and critical thinking disposition. The action research method was a useful way to foster professor’s educational competency as well as to verify effects of a new nursing education method.

Total Phenolic Contents and Biological Activities of Korean Seaweed Extracts

So Jung Kim,Seonock Woo,Heeyoung Yun,Seungshic Yum,Eunseok Choi,Jeong-Ryong Do,Jin-Ho Jo,Donggiun Kim,Sukchan Lee,Taek Kyun Lee 한국식품과학회 2005 Food Science and Biotechnology Vol.14 No.6