• 제목/요약/키워드: ACLS

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시뮬레이션을 활용한 전문심장구조술(ACLS) 실습프로그램의 효과 - 응급구조과 학생을 대상으로 - (Effect of simulation-based practice program on ACLS study of paramedic students)

  • 피혜영
    • 한국응급구조학회지
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    • 제17권3호
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    • pp.139-147
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    • 2013
  • Purpose: The purpose of the study is to confirm the effect of ACLS program using simulations and understanding self-efficacy, practice satisfaction, learning attitude, and interest in ACLS after theory classes and simulation-based practice. Methods: A non-equivalent simulation-based practice post test design was used. The participants were 28 paramedic students. The students participated in simulation-based practice for 3 weeks and conventional instruction class for 12 weeks. Results: The students showed higher level of self-efficacy(p=.043), practice satisfaction(p<.001) and learning attitude(p=.003) compared to the conventional lecture students. Conclusion: Level of self-efficacy after simulation-based practice for ACLS was higher than that of self-efficacy after conventional instruction classes. Level of practice satisfaction was also higher. Academic achievement after simulation-based practice was higher than that in conventional instruction classes.

ACLS의 개선을 위한 전지(剪枝)방법의 비교 (Comparison of Pruning Method for Revised Analog Concept Learning System)

  • 임성식;권영식;김남호
    • 산업공학
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    • 제10권2호
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    • pp.15-28
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    • 1997
  • Knowledge acquisition has been a major bottleneck in building expert systems. To ease the problems arising in knowledge acquisition, analog concept learning systems(ACLS) has been used. In this paper, in order to avoid the overfitting problem and secure a good performance, we propose the revised ACLS, which pruning methods -cost complexity, reduced error, pessimistic pruning and production rule- are incorporated into and apply them to the credit evaluation for Korean companies. The performances of the revised ACLS are evaluated in light of the prediction accuracy. To check the effect of the training data sampling on the performance, experiments are conducted using the different proportion of the training data. Experimental results show that the revised ACLS of combining cost complexity pruning with reduced error pruning performs best among original ACLS and other methods.

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전문심장소생술 시뮬레이션 실습교육 경험 만족도에 관한 연구 -응급구조학과 학생대상- (Study about the satisfaction with simulation practice course experience on ACLS of paramedic students)

  • 유순규;권혜지
    • 한국산학기술학회논문지
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    • 제16권10호
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    • pp.6647-6654
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    • 2015
  • 본 연구는 응급구조학과 학생대상 한국판 시뮬레이션 경험 만족도 측정도구 분석을 목적으로 응급구조학과 학생 총 111명을 대상으로 ACLS시뮬레이션 실습교육 후 학생들이 느끼는 만족도를 측정 후 분석하였다. 또한 시뮬레이션 교육에 대한 호감도, 필요성, 전문심장소생술 이론 성적이 시뮬레이션 실습교육 만족도에 미치는 영향 및 상관관계를 확인하고자 한다. 측정된 만족도는 일원배치분산분석을 통하여 분석하였으며, 그 결과 대부분의 학생들이 높은 만족도를 나타냈다. 시뮬레이션 교육에 대한 호감도 및 필요도가 높을수록 만족도 측정도구의 세 가지 요인 모두에서 높게 나타났으나, ACLS이론 성적과 만족도의 상관관계는 성립되지 않았다. 향후 ACSL 시뮬레이션을 통한 교육법은 유지되어야 하며 지속적으로 발전해야 한다.

진정법을 준비하는 치과의사의 자격요건 : 기본생명구조술과 전문심장구조술 (The Qualification of Dentist for Sedation : BLS and ACLS)

  • 김종빈;유승훈;김종수
    • 대한소아치과학회지
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    • 제42권1호
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    • pp.80-86
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    • 2015
  • 진정법을 시행하는 치과의사는 반드시 발생할 수 있는 응급상황에 적절히 대처할 수 있는 능력과 환경을 갖추어야 한다. 2010년 치의학회에서 발간한 진정법 가이드라인에서 진정법을 준비하고 책임지는 치과의사는 기본생명구조술과 전문심장구조술 자격을 유지할 것을 요구하고 있다. 국내에서는 대한심폐소생협회가 2004년부터 기본생명구조술 및 전문심장구조술을 위한 Provider, Instructor 양성 과정을 진행하고 있다. 저자는2014년에 이 과정들을 이수하면서 과정에 대한 소개와 경험한 내용을 공유하고자 하였다. 기존 교육이 응급의료를 담당하는 사람들에게 초점이 맞추어 졌기에, 향후 치과의사의 특수성에 보다 적합한 교육 과정 개발이 필요하다고 사료된다.

블렌디드 러닝 기반 시뮬레이션 교육이 간호대학생의 전문심폐소생술 지식, 수행 능력, 학습 만족도에 미치는 효과 (The Effect of Simulation Education based on Blended Learning on Nursing Students' Knowledge, Performance, Learning Satisfaction to ACLS)

  • 이경희
    • 산업융합연구
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    • 제20권10호
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    • pp.225-232
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    • 2022
  • 본 연구는 블렌디드 러닝 기반 시뮬레이션 교육이 간호대학생의 전문심폐소생술 지식, 수행 능력, 학습 만족도에 주는 효과를 파악하기 위해 실시되었다. 연구 방법은 비동등성 대조군 전후설계이었다. 연구대상은 C대학 간호학과 4학년 학생 88명으로 하였다. 연구 기간은 2021년 9월 1일부터 12월 31일까지이었고 자료는 SPSS 22.0 프로그램을 이용해 X2 test, independent t-test로 분석하였다. 연구 결과 실험군의 전문심폐소생술의 수행 능력(t=-9.843, p=.001)과 학습 만족도(t=-3.484, p<.001)가 대조군에 비해 유의하게 높았다. 결론적으로 블렌디드 러닝 기반 전문심폐소생술 시뮬레이션 교육은 간호대학생의 수행 능력과 학습 만족도를 향상시키는 효율적인 교수법임을 시사하였다.

The Plural Subject Account of Group Beliefs Using Grounding Concept

  • Koo, Ja-Rok
    • 한국컴퓨터정보학회논문지
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    • 제20권11호
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    • pp.17-23
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    • 2015
  • In this paper, we propose a plural subject account of group beliefs using grounding concept, which bridges the gap between the two main approaches of ACLs, the mentalistic accounts and the social commitment accounts. The key idea of this Gilbert's plural subject account of group beliefs is to extend the grounding logic into the common ground framework for the semantics of ACLs which is fully verifiable, fully formalized and easily applicable. Thus, we formalize the proper group belief concept using common ground framework and we define the semantics of the primitive speech acts of FIPA-ACL such as inform, request and confirm as case studies. Also, we illustrate our framework on an e-commerce agent purchase negotiation and compare this proposed framework with two traditional semantics for ACLs.

스마트폰 어플리케이션을 활용한 전문심폐소생술 시뮬레이션 재학습이 간호사의 지식 및 교육 만족도에 미치는 효과 (The Effects of an Advanced Cardiac Life Support Training via Smartphone's Simulation Application on Nurses' Knowledge and Learning Satisfaction)

  • 표미연;김정연;손주온;이은숙;김향숙;김계옥;박혜정;김민주;안기현;양정란;유준희;김영아;김효진;최모나
    • 임상간호연구
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    • 제18권2호
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    • pp.228-238
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    • 2012
  • Purpose: The purpose of this study was to examine how an Advanced Cardiac Life Support (ACLS) simulation application via smartphone effects nurses' ACLS knowledge and learning satisfaction. Methods: The participants were selected from nurses in medical Intensive Care Unit (ICU), surgical ICU and emergency room. The experimental group consists of fifty nurses who were self-learned with ACLS simulation application via smartphone and the control group of seventy-one nurses who used traditional learning materials. Outcome variables included nurses' knowledge and learning satisfaction which were collected before and after the intervention. Results: The scores of ACLS knowledge were higher in the control group compared to the experimental group (p=.001) while learning satisfaction showed no statistical difference (p=.444). In learning satisfaction, the experimental group showed higher interest than the control group (p=.019) while the control group rated higher on the item, 'the contents of education was reliable' (p=.007). Conclusion: ACLS knowledge score was graded higher in control group that used traditional learning method than the experimental group that used the smartphone application. This study showed that training with the new material significantly increased nurses' interest in ACLS education. Hence, more applications for smartphones should be developed to provide self-learning environment for nurses and improve care quality.

병원 내 심정지 상황에서 응급의학과 이외 전공의에 의해 시행된 전문 심장소생술의 현황 (The status of advanced cardiac life support performance by resident belonging to other department except for department of emergency medicine in in-hospital cardiac arrest)

  • 조현우;우재혁;임용수;장재호;조진성;최재연;양혁준;현성열
    • 대한응급의학회지
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    • 제29권5호
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    • pp.485-492
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    • 2018
  • Objective: This paper reports the status of the advanced cardiac life support (ACLS) according to the guidelines by residents belonging to other departments other than the department of emergency medicine. The differences in status between the junior group and senior group was also investigated according to grades of residents. Methods: The ACLS performance for in-hospital cardiac arrest cases of one academic hospital, except for the cases occurring in intensive care unit between November 2015 and October 2017, were analyzed retrospectively. Data included the characteristics of residents, patients' outcomes, ACLS performance, and conventional treatment having discordance with the ACLS guidelines. Leaders during cardiopulmonary resuscitation (CPR) were divided into a junior group and senior group. Results: A total of 152 cases were enrolled in this study. Of these, 131 cases (86.2%) showed at least one treatment with inconsistency from the guidelines and the incidence of discordant treatment was similar in the two groups (55 [85.9%] vs. 76 [88.4%], P=0.657). Implicit use of sodium bicarbonate was more frequent in the senior residents group (odds ratio [OR], 3.04; 95% confidence interval [CI], 1.36-6.81). On the other hand, no use of a defibrillator was less frequent in the senior residents group (OR, 0.14; 95% CI, 0.03-0.81). Conclusion: In both groups, the rate of discordance with the ACLS guidelines during CPR were high. The rate of implicit use of sodium bicarbonate and no use of defibrillator were significantly different in the two groups. A customized education strategy for ACLS is needed for each group.

아주 연민사랑척도 개발: Sprecher와 Fehr의 Compassionate Love Scale의 한국판 단축형 (The Development of the Ajou Compassionate Love Scale: A Korean Abbreviation of Sprecher and Fehr's Compassionate Love Scale)

  • 김완석;신강현
    • 한국심리학회지ㆍ건강
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    • 제19권1호
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    • pp.407-420
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    • 2014
  • 본 연구에서는 21문항짜리 연민적 사랑척도(CLS: Compassionate Love Scale, Sprecher & Fehr, 2005)에 대한 비판적 검토를 토대로 두 개의 연구를 통해 12문항으로 단축한 한국판 척도를 친지판과 일반인판으로 제시하였다. 연구1에서는 CLS의 일반인판 21문항을 번안하여 207명의 대학생에게 실시한 자료를 통해 각 문항의 변별력, 내적합치도에 미치는 영향 등을 토대로 21문항 척도의 요인구조와 신뢰도를 거의 손상시키지 않는 12문항을 선별하였다. 연구2에서는 269명의 대학생 자료를 수집하여, 12문항 척도의 요인구조의 안정성과 신뢰도를 재검토하였고, 관련된 다른 척도들과의 상관계수를 검토하였다. 그 결과, 본 연구에서 제시한 한국판 아주 연민사랑척도(ACLS; Ajou Compassionate Love Scale)는 원척도에 비해 문항수가 12개로 훨씬 짧으면서도 구조적으로 동일하고, 신뢰도가 .90을 넘으며, 다른 척도들과의 상관계수도 이론적 예상과 일치하는 효율적이며 타당한 척도로 나타났다. 연구의 한계와 함의에 대해 논의하였다.

Felder-Silverman 학습유형에 따른 전문심장소생술 시뮬레이션 교육의 지속효과 (Continuous effect of advanced cardiovascular life support simulation education according to Felder-Silverman learning style)

  • 김유정;박미정;함영림
    • 한국응급구조학회지
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    • 제20권3호
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    • pp.21-35
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    • 2016
  • Purpose: The purpose of the study was to investigate the continuous effect of advanced cardiovascular life support (ACLS) simulation education according to Felder-Silverman learning style. Methods: A self-reported questionnaire was completed by 94 students of emergency medical technology and nursing. There were 50 female students (53.2%) and 88 students (93.6%) had basic life support certification. The study instruments included knowledge, performance, and confidence. Data were analyzed using SPSS v. 20.0. Results: The learning style consisted of reflective type (51.1%), sensory type (76.6%), visual type (63.8%), and sequential type (64.9%). There was a significant difference in continuous effect on performance by learning type. Conclusion: It is necessary to identify the learning style of students before simulation education in order to maintain continuous effect of ACLS education.