We compared the determinant factors of depression; among faculties in university, among junior and senior students, and gender differences among representative samples of faculties in university. Centre for Epidemiological Studies Depression (CES-D) consisting for 20 questions was used to assess the status of well-being of students. A total of 240 students participated and completed the assessment forms. The results were then compared and analyzed using the IBM SPSS Statistics version 21. There was no effect of faculty on depression (p=0.854). The association between year of study and depression was not statistically significant (p≥0.05). Likewise, the association between gender and depression was statistically not significant (p≥0.05). The study revealed absence of statistically significant effect of faculty on depression. It was also found that gender and depression as well as year of study and depression were not statistically significant.
Depression ; University students ; Gender Differences ; Determinant factors

Introduction: Smoking amongst medical students is rather common practice. According to a WHO report in 1989, the rate of smoking among the students of Hanoi Medical University was 38.3%. However, there has not been any investigation aimed at reevaluating the smoking situation among students of this university.\r\n', u'Objectives: To understand the smoking situation and factors that influences the students of Hanoi Medical University. \r\n', u'Subjects and methods: A questionnaire on tobacco use among youths, which was documented by the Institute of Global Tobacco Control, is used to collect the data. \r\n', u'Results: The smoking rate is 23.6%, (43.4% in men versus 1.3% in women). Average age of first use is about 19 years of age. Smoking trend increases across the age groups and academic years, while the intention of quitting cigarette decreases across age cohorts. 4 factors affecting smoking are belief, attitude to cigarette control, exposure to family and friends that smoke. The relationship between knowledge and smoking is not statistically significant. \r\n', u"Conclusion: Smoking among medical students in Hanoi Medical University is relatively prevalent. Early impaction is necessary to promote quitting cigarettes. Impact on knowledge is not enough; it also needs to focus on the surrounding environment of students through their family members and friends. Like direct interventions on the students' family and friends as both receivers and providers of intervention. Consolidating beliefs and attitudes to tobacco control also plays a critical part. \r\n", u'
Students ; medical students ; Hanoi Medical University ; Cigarette ; smoking cigarettes

PURPOSE: There is a negative assumption that patients are reluctant to have medical students be involved in their care. In response, students refrain from revealing to the patients that they are students in order that they may participate in patient-care. The purpose of this study is to determine whether patients' attitudes towards medical students is negative or positive, and to explore the level acceptable by patients of students' involvement in their care. METHODS: The study subjects were 90 inpatients in two university hospitals. The questionnaire consisted of 12 items covering patient's attitude toward student involvement in their care, acceptable patient-care activities in which students could be involved, and preference for being told if caregiver is a medical student. RESULTS: Patients' attitudes towards students' participation in their care were relatively more favorable than expected. 46.8% of patients reported that they would permit students to be involved up to and including simple non-invasive techniques. 76.2% of patients stated that they would allow students to participate in their future in-hospital care. Most patients preferred knowing that the caregiver was a medical student. CONCLUSION: The results of this study are reassuring. A higher than expected percentage of patients surveyed disclosed that they would accept medical students being involved in their care. Medical educators should provide a safe environment for medical students to be able to tell the patients, "I am a student doctor".
Caregivers ; Hospitals, University ; Humans ; Inpatients ; Students, Medical* ; Surveys and Questionnaires

BACKGROUND: The purpose of this study was to compare students' awareness of and satisfaction with clerkships in family medicine between a university hospital and a community hospital or clinic. METHODS: Thirty-eight 4th year medical students who were undergoing a clerkship in family medicine in the 1st semester of 2012 were surveyed via questionnaire. The questionnaire was administered both before and after the clerkship. RESULTS: External clerkships were completed in eight family medicine clinics and two regional hospitals. At preclerkship, participants showed strong expectation for understanding primary care and recognition of the need for community clerkship, mean scores of 4.3±0.5 and 4.1±0.7, respectively. At post-clerkship, participants showed a significant increase in recognition of the need for community clerkship (4.7±0.5, P<0.001). The pre-clerkship recognition of differences in patient characteristics between university hospitals and community hospitals or clinics was 4.1±0.7; at post-clerkship, it was 3.9±0.7. Students' confidence in their ability to see a first-visit patient and their expectation of improved interviewing skills both significantly increased at post-clerkship (P<0.01). Satisfaction with feedback from preceptors and overall satisfaction with the clerkship also significantly increased, but only for the university hospital clerkship (P<0.01). CONCLUSION: Students' post-clerkship satisfaction was uniformly high for both clerkships. At pre-clerkship, students were aware of the differences in patient characteristics between university hospitals and community hospitals or clinics, and this awareness did not change by the end of the clerkship.
Clinical Clerkship ; Community Medicine ; Hospitals, Community* ; Hospitals, University* ; Humans ; Primary Health Care ; Students, Medical

BACKGROUND: The purpose of this study was to compare students' awareness of and satisfaction with clerkships in family medicine between a university hospital and a community hospital or clinic. METHODS: Thirty-eight 4th year medical students who were undergoing a clerkship in family medicine in the 1st semester of 2012 were surveyed via questionnaire. The questionnaire was administered both before and after the clerkship. RESULTS: External clerkships were completed in eight family medicine clinics and two regional hospitals. At preclerkship, participants showed strong expectation for understanding primary care and recognition of the need for community clerkship, mean scores of 4.3±0.5 and 4.1±0.7, respectively. At post-clerkship, participants showed a significant increase in recognition of the need for community clerkship (4.7±0.5, P<0.001). The pre-clerkship recognition of differences in patient characteristics between university hospitals and community hospitals or clinics was 4.1±0.7; at post-clerkship, it was 3.9±0.7. Students' confidence in their ability to see a first-visit patient and their expectation of improved interviewing skills both significantly increased at post-clerkship (P<0.01). Satisfaction with feedback from preceptors and overall satisfaction with the clerkship also significantly increased, but only for the university hospital clerkship (P<0.01). CONCLUSION: Students' post-clerkship satisfaction was uniformly high for both clerkships. At pre-clerkship, students were aware of the differences in patient characteristics between university hospitals and community hospitals or clinics, and this awareness did not change by the end of the clerkship.
Clinical Clerkship ; Community Medicine ; Hospitals, Community* ; Hospitals, University* ; Humans ; Primary Health Care ; Students, Medical

PURPOSE: This study was designed to explore the perceptions of quality nursing care among nurses. METHOD: The data were analyzed using content analysis. The data were collected from 19 nurses who worked at diverse clinical areas in 8 general and university hospitals with over 400 beds. RESULT: 1. The attributes of quality nursing care were categorized into 7 hierarchies in the order of 'caring' (40.65%), 'specialty' (29.03%), 'nurse attainments' (15.48%), 'patient- centered nursing management' (6.45%), 'sincerity' (5.16%), 'kindness' (2.58%), 'satisfaction' (0.65%). 2. The concept of quality nursing care were defined as 'giving a satisfaction both to patients and nurses through patient-centered nursing management with specialty and caring in the ground of the kindness and sincerity'. CONCLUSION: Based on there findings, we suggest that the study results should be used for development of a quality assurance tool in nursing practice, patient care in hospital setting, education of nurses and nursing students. In addition, further repeated studies need to be conducted.
Education ; Hospitals, University ; Humans ; Nursing Care* ; Nursing* ; Patient Care ; Patient-Centered Care ; Students, Nursing

PURPOSE: The purpose of this study was to explore the experiences of perception of nursing students' rights participating in clinical practice.METHODS: This descriptive study carried out purposeful sampling. The participants were 17 nursing students, who had experience of participating in clinical practice for more than 12 weeks. Data were collected through focus group interviews. Twelve subjects were in their third year and five in their fourth year. All were practicing in secondary general and tertiary university hospitals. The data were analyzed using classical content analysis method.RESULTS: The researchers extracted 23 codes representing the nursing students' rights of clinical practice, which were grouped into 4 categories and 11 subcategories. The 4 categories were ‘deep disappointment as an alienated person in a clinical field’, ‘clinical practice experience that cannot be given up despite difficulties’, ‘need for a practice environment that takes care of nursing students’, and ‘hope for support, advocacy and respect’.CONCLUSION: Nursing students cannot claim rights at this time, but expressed the desire to build a support system so that these parts can be improved in the future. Therefore, nursing education institutions and clinical fields should maintain diverse efforts through reciprocal relationships.
Education, Nursing ; Emigrants and Immigrants ; Focus Groups ; Hospitals, University ; Human Rights ; Humans ; Methods ; Nursing ; Students, Nursing

BACKGROUND: Many Korean primary care physicians seem to be unfamiliar with symptoms and signs of Parkinson's disease (PD). We therefore investigated the status of Korean patients with PD before receiving a correct diagnosis of PD. METHODS: Using a questionnaire, we interviewed 102 patients with PD and their main care givers. The questionnaire included age at onset, first visiting medical facilities, time interval between the first visit and the correct diagnosis, and medical expenses. We also studied patients' and their main care givers' period of school education and monthly income. RESULTS: 102 (51 men, 51 women) patients with PD were included. Their mean age at the inquiry was 64.1 years old. For their first medical facilities, oriental medicine was chosen in 47 patients (46.1%), university hospitals in26 (25.5%), general hospitals in 14 (13.7%), private clinics in 11 (10.8%), and paramedical facilities in 4 (3.9%). The clinical diagnoses were not told in 48 (47.1%), stroke in 27 (26.5%), PD in 17 (16.7%), disc herniation in 4 (3.9%), arthritis in 4 (3.9%), and others in 2 (2%). It took the mean of 23.4 months from the first visit to the diagnosis of PD. PD patients with main care-givers making less money visited more numbers of medical facilities until they were diagnosed correctly. There was a negative correlation between the period of school education and medical expenses. CONCLUSIONS: To prevent unnecessary medical expenses and physical damage of Korean patients with PD, more education about PD for primary care physicians and medical students must be considered.
Arthritis ; Caregivers ; Diagnosis* ; Education ; Hospitals, General ; Hospitals, University ; Humans ; Korea ; Male ; Medicine, East Asian Traditional ; Parkinson Disease* ; Physicians, Primary Care ; Surveys and Questionnaires ; Stroke ; Students, Medical

BACKGROUND: The low cardiopulmonary resuscitation (CPR) survival rate in Korea might be associated with inadequate education, an insufficient number of trained medical personnel, the inappropriate management of instruments and drugs in CPR carts. The purpose of this study was to determine the current status of these factors in major Korean university hospitals. METHODS: We surveyed the following items among anesthesiologists at 13 university hospitals via E-mail. The items in the questionnaire were; 1) the time allocated to CPR instruction for medical students and anesthesiology residents in a year, 2) the organization, call system, and the role of each member of the CPR team, 3) the establishment of standard in-hospital CPR protocol, 4) the CPR cart items list and their exchange intervals, and 5) post-CPR reporting. RESULTS: The durations of education for anesthesiology residents and medical students were <3 and 7 hours per year. The CPR team designated on documents differed from actual practice. Only one hospital had a standard CPR protocol. Most hospitals had a list of CPR cart, contents, items but the exchange intervals were irregular. Post-CPR reports were written only in intensive care units and emergency rooms. The involvement of nurses in CPR was minimal. CONCLUSIONS: In conclusion, recommend that the following be established; more profound CPR education program for anesthesiology residents and medical students, appropriate clarification of duties for each CPR team members, a standard in-hospital CPR protocol, and the systematic maintenance of drugs, instruments, and CPR records.
Anesthesiology ; Cardiopulmonary Resuscitation* ; Education* ; Electronic Mail ; Emergency Service, Hospital ; Hospitals, University* ; Humans ; Intensive Care Units ; Korea ; Surveys and Questionnaires ; Students, Medical ; Survival Rate