1.Current Status of Women's Health Nursing Practicum and Direction.
Jeung Im KIM ; Heesun KANG ; Somi PARK ; Sukhee AHN
Korean Journal of Women Health Nursing 2014;20(2):173-183
PURPOSE: This study was done to examine current status of women's health nursing practicum and identify necessary core nursing skills in this practicum area. Moreover, one syllabus and evaluation sheets for women's health nursing clinical practicum at one university were reviewed. METHODS: A survey design was used with 81 educators who were teaching maternity or women's health nursing and its practicum. RESULTS: Most clinical sites for practicum were university hospitals (43.0%), women's hospitals (32.7%), or general hospitals (17.3%); but the majority (77.8%) of educators expressed difficulty in finding appropriate practicum places. Common teaching and learning methods were clinical guides for practicum (44.6%), e-learning content (30.2%), and simulation (23.6%). Core nursing skills for this practicum included assessment of stages of labor, preparation of uterine-fetal monitoring devices and interpretation of results, monitoring uterus and fetal activity, and performing Leopold's maneuver. For postpartum care, the following were included; postpartum fundal massage, assessment of breast engorgement, fundus height, and episiotomy sites, inserting urinary catheter, and teaching the use of patient-controlled analgesia. CONCLUSION: To improve the quality of clinical practicum, development of a clear course syllabus, standardized clinical guidebook, and core nursing skills is required and should be shared with all relevant nurse educators.
Analgesia, Patient-Controlled
;
Breast
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Clinical Competence
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Education
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Episiotomy
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Female
;
Fetal Movement
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Hospitals, General
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Hospitals, University
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Infant, Newborn
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Learning
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Massage
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Maternal-Child Nursing
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Nursing*
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Postnatal Care
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Postpartum Period
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Pregnancy
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Urinary Catheters
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Uterus
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Women's Health*
2.Transoral Endoscopic Diverticulostomy of Zenker’s Diverticulum With Energy Device
Hyunbum KIM ; Yeonhee IM ; Heesun AHN ; Younghak PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 2022;65(4):226-230
Zenker’s diverticulum (ZD) is an abnormally protruding space in the Killian triangle due to weakness between the inferior pharyngeal constrictor muscle and cricopharyngeal muscle. A rare disease that is found more often in the West than in the East, it occurs in the elderly, inducing dysphagia, globus symptom, reflux and etc. For the treatment, various transoral endoscopic techniques have been developed over the past 20 years: these include flexible and rigid endoscopy are used and several devices like scissors, staplers, CO2 laser and energy device. We report here the first case using the endoscopic energy device assisted diverticulostomy of ZD in Korea. Transoral endoscopic treatment is less invasive than classical transcervical approach treatment, showing better clinical course and results. Both rigid endoscope and energy device are also very familiar to head and neck surgeons, so this approach can be one of the best treatments for ZD.