PURPOSE: This study was done to explore time management behavior and self-efficacy in nursing students and to analyze the correlations between time management behavior and self-efficacy. METHODS: The data were collected from May 12 to 20 2010 using self-report questionnaires about time management behavior and self-efficacy of nursing students. The data from 508 students were analyzed using descriptive analysis, K-means clustering, and one-way ANOVA. RESULTS: The mean score for time management behavior was 3.03+/-1.11 out of a possible 5, and self-efficacy was 3.65+/-0.42 out of a possible 6. Four groups were identified according to time management behavior. The four groups were significantly different on self-efficacy total (p=<.05) and self-regulatory efficacy (p=.<005). The group with the highest score for time management had the highest score for self-efficacy. CONCLUSIONS: The results of the study indicate that time management behavior styles are related to self-efficacy for nursing students. Therefore, time management education programs based on the time management behavior styles are needed to increase self-efficacy in nursing students.
Humans ; Surveys and Questionnaires ; Students, Nursing ; Time Management

Timing of surgery is important for prognosis. In patients with acute abdomen, the urgency means timing of surgery is even more important. However early emergency surgery is often logistically daunting because of constraints on resources such as operating room, supporting anesthesiologist, and nurses. Therefore it is worthwhile reviewing the timing of surgery in the patient with acute abdomen. The authors discuss the ideal time to surgery based on their experience and a review of the literature. For appendicitis and for peptic ulcer perforation, the authors recommend surgery within 24 hours from symptom onset. However, for other acute abdomen disease, evidence for a consensus is not as strong. If a surgeon faces a large number of emergent patients, if resources are limited, the surgeon must decide priorities for surgery. Therefore, an emergency triage system is needed, based on expert opinion and evidence. Although several triage systems are described in the literature, there is some controversy. If we follow a triage system, utilization of resources will be more efficient and acute care surgery might be performed within the ideal time.
Abdomen, Acute* ; Appendicitis ; Consensus ; Emergencies ; Expert Testimony ; Humans ; Operating Rooms ; Peptic Ulcer Perforation ; Prognosis ; Time Management ; Time-to-Treatment ; Triage

In 1994, Ajou University Medical Center implemented a hospital information system with a relational database management system(Ingres) and underwent migration using newly improved M technology in 1996. In this paper, a comparison study of database performance between M and RDBMS is presented. Three different types of comparative studies were carried out on the performances of Ingres, Oracle 7.1 (Oracle) and M-Technology(Mumps). Two types of M are adopted to compare with Ingres: Standard M and Open M. The open M was used for DBMS and Standard M was used for writing applications. The system response time was compared by a simple bulk test in a simulated HIS environment. It was found that the performance of Open M was about 100 times faster than that of Ingres. In the live HIS environment, the performance of Open M was found to be 2-8 times faster than Ingres depending on the number of globals involved in the processing of transactions. The performance of Standard M and MSM-SQL was compared with that of Oracle by a simple bulk test in a simulated HIS environment and found that Standard M was more than 100 times faster than Oracle and MSM-SQL was on an average. 1.7 times faster than Oracle. The M was faster than Ingres and Oracle. Despite the cons of RDBMS already discussed, we have found very few pros of RDBMS if M is applied. We have found that conventional RDBMS requires redundant hardware resources which result in slow processing time which HIS manifests in a serious bottleneck during the course of our development and implementation. The performance of M strongly implies that M is most appropriate DB in a HIS environment.
Academic Medical Centers ; Database Management Systems* ; Hospital Information Systems* ; Reaction Time ; Writing

PURPOSE: The purpose of this study was to explore the degree of delay in waiting time, and the relationships of waiting time, patient satisfaction, and revisiting intention of outpatient in general hospitals. METHODS: The data were collected from June 22 to July 4, 2009. A total of 536 outpatients who visited 21 clinics of a general hospital were subjected to evaluate the waiting time. The survey tools used were the Korea Health Industry Development Institutes (2008) tool for patient satisfaction and Reichheld & Sasser (1990) for revisiting intention. The data were analyzed by SAS version 9.1, descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. RESULTS: The mean patient's waiting time was 28.3+/-30.7 min, the revealed mean score of patient's satisfaction was 2.92, and the revisiting intention showed was 4.56. The waiting time was negatively correlated with patient's satisfaction (r=-.10, p<.019). Patient's satisfaction was positively correlated with revisiting intention (r=-.51, p<.001). CONCLUSION: Waiting time management is an important factor of increasing patient's satisfaction and revisiting intention in general hospitals. It is mandatory that reservation management systems take into account the patient's characteristics of visiting outpatient department in order to shorten the real waiting time.
Academies and Institutes ; Hospitals, General ; Humans ; Intention ; Korea ; Outpatients ; Patient Satisfaction ; Phenothiazines ; Time Management

PURPOSE: Cognitive researchers assume that learning strategies are related to three types of learning processes: 'surface learning,' 'strategy learning,' and 'deep learning.' A 'deep learning' approach is widely accepted to be associated with long-term success in medical school, contributing to the development of doctors who take desirable approaches to self-directed learning and studying in medical practice. Therefore, this study measured how medical students learn and determined whether the use of learning strategies differs between high and low academic performers. In addition, we compared medical college students with graduate medical school students with regard to the use of learning strategies. METHODS: To explore the learning strategies of students and their relation to academic achievement, we performed LIST (Learning Strategies in Higher Education Inventory) in a sample of 111 Year 1 medical students. RESULTS: Medical students with high academic performance scored higher in most learning strategies than low performers. Additionally, learning strategies were used more frequently by graduate medical school students than medical students, specifically with regard to organization, elaboration, critical thinking, and time management. CONCLUSION: We conclude that learning strategy instruments provide information that enables medical students to optimize their study. To foster deep learning and intrinsic motivation in students, it might also be necessary to adopt more changes in teaching and assessment in medical schools.
Achievement ; Humans ; Learning ; Motivation ; Schools, Medical ; Students, Medical ; Thinking ; Time Management

It aimed to compare the study skills of two groups of undergraduate pharmacy students in the School of Medicine, University of Zambia using the Study Skills Assessment Questionnaire (SSAQ), with the goal of analysing students' study skills and identifying factors that affect study skills. A questionnaire was distributed to 67 participants from both programs using stratified random sampling. Completed questionnaires were rated according to participants study skill. The total scores and scores within subscales were analysed and compared quantitatively. Questionnaires were distributed to 37 students in the regular program, and to 30 students in the parallel program. The response rate was 100%. Students had moderate to good study skills: 22 respondents (32.8%) showed good study skills, while 45 respondents (67.2%) were found to have moderate study skills. Students in the parallel program demonstrated significantly better study skills (mean SSAQ score, 185.4+/-14.5), particularly in time management and writing, than the students in the regular program (mean SSAQ score 175+/-25.4; P<0.05). No significant differences were found according to age, gender, residential or marital status, or level of study. The students in the parallel program had better time management and writing skills, probably due to their prior work experience. The more intensive training to students in regular program is needed in improving time management and writing skills.
Surveys and Questionnaires ; Humans ; Marital Status ; Motivation ; Pharmacy* ; Students, Pharmacy* ; Test Taking Skills* ; Time Management ; Writing ; Zambia*

PURPOSE: For medical students to have a meaningful learning experience, the curriculum must integrate what students are learning in class with the skills and knowledge required in the clinicalsetting. To satisfy these needs, an integrated curriculum (IC) has been operating at Chonnam National University Medical School since 1999. The purpose of this study was to evaluate the changes in IC students during two implementation periods, the first in 2001 and the second in 2004. This study focused on the student viewpointin order to create an authentic IC program. METHODS: Questionnaires were used to evaluate the differences in the student perception of IC. The content of the questionnaire dealt with the appropriateness of time management, coherence of the content, teachinglearning method, and IC evaluation. RESULTS: There were positive responses from the second implementation period than from the first, for almost all sub-items. However, the results showed that IC has to be reinforced by instructors teaching a coherentcontent, by using a variety of teaching-learning methods, by having the students participate actively, and by offering holistic and integrated assessments. CONCLUSION: The following three steps are recommended for the improvement of IC: facilitate an IC committee, develop teaching-learning methods, and guide student participation.
Curriculum* ; Humans ; Jeollanam-do ; Learning ; Schools, Medical ; Students, Medical ; Time Management ; Surveys and Questionnaires

PURPOSE: The aim of this study is to identify the status of clerkship education and its evaluation in Korea. METHODS: Questionnaires were sent to 943personnel in 23clinical departments of 41medical schools nationwide from April, 1 to April 10, 2004. We analyzed the 638 questionnaires that were collected from 39medical schools. RESULTS: The most frequently used methodologies for clerkship education were small group lecture(17.1%), observation of ambulatory care(15.7%), seminar(12.9%), observation and support of operation(12.4%), ward rounding(12.1%). The relative proportion of educational methodologies was varied according to the type of clinical departments. Most of the clinical clerkship activity was conducted in the university hospital. Also, the clerkship activities were educated by professors(57.8%), fellows(9.1%), residents(30.6%) and others(2.5%). The evaluation methods were written exam(21.8%), attendance(17.5%), report(14.0%), and oral exam(12.0%). In terms of evaluating items, acquirement of clinical knowledge has been mainly tested. However, students' ability to communicate, build human relationship, and clinical skills has been less frequently evaluated in most of medical schools. CONCLUSION: It is most likely that the current status of clerkship education and its evaluation in Korea is focused on the education and assessment of clinical knowledge. To improve this, the following areas need to be enriched: interaction between faculty and students, experience-based clerkship, effective feedback, time management, objectivity of evaluation, performance evaluation.
Clinical Clerkship ; Clinical Competence ; Education* ; Evaluation Studies as Topic ; Humans ; Korea ; Schools, Medical* ; Time Management ; Surveys and Questionnaires

PURPOSE: The aim of the study is to evaluate the possibility of giving student interns intern- level responsibilities and to discuss the various obstacles. METHODS: Modifications were made to the student internship program, including rotations through major departments, for 4th-year medical students and was conducted at the College of Medicine, Kangwon National University. We surveyed 49 students for the evaluation of the program, administered a checklist evaluation for their performance, and interviewed two focus groups of faculties and residents to find out the obstacles of the program. RESULTS: Most of the students answered that the program was satisfactory and necessary. Of the students, 71.4% performed as an acting intern. The mean score of the students' performance was 84.1. The students had the most difficulty with time management and making diagnostic and management decisions. Initially, at the start of the program, both students and residents were somewhat confused about the student interns' duties. They suggested that definite learning objectives, legal and institutional support to students' clinical practice, and announcements to patients and hospital staff should be put in place prior to the implementation of such a program. CONCLUSION: We discovered that it was possible for student interns to perform at the level of interns. We suggest that systemic improvements continue for the establishment of such student internship program.
Checklist ; Education, Medical ; Focus Groups ; Gangwon-do ; Humans ; Internship and Residency* ; Learning ; Students, Medical ; Time Management

OBJECTIVE: The purposes of this study were to understand nurses' experience after the computerization of nursing care as a part of hospital information systems and to explore the change in nursing care time. METHODS: This study used a qualitative approach. The subjects were ten nurses by purposeful snowball sampling. In-depth interview was performed. All interviews were tape-recorded and transcribed verbatim. The data were analyzed using qualitative theme analysis. RESULTS: Nurses took into account the computerization as a 'benefit'. Their experiences after computerization were categorized into process and outcome impact. The emerged themes in nursing care process were 'accuracy', 'rapidness', and 'time saving in indirect nursing care'. Those in nursing care outcome included 'leisure', 'satisfaction', 'burden', and 'threatening privacy'. In addition, nurses' personal characteristics was the most important factor affecting the efficient use of saved time due to decrease of indirect nursing time to increase direct nursing care. CONCLUSION: Maximizing the positive impact of computerization requires redesign of nursing job description and work pattern, and education of efficient time management for individual nurse.
Education ; Hospital Information Systems* ; Humans ; Job Description ; Nursing Care* ; Nursing Staff ; Nursing* ; Time Management