ABSTRACT
PURPOSE: This study aims to investigate the influence of personality type, self-leadership, and positive psychological capital on the flow of learning of nursing students.METHODS: The sample consisted of 179 nursing students. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé's test, Pearson's correlation coefficient analysis, and Hierarchical multiple regression.RESULTS: Upon analysis, the relative influence of the variables that can improve learning flow, the influencing variables, were identified as self-leadership and self-efficacy.CONCLUSION: To increase the learning flow, supportive measures and strategies that increase positive psychological capital should be developed, successful cases of self-leadership be shared, and be incorporated into a culture that promotes learning flow. And to promote the learning flow, it needs political and environmental improvement, and institutional support of at the college level.
Subject(s)
Humans , Leadership , Learning , Nursing , Students, NursingABSTRACT
Hepatocellular carcinoma (HCC) is one of the major cancers with a high incidence and mortality in Korea. A Korean multidisciplinary collaborative committee consisting of hepatologists, radiologists, epidemiologists and family medicine doctors systematically reviewed clinical practice guidelines in the world and literatures. The level of evidence for each recommendation was assessed and discussed to reach a consensus. Meta-analysis was also conducted to evaluate the grade of recommendation for the five key questions. Several randomized controlled studies and cohort studies showed a survival gain associated with surveillance for those at risk of developing HCC. The target populations for HCC surveillance were identified as hepatitis B virus or hepatitis C virus carriers and cirrhotic patients, since numerous studies revealed that these patients have significantly higher risk of HCC compared with non-infected or non-cirrhotic controls. Individual surveillance strategy according to treatment history or degree of fibrosis in patients with viral hepatitis remains to be settled. Based on several cohort and randomized studies, a surveillance interval of six months was recommend. The starting age of surveillance was determined as 40 years from the epidemiologic data. Although ultrasonography (US) is the mainstay for detection of HCC, its sensitivity is not fully accepted. Measurement of serum alpha-fetoprotein can complement US examination, increasing the sensitivity of HCC detection. The recommendation for HCC surveillance is that those with hepatitis B virus (or hepatitis C virus) infection or cirrhosis should have liver US and serum alpha-fetoprotein measurement every six months from 40 years of age or at the time of diagnosis of cirrhosis.