DOI QR코드

DOI QR Code

The relationship between autonomy and decision-making ability in clinical dental hygienists

임상치과위생사의 자율성 정도와 의사결정능력과의 관계

  • Received : 2013.08.30
  • Accepted : 2013.12.03
  • Published : 2013.12.30

Abstract

Objectives : The purpose of the study is to improve autonomous decision-making ability by analyzing the relationship between autonomy and decision-making ability. Methods : The subjects were 176 dental hygienists in Busan. Self-reported questionnaire was fill out from May 2012 to January 2013. Results : The average of the degree of autonomy was $2.20{\pm}0.29$. Buddhists showed the highest score of $2.37{\pm}0.37$ (p<0.05). Buddhists had the higher education than other religions (p<.05). Clinical decision-making ability was $2.21{\pm}0.25$. Among the subcategories, statistically significant differences (p<.05) was shown by gender, degree of education, and religion in the domain of "Exploration of Choice and Alternatives"; Buddhists showed a higher score in the domains of "Assessment and Re-evaluation of Decisions" and "Review of Values and Goals," with significant difference of p<.05. Autonomy and clinical decision making revealed a positive correlation in the categories "Assessment and Re-evaluation of Decisions" (r=.518, p=.000), "Review of Values and Goals" (r=.610, p=.000), and "Investigation of Information and Synchronization of New Information" (r=.314, p=.000). Conclusions : To improve the performance of dental hygienists, working systems and training will be intensified to develop the autonomy and clinical decision making.

Keywords

autonomy;clinical dental hygienists;decision making ability

References

  1. Joe MJ, Lee ES, Park JR, Jeong JE, Gang HS, Han SJ, et al. Clinical dental hygiene care. Seoul: Komoonsa; 2012: 1
  2. Ministry of Health and Welfare[Internet]. [cited 2013 July 05]. Available from http://mw.go.kr/front_new/al/sal0301vw.jsp
  3. Ministry of Health and Welfare. sealant[Internet]. [cited 2013 July 06]. Available from http://mw.go.kr/front_new/al/sal0301vw.jsp
  4. Ministry of Health and Welfare. scaling[Internet]. [cited 2013 July 06]. Available from http://mw.go.kr/front_new/al/sal0301vw.jsp
  5. Joe YS, Bae HS, Lee SY. Clinical dental hygiene care. Seoul: Namseoul University; 2013: 4-6.
  6. Choi HJ. (A) Study on nurse's decision making process and related factors for patient care[Doctoral dissertation]. Seoul: Univ. of Seoul National, 1997.
  7. Baek MK. Relationship between level of autonomy and clinical decision-making in nursing scale of E.T nurse[Master's thesis]. Seoul: Univ. of Yonsei, 2004.
  8. Hwang IJ. (A) Study on nurse's decision making process and related factors for patient care[Master's thesis]. Seoul: Univ. of Yonsei, 2004.
  9. Blegen MA, Mueller CW. Nurses' job satisfaction: a longitudinal analysis, Nursing & Health. 1987; 10: 227-37. https://doi.org/10.1002/nur.4770100405
  10. Mun KH. (A) study on restructuring to a patient-oriented primary care team model[Doctoral dissertation]. Seoul: Univ. of Yonsei, 2004.
  11. Schutzenhofer KK. The development of autonomy in adult women. J Psychological Nur Mental Health Serv 1983; 21(4): 25-30.
  12. Han KJ, Lee EO, Park SA, Ha YS, Kim GS. Measurement of nursing outcomes. Seoul: Seoul National Univ Publisher; 1994: 12-26.
  13. Jenkins HM. A research tool for measuring perceptions of clinical decision making. J Professional nurs 1985; 1(4): 221-9. https://doi.org/10.1016/S8755-7223(85)80159-9
  14. Kim HJ, Jaung AH. Analysis relationship of Critical Thinking, Clinical Decision Making and Job Satisfaction of Dental Hygienists. J Korea Cont Asso 2013; 13(2): 322-30. http://dx.doi.org/10.5392/JKCA.2013.13.02.322. https://doi.org/10.5392/JKCA.2013.13.02.322
  15. Park MS. The level of professional autonomy and clinical decision making abilities of advanced practicenurses[Master's thesis]. Ulsan: Univ. of Ulsan, 2006.
  16. Yang JS. Relationship between professional nurse autonomy and nursing performance[Master's thesis]. Seoul: Univ. of Yonsei, 2004.
  17. Lee HK. (A) Study of the autonomy and professional self concept of clinical nurses[Master's thesis]. Seoul: Univ. of Yeungnam, 2001.
  18. Sung MH, Eum OB. Professional Autonomy and Clinical Decision Making Ability in Clinical Nurses. J Korean Acad Fundamentals Nurs 2010; 10(2): 274-81.
  19. Jeong SC, Jeong DY. Relationship between critical thinking disposition, clinical decision making and job satisfaction of cancer center nurses. J Korean Acad Nurs Admin 2011; 17(4): 443-50. https://doi.org/10.11111/jkana.2011.17.4.443