• Title/Summary/Keyword: 보건실무

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Roles of Primary Health Care Facilities for AIDS Control (AIDS관리를 위한 일선보건의료기관의 역할)

  • 최성엽
    • Korean Journal of Health Education and Promotion
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    • v.5 no.1
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    • pp.21-24
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    • 1988
  • 1. 보건소와 관리 중심 기관의 기능상의 직결이 필요하다. 2. 환자 및 양성자의 자발적 피관리 참여를 유도한다. 3. 일차 계획적인 전문진료 기관의 선정 및 그에 관한 국가 보조가 요망된다. 4. 현실적이고 장기적인 국민에 대한 에이즈 보건 교육 및 홍보가 필요하다. 5. 에이즈 관리에 관련된 실무 근무자들의 실무 교육이 필요하다. 6. 에이즈에 관련된 과학적 연구의 향상을 위한 적극적이고 장기적인 후원이 필요하다.

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A study on the improvement of educational evaluation system in dental technician using Delphi technique (델파이 기법을 이용한 치과기공사의 교육 평가 시스템 개선 방안에 관한 연구)

  • Kim, Won-Soo;Kim, Ki-Baek;Nam, Sang-Yong;Jung, Jae-Kwan;Cho, Mi-Hyang;Jeoung, Su-Ha;Kim, Jae-Hong
    • Journal of Technologic Dentistry
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    • v.40 no.4
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    • pp.273-281
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    • 2018
  • 목적: 본 연구는 실무 현장과 교육 현장의 조사를 통한 종합적인 의견을 수렴하여 합리적인 치과기공사 양성 및 배출을 위한 개선안을 도출하고자 한다. 방법: 3회에 걸쳐 설문조사가 진행되었으며, 1차는 개방형 문항으로 조사되었고, 2차, 3차는 폐쇄형 문항으로 조사되었다. 델파이 조사를 위한 조사 인원 선정을 100명(정책집단: 20명, 교육집단: 20명, 임상가 집단: 60명)으로 지정하였다. 1차 개방형 조사결과를 토대로 2차 설문문항을 작성하였으며, 2차 설문조사 결과를 토대로 3차 설문문항을 작성 후 조사하였다. 수집된 자료의 분석은 통계패키지 프로그램 SPSS Ver. 21.0를 활용하여 델파이 기법(Delphi Method)을 활용한 연구 결과에서 전문가 집단의 의견을 수렴하기 위해 빈도분석과 기술통계분석을 실시하였다. 결과: 현 교육체계의 문제점은 임상현장과의 차이와 실무능력저하, 국가시험위주의 교육이 문제점으로 대두되었으며, 현행 평가제도의 문제점은 임상현장을 충분히 반영하지 못한 점, 실무능력이 미 반영된 실기평가로 지적되었다. 결론: 결론적으로 치과기공사의 교육과정과 평가제도는 현실적인 내용을 고려하면서 임상 실무와의 연계성을 높이는 방향으로 개선되어야 할 것으로 사료된다.

Development of Evidence-Based Nursing Practice Guideline for Prevention of Ventilator-Associated Pneumonia (인공호흡기 관련 폐렴의 예방을 위한 근거기반 간호실무지침 개발)

  • Kim, Hwa-Young;Ryu, Seang
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.630-644
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    • 2021
  • This study was conducted to develop evidence-based nursing practice guideline for the prevention of VAP. This is a methodological study to develop guideline and verify the effectiveness according to the hybrid method of the NECA. Topics and key questions were derived through literature review and interviews, and recommendations were converged and developed through guidelines review and SR and meta-analysis. This was verified through the RAND and evaluated through AGREEII. The clinical feasibility of the nursing practice guideline, consisting of 44 recommendations in 9 categories, was evaluated by 122 ICU nurses. Conclusively this evidence-based nursing practice guideline for the prevention of VAP was confirmed methodological quality and content validity and was suitable for our nursing practice environment.

Assessment of the Activities of General Physicians in Health Subcenters and a Scheme to Improve the Training Program (보건지소 공중보건 일반의사의 업무수행정도와 수련개선방안)

  • Park, Jung-Han;Chun, Byung-Yeol;Woo, Kuck-Hyeun
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.193-202
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    • 1986
  • The activities of general physicians (GPs) in health subcenters and their competency for clinical skills were assessed to develop a scheme to improve the training program. One hundred-twenty GPs in southern four provinces (Kyungpook, Kyungnam, Chunpook, Chunnam) were randomly selected and 97 were interviewed between January 9 and February 10, 1984. Of the 97 GPs, 86 provided all the information we requested. Average number of patient visits per health subcenter in a day was 30-40 in the demonstration project area for the class II medical insurance whereas it was 3-4 visits in other area. The interviewees were asked to rate their competency in 63 clinical skills. The skills in which over 50% of the interviewees rated themselves competent were only 12 items including IM injection, IV injection, wound dressing, etc. Less than 10% of the interviewees rated themselves competent in such skills as maternal health care, emergency medical care, preventive and promotive health services. Most part of the training program of the NIH for the GPs were not applicable to their field work as the training contents were unrealistic. Clinical training at a local general hospital was of great help in 38.8% and the rest of training was not much helpful as the training was inadequate due to lack of trainer or indifference of the trainer. For more effective training of the GPs, the training program of the NIH should be modified to be more realistic and utilize competent field workers as the instructors. It may be more effective if the training is carried out at several local centers. Ideal length of the clinical training for the GPs is 4 months. A pocketbook should be developed that includes specific skills to master during the clinical training and require the trainer to confirm the achievement. The Ministry of Health and Social Affairs should provide the training hospitals with a training guideline and evaluate the training activities and make sure that the training hospital has specialist for each of the 4 major clinical departments. The Ministry of Health and Social Affairs should provide the GPs with a continuing education to assist the problem solving in the field and motivate them to actively carry out the health program. A province may be divided into several regions and a supervisory committee may be organized with specialists in each region. The committee may hold a meeting for the GPs periodically and respond to the specific questions of the GPs by mail.

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