• 제목/요약/키워드: Counseling Practice

검색결과 285건 처리시간 0.029초

500병상 이상 의료기관에서의 전문지원인력의 직군별 업무 수행빈도 분석 (The Frequency of Job Performance of the Korean Professional Medical Support Staff at Medical Institutions over 500 Beds)

  • 김민영;최수정;설미이;김정혜;김희영;변숙진
    • 중환자간호학회지
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    • 제11권1호
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    • pp.15-27
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    • 2018
  • Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

치과위생사 수행업무에 관한 치과의사의 견해조사 (A survey of dentists' opinions on the performance of dental hygienists)

  • 한양금;김승희;양진영;유지수;배수명
    • 대한치과의료관리학회지
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    • 제7권1호
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    • pp.1-9
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    • 2019
  • This study examined the opinions of dentists on dental hygienists' practice and attempted to use it as the basis for the revision and modification of the legal system associated with dental hygienists. The subjects of this study were a total 15 dentists, including two from Gyeonggi, two from Gangwon, two from Gyeongsang, two from Jeolla, two from Chungcheong, and two from Seoul, who were surveyed face-to-face. This study revealed that from the perspective of dentists, the most important job of dental hygienists was scaling, and the most difficult job was patient counseling and response. From the perspective of dentists, there is a difference between what the dental hygienists actually perform and what is legal, and there is a high need for change. The inclusion of dental hygienists in the category of medical personnel should be accomplished to cover the practice of dental care support, and dentists opinionated that it is appropriate for dental hygienists to be included in the category of medical personnel because they directly perform oral health-related procedures. A careful review of the dental hygienists' scope of work should be performed to ensure that revisions to the law are made in accordance with the dental hygienists' actual practice. Further, it is necessary to revise the Medical Law and include dental hygienists among the medical personnel and simultaneously revise the scope of work of dental hygienists to reflect the actual dental practice.

분야별 전문간호사의 전문간호업무에 대한 성과 평가: 일개 병원을 중심으로 (Evaluation of Nursing Outcomes among Advanced Practice Nurses in a Tertiary Hospital)

  • 설미이;이명선
    • 중환자간호학회지
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    • 제5권2호
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    • pp.37-48
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    • 2012
  • Purpose: The purpose of the study was to evaluate how advanced practice nurses (APNs) recognized their work by analyzing nursing outcomes. The ultimate goal was to examine the utility of APNs by connecting their work to the outcomes. Methods: Cross-sectional survey was conducted to collect the data from 59 APNs in a tertiary hospital lovated in Seoul, Korea. The questionnaire with 84 outcome indicators for advanced practice nurses was used. Descriptive statistics were used to analyze the data. Results: Among 84 outcome indicators, 11 indicators were associated with the work of APNs. Majority of these findings were included in the categories of clinical results and satisfaction. Items identified to be associated with the work of APNs were different among oncology nursing area, surgical speciality area, emergency care area, and critical care area. Conclusion: The results of the study indicated that the works of APNs were relevant to education/counseling/training and interpersonal relationship with other health professionals. The results of the study could be helpful to delineate the work characteristics of APNs and increase the utility of APNs in Korea where roles of APNs are not yet clearly delineated in most clinical settings.

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임상유전학 교육에서 새로운 교과과정 개발의 필요성 (The Need for a New Curriculum in Clinical Genetic Education)

  • 이창우
    • 의학교육논단
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    • 제16권1호
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    • pp.50-54
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    • 2014
  • It is becoming increasingly important for medical doctors to have a thorough understanding of human genetics and the ethical, legal, and social implications of genetic testing, counseling, and treatment. As genetic engineering and technology evolves, medical doctors will find themselves called in to counsel patients about a rapidly increasing number of diseases for which genetic testing and treatments are available. Medical doctors will need to master a new set of principles and clinical skills. A lack of knowledge about these issues and problems may lead to serious, lifelong or even fatal negative effects on patients. Medical genetics has moved from the study of rare conditions to the illumination of disorders that impact the entire spectrum of medical practice. This study demonstrates several areas in which medical genetics is clearly an important tool in medical practice and the necessity of establishing new curriculum for clinical genetic education in Korea. Medical students nearing graduation may lack genetic knowledge that is essential for daily practice because genetics has little or no place in clinical teaching. Medical schools should make extensive curriculum changes to increase students' awareness of clinical genetics and its ethical implications. The medical school curriculum will need creative new approaches to keeping up with the rapid pace of evolution of clinical genetics.

대학생 소비자의 라이프스타일에 따른 녹색소비행동에 관한 연구 (Green Consumption Behavior According to the Lifestyles of College Students)

  • 김효정
    • 한국생활과학회지
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    • 제20권6호
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    • pp.1135-1151
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    • 2011
  • This study examined green consumption behavior according to the lifestyles of college students. The data were collected from 314 college students in Yeungnam region by a self-administered questionnaire. Frequencies, Cronbach's alpha, factor analysis, cluster analysis, chi-square tests, one-way analysis of variance, Duncan's multiple range tests, Pearson's correlation analysis, and multiple regression analyses were conducted by SPSS Windows V.18.0. According to the result of factor analysis, lifestyles were categorized into six factors: thrift-saving type, enthusiastic activity type, brand ostentation type, freedom-seeking type, material oriented type, and practice-seeking type. Cluster analysis showed respondents belonged to one of four groups: thrift practice group, indifference group, freedom-seeking group, and material ostentation group. The levels of green purchase behavior, green usage behavior and green disposal behavior of the respondents was not high. The thrift practice group showed higher levels of green purchase behavior, green usage behavior, and green disposal behavior. Finally, according to multiple regression analyses, environmental consciousness, knowledge about green consumption, lifestyle groups were the significant factors affecting green consumption behaviors. These results imply that green consumption education for college students should be activated to induce green life.

결혼이주여성을 위한 개별적 모유수유증진프로그램의 효과 (Effects of an Individual Breast-feeding Promotion Program for Married Immigrant Women)

  • 박미경;문소현
    • 대한간호학회지
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    • 제46권1호
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    • pp.128-139
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    • 2016
  • Purpose: This study was designed to evaluate the effects of an individual breast-feeding promotion program to address breast-feeding knowledge, attitude, method and rate of practice for married immigrant women. Methods: A non-equivalent control group quasi-experimental design was used (experimental group=16, control group=17). The intervention consisted of 3 phases: (1) Within 2 hours of delivery - individual breast-feeding training through video/verbal/practical training education and demonstration (2) After 1~2 days - group training using video, model doll, and breast models (3) After 7 days - family visit, counseling, retraining and reinforcement training. The data were analyzed using non-parametric tests with the SPSS program. Results: Married immigrant women who participated in the individual breast-feeding program scored high in knowledge, attitude, method and rate of practice compared to the control group. Conclusion: The results indicate that the individual breast-feeding program is very effective in increasing breast-feeding knowledge, attitude, method and rate of practicing breast feeding for married immigrant women. So, nurses are encouraged to aggressively utilize individual breast-feeding programs to help married immigrant women, who are exposed to vulnerability due to various situations.

성격의 선천적 요인(MBTI)과 후천적 요인(PAT)의 관계특성 연구 (A Study On The Relationship Characteristics Between Inborn(Myers-Brigg's Type Indicator: MBTI) and Acquired(Personality Adaptation Type: PAT) Factors of Personality)

  • 오수희
    • 한국사회복지학회:학술대회논문집
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    • 한국사회복지학회 2004년도 춘계학술대회 자료집
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    • pp.757-779
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    • 2004
  • The purpose of study is to provide efficient initial approaches for counseling in social work practice settings. First, it attempts to identify the correlation between the Myers-Brigg's Type Indicator(MBTI), a personality index based on the theory of psychological typology, and Personality Adaptation Types(PAT) models. Second, it attempts to develop a counseling method which can be applied to the initial interview, using the paradigm of door to therapy such as "Open Door", "Target Door", and "Trap Door" based on the PAT theory. The result of the quantitative study showed the correlation between MBTI and PAT as follows: MBTI Extrovert and Feeling(E, F) type was statistically correlated to hysterical PAT. MBTI Extrovert, Intuition and Perceiving(E, N, P) type was statistically correlated to Obsessive-Compulsive PAT. In conclusion, this study finds that when a clinical social worker approaches a client with the client's MBTI personality type and an interventional personality adaptation theory approach such as "Open Door", "Target Door", or "Trap Door", the efficiency of communication is increased significantly.

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초등학생의 창의적 인성과 진로인식 및 직업포부의 관계 (The Relationship Among Creativity Personality, Career Awareness, and Occupational Aspirations of Elementary School Student)

  • 조붕환;박미진
    • 초등상담연구
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    • 제11권3호
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    • pp.447-463
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    • 2012
  • 본 연구는 초등학생 322명을 대상으로 창의적 인성과 진로인식, 직업포부간의 관계를 알아보고 직업포부에 미치는 창의적 인성과 진로인식의 영향에 대해서 검증하였다. 연구결과, 창의적 인성과 진로인식, 직업포부 간 유의한 정적 상관이 있는 것으로 나타났다. 또한 창의적 인성은 진로인식과 직업포부에 유의한 영향을 미치는 것으로 나타났다. 창의적 인성을 독립변인으로, 직업포부를 종속변인으로, 그리고 진로인식을 매개변인으로 보고 변인간의 관계모형을 구조방정식을 통해 검증한 결과, 변인간의 관계모형은 양호한 것으로 나타났다. 이를 바탕으로 초등학생의 효과적인 진로지도 및 상담방법에 대해 논의하였다.

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선천성 기형의 임상적 접근 (Clinical Approaches to Patients with Congenital Malformations)

  • 이진성
    • Journal of Genetic Medicine
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    • 제5권2호
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    • pp.94-99
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    • 2008
  • 선천성 기형은 출생 신생아에서 2-5% 정도의 빈도를 보이며 영아기 사망의 주요한 원인이 되고 있다. 상당수의 선천성 기형의 예후는 정확하고 빠른 진단에 따른 적절한 처치 및 치료에 의해 결정된다고 할 수 있다. 따라서 임상적으로는 선천성 기형에 대한 기전 파악 및 정확한 분류에 따른 정확한 진단이 중요하다. 우선 해당 기형이 소기형(minor anomaly) 또는 대기형(major anomaly) 중 어디에 속하는지, 또는 기형(malformation), 변형(deformation), 파형(disruption) 및 이형(dysplasia) 중 어느 것에 속하는지 결정하고 다발성 기형 등은 특정 증후군과 연관이 있는지 여부에 대한 판단을 필요로 한다. 진단이 된 후, 선천성 기형을 위한 유전상담은 환자나 가족이 기형 혹은 증후군에 대하여 또는 재발률에 대하여 이해할 수 있도록 돕는 과정을 포함한다.

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소명의식에 영향을 미치는 요인 -낙관성, 일희망, 부모양육태도의 구조적 관계모형 검증 (Verification of the Structural Relationship Model of Calling to Optimism, Work Hope and Supportive Parenting)

  • 정은선;하정희;김정수
    • 한국산학기술학회논문지
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    • 제16권1호
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    • pp.205-214
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    • 2015
  • 본 연구는 소명의식에 영향을 미치는 요인을 탐색적으로 살펴보고, 그 과정을 구조적으로 검증하고자 하였다. 이를 위해 300명의 대학생을 대상으로 설문을 실시하였고 최종적으로 277명의 자료를 SPSS 18.0과 Amos 8.0으로 분석하였다. 연구결과, 부모의 지지적 양육태도와 낙관성은 직접적으로 소명의식에 영향을 미치지 않았고, 일희망을 매개로 하여 소명의식에 영향을 미치는 것으로 나타났다. 소명의식에 미치는 영향력을 살펴본 결과, 소명의식에는 일희망의 영향력이 가장 큰 것으로 나타났고, 부모의 지지적 양육태도 및 낙관성의 영향력이 그 다음으로 나타났다. 본 연구는 소명의식에 영향을 미치는 개인의 환경적 특성과 성격적 특성을 경험적으로 밝혔다는 점에서 의의가 있다. 학교상담 및 교육장면에서 본 연구의 시사점을 논의하였고, 제한점과 후속 연구의 필요성을 제안하였다.