• 대한치과의사협회지
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• 제53권2호
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• pp.111-119
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• 2015

The importance of effective communication is increasingly stressed in the medical sector. This is crucial for the resolution of medical accidents and conflicts, and that can contribute to the prevention of the two as well. The careful attitude of the medical team toward patient safety and their communication with colleagues and other departments are mandatory for the successful decrease of dental accidents. The good communication within of the hospital organization is one of vital ways to ensure accurate diagnosis and successful treatment. In the field of health care, effective teamwork requires a shared goal, superb work skills, communication and cooperation, but this fact has been overlooked so far. Among those factors, communication is indispensable to the achievement of organizational goals, and how to boost communication by acquiring diverse skills and using appropriate tools in the dentistry should discreetly be considered. This study explared how to improve the teamwork and communication of organization in an effort to seek specific ways of reducing medical conflict in dental.

• 대한의용생체공학회:의공학회지
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• 제38권4호
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• pp.205-210
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• 2017

The convergence healthcare industry in Korea has been stalled due to conflicts between stakeholders as well as a supplier-centered industry structure. This situation is caused by the structural contradiction in which the Korean industry has a prolonged conflict structure among stakeholders due to a strong regulation and an institutional inertia from the viewpoint of the sociotechnical system. Therefore, it is necessary to identify new system management plan that enhances social acceptability such as laws, customs and ideas while reducing conflicts between stakeholders. In this study, mainly adapting the stakeholder-oriented autopoiesis and focusing on publicness of healthcare, we propose the rationale and direction for policy making to harmonize various systems within the convergence healthcare industry.

• 보건행정학회지
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• 제11권1호
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• pp.62-86
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• 2001

This study purports to Investigate the determinant of job satisfaction and the organizational commitment of medical insurance review nurses working at Korean hospitals. The independent variables contain three groups of determinants: organizational characteristics variables(job autonomy, work unit control, role variety, role ambiguity, role conflict, workload, resource inadequacy, coworker support, supervisor support, distributive justice, promotional chances, job security, and job hazard), environmental variables(job opportunity, spouse support, and parent support), and psychological variables (met expectation, work involvement, positive affectivity, and negative affectivity). The sample used in this study consisted of 445 medical insurance review nurses from 89 hospitals nationwide. Data were collected with self-administered questionnaires and analyzed using multiple regression analysis. The results of the study are as follows : 1) the following variables, listed in order of size, have significant effects on job satisfaction : role ambiguity(－), distributive justice(＋), work involvement(＋), role variety(＋), met expectation(＋), negative affectivity(－), job autonomy(＋), and positive affectivity(＋). 2) the following variables, listed in order of size, have significant effects on organizational commitment: met expectation(＋), work involvement(.＋), distributive justice(＋), job security(＋), role variety(＋), positive affectivity(＋), negative affectivity(－), resource inadequacy(＋), and tenure(－). 3) the variance of job satisfaction and organizational commitment explained by the variables used in the study are 30.0% and 39.1% respectively. 4) In comparison to the results of other studies on the determinants of job satisfaction and organizational commitment of clinical nursing staff working at hospitals, the results of this study indicate that three variables of distributive justice, work involvement, and role variety are especially important for improving the level of job satisfaction and organizational commitment of medical insurance review nurses.

• 한국학교ㆍ지역보건교육학회지
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• 제15권3호
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• pp.95-103
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• 2014

Objectives: To identify work stress and affecting factors of the emergency medical technicians(EMT) and to provide basic data for work circumstance improvement and emergency medical service and duty efficiency elevation. Methods: The data were collected by questionnaire from 635 emergency medical technicians throughout the whole country from August 5 to September 20 2013 and analyzed by using the SPSS(version 18.0) program. Factors affecting stress were analyzed by Multiple Linear Regression Analysis(${\alpha}=0.05$). Results: Mean level of job stress was markedly high in the spot situation(3.43 point), user awareness(3.31 point), burden related to work(3.21 point), role and conflict as a professional job(3.10 point), unsuitable treatment(2.95 point) but was lowest in specialty demand of knowledge and skill(2.76 point). Conclusions: To diminish work stress, understanding and cooperation of the residents and reduction of burden related to work must be improved. Above all, positive interest of 119 and related organ and duty environment improvement will and effort and continuous measure establishment and support and cooperation of the government are needed.

• 대한한의학원전학회지
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• 제34권2호
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• pp.63-74
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• 2021

Objectives :This paper analyzes the newly discovered manuscripts of the Sanghanjijangdo(傷寒指掌圖). A bibliographic study was carried out to examine the contents and the background of publication. Methods : First, a bibliographical analysis of the Joseon text was conducted. Next, the contents of the composition were compared with the Yuanand early Ming publications of China. Results : 1. The Joseon publication was published based on the original publication from the Yuan period. The Sanghanjijangdo has been cited in several medical texts from early Joseon such as the Euibangyuchwi and Hyangyakjipseongbang. 3. The background for publication of the Sanghanjijangdo is as following. First, it is an introductory text for beginners of Shanghan[cold damage] studies. Second, its contents do not conflict with the specialized Shanghan text that was used as the textbook for the royal physician examination. Third, it contains many Shanghan formulas that could be composed of domestic drugs only. Conclusions : The Sanghanjijangdo could be described as an introductory text for beginners of Shanghan studies that contributed to the expansion of the base of Shanghan studies in 15c mid-Joseon. Publication of this book clearly shows that Shanghan studies in early Joseon was practiced within the scopes of practicality and localization of medicinals.

• 한국치위생학회지
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• 제4권2호
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• pp.209-223
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• 2004

The purpose of this study is to help dental hygienist's efficient work and 10 use this data as basic material for quality improvement of medical treatment by identify and analyze dental hygienist's job-stress and self-conception. This data was surveyed by 197 dental hygienists who working at Dental Clinic, Dentist's office, and Dental Dept on the General hospital in Daegu area. The result as follow. 1. General characters of dental hygienist who participated this survey was mostly less than 25years old and works in the Dentist's office. 2. The dental hygienist's job stress average 259, self-conception was average 3.06. 3. A stress degree by the primary factors appeared that the stress related to Role-conflict was the hygienist. On the other hand, stress related to employees was the lowest. 4. Concerning the stress of respondent's expert knowledge or technique, there exist statistically significant relations in age(p=0.000). Total period of work(p=0.000)), marriage(yes or no)(p=0.012), number of job movement(p=0.024). 5. Concerning the mutual analyze between stress by the primary factors and self-conception, there exist statistically significant relations in stress from expert knowledge or technique(p<0.05, r=0.l53), conflict with patient(p<0.001, r=0.347), conflict between dentist and patient(p<0.05, r=0.159), relationship with employee(p<0.05, r=0.l83). In conclusion, there were significant relations between job-stress and conception. The study of program development for the self-conceit, positive attitude and self-conception are highly required to help dental hygienist's efficient work.

• 디지털융복합연구
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• 제18권4호
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• pp.291-299
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• 2020

본 연구의 목적은 감염관리 간호사의 역할갈등과 직무만족도가 이직의도에 미치는 영향을 확인하기 위함이다. 연구대상은 전국 의료기관의 감염관리실의 네트워크를 활용하여 최종 57개 병원의 감염관리 간호사 122명을 대상으로 하였으며, 자료수집은 2019년 1월 5일부터 2019년 1월 30일까지 시행하였다. 자료분석은 Descriptive statistics, Independent t-test, One-way ANOVA, Scheffé 사후검증, Pearson's correlation coefficient, Multiple regression을 이용하였다. 연구결과 이직의도에 대하여 역할갈등(r=.46, p<.001)은 양의 상관관계를 보였으며, 직무만족도(r=-.21, p=.021)는 음의 상관관계를 보였다. 이직의도에 영향을 미치는 요인은 역할갈등(β=.43, p=.003), 감염관리 간호사의 최종학력(석사이상)(β=.29, p=.040), 직무만족도(β=-.20, p=.013) 순으로 이직의도에 총 27%의 설명력(F=11.75, p<.001)을 나타냈다. 따라서 감염관리 간호사의 이직의도를 감소시키기 위해서는 역할갈등을 최소화하고 직무만족도를 향상시키기 위한 기관의 제도적 노력이 수반되어야 할 것이다.

• 동의신경정신과학회지
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• 제24권1호
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• pp.109-122
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• 2013

Objectives : To research the needed Buddhistic ethical beliefs and psychotherapy from representative medical records of oriental medicine. Methods : The baseline data this research used is Myeong-Ui-Lyu-An, Sok-Myeong-Ui-Lyu-An, Ui-Bu-Jeol-Lok and from the variety of medical records; we extracted 22 medical records that refer to Buddhist thoughts. The sequence of medical records is determined by analyzing the contents of all medical records and grouping them by their categories. Results : The representative ethical mind that a doctor needs is the 'mercy thought' from Buddhism. This way, the doctor has 'pity' on patients and expects no reward for what he had done. 'Spells and religious beliefs developed into medical treatment procedures by Buddhism and oriental medicine psychotherapy. Using the belief that everything is made of the mind, which is the point of the 'Hwa-Eum' theory and the realization that the psychotic factors have a big role in the occurrence and progress of sicknesses, we emphasized supportive psychotherapy or more specifically, the suggestive therapy. 'Anguish' is an important point in the occurrence and progress of illnesses. To solve this, we used 'Zen family's 'Zen self-discipline' and ascetic life from Buddhism. According to Buddhism, a human's metal conflict and love or malingering from obsession is the cause of all mind illnesses. To heal these, a doctor must have an insight of the patient's mind more than the symptoms. Conclusions : Buddhistic thoughts suggested clearly the mentality necessary for oriental medical psychotherapist and medical ethics for a doctor.

• 대한간호학회지
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• 제33권2호
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• pp.265-274
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• 2003

Purpose: The purpose of this study is to investigate the role of social support in the experience of job stress among hospital nurses. Method: This study was carefully designed to overcome methodological shortcomings found in past research, and examined two organizational effectiveness variables(job satisfaction and organizational commitment) as outcome variables. The sample used in this study consisted of 602 nurses from 5 general hospitals. Data were collected with self-administered questionnaires and analyzed using hierarchical regression and LISREL technique. Result: It was found that: (a) three job stress variables(workload, role conflict and conflict with other medical staff) have negative effects on job satisfaction and organizational commitment; (b) social support have positive main effects on the two output variables; (c) the negative effects of job stress variables on job satisfaction and organizational commitment are not buffered by social support, and (d) social support mediates the effects of job stress on job satisfaction and organizational commitment, and the size of the mediating effects is small. Conclusion: Further research needs to be done to further refine this study.

• 간호행정학회지
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• 제17권4호
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• pp.451-461
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• 2011

Purpose: The purpose of this study was to explore emotional labor experienced by nurses in ambulatory care setting. Method: The phenomenological method developed by Giorgi was used for this study. The participants were 9 nurses who had experienced emotional labor. Data were collected between May and August 2010 by face-to-face interviews. The interview was recorded and then transcribed. Results: The constituents associated with the meaning of the nurses' experiences of emotional labor in ambulatory care setting were as followings: bearing down of suffering emotions coming up from the bottom, feeling loneliness when having to undertake care alone by oneself, having conflict between nursing professional and services, managing mind by means of both internal and external resources, getting ridding oneself of conflict with forced emotions over time. Conclusions: The results of this study should contribute to a deeper understanding of the meaning of emotional labor experienced by nurses in ambulatory care. The results also highlight the need to develop programs for nurses in ambulatory care setting to help them express their real action.