• 의학교육논단
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• 제21권3호
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• pp.150-154
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• 2019

When standardized patients (SPs) are used for educational purposes, the authenticity of role play and the quality of feedback are essential requirements of SPs. This study was conducted to investigate medical students' assessment of SPs and to identify the components of SPs' performance that were most strongly correlated with patient-physician interaction score. One hundred and forty-two fourth-year medical students were asked to complete the Maastricht Assessment of Simulated Patients (MaSP) at the end of a clinical performance examination. SPs evaluated the patient-physician interactions using a 4-point Likert scale (1=poor to 4=excellent). Medical students' assessment of SPs using the MaSP was positively correlated with patient-physician interactions (r=0.325, p<0.01). Items addressing the authenticity of role play (e.g., "SPs appear authentic," "SPs might be real patients," and "SPs answer questions in a natural manner") were closely correlated with patient-physician interactions (p<0.001, p=0.027, and p=0.017, respectively). These results showed that the MaSP appears to be a useful instrument for evaluating SPs' performance and that the authenticity of SPs' performance was positively correlated with medical students' interactions. In order to improve patient-physician interactions, medical students should be given opportunities to practice their skills with SPs who have been trained to portray patients with a specific condition in a realistic way.

• 대한방사선기술학회지:방사선기술과학
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• 제44권4호
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• pp.389-397
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• 2021

The purpose of this study was to compare the demographic and job characteristics and job satisfaction of sonographers (SONO) and radiological technologists (RT). The subjects were a total of 148 people (69 SONO, 79 RT), who had been working in clinical and hospitals. The method was conducted using a questionnaire with a total of 54 questions consisting of demographic characteristics, job characteristics, and job satisfaction. Reliability was secured with Cronbach's alpha coefficient of 0.6 or higher for the response of the questionnaire. For statistical analysis, descriptive statistics, cross-analysis, independent sample T-test, and correlation analysis using Pearson's correlation coefficient and Spearman's correlation coefficient were performed for each occupation. As a result, first, the SONO had more female workers than RT. They are more than three times as many in graduate school and above. Second, the SONO had 4.5 times more morning shift than the RT and no form of weekend shift. Third, the average monthly salary of the SONO is higher than that of the RT, but when a certain portion of the salary goes up, the salary no longer goes up. Fourth, satisfaction with expectations, growth desire, positive mentality, growth opportunity, job importance, organizational attachment was higher SONO than the RT, but self-efficacy was higher in RT than SONO. Last, SONO had higher educational background than RT. It is hoped that the results of this study will be able to understand the job characteristics of SONO and RT and identify the factors of job satisfaction and provide them as fundamental materials for job selection.

• 한국콘텐츠학회논문지
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• 제21권10호
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• pp.630-644
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• 2021

본 연구는 인공호흡기 관련 폐렴 예방을 위한 근거기반 간호실무지침을 개발하고자 수행되었다. 한국보건의료연구원의 하이브리드 방법에 따라 근거기반 간호실무지침을 개발하고 유효성을 검증한 방법론적 연구이다. 주제와 핵심 질문은 문헌 검토와 전문가 인터뷰를 통해 도출하였고, 핵심 질문과 관련된 권고안은 체계적 검색과 선정에 의한 기존 가이드라인을 분석하여 수렴하였으며, 미해결 핵심 질문과 관련된 권고안은 체계적고찰과 메타 분석을 통해 새로 개발하였다. 개발된 권고안은 RAND에 의한 유효성 검증과 간호실무지침 초안은 AGREE II에 의한 방법론적 질평가를 수행하였다. 9개 범주의 44개 권고안으로 구성된 최종 간호실무지침의 임상타당성은 중환자실 간호사 122명을 대상으로 평가하였다. 최종 개발된 인공호흡기 관련 폐렴 예방을 위한 근거기반 간호실무지침은 방법론적 타당성과 내용타당도가 검증되었고 우리 간호실무 환경에 적합하여 중환자 간호실무의 질적 향상에 기여할 수 있을 것으로 기대된다.

• The Korean Journal of Pain
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• 제34권2호
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• pp.241-245
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• 2021

Background: It has been reported that a new type of headache may develop as a result of face mask use during the COVID-19 pandemic. The aim of this study is to investigate the clinical features of face mask-related headache during the COVID-19 pandemic. Methods: This is a cross-sectional study carried out on healthcare workers at the Afyonkarahisar Health Sciences University. The number of workers at our university was established. Sample size was calculated using the G*Power program. A questionnaire consisting of questions relating to pre-existing headache, an aggravation in headache, and de-novo headache was filled out by 3 neurologists with all participants. Results: Data was collected from a total of 375 participants, after the exclusion of 5 individuals who refused to participate. Out of all participants, 26 (6.9%) used a filtering mask, 274 (73.1%) used a surgical mask, 75 (20.0%) participants used a combination of both masks. The number of participants with preexisting headache was 114 (30.4%) had pre-existing headache. Of those with pre-existing headache, 77 (67.5%) healthcare workers had reported an aggravation in their headache after mask use. De-novo headache was observed in 116 (30.9%) of participants. De-novo headache characteristics included throbbing in 17 (14.7%) participants and pressing in 99 (85.3%) participants. In addition, symptoms such as tachypnea, sleep disturbance, and fatigue were found to be significantly higher. Conclusions: This study indicates that healthcare workers develop headaches due to use of masks during the COVID-19 outbreak.

• 한국콘텐츠학회논문지
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• 제21권3호
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• pp.541-551
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• 2021

본 연구는 성소수자를 간호한 간호사의 경험을 토대로 성소수자 간호에 질적 향상을 위한 기초자료 제공을 위해 시도된 현상학적 연구이다. 이를 위해 S시 소재 H대학병원에 근무하는 간호사중 성소수자를 간호한 경험이 있는 6명을 대상으로 2020년 8월1일부터 2020년 9월30일까지 개별 심층면담을 사용하여 자료수집이 이루어졌다. 연구 결과, 4개의 범주와 9개의 주제묶음으로 구성되었다. 4개의 범주는 '양가감정', '조심스럽고 어려운 간호실행', '다양하고 전문적 간호를 위한 교육 부족' 그리고 성소수자 간호 경험이 쌓이면서 '간호 전문인으로 도약'으로 나타났다. 이처럼 대부분의 참여자들은 성소수자 간호에 대해서 다양한 이해를 나타낸다. 본 연구는 성소수자를 간호한 간호사의 경험에 대한 의미를 제공하였으며, 간호사들이 적절한 교육과 임상 훈련의 부족으로 성소수자 간호에 어려움을 확인할 수 있었다. 따라서 간호사에게 효과적인 훈련 및 교육 프로그램을 개발하여 적용하는 것이 필요하다.

• 한국융합학회논문지
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• 제13권4호
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• pp.89-101
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• 2022

본 연구는 김수지의 사람 돌봄 이론을 기반으로 사람 돌봄 행위 측정도구의 신뢰도와 타당도 검증을 위해 시도되었다. 연구방법은 김수지의 사람 돌봄 이론을 통해 윤선희가 개발한 10개 개념에서 각 5문항씩 50문항으로 구성된 도구를 사용하였다. 대상자는 종합병원이상에서 근무하고 있는 간호사로서 본 연구 참여에 동의한 자로 하였다. 연구결과 탐색적, 확인적 요인분석을 통해 최초10개 개념의 50개 문항이 적극적 경청, 수용, 칭찬, 알아봄, 동행의 5개 개념, 32개 문항으로 도출되었고, 준거타당도, 신뢰도가 검증되었다. 이 도구는 대상자와 가족의 관점에서 돌봄 행위를 측정할 수 있으며, 이를 수량화함으로써 간호의 질적 향상을 가시화하는 지표로 활용할 수 있다는 점에 의의가 있다.

• Safety and Health at Work
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• 제13권1호
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• pp.78-85
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• 2022

Background: Veterinarians may encounter a variety of zoonotic pathogens in their work. Methods: We conducted two cross-sectional questionnaire studies among veterinarians in Finland. Participants were recruited during two Annual Veterinary Congresses. In 2009, 306 veterinarians participated in an extensive questionnaire study, and in 2016, 262 veterinarians participated in a more focused study that included two same questions. Results: In 2009, the majority (90.9%) of the participating veterinarians reported having been occupationally exposed to zoonotic pathogens. Zoonotic infections (15.0%), needle stick incidents (78.8%), bites (85.0%), as well as infected skin lesions (24.2%) were reported. In 2009, 8.2% of the participants fully agreed with the statement "I have good knowledge of zoonoses and their prevention"; in 2016, the proportion was 10.3%. The reported use of protective practices and personal protective equipment in connection with specific veterinary procedures indicated that there was room for improvement, particularly in protection from pathogens that are transmissible via inhalation and mucous membranes. Conclusion: The results confirm that veterinarians are commonly occupationally exposed to zoonotic pathogens. Education should aim to improve and maintain the knowledge of zoonoses and their prevention. Use of protective practices should be advocated.

• 임상간호연구
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• 제28권3호
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• pp.289-298
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• 2022

Purpose: Nursing stress on life-sustaining treatment of nurses is a significant contributing factor to nursing care performance and patient care outcomes. We need to investigate the factors associated with nursing stress on life-sustaining treatment in hospital settings. The purpose of this descriptive study was to examine the relationship of role perception of life-sustaining treatment and good death perception with nursing stress on life-sustaining treatment among nurses in hospital settings. Methods: Using a cross-sectional study design, we recruited nurses at a hospital located in a metropolitan city in Korea. The nurses completed structured questionnaire questions which were composed of well-validated questionnaires. Descriptive statistics and hierarchical multiple regression model were utilized for data analysis. Results: A total of 205 nurses participated in the study (female 93.2%; aged 20~29 years 63.0%; single status 78.5%). In the hierarchical multiple regression model, there was a significant positive relationship between role perception of life-sustaining treatment and nursing stress on life-sustaining treatment (β=.27, p<.001). Higher education level and working at a ward setting were also significantly related to nursing stress on life-sustaining treatment (β=.13, p<.046 for education level; β=.22, p=.001 for work setting). However, there was no relationship between good death perception and nursing stress on life-sustaining treatment. Conclusion: Education programs to reduce nursing stress on life-sustaining treatment are needed to develop for nurses who have higher role perception of life-sustaining treatment with higher education level working at ward settings in hospitals.

• 대한치과의료관리학회지
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• 제10권1호
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• pp.66-75
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• 2022

This study aimed to compare the perception of dental role-play or dental ASMR videos between the general public and dental personnel, to determine whether they are suitable for mass media or educational media, and to identify guidelines for video production. The survey consent form was agreed on using SNS for the general public and dental personnel, 236 ordinary people and 232 dental officers who said that they watched dental ASMR videos were analyzed. The questionnaire consisted of 27 questions for the general public and 31 for dental personnel. Data were analyzed using the chi-square test and the Independent T-test using SPSS 25.0 ver. The viewing experience of 'dental ASMR videos' was significantly higher among dentists (84.7%) than among the general population (71.5%) (p<0.001). Overall, 53.8% of the general public were interested in watching dental ASMR videos, and 47.8% of dental personnel acquired clinical information from them.. Overall, 64.8% of the general public and 65.5% of the dental workforce felt that such technical videos should be produced under the guidance of experts in the field to provide accurate technical information. It is necessary to avoid indiscriminate video production with inaccurate information produced by non-experts and to continuously monitor dental ASMR videos dental institutions for better quality of the videos.

• 의학교육논단
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• 제24권2호
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• pp.128-140
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• 2022

The purpose of this study was to redesign a problem-based learning (PBL) curriculum and compare the differences between the previous and redesigned PBL based on the results of course satisfaction and student assessments. The PBL was redesigned using curriculum design guidelines (including revisions of curriculum objectives, learning components, learning environments, and assessment methods) that were developed based on previous studies and evaluation results. A comparative study was employed using course satisfaction surveys from the previous and redesigned curricula, and a total of 45 students participated. We also compared student assessment results from concept mapping, learning issue reports, modified essay questions, and reflection journals. We identified four key findings. First, we explored the possibility that the redesigned PBL could be implemented by student facilitators without professors as tutors. Second, the redesigned PBL fostered group dynamics that facilitated developing communication skills and collaborative learning through small-group discussions. Third, the new learning elements added in the redesigned PBL made a meaningful contribution to enhancing students' clinical reasoning based on hypothetico-deductive reasoning. Fourth, concept maps in redesigned PBL contained more complex and various nodes and connections, and the levels of the nodes were more appropriate. The implications of this study can provide meaningful preliminary information for redesigning PBL curricula for medical students to develop their essential competencies through PBL.