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A Survey on the Perception of the Counterplans of Medical Accident and Dispute of Dental Hygienist (의료사고 및 의료분쟁에 대한 치위생사의 인식도 조사)

  • Oh, Jin-Ho;Kwon, Jeong-Seung;Ahn, Hyoung-Joon;Kang, Jin-Kyu;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.32 no.1
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    • pp.9-33
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    • 2007
  • In the field of dentistry, there existed relatively few emergency patients or patients who need intensive care and thus had low medical dispute rates. However, these days, there is a general tendency of increased medical disputes. Although many medical disputes are caused by medical accidents of the dentists, because dental assistants are also lawfully involved in practicing dentistry, there is a possibility of medical disputes or medical accidents caused by dental assistants. Therefore, the role of the dental assistants cannot be ignored. This study consists of a survey given to dental hygienists currently working in general hospitals, dental hospitals and private dental clinics. Following is the results of the analysis of 275 respondents' backgrounds, medical disputes rates including patients' complaints, their understanding of medical regulations and their general understanding of overall dental practice and medical disputes. 1. 251 of 274(91.6%) respondents doubted the risk of medical accident and dispute. 2. 81(29.5%) dental hygienist experienced complaint from patients. They have been working in the private dental clinic, the rate of this experience was high. 3. 349 case of 1805(19.3%) the complaints by patients, highest percentage among its category, were those regarding dental fees and poor service. 4. 129 case of 1805(7.1%) patients' complaints, highest percentage among it's subcategory, were those regarding the absence of explanations of precautions or request of agreements before dental treatment. 5. 252 of 267 (94.4%) dental hygienists chart after a scaling treatment. However, only 55(20.7%) dental hygienists chart the fact of explaining the precautions. 6. 6(2.2%) dental hygienists do not inspect patients' medical history, if patients don't mention it. 7. 104 of 274(38.0%) dental hygienists responded to be capable of administering first aid treatment. 8. 115(41.8%) dental hygienists have a first aid kit and equipment. 9. In case of medical dispute, 268(97.8%) dental hygienists respond that, charting plays a big role in resolving the dispute. 10. In case of medical dispute, 272(93.3%) dental hygienists respond that, explanation and agreement before treatment have an important role in settlement of dispute 11. Only 160(58.4%) dental hygienists responded correct answer that the duration of keeping medical records is 10 years. 12. 124(45.3%) respondents thought that it is legal for a dental hygienist to take a panoramic dental X-ray, 71(25.9%) respondents thought that it is legal practice cervical resin treatment by dental hygienist, and 37(13.5%) respondents thought that it is legal extract primary teeth by dental hygienist. 13. 24(18.76%) respondents thought that it doesn't matter to tell patient's state to others 14. 272(99.27%) responded that receiving education for the prevention of medical disputes was needed and of them, 61.0% thought it was urgent. 15. 186(64.2%) has never had classes regarding the prevention of medical disputes while in school and 212(77.4%) has not had the same type of classes after graduating from school. 16. 256(93.4%) responded that there will be even more of an increased number of medical disputes. Among them, 83.3% of respondents though that due to the increased opportunity of acquiring information through the internet and mass media. The study shows that 29.5 percentage of dental hygienists have experienced the medical disputes and complaints and they are lack of recognition of medical regulations and dental hygienist's official duty. So, there is a big potential of the percentage to increase. Therefore, the correct understanding of explaining precautions and requesting agreement before dental treatments and performing them are mandatory. Moreover, classes regarding the prevention and counterplans of medical disputes need to be widely offered.

Factors influencing the transition shock of dental hygienists - focusing on the new dental hygienist - (치과위생사의 전환충격 영향요인 - 신규치과위생사를 중심으로 -)

  • Min-Ji Kim;Sang-Eun Moon
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.4
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    • pp.251-260
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    • 2023
  • Objectives: This study aimed to provide basic data for the development of clinical practice-related education program by analyzing the effects of grit, job satisfaction, and retention intention on transition shock of new dental hygienists. Methods: From April 19 to July 4, 2022, the data was collected from 200 new dental hygienists working for dental hospitals/clinics. Using the SPSS Statistics ver. 22.0, this study was conducted the t-test, one-way ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: There were positive correlations between grit, job satisfaction, and retention intention, a negative correlation between grit and transition shock, a positive correlation between job satisfaction and retention intention, a negative correlation between job satisfaction and transition shock. and a negative correlation between retention intention and transition shock. As the factors affecting transition shock, lower pay and main performance of medical cooperation work increased transition shock. When job satisfaction and retention intention were higher, transition shock decreased. Conclusions: In order to reduce transition shock of new dental hygienists, it would be necessary to operate clinical practice-related training program, and also to establish a training environment similar to the clinical site/context/situation similar to clinical context/situation.

The Effects of Communication Barriers on The Patient's Satisfaction and Long Term Sustainable Relationship (의사소통 장애요인이 환자만족도와 장기적 관계지향성에 미치는 영향)

  • Han, Da-Som;Lim, Soon-Ryun
    • The Journal of the Korea Contents Association
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    • v.17 no.2
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    • pp.467-475
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    • 2017
  • The purpose of this study is to investigate how the communication barriers which patients have at the dental clinic affect the patient's satisfaction and long term sustainable relationship. The subjects of this study were 214 patients from the dental clinic and the analysis was conducted using PASW Statistics 18.0 and IBM SPSS AMOS 21. As the results of factor analysis, the communication barriers were divided to four factors: one-sided communication, lack of trust and concern, patient and environment. In conclusion, the results of this study showed that the communication barriers which patients have with hygienist affected the patient's satisfaction and long term sustainable relationship. So It is imperative that the hygienist makes a concerted effort to ensure the comfort and trust of their patients. In cases where a patient shows discomfort or dissatisfaction, it is important that the hygienist guarantees open communication to the patient in order to gain their trust. Failing to do so may result in difficulties when trying to build a strong client base.

The Relationship between Coaching Behaviors of Dental Managers, Job Satisfaction and Job Performance of Dental Hygienists (치과관리자의 코칭행동과 치과위생사의 직무만족도, 업무성과와의 관계분석)

  • Lee, Byung-Ho;Kim, Jung-Sool
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.121-130
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    • 2012
  • This study had collected 171 dental hygienists working in Busan and Ulsan, in order to investigate coaching behavior, job satisfaction and job performance of dental hygienists and find relationship between these. A survey was conducted from July 10 through August 20, 2012, by using structured, self-administered questionnaires. The collected data were analyzed with SPSS 12.0 program. The obtained results were as follows; 1. The mean of dental manager's coaching behavior was 3.35 out of 5. In terms of sub-domain, accountability(3.36) is the highest, followed by relationship(3.32), and development(3.20). 2. In multiple regression analysis, development factor is most influential factor of job satisfaction, followed by relationship, accountability. 3. The job performance was under the greatest influence of the patient relationship, followed by freedom factor.

Ethical dilemma and related factors in some clinical dental hygienists (일부 임상치과위생사의 윤리적 딜레마와 관련 요인)

  • Kim, Yun-Jeong;Kim, Seon-Young
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.321-327
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    • 2016
  • Objectives: The purpose of the study was to evaluate the level of ethical dilemma and related factors in some clinical dental hygienists. Methods: A self-reported questionnaire was filled out by 290 clinical dental hygienists in G metropolitan city from January 5 to February 27, 2015. The instruments used for this study were the modified ethical dilemma scale developed Lee, Kim and Park. The questionnaire consisted of dental hygienists & subjects(4 items), dental hygienists & professionals(12 items), dental hygienists & partners(7 items), and medical information(31 items). The questions were measured by Likert 5 points scale. The statistical analyses include descriptive statistics, t-test and stepwise multiple regression analysis using SPSS 12.0 program. Results: Dental hygienists perceived ethical dilemma scored 3.35 and 3.24 except medical information. Professionals and partners in sub-domain of ethical dilemma by experience of ethics education and ethical conflict were high and showed statistically significant difference. The strongest predictor of dental hygienists and subjects was job satisfaction. The strongest predictor of dental hygienists and partners was adequacy of ethics education in college/university. Conclusions: The results of this study suggest that it is necessary to develop the professional dental hygiene program for the prevention of ethical dilemma in dental hygienists and to make ethics education for ethical decision making.

Factors Affecting Dental Hygienists's Stress at Public Health Center in Chonbuk Province (보건소 치과위생사의 스트레스에 영향을 미치는 요인)

  • 남용옥;나윤숙
    • Korean Journal of Health Education and Promotion
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    • v.17 no.2
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    • pp.125-149
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    • 2000
  • The purpose of this study was practiced to investigate factors affecting dental hygienists's stress. The results executed by percentage and Likert scale (on a scale of 5) producing a mean standard deviation, T-test, one way ANOV A and person correlation coefficient using SPSS according to purpose of study. The results of study were as follows: 1. Mean point of stress from administration system dental hygienists's was 3.49 2. The dental hygienists's job place was significantly related to stress from duty volume (p=0.000), stress from personal relation(p=0.028) and stress from atmosphere of job(p=0.000). 3. The dental hygienists's career was significantly related to stress from safe job. 4. The dental hygienists's grade in rank was significantly related to stress from pride & self-conceit. 5. The number of colleague worked public health center was significantly related to stress from duty volume. 6. There is a significant relationship between stress from duty volume and stress from conflict of job(p〈0.01, r=0.280). There is a significant relationship between stress from dissatisfaction and stress from personal relationship(p〈0.001, r=0.396). There is a significant relationship between stress from pride & self-conceit and stress from personal relationship(p〈0.001, r=0.423). There is a significant relationship between stress from personal relationship and stress from atmosphere of job(p〈0.001, r=0.662).

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Dental Hygienist's Stress Resilience, Anger Expression, Job Satisfaction Convergence Effect on Quality of Life (치과위생사의 스트레스 탄력성, 분노표출, 직무만족이 삶의 질에 융합적으로 미치는 영향)

  • Yoon, Sung-Uk;Oh, Na-Rae
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.208-215
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    • 2021
  • This study obtained significant results by analyzing 202 dental hygienists in Daegu and Gyeongbuk region with analyzed with descriptive statistics, t-test, ANOVA analysis using the SPSS WIN 18.0 in order to investigate the fusion relationship between anger expression, stress elasticity, job satisfaction, and quality of life of dental hygienists. Anger expressions averaged 1.50, and was high hospital-level, job-motivated, non-self-esteemed, high income, alcohol consumption. Stress resilience was averaged 3.09, and was high when abstinence. Job satisfaction average 3.24, and was high when was pride, abstinence. Quality of life, stress resilience and job satisfaction were positively correlated. Stress resilience and job satisfaction are positively correlated. Overall, information provision and environmental support should be provided to increase job satisfaction and stress resilience in order to improve the quality of life of dental hygienists and reduce the expression of anger.

Deciding factors of regular scaling checkup in metropolitan adults (수도권 성인의 정기적 스케일링 수진 의사 결정 관련 요인)

  • Ko, Mi-Kyung;Lim, Do-Sun;Ahn, Yong-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.6
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    • pp.969-976
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    • 2013
  • Objectives : The purpose of the study is to investigate the deciding factors of regular scaling checkup in metropolitan adults. Methods : The subjects were 395 adults of 20s to 50s in Seoul and Gyeonggi province from September 25 to October 4, 2012. Data were self-reported questionnaires. Results : Female tried to receive more regular scaling checkup than male. Dental practitioners were acquainted with the dental knowledge and had more scaling checkup. Those who received dental scaling checkup tended to use dental hygiene products and visit the dentists regularly. Those who receiving good dental health services tended to visit the dental clinics more frequently. Higher knowledge and lower fear of dental treatment lead to frequent regular checkup. There were significant positive correlations between satisfaction, kindness, knowledge of scaling and regular scaling checkup. Fear to dental treatment showed the negative correlation. Conclusions : In order to increase intention degree of regular scaling checkup, it is necessary to develop programs for proper oral health behavior and to improve patient care services by dental hygienist.

A study on the clinical application of the comprehensive dental hygiene care process (포괄치위생관리(CDHC) 과정 임상 적용 관련 연구)

  • Geum-Chae Youn;Hye-Eun Cho
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.4
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    • pp.333-341
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    • 2024
  • Objectives: This study aimed to identify the key components and tools for Comprehensive Dental Hygiene Care (CDHC) among dental hygienists and provide foundational data for widespread implementation in dental institutions. Methods: A third Delphi survey involving experts derived the CDHC components and materials. Dental hygienists' characteristics and the CDHC application status were analyzed for frequency. The perceived need for and willingness to apply the CDHC components based on general characteristics were assessed using t-tests. Results: The results of the Delphi survey identified the following CDHC components: 11 for medical history; three, dental history; five, oral hygiene practices; seven, dental conditions; three, occlusion conditions; six, periodontal conditions; and, three, other examinations. Planning included 3 items for healthy gums and 4 for gingivitis and mild periodontitis. Evaluation included 7 items for mild periodontitis, 5 for patient education, and totally 27 CDHC-related materials. Dental hygienists' needs and willingness varied, with higher levels among those in clinics, university graduates, those in counseling or managerial roles, team leaders or those at higher positions, and those with >6 years of experience (p<0.05). Conclusions: The Delphi survey identified the CDHC clinical application process, confirming the strong desire of dental hygienists to apply it in practice.

The Wearing Condition, Satisfaction, and Design Evaluation of Dental Hygienists' Uniform (치과위생사 유니폼 착용실태, 만족도, 디자인 평가에 관한 연구)

  • Hwang, Eun-Kyung;Chung, Sung-Ji;Jang, Nam-Kyung
    • The Research Journal of the Costume Culture
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    • v.14 no.1
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    • pp.93-107
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    • 2006
  • This study was designed from the concept that there is a need to establish the uniform for new emerging jobs in modern society. The purpose of the study was to examine dental hygienists'wearing condition, satisfaction, and design evaluation as to provide information for the development of dental hygienists' uniform. Three hundred fifteen dental hygienists completed questionnaires, and data were analyzed by descriptive statistics, factor analysis, multiple regression, ANOVA, and Duncan's test. The findings from the study were following. First, majority of dental hygienists currently wear shirts and pants two-piece uniform in white with no print. Second, dental hygienists' overall satisfaction level for their uniform was medium, and symbolic satisfaction as well as functional satisfaction did not reach the medium level while aesthetic satisfaction was above medium. The satisfaction levels were significant different between groups according to the education, clinic size, and work experience. Third, aesthetic satisfaction levels influenced on the job image as professional. Finally, designs consisting of two-piece style with shirts and pants and having Peter pan collar were recorded high evaluation. The findings can be implemented into dental hygienists' uniform design.

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