DOI QR코드

DOI QR Code

포커스 그룹을 이용한 치과위생사 커뮤니케이션 교육에 관한 질적연구

Qualitative Research on Communication Education of Dental Hygienist by Focus Group Interview

  • 최진선 (강릉원주대학교 치과대학 예방치학교실, 구강과학연구소) ;
  • 마득상 (강릉원주대학교 치과대학 예방치학교실, 구강과학연구소) ;
  • 정세환 (강릉원주대학교 치과대학 예방치학교실, 구강과학연구소) ;
  • 박덕영 (강릉원주대학교 치과대학 예방치학교실, 구강과학연구소)
  • Choi, Jin-Sun (Department of Preventive and Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Ma, Deuk-Sang (Department of Preventive and Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Jung, Se-Hwan (Department of Preventive and Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Park, Deok-Young (Department of Preventive and Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University)
  • 투고 : 2018.01.29
  • 심사 : 2018.04.02
  • 발행 : 2018.04.30

초록

본 연구는 치과위생사에게 요구되는 커뮤니케이션 교육에 관한 임상가와 교육자의 견해를 확인하기 위해 치과의사, 치과위생사, 교수의 초점집단면접을 진행하였고, 각 초점집단의 견해를 해석하고 개념화하여 분석한 결과, '커뮤니케이션 교육시기와 방법', '교과목 표준화와 교육환경', '커뮤니케이션 역량 평가', '커뮤니케이션 교과목에 대한 인식'이라는 4개의 핵심범주와 '교육시기', '교육방법', '임상현장실습', '표준화된 교과목의 부재', '교수역량 향상', '평가방법', '국가고시 도입', '교수와 학생의 태도'라는 8개의 하위범주를 확인하였고 다음과 같은 결론을 얻었다. 임상가 및 교육자 초점집단은 공통적으로 인문사회학적 소양은 대학교육이 선행되어야 한다고 진술하였다. 다만, 치과위생사 초점집단은 임상현장에서의 시행착오적 학습도 효과적인 교육이라고 강조하였다. 교수 초점집단은 대학졸업 이후에도 커뮤니케이션 교육의 연속성을 위해 보수교육이 제공되어야 한다고 강조하였다. 임상가 및 교육자 초점집단은 공통적으로 치과 의료기관에서 발생할 수 있는 환자 불만사례를 적용한 역할극을 요구하였다. 교수 초점집단은 교과목 학습목표와 실습모듈 표준화를 요구하였고, 교육 환경 인프라가 구축되어야 한다고 하였다. 더불어, 커뮤니케이션 교과목 담당 교수의 역량을 강화하기 위한 커뮤니케이션 교과목 연구회가 필요하다고 하였다. 본 연구를 통해 치과위생사의 커뮤니케이션 역량 계발을 위하여 임상현장의 요구에 부응하는 교육개발이 필요함을 확인하였고, 치과위생사 커뮤니케이션 역량강화를 위한 교육의 바람직한 방향을 제안할 수 있는 자료로 활용될 수 있을 것으로 생각된다.

The purpose of this study to review clinicians and educators on required communication education factors of dental hygienists using qualitative research by focus group interview. The participants were dentists, dental hygienists and professors. A questionnaire was developed on communication education to collect data. The collated data derived concepts related to communication education. After transferring the data, were analyzed by open coding and axial coding using computer-aided qualitative data analysis software. Focus group emphasized that higher education on communication should be preceded before they are put into the clinical field. However, the dental hygienist emphasized experiential education in the clinical field, the professor emphasized additional education for continuity of communication education even after graduation. Besides, focus group emphasized role play, and the professor required that the standardization of the dental communication training courses objectives and role play modules and the education environment infrastructure should be established to implement communication education efficiently. The categories of communication education stated in the focus group were time and method for the dental communication training courses, dental communication training courses standardization and educational environment, of evaluation of communication competency, of perception of the dental communication training courses. This study identified the communication education development to conform with the needs of the clinical field strengthen and cultivate communication competency dental hygienists based on factors of communication education emphasized in focus groups.

키워드

참고문헌

  1. Lee SY: What should we do with Korea’s biomedical model of medicine? From biomedical to biopsychosocial model. Korean J Psychol Med 20: 3-8, 2012.
  2. Korea Institute for Health and Affairs: Consumer rights in healthcare service. Korea Institute for Health and Affairs, Seoul, pp.21-26, 2013.
  3. Ong LM, de Haes JC, Hoos AM, Lammes FB: Doctor-patient communication: a review of the literature. Soc Sci Med 40: 903-918, 1995. https://doi.org/10.1016/0277-9536(94)00155-M
  4. Beckman HB, Markakis KM, Suchman AL, Frankel RM: The doctor-patient relationship and malpractice. Lessons from plaintiff depositions. Arch Intern Med 154: 1365-1370, 1994. https://doi.org/10.1001/archinte.1994.00420120093010
  5. Stewart M, Brown JB, Boon H, Galajda J, Meredith L, Sangster M: Evidence on patient-doctor communication. Cancer Prev Control 3: 25-30, 1999.
  6. Korean Institute of Dental Education and Evaluation: 2017 Accreditation standards for dental education on university school of dentistry. Korean Institute of Dental Education and Evaluation, Seoul, pp.54-57, 2017.
  7. Bae SM, Shin SJ, Jang JH, Chung WG: Implementation of assessment in a competency-based dental hygiene science education. Korean Association of Dental Hygiene Professors, Cheonan, pp.13-19, 2014.
  8. Korean Dental Hygienists Association: Public discussion for establishment of evaluation and certification system for dental hygiene education. Korean Dental Hygienists Association, Seoul, pp.1-64, 2017.
  9. Kim SJ, Kim HH: Impact of communication competence and empathy abilities on interpersonal relationship abilities among dental hygiene students. J Dent Hyg Sci 13: 304-313, 2013.
  10. Hamasaki T, Kato H, Kumagai T, Hagihara A: Association between dentist-dental hygienist communication and dental treatment outcomes. Health Commun 32: 288-297, 2017. https://doi.org/10.1080/10410236.2016.1138376
  11. Lee IW, Kim CS, Lee HS, Lee WS: A content analysis on a form and manner in medical communication subject: focused on the medical schools in Korea. Commun Theories 11: 104-141, 2015.
  12. Son HM, Kim HS, Koh MH, Yu SJ: Analysis of the communication education in the undergraduate nursing curriculum of Korea. J Korean Acad Soc Nurs Educ 17: 424-432, 2011. https://doi.org/10.5977/JKASNE.2011.17.3.424
  13. Kim KM, Kim SI, Choi JS, Nam Kyung EJ, Choi YK, Park DY: Dental communication training courses in dental hygiene schools in Korea. J Korean Soc Dent Hyg 17: 123-132, 2017. https://doi.org/10.13065/jksdh.2017.17.01.123
  14. Yang EB: Teaching and learning communication skills in medical education. Korean J Med Educ 20: 99-107, 2008. https://doi.org/10.3946/kjme.2008.20.2.99
  15. Lee YM: Challenges in communication skills education in medicine: based on personal experience and reflection. Korean J Med Educ 24: 65-68, 2012. https://doi.org/10.3946/kjme.2012.24.1.65
  16. Choi YK, Shin BM, Son JH, Park DY: Effectiveness and learning experience of dental communication course training in dental hygiene schools. J Dent Hyg Sci 16: 134-141, 2016. https://doi.org/10.17135/jdhs.2016.16.2.134
  17. Ryu KU, Jung JW, Kim YS, Kim HB: Qualitative research methods. Parkyoungsa Publication, Seoul, pp.4-7, 2014.
  18. Morgan DL: The focus group guide book: focus group kit 1. Sage Publication, London, pp.17-27, 2007.
  19. Krueger RA, Casey MA: Focus groups: a practical guide for applied research. 5th ed. Sage Publications, Thousand Oaks, pp.17-26, 2015.
  20. Seggern MV, Young NJ: The focus group method in libraries: issues relating to process and data analysis. Ref Serv Rev 31: 272-284, 2003. https://doi.org/10.1108/00907320310486872
  21. Min BO, Cho DH: A practical guide for applied research. 4th ed. Myoungin Publication, Seoul, pp.115-153, 2014.
  22. Kwon SO: Conception of medical humanities and it’s role in medical education. Korean J Med Educ 17: 217-223, 2005. https://doi.org/10.3946/kjme.2005.17.3.217
  23. Lee JY: The state of dental history education in colleges or graduate schools of dentistry and future challenges facing the field. Yonsei J Med Hist 13: 33-49, 2010.
  24. Lee HR, Hong EK, Kim KM: A phenomenological study on change and experience during clinical fieldwork of students in occupational therapy. J Spec Educ Rehabil Sci 53: 341-355, 2014. https://doi.org/10.15870/jsers.2014.03.53.1.341
  25. Sangappa SB, Tekian A: Communication skills course in an Indian undergraduate dental curriculum: a randomized controlled trial. J Dent Educ 77: 1092-1098, 2013.
  26. Park JH, Kim S: Evaluating clinical clerkship in medical school. Korean J Med Educ 16: 157-167, 2004. https://doi.org/10.3946/kjme.2004.16.2.157
  27. Kim YS: Study on the development of continuing education program for dental hygienist. J Coll Educ 9: 97-109, 2008.
  28. Choi YK, Bae SM, Shin BM, Son JH, Park DY, Choi JS: A case study on the validity of dental communication curriculum of a dental hygiene department. J Dent Hyg Sci 17: 306-314, 2017. https://doi.org/10.17135/jdhs.2017.17.4.306
  29. Kim NH, Cha HY, Shin SW, Hong JW: The effect of medical interview course in Korean medical school. J Korean Oriental Med 33: 121-135, 2012.
  30. Shin YS, Kin YI, Lee YS: Development and evaluation of an exercise course of health policy and management. Korean J Med Educ 4: 39-54, 1992. https://doi.org/10.3946/kjme.1992.4.2.39
  31. Bak YI, Park EW: Problems of the curriculum for the improvement of the medical communication in Korean medical schools. Korean Acad Commun Heal 4: 34-42, 2009.
  32. Park EW: Development of medical communication subject in medical school curriculum. Korean J Health Commun 4: 23-33, 2009.
  33. Theaker ED, Kay EJ, Gill S: Development and preliminary evaluation of an instrument designed to assess dental students' communication skills. Br Dent J 188: 40-44, 2000. https://doi.org/10.1038/sj.bdj.4800382
  34. Korea Health Personnel Licensing Examination Institute: Notice. Retrieved March 13, 2018, from http://www.kuksiwon.or.kr/Publicity/NoticeList.aspx?SiteGnb=3&SiteLnb=1.
  35. Ryu DY, Yang HS, Choi YK: Needs and perception of medical communication course in the dental hygiene students. J Korean Soc Dent Hyg 14: 623-630, 2014. https://doi.org/10.13065/jksdh.2014.14.05.623