• Title/Summary/Keyword: 의료커뮤니케이션

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Assessment of Emergency Remote Teaching for Clinical Interview Skills due to COVID-19: Its Implication for Future Online Medical Education (코로나19로 인한 일개 의과 대학의 비대면 의료 면담 실습수업 사례 분석)

  • Lee, Sang-ok;Kim, Yoo-Ri;Kim, Sung-Soo
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.431-443
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    • 2022
  • The purpose of this study is to share and assess the experiences of the emergency remote teaching method adopted for the medical communication course at a medical school due to the COVID-19 pandemic. The standardized patients hired for this 'Emergency Remote Teaching (hereafter ERT)' course said that students' interactions with them were less enthusiastic and less realistic, However, in the one-on-one virtual practice, the students seemed to be more focused than in the existing face to face practice. There were no differences in the unit practice test scores between ERT and the face-to-face course while in the face-to-face final exam, the test scores of FTF students were statistically higher than those of the ERT students, which might have resulted from the different methodologies of teaching. Further research on the virtual medical communication course is necessary to prepare medical students for the adoption of the telemedicine which could be accelerated in the near future.

Development of Physician Coaching Model for Improvement of Patient-Doctor Communication (환자-의사 커뮤니케이션 개선을 위한 의사코칭 모델 개발)

  • Na, Hyun Sook;Kwon, Young Dae;Noh, Jin-Won
    • The Journal of the Korea Contents Association
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    • v.13 no.2
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    • pp.331-340
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    • 2013
  • Recently there is a heated debate going on regarding the patient-doctor communication in the medical schools and medical service sector. Patient-doctor communication is an interactive communication made during the consultation session which is known to bring positive effect to both the patient and the doctor. Through this research, a doctor coaching model was developed by combining a method that would help the patient and doctor communicate better by increasing the doctor's communication skill and a coaching mechanism. Through the research, the doctor coaching model consists of 5 levels. First is the 'relationship creation' which would cause the doctor's interest and expectations toward coaching mechanism. Second is 'recognition of change' and this would cause to understand the problem and pros of the doctor's communication with the patient and set a direction regarding the coaching. Third is 'understanding the perspective' and this would lead the doctor to think from the patient's perspective. Fourth is 'increasing problem solving and communication skills' and this would set specific terms as to how the doctor can improve his communication skills. Fifth is 'goal setting and support' where goal regarding the improvements can be set and agreement regarding the ways to maintain and strengthen the advantage can be made. The developed doctor coaching model is most meaningful in a way that it has first adapted a coaching mechanism to improve patient-doctor communication. Also in cases where such will be utilized in the future medical service sector, it is expected to affect greatly the doctor's communication skill and patient sympathizing skills. Hereby it will contribute in increasing the patient's treatment satisfaction.

A Comparative Study on Communicatioin Competence, Nursing Professionalism, Work Environment and Job Satisfaction between Outpatient Nurses and Ward Nurses (외래병동간호사와 병동간호사의 의사소통능력과 간호전문직관, 업무환경 및 직무만족도 비교)

  • Kim, Keum OK;Ko, Mi Suk;Choi, Eun Hee;Kim, Hye Jeong
    • Health Communication
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    • v.13 no.2
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    • pp.175-183
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    • 2018
  • Purpose: The purpose of this study was to compare communication competence, nursing professionalism, work environment and job satisfaction between outpatient nurses and ward nurses, and to identify the correlation among variables. Methods: The participants were 90 outpatient nurses and 98 ward nurses at the two general hospitals. Data were collected using self-administered questionnaires. Data were analyzed using descriptive statistics, ${\chi}^2-test$, independent t-test and Pearson's correlation coefficient. Results: There were statistically significant differences between two groups in nursing professionalism, possibilities for development, commitment to the workplace, social support from colleagues, social community at work and job satisfaction, outpatient nurses showed higher level than ward nurses except commitment to the workplace. The work environment variables and nurses' job satisfaction were mostly correlated. Job satisfaction showed significant negatively correlated with quantitative demands, emotional demands and role conflicts in both groups nurses. Conclusion: These findings showed that nursing work environments were the most important factor for job satisfaction of both group nurses. Therefore, it is necessary to put efforts in improving nursing work environment and to develop diverse strategies for human resource management.

The Influence of Emotional Labor and Mental Health on Care Performance of Certified Caregivers for Elders with Dementia (치매노인을 돌보는 요양보호사의 감정노동, 정신건강이 돌봄이행에 미치는 영향)

  • Yoo, Seung Yeon
    • Health Communication
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    • v.13 no.2
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    • pp.141-148
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    • 2018
  • Background: The purpose of this study is to identify the degree of emotional labor, mental health care, care performance of certified caregivers for elder with dementia, and the factors that affect care performance. Methods: In order to collect data, structured questionnaire was used for 197 caregivers who worked at 3 dementia specialized facilities located in D city. Data were analyzed by t-test, ANOVA, correlation and multiple regression using SPSS/WIN 20.0. Results: Care performance had negative relationship with emotional labor(r=-.320, p<.000) and mental health(r=-.240, p<=001). Emotional labor had positive relationship with mental health(r=.208, p=.003) And the prediction factors influencing care performance were health status(${\beta}=.363$, p<.001), emotional labor(${\beta}=-.242$, p<.001), mental health(${\beta}=-.223$, p=.001). The total variance was 38.9% by predictors(F=25.978, p<.001). Conclusion: Based on the results of this study, in order to improve the care performance mental health program should be provided and good health management is needed to improve health status. And also it is necessary to develop and apply new strategies to reduce emotional labor of the dementia facility caregivers.

Factors Influencing Self-directed Learning Ability of Anatomy using Cadaver Dissection - Focusing on Beginning Nursing Students (시신 해부실습을 통한 해부학 교과목에서의 자기주도적 학습능력 영향요인 - 전공입문 간호대학생을 대상으로)

  • Seo, Yon Hee;Lee, Hyun Ju
    • Health Communication
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    • v.13 no.2
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    • pp.109-115
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    • 2018
  • Background: The study is descriptive research study to investigate the self-directed learning ability to explore the facts that influence of anatomy using cadaver dissection beginning nursing students. Methods: A descriptive research design was used. The data was collected from 31st May to 7 June, 2016. The participants were total 121 first-year nursing students in C University. This anatomy practicum course was composed of three session, and each session was composed of 3hours, 60minutes of body structure and anatomy lecture, 90 minutes of cadaver dissection, and 30minutes of summary. Results: The results of the study showed that satisfaction with cadaver dissection was statistically significant in the usefulness in connection with the major of nursing (r=.543, P<.001), educational understanding (r=.465, p<.001), and nursing learning motivation (r=.517, p<.001). As the nursing learning motivation increased, self-directed learning ability increased. Also nursing learning motivation influenced self-directed learning (${\beta}=0.266$, p<.01). Conclusion: It is necessary to develop a program that can link theoretical education with practicum education of anatomy using cadaver dissection for efficient learning of the anatomy major courses of nursing students.

Knowledge and Attitude about Drugs and the Current Status of Self-medication of Nursing Students (간호대학생의 의약품 자가투약 실태, 약물에 대한 지식 및 태도에 관한 연구)

  • Kim, Hae-Ok;Lee, Eun-Joo;Sung, Min;Kim, Min-Kyeong
    • Health Communication
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    • v.13 no.2
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    • pp.185-193
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    • 2018
  • Background: Nursing college students are exposed to information about diseases or drugs, and are likely to have a distorted perception of drug knowledge or behavior. The study aimed to identify knowledge and attitude about drugs and current status of self-medication among nursing students. Methods: The subjects were 172 nursing students from a university in Busan. Data were collected with structured questionnaires and analyzed using descriptive analysis, t-test, and one-way ANOVA using SPSS 23.0. Results: Nursing students had a high level of knowledge about drugs, but attitudes toward drugs were relatively low. 83.7% of patients had experience of self-medication. The methods to acquire information for self-administration were 29.9% by smart phone and 27.1% by internet. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) among self-medication drugs was the highest. The most common reason for self-medication was 'I thought it to be a mild disease', and the pharmacists were the most affected by choice of self-medication. The knowledge about drugs was statistically significant according to grade, school life satisfaction and subjective health status. The attitudes about medication were statistically significant according to grade and self-medication experience. Conclusion: Nursing college students need drug safety education to improve awareness and practice of correct drug use.

A Phenomenological Study on the Experiences of Nursing Students' Communication in Clinical Nursing Practicum (간호대학생의 임상실습 시 의사소통 경험에 대한 현상학적 연구)

  • Kim, Dong Hee;Song, Hyo Bin;Son, Hae Kyoung
    • Health Communication
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    • v.13 no.2
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    • pp.195-204
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    • 2018
  • Background: Unlike traditional quantitative study, this qualitative study is designed to understand and explore the experiences of nursing students's communication in clinical nursing practicum. Methods: Participants were 15 nursing students from a university in Seoul who were selected by purposive sampling. They had been participated in clinical nursing practicum more than one semester. Data were collected through in-depth interviews and observation from May 29, 2017 to June 8, 2017. Collected data were analyzed by Colaizzi's phenomenological methodology. Results: As a result, 5 theme clusters were derived as follows: 1) the modeling of communication, 2) treatment as a student nurse, 3) respect as a nurse, 4) trauma after communication, and 5) sympathy in communication. This study identified the desire for nursing professionalism, psychological difficulties as negative emotionality, as well as positive emotionality of nursing students in clinical practicum. Conclusion: We should consider a nursing curriculum to prepare and improve the communication of nursing students before participating in clinical practicum. The concrete and systematic communication education would be useful for nursing students to participate clinical practicum effectively.

Self Efficacy, Fatigue, Communication Competence and Satisfaction of Clinical Practice and its Related Factors among Some Dental Hygiene Students (일부 치위생과 학생의 자기효능감, 피로, 의사소통능력과 임상실습 만족도와의 관련요인)

  • Han, Se-Young
    • Health Communication
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    • v.13 no.2
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    • pp.133-140
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    • 2018
  • Purpose: This study was performed to provide basic educational data for improvement of satisfaction in clinical practice by investigating the relationship of clinical practice satisfaction with self-efficacy, fatigue and communication skill in dental hygiene students. Methods: A survey using a self-administered questionnaire was conducted among 205 second- and third-year students enrolled in an dental hygiene program at three colleges located in A and B province from March 10 to April 10, 2018. Results: Satisfaction level of clinical practice was significantly higher in the group more satisfied with their majors, with more healthy subjective health status, more satisfied with their interpersonal relationships, with a higher self-efficacy, with a lower fatigue, and with better communication skill. Clinical practice satisfaction had a significantly positive correlation with self-efficacy and communication skill and a significantly negative correlation with fatigue. Factors affecting clinical practice satisfaction in the subjects were communication skill, self-efficacy and fatigue. The total variance explained by all three variables was 20%. Conclusion: Further studies and development of education programs including a broad range of strategies for clinical training are warranted by reflecting those related variables to improve clinical practice satisfaction in dental hygiene students.

Relationship between emotions and emoticons in adolescents in digital communication environment (디지털 커뮤니케이션 환경에서 청소년들의 감정과 이모티콘의 관계)

  • Kim, Yoon-Ji;Kang, Dongmug;Kim, Ju-Young;Kim, Jong-Eun
    • Health Communication
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    • v.12 no.1
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    • pp.51-72
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    • 2017
  • Purpose: Adolescents use emoticons to express their emotions in an online environment. Hence, medical experts can understand the emotions of adolescents by emoticons. The goal of this study was to investigate the relationship between various emotions and emoticons among the Korean adolescents. Methods: The questionnaire survey was conducted between September 1 and 30, 2014, involving 3,272 students in elementary schools, middle schools, and high schools affiliated in the Department of Education of the metropolitan city of Busan. A total of 1,717 students responded to the survey. The participants consisted of 806 males (46.9%), and 911 females (53.1%). Among these, there were 557 elementary school students (32.4%), 617 middle school students (35.9%), and 543 high school students (31.6%). A social networking analysis was conducted using NodeXL. Results: The frequency of emoticon use among adolescents runs in the order of joy, sadness, fear, surprise, anger, disgust, and then depression. Elementary school females mainly use emoticons to express joy; middle school females use emoticons to express sadness, surprise, anger, disgust, and depression; and high school females use emoticons to express fear. Age- and gender-specific emoticon networks were visualized by using the Haren-Korel fast multiscale algorithm. Commonly used emoticons by age and gender were expressed in the networks. Results of age- and gender-specific emoticon networks visualization show similar results of centrality of seven emoticons. Conclusion: In the digital communication environment, emoticons could be used to catch the emotions of adolescents in Korea.

The Effect of Dental Service Quality on Service Value, Consumer Satisfaction and Consumer Royalty (치과의료서비스 품질이 서비스가치, 고객만족 및 고객충성도에 미치는 영향)

  • Jeon, Eun-Suk;Choi, Yu-Jin;Hwang, Su-Hyun
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.246-253
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    • 2013
  • The present study was carried out to evaluate the impacts of the qualities of dental medical services on service value, consumer satisfaction and consumer loyalty for 221 patients who visited 17 dental hospitals or clinics located in Busan and Ulsan using questionnaires and obtained the following conclusion. By gender, males had higher perceptions of para-language than females did in the qualities of the dental medical services, and by the level of education, college students and university graduates had higher perceptions of body language and physical appearance. Scores of service value, consumer satisfaction and customer loyalty were higher in males, college students and university graduates, and married patients, but those were not statistically significant. It turned out that the qualities of the dental medical services were correlated with service value, consumer satisfaction and consumer loyalty. As the perception of para-linguistic and verbal communication in the qualities of the medical services increased, service value increased; as the perception of verbal communication and physical appearance increased, consumer satisfaction increased; and as the perception of verbal communication, physical appearance and body language increased, consumer loyalty increased. To sum up the above findings, the qualities of dental medical services influence service value, consumer satisfaction and consumer loyalty, so in the future, it will be necessary to study quality dental medical services with which patients are satisfied.