• Title/Summary/Keyword: 의료커뮤니케이션

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Stress of Clinical Practice and Mental Health According to DISC Behavioral Styles in Nursing University Students (간호대학생의 DISC 행동유형에 따른 임상실습스트레스와 정신건강)

  • Kim, Yeongju;Gong, Hoyeon;Nam, Hyerim;Moon, Jiyoon;Lee, Chaewon;Ko, Eun
    • Health Communication
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    • v.13 no.2
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    • pp.223-231
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    • 2018
  • Background: Many nursing university students were stressed during clinical practice. The purpose of this study was to identify the difference between stress of clinical practice and mental health according to behavioral styles in nursing university students. Methods: The participants of this study were 233 junior and senior nursing students who had experienced clinical practice. Data were collected by self-report questionnaires in online from November 2017 to March 2018. Collected data were analyzed with SPSS/WIN 25.0 using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients. Results: The most frequent DISC behavior style of the subjects was conscientiousness (43.8%), follewed by steadiness (19.7%), influence (18.9%), and dominance (17.6%). The participants'scores for stress of clinical practice and mental health were $3.35{\pm}0.55$ and $1.13{\pm}0.65$. The stress of clinical practice of the subjects was different according to DISC behavior styles(F=2.86, p=.038). The results show that the higher the score of stress of clinical practice was the higher the score of mental health(r=.51, p<.001). Conclusion: This study found that the difference of DISC behavioral styles can be attributed to stress of clinical practice. Therefore, nursing intervention program considering with the subjects'DISC behavior styles needs to be developed to reduce their stress of clinical practice.

Relationship between Perceived Health Status and Patient Satisfaction in Outpatient Settings - Korean National Health and Nutrition Examination Survey 2015

  • Park, Eun-Joo;Park, Seung-Guk;Kwon, Ji-Hye;Cheon, Seung-Won;Kim, Hyo-Eun;Yoo, Sun-Mi
    • Health Communication
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    • v.13 no.2
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    • pp.159-166
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    • 2018
  • Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

The Effect of the Degree of the Spiritual Nursing Care Performance on the Spiritual Nursing Care Ability of Nursing Students (간호대학생의 영적 간호 수행능력이 영적 간호 수행정도에 미치는 영향)

  • Ko, Young Sook;Ha, Mi Ok
    • Health Communication
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    • v.13 no.2
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    • pp.149-158
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    • 2018
  • Background: This study was to survey the effect of the degree of spiritual nursing care performance on the spiritual nursing care ability of the nursing students Methods: The researcher sampled 130 nursing students for a questionnaire survey conducted from September 17 until September 27, 2018. The data of analysis used SPSS 23.0 program. Results: The spiritual nursing care ability was $4.4{\pm}0.8$(total score 6) and the degree of spiritual nursing care performance was $2.9{\pm}1.8$(total score 4). The spiritual nursing care ability differed significantly depending on religion(F=7.570, p<.001), the level of spiritual nursing knowledge(F=19.873, p<.001), education type(F=14.626, p<.001), necessity of hospice(t=2.280, p=.024). The degree of spiritual nursing care performance differed significantly depending on spiritual nursing education time(F=2.932, p=.036). The correlation of two variable was statistically significant difference(r=.206, p=.019). The influencing factors on the spiritual nursing care ability was religion, the level of spiritual nursing knowledge, education type, dying experience($R^2=0.378$, Adj $R^2=0.353$), the degree of spiritual nursing care performance was spiritual nursing education time($R^2=0.065$, Adj $R^2=0.043$). Conclusion: These results show that nursing students are not able to perform spiritual nursing care properly to subjects who need spiritual nursing care. Therefore, it is necessary to develope programs to meet the spiritual nursing care needs of nursing students and to provide practical education in accordance with the program by cooperating with the nursing education staff, clergy and clinical nurse etc. And spiritual nursing care should be taught as a required subjects in the curriculum.

Effects of Written Information for Coronary Artery Disease Depending on Patients' Health Literacy on Health Behavior Compliance Related Self-efficacy, Knowledge of Disease, Anxiety, and Educational Satisfaction (건강정보 이해능력에 따른 관상동맥질환 관련 서면정보의 제공이 환자의 건강행위 이행에 대한 자기효능감, 질병 지식, 불안, 교육만족도에 미치는 효과)

  • Hwang, Kyoungnam;Won, Hyejeong;Jang, Insun;Lee, Jiyeon
    • Health Communication
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    • v.13 no.2
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    • pp.233-241
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    • 2018
  • Purpose: The purpose of this study was to investigate effects of providing written information for coronary artery disease on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction depending on patients' health literacy. Methods: The participants in this study were 40 patients who underwent coronary angiography or coronary intervention, and depending on the level of health literacy 30 patients were high group and 10 patients were low group. Each group was evaluated on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction with providing written information. Results: By providing written information in the group with high health literacy, there was a significant difference in health behavior compliance related self-efficacy, knowledge of disease, but there was no significant difference in anxiety variable. On the other hand, there was no significant difference in health behavior compliance related self-efficacy, knowledge of disease, and anxiety by providing written information in the group with low health literacy. Also, there was no significant difference in the educational satisfaction between high and low group of health literacy after providing written information. Conclusion: It is necessary to develop educational materials that can be applied to clinical nursing field with considering health literacy of patients with coronary artery disease. In addition to providing written information, it is also necessary to develop other educational intervention programs such as video and personalized counseling that may be helpful for coronary patients with low health literacy and investigate their effectiveness.

Effective Education and Training method for Operations Management of Medical Equipment of Official Development Assistance(ODA): focusing on Vietnam (공적개발원조(ODA)의 효과적인 의료기기 운영관리를 위한 교육훈련방안: 베트남을 중심으로)

  • Park, Kwanjae;Lee, DonHee
    • Journal of Korea Society of Industrial Information Systems
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    • v.27 no.4
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    • pp.115-126
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    • 2022
  • Under the COVID-19 pandemic, the importance of Official Development Assistance(ODA) in health and medical service is emphasized more. The number of cases is expected to increase in the future. Therefore, it is necessary to provide differentiated education and training for each type of occupation as a follow-up to realize the operations management and maintenance of medical equipment supported by the ODA project. In this study, for an effective follow-up and operations management of medical equipment supported by the ODA project, the differences in educational training achievement between users and maintainers were analyzed through a t-test. As a result of this study, there were significant differences between users and maintainers of medical equipment in use and manage six types of priority management target medical equipment(Q5) and an instruction manual understanding of medical equipment(Q6). However, there was no difference in the need and purpose of education and training, satisfaction with an instructor, and the need for cross-professional communication.

An Intervention Model to Help Clients to Seek Their Own Hope Experiences: The Narrative Communication Model of Hope Seeking Intervention

  • Kim, Dal Sook;Kim, Hesook Suzie;Thorne, Sally
    • Journal of Hospice and Palliative Care
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    • v.20 no.1
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    • pp.1-7
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    • 2017
  • The paper describes The Narrative Communication Model of Hope Seeking Intervention developed by the authors as an approach to help clients to have individually specific hope experiences. The Model is founded upon the existential conceptualization of hope that views hope as subjective, unique experiences of meaning and processes. The Model has been developed based on the findings both in the literature and the authors' work on the nature of hope and hope experiences and integrating the concept of hope as subjective meanings and experiences, the processes of story-telling and the concept of narrative configuration as a way to engage in person-specific experiences, and person-centered communication. The results of the experiences with the application of the model in a study are used to clarify the model further. The Model incorporating story-telling and narrative construction through person-centered communication is identified in three components-the story-telling, the narrative intervention, and the communication components. These components are processed as an intervention to culminate into person-specific hope experiences in which active participation of clients as the story-teller and of interventionist as the communicative facilitator is required to produce narratives of hope with individual specific thematic plots that become the basis for hope experiences. The application of the Model has shown positive outcomes in clients with successful seeking of own hope experiences. The success of the Model application seems to depend upon interventionists' understanding of the model and the competency with the application of person-centered communication strategies.

Study on Clinical Patient-oriented Education System for Medical Organizations (의료기관에서의 환자 중심 교육 시스템 연구)

  • Park, Hwagyoo
    • Journal of The Korean Association of Information Education
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    • v.17 no.4
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    • pp.475-486
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    • 2013
  • Recent healthcare studies evaluate the effective impacts of a patient educational information intervention in hospitals on adherence to communicating knowledge, life quality, and therapeutic response in patients treated with highly active therapy in medical organizations. Therefore, the aim of this study is to design and implement the effective and systematic frameworks by providing clinical patient-oriented education system(CPES), which enhances health promotion and medical cures. CPES initiatives accelerate positive financial returns with network-driven educational system. To validate the CPES, the author analyzes the efficiency and effectiveness using statistical survey works. With this outcome, it is compared with previous system. One of the findings is that the system can improve compliance with treatment right dietetics and give patients self-manage their conditions in S hospital. Patients' acknowledge of their condition and its treatment process can be improved through the educational systems.

Medical Services Specialization strategies of the Regional Public Hospital through Customer Segmentation (고객세분화를 통한 지방의료원의 의료서비스 전문화 전략)

  • Lee, Jin-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4641-4650
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    • 2015
  • This study aims to further strengthen the medical expertise to offer specialized medical care specialization strategies to gain a competitive edge through the customer segmentation of the Regional Public Hospital. Investigation period was selected to study the inpatients 26,658 people January to December 2013. The method of analysis are Cluster analysis and Decision Tree Analysis. In conclusion, female, age over 60, and diseases in musculoskeletal system and connective tissue were commonly selected as identifiers of the target market of Regional Public Hospital. Customers in this target market are loyal to specialized medical service and keeping continuous relationship with these customers through communication and monitoring of results of provided medical service would be important because the effect of word of mouth propagated to other group of customers having equivalent scale of consumption is expected. And the concentration of the scope of medical service of Regional Public Hospital and the collaboration and mutual reliance of medical service under the strategic alliance with other institutions and private hospitals are also needed.

Case Study on Engineering Clinic Operation Based on Industry Needs (산업체 수요에 기반한 산업의료원 교과목 운영 사례)

  • Yu, Yun Seop
    • Journal of Practical Engineering Education
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    • v.6 no.1
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    • pp.51-55
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    • 2014
  • A case study on engineering clinic operation based on industry needs is introduced. Engineering clinic is a course that students and professor solve bottleneck techniques provided from an industry. The industry presents the bottleneck techniques to the professor and the professor plans a course that the students learn how to solve them, and the students train field adaptability by solving them. From the course evaluation of the engineering clinic, the students give high scores to the awareness of the course objectives, the performance period, the smooth communication, the application and understanding of major, the problem solving skill, the cooperation ability, the opportunity of carrier choice, and the course recommendation. Two semesters give higher satisfaction to the students than one semester because two semesters are long enough to solve the bottleneck techniques provided from the industry. It gives good opportunity that the students get a job through completing the course.

P2P DICOM System using Multiagent Systems Communicating with XML Encoded ACL (XML 기반 ACL로 통신하는 멀티에이전트 시스템을 이용한 P2P DICOM 시스템)

  • Kwon, Gi-Beom;Kim, Il-Kon
    • Journal of KIISE:Computing Practices and Letters
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    • v.8 no.5
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    • pp.598-606
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    • 2002
  • We suggest a distributed communication and management methodology using PC to PC Query multicasting strategy for efficient management of medical images produced by DICOM(Digital Imaging and Communications in Medicine) Modalities. It is absolutely necessary to reduce strict degradation of PACS system due to large sire of medical images and their very high transport rates. DICOM PC to PC Component is composed of a Service Manager to execute requested queries, a Communication Manager to take charge of file transmission, and a DICOM Manager to manage stored data and system behavior Each Manager itself is a component to search for requested file by interaction or to transmit the file to other PCs. Distributed management and transformation of medical information based on PC to PC Query multicasting methodology will enhance performance of central server and network capacity, reducing overload on both. We organize three major components for system operation. Each component is implemented as Agent. Communication between agents uses XML encoded Agent Communication Language.