• Title/Summary/Keyword: Clinical work

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Clinical Dental Hygienists' Awareness of the Medical Technicians Act and Clinical Performance in Korea

  • Back, Song-I;Min, Ji-Hyun
    • Journal of dental hygiene science
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    • v.20 no.2
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    • pp.97-106
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    • 2020
  • Background: In Korea, laws for many medical technicians were revised in the Enforcement Decree of the Medical Technicians Act (MTA), which was announced on December 2018, whereas those related to dental hygienists remained unchanged. This study aimed to determine the awareness and opinions of dental hygienists regarding MTA. Methods: Dental hygienist were recruited as participants via convenient sampling in Seoul, Gyeonggi-do, and Chungcheong-do; data from 291 self-reported questionnaire responses were used for the final analysis. We investigated the participants' general characteristics, awareness, and request for the amendment of the MTA. The compliance with the work scope specified in the MTA and level of demand for revision of the MTA were analyzed by independent t-test and one-way analysis of variance. For all statistical analyses, the significance level was set at 0.05. Results: For the 2018 MTA revision, 99 (34.02%) knew that dental treatment assistance and surgery assistance were excluded, whereas 192 (65.98%) did not know. The item "The current medical technician law must be revised" was scored 4.13±0.80 out of 5 points, and significant differences were identified according to the education level, career, and position (p<0.05). The item "It is necessary to institutionalize the expanded work scope beyond the work scope of dental hygienists specified in the MTA" was scored 4.02±1.04 out of 5 points, and significant differences were identified according to age (p<0.05). Conclusion: The participants wanted the MTA to be revised to reflect the real-world work performed by dental hygienists in the dental clinical field. The legal system must ensure the legal protection of the work area of the dental hygienist as an oral health professional, and recognize the legal work scope of the dental hygienist.

The Effects of Clinical Nurses' Job Stress, Work-family Conflicts & Burnout on Depression (임상간호사의 직무스트레스, 직장가정 갈등, 소진이 우울에 미치는 영향)

  • Lee, Eun-Sook;Kang, Hee-Sun
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.237-248
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    • 2019
  • The purpose of this study was to investigate the effects of clinical nurses' job stress, work-family conflicts, and burnout on their depression. Data was analyzed using descriptive statistics, t-test, one way ANOVA, Pearson's Correlation Coefficient and Stepwise multiple regression analysis. The results of this study shows that the job stress of the nurses was higher than average, the work-family conflicts was moderate, burnout was less than moderate, and depression was mild. The higher the job stress, the higher the conflict between workplace and family, the higher the burnout, and the higher the depression was. The main factor impacting upon the mental health of nurses was work-family conflicts followed by burnout. Therefore, it is necessary to develop a program that can prevent job stress and resolve burnout and support work-family conflicts to prevent depression of clinical nurses and to improve quality of life.

Radiography Work Performed by Dental Hygienists according to the Workplace Type

  • Park, Bo-Young;Yoon, Mi-Sook
    • Journal of dental hygiene science
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    • v.22 no.2
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    • pp.75-82
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    • 2022
  • Background: Dental hygienists study dental radiology through the dental hygiene department and curriculum, and most of the radiography work in dental clinics is performed by dental hygienists; however, the legal work regulations for dental hygienists place restrictions on the type of radiography performed. This study aimed to identify the actual conditions of the radiographic work performed by dental hygienists and to determine the difference according to the type of hospital. Methods: This study included 195 dental hygienists working at dental medical institutions in the metropolitan area. A survey was conducted on regarding the radiographic work performed and the clinical career of the main performers. The radiography work was divided into periapical radiography, bite-wing radiography, occlusal radiography, panoramic radiography, computed tomography (CT), and cephalometric radiography. Results: The frequency of performing intraoral radiography was as follows: periapical radiography, 94.9%; bite-wing radiography, 93.8%; and occlusal radiography, 77.9%. The frequency of performing extraoral radiography was 94.4% for panoramic radiography, 89.7% for CT, and 73.3% for cephalometric radiography. The frequency of internal and external radiography performance was higher among hygienists in dental clinics than among those in dental hospitals and university hospitals. The analysis of the dental hygienists' clinical experience in the areas of intraoral and extraoral radiography showed that those working at university hospitals, dental hospitals, and dental clinics had over 5 years, 2~4 years, and 1 year of clinical experience, respectively. The hygienists with less than 1 year of clinical experience showed high performance frequency (p<0.05). Conclusion: For the dental hygienists to perform radiography safely, a discussion regarding the revision of related laws and regulations is warranted.

Job Stress and Presenteeism of Clinical Nurses (임상간호사의 직무 스트레스와 프리젠티즘)

  • Gun, Mi-Sook;Choi, Yeon-Hee;Park, Kum-Hwa
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.2
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    • pp.163-171
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    • 2011
  • Purpose: This study is to investigate the job stress and presenteeism of nurses with work shift. Methods: The data were collected through questionnaires from 281 clinical nurses working for a university hospital located in D city from 13 to 28 of February, 2009. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe verification test, Pearson correlation coefficient and multiple linear regression using SPSS/WIN 16.0. Results: The mean score of job stress was 3.47. Work overload and psychological burden scored the highest point as the sub-category of work stress factor. Work performance loss out of presenteeism showed 26.89 and perceived productivity, 79.79. Also 94.7% of respondents answered they had health problems. A significantly positive correlation was found among job stress, work performance loss and health issue. To determine the factors affecting presenteeism, work performance loss was associated with work overload and perceived productivity with interpersonal relationship conflict. Conclusion: Based on the findings of the study, job stress is positively correlated with work performance loss, and health problems. Therefore, health problems of nurses with work shift need to be considered and plans to manage their job stress affecting presenteeism need to be developed at an earlier stage.

The Effects of Hospital Organizational Culture and Work Environment on Nurses' Intent to Stay at the Current Hospital (병원의 조직문화와 직무환경이 간호사의 잔류의도에 미치는 영향)

  • Yun, Myeong Ju;Choi, Mi Young
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.273-282
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    • 2018
  • Purpose: This descriptive study was conducted to identify the effects of hospital organizational culture and work environment on nurses' intent to stay at work. Methods: Participants of this study were 234 nurses who have worked at a local general hospital in the Chungcheong province for at least 6 months. The data were collected from July 17 to 28, 2017, using self-reported questionnaires and analyzed with multiple regression using SPSS version 22.0. Results: Clinical experience (${\beta}=.38$, p<.001), institutional support (${\beta}=.33$, p<.001), and relation-oriented culture (${\beta}=.24$, p<.001) affected intent to stay at work among nurses. These variables accounted for 34.8% of the variance in intent to stay at work among nurses. Conclusion: This study confirms the effects of the work environment and organizational culture on nurses' intent to stay at work. Efforts for improving the work environment and organizational culture need for retaining nurses in a hospital. We suggest further research to identify the other factors associated with intent to stay at work among nurses.

Effects of Work Stress, Compassion Fatigue, and Compassion Satisfaction on Burnout in Clinical Nurses (간호사의 직무 스트레스, 공감피로 및 공감만족이 소진에 미치는 영향)

  • Lee, Jung-Min;Yom, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.5
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    • pp.689-697
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    • 2013
  • Purpose: The purpose of this study was to identify the effects of work stress, compassion fatigue and compassion satisfaction on burnout in clinical nurses. Methods: The sample consisted of 268 nurses from two general hospitals located in Seoul and Gyunggi province. Data were analyzed using frequencies, percentages, means and standard deviations, t-test, ANOVA, Scheff$\acute{e}$, Pearson Correlation and Hierarchial Multiple Regression. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 49% and compassion satisfaction was the most significant factor in burnout of nurses. Conclusion: The results indicate that the factors influencing nurses' burnout are work stress, compassion fatigue and compassion satisfaction. Therefore strategies to decrease work stress and compassion fatigue and to enhance compassion satisfaction for nurses are needed.

A study on work value factors and professional attitude factors of dental hygiene students in parts (일부 치위생과 학생의 직업가치요인과 전문직 태도요인에 관한 연구)

  • Jeong, Eun-Young;Kim, Jin-Kyoung
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.3
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    • pp.439-448
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    • 2013
  • Objectives : The objective of this study is to investigate the work value factors and the professional attitude factors of dental hygienists and provide basic data for dental hygiene curricula. Methods : A total of 329 dental hygiene students in 4 universities completed the questionnaire which consisted of 15 questions for the work value factors and 10 questions for the professional attitude factors. Correlation between the work value factors and the professional attitude factors was analyzed. Results : The "students with no clinical practice experience (4.34 points)" were seen to be statistically significant (p= .013) in the work value factors, as compared to the "students with clinical practice experience (4.19 points)". In accordance with the grade level (p= .000), conformity in aptitude (p= .022), satisfaction level for the major (p= .000), desired duration of career (p= .009), and presence of recommendation for dental hygiene department (p= .000), the professional attitude factors had statistically significant differences. The higher the scores of the work value factors of dental hygiene students, the higher the scores of the professional attitude factors appeared, there by showing a positive (+) correlation (r= .367). Conclusions : For the cultivation of work value factors and professional attitude factors for dental hygiene students, it is necessary to improve the educational system that reflects the operation of a counseling and mentoring by the utilization of structured personality type testing tools and an improvement of interpersonal relationships.

Factors Influencing on Clinical Decision Making Ability of Nurses in Long-term Care Hospitals (요양병원 간호사의 임상의사결정능력에 미치는 영향요인)

  • No, Ji-Yeong
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.769-777
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    • 2022
  • The purpose of this study was to identify factors influencing the clinical decision making ability of nurses in long-term care hospitals. Data were collected from 174 nurses working in long-term care hospitals in G-do from October 11 to December 10, 2021. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression through the SPSS 23.0. As a result of the study, the clinical decision making ability was positively correlated with critical thinking disposition(r=.494, p<.001) and nursing work environment(r=.451, p<.001). Critical thinking disposition and nursing work environment explained 33.1% of clinical decision making ability. In order to improve the clinical decision making ability, which is the core competency of nurses, education to increase critical thinking disposition and the creation of a desirable nursing work environment are necessary. In future research, research to identify various variables affecting the clinical decision making ability of nursing hospital nurses, and research for the development and effectiveness of programs to improve clinical decision making ability are suggested.

Outcomes of epidural steroids following percutaneous transforaminal endoscopic discectomy: a meta-analysis and systematic review

  • Song, Yinghao;Li, Changxi;Guan, Jingjing;Li, Cheng;Wu, Haisheng;Cheng, Xinzhi;Ling, Bingyu;Zhang, Jinglang
    • The Korean Journal of Pain
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    • v.35 no.1
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    • pp.97-105
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    • 2022
  • Background: Percutaneous transforaminal endoscopic discectomy (PTED) has been widely used in the treatment of lumbar degenerative diseases. Epidural injection of steroids can reduce the incidence and duration of postoperative pain in a short period of time. Although steroids are widely believed to reduce the effect of surgical trauma, the observation indicators are not uniform, especially the long-term effects, so the problem remains controversial. Therefore, the purpose of this paper was to evaluate the efficacy of epidural steroids following PTED. Methods: We searched PubMed, Embase, and the Cochrane Database from 1980 to June 2021 to identify randomized and non-randomized controlled trials comparing epidural steroids and saline alone following PTED. The primary outcomes included postoperative pain at least 6 months as assessed using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). The secondary outcomes included length of hospital stay and the time of return to work. Results: A total of 451 patients were included in three randomized and two non-randomized controlled trials. The primary outcomes, including VAS and ODI scores, did not differ significantly between epidural steroids following PTED and saline alone. There were no significant intergroup differences in length of hospital stay. Epidural steroids were shown to be superior in terms of the time to return to work (P < 0.001). Conclusions: Intraoperative epidural steroids did not provide significant benefits, leg pain control, improvement in ODI scores, and length of stay in the hospital, but it can enable the patient to return to work faster.