• Asian Pacific Journal of Cancer Prevention
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• 제17권9호
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• pp.4313-4318
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• 2016

Background: This study documented the performance of providers of visual inspection with acetic acid (VIA) at primary health centers, assessing their compliance with the VIA skills checklist and determinants of non-compliance, and exploring their perceptions of VIA training sessions. Materials and Methods: A cross-sectional study was conducted among VIA providers in the $Mekn\grave{e}s$-Tafilalet region of Morocco. Structured observation of their performance was conducted through supervisory visits and multiple focus group discussions (FGDs). Results: Performance of all the recommended steps for effective communication was observed in a low proportion of procedures (36.4%). Midwives/nurses had higher compliance than general practitioners (GPs) (p<0.001). All recommended steps for VIA examination were performed for a high proportion of procedures (82.5%). Compliance was higher among midwives/nurses than among GPs (p<0.001) and among providers in rural areas than those in urban areas (p<0.001). For pre-VIA counselling, all recommended steps were performed for only 36.8% of procedures. For post-VIA counseling, all recommended steps were performed in a high proportion (85.5% for VIA-negative and 85.1% for VIA-positive women). Midwives/nurses had higher compliance than GPs when advising VIA-positive women (p=0.009). All infection prevention practices were followed for only 14.2% of procedures, and compliance was higher among providers in rural areas than those in urban areas (p<0.001). Most FGD participants were satisfied with the content of VIA training sessions. However, they suggested periodic refresher training and supportive supervision. Conclusions: Quality assurance of a cervical cancer screening program is a key element to ensure that the providers perform VIA correctly and confidently.

• 한국콘텐츠학회논문지
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• 제17권10호
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• pp.576-586
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• 2017

본 논문은 청소년을 대상으로 한 영상 커뮤니케이션 교육 프로그램 LTP(Litracy Through Photography)의 성과를 바탕으로 이미지와 텍스트의 결합에 대해 연구한 결과다. 현재는 디지털 영상 시대를 맞아 올바른 커뮤니케이션 교육이 필요한 시점이지만 아직 텍스트 위주의 교육이 다수인 건 사실이다. 이에 이미지의 커뮤니케이션 기능을 강조한 LTP 프로그램을 제시하고 청소년들에게 시각 커뮤니케이션에 대한 능력 향상을 위해 실시한 교육결과를 소개한다. 그리고 교육참여 청소년들의 LTP 작품분석과 설문조사와 질적조사를 실시한다. 청소년들의 창작 이미지는 바르트(Barthes)의 텍스트와 이미지의 상호 관계를 세 분류로 정의한 정박, 중계, 삽화를 기준으로 분석된다. 설문조사는 LTP 교육전후 실시한 영상 커뮤니케이션 능력에 대한 양적조사와 질적조사로 이뤄졌다. 그 결과 LTP 교육에서 텍스트보다 이미지를 활용했을 때 청소년의 커뮤니케이션에 대한 성취가 높음이 밝혀졌다. 본 연구는 이러한 조사와 연구결과가 정책적으로 문화예술교육에 반영되는 것을 주장한다. 결론적으로 본 연구는 청소년들의 LTP 작품과 설문조사를 커뮤니케이션 관점에서 고찰함으로써 창의성 제고를 위한 이미지 활용교육에 의미를 부여하고 LTP를 새로운 교육으로 제시한다.

• Journal of Hospice and Palliative Care
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• 제23권4호
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• pp.198-211
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• 2020

Purpose: The purpose of this study was to examine the relationships of knowledge, attitudes, and self-efficacy related to palliative care among health care providers (doctors and nurses) in order to provide a basis to develop a training program for health care providers. Methods: A correlational and descriptive study design was used. Participants were recruited from a university-affiliated hospital located in Daejeon and an e-nurse community. After IRB approval, data were collected from July 12, 2018, to September 30, 2018. A total of 169 responses were finally analyzed using version SPSS 24. The data were analyzed in terms of descriptive statistics (frequency and percentage or mean and standard deviation, as appropriate), the t-test, analysis of variance (with the Duncan post hoc test), and Pearson correlation coefficients. Results: Knowledge, attitudes, and self-efficacy were significantly higher in those who had received palliative care training or had been exposed to awareness-raising initiatives. There were positive relationships among knowledge, attitudes, and self-efficacy, with small to moderate effect sizes. Conclusion: Palliative care training for health care professionals is necessary to meet patients' needs. Such programs should take into account not only knowledge about palliative care, but also ways to improve empathy and resolve ethical dilemmas. Interprofessional training would be an excellent option to share therapeutic goals and develop communication skills among multidisciplinary team members.

• 한국직업건강간호학회지
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• 제21권3호
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• pp.175-183
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• 2012

Purpose: The purpose of this study was to investigate the relationship between nurse managers' facilitative communication as perceived by nurses and nurses' self-esteem. Methods: The subjects were 256 staff nurses at B hospital of C University in Kyeonggi-do. The data were collected between December 1, 2009 and January 12, 2010. The collected data were analyzed using the SAS program through t-test, ANOVA, Scheff$\acute{e}$ test, Pearson's correlation coefficients. Results: Nurses' self-esteem was higher when nurse managers perceived them as facilitative communicators in empathic understanding and genuineness subgroup of facilitative communication (p<.05). There was a positive correlation between nurse managers' facilitative communication and nurses' self-esteem(r=.15, p=.015). Also there was a positive correlation among the nurse managers' facilitative communication subgroups, empathic understanding; genuineness; concreteness(r=0.18, p=.004; r=0.18, p=.003; r=0.19, p=.002) and nurses' self-esteem. Conclusion: Nurse managers are in need of facilitative communication. Therefore, job education and training for improving nurse managers' communication skills particularly related to empathic understanding, genuineness and concreteness are required.

• 의료커뮤니케이션
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• 제13권2호
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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.

• 한국전자통신학회논문지
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• 제9권1호
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• pp.41-50
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• 2014

본 연구는 IT 기반 근전도 바이오피드백 훈련이 만성 뇌졸중 환자의 상지기능에 미치는 효과를 알아보고자 실시하였다. 연구는 발병 6개월 이상인 뇌졸중 환자 30명을 무작위로 실험군과 대조군으로 각각 15명씩 배정하였다. 전통적 재활 치료를 받은 대조군과 전통적 재활 치료와 더불어 근전도 바이오피드백 훈련을 추가로 실시한 실험군으로 나누어 총 4주간 연구를 실시하였으며, 상지기능을 검사하기 위하여 훈련 전 후 FMA와 MFT를 실험군과 대조군 모두에게 실시하였고, 일상생활 동작에 미치는 영향을 알아보기 위해 FIM을 사용하여 일상생활 동작을 측정하였다. 연구결과 집단 간 비교에서 실험군의 훈련 후 상지기능 향상이 모든 검사에서 대조군에 비하여 통계적으로 유의하게 높았지만(p<.05), 일상생활 동작에서는 유의한 차이가 없었다. 이러한 결과로 IT 기반 근전도 바이오피드백 훈련이 만성 뇌졸중 환자의 상지 기능을 향상시킨다는 것을 알 수 있었다.

• 디지털융복합연구
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• 제18권7호
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• pp.279-287
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• 2020

본 연구는 효과적인 임상실습교육을 위하여 실습위주의 핵심실기역량강화 실습교과목 학습이 간호학생의 핵심역량과 임상실습만족도에 미치는 효과를 알아보기 위한 목적으로 수행하였다. 연구대상을 2주간 1일 8시간씩 네 영역의 핵심간호수기영역 교육을 실시한 그룹과 전통적인 강의중심 교육을 받은 그룹으로 나누고 15주간 임상실습 후 설문지를 작성하여 자가 보고하게 하였다. 수집한 자료는 SPSS 21.0프로그램을 사용하여 빈도와 백분율 및 평균과 표준편차, chi-square test, t-test로 분석하였다. 연구결과는 비판적사고성향과 임상실습만족도 부문의 가설은 지지되었으며 리더십, 문제해결능력 및 의사소통능력 부문의 가설은 기각되었다. 본 연구결과를 통하여 핵심실기역량강화 실습교육이 간호학생의 비판적사고성향과 임상실습만족도에 긍정적인 효과를 미치는 것으로 확인할 수 있었다. 따라서 간호교육에서 효과적인 실습교육 중재로 활용할 수 있을 것이다.

• 중환자간호학회지
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• 제13권3호
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• pp.41-50
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• 2020

Purpose : This descriptive research study aimed to identify the factors influencing nursing students' empathy and gender role identity and their effect on communication competence. Methods : Participants were 183 senior nursing students who had completed a clinical practice and simulation-based practical training course. Using the IBM SPSS/WIN 21.0 program, general characteristics were analyzed using descriptive statistics, independent variables were compared with t-tests and 𝑥² tests, and influencing factors on each variable and communication underwent multiple linear regression analysis. Results : Communication competence showed significant correlations with empathy (r=.40, p<.001), gender role identity (r=.53, p<.001), major satisfaction (r=.18, p=.013), and peer relationships (r=.24, p<.001). When gender was entered as a covariate, empathy (t=4.41, p<.001) and gender role identity (t=6.97, p<.001) were identified as predictors affecting communication competence with 36% explanation power (R²=.36, p<.001). Conclusion : The findings of this study suggest that course subjects considering the gender identities of students should be developed through various programs to establish students' identity as nurses and improve their empathy and communication.

• 현장농수산연구지
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• 제11권1호
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• pp.137-158
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• 2009

This study is to find the causes of the current situations of conflict between generations in regards to succession of their family farm, for the target group of graduates Korea National Agricultural College of the year 2008 and their parents. This study aims at finding a way of controlling and solving the conflicts, and of developing a course of education and training, so that through this process they can come to a rational conclusion to the conflicts that arise regarding succession of the farm, in a climate of harmony and peace. It is found that communication between parents and graduates has normally gone on well, but specific problems related to management of the farm are often present. Furthermore, there is often lack of trust and promise between the parties which often causes difficulties in preparation for the succession of the farm. On the basis of these observation, we have designed and implemented an education workshop and training, as a program in which parents and their successors participated. As a result, we found it to be very effective, but it was also found to be in need of some changes. The workshop is to be implemented in two separate stages. The first stage should focus on communication and trust between family members. Firstly, they are given the opportunity to share the list of concerns withone another, as an ice breaking activity. Secondly, they can present their own hopes or wishes. And lastly, they can communicate with one another in an effort to find resolutions that will be keep both parties satisfied. The second stage should be aimed at establishing agreements concerning succession of the farm in a harmonious and peaceful manor; the second stage is also an opportunity to discuss 'Farm management and succession'. The Korea National Agricultural College (KNAC) is in the pursuit of fostering agricultural CEO's for the future of Korea. KNAC is currently implementing a very unique system of interviews in which parents participate together with students, in order to help them make a plan for rational management of their farm and smooth succession of the farm. Although KNAC now has students present a blueprint of their own unique business plans as a graduation thesis, it is necessary for KNAC to complement this system with education and training regarding the succession of family farms. Furthermore, KNAC should also develop an education and training program that is separate for this purpose, and make it a regular course of study of KNAC in the future.

• Safety and Health at Work
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• 제9권4호
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• pp.381-387
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• 2018

Background: Physician behaviors that undermine a culture of safety have gained increasing attention as health-care organizations strive to create a culture of safety and reduce medical errors. We developed, implemented, and assessed a course to teach physicians skills regarding effective coping and interpersonal communication skills and present our results regarding outcomes. Methods: We examined a professional development program specifically designed to address unprofessional or distressed behaviors of physicians, and we evaluated the impact on burnout, quality of life, and emotional flooding scores of the physicians. Assessments of burnout, quality of life, and emotional flooding were assessed preintervention and postintervention. Results: Results demonstrated statistically significant reductions over time in physicians' emotional flooding and emotional exhaustion (EE). Specifically, using a Wilcoxon Signed-Rank test, results revealed that flooding scores at follow-up were statistically significantly lower than at baseline, V = 590, p < 0.05, and EE and personal accomplishment distributions were found to significantly deviate from normal as indicated by Shapiroe-Wilks tests (p < 0.05). A Wilcoxon signed-rank test indicated that EE scores were significantly higher at baseline compared to follow-up 1, V = 285, p < 0.05. Conclusion: We conclude that the physician participants who enrolled in the educational skills training program improved scores on emotional flooding and EE and that this may be indicative of improved skills related to their experiences and learning in the program. These improved skills in physicians may have a positive impact on the overall culture of safety in the health system setting.