• 제목/요약/키워드: Consultation time

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Frequency and time of actual duties of some dental hygienists (일부지역 치과위생사의 실제 업무의 빈도와 소요시간)

  • Hwang, Soo-Jeong;Han, Yang-Keum
    • Journal of Korean Academy of Dental Administration
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    • v.7 no.1
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    • pp.10-20
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    • 2019
  • Korean dental hygienists perform more tasks in dental clinics than are described in the law. The purpose of this study was to investigate the actual work of Korean dental hygienists in dental clinics using an observational study design. Two dental hygienists observed and recorded the work performed in 1 day from the time of commencement to the time of leaving work by 18 dental hygienists working in the dental clinic in a single area. Data management, prevention of infection, counseling, calculus removal, radiography, assistance of fixed orthodontic treatment, assistance of fixed prosthetic treatment, and preparation for implant surgery were recorded. Among the tasks that take more than 1 min, the most time-consuming tasks were document management, infection control, consultation, calculus removal, preparation for implant surgery, assistance of orthodontic treatment, and assistance of fixed prosthetic treatment. Korean dental hygienists are performing various tasks, such as infection control, dental hospital/clinic management, oral disease prevention, and dental treatment assistants.

A Study on the Job Activities of the Emergency Nurses (응급실 근무 간호사의 업무분석)

  • 김광주;이향련;김귀분
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.709-728
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    • 1995
  • The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

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A study on categories of questions when holding counselling on learning math in regards to grounded theoretical approaches (근거이론적 접근에 따른 수학학습 상담 발문 유형에 대한 연구)

  • Ko, Ho Kyoung;Kim, Dong Won;Lee, Hwan Chul;Choi, Tae Young
    • Journal of the Korean School Mathematics Society
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    • v.17 no.1
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    • pp.73-92
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    • 2014
  • This study was performed in part with the task to find measures to improve the defining characteristics of feelings, value, interest, self-efficacy, and others aspects in regards to learning math among elementary and middle school students. For this study, it was essential to understand the appropriate questions that are needed to be asked during a consultation at a math clinic, for students that are having a hard time learning math. As a method for performing this study, the content of scheduled counseling over 2 years from a math clinic were collected and the questions that were given and taken were analyzed in order to figure out the types of questions needed in order to effectively examine students that are facing difficulty with learning math. The analysis was performed using Grounded theory analysis by Strauss & Corbin(1998) and went through the process of open coding, axial coding, and selective coding. For the paradigm in the categorical analysis stage, 'attitude towards learning math' was set as the casual condition, 'feelings towards learning math' was set as the contextual condition, 'confidence in one's ability to learn math' was set as the phenomenon, 'individual tendencies when learning math' was set as the intervening condition, 'self-management of learning math' was set as the action/interaction strategy, and 'method of learning' was set as the consequence. Through this, the questions that appeared during counseling were linked into categories and subcategories. Through this process, 81 concepts were deducted, which were grouped into 31 categories. I believe that this data can be used as grounded theory for standardization of consultation in clinics.

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Report on the 4th WHO Informal Consultation on Development of International Standard Acupuncture Points Locations (제 4차 WHO 경혈 위치 국제표준화 회의 보고)

  • Yim, Yun-Kyoung;Kim, Yong-Suk;Koo, Sung-Tae;Sohn, In-Chul;Park, Hi-Joon;Lee, Hye-Jung;Lee, Ji-Young;Kang, Sung-Keel
    • Korean Journal of Acupuncture
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    • v.22 no.2
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    • pp.1-8
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    • 2005
  • Objective: To inform of the 4th WHO informal consultation meeting on the development of international standard acupuncture points locations, held in Daejeon, Korea, on April $23{\sim}26$, 2005. Results and Conclusions: 12 experts from Korea, China and Japan discussed the locations of 18 controversial points that were not agreed at the previous meeting, and 16 non-controversial points that all 3 nations agreed on the locations but still needed more discussion for their expressions, as well as other non-controversial points that were agreed on both the locations and the expressions but were suggested by Chinese party to be discussed again. Also, the guidelines for English translation of the standard acupuncture points locations and the development of the standard acupuncture points charts, diagrams, and dolls were discussed in this meeting. Through this meeting the locations of ST30, SP11, SP12, TE18, GB9, GB10, LR4, LR5, LR6, BL6, BL7, BL9, GB19 were agreed, but it was suggested that more research would be needed for the locations of LI20, GV26, PC8, PC9, LR7, GB30, LR12, and the expressions of ST36, ST38, ST39, BL1. Due to the time limitation, 16 acupuncture points out of those Chinese party suggested to have more discussion about were not discussed at this meeting and remained to be discussed at the next meeting.

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Guidelines for Dental clinicians in case of medically compromised Patients: Case reports of medically compromised patients taking oral Bisphosphonate (전신질환자 구강외과 소수술시의 주의사항 -골다공증약 복용환자 수술 포함-)

  • Kim, Sun-Jong;Kim, Myung-Rae
    • The Journal of the Korean dental association
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    • v.48 no.7
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    • pp.538-546
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    • 2010
  • Dental surgical procedures are potentially stress-inducing to not only patients but clinicians especially in case of medically compromised patients. The body response to dental stress involves the cardiovascular, respiratory and the endocrine system. To minimize the stress to the medically compromised patients, the stress reduction protocols should be established. The protocols include (1) Recognize the patient's degree of medical risk (2) Medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Intra-venous sedation during surgical procedures (6) Adequate pain control during therapy (7) Short length of appointment time (8) Contact the patients on the same day. Two cases of Bisphosphonate-related osteonecrosis of the jaws were analyzed. There were 2 women, and the mean age was 70 years (range, 64~74 years). both are medically compromised, with steroids. Both patients were taking an oral bisphosphonate for several years. BRONJ is defined as an area of exposed bone of more than 8 weeks - duration in a patient taking a bisphosphonate for bone disease. Bisphosphonates have been widely prescribed over the last decade for a range of bone diseases, mainly intravenously for bone cancers and orally for osteoporosis. Although it is still controversial as to precisely how the bisphosphonates work, generally it is accepted that they prevent osteoclast action, with consequent cessation of osteoblast activity, so that the bone turnover is markedly reduced or ceased. The aim of this study is to informed the clinicians how to prepare and recognize in case of the BRONJ with medically compromised patients.

Past, Present, and Future of Psychosomatic Medicine in the Field of Korean Medical Education (한국 의학 교육에서 정신신체의학의 과거와 현재 그리고 미래)

  • Kim, Eui-Joong
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.14-17
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    • 2012
  • There were several documents that might reflect the great concern on the education of psychosomatic medicine in medical school from the 1960s. But the hour of class and proportion of psychosomatic medicine have been quite small among the total lecture time of psychiatry. Notwithstanding the importance of biopsychosocial perspective in practice and research there have been no agreement on the goal and content of teaching psychosomatic medicine in the medical school curriculum. Consultation-liaison psychiatric activity in the hospital were currently under-developed and educational content and process were not systematic. We should have established the goal of psychosomatic education in the medical school that includes making doctor who could not only cure disease but also care the ill patients. And we should develop the curriculum that covers essential area of psychosomatic medicine and checking system to monitor the process of education. With the continuance of psychosomatic perspectives from medical school education to clinical subspecialty we can make progress in this field.

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An Impact Analysis of Call System of Agricultural Extension Services in Korea (농촌지도사업의 콜센터 운용효과 분석)

  • Ahn, Jin-Gon;Kim, Jeh-Ho;Kim, Sung-Soo;Lee, Dong-Jin
    • Journal of Agricultural Extension & Community Development
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    • v.15 no.3
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    • pp.461-497
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    • 2008
  • The objective of the study was to evaluate the impact of the Call System of agricultural extension services in Korea. The respondents were satisfied on the speedy solution (74.5%), consultation (88.4%), and accessibility (79.7%) of the call system. However, satisfaction of farmers on in-depth consultation was higher (74.3%) than the satisfaction rated by the public servants of RDA (48.9%). Both groups replied positively (70.4%) on the need for expansion of the call system. The analyses of the results leads to a conclusion that there is a need to increase marketing on the importance of RDA's Call System to customers of agricultural extension and to improve accessibility through expansion of the system in other areas. These could solve the decreasing number of extension professionals and improve the quality and efficiency of extension services. These analyses may be useful as bases for a nationwide Call System that connects the center with other districts and for planning a renovation of information-oriented agricultural extension services. The issue that needs improvement is to abandon the grounds of agricultural technology information provider and respond to the customers' needs efficiently by building an established Call System which can minimize the side effect of the trends of reforming and downsizing the organization. It is needed to develop a unified management Call System of agricultural technology information that could provide real-time information, and database the results simultaneously for use as feedback to the Rural Development Programs. Related laws and policies need to be improved to establish a nationwide information network that maximizes the current network in agricultural regions to spread information, to provide institutional support, and to encourage development of training system and research and development by concerned institutes.

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Analysis of Importance, Difficulty, and Frequency of Nurses' Job in Outpatient Departments (외래간호사의 직무에 대한 중요도, 난이도, 빈도 분석)

  • Yi, Yeo-Jin;Cho, Kyung-Sook;Park, Young-Sook;Lim, Nan-Young;Kim, Dong-Oak;Kwon, Sung-Bok;Lee, Eun-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.2
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    • pp.232-241
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    • 2009
  • Purpose: The purpose of this study was to analyze the importance, difficulty, and frequency of work (duties and tasks) done by nurses' in Outpatient Departments (OPD). Method: Data were collected using structured questionnaires, which included 11 duties and 92 tasks making up the OPD nurse's job. Questionnaires were completed by 286 nurses. Each duty and task was analyzed for importance, difficulty, and frequency (range 1-3). Results: The mean score for importance was $2.58{\pm}0.29$, for difficulty, $2.11{\pm}0.31$, and for frequency, $2.18{\pm}0.31$. OPD nurses recognized 'patient education and consultation' as important and difficult. However, in practice OPD nurses reported the most frequent task as 'support for medical services'. There was a significant difference in importance and difficulty of duties according to OPD nurses' university degree (F=3.693, p=.026; F=4.089, p=.018) and hospital size (F=4.274, p=.006; F=3.154, p=.025). However there were no differences in importance, difficulty, or frequency according to clinical experience in OPD. Conclusion: The findings indicate that OPD nurses must be able to do important and difficult duties and tasks, especially patient education and consultation. To have time for these uniquely nursing tasks, OPD nurses need to delegate 'preparation for medical service', and 'management of facility and environment' to nonmedical health-care workers.

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A Study on the Actual Condition of the Oral Health Control of the Old (노인들의 구강건강 관리실태에 관한 연구)

  • 박정순;전주연;박인숙
    • Korean Journal of Health Education and Promotion
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    • v.16 no.2
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    • pp.93-104
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    • 1999
  • For studying on the actual condition of the oral health control of the old there were invastigations on the Questions with the college of the old in Chonbuk as the central figure from June 1 to June 30, 1998 and the analyses about the frequency and the mutual relation through χ²-test. The results are as follow: 1. According to the result of the investigation into the actual condition about the oral health of the old, two times a day in the frequency of tooth brush per day was the highest at the rate of 50.35%, the use of dentifrice was 45.4%, and the exchanging time of tooth-brush after six months was the highest at the rate of 19.7%. And 96.1% didn't use dental floss and 73.6% didn't do scaling. It is thought that since 50% used tooth sticks and match sticks we have to inform the old of the necessity of dental plague and period oral examination. 2. In oral health situation, it showed that the number of people who were very week was the highest at the rate of 37% and there was the mutual relation between the use of tooth sticks and match sticks and present situation of oral health. And 54.93% visited the dental clinic wethin a year, and 22.3% among them made full denture. There was the mutual relation between the visit of dental clinic within a year and the consultation content and the number of people who teld that the consultation expense was very expensive was the higest at the rate of 27.8% and 87% didn't experience the oral education. So it is thought that we have to make an systematic education about the oral to the old and inform them of the necessity of oral health control. 3. We think it needs the establishment and plane of the systematic basis material and the oral education which is necessary in oral public industry for the dental preventive suitable to the characteristic of the old.

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A Study on the Analysis of Consultation Needs of SMEs through Big-Data (빅데이터 분석을 활용한 중소기업의 상담요구 분석)

  • Lee, Bong-Cheol;You, Yen-Yoo
    • Journal of Digital Convergence
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    • v.16 no.7
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    • pp.27-34
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    • 2018
  • This study was conducted to identify the contents of major consulting needs of SMEs using Big Data and to suggest the efficiency of operation. The subjects of the study were counseling cases posted on the website of the Business Support Center of the Ministry of SMEs and Startups. To do this, from 2009 to March 2018, we crawled about 7,000 cases of counseling cases, followed by word cloud analysis centering on effective keyword. The main results were as follows: First, the frequency of counseling cases in each field was found in the order of establishment, management strategy, human resources, financial order. Second, in word cloud analysis, the most frequent keyword related to counseling demand were small businesses, exports, methods, procedures, registration and authentication. In this study, we obtained research results that we can improve the efficiency of the policy in real time from a new point of view by conducting big data analysis on public policy.