• 한국치위생학회지
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• 제11권6호
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• pp.913-922
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• 2011

Objectives : This study aims to analyze the factors and degree of stress, which dental hygienics students experience during the off-campus practical training period at university/general dental hospitals or dental hospitals/clinics, to strategically plan and operate an efficient practical training, and to exploit such data for development of the said students into professional dental hygienists by nurturing their abilities to effectively cope with the potential educational frustration, demotivation, and skepticism on their occupations in advance. Methods : The stress measurement tool is set for 38 questions in total, The grading system for each question is based on 5-point Likert scale, which interprets that the lower score demonstrates a higher level of stress. The data collected as above are analyzed by SPSS 19.0. Results : The satisfaction "Satisfactory" of extramural practice at departments of dentistry of university and general hospitals and dental hospitals and clinics is 48.3% and 37.7% respectively. Environment area (p<.001) and role & activity area (p<.05) showed a significant difference of stresses between practices at departments of dentistry of university and general hospitals and dental hospitals and clinics. For departments of dentistry of university and general hospitals, the stress in environment area was highest. On the contrary, students who did practices at dental hospitals and clinics showed that the stress is highest at role & activity area. There was a positive correlation of areas of environment, personal relations, role & activity, and ideal & value. However, there was no correlation between treatment fields. Conclusions : In conclusion, educational institutes need to conduct a specialized systematic research establishing close relationships extramural practice organs, in order to minimize students' stress resulting from extramural practices by type and to increase the effect of extramural practices.

• 치위생과학회지
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• 제24권1호
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• pp.29-36
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• 2024

Background: This study aimed to investigate whether there is a difference in organizational member attitudes by workplace environment and workplace types in dental hygienists working at dental health centers. Methods: A face-to-face survey or online survey was administered to dental hygienists working at dental health centers, and a total of 95 subjects were included. The survey includes 13 items to ask factors affecting employee's job satisfaction. Also, some questions were included to assess perception of organizational member attitude: five about organizational citizenship behavior, two about innovative behavior, and four about organizational commitment. Results: Dental hygienists working at dental clinics were more satisfied with their incomes and numbers of working days, while those from dental university hospitals and general hospitals were more satisfied with education support. In addition, hygienists working at dental hospitals were more satisfied with job autonomy, individual work capability, safe working environment, personal relation, potential for personal development, and positive labor-management relations, compared to those working at general and university hospitals (p<0.05). Among the items about perception of organizational member attitudes, the scores of items about organizational citizenship behaviors were higher, whereas the scores of items about innovative behaviors were relatively lower. Individuals working at dental hospitals than those working at general and university hospitals, chiefs and team and department leaders than team members, and those with increased satisfaction with current workplace had more positive perception of organizational member attitudes. Conclusion: For dental hygienists to have positive attitudes as organizational members, working environment should be improved, and executives of dental healthcare centers should pay attention to improving job satisfaction of organizational members. Moreover, since dental hygienists need to improve their perception of innovative behaviors and citizenship behaviors to strengthen specialty of dental hygienists in a changing dental healthcare, relevant training should be addressed in refresher courses or school programs.

• 대한치과의사협회지
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• 제49권9호
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• pp.511-518
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• 2011

Policy of for-profit hospitals permission has provoked debate on how to enhance health care system and medical service industry. The government says that for-profit hospitals could help improve the quality of medical care and develop medical tourism. On the other hand, Medical care related NGO insist that for-profit hospitals will not fix the existing medical problems in Korea, only create new ones. Recently, a type of for-profit hospitals emerged in dentistry and caused much trouble. Accordingly, We try to carefully look at for-profit hospitals related policy and debate.

• 치과방사선
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• 제26권1호
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• pp.15-28
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• 1996

The system of Oral and Maxillofacial Radiology education, radiographic equipments and oral health care were evaluated in Korea. The objectives, the length, curriculum guidelines, instructional method and teaching means for undergraduate, and postgraduate education in 9 dental college were described. To investigate the radiographic ewuipments, surveys were received from 6 Dental College Hospitals(DCH), 23 Dental Hospitals(DH) and 373 Dental Clinics(DC). And the results of oral health care were obtained from the surveys of Kyunghee Dental College Hospital(KDCH), 14 Dental Hospital Hospitals and 52 Dental Clinics.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권2호
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• pp.101-110
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• 2023

Background: Dentists make various efforts to reduce patients' anxiety and fear associated with dental treatment. Dental sedation is an advanced method that dentists can perform to reduce patients' anxiety and fear and provide effective dental treatment. However, dental sedation is different from general dental treatment and requires separate learning, and if done incorrectly, can lead to serious complications. Therefore, sedation is performed by a limited number of dentists who have received specific training. This study aimed to investigate the proportion of dentists who practice sedation and the main sedatives they use in the context of the Republic of Korea. Methods: We used the customized health information data provided by the Korean National Health Insurance. We investigated the number of dental hospitals or clinics that claimed insurance for eight main sedatives commonly used in dental sedation from January, 2007 to September, 2019 at the Health Insurance Review and Assessment Service. We also identified the changes in the number of dental medical institutions by region and year and analyzed the number and proportion of dental medical institutions prescribing each sedative. Results: In 2007, 302 dental hospitals prescribed sedatives, and the number increased to 613 in 2019. In 2007, approximately 2.18% of the total 13,796 dental institutions prescribed sedatives, increasing to 3.31% in 2019. In 2007, 168 institutions (55.6%) prescribed N₂O alone, and in 2019, 510 institutions (83.1%) made claims for it. In 2007, 76 (25.1%) hospitals made claims for chloral hydrate, but the number gradually decreased, with only 29 hospitals (4.7%) prescribing it in 2019. Hospitals that prescribed a combination of N₂O, chloral hydrate, and hydroxyzine increased from 27 (8.9%) in 2007 to 51 (9%) in 2017 but decreased to 38 (6.1%) in 2019. The use of a combination of N₂O and midazolam increased from 20 hospitals (6.6%) in 2007 to 51 hospitals (8.3%) in 2019. Conclusion: While there is a critical limitation to the investigation of dental hospitals performing sedation using insurance claims data, namely exclusion of dental clinics providing non-insured treatments, we found that in 2019, approximately 3.31% of the dental clinics were practicing sedation and that N₂O was the most commonly prescribed sedative.

• 한국치위생학회지
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• 제19권3호
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• pp.363-373
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• 2019

Objectives: The purpose of this study was to investigate nail hygiene behaviors and to identify the relationship between hand hygiene beliefs and nail hygiene behaviors among dental hygienists, dental's aide and dental coordinator in South Korea. Methods: The subjects were 291 dental workers including dental hygienists, dental assistant and dental coordinator working full-time at dental clinics, dental hospitals, general dental hospitals and dental university hospitals in Seoul, Incheon, and Gyeonggi-do. The questionnaire consisted of a total 35 items, including 4 items on general characteristics, 25 items on hand hygiene, 2 items on "nail art" experience, and 4 items on nail hygiene behaviors. The collected data were analyzed using an independent t-test, one-way ANOVA, chi-square test, correlation analysis, and multiple linear regression analysis, where ${\alpha}<0.05$ was considered statistically significant. Results: The scores of behavioral beliefs, normative beliefs, control beliefs and nail hygiene behaviors were $5.15{\pm}0.58$, $5.26{\pm}0.81$, $3.69{\pm}0.96$ and $5.03{\pm}0.98$, respectively. Statistically significant relationships were detected in terms of participants' clinical experiences with respect to behavioral and normative beliefs (p<0.05 for all three belief categories). Participants working in general dental hospitals and dental university hospitals demonstrated the highest scores for behavioral, normative and control beliefs (p<0.05). Participants working in dental clinics reported the highest "nail art" experience rates in the last two years (45.5%) and at the time of the survey (15.7%; p<0.05). Nail hygiene behaviors were more likely to be observed in individuals with stronger behavioral and stronger normative beliefs (p<0.05). Conclusions: More specific infection control guidelines for "nail art" among dental workers should be established and promoted, so that both patients and dental workers can interact in a safe environment.

• 치위생과학회지
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• 제8권3호
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• pp.131-137
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• 2008

광주지역 치과위생사의 근무환경에 관한 전반적인 내용을 조사하고 문제점을 파악하여 전문인력의 효율적인 관리와 향후 치과위생사의 보다 나은 근무환경의 개선방안을 제시할 목적으로 회수된 설문지를 이용하여 분석한 결과다. 1. 연구대상자의 총 근무경력은 '36개월 이하'가 39.9%로 가장 많았으며, 근무기관에 따라 종합병원은 '61개월 이상'이 50.0%, 치과병원과 치과의원은 '36개월 이하'가 각각 51.3%, 39.9%로 가장 많았다. 2. 근무기관별 근무일수는 종합병원과 치과병원은 '5일'이 각각 95.0%, 82.1%, 치과의원은 '6일 이상'이 97.7%이었으며, 근무시간의 경우 '9시간 이상'이 종합병원은 85.0%, 치과병원은 92.1%, 치과의원은 63.2%로 가장 많았다(p < 0.001). 3. 근무기관별로 장기근무자에 대한 우대조사에서 종합병원은 '수당지급'이 50.0%, 치과병원은 '휴가, 여행 및 승진기회제공'이 56.4%, 치과의원은 '없다'가 56.8%로 가장 많았다(p < 0.001) 4. 총 근무 년 수에 따른 월평균 실 수령액을 살펴보면 36개월 이하에서는 '110만원 이하'가 60.6%, 37-60개월인 경우는 '131-160만원'이 41.5%, 61개월 이상인 경우 '131-160만원'이 42.2%로 가장 많았다.(p < 0.001). 광주광역시 치과위생사의 근무환경에 대한 연구를 종합한 결과 질 높은 의료서비스 창출을 위하여 치과위생사에 대한 적정한 보상과 동기를 부여함으로서 근로의욕을 고취시키고 장기 근무자에 대한 처우대책 및 복리후생증진을 도모하여 병원 경영을 관리 및 운영한다면 인력난의 문제뿐만 아니라 치과의료 서비스의 질적 향상을 통한 국민의 구강건강증진의 목적을 달성할 수 있을 것으로 사료된다.

• 한국치위생학회지
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• 제11권4호
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• pp.557-569
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• 2011

Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7% has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff's exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was $0.28{\pm}2.23$ and that of needle pricking was $1.83{\pm}5.39$. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future.

• 한국치위생학회지
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• 제3권1호
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• pp.59-72
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• 2003

The purpose of this study was to examine what the role of denial hygienist was. The subjects were 751 dental hygienists from dental clinics, dental hospitals, general hospitals, public dental clinics and their branches throughout the nation. After a survey was conducted, the collected data were analyzed with SPSS WIN 10.0, and variance analysis and post-analysis were implemented. And Forgarty's 8th integrated model, out of 10 ones, was selected to delve into the practical role of dental hygienist in detail. The findings of this study were as follows: 1. The three age groups had a significantly different opinion on the significance of individual subjects. The dental hygienists of thirty six and over found the basic and preventive public dental care courses most important, and the 31~35 age group placed most stock in education and research. Overall, the post-analysis results showed that prevention and clinical courses were considered most vital, followed by education and fundamental courses. 2. There was a significant gap between four groups from the different work places in their view of the weight of the individual subjects. According to the post-analysis, the dental hygienists from the general hospitals, public dental clinics and their branches gave more weight to fundamental, education and research areas. Those who were with the dental clinics, dental hospitals and general hospitals put higher value on clinical course than the dental hygienists from the public dental clinics and their branches. 3. Two groups with a different career also had a different outlook on the importance of the individual subjects. The post-analysis results illustrated that the dental hygienists who had worked for three years or more put higher stress on the fundamental course than those with a less career, and the dental hygienists with a five-year or higher career attached more importance to the education and research field than those with a smaller career. 4. There was a significant difference between the three age groups in their clinical role. The post-analysis results indicated thai the younger dental hygienists were more of assistants than of professionals, as they chiefly took X-ray photograph, handled treatment materials or performed treatment-related works. Overall, handling treatment materials was most common. 5. The three groups from the different work places significantly varied in their clinical role. According to the post-analysis, those from the dental clinics and dental hospitals took more x-ray photographs, handled more treatment materials and performed more relevant works, compared to those from the general hospitals, public dental clinics and their branches. 6. The two groups with a different career differed significantly in their clinical role. The post-analysis results suggested that the dental hygienists with a less career played an assistant role more, which handled treatment materials or carried out other relevant works. 7. The fundamental courses (I) and (II), preventive class (I) and (II) and its practice course were regarded as integrated subjects that they should take 10 offer preventive treatment, which was one of the dental hygienist missions. What's needed to act as dental-care educators was the basic courses (I) and (II), dental hygiene education and its practice. Finally, integrated clinical courses (I) and (II) and clinical practice were viewed as necessary for their role performance as dental treatment collaborators.

• Environmental Analysis Health and Toxicology
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• 제24권2호
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• pp.149-157
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• 2009

In this study, recognized building-related health symptoms of various workers in dental college hospitals are surveyed and analyzed in order to improve indoor environment at dental college hospitals. We conducted a questionnaire survey for 682 workers in three dental college hospitals located in Seoul from Sep. 20 to Oct. 8, 2004. Most workers at dental hospitals complained about noise, poor ventilation, dusty environment, and air dryness. SBS symptoms score for subjects was 1.43${\pm}$0.74 (often feel) and major symptoms was throat, CNS, eye, and nose symptoms. Recognized Building-related health symptoms are significantly related to tasks, working experience, job-satisfaction, indoor environment recognition index, medical history, used to special material, and number of dental unit chair. Also working places and ventilation are significantly related to the symptom. Based on the results, it can be said that special dental treatment causes undesirable environment such as noise, dust, and bad odor. It is also related to recognized building related health symptoms reported by workers at dental hospitals. So managemental efforts are needed to improve indoor environment which is related by dental treatment.