• 대한통합의학회지
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• 제12권3호
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• pp.131-142
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• 2024

Purpose : This study explores the effects of dental hygiene students' ethical propensity and self-esteem on their awareness of protecting patient medical information and how these factors interact to influence their professional ethical consciousness. The aim of this study is to highlight the role of university education in shaping the ethical values of dental hygienists. Methods : Between June 1 and November 30, 2023, 210 dental hygiene students in Busan Metropolitan City participated in this study. After providing consent, the participants completed a self-administered questionnaire comprising 69 questions. The questions covered general characteristics (8 questions), ethical propensity (20 questions), self-esteem (10 questions), and awareness of patient medical information protection (31 questions), all measured on a five-point Likert scale. Results : Correlation analysis indicated that idealism had a significant positive correlation with relativism (r=0.35, p<.001), self-esteem (r=0.28, p<.001), and awareness of patient medical information protection (r=0.46, p<.001). Relativism had a significant positive correlation with self-esteem (r=0.17, p<0.05) and awareness of patient medical information protection (r=0.23, p<.01). Self-esteem had a significant positive correlation with awareness of patient medical information protection (r=0.34, p<.001). Multilinear regression analysis revealed that idealism (ß=0.38) and self-esteem (ß=0.22) significantly increased the level of awareness of patient medical information protection. However, relativism did not have a significant impact on the level of awareness of patient medical information protection. The model explained 26.0 % of the variance (24.9 % when corrected). Conclusion : Higher levels of idealism and self-esteem correlate with greater awareness of patient medical information protection. In addition to appropriate program development and strategies, university curricula for dental hygiene students should include systematic and continuous training to enhance the values of ethical awareness, idealism, and self-esteem.

• 한국치위생학회지
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• 제15권4호
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• pp.743-750
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• 2015

Objectives: The purpose of the study is to examine the correlation and influencing factors among ethics position, self-esteem, and perception of patient medical information protection in the dental hygiene students. Methods: This is a cross sectional study using the structured questionnaire. A self-reported questionnaire was completed by 202 dental hygiene students using the stratified sampling method from September 1 to November 1, 2013. The questionnaire was modified and complemented from Ethics Position Questionnaire (EPQ). The questionnaire included EPQ, self-esteem, and perception of patient medical information protection. Data were analyzed by independent t-test, one way ANOVA, Duncan's multiple comparison analysis, Pearson's correlation analysis, and stepwise multiple regression analysis using IBM SPSS Statistics 21.0 program. Results: There was a positive correlation among all the variable including idealism position, self-esteem, and perception of patient medical information protection, The factors influencing on the perception of patient medical information protection were idealism position (${\beta}=0.271$, p<0.001) and self-esteem (${\beta}=0.248$, p<0.001). The corrected explanation power of the model was 15.1%. Conclusions: As the idealism position and self-esteem become higher, the perception of patient medical information protection gets higher. Therefore, this study suggests that it is needed to develop and vitalize implement the appropriate programs enhancing ethics consciousness, proper position, and self-esteem in the dental hygiene students receiving the education for their professionalism in the dental hygiene curricula.

• 대한통합의학회지
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• 제10권3호
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• pp.161-172
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• 2022

Purpose : The study was to promote patient safety by analyzing the effect of dental hygienist's perception of patient safety culture on infection control activities. Methods : The study is based on a survey of 210 dental hygienists in total working in dental settings. To find out infection control activities according to patient safety culture awareness, there were 6 general characteristics, 3 teamwork within the department, 2 infection control systems, 4 surface management, 9 equipment washing, disinfection, and laundry management, 4 infectious wastes, and 3 personal protection phrases.The data was analyzed using the SPSS version 20.0, and p<.05 was adopted to decide on significance. Results : The longer dental hygienists have worked n the dental settings, the more active they become in infection control activities. Among the different types of dental care settings, general (university) hospitals had the largest number of infection control activities, followed by dental clinics, and network dental clinics, in descending order. The dental settings possessing a higher number of dental hygienists were found to conduct more infection control activities than other dental settings. In addition, it was found that when a dental setting adopts a patient safety policy across all the units in the hospital, more systems and procedures for patient safety tend to be established, and that stricter management response to error leads to improvement of infection control activities. Conclusion :In order to enhance infection control activities, infection control activity programs should develop and implement periodic reinforcement of infection control education. regular monitoring of infection control activities.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.416-426
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• 2016

본 연구의 목적은 치과위생사들의 환자 개인정보보호에 대한 지식, 인식도 및 실천도를 파악하고자 하였다. 또한 치과위생사의 개인정보보호에 관련된 실천도에 영향을 미치는 요인을 파악하여, 의료기관에서 개인정보보호를 강화하기 위한 방법을 마련하는데 도움이 되고자 시행되었다. 2014년 11월 7일부터 2015년 6월 30일까지 연구의 목적 및 취지 등에 대해 설명한 후 동의를 구한 뒤 자기기입식 설문조사를 시행하였다. 부산, 경남 소재의 치과위생사를 대상으로 210부가 자료분석에 사용되었다. 그 결과, 10년 이상 근무경력자는 실천정도가 유의하게 높게 나타났으며(p<.05), 실장 이상의 직위에서 지식이 높고(p<.01), 실천정도(p<.05)가 유의하게 높게 나타났으며, 10~20명의 근무자가 근무하는 병원(p<.05)에서 인식정도가 유의하게 높게 나타났다. 지식, 인식도 및 실천도의 상관관계에서 지식이 높으면 인식도와 실천도에서 정의 상관관계를 나타내었다(p<.01). 개인정보보호의 지식, 인식도가 치과위생사의 실천도에 미치는 영향을 조사한 결과, 지식(.231)과 인식도(.212)는 실천도에 영향을 미치는 요인으로 나타났다. 치과위생사의 개인정보보호의 실천도를 높이려면 지식의 함양과 인식의 전환이 필요함을 알 수 있었고, 개인정보보호에 대한 인식을 전환하기 위해서는 치과위생사 대상의 교육이 절실하다고 생각된다.

• 대한치위생과학회지
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• 제4권1호
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• pp.89-98
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• 2021

Background: The purpose of the present study was to gather basic data necessary for developing an educational program regarding the protection of patients' personal information. Such a program would stress the importance of the protection of patients' personal information for dental hygiene students obtaining clinical practice. Methods: A self-reported questionnaire-based survey was conducted targeting dental hygiene undergraduates who were obtaining clinical practice in the capital region. A total of 543 questionnaires were included in the analysis. Results: The results of this study were as follows: 1) the average score for awareness of the Patient Privacy Act was 2.93 on a 4-point scale; 2) the average score for the recognition of the protection of patients' personal information was 3.22 on a 4-point scale; 3) the area-based perception of the protection of patient's personal information was 3.37 points for communication, which scored highest, followed-by the linked-work area at 3.27 points, the patient's information management at 3.22 points, and the direct dental hygiene work at 3.18 points; 4) with regard to awareness of the protection of patients' personal information according to general characteristics, the perception was higher in the advanced academic year (p < 0.01), in those who had education regarding the protection of patients' personal information at both the university and the clinical practice institution (p < .05), and in those with higher grades (p < 0.01). Conclusions: Based on the above findings, the development and application of an educational program to improve awareness of the protection of patients' personal information are considered to be necessary by both universities and clinical practice institutions.

• 대한치과의료관리학회지
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• 제10권1호
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• pp.53-65
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• 2022

The Primary Care Patient Measure of Safety (PC-PMOS) is a measure of safety that allows patients to evaluate contributing factors related to patient safety in primary care. This study aimed to examine which questionnaire items of the PC-PMOS could be used in Korean dental institutions. A survey of the Korean translation of the PC-PMOS, a self-reported questionnaire, was conducted in August 2022 by 400 adults who had used dental-care services within the last three years. Of the 77 items, 34 were selected using principal component analysis and two experts' evaluations based on face validity. Five domains were identified from factor analysis: patient centeredness, patient information update, complaint processing, communication, and information about the complaint process. The Cronbach's alpha of the data was 0.913, indicating high reliability. As a result of the generalized multiple regression analysis, regression coefficients were not statistically significant, except for household income. This indicated that there was no bias in the patient safety scores of dental institutions evaluated by patients within the range of independent variables used in this study. The five domains with 34 items identified in this study suggested the factors that contribute to the safety of patients who used dental care services in Korea. However, validation of this study result is still important to refine questionnaires suitable for dental institutions in Korea so as to further improve the quality of dental care.

• 대한치과의사협회지
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• 제57권8호
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• pp.428-436
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• 2019

In cases of a patient referral, the general dentist should communicate the patient's dental information as clearly as possible to the specialist to whom he/she is referring his/her patient. For this reason, it is necessary to write a referral letter in an accurate and complete manner. The purpose of this study is to analyze the referral letters of patients who are referred to the department of conservative dentistry in a dental university hospital. From January, 2017 to December, 2018, we gathered the information of the patients who were referred to the department of conservative dentistry in a dental university hospital with referral letter. We evaluated the fidelity of a total of 750 referral letters and recorded the information of the referral dentist and the dental clinic. The relationship between each item and fidelity was analyzed using SPSS 18.0 program. The analysis of the contents of the referral letters yielded the following results: The fidelity of the referral letter was higher when the patient was referred during the root canal treatment, or when there was a root canal filling or when there was pain during chewing. The fidelity of referral letter was low in cases where the referring clinic is close to and has cooperative relationship with dental university hospital. Among the factors affecting the fidelity, the year of graduation of the referral dentist was the most influential. This study confirmed the fact that the clinical practice of writing patient referral letters still leaves much to be desired. In order to solve this problem, it is necessary to create more clear and standardized guidelines for writing referral letters.

• 한국치위생학회지
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• 제22권5호
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• pp.443-450
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• 2022

Objectives: This study was conducted to investigate the effect of professional self-concept and ethical awareness of dental hygiene (department) students attending a university located in Gwangju and Jeollanam-do on patients' willingness to protect personal information. Methods: Professional self-concept, ethical disposition, and patients' personal information protection intention according to general characteristics were analyzed using t-tests and one-way ANOVA. After confirming the correlation through Pearson's correlation analysis, the effect on the patient's personal information protection intention was confirmed using multiple regression analysis. Results: Professional self-concept, ethical disposition, and the patients' willingness to protect personal information all showed positive correlations. The higher the communication skills of professional self-concept and the higher the idealism of ethical orientation, the higher the patients' willingness to protect personal information. Conclusions: This study, ascertained the effect of dental hygiene students' professional self-concept and ethical consciousness on patients' personal information protection practices. The results suggest that it is necessary to develop an educational program that can enhance the practice of dental hygienists to protect patients' personal information, and to develop and conduct continuous policy development and research.

• 한국치위생학회지
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• 제17권4호
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• pp.565-575
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• 2017

Objectives: This study aims to investigate patient cooperation for dental treatments by dividing patients into two groups with different treatment categories, i.e. orthodontic patients versus non-orthodontic patients. Methods: On December 2016, the study conducted survey targeting 311 orthodontic or non-orthodontic patients who are 20 years old or older living in Seoul and Gyeonggi-do, South Korea. The study subject were informed with the adequate information of the study and signed consent forms. Except for the questionnaire copies from 23 respondents whose answers were insincere those from 288 respondents, equivalent to 92.6% of the data collected, were used in the present analysis. Results: This review intended to clarify any factors affecting patient cooperation for dental treatments shows that the perception of oral condition, the reliability of dentistry, and the patient preventive cooperation had an effect on patient cooperation for dental treatments. Conclusions: The results summarized above suggest orthodontic patients who are familiar with dental treatments by virtue of their regular visits to dental clinics have higher cooperation for dental treatments compared to non-orthodontic patients, and the higher reliability of dentistry leads to higher patient cooperation for dental treatments.

• 대한장애인치과학회지
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• 제5권1호
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• pp.18-22
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• 2009

A 26-year-old female patient with Down syndrome visited to recieve dental treatment under gnenral anesthesia 6 years ago. The patient had difficulties in oral examination, radiograph taking and laboratory test. The patient had congenital heart disease and medical consultation based on the echocardiography was provided by a cardiologist indicating that the patient could tolearte general anesthesia during dental treatment. And two times of general anesthesia were administered during a dental treament with the interval of 3 years and no postoperpative complicaton was reported. At the third dental operation, the patient had a relatively good condition and her prescreening test revealed no abnormalities. Without further consultation with a cardiologist, general anesthesia was administered to the patient. Anaesthesia was based on thiopental and ventilation of desflurane and $N_2O$ in oxygen via an endotracheal tube with an appropriate monitoring. During the maintenance of anesthesia, the blood pressure of the patient started to drop and the oxygen saturation also began to decrease. Consequently, the proceding operation was discontinued and also inhalation anesthesia was ceased. As the patient was recovered from anesthesia, her systemic conditions were alleviated. After the complete recovery of the patient, she visited the cardiologist, and the cardiologic test revealed her severe right ventricular dilatation. In the anesthesia of patients with congenital heart disease, information on their systemic conditions needs to be undated from the medical consultation, which assures the safety of treatment.