• 대한치과기공학회지
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• 제44권2호
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• pp.47-52
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• 2022

Purpose: This study aims to identify the recognition, readiness, and awareness of the need for education in the era of the 4th industrial revolution among dental technology students in the healthcare field, and to provide essential data for the development of a future-oriented curriculum. Methods: A survey of 260 students, who were briefed about the purpose of this study, was conducted at D University and G University, located in Daejeon and Gangwon-do, South Korea, respectively. A total of 229 questionnaires, excluding 31 with insufficient responses, were analyzed. Results: 1. Recognition of the 4th industrial revolution was 3.43±0.77, preparedness was 2.91±0.84, and awareness of the need for education was 3.86±0.80. 2. Major satisfaction was found to have a significant effect on concept recognition and impact recognition of the 4th industrial revolution, readiness level, and the need for education (p<0.001). Conclusion: It is necessary to develop an education program on specialized skills (professional knowledge) related to the 4th industrial revolution, and to implement such a program that serves the educational needs of individual groups.

• 의학교육논단
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• 제26권2호
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• pp.140-154
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• 2024

A physician's empathy plays a crucial role in patient-centered care, and in modern medicine, patients, their caregivers, and society demand a high level of empathy from healthcare providers. The conceptualization of clinical empathy, which has emphasized cognitive empathy since the mid-20th century, has been widely accepted in medical schools and the healthcare industry without much critical ref lection. This study provides an overview of the ongoing debates on empathy versus sympathy and cognitive empathy versus affective empathy to clarify the concept of empathy. Based on recent research findings, clinical empathy is proposed to encompass three components: cognitive empathy, affective empathy, and empathic motivation. It is suggested that fully demonstrating these components requires empathic communication skills. Additionally, the cognitive characteristics of medical students and the features of the academic environment demonstrate the need for education to strengthen their empathy skills. Considering this, proposed intervention methods that medical schools can consider include utilizing tutoring programs and debriefing processes for team activities, which can facilitate problem-solving as a coping strategy for stress. Learning communities can create an environment where students can receive social support and recover from stress. Medical schools can contribute to the development of students' professional identities as practicing clinicians who embody empathy and respect by cultivating professors as positive role models. Additionally, utilizing scales to assess the empathic nature of doctor-patient communication or incorporating patients and caregivers as evaluators can actively improve empathic communication skills.

• 산업융합연구
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• 제21권5호
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• pp.123-132
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• 2023

본 연구의 목적은 장애인스포츠지도자들의 감정노동이 직무스트레스 및 전문직업정체성에 미치는 영향을 규명하는데 있다. 수도권 지역의 장애인체육회, 재활스포츠센터, 장애인복지관에서 근무하는 장애인스포츠지도자를 대상으로 190부를 회수하여 분석에 사용하였다. 수집된 자료는 SPSS 22.0 통계 프로그램을 활용하여 빈도분석, 상관관계분석, 다중회귀 분석을 실시하였다. 연구결과 감정노동의 하위요인인 감정부조화는 직무 스트레스의 역할모호성과 역할과다에 영향을 미치는 것으로 확인되었고, 감정노동의 하위요인인 표현 다양성은 전문직 정체성의 하위요인인 공공성, 전문조직활용, 소명의식에 영향을 미쳤으며, 감정부조화는 전문직 정체성의 자율성, 소명의식에 영향을 미치는 것으로 확인되었다. 직무 스트레스의 하위요인인 역할모호성은 전문직 정체성의 영향을 미쳤으며, 역할과다는 공공성과 자율성에 영향을 미치는 것으로 확인되었다. 후속 연구에서는 수도권 지역 이외의 전국 지역과 종목별에 따른 장애인스포츠지도자 감정노동 유형에 대한 보다 세밀한 인식과 생각을 포함한 심층 연구가 이뤄지길 기대한다.

• 지역사회간호학회지
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• 제31권2호
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• pp.143-155
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• 2020

Purpose: This study aimed to explore the difficulties and coping that advanced practice nurses (APNs) experience in home health nursing field. Methods: The participants were 12 APNs who had experience in home health nursing for over 5 years. Data were collected through two focus group interviews between August and September, 2017. The results were analyzed using a qualitative content analysis. Results: Out of 10 sub-categories and 29 codes, 4 categories emerged: "crushed by the responsibilities as the only healthcare professional", "worn out by family who interfere with work", "anxiety about my safety being threatened" and "using self-learned know-hows". Conclusion: APNs face difficulties due to the environmental characteristics of the homes, the characteristics of chronically critically ill (CCI) patients and their families, and legal or systematical limitations when dealing with problems based on their personal competence. In order to ensure that professional nursing care is more readily provided to CCI patients through home health nursing services in local communities, it is imperative that support systems at the organizational and institutional levels be established in a systematic way to resolve the issues faced by APNs.

• 한국학교ㆍ지역보건교육학회지
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• 제19권2호
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• pp.1-10
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• 2018

Objectives: The purpose of this study is to expand of workplace by analyzing the duty and workplace of health education specialist and by presenting professional duty for health education specialist. Methods: 22 papers related to health education experts were finally selected from 1993 to 2017(25 years). The selected literature analyzed the title, researchers, the publishing agency, the publication year, the main contents, and duty and workplace of the health education specialist. Results: The studies on health education specialists comprised 5 cases (22.7%) between 1993 and 1999, 3 cases (13.6%) between 2000 and 2009, 14 cases (63.6%) between 2010 and 2017. Health education specialists core duty were diagnosing health education needs, planning health education programs, developing health education methods and materials, performing and managing health education programs, evaluating and conducting research on health education programs, and health communication. The workplace were 11 for medical institutions (55.0%), 9 for healthcare organizations (45.0%) and 8 for schools (40.0%). Conclusions: In addition to the basic core duty, professional and differentiated duty capabilities such as managing the target, generating health information, encouraging involvement of the target, and mobile health care should be developed.

• Archives of Plastic Surgery
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• 제48권3호
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• pp.295-304
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• 2021

Clinical photography is an essential component of patient care in plastic surgery. The use of unsecured smartphone cameras, digital cameras, social media, instant messaging, and commercially available cloud-based storage devices threatens patients' data safety. This paper Identifies potential risks of clinical photography and heightens awareness of safe clinical photography. Specifically, we evaluated existing risk-mitigation strategies globally, comparing them to industry standards in similar settings, and formulated a framework for developing a risk-mitigation plan for avoiding data breaches by identifying the safest methods of picture taking, transfer to storage, retrieval, and use, both within and outside the organization. Since threats evolve constantly, the framework must evolve too. Based on a literature search of both PubMed and the web (via Google) with key phrases and child terms (for PubMed), the risks and consequences of data breaches in individual processes in clinical photography are identified. Current clinical-photography practices are described. Lastly, we evaluate current risk mitigation strategies for clinical photography by examining guidelines from professional organizations, governmental agencies, and non-healthcare industries. Combining lessons learned from the steps above into a comprehensive framework that could contribute to national/international guidelines on safe clinical photography, we provide recommendations for best practice guidelines. It is imperative that best practice guidelines for the simple, safe, and secure capture, transfer, storage, and retrieval of clinical photographs be co-developed through cooperative efforts between providers, hospital administrators, clinical informaticians, IT governance structures, and national professional organizations. This would significantly safeguard patient data security and provide the privacy that patients deserve and expect.

• 임상간호연구
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• 제27권3호
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• pp.221-232
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• 2021

Purpose: The purpose of this study was to explore emergency room nurse's work experiences during the COVID-19 pandemic. Methods: Data were collected from 15 registered nurses working in the emergency room between October, 10th and December 15th, 2020, through focus group interviews and in depth interviews. Collected data were analyzed using Colaizzi's phenomenological method. Results: The study derived four categories and eight themes. The four categories are 'sense of cringing with fear', 'nursing in chaotic situation', 'lonely struggles', and 'career growth as a nurse'. Emergency room nurses experienced fear and confusion in the COVID-19 pandemic, but overcame the crisis and had positive experiences of professional growth as a nurse. Conclusion: To protect emergency room nurses from infectious disease and improve their professional quality of life during the COVID-19 pandemic appropriate education and healthcare resource should be provided. It is necessary to reflect clinical worker's opinions and improve the delivery system of guideline to reduce confusion in the field and develop practical infectious disease control guideline. Furthermore, better working conditions, appropriate rewards and social and mental support should be provided for nurses in emergency room.

• 지역사회간호학회지
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• 제33권2호
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• pp.139-152
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• 2022

Purpose: This study aims to describe and understand the meaning and nature of community health practitioners' coping with COVID-19. Methods: In-depth interviews were conducted with 12 community health practitioners from August to October 2021, to describe and understand the nature of their coping with COVID-19. The collected data were examined and described based on Colaizzi's phenomenological method. Results: 16 theme clusters and five categories were derived from the community health practitioners' experience of coping with COVID-19. The categories derived were: a war that began without notice, a variety of correspondence tasks assigned, struggling to fulfill given roles, correspondence tasks becoming more systematic, and a fight that has not yet ended. Conclusion: Community health practitioners handled various response tasks related to COVID-19, and faithfully fulfilled their professional roles while performing the primary task of medical care. Hence, attention is required on issues related to the establishment of the national emergency healthcare system and improvement of professional competence of community health practitioners even after the COVID-19 pandemic is over. Furthermore, it is necessary to make ceaseless efforts to address those issues and, in order to do so, social interest and institutional support are needed.

• Asian Pacific Journal of Cancer Prevention
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• 제16권11호
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• pp.4653-4658
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• 2015

Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.414-425
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• 2015

목적: 최근 고령화, 만성질환의 증가로 가정 내 소형 정보통신기기를 비치하고 네크워크로 연결하여 건강상태를 모니터링하며 지속적인 건강관리를 가능하게 하는 기술 및 서비스가 시도되고 있다. 본 연구는 서울시 영구임대아파트 단지에서 시행한 스마트 홈 헬스케어 기술을 제공받은 노인들을 대상으로 이용 경험을 파악하기 위해 시행되었다. 방법: 고혈압 또는 당뇨를 가진 총 7명의 노인(평균연령 75세)에게 2013년 7월, 2회에 걸친 포커스그룹 인터뷰를 통해 자료수집이 이루어졌으며, 질적 내용분석방법으로 분석하였다. 결과: 총 27개의 의미있는 자료가 추출되어 코드화 한 후 비교, 대조, 분류 과정을 통해 10개의 카테고리로 재구성하였고, 추상화를 거쳐 총 6개의 주제를 도출하였다. 도출된 주제는 '언제 어디서나 자가 측정으로 건강상태호전을 경험함', '가정에서 전문가 도움을 받는 흥미로운 체험', '잦은 시스템 및 통신장애로 사용하기에 답답함', '노인사용자에게 측정기기는 낯설고 불편함', '활성화를 위한 체계적인 전략보완이 요구됨', '고령 친화적 측정기기 및 프로그램의 업그레이드 필요'이다. 결론: 향후 스마트 홈 헬스케어를 활성화하기 위해서는 노인사용자의 특성을 고려한 고령 친화적인 측정기기 및 프로그램이 개발되고 최적의 전문인력 배치 및 관련단체의 적극적인 지원 속에서 추진되어야 할 것이다.