• Title/Summary/Keyword: Medical social work

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A Study on the Ageism and Age-integrated Perception of Healthcare Professional Groups with experience in treating elderly patients (노인의료전문가 집단의 연령주의 및 연령통합 인식에 관한 연구)

  • Oh, Hye In;Ju, Kyong Hee;Kim, Ju Hyun
    • Korean Journal of Family Social Work
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    • no.61
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    • pp.59-91
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    • 2018
  • Using a Consensus Qualitative Research approach, this study aimed to identify the ageism and explore age-integration as a solution of age discrimination that occurs during the delivery of medical services by nine healthcare professionals who have experience in treating elderly patients. There were two-sided confession has shown by health care professionals about the Ageism. They reported that they don't discriminate by age. However, They also appealed an inconvenience due to the elderly. There were real Ageism in the Healthcare Professional site as a way of Unsuitable care, elderly alienation and dependence on caregivers, polarization of medical service and double discrimination against poor elderly. They found it difficult to offer age integrated health care as a means to mitigate or solve. However they have sought to break barriers to communication, provided a comfortable environment not only for senior citizens but also for all others, and have diversified institutional and service standards. To ensure the healthy life and proper medical service of the rapidly increasing elderly patients, we proposed to do critical review of the factors in the Korean medical system that accelerate the Ageism, reorganization of the health care system for the poor elderly, including the curriculum associated with age-integrating within the health care professional education system, raising the Geriatric Medical Service and the relating professionals and improvements in perception of the health care domains for the elderly and older adults.

Effects of Perceived Stress, Sleep, and Depression on Resilience of Female Nurses in Rotating Shift and Daytime Fixed Work Schedules (순환교대근무와 주간고정근무 여성 간호사의 회복탄력성에 대한 스트레스, 수면, 우울증의 영향)

  • Jeong, Ju Li;Kwon, Hyuk Min;Kim, Tae Hyung;Choi, Mal Rye;Eun, Hun Jeong
    • Sleep Medicine and Psychophysiology
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    • v.26 no.2
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    • pp.111-124
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    • 2019
  • Objectives: Healthy sleep is important and can have a positive effect on resilience. The aim of the present study was to compare the differences in resilience between two group nurses in rotating shift and daytime fixed work schedules and to investigate stress perception, coping factors, social and psychological health, and sleep factors that may affect resilience. Methods: A total of 400 female nurses having rotating shift and daytime fixed work schedules at two hospitals was surveyed from June 12, 2017 to June 12, 2018. All participants completed perceived stress scale (PSS), stress coping short form (Brief COPE), psycho-social wellbeing Index short form (PWI-SF) or general health questionnaire-18 (GHQ-18), center for epidemiologic studies depression scale (CES-D), STAI-X-1 in state-trait anxiety inventory (STAI), Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS), insomnia severity index (ISI), Conner Davidson resilience scale (CD-RISC). Independent t-test, paired t-test, Pearson correlation analysis, and multiple regression analysis were applied to the results of the final 373 questionnaires of 400 nurses in two general hospitals. Results: Comparing the variable statistics between the two groups of rotating shift and daytime fixed work nurses, showed statistically significant differences in all variables except perceived stress, sleep quality, and daytime sleepiness. Factors that had a significant correlation with resilience were stress coping strategies, depression, and insomnia severity (p < 0.001). In multiple regression analysis, larger positive reframing1 (β = 0.206, p < 0.001), severe less depression (β = -3.45, p < 0.001), and higher psychosocial health (β = 0.193, p < 0.001). As acceptance coping2 increased (β = 0.129, p < 0.05), as daytime sleepiness decreased (β = -1.17, p < 0.05), and as active coping2 increased (β = 0.118, p < 0.05), as the positive reframing2 increases (β = 0.110, p < 0.05), the resilience increased. Conclusion: This study, it was found that resilience was higher in daytime fixed workers than in shift workers. In addition, specific stress coping strategies, psycho-social health, sleep, and depression factors were associated with resilience.

A Prospective Model of Behavior of Physical and Occupational Therapists of The Confidentiality of Patient Medical records by Structural Equation Model (구조모형방정식을 이용한 물리치료사와 작업치료사의 환자의료정보 보호행동 예측모형 개발)

  • Lee, I.H.;Park, H.J.;Yun, K.I.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.71-80
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    • 2010
  • This study developed the perspective model of behavior of physical therapists(PTs) and occupational therapists(OTs) who are dealing with confidential patient medical information in hospitals. Theory of planned Behavior(TpB) model, expanded models 1 and 2 that add habit, social pressure, and work convenience concept to TpB are tested for the validity in explaining the preposing factors that affect the behavior of PTs and OTs in ensuring the confidentiality of patient medical records. Data were collected by administrating a survey to the 120 PTs and OTs in A city. Of the 120 questionaries distributed, 110 were responded resulting 91.6% of response rate. There were not significantly different among the group classified by age, 'clinical career, gender, work family, and education level were analysis using with Independent t test and one-way ANOVA. The relationships on the concepts suggested in the models were analysed by applying the Structured Equations Modeling methods. The results of Structured Equations analysis showed that expanded model 2 was more effective model than TpB model and expanded model 1.

A Study on Korean Medicine College Students' Perception of Korean Medicine Doctors: Focus on Gender Differences (한의사 직종에 대한 한의대생의 인식 연구 - 성별에 따른 차이를 중심으로)

  • Jeong, Ha-Ryong;Lee, Jae-Hyok
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.3
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    • pp.211-224
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    • 2015
  • Objectives: This study aimed to investigate gender differences in the Korean Medical Community. Methods: Participants in the research study included 90 students regularly attending the fourth grade in Korean Medicine College, of which 48 were male and 42 were female. Results: 1. Patient's preferences for female KMD (Korean Medicine Doctor) had the lowest response rate in Korean Medical Society. Preferences for male KMD were due to factors including comfort level, rationality, good training, and patient's preference. 2. Patient's preferences for female KMD had the highest response rate in Gynecology, and Pediatrics. On the other hand, patient's preferences for female KMD had the lowest response rate in the other 7 specialty subjects. 3. The reasons for gender discrimination against male KMD were lack of subtlety, lack of empathy, authoritative attitude, and lack of patient management skills. The reasons for gender discrimination, against female KMD were childcare burden, social prejudices, lack of physical strength, and housekeeping burdens. Conclusions: The study results indicated that there was a lower preference for female KMD than male KMD among the Korean Medical Society and in patients' consciousness. Male-centered culture of Korean Medical Society had no role in this finding, but masculine image for KMD jobs and work-family double burden for female KMD were important contributing factors.

Costs of Korean Clubhouses for Community Mental Health Service (한국 클럽하우스 모델의 지역사회 정신재활 비용)

  • Yeu, Kidong;Lee, Mihyoung;Lim, Ji Young;Kim, So Hee
    • Journal of Home Health Care Nursing
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    • v.19 no.2
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    • pp.119-126
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    • 2012
  • Purpose: The purpose of this study is to identify clubhouses general characteristics, core services, funding sources and costs in Korean Clubhouse Model, and to compare with Korean and international clubhouses. We explored the annual budget, cost per member, and cost per visit for 1 year. Methods: The data were collected from 14 Korean clubhouses and analyzed using descriptive statistics and Spearman's rank correlation with the SPSS 14.0 program. Results: The average of clubhouse operating period was 8.2 years. There were an average of 40.4 active members; among them, 84.1% were schizophrenia. In addition, there were an average of 5.8 staff and 15.3 services in each clubhouse. Cost estimates were as follows: annual budget (excluding housing) $223.633, cost per member $5,704, and cost per visit $21.35. There were significant difference among the annual budget, number of staff, number of service, and active members, but hours of Work-Ordered Day and social activities hours were not statistically significant. Conclusion: Findings provide a more understanding of operations, programs, and costs of Korean clubhouses.

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Changes in Self-Leadership and Self-Efficacy After Leadership Training of First-Year Premedical Students (의예과 학생들의 리더십 교육 후 자기리더십과 자기효능감의 변화)

  • Yoo, Dong-Mi;Kang, Wha Sun
    • Korean Medical Education Review
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    • v.18 no.2
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    • pp.83-89
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    • 2016
  • The purpose of this study was to elucidate to what extent the goals of the leadership training program implemented in a medical college were achieved. Study subjects consisted of 74 first-year premedical students at the College of Medicine of The Catholic University of Korea. All participants completed two questionnaires: an 18-item self-leadership questionnaire asking self-expectation, rehearsal, goal setting, self-rewards, self-judgment and constructive thinking, and a 28-item self-efficacy questionnaire asking preference toward difficult work, efficacy of self-control, and confidence before and after the leadership training program. Students also competed a program satisfaction survey after the program. The collected data were analyzed with a paired t-test, descriptive statistics by IBM SPSS ver. 20.0 (IBM Co., Armonk, NY, USA). Students' overall satisfaction with the program scored 4.06 out of 5. The scores of self-leadership and self-efficacy increased after the leadership training program except for 'confidence' in self-efficacy. The results indicate that an intensive leadership program in a short period of time could help to enhance social competencies such as communication skills, empathy, self-reflection, and teamwork of premedical students.

The Effects of Major Selection Motivation, COVID-19 Anxiety, and Work Values on Employment Preparation Behavior: Focused on Health College Students (전공 선택동기, COVID-19 불안, 직업가치관이 취업준비행동에 미치는 영향: 보건계열 대학생을 중심으로)

  • Kim, Eun-Jung;Park, Sa-Ra;Lim, Seong-Beom
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.49-56
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    • 2022
  • Purpose : The purpose of this study was to examine the effects of the motivation for choosing a major, COVID-19 anxiety, and work values on the employment preparation behavior of health college students and to provide evidence for developing programs for employment preparation behavior in the future. Methods : Employing a random sampling method, a survey was conducted from April 22 to June 3, 2022, using an electronically-disseminated questionnaire with college students majoring in medical technician, health administration, and nursing from D and K colleges located in Daegu. A total of 402 students who fully understood and agreed to the purpose of the study participated. The SPSS statistical program was used to analyze the collected data, which were verified using correlation and regression analyses. Results : The results of the study are: First, employment preparation behavior was positively correlated to major selection motivation, COVID-19 anxiety, and work values. Second, significant relationships were found between employment preparation behavior and motivation behind choosing a major, work values, and COVID-19 anxiety, in that order. The higher the major selection motivation, work values, and COVID-19 anxiety were, the better the employment preparation behavior was. Conclusion : The study's results indicate that it would be meaningful to provide health college students who were highly motivated to select their major and who possess sound work values with well-prepared job training programs. Various activities organized by the school for improving the students' self-satisfaction and self-efficacy, which can strengthen their long-term work values, could also be provided. In addition, due to the continuing COVID-19 pandemic, college students may feel anxious about new infectious diseases that might occur in the future. Therefore, considering the contemporary situation, a helpful educational program will be invaluable to fit the pupils for life's battle after they finish their education.

The Korean Social Workers' Burn-out Factors and Personal Traits in the Hospice and Palliative Care (호스피스.완화의료에 개입하는 사회복지사의 소진과 보호요인에 관한 연구)

  • Kim, Yun-Seop
    • Journal of Hospice and Palliative Care
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    • v.13 no.3
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    • pp.161-168
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    • 2010
  • Purpose: This study investigated the Korean social workers’ burn-out factors and personal traits in hospice and palliative care field, and also examined the effect and correlation between their professionality, social support and supervision. Methods: Data (N=46) from 46 social workers working at hospice and palliative care field were collected, and the data were analyzed for the inferential statistics using t-test, ANOVA, correlation and multiple regression with the SPSS 12.0 program. Results: General factors of the burn-out were age and work experience. The effect of the organization environment is greatly dependant on social support and supervision, and the burn-out were protected when workers got an emotional support from their family. For the workers with supervision, the less negative feeling, the better for the burn-out protection. Furthermore, the low burn-out was thought about when professional organization, self regulation, job vocation and autonomy were utilized. Regression analysis needed that the burn-out were protected well when individual autonomy among expertise was guaranteed. As for social support, vertical support was able to protect physical burn-out. Conclusion: The training program for social workers in hospices and palliative care field is essential to reduce and prevent the burn-out. Hospice should be more activated and a training program with up-to-date knowledge and information should be adopted.

A survey on the perceptions of dental hygienists and dentists on the legal scope of dental hygienists (치과위생사의 법적업무범위에 관한 인식 조사: 치과위생사와 치과의사를 대상으로)

  • Kim, Myoung-Hee;Kim, Seol-Hee;Kim, Hye-Sung;Hwang, Young-Sun;Kim, Jin
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.14-24
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    • 2021
  • Dentists and dental hygienists are major collaborators, as expressed by the concept of "Four-handed dentistry." Dentists are guaranteed their legal duties and rights in accordance with the Medical Act, whereas dental hygienists are currently stipulated in the scope of their legal duties under the Act on Medical Technicians. However, there is a difference between the actual work and the legal work performed by dental hygienists; therefore, the work is dependent on many legal controversies and authoritative interpretations. The purpose of this study is, first, to develop a reliable questionnaire tool regarding the actual work performed by dental hygienists in dental hospitals and clinics, and second, to examine the awareness of the appropriateness of legal work based on the developed questionnaire. The target subjects of the survey were dental hygienists and dentists, and the dental hygienists were those who worked in dental hospitals and clinics as license reporters of the Korean Dental Hygienists Association. A total of 1,294 dental hygienists and 39 dentists were included in the final analysis. In the dental hygienist group, 19 items received the response "appropriate for legal work" in over 90% of cases, accounting for 25% of the total 76 items. In addition, in a total of 31 items, more than 80% of the responses were appropriate for legal work. Among them, the highest was 'Scailing' (97.7%), followed by "Extraoral-Panorama" (97.1%). In the dentist group, 10 out of 76 items showed over 90% adequacy for legal work, and among them, "instrument cleaning and sterilization" was the highest at 100%. It was followed by "Intraoral radiography," "Scailing," and "Toothpick method, TPM" with 97.4%. In the case of dentists, 28 out of a total of 76 items showed an appropriateness of more than 80% for legal work. This study comprehensively investigated the actual work of dental hygienists in line with timely and appropriate social issues and provided reliable statistics in evidence-based dentistry.

Radiation risk perception and its associated factors among residents living near nuclear power plants: A nationwide survey in Korea

  • Sung, Hyoju;Kim, Jung Un;Lee, Dalnim;Jin, Young Woo;Jo, Hyemi;Jun, Jae Kwan;Park, Sunhoo;Seo, Songwon
    • Nuclear Engineering and Technology
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    • v.54 no.4
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    • pp.1295-1300
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    • 2022
  • There has been increased interest in researching risk perception of radiation to implement successful risk communication, particularly given the recent worldwide nuclear policy movement regarding nuclear energy. This study aimed to investigate characteristics of risk perception among residents living near normally operating nuclear power plants in South Korea by identifying factors associated with risk perception. A survey was conducted with face-to-face interviews for 1200 residents aged 20e84 years by gender- and age-stratified random sampling. Risk perception was associated with trust perception in nuclear safety, but was not highly correlated with benefit perception for utilizing nuclear power. Relatively high risk perception was observed in women, older age groups, and residents not having experience of nuclear-related education or work. This association remained after adjusting for other factors including benefit perception, trust perception, and psychological distress. In addition to these individual characteristics, risk perception was also associated with a residential district's own unique context, indicating that a strategy of risk communication should be developed differently for residents facing nuclear-related circumstances. Given that risk perception can be changed, depending on social values such as safety culture and economic setting, further studies are required to understand the changing characteristics of radiation risk perception.