• 제목/요약/키워드: health practitioners

검색결과 446건 처리시간 0.021초

Dental Practitioners Self Reported Performance of Tobacco Cessation Counseling Interventions: A Cross Sectional Study

  • Parakh, Abhinav;Megalamanegowdru, Jayachandra;Agrawal, Rohit;Hathiwala, Siddhi;Chandrakar, Mayank;Tiwari, Ram;Veeranna, Thippeswamy
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권10호
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    • pp.6141-6145
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    • 2013
  • Background: The objective of the study was to determine the knowledge, attitude and behaviors of the practicing dentists regarding tobacco cessation counseling (TCC) in Chhattisgarh state and also the barriers that prevent them from doing so. Materials and Methods: The study was conducted among dental practitioners of Raipur district, Chhattisgarh state (India). The sampling frame was registration with the State Dental Council and practicing in Raipur district. A questionnaire was personally administered and the practitioners were given explanations regarding how to complete it. Only descriptive statistics were calculated (SPSS version 16 for Windows). Results: Based on the responding dentists' self reports, 76% were not confident in TCC, 48% did not assume TCC to be their responsibility, 17% considered that it might have a negative impact on their clinical practice, whereas 24% considered it might take away precious time from their practice, 25% considered TCC by dentists to be effective to a considerable extent and 80% considered TCC activities are not effective due to lack of formal training, 69% considered dental clinics as an appropriate place for TCC but 82% thought there must be separate TCC centre and 100% of the dentists wanted TCC training to be a part of practice and that it should be included in dental curriculum. Some 95% of them were of the view that tobacco products should be banned in India and 86% responded that health professionals must refrain from tobacco habits so to act as role models for society. Conclusions: Dental professionals must expand their armamentarium to include TCC strategies in their clinical practice. The dental institutions should include TCC in the curriculum and the dental professionals at the primary and the community health care level should also be trained in TCC to treat tobacco dependence.

보건진료원의 보완대체요법에 대한 지식정도, 사용경험, 태도에 관한 연구 (A Study on Community Health Practitioners' Knowledge of, Usee Patterns of, and Attitudes toward Complementary and Alternative Medicine(CAM))

  • 김소야자;장순복;남경아
    • 지역사회간호학회지
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    • 제17권4호
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    • pp.563-572
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    • 2006
  • Purpose: This study was conducted to investigate community health practitioners' knowledge of, use patterns of, and attitudes toward CAM. Method: The subjects of this study were 817 community health practitioners (CHPs) from 9 Provinces in Korea selected through convenient sampling. They completed and submitted self-report questionnaires at the annual meeting of CHPs or sent completed questionnaires to us by mail. Result: Of the CHPs, 8.1% had a certificate of CAM-related education program, and 39.9% worried about the efficacy of CAM. They knew about massage (74.0%), finger pressure (68.1%), hand acupuncture (67.8%), diet (65.5%) and herb (64.7%). They had used herb (43.3%), massage (36.8%), hand acupuncture (32.7%) and vacuum (31.2%) with positive effects and recommended residents to use them. Attitude toward CAM tended to be positive in those with certificates of CAM, those with high academic qualification, those aged 40 or below, and those working in Chungcheong-do. Conclusion: This study showed that CHPs were interested in CAM while they worried about the therapeutic effects of it. Further studies to draw cross-sectional and national data on the use patterns of CAM from the various population and standardized instruments to investigate the types of CAM were suggested.

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Commitment to Sport and Exercise: Re-examining the Literature for a Practical and Parsimonious Model

  • Williams, Lavon
    • Journal of Preventive Medicine and Public Health
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    • 제46권sup1호
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    • pp.35-42
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    • 2013
  • A commitment to physical activity is necessary for personal health, and is a primary goal of physical activity practitioners. Effective practitioners rely on theory and research as a guide to best practices. Thus, sound theory, which is both practical and parsimonious, is a key to effective practice. The purpose of this paper is to review the literature in search of such a theory - one that applies to and explains commitment to physical activity in the form of sport and exercise for youths and adults. The Sport Commitment Model has been commonly used to study commitment to sport and has more recently been applied to the exercise context. In this paper, research using the Sport Commitment Model is reviewed relative to its utility in both the sport and exercise contexts. Through this process, the relevance of the Investment Model for study of physical activity commitment emerged, and a more parsimonious framework for studying of commitment to physical activity is suggested. Lastly, links between the models of commitment and individuals' participation motives in physical activity are suggested and practical implications forwarded.

보완.대체의학에 대한 시론 - 세계의 동향과 보건정책적 시사 - (Challenge of Complementary and Alternative Medicine - Worldwide Currents and Health Policy Implications -)

  • 박종구;김춘배;최서영;김달래;전세일;이선동;이종찬;강명근;조경숙
    • 보건행정학회지
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    • 제10권1호
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    • pp.1-30
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    • 2000
  • One form of complementary and alternative medicine (CAM), oriental medicine has developed differently from the western medicine under its own environment and history. Western medicine was introduced to Korea about 120 years ago. But unfortunately, there still is an indisputable lack of cooperative movement between oriental medicine & western medicine. However, the market share of CAM has grown markedly in most industrialized countries (the United States, Europe, Australia, and Asia). In these countries, alternative medicine such as acupuncture and herbal remedies was adopted as a "complementary" therapies of mainstream medicine, to calm the symptoms of terminal illness. Recently in Korea, there was a movement to cooperate oriental medicine & western medicine. However, until this time in Korea, there was a conflict between oriental medicine & western medicine. They blame each other. Such as "Other side is guilty of improper evaluation of patients, possibly suppressing effective therapies of their own side and profit-motivated". Though most western medicine practitioners criticize oriental medicine, the level of adopting alternative forms of health care by the public and by some western medicine practitioners will continue to increase. Therefore oriental medicine & western medicine share a mutual responsibility to apply evidence-based practices, to seek scientific empirical proof through planned interventions, and to increase the quality of health care.lity of health care.

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당뇨병 환자의 무자격자 치과시술 경험 관련요인: 2013 지역사회건강조사 (Factors Related to the Experience of Dental Treatments Performed by Unqualified Dental Practitioners in Diabetes Mellitus: Results from The 2013 Community Health Survey)

  • 오지혜;이영훈
    • 보건의료산업학회지
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    • 제12권2호
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    • pp.15-26
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    • 2018
  • Objectives : This study aimed to evaluate the factors related to the experience of unqualified dental practice. Methods : We interviewed 19,961 adults aged 30 years and over using the 2013 Community Health Survey data. To determine the independent factors related to experience of unqualified dental practice, odds ratios and 95% confidence intervals were calculated using multiple logistic regression analysis. Results : The experience of dental treatment by unqualified dentists was significantly higher in women, older people, families with less than 1 million won household income. It was lower scores in diabetes health education while The worse the subjective oral health and the required dental care was significantly higher in those who did not experience dental treatment. Conclusions : The likelihood of experiencing unqualified dental practice was higher in diabetes patients from vulnerable classes, such as women, the elderly, and those with poor educational background or low income.

보건소간호사와 보건진료전담공무원의 문화역량 및 문화간호역량 교육요구 비교 (Difference in the Cultural Competency and Cultural Nursing Competence Educational Needs of Public Health Nurses and Community Health Practitioners)

  • 한영란;정여원
    • 한국보건간호학회지
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    • 제37권2호
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    • pp.233-246
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    • 2023
  • Purpose: The purpose of this study was to investigate the level of cultural competency and cultural nursing competence educational needs of public health nurses (PHNs) and community health practitioners (CHPs) and to uncover the difference between the two groups. Methods: The subjects of this study were 217 PHNs and 165 CHPs. Data were collected using a structured questionnaire. Descriptive statistics, an independent two-sample t-test, the x2 test, one-way ANOVA, and the Scheffé test were used for data analysis. Result: There was no statistically significant difference between the cultural competency of CHPs (4.27±1.00) and that of PHNs (4.10±1.07) which were at a moderate level. Among the subareas, cultural awareness and sensitivity were above average, but cultural skills and knowledge showed relatively low scores. There was no statistically significant difference between the cultural nursing competence educational needs of CHPs (3.85±0.65) and PHNs (3.90±0.70) and these were at a relatively high level. Among the subareas, knowledge of key concepts, cultural communication, and attitudes and skills were above average. Conclusion: The results of this study highlight the need to develop and implement educational programs to enhance the cultural competency of PHNs and CHPs nationwide using various teaching-learning methods.

Recognition of and interventions for Mibyeong (subhealth) in South Korea: a national web-based survey of Korean medicine practitioners

  • Lee, JaeChul;Dong, Sang Oak;Lee, Youngseop;Kim, Sang-Hyuk;Lee, Siwoo
    • Integrative Medicine Research
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    • 제3권2호
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    • pp.60-66
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    • 2014
  • Background: Medically unexplained symptoms (MUSs) are common in primary care. Atpresent, there are no proven, comprehensive treatments available in primary care forpatients with MUSs. However, MUS has parallels with "subhealth" or Mibyeong from tradi-tional East-Asian medicine, and thus, Mibyeong interventions could be effective in treatingMUS. Unfortunately, studies on Mibyeong and its intervention methods are relatively rare.Methods: We administered a web-based survey to 17,279 Korean medicine (KM) practitionersregistered with the Association of Korean Medicine. The response rate was 4.9% (n = 849).Based on the responses received, we assessed how much they agreed with concepts relatedto Mibyeong on a 7-point scale from "do not agree" to "strongly agree." Respondents werealso asked to indicate how frequently they encountered various subtypes and patterns ofMibyeong, and how frequently they use listed intervention methods.Results: Data from 818 respondents were analyzed after excluding those with no clinicalexperience. On average, respondents were male general practitioners aged between 30 yearsand 49 years, working or living in metropolitan areas such as Seoul, Incheon, and Gyeonggi-do. Responses did not differ by demographics. Respondents generally thought that Mibyeongreferred to subjective or borderline findings without certain disease, and that Mibyeong hasvarious subtypes and patterns. Subtypes included fatigue, pain, and digestion problems; pat-terns were either deficiencies (e.g., qi, blood, and yin deficiency) or stagnations (e.g., liver qidepression and qi stagnation). Decoction was the most frequently used type of interventionfor Mibyeong of all items listed, followed by acupuncture and moxibustion. Patient educa-tion was also recommended, suggesting healthy eating, promoting healthy environment,and exercise.Conclusion: We were able to provide preliminary results on KM practitioners' recognition ofand interventions for Mibyeong, but further research is needed to develop a detailed defi-nition of Mibyeong and its myriad subtypes and patterns, and evaluations of the efficacy ofMibyeong interventions.

클라이언트의 자기결정에 관한 정신보건사회복지사의 실천 경험에 대한 연구 (A Qualitative Study on the Mental Health Social Workers' Experiences Concerning Client's Self-determination)

  • 김기덕;장은숙
    • 사회복지연구
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    • 제39호
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    • pp.83-113
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    • 2008
  • 본 연구의 목적은 클라이언트의 자기결정에 관한 정신보건사회복지사의 실천경험을 내부자 관점을 통해 심층적으로 이해하는 것이다. 이를 위해 10명의 연구참여자를 대상으로 심층면접 한 후 근거이론 방법으로 자료를 분석하였다. 연구 결과 <클라이언트를 믿고 존중하려는 고단하지만 의미 있는 성장 과정>이라는 핵심범주를 발견하였고, 클라이언트의 자기결정에 관한 정신보건사회복지사의 실천경험은 '간섭적 온정주의형', '적극적 존중실현형', '소극적 존중실현형'의 3가지 유형으로 발견되었다. 본 연구의 결과, 기관과 사회복지사 자신이 어떤 철학과 태도를 갖고 있느냐가 클라이언트의 자기결정을 존중하는 실천에 상당한 영향을 주고 있으며, 연구참여자들은 클라이언트의 자기결정과 관련한 실천과정에서 많은 어려움을 경험하고 있었다. 한편 자기결정을 존중하는 과정을 통해 클라이언트와 사회복지사는 자신들의 역량이 강화되는 경험을 하고 있었다. 이러한 연구 결과들은 클라이언트의 자기결정을 존중하는 실천에 관해 중요한 이론적, 실천적 함의를 갖는 것으로 판단된다.

보건진료원의 금연지도활동에 영향을 주는 요인 - 광주$\cdot$전남지역을 중심으로 - (Predictors of Smoking Cessation Counselling Activities among Community Health Practitioners)

  • 김진선
    • 보건교육건강증진학회지
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    • 제20권3호
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    • pp.239-254
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    • 2003
  • Purposes: The purposes of this study were to investigate the smoking cessation counselling activities among community health practitioners(CHP) and to identify the predictors of their smoking cessation counselling activities. Method: A descriptive-correlation study using self-administered questionnaires was conducted. Questionnaires were mailed to all the CHP in a community. A total of 330 CHPs participated in this survey. Results: Of the CHPs surveyed, 245(74.2%) returned completed questionnaires. Most CHPs(90.7%) believed that if a health professional advises their patient to quit, the patient's chances of quitting smoking are increased. While the majority of CHPs “asked, advised, and assessed” their clients, a minority of CHPs “assisted, arranged, and recorded”. In the final stepwise multiple regression model, attitude about smoking cessation policies and counselling activities, self-efficacy of smoking cessation counselling knowledge and skills, and perceived barriers of smoking cessation counselling activities were identified as significant predictors of smoking cessation counselling activities among CHPs. Conclusion: Smoking cessation counselling activities are not a routine part of CHP practice. Efforts should be made to increase the self-efficacy of smoking cessation counselling knowledge and skills among CHPs. Helping CHPs to overcome their barriers to smoking counselling may open up new channels for smoking intervention.

보건진료전담공무원의 간호연구 활용의 장애요인 및 근거기반실무 활동과 역량 (Community Health Practitioners' Perception of Barriers to Research Utilization, Current Status and the Competence in Evidence based Practice)

  • 송연이;소애영;김진순
    • 한국농촌간호학회지
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    • 제12권2호
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    • pp.29-44
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    • 2017
  • Purpose: The purpose of this study was to identify community health practitioners' (CHP) perception of barriers to research utilization, current status and competence in evidence-based practice (EBP). Methods: From all over the country, 126 CHP completed an e-mail survey. Results: The items with the highest barrier scores were that it is difficult to understand articles written in English and physicians will not cooperate with implementation. There were statistically significant differences in the scores for attitude toward EBP and knowledge in EBP by education level and nursing academic society membership status. When faced with a problem, the nurses usually use related regulations or asked a colleague for advice. Conclusion: Results indicate an awareness of the necessity of applying EBP, need to improve readiness to use EBP voluntarily and actively, and need to search for various factors that are barriers to research utilization. There is a need to develop and apply EBP training/education programs to find new evidence that might actually support previous practice for which nurses lack confidence. Guidelines that consider CHP task characteristics and barrier factors to research utilization should be developed.