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대한의료커뮤니케이션학회> 의료커뮤니케이션> 간호사의 의사소통 프로그램에 대한 국내 연구동향

KCI등재

간호사의 의사소통 프로그램에 대한 국내 연구동향

Current domestic research trends on nurses’ communication programs

박영수 ( Young-su Park )
  • : 대한의료커뮤니케이션학회
  • : 의료커뮤니케이션 17권1호
  • : 연속간행물
  • : 2022년 06월
  • : 25-30(6pages)
의료커뮤니케이션

DOI


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서 론
연구방법
연구결과
고 찰
감사의 글
REFERENCES

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초록 보기

Purpose : Communication skill of healthcare providers is important in quality care. The purpose of this study are to identify intervention its outcome for improving communication skills among nurses.
Methods : This is a literature review databases were searched, including RISS, KISS, KMbase, KoreaMed in Korea. The strategy was established in search terms included nurses, communication, programs and literature reviewed during published in the last 10 years.
Results : We including 9 studies, conducted mainly in hospital settings. Most communication programs consist of lecture, role play, feed-back, discussion. As a results of, communication programs appear to be effective in improving communication skills for nurses. We found evidence to support a beneficial effect of communication programs on nurses’ communication skills, self-efficacy, interpersonal relationship, emotional intelligence and intershift performance.
Conclusion : Study results indicate that educational and training programs are needed to increase communication skills for nurses within various clinical contexts. Based on the results of this study, it is necessary to conduct systematic review, meta-analysis research so that the effects of communication programs of clinical nurses can be systematically identified.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
  • :
  • : 반년간
  • : 1975-888X
  • : 2713-6825
  • : 학술지
  • : 연속간행물
  • : 2006-2022
  • : 255


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17권2호(2022년 12월) 수록논문
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KCI등재

1효율적인 장기구득 면담의 조건과 요소

저자 : 정연옥 ( Yeon Ok Jeoung ) , 박용익 ( Yongik Bak )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 1-10 (10 pages)

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Purpose : In order to successfully conduct an organ procurement interview between the coordinator and the family of the brain dead, it is important to understand the conditions and factors of an efficient organ procurement interview.
Methods : This research uses a literature research. At first I explored the related literature found in the Google Scholar search engine. Subsequently, additional related literature was found in the reference of the literature. The contents related to the subject of this study were identified through close reading of 20 selected literature on organ procurement interviews. Then, appropriate keywords were assigned to the found contents, and the keywords were classified into categories according to the contents.
Results : 14 conditions and factors affecting the effective organ procurement interview were identified: Detailed informing on treatment and diagnostic procedures for the brain dead, effectively delivering bad news of the physicians; understanding and acceptance of brain death, emotional stability, dispositions and values, recognition of the will to donate expressed by the brain dead, positive perception of medical staff, sufficient knowledge about brain death and organ donation of the family of the brain dead; creating an appropriate environment for the interview, listening and empathy, providing accurate and detailed information on organ donation, disposition and qualification, communication and relationship building skills, preparation for the interview of the coordinators.
Conclusion : The results of this study can be used as a guideline to efficiently conduct the organ procurement interview and for organ procurement interview education of coordinators.

KCI등재

2의료현장에서 이루어지는 윤리적 소통 이면에 놓인 세 사상에 대한 연구: 자연법, 공리주의, 칸트윤리를 중심으로

저자 : 신성원 ( Sung Won Shin )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 11-24 (14 pages)

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Purpose : Patients-clinician communications are not only about information, but also ethical themes. This is because, as medical care is directed at humans. Therefore, medical decisions must be made based on moral considerations. It goes beyond exchanging information and starts with meeting and communication with the interlocutor. In other word, in order to meet each other in existence, it is necessary to continue researching on the basic ideas that constitute ethical dialogue.
Methods : In this Study, there are many points that are not directly revealed in the superficial dialogue between patients and clinician, but there are various factors that lie underneath. The three ethical theories, natural law ethics, utilitarian ethics, and Kant's ethics, that reveal the principles and actions of ethics under the external dialogue will be examined, focusing on the primary literature, which is important in each theory. Through this study, it es possible to examine in what aspects these ethical views reveal their principle and various ethical positions. Based on the analysis of each ethical theory, it is examined which direction of the three theories could contribute to high-quality communication between patients and clinician.
Conclusion : As a common part of the three ethical theories, it can be seen that the principle of “being ethical” is being universally explored. In addition to the common parts, each ethical theory has its own explanation of the basis of ethics and each has its own direction. Based on three different ethical theories, we can examine the differences under the natural and the source of the differences by understanding the ethical theories that are under the ethical view that the other person accepts without question in the patients-clinician communications. And this can be used as a starting point for ethical dialogue to meet each other as a whole, as existence.

KCI등재

3다기관 임상시험에서의 공동IRB의 필요성 및 IRB심사의 시스템화 전략 모색

저자 : 이명환 ( Myung Hwan Lee ) , 김용진 ( Yong-jin Kim ) , 서수원 ( Soo Won Seo )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 25-30 (6 pages)

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Purpose : Recently, with the development of science and technology and the expansion of research scale, the number of multicenter clinical trials involving more than one institution is increasing. Accordingly, by establishing a standard and computerized system for IRB examination, we intend to present a strategy that can be expected to shorten the examination period and reduce examination costs with an efficient examination system.
Methods : The necessity of joint IRB and regulations for operation were reviewed. The points to be considered for the establishment of the e-IRB system were reviewed.
Results : It confirmed that the need for a joint IRB was clear. Problems and solutions to be solved for the concrete realization of the joint IRB were presented. Functions and interlocking methods for reviewing domestic and foreign regulations and system construction were presented.
Conclusion : Through this paper, it is expected that medical institutions will become aware of the importance and necessity of an efficient and flexible joint IRB in line with the rapidly changing medical industry. In fact, it is expected that it will be able to contribute to understanding the precautions on how to organize and operate a joint IRB.

KCI등재

4의과대학생의 교육경험에 따른 공감개념의 인식구조 변화

저자 : 이준기 ( Jun-ki Lee ) , 김형태 ( Hyungtae Kim ) , 유효현 ( Hyo Hyun Yoo )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 31-36 (6 pages)

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Purpose : The purpose of this study is to explore changes in the conceptual perception structure of medical students' empathy according to the educational experience provided at the beginning of the basic medical education.
Methods : The subjects of this study were 116 students in the 2nd year of the pre-medical department of the College of Medicine.
Results : Before and after the basic medical interview class and after the end of the dissection practice, words included in the concept of empathy such as 'the other person', 'emotion', 'understanding', 'position', 'situation', and 'thought' appeared in common. However, these common words appeared mixed before and after the basic medical interview class, but after the end of the dissection practice, they changed to a structure that recognizes the concept of empathy by integrating the core concepts of 'the other', 'understanding', and 'emotion'. In particular, after the end of the dissection practice, the word 'patient' appeared, expressing the specific object of empathy as a doctor for the first time.
Conclusion : Curriculum related to medical interview within the basic medical education curriculum should be systematically developed so that students can continuously experience practical medical interview situations along with theoretical education.

KCI등재

5간호대학생의 공감 능력과 사회적 책임성이 전공몰입에 미치는 영향

저자 : 배경의 ( Kyung-eui Bae ) , 한영인 ( Young-in Han )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 37-45 (9 pages)

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Purpose : Nursing students' academic immersion in their major field is very important in their learning activities. It is necessary to understand the effect of empathy ability and social responsibility on major immersion. This study was conducted to understand the effect of empathy ability and social responsibility of nursing students on their major immersion.
Methods : This is a descriptive research study in which a survey of 238 nursing students was analyzed using the SPSS/WIN 21.0 program.
Results : The results of this study were empathy and social responsibility (r=.472, p<.001), empathy and major Immersion (r=.289, p<.001), social responsibility, and major Immersion (r=.597, p<.001) was statistically positively correlated. The results of the factors affecting nursing students' major immersion were academic performance (β=-.171, p<.001), internal factor in major selection (β=-.109, p=.030), major satisfaction (β=-.284, p<.001) and social responsibility (β=.452, p<.001) variables explained about 50.1% of the major immersion.
Conclusion : Through the research results, it is meaningful that nursing students can increase their immersion in the whole body through improvement of departmental achievements, internal factors in major choice, major satisfaction, and social responsibility. Nevertheless, since this study is the result of a survey of nursing students in one area, there are limitations to the expansion of interpretation.

KCI등재

6COVID-19 유행 초기와 후기에서 회복 후 스트레스, 우울, 불안 정도

저자 : 김대현 ( Dae Hyun Kim )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 47-50 (4 pages)

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Purpose : People who recovered from the COVID-19 complain of psychological symptoms such as stress, anxiety, and depression by psycho-social stress due to social labelling in the early stage of the epidemic. Stress, depression, anxiety, and degree of stress were compared between those recovered from early infection and those recovered from late infection.
Methods : The 'Perceived Stress Scale' and 'Hospital Anxiety-Depression Scale' was compared for patients recovering from early (February-May 2020) infection (n=20) and patients recovering from two years later (March-April 2022) infection (n=21).
Results : The median age of patients recovering from early/late illness was 51.3/46.1 years. The average score of the perceived stress scale was higher in the early period(19.6±6.52), compare to late period(15.3±6.49), and severe stress was more common in early period(40%) compare to late period(14%). The average score of hospital anxiety and depression were significantly higher in early period(15.4±5.45), compare to late period(9.6±5.44). The average score of the anxiety domain was significantly higher in the early period(6.6±3.25) than late period(4.7±2.96), and severe anxiety(8point~) was more common in early period(45%) compare to late period(9.5%). The average score in depression domain was higher in the early period(8.4±3.86) than late period(6.1±3.21), and the severe depression(8point~) was more common in early period(70%) compare to late period(19%).
Conclusion : Those who recovered after early stages of the COVID-19 epidemic showed significantly higher levels of stress perception, anxiety, and depression than patients in the late stages of the epidemic two years later.

KCI등재

7임상 간호사의 일반적 특성에 따른 의사소통 능력과 공감능력 조사연구

저자 : 신미경 ( Mee Kyung Shin )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 51-57 (7 pages)

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Purpose : The purpose of this study is to identify the degree of communication and empathy of clinical nurses and to identify the differences in empathy and communication skills according to the general characteristics of clinical nurses.
Methods : A total of 316 nurses were recruited from five hospitals. The data were analyzed using SPSS 21.0 with real number, percentage, mean, t-test, ANOVA, and Pearson's correlation.
Results : According to the results of this study, the general characteristics that were statistically significant in the difference in communication ability according to general characteristics were age, clinical experience, position, and number of hospital beds. There was a statistically significant difference in empathy ability according to clinical experience, department, place of work, and number of hospital beds.
Conclusion : Based on the results of this study, an intervention program to improve communication and empathy should be developed in consideration of the statistically meaningfully interpreted general characteristics to improve communication and empathy so that patient-centered nursing can be achieved.

KCI등재

8코로나19 시대 응급실에서 동의서 작성시 비대면 의사소통 장치의 유용성

저자 : 송민혁 ( Minhyeok Song ) , 조아라 ( Ara Cho ) , 유지나 ( Gina Yu ) , 조준호 ( Junho Cho )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 59-71 (13 pages)

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Purpose : Since the era of COVID-19, face-to-face contact has been reduced to prevent the spread of infectious diseases around the world, and hospitals are applying various methods to prevent the spread of infection. However, when writing a consent form essential during the treatment process, it had to be done face-to-face. We developed a non-face-to-face communication device to enable real-time consent writing. This study aims to evaluate the usefulness of the non-face-to-face communication device when writing a consent form.
Methods : From December 28, 2021 to February 2, 2022, electronic medical records of patients visited the severance hospital emergency center and had a central venous catheter inserted were collected retrospectively. There were 56 consent forms included in the study, 43 face-to-face and 13 non-face-to-face. We checked the difference between the details explained in the non-face-to-face consent form and the face-to-face by the average score and the explanation of each item. The score was measured from a minimum of 0 points to a maximum of 13 points, with 1 point for explained items and 0 points for unexplained.
Results : The average score for the face-to-face consent form was 4.3, and for the non-face-to-face was 3.0 (p=0.148). There was no significant difference in the explanation of each item.
Conclusion : It was confirmed writing a consent form through the non-face-to-face communication device can perform a similar role compared to the face-to-face. It is expected unnecessary contact can be reduced by applying the device to hospital rooms, and enabling a non-face-to-face rounds system for new infectious diseases.

KCI등재

9응급 협의 진료 전산화 시스템이 응급 진료를 위한 의료진 의사 소통에 미친 영향

저자 : 이미선 ( Mi Seon Lee ) , 이지환 ( Ji Hwan Lee ) , 홍주영 ( Ju Young Hong ) , 김지훈 ( Ji Hoon Kim ) , 조준호 ( Jun Ho Cho )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 73-80 (8 pages)

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Purpose : In emergency department(ED), emergency consultation is often omitted or delayed, resulting in an increase of the length of stay for patients. The present study investigated the emergency consultation computerized system designed for prompt and accurate communication can shorten the time for consultation care. In addition, we tried to confirm how users' satisfaction with communication for emergency consultation changed before and after using the system.
Methods : We divided the period from arrival to exit of the emergency department into 4 stages, and the time taken for each stage was measured. In addition, the present study conducted a satisfaction survey on the convenience and accuracy of communication among users.
Results : After using the computerized system, the median value of time for emergency consultation treatment decreased significantly from 78 minutes to 39 minutes (p<0.001). In terms of communication convenience, more than two-thirds of the users responded positively.
Conclusion : The system that computerized the initial communication shortened the time required for emergency consultation and increased satisfaction in terms of convenience of communication between medical staff.

KCI등재

10젊은 유방암 생존자 직업복귀를 위한 외상 후 성장 증진 프로그램 개발 및 시범적용

저자 : 배가령 ( Ka Ryeong Bae )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 2호 발행 연도 : 2022 페이지 : pp. 81-89 (9 pages)

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Purpose : This study aimed to develop a program that promotes posttraumatic growth (PTG) in young breast cancer survivors returning to work and measure its feasibility.
Methods : This study was conducted at a university-based cancer center in Seoul, Republic of Korea. After a literature review, in-depth interviews, and network analysis of the online community, a 4-week group-based education program was developed. The program consisted of post-cancer life, exercise, nutritional, psychological, and esthetic management. The primary outcome was PTG, and secondary outcomes were rumination, distress, and thinking about returning to work.
Results : Fifteen young breast cancer survivors working at the time of cancer diagnosis participated in the program. The mean age of the participants was 41.80 ± 5.03 years and the time since diagnosis was 14.07 ± 15.90 months. There were significant differences in the total PTG and PTG sub-item scores in relation to others, personal strengths, and anxiety (p<0.05). Confidence in returning to work was also significantly different (p<0.05).
Conclusion : PTG promotion programs will be effective in helping young breast cancer survivors to return to work. Further studies involving a larger sample and a longer follow-up period are required.

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KCI등재

1코로나19 백신 이상반응에 대한 보도가 백신을 접종한 사람들의 응급실 이용에 미치는 영향

저자 : 정호섭 ( Ho Sub Chung ) , 배성진 ( Sung Jin Bae ) , 최윤희 ( Yoon Hee Choi ) , 이선화 ( Sun Hwa Lee ) , 남궁명 ( Myeong Namgung ) , 이동훈 ( Dong Hoon Lee ) , 김찬웅 ( Chan Woong Kim )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 1-9 (9 pages)

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Purpose : The COVID-19 vaccine was developed and approved quickly, and verification was carried out simultaneously with vaccination. Many patients have visited the emergency department (ED) complaining of severe adverse reactions. However, only a few cases are severe adverse reactions. We were concerned that this might be the effect of excessive media coverage. Therefore, we would like to analyze the correlation between the number of articles and the number of patients who visited ED.
Methods : This study was conducted on patients who visited the ED from March 2021 to October 2021. The subjects were selected through keywords “vaccine”, “side effect”, “adverse reactions”, “Pfizer”, “AstraZeneca”, “Moderna”, “Janssen” and total 1,705 patients were enrolled. The number of articles was analyzed through Big Kinds. In addition, the correlation between the number of patients visited ED, and the number of vaccinated people was investigated.
Results : There was no statistically significant correlation between the number of articles and the number of patients who visited ED. However, the number of vaccinated people and the number of patients who visited ED showed a significant relationship.
Conclusion : In this study, the number of articles did not affect the number of patients visiting the ED. However, media reports of adverse reactions were continued, and it instilled fear in people. Therefore, it is important to provide accurate information from the media to prevent overcrowding of ED.

KCI등재

2글로벌 간호역량 강화를 위한 비대면 프로그램의 적용: COVID-19 펜더믹 상황에서

저자 : 최은희 ( Eun-hi Choi ) , 김지연 ( Jiyeon Kim ) , 임숙빈 ( Sookbin Im )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 11-23 (13 pages)

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Purpose : The purpose of this study is to develop an online global nursing competency promoting program for students in the college of nursing, and to identify the effectiveness by analyzing participation cases.
Methods : Before program development, essential elements were derived from existing programs through a meeting between graduates and experts who participated in the program. After recruiting students to participate, the program was developed after a pre-meeting with the students about the components of the program. The program was on August 9th-13th, 2021. After the program, satisfaction surveys, in-depth interviews, and participant diaries were analyzed.
Results : Satisfaction of the global nursing competency promoting program was an average of 4.10±0.96 for the program application process and 4.36±0.84 for program effectiveness and 4.43±1.07 for the global mind. As a result of qualitative data analysis, 8 subject areas and 26 categories were derived. It was divided into program elements and students' changes, four in each element. In the students' changes elements, curiosity and fear before the program, active attitude and open mind through friends' encouragement, curiosity arising from the same experience and different perspectives, and developing friendship from responsibility were included. In the program elements, the subject areas were pre-requisite element, conversation facilitating element, difficult element, and online program evaluation.
Conclusion : Online global nursing competency promoting program needs to be change according to the purpose of the students. In addition, it is necessary to deviate from the existing standardized operating method and to identify and participate in the needs of the students in the long term.

KCI등재

3간호사의 의사소통 프로그램에 대한 국내 연구동향

저자 : 박영수 ( Young-su Park )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 25-30 (6 pages)

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Purpose : Communication skill of healthcare providers is important in quality care. The purpose of this study are to identify intervention its outcome for improving communication skills among nurses.
Methods : This is a literature review databases were searched, including RISS, KISS, KMbase, KoreaMed in Korea. The strategy was established in search terms included nurses, communication, programs and literature reviewed during published in the last 10 years.
Results : We including 9 studies, conducted mainly in hospital settings. Most communication programs consist of lecture, role play, feed-back, discussion. As a results of, communication programs appear to be effective in improving communication skills for nurses. We found evidence to support a beneficial effect of communication programs on nurses' communication skills, self-efficacy, interpersonal relationship, emotional intelligence and intershift performance.
Conclusion : Study results indicate that educational and training programs are needed to increase communication skills for nurses within various clinical contexts. Based on the results of this study, it is necessary to conduct systematic review, meta-analysis research so that the effects of communication programs of clinical nurses can be systematically identified.

KCI등재

4COVID-19 관련 계획행동요인들이 뉴스 공유의도 및 대처행위의도에 미치는 영향에 관한 연구: 중국 20대를 중심으로

저자 : 맹영연 ( Rong Yan Meng ) , 우형진 ( Hyung Jin Woo )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 31-38 (8 pages)

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Purpose : This study examines how the three factors of the planned behavior theory, attitude, subjective norm, and perceived behavioral control affect the Chinese 20s' intention to share news related to COVID-19 and to cope with it.
Methods : A total of 323 Chinese respondents in their 20s participated in the online survey.
Results : As a result of the study, it was found that only subjective norms affect the intention to share news related to COVID-19, excluding attitudes and perceived behavioral control. Also, among the planned action factors, only subjective norms and perceived behavioral control were found to have a significant relationship with behavioral intentions to cope with COVID-19.
Conclusion : When a pandemic such as COVID-19 occurs, news users seem to be sharing news about COVID-19 conscious of their reference group, and the higher their perceived behavioral control over their coping behavior, the more they take action.

KCI등재

5의사-환자 커뮤니케이션 유형과 병원의 사회적 책임 활동 평가가 병원 브랜드 자산 인식과 의료서비스 지속이용의도에 미치는 영향

저자 : 김정아 ( Jeonga Kim ) , 우형진 ( Hyung Jin Woo )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 39-47 (9 pages)

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Purpose : The purpose of this study is to examine the effect of doctor-patient communication type and hospital's SR(Social Responsibility) evaluation on the hospital's brand equity awareness and the patient's intention on continued use of its services.
Methods : A causal relationship between each variable was identified through a survey of a total of 160 outpatients at the hospital.
Results : As a result of the analysis, among the communication types between doctors and patients, only the cooperative type and the professional type showed a positive causal relationship with brand awareness, image and quality regarding hospital's brand equity awareness. Also, in case of patient's intention on continued use of medical services, only emotional and professional communication types showed statistically significant influence. In case of hospital SR evaluation, it was confirmed that only the evaluation of economic responsibility and ethical responsibility had a positive effect on both brand equity awareness and intention on continued use of medical services. Finally, as for the effect that hospital brand equity awareness has on the patient's intention to continue using services, only the brand quality shows a significant effect.
Conclusion : Quality evaluation of medical services shows that there are some core values and functions that cannot be compromised in operating a medical business.

KCI등재

6간호대학생의 따돌림 경험과 임상수행능력의 관계에서 공감능력의 매개효과

저자 : 박미경 ( Mi Kyung Park ) , 이은경 ( Eun Kyung Lee )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 49-56 (8 pages)

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Purpose : The purpose of this study was to identify mediating effect of empathy between bullying and clinical competency in nursing students.
Methods : The subjects of this study were a total of 140 fourth-grade nursing students in five universities located in D city of South Korea. Data were collected from March 12 to April 17 in 2019 using structured questionnaires and analyzed with IBM SPSS 25.0 program. Data were analyzed by the independent t-test, one-way ANOVA, Pearson's correlation coefficients, and regression following the Baron and Kenny method and Sobel test for identifying mediating effects.
Results : Bullying was negatively correlated with empathy (r=-.40, p<.001) and clinical competency (r=-.46, p<.001). Empathy was positively correlated with clinical competency (r=.45, p<.001). Furthermore, empathy completely had a partial mediating effect on the relationship between bullying and clinical competency.
Conclusion : Based on the results of this study, the empathy of nursing students is very valuable. To improve the clinical performance of nursing students, efforts to reduce the experience of bullying and improve empathy should be continued.

KCI등재

7테이블 탑 시뮬레이션을 이용한 병원 직원의 시스템적 사고와 혁신 행동 향상 효과

저자 : 이상미 ( Sangmi Teresa Lee ) , 박경혜 ( Kyung Hye Park )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 57-62 (6 pages)

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Purpose : This study investigates the effects of a tabletop simulation game called Friday Night at the Emergency Room (FNER) on the premise that experience leads to systems thinking and innovative behavior in hospital staff.
Methods : This is a one-group pretest-posttest design study for 17 hospital staff. The tools were the systems thinking scale (STS; 20 questions), an innovative behavior questionnaire (IBQ; 9 questions), and a self-reflection essay. Paired t-test, Cohen's d effect sizes, and content analysis were used for the analysis.
Results : After participating in the FNER game for hospital staff, systems thinking did not significantly improve, and the effect size of the program was low. But innovative behavior significantly improved, and the effect size of the program was high. Because of the contents of the self-reflection essay analysis, the importance of teamwork included the understanding of the hospital system.
Conclusion : The educational effects of simulation-based FNER games are different depending on the organizational experience. Hospital educators should consider conducting complex problem-solving exercises, such as FNER, on new employees or early-experienced hospital staff to enhance and challenge the staff's systems thinking and innovative behavior.

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8병명 통보 대화에서 의사-환자 관계 관리

저자 : 김민정 ( Minjung Kim )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 63-70 (8 pages)

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Purpose : How a doctor communicates with a patient is very critical not only to the delivery of an accurate information but also to the relationship management between them. This study aims at investigating doctors' relationship management strategies to develop rapport in diagnosis communication with their patients by analyzing dialogues collected from currently aired Korean drama < Hospital Playlist > and previous studies.
Methods : By using Brown & Levinson's politeness and Spensor-Oatey's rapport management as theoretical frameworks, it categorized doctors' relationship management strategies suggested by Korean medical education and analyzed rapport management components utilized in the strategies. It also investigated the components and the domains affecting rapport between doctors and patients in the collected dialogues.
Results : Relationship management strategies recommended to doctors in Korean medical education were related with all of Spensor-Oatey's rapport management components: face, interactional goals and social rights/obligations management. In the dialogues collected from the drama, face management and stylistic domains were utilized more frequently to enhance the relationship compared to those from actual situation and simulation.
Conclusion : Considering diagnosis communication is a face-threatening act to a patient, a doctor needs to utilize various relationship management strategies carefully and effectively. These results will help doctors to review their dialogues with patients and to improve their relationship with patients.

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9간호사의 의사소통 스타일, 수술환자의 불안, 불확실성이 환자만족도에 미치는 영향

저자 : 서향란 ( Hyang Lan Seo ) , 이정옥 ( Jung Ok Lee )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 71-81 (11 pages)

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Purpose : The study was conducted to examine effects of nurses' communication styles perceived by surgical patients and their anxiety and uncertainty on patient satisfaction.
Methods : Data were collected by using a structuralized questionannaire which consists of nurses' communication style tool, State trail Anxiety Inventory(STAI), Mishel Uncertainty in Illiness scale, and patient satisfaction tool targeting on 276 surgical patients who were hospitalized in general wards from July 24, 2020 to December 18, 2020. The data analysis was done with the correlation analysis and the multiple regression analysis.
Results : Nurses' communication style perceived by surgical patients has found to have the most informative communication styles and the least authoritative communication style. And the variable which has the most effect on patient satisfaction was the affective communication style(β =.35, p<.001), followed by nurse communication importance perceived by surgical patients(β=.15, p=.001). And surgical patients' anxiety (β=-.15, p=.011) and uncertainty(β=-.13, p=.024) has found to have a negative effect on patient satisfaction.
Conclusion : The patient satisfaction got higher when the surgical patients perceived the Affective & informative communication styles among nurses' communication styles, and when they perceived the nurses' communication as important.

KCI등재

10보건계열 대학생의 전문직 간 교육 경험에 대한 성찰 에세이 분석: 토픽 모델링 적용

저자 : 윤소정 ( So Jung Yune ) , 정한 ( Han Jung ) , 박귀화 ( Kwi Hwa Park )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 17권 1호 발행 연도 : 2022 페이지 : pp. 83-92 (10 pages)

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Purpose : The effectiveness of the interprofessional education(IPE) program has been evaluated with quantitative data. The purpose of this study is to analyze the effectiveness of IPE using topic modeling technique in text network analysis tool as one of the qualitative data analysis methods.
Methods : In this study, 58 fourth-year students from medical, pharmacy, and nursing school participated in the IPE program. The IPE was conducted as a half day program centered on student activities of small group activities and role play. The role play scenario is about medical errors caused by health professional's negligence. Fifty-eight reflective essays were analyzed as qualitative data. topic modeling technique was used for the analysis.
Results : Four topics were derived from this study: experience of the importance of collaboration among healthcare professionals (Topic 1), conflict situations and resolution among healthcare professionals in hospitals (Topic 2), empathize with the difficulties experienced by healthcare professionals through role play (Topic 3), and recognition of doctors' responsibilities in emergency situations (Topic 4). Topic 3 had the highest share of topics at 33.3%.
Conclusion : We found that IPE was an effective educational strategy for interprofessional collaboration. In addition, qualitative data such as reflective essays can be utilized to analyze the effectiveness of IPE.

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