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대한의료커뮤니케이션학회> 의료커뮤니케이션> 보건계열 대학생의 전문직 간 교육 경험에 대한 성찰 에세이 분석: 토픽 모델링 적용

KCI등재

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

Analysis of reflective essays on interprofessional education experiences of college student in the health department: Applying topic modeling

윤소정 ( So Jung Yune ) , 정한 ( Han Jung ) , 박귀화 ( Kwi Hwa Park )
  • : 대한의료커뮤니케이션학회
  • : 의료커뮤니케이션 17권1호
  • : 연속간행물
  • : 2022년 06월
  • : 83-92(10pages)
의료커뮤니케이션

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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.

UCI(KEPA)

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  • : 의약학분야  > 기타(의약학)
  • : KCI등재
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  • : 반년간
  • : 1975-888X
  • : 2713-6825
  • : 학술지
  • : 연속간행물
  • : 2006-2022
  • : 242


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17권1호(2022년 06월) 수록논문
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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.

KCI등재

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.

KCI등재

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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(기관인증 필요)

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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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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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(기관인증 필요)

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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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(기관인증 필요)

초록보기

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)

다운로드

(기관인증 필요)

초록보기

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.

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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.

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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.

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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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