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중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발
박명화,Park, Myong-Hwa 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.2
Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.
임상 치과위생사의 치과의료 서비스 과정에서 영어 의사소통 능력 관련 요인
박명화,박종태,장종화,Park, Myeong-Hwa,Park, Jong-Tae,Jang, Jong-Hwa 한국치위생학회 2022 한국치위생학회지 Vol.22 No.5
Objectives: This study analyzes factors related to English communication skills in the dental health services of clinical dental hygienists who provide dental medical services to foreigners. Methods: Surveys were conducted to measure students' English communication skills. Participants comprised 195 clinical dental hygienists working at dental English study cafes or who provided dental medical services to foreigners. After analyzing the differences in English communication skills, hierarchical multiple regression analysis was performed on the factors related to English communication skills. Results: English communication skill of dental hygienists was 1.96 points out of 5 points. The factors related to the English communication skill of the clinical dental hygienists were foreign patient care, language training experience, overseas living experience, and certified English proficiency. The adjusted explanatory power of this model was 53.0%. Conclusions: Dental hygienists in charge of foreign patients have experience in language training and overseas residence, have a language qualification certificate, and have higher English communication skills. It is necessary to develop English language learning programs based on metaverse to develop the English communication skills of dental hygienists who provide dental health services to foreign patients and to operate a creative educational environment to increase interest in learning English.
미국 NGC<sup>TM</sup> 배뇨자극요법 근거중심 가이드라인의 국내 적용가능성 평가
박명화,김명애,Park, Myonghwa,Kim, Myung Ae 한국성인간호학회 2005 성인간호학회지 Vol.17 No.4
Purpose: The purpose of this study was to evaluate the applicability of the evidence based guideline for prompted voiding by Lyons & Specht (2001) in National Guideline $Clearinghouse^{TM}$ for use in Korea based on the experts' opinions. Method: The target expert group consisted of 8 registered nurses, 6 physicians, and 5 nursing professors who are experts in urinary incontinence. This study used a questionnaire survey. The appropriateness, applicability, and the present application of each recommendation in the guideline were analyzed with descriptive statistics using the SPSS program, with content analysis based on the experts' opinions. Result: The scores on each recommendation's appropriateness showed the high degree of agreement among nurses, physicians, and nursing professors. However, the recommendation for 'use of oxybutinin' showed the lowest score as 5.89. It was notable that the most recommendations scored lower for applicability compared with appropriateness. The reasons for lower scores for applicability were the lack of clinicians' knowledge of assessment and management, and the lack of resources in clinical settings in Korea. Conclusion: This study will augment the understanding of the actual urinary incontinence management in Korean clinical settings and can be used as the baseline data for further study of tailoring international guidelines into local and national clinical settings.
박명화(Park Myong Hwa),박정숙(Park Jeong Sook),김정남(Kim Chung Nam),박경민(Park Kyung Min),권상민(Kwon Sang Min) 계명대학교 간호과학연구소 2004 계명간호과학 Vol.8 No.1
치매노인을 돌보는 가족의 간호 부담의 증가와 더불어 국내에서도 치매노인의 장기간호 시설 입원이 서구사회와 같이 증가하고 있는 실정이다. 노인을 돌보는 데 있어 가족의 역할을 중요시해온 한국의 전통적 가치관에 비추어 볼 때 최근의 사회적 변화로 인한 가족 간호의 역할 감소는 중요한 문제로 대두되고 있다. 본 연구의 목적은 일찍이 치매노인환자의 장기간호 시설로의 입원이 보편화된 미국의 치매환자 가족의 가정에서 시설로의 간호의 전환과 관련된 문헌을 고찰함으로써 한국 상황에서 의 관련 연구를 활성화시키기 위한 기초 자료로 활용하기 위함이다. 치매환자의 장기 간호시설 입원에 영향을 미치는 요인, 장기간호시설로의 입원결정과 관련된 가족의 경험, 시설 입원 후 가족이 경험하는 스트레스 및 만족도, 가족의 환자 간호에의 계속적인 참여경험 및 관련 질적 연구에 대한 문헌이 고찰 및 분석되었다. 문헌고찰의 결과로서 한국상황에서 다음과 같은 연구가 필요하다고 사료된다. 1) 한국 사회에서 치매환자의 실제 장기 간호 시설 입원률과 현황에 대한 조사가 이루어져야 한다. 2) 치매환자의 장기 시설 입원을 촉진시키는 요인에 대한 연구가 필요하다. 3) 치매환자를 장기 간호 시설로 입원시키는 가족이 경험하는 스트레스와 만족도에 대한 연구가 필요하다. 4) 가정에서 치매노인을 돌보는 가족과 시설 입원 가족의 부담감과 만족도에 대한 비교연구가 필요하다. 5) 시설로의 입원이 치매노인 본인에게 미치는 영향에 대한 연구가 필요하다.
의료기관평가가 군병원 의료의 질 향상에 미친 영향 및 성과 조사
박명화 ( Park Myung Hwa ),이선미 ( Lee Sun Mee ),서청수 ( Seo Cheong Soo ) 국군의무사령부 2010 대한군진의학학술지 Vol.41 No.1
Objectives: We aimed at investigating the effects and outcomes of the Hospital Evaluation Programme(HEP) on Military Hospital. Furthermore, we tried to get the basic data and various facts for Quality Improvement activities and Policy-Making. Method: The subject of our study was medical branch officers and military affair staff who were attending to military hospital. And, several consultants who have the experience of Hospital Evaluation Programme(HEP) were also included in this study as a study subjects. We used structured questionnaire which was revised from Han Woo-Seuk's. It was consist of several sub-part, such as 「Recognition/attitude for HEP」, 「Orientation for medical service」, 「Orientation for customer」, 「Satisfaction of hospital staff」, 「Outcomes/effects of operation」. The reliability(Cronbach’s Alpha) of questionnaire was 0.903. And we used SPSS 15.0 analysis programm in other to analyse study outcomes. Results: We got a study results as follows : Firstly, we awared that there was coexisted both positive and negative attitude for HEP. Secondly, there was no change of 'Orientation for medical service' and 'customer'. Thirdly, there was significant difference between the experienced and non-experienced of HEP. And there was co-relation among the all sub-part. Conclusions: We should adopt improvement measure as follows in near future. First of all, we should complement the weak-point of HEP results as soon as possible. And then, enough specialized-staff, facilities and equipment were supplemented. Thirdly, follow-up monitoring affairs should maintained. Fourthly, evaluation-related affairs was maintained in other to prevent single time evaluation effort. Lastly, commander's strong intention is an critical problem. Because the staff's will and HEP result depends on it.