의료행위 기준에 따른 치과위생사 직무 타당도 평가

배수명,신선정,이효진,신보미 한국치위생과학회 2018 치위생과학회지 Vol.18 No.6

The purpose of this study was to evaluate the validity of dental hygienist job according to judgment standard of medical practice in medical law. In this study, we conducted a self-administered questionnaire survey to evaluate the validity of dental hygienist job for 12 professors of dental college in Gangneung-Wonju National University from November 10 to 20, 2017. We investigated whether the dental hygienist job conforms to the three criteria of medical practice such as disease prevention and treatment, patient care, and health hazard. The response rates were scored and classified into four categories according to the final score. As a result of this study, dental hygienist job are classified into four categories according to judgment standard of medical practice. The higher the level of the category, the higher the degree of difficulty, and the higher the level of expertise and skills required. More than 50% of respondents answered that measuring the gingival pocket, bleeding on probing, professional tooth cleaning, oral health education, counseling after dental treatment are all three criteria for medical treatment. And these were classified into Level 4 group which requires the difficulty and expertise in the final score 4.3. It is necessary to develop and utilize standardized guidelines on the level of knowledge, education, and qualification standards required for dental practice in order to effectively allocate work among the dental personnel while ensuring the health rights of patients in the dental clinic field in Korea. In addition, there is a need to evaluate the various aspects of cost effectiveness, dental health service productivity, and health promotion contribution to dental hygienist jobs, And based on this evidence, it is necessary to continue to expand and adjust the dental hygienist job and to reorganize the dental workforce system. 본 연구는 치과위생사 직무를 다양한 각도에서 분석하고검토하여 향후 치과 팀 내 치과진료업무를 효율적으로 분담하고 직무에 따른 교육 과정을 개발하는 데 기초 자료로 활용하기 위하여, 의료법에서 의료행위를 판단하는 기준에 따라 치과위생사 직무의 타당도를 평가하고자 하였다. 본 연구는 2017년 11월 10일부터 20일까지 강릉원주대학교 치과대학의 12명 교수를 대상으로 치과위생사 직무의타당성을 평가하기 위해 자기기입 설문조사를 실시하였다. 치과위생사 직무가 질병예방과 치료, 환자요양지도, 보건위생상 위해 발생 여부의 의료행위 판단기준에 해당하는지에 대한 전문가 일치율을 산출하였고, 각 행위를 의료행위타당성 평가기준에 따라 점수화하여 level 1∼4로 최종 분류하였다. 본 연구 결과에 따르면, 응답자의 50% 이상이 치위생 관리에 포함하는 치은출혈, 치주낭, 임상적 부착수준 측정 및기록과 전문가 치면세균막 관리, 스케일링, 칫솔질 및 구강관리용품 처방, 교육을 포함한 대상자별 구강보건교육과 치료 후 주의사항에 대한 상담이 세 가지의 의료행위 판단기준에 모두 해당된다고 응답하였다. 치과위생사가 치과임상에서 수행하는 행위는 의료행위 판단 기준에 따라 크게 4가지 범주로 분류하였고, 범주의 수준이 높을수록 수행난이도가 높고, 전문지식과 기술이 요구되는 직무로 판단할 수 있다. 치은출혈, 임상적 부착수준, 치주낭 측정 및 기록과 치면연마, 전문가 치면세균막 관리, 스케일링, 치근활택술, 국소적 항균제 적용의 항목은 최종 점수 4.3으로 수행난이도와전문성이 요구되는 Level 4 그룹으로 분류되었다. 우리나라 치과진료현장에서 환자의 안전과 건강권을 보장하면서 효율적으로 진료를 분담하기 위해서는 수행 행위에 따라 필요한 지식의 수준과 적절한 교육, 자격 기준 등에대한 표준화된 지침이 개발되어 활용될 필요가 있다.

칫솔두부크기와 짜는 방법에 따른 일회 세치제 사용량 조사

배수명,류다영,김희경 한국치위생과학회 2010 치위생과학회지 Vol.10 No.6

The purpose of this study was to prevent excessive use of fluorine toothpaste. To comparatively evaluate the amount used of the fluorine toothpaste in children from 3 to 6 years old, the toothpaste amount was compared according to toothbrush size and toothpaste squeezing method targeting 84 children in 5 child care centers where were located in Hongseong-gun, Chungnam. The toothpaste amount was compared with a method of squeezing to pea-size and a method of smear on toothbrush, targeting 141 students for the Dept. of Dental Hygiene, who are actually carrying out oral health education to targeting children. The statistical analysis was used SPSS 14.0 K for Windows program(Copyright(c) SPSS Inc.). The following results were obtained. 1. The amount of fluorine toothpaste squeezed on toothbrush for children was 0.29 g. The amount of fluorine toothpaste squeezed on toothbrush for adults was 0.34 g. It was surveyed to use the less amount of toothpaste when squeezing to smaller toothbrush (p<0.05). 2. The amount that children aged 3-6 squeezed as the method of squeezing commonly at ordinary times was 0.31g. The amount that was squeezing to pea-size was 0.21 g. The amount that was squeezed by using smear method was measured to be 0.26g. Less amount of fluorine toothpaste was used with the method of squeezing to pea-size and smear method rather than a method of squeezing commonly at ordinary times(p<0.05). 3. As a result of surveying the students of the department of dental hygiene, the amount of having squeezed to pea- size was 0.23 g. It was surveyed to be 0.15 g when having used the smear method. Thus, it was surveyed to use the less amount of toothpaste when using the smear method(p<0.05). 4. Using smaller toothbrush, the amount used of fluorine toothpaste can be reduced. Both smear method and the method of squeezing to pea-size are available for minimizing careless fluorine intake by less used amount of fluorine toothpaste.

Competencies for Entry into the Profession of Dental Hygiene

배수명,정원균,장종화,문소정,신보미,신선정 한국치위생과학회 2017 치위생과학회지 Vol.17 No.3

This study was conducted to derive core and detailed competencies of dental hygienists to be utilized as educational targets to be reached by graduation as well as basic data that can be reflected in the development and improvement of dental hygiene curricula. This study analyzed publication reports from the Korean Dental Hygienists Association, the International Federation of Dental Hygienists, the Commission on Dental Accreditation, and the American Dental Education Association. Based on the academic classification system for dental hygiene studies, the components of core and detailed competencies of dental hygiene school at the time of graduation were extracted and developed through expert panel discussions. This study defined competencies at the graduation level of dental hygiene school and derived eight core competencies and their 52 detailed competencies to serve as educational objectives from four areas: professionalism, communication, clinical practice, and community and health promotion. In the future, it will be necessary to conduct self-assessments of competencies based on those developed in this study, at time of the graduation from dental hygiene school, as well as to continuously develop competency-based curricula according to entry level, knowledge level, and graduation level. Thus, it is urgently necessary to develop a system that can evaluate the competencies of dental hygienists after graduation and put this system into practical use.

B시 일부 성인의 구강건강문제인지 및 칫솔질 행태에 따른 구강건강상태

배수명,김혜진 사단법인 인문사회과학기술융합학회 2015 예술인문사회융합멀티미디어논문지 Vol.5 No.4

본 연구는 2014년 9월부터 2015년 2월까지 부산지역 소재 K병원 건강검진을 이유로 방문한 대상자에게 연구목적 및 방법을 설명하고, 연구참여에 동의한 369명의 성인을 대상으로 치과의사가 구강검진을 수행하고 자기기입식 설문조사를 실시한 결과 전체 남자가 101명(27.4%), 여자가 268명(72.6%)이였다. 50-59세 여자가 85명(75.9%)로 가장 많았으며 남자는 30-39세가 20명(33.9%), 60세 이상이 20명(31.7%)이였다. 대상자의 구강건강상태는 우식치아가 있는 경우가 120명(32.5%), 수복치아는 236명(64.0%), 치은염증은 318명(86.2%), 치주질환은 319명(86.4%)이 이환경험이 있었다. 구강건강인식에 따른 구강건강상태는 설탕섭취를 하지 않거나 비흡연자에게서 상실치아나 우식치아가 없었으며 구강위생에 문제가 있는 것으로 문제인식을 하는 경우와 흡연자에게서 치은염증(경증) 경험이 가장 많았다. 칫솔질 행태에 따른 구강건강상태에서 칫솔질 횟수와 시간, 힘, 혀닦기 유무 모두 우식치아와 상실치아 경험과 유의한 차이가 있었으며 칫솔질 방법과 횟수, 시간, 힘에 따라 치은염증 및 치주질환 경험과 유의한 차이가 있는 것으로 나타났다. In the present study, a total of 369 adult subjects, who 1) visited the K hospital located in Busan city for general medical checkup from Sep 2014 through Feb 2015 and 2) determined to participate in the study after providing the information regarding study objective and related activities, was enrolled. A dentist performed dental examinations and then study subjects provided self-reporting questionnaire. As results, 101 male subjects (27.4%) and 268 female subjects (72.6%) were enrolled for the study. Of subjects, female subjects who were 50 ~ 59 years old (85 subject; 75.9%), were the most prevalent whilst male subjects, who were 30 to 39 years old or 60 years old or older, were the most abundant (20 subjects for both; 33.9%). A total of 120 subjects was found to have decay tooth (32.5%), while 236 subjects had restored tooth (64.0%); further, 318 subjects (86.2%) and 319 subjects (86.4%) had gingival inflammation and periodontal diseases, respectively. When it comes to association between awareness of dental health and actual their conditions (i.e., dental health status), it was found that lost tooth and decayed tooth were not shown in subjects with no sugar consumption or non-smoking. While mild gingival inflammation was found the most in subjects who either were aware of dental hygiene or smoke. In the association with tooth brushing methods, there were significant differences in between decay tooth and lost tooth against 1) frequency of tooth brushing, 2) strength of brushing, and 3) brushing tongue. In addition, the frequency of tooth brushing, its methods, time, and strength were significantly associated with the gingival inflammation as well as periodontal diseases.

문제중심학습(PBL)을 이용한 학습자의 수업 만족도와 내용 타당성: 치위생학과 임상치위생학 교과목 중심으로

배수명,김경민,김혜진 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.11

In this study, PBL (Problem Based Learning) among creative teaching methods was applied to clinical dental hygiene lesson course during the first semester from March, 2018 to June, As a result of investigating the students' satisfaction in the class using the creative teaching method, it was difficult to solve the problem than the existing class, but there was no difficulty in solving the problem solving problem after the class, “I was satisfied with the contents”. As a result of examining the validity of the PBL teaching method for the learner in the classroom management method, the contents of the lecture started from the level that the learner can access, and the learner can solve the problem by covering the learning contents And learning contents are professional and new methods, but they are interesting. This study showed that PBL teaching method contributed to enhancement of interest and learning effect of learners. 본 연구는 부산시 D대학 치위생학과 3학년 40명을 대상으로 2018년 3월부터 6월 말까지 1학기동안 창의적 교수법 중 PBL(Problem Based Learning)을 전공교과목 중 임상치위생학 수업에 접목하였다. 창의적 교수법을 적용한 수업에서 학생들의 만족도를 조사한 결과 기존의 수업보다 문제를 해결하는 과정이 어려웠기는 하지만 수강 후 문제해결형 문제를 해결하는데 어려움이 없었고 오히려 교과에 대한 지식이 향상되었고, 실제 생활에서 배운 내용을 활용 할 수 있어서 만족스럽다는 결과를 얻었다. 또한 수업 운영 방식에 있어서 학습자에게 PBL수업 방식의 타당성을 조사한 결과로는 수업내용이 학습자가 접근가능한 정도의 수준에서 출발하였고, 학습자의 생활과 이전까지 학습한 내용들을 포괄하여 문제를 해결해 나갈수 있다는 응답과 학습내용이 전문적이고 새로운 방법이지만 흥미를 유발하였다는 결과를 얻었다. 본 연구를 통해 PBL수업 방식이 학습자들의 흥미유발과 학습효과를 높이는데 기여하였다는 점을 도출하였다.

성인의 구강보건지식 인지도에 따른 구강보건 행동수준

배수명,김진경 彗田大學 2006 論文集 Vol.24 No.-

치위생(학)과 예비졸업생의 핵심역량 자가평가 수준에 영향을 미치는 요인

배수명,신선정,신보미,최용금,손정희 한국콘텐츠학회 2019 한국콘텐츠학회논문지 Vol.19 No.7

The purpose of this study is to determine critical assessments and core competencies, and to determine the competence and discipline of self-assessment. We surveyed 511 students who graduated from 12 universities. Self-efficacy 24 items were measured on a 5-point scale, 8 core competencies and 52 detailed competencies were self - assessed from 0 to a maximum of 10 points. The higher the score, the higher the self - evaluation competency level. Statistical analysis was performed using SPSS 20.0 Ver., And a statistical significance level of 0.05 was considered. The self - evaluation competency level was the highest at 6.7 points in the clinical dentistry area, and the lowest at the evidence - based decision area of ​​5.7 points. Self-regulation was found to be positively related to the self-evaluation core competence level among self-efficacy sub-factors. As the students' self-efficacy affects subjective academic achievement and self-evaluation, it is necessary to develop and apply relevant programs to enhance critical thinking in curriculum, apply problem-based learning method, improve self-efficacy and leadership, It should be possible to cultivate. 본 연구는 일부 치위생(학)과 예비졸업생의 핵심역량 및 세부역량에 대한 자가평가 수준을 파악하고, 자가평가 핵심역량 수준과 학업적 자기효능감의 상관성을 분석하고자 하였다. 12개의 대학을 편의추출하여 치위생(학)과 졸업예정자 511명을 대상으로 본 연구를 진행하였다. 자기효능감 24문항은 5점 척도로 측정하였고, 8개의 핵심역량과 52개의 세부역량은 최소 0점에서 최대 10점으로 자가평가 하였으며, 점수가 높을수록 자가평가 역량 수준이 높음을 의미한다. 수집된 자료는 통계분석은 SPSS 20.0 Ver.을 사용하였으며, 통계적인 유의수준은 0.05로 고려하였다. 자가평가 역량 수준은 임상치과 영역이 10점 만점 기준으로 6.7점으로 가장 높았고, 근거중심의 의사결정 영역이 5.7점으로 가장 낮았다. 학제, 전공만족도, 자기효능감 중 특히 자기조절 영역이 자가평가 핵심역량 수준에 정(+)적 영향을 미치는 것으로 나타났다. 학생들의 자기효능감은 주관적 학업성취, 자가평가 영역에도 영향을 미치므로 교육과정 내 비판적 사고강화, 문제중심학습법 적용, 자기효능감 및 리더십 향상을 위한 관련 프로그램 개발 및 적용을 통해 의료현장에서 요구하는 직무역량을 함양할 수 있도록 해야 할 것이다.

부산시 초등학생 대상 칫솔질 활동지를 통한 칫솔질방법 및 인식변화

배수명(Soo-Myoung Bae),김경민(Kyung-Min Kim) 한국구강보건과학회 2021 한국구강보건과학회지 Vol.9 No.2

Objectives: This study examines the effect of education on toothbrushing and oral health on the oral health behaviors and knowledge of fourth graders in Busan. Methods: Data were collected from March to December 2020 via a questionnaire; a total of 57 fourth graders in D-gu, B city participated. Results: Respondents’ knowledge of oral health increased after participation in an oral health education program. Positive changes to participants’ frequency, duration, and method of toothbrushing were observed. Specifically, participants shifted from horizontal or vertical toothbrushing methods to rolling brushing after taking part in the educational program. Conclusions: Dental health education improves elementary school students’ knowledge of oral health and leads to behavioral changes that can improve oral health.

치과위생사 역량에 따른 교육과정 현황 분석: G 대학 치위생학과 교육과정을 중심으로

배수명 ( Soo Myoung Bae ),신선정 ( Sun Jung Shin ),장종화 ( Jong Hwa Jang ),정원균 ( Won Gyun Chung ),신보미 ( Bo Mi Shin ) 한국치위생학회(구 한국치위생교육학회) 2016 한국치위생학회지 Vol.16 No.2

Objectives: The purpose of the study is to investigate and analyzed the current status of a dental hygiene curriculum according to the dental hygienist competency. Methods: The study subjects were 59 courses in the department of dental hygiene in G University from April 1 to May 30, 2015. Except for liberal arts, 51 courses were finally selected and analyzed for the relationship between the curriculum and competency. For each course, systematic reviews were made by subject name, core competency, achievement goals, lecture hours, weekly themes, and learning goals. Three experts in the dental hygiene evaluated and analyzed the association of competency and goals. Results: Each course was operated by the goal from one to twenty two competencies of dental hygiene. Achieving one item of competency in a course required 13 hours on the average from minimum 2 hours to maximum 30 hours. More than 20 courses were operated and more than 900 hours were necessary for achieving the competency. The competency included the contents of ‘Be able to utilize basic medical and dental knowledge in dental hygiene care and patient care’ among the dental hygiene competencies. Conclusions: Competency based dental hygiene education will provide theoretical background for defining the identity of dental hygienist as a health care worker and to encourage professionals who contribute to the recognition of healthy society. Further research should be continued for improving the competency.based dental hygiene curriculum and education methods for implementing the curriculum within the paradigm of health care services.

치과위생사의 이직실태와 이직결정 요인에 관한 연구

배수명(Bae, Soo-Myoung),김희경(Kim, Hee-Kyoung) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.12

본 연구는 치과위생사의 이직실태를 파악하고 이직에 영향을 주는 요인들을 분석하고자 수행하였다. 대한치 과위생사협회 및 각 지회의 보수교육에 참여한 치과위생사를 대상으로 설문지와 설문조사의 안내문을 직접 배포하여 자기기입식으로 작성하게 하고 회수하였다. 불성실한 설문지를 제외하고 1,955명의 설문결과를 분석대상으로 하였다. 연구대상자의 일반적 특성에 따라 이직 경험현황, 이직 횟수, 이직 이유와 취업된 기관을 미 선택한 이유의 현황은 교차분석 하고, 카이검정으로 유의성을 확인하였다. 유의수준은 5% 이내에서 검증하였다. 이직 경험이 있는 치과위생사는 45.8%로 절반 수준이었고, 년 소득이 많을수록, 학력수준이 높을수록 근무경력이 많 을수록 이직경험이 높게 나타났다. 이직횟수는 연령이 많을수록, 학력이 높을수록, 총 근무경력이 많을수록 그리고 기 혼자일 경우 많았다. 이직요인은 야간업무나 업무영역 등 근무환경이 23.7%, 개인사유가 19.1%, 연봉 등 근무조건이 14.6% 순으로 높게 나타났다. 치과위생사의 직업수명을 연장하기 위한 다양한 대책마련이 필요하다고 판단된다. This study purpose is assessment to intention of turnover for dental hygienists. The study population was dental hygienists who registered at conference of Korean Dental Hygienists Association. Finally 1,955 among 2,040 were finished the question and response(response rate 95.8%). Statistical analysis conducted using SPSS 18.0K for Windows. The difference on the distribution of independent variables related with experience of turnover analyzed with Chi-square test. The results of this research could be summarized as follows: The rate of the dental hygienists experienced of turnover was 46.8%. The unmarried dental hygienists were more intended than the married ones(p<0.001). More higher education group, more higher working experience group, more higher income group, more aged group had more turnover(p<0.001). The reason of turnover were environment of employment(night work, 23.7%), personal reasons(19.1%), conditions of employment(14.6%). In conclusion, this study suggests that set up a strategy of career life for dental hygienists in dental clinic.