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NTIS 바로가기치위생과학회지 = Journal of dental hygiene science, v.14 no.4, 2014년, pp.433 - 441
이주영 (가천대학교 보건대학원 치위생학전공) , 한경순 (가천대학교 보건대학원 치위생학전공)
This study was aimed to analyze factors affecting intention on clinical application by task autonomy of dental hygienists, expected effect and obstructive factor on clinical application of assessment, dental hygiene diagnosis, planning, implementation, and evaluation (ADPIE). Meanwhile, it proved me...
핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
치위생과정이란 무엇인가? | 치위생과정은 치과위생사가 환자를 전반적으로 평가하여 개별화된 치료를 제공하기 위한 체계적인 틀이며, 전문가로서 환자중심의 포괄관리를 수행할 수 있는 치위생업무의 기본이다1). 1980년대 후반 미국 치위생계는 치위생학의 정체성을 확립하고 치위생진료의 틀을 제공하고자 간호과정을 바탕으로 치위생과정 개발을 시작하여2) 4단계 표준 실무과정을 발표하였다3). | |
치위생과정의 5단계는 무엇인가? | 1980년대 후반 미국 치위생계는 치위생학의 정체성을 확립하고 치위생진료의 틀을 제공하고자 간호과정을 바탕으로 치위생과정 개발을 시작하여2) 4단계 표준 실무과정을 발표하였다3). 이후 Muller-Joseph과 Petersen4)이 치위생진단을 포함하여, 치위생과정은 사정(assessment), 치위생진단(dental hygiene diagnosis), 계획(planning), 수행(implementation), 평가(evaluation)의 연속적인 5단계로 이를 요약하여 ADPIE로 명명하고 있다5). | |
우리나라 치과위생사가 업무 자율성은 물론 업무범위도 지극히 제한적이며, 독자적인 자율성을 기반으로 하는 치위생과정의 임상 적용은 현실적으로 매우 어려운 상황인 이유는 무엇인가? | Johnson25)은 1987년부터 20년간 치과위생사의 업무범위에 대해 연구하였는데, 다수의 국가에서 치과의사의 관리감독 행위가 줄어들면서 치과위생사는 많은 업무를 자율적으로 수행하고 있으며, 업무 범위가 증가하였다고 하였다. 치과위생사가 업무 자율성을 갖는 것은 비용-효율 측면에서도 매우 합리적인데26), 우리나라는 치과위생사 업무를 “의료기사 등에 관한 법률”에서 치과의사의 지도 하에 수행하는 것으로 제한하여 규정하고 있다. 따라서 업무 자율성은 물론 업무범위도 지극히 제한적이며, 독자적인 자율성을 기반으로 하는 치위생과정의 임상 적용은 현실적으로 매우 어려운 상황이다. |
Darby ML, Walsh MM: Dental hygiene theory and practice 2nd ed. Elsevier, Philadelphia, pp.3-30, 2003.
American Dental Hygienists' Association: Policy manual framework for theory development. American Dental Hygienists' Association, Chicago, 1993.
American Dental Hygienists' Association: Standards of applied hygiene. American Dental Hygienists' Association, Chicago, 1985.
Muller-Joseph L, Petersen M: Dental hygiene process: diagnosis and care planning. Delmar, Columbia, pp.1-16, 1995.
American Dental Hygienists' Association Standards for Clinical Dental Hygiene Practice. Access: The Newsmagazine of the American Dental Hygienists' Association, USA, 2008. Retrieved September 8, 2014, from http://www.thefreelibrary.com/_/print/PrintArticle.aspx?id182663829(2008, July 1).
Kim EK, Kim YJ, Kim CH, et al.: A study on development of dental hygiene discipline in Korea. Korean Dental Hygienists Association, Korean Association of Dental Hygiene Professors, Seoul, pp.1-26, 41-87, 155-161, 2005.
Blitz P, Hovius M: Towards international curriculum standards. Int J Dent Hyg 1: 57-61, 2003.
Han SY, Kim NH, Yoo JH, Kim CS, Chung WG: Current status of clinical dental hygiene education based on dental hygiene process of care. J Dent Hyg Sci 9: 271-278, 2009.
Lee SY, Choi HN: Analysis of case reports based on dental hygiene process. J Korean Soc Dent Hyg 11: 749-758, 2011.
Park JH, Kim MS, Cho JW: Original articles: dentists' opinions for dental hygienists' roles in Korea. J Korean Acad Oral Health 34: 88-97, 2010.
Cho YS: Review: clinical dental hygiene education and practice based on dental hygiene process. J Dent Hyg Sci 11: 135-154, 2011.
Gatermann-Strobel B, Perno Goldie M: Independent dental hygiene practice worldwide: a report of two meetings. Int J Dent Hyg 3: 145-154, 2005.
Adams TL: Attitudes to independent dental hygiene practice: dentists and dental hygienists in Ontario. J Can Dent Assoc 70: 535-538, 2004.
Turner S, Ross MK, Ibbetson RJ: Dental hygienists and therapists: How much professional autonomy do they have? How much do they want? Results from a UK survey. Br Dent J 28: 210, 2011.
Turner S, Ross MK, Ibbetson RJ: Job satisfaction among dually qualified dental hygienists-therapists in UK primary care: a structural model. Br Dent J 26: 210, 2011.
Young LJ, Newell KJ: Can a clinical continuing education course change behavior in dental hygiene practice? J Dent Hygiene 82: 1-10, 2008.
Freed JR, Perry DA, Kushman JE: Aspects of quality of dental hygiene care in supervised and unsupervised practices. J Public Health Dent 57: 68-75, 1997.
Lee SY, Cho YS: Review on theoretical background and components of dental hygiene process. J Dent Hyg Sci 5: 25-32, 2005.
Cho YS, Lee SY: Developing a integrated curriculum for a clinical dental hygiene. J Dent Hyg Sci 5: 33-38, 2005.
Kwon SB: The effects of comprehensive dental hygiene curriculum on the professional roles improvement of dental hygienists. Unpublished master's thesis, Dankook University, Cheonan, 2010.
Kim JS: The effects of elderly patients' dental satisfaction on revisit intention with the application of SEM (structural equation model). Unpublished master's thesis, Inha University, Incheon, 2013.
Hoyle RH: Structural equation modeling: Concepts, issues, and applications. 1st ed. Sage, California, p.91, 1995.
Kitchener M, Mertz E: Professional projects and institutional change in healthcare: the case of American dentistry. Soc Sci Med 74: 372-380, 2012.
Gillis MV, Praker ME: The professional socialization of dental hygienists: From dental auxiliary to professional colleague. NDA J 47: 7-13, 1996.
Johnson PM: International profiles of dental hygiene 1987 to 2006: a 21-nation comparative study. Int Dent J 59: 63-77, 2009.
Williams SA, Bradley S, Godson JH, Csikar JI, Rowbothan JS: Dental therapy in the United Kingdom: part 3. Financial aspects of current working practices. Br J 207: 477-483, 2009.
Gwon MY, Jung MH: Study of dental hygienist's stress degree and adaptation method. J Dent Hyg Sci 4: 133-140, 2004.
Hopcraft M, Mcnally C, Ng C, et al.: Attitudes of the victorian oral health workforce to the employment and scope of practice of dental hygienists. Aust Dent J 53: 67-73, 2008.
Scottish Executive: An action plan for improving oral health and modernising NHS dental services in Scotland. Scottish Executive, 2005. Retrieved September 8, 2014, from http://www.scotland.gov.uk/Resource/Doc/37428/0012526.pdf(2005, March 5).
Ayers KMS, Meldrum AM, Thomson WM, Newton JT: The working practices and job satisfaction of dental hygienists in New Zealand. J Public Health Dent 66: 186-191, 2007.
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