Lee, Hyun-Ok
(Department of Dental Hygiene, Wonkwang Health Science University)
,
Kim, Sun-Mi
(Department of Dental Hygiene, Wonkwang Health Science University)
Background: This study aimed to examine the factors that influence clinical performance of dental hygiene students to provide useful data for developing strategies to improve clinical competence. Methods: The effects of variables on clinical competence by quantile level were analyzed using quantile ...
Background: This study aimed to examine the factors that influence clinical performance of dental hygiene students to provide useful data for developing strategies to improve clinical competence. Methods: The effects of variables on clinical competence by quantile level were analyzed using quantile regression analysis in 247 dental hygiene students. Quantile regression and multiple regression analyses were conducted using the Stata 11.0 program to analyze predictors of clinical competence. Results: The clinical competence score of dental hygiene students was 42.69±5.90, the satisfaction of clinical practice was 49.90±7.44, the clinical practice stress was 50.62±7.37, and the professional self-concept was 31.68±4.41. Empathy was the highest at 50.87±4.93. Multiple regression analysis showed that school year, stress from clinical training, satisfaction with clinical training, professional self-concept, and empathy had significant impact on clinical competence. Quantile regression analysis showed that the effects varied depending on the clinical competence level. School year and professional self-concept had a significant positive effect, regardless of the clinical competence level, while empathy had a significant positive effect at the top 10% (Q90) of the clinical competence level. Satisfaction with clinical practice affected clinical competence at Q25, Q50, and Q90. Stress from clinical practice had significant effects at Q25, Q50, and Q90 (p<0.05). Conclusion: According to the study results, different factors affected clinical competence according to the quantile of clinical competence. This study provides valuable implications for designing clinical competence enhancement programs and strategies. In addition, objective indicators for considering factors that may affect the clinical competence, such as academic competence and satisfaction of practice hospitals, are expected to require detailed analysis and measures.
Background: This study aimed to examine the factors that influence clinical performance of dental hygiene students to provide useful data for developing strategies to improve clinical competence. Methods: The effects of variables on clinical competence by quantile level were analyzed using quantile regression analysis in 247 dental hygiene students. Quantile regression and multiple regression analyses were conducted using the Stata 11.0 program to analyze predictors of clinical competence. Results: The clinical competence score of dental hygiene students was 42.69±5.90, the satisfaction of clinical practice was 49.90±7.44, the clinical practice stress was 50.62±7.37, and the professional self-concept was 31.68±4.41. Empathy was the highest at 50.87±4.93. Multiple regression analysis showed that school year, stress from clinical training, satisfaction with clinical training, professional self-concept, and empathy had significant impact on clinical competence. Quantile regression analysis showed that the effects varied depending on the clinical competence level. School year and professional self-concept had a significant positive effect, regardless of the clinical competence level, while empathy had a significant positive effect at the top 10% (Q90) of the clinical competence level. Satisfaction with clinical practice affected clinical competence at Q25, Q50, and Q90. Stress from clinical practice had significant effects at Q25, Q50, and Q90 (p<0.05). Conclusion: According to the study results, different factors affected clinical competence according to the quantile of clinical competence. This study provides valuable implications for designing clinical competence enhancement programs and strategies. In addition, objective indicators for considering factors that may affect the clinical competence, such as academic competence and satisfaction of practice hospitals, are expected to require detailed analysis and measures.
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문제 정의
This was a descriptive survey to ascertain the factors affecting clinical competency among dental hygiene students with clinical practice experience. The questionnaire consisted of 78 questions in total.
제안 방법
The questionnaire consisted of 78 questions in total. General characteristics consisted of 6 questions on sex, type of healthcare facility for clinical practice, subjective health status, satisfaction in major, satisfaction in clinical practice, and sense of pride and achievement after practice. For stress from clinical practice, we used 15 questions adapted from a study conducted by Hwang11) on dental hygiene students, with each question scored on a 1∼5 point scale from “strongly disagree” to “strongly agree”; higher scores indicated higher levels of stress.
MLR analysis, which uses mean values to estimate contributing factors based on the distribution of dependent variables after controlling for the effects of explanatory variables, cannot be used to examine clinical competence by quantile13). Thus, we aimed to identify the factors affecting each quantile of clinical competence using QR analysis, in which the observed values are divided into quantiles and all observed values are used with different weights. When multicollinearity was analyzed, the variance inflation factor was 1.
대상 데이터
After thoroughly explaining the research objectives to the students, we extracted a convenience sample of students who consented to the questionnaire, distributed 280 questionnaires, and received 265 completed questionnaires. After excluding 18 participants with missing values, 247 participants were included in the final analysis. After receiving approval from the ethics committee, the investigation was performed between April 1 and May 20, 2019.
95, the minimum sample size was calculated to be 173 persons. After thoroughly explaining the research objectives to the students, we extracted a convenience sample of students who consented to the questionnaire, distributed 280 questionnaires, and received 265 completed questionnaires. After excluding 18 participants with missing values, 247 participants were included in the final analysis.
The participants in this study were 3rd- and 4th-year students with clinical practice experience in the dental hygiene departments of 5 universities in Jeonbuk. Using the G*Power 3.
This was a descriptive survey to ascertain the factors affecting clinical competency among dental hygiene students with clinical practice experience. The questionnaire consisted of 78 questions in total. General characteristics consisted of 6 questions on sex, type of healthcare facility for clinical practice, subjective health status, satisfaction in major, satisfaction in clinical practice, and sense of pride and achievement after practice.
데이터처리
Descriptive statistics were used for participants’ general characteristics and major variables, independent t-tests and ANOVA were used to analyze differences in major clinical practice-related variables according to general characteristics, and Scheffe’s test was used for post-hoc testing.
성능/효과
When we used QR analysis to evaluate the effects according to the clinical competence quartile of dental hygiene students. Clinical practice stress, clinical practice satisfaction, empathy, and professional self-concept varied according to the clinical competence level, and the explanatory power was 38%. School year had a positive effect on clinical competence, and this is thought to be because students accumulated more practical experience with the increasing school year, resulting in more opportunities to practice coping skills and independent thinking.
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