치위생과정(ADPIE)의 임상적용 가능성과 실천방안 모색

Abstract

치위생과정을 임상에서 활용하고 정착시키기 위한 방안을 모색하고자 SEM을 이용하여 치과위생사 업무 자율성과 치위생과정의 임상적용 기대효과 및 장애요인이 임상적용 의향에 미치는 효과를 분석하고, 치위생과정에 대한 태도가 임상적용 의향에 미치는 매개효과를 검증한 결과는 다음과 같다. 가설적 모형은 <TEX>${\chi}^2=421.67$</TEX>, GFI=0.858, CFI=0.915, TLI=0.896, RMR=0.039, RMSEA=0.099로 적합한 것으로 나타났다. SEM을 검증한 결과, 치과위생사 업무 자율성(<TEX>${\beta}=0.398$</TEX>, p<0.05)과 치위생과정 기대효과(<TEX>${\beta}=0.363$</TEX>, p<0.01)는 치위생과정 태도에 정(+)의 방향으로, 치위생과정 태도(<TEX>${\beta}=0.678$</TEX>, p<0.05)는 임상적용 의향에 정(+)의 방향으로 영향을 미치는 것으로 나타났다. 치과위생사 업무 자율성(<TEX>${\beta}=0.269$</TEX>, p<0.05)과 기대효과(<TEX>${\beta}=0.246$</TEX>, p<0.01)는 치위생과정 태도를 매개로 임상적용 의향에 간접적인 영향을 미치는 것으로 확인되었다. 위의 결과로 치과위생사의 업무 자율성, 치위생과정에 대한 기대효과와 태도는 임상적용 의향에 영향을 미치는 중요한 요인임을 확인하였다. 따라서 치위생과정을 임상에 정착시키기 위해서는 치과위생사 역량을 제고하여 업무 자율성을 확보해야 하며, 치위생과정에 대한 경영적 효과와 가치에 대한 객관적인 검증이 이루어져야 한다. 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 mediating effects of "attitude toward ADPIE" when it came to "intention on clinical application". The data was collected from 237 dental personnel in capital region from March 28, 2014 to May 2, 2014. To analyze the suitability of a theoretical model and hypothesis testing, SPSS 21.0 and AMOS 18.0 program were used. The theoretical model was accepted as it resulted in <TEX>${\chi}^2=421.67$</TEX> while showing goodness of fit index=0.858, comparative fit index=0.915, Tucker-Lewis index=0.896, root mean square residual=0.039, and root mean square error of approximation=0.099. The result showed "task autonomy of dental hygienists (<TEX>${\beta}=0.398$</TEX>, p<0.05)" and "expected effect on ADPIE (<TEX>${\beta}=0.363$</TEX>, p<0.01)" had a positive effect on "attitude toward ADPIE". Also, "attitude toward ADPIE" had a positive effect on "intention on clinical application". In addition, "task autonomy of dental hygienists" and "expected effect on ADPIE" had an indirect influence on "intention on clinical application" via such intermediary as "attitude toward ADPIE". According to the above results, the task autonomy of dental hygienists, expected effect on ADPIE, and attitude toward ADPIE were confirmed to be significant factors when it came to the intention on its clinical application. Therefore in order to settle ADPIE in the clinical practice, improvement of task autonomy for dental hygienists as well as their expectation and attitude on ADPIE must be promoted.