전문직 간 태도에 대한 한국어판 측정도구의 타당화 연구

박귀화,박경혜,권오영,강영준 연세대학교 의과대학 2020 의학교육논단 Vol.22 No.2

Concern for patient safety underlies the need for interprofessional education (IPE). One way to measure the effectiveness of IPE is by measuring attitude change toward other healthcare professionals; however, there are currently no valid Korean tools to measure such a change in attitudes. Therefore, this study aims to develop and test a Korean version of the Interprofessional Attitudes Scale (IPAS). The original IPAS was translated into Korean according to the World Health Organization’s guidelines after obtaining permission from the article’s corresponding author. A total of 414 questionnaires were collected from third- and fourth-year medical and nursing students at four Korean institutions in December 2018. To analyze the validity of the Korean IPAS, exploratory and confirmatory factor analyses were conducted. Cronbach’s α was used to evaluate reliability. Results from the exploratory factor analysis identified four functions: teamwork, community-centeredness, patient-centeredness, and respect for diversity. Significant cross-correlations were found among the four functions (r=0.438–0.631, p<0.001) along with overall reliability (Cronbach’s α=0.929) and reliability of each subfactor (Cronbach’s α=0.804–0.897). This study verified the validity and reliability of the Korean version of the IPAS, so this scale can be used in the future to measure the effectiveness of IPE in Korea.

의과대학생들의 학업성취도와 학교생활 만족도 수준에 따른 학업 특성

박귀화,문이은,윤민지,정현수,조영제,윤소정 인하대학교 교육연구소 2019 교육문화연구 Vol.25 No.6

The purpose of this study was to investigate the academic characteristics of students according to their academic achievement and school life satisfaction level. The students who participated in the questionnaires were 792 students in the first and second grades of five medical schools in Busan, Gyeongsang, Gyeonggi and Jeolla provinces. Among the respondents, those who did not sign the consent form or responded unfairly were excluded from the analysis. The final 465 responses were analyzed. The results of 70 students who showed their willingness to participate in the research but did not answer the academic achievement level were used only to verify the differences in academic characteristics according to school life satisfaction. The test instruments used in this study were achievement goal orientation, academic emotion, learning approach, and resilience test to examine the academic characteristics of medical students. MANOVA and Tamhane’s T2 post - test were conducted for the analysis of the questionnaire. As a result of the study, there were significant differences in mastery approach(F=11.14, p<.001), in - depth approach(F=4.65, p<.05), and enjoyment(F=6.78, p<.01) according to academic achievement level. All of these results showed that the group with high academic achievement score was higher than the group with low academic achievement. And the group with low school life satisfaction showed higher score in positive(F=13.92, p<.001) and sociality(F=6.81, p<.01) than the group with high school life satisfaction. The results of this study helped to identify the factors affecting students' academic achievement and school life satisfaction. These results can be used to develop strategies for enhancing students' learning attitudes and motivation, and they are expected to be applied to student-centered instructional design. 본 연구는 의과대학생의 학업 성취와 학교생활 만족도에 따라 학업적 특성, 즉 성취목표지향성, 학습접근, 성취정서, 회복탄력성에는 어떠한 차이가 있는지를 알아보고자 한다. 2018년 7-9월에 걸쳐 부산, 경상도, 경기도, 전라도에 있는5개 의과대학 의학과 1학년과 2학년 총 학생 792명을 대상으로 하여 연구 참여 동의를 구한 후 성취목표지향성, 학습접근, 회복탄력성, 학업정서 검사를 시행하였다. 그 중 연구 참여 동의서에 서명하지 않았거나 불성실하게 답한응답을 제외한 465명(58.7%)의 결과를 분석에 활용하였으며, 연구에 참여 의사를 밝혔으나 자신의 학업성취도 수준에답하지 않은 학생 70명의 설문 결과는 학교생활 만족도 차이 검증에만 활용하였다. 학업성취와 학교생활 만족도수준, 그리고 학업특성을 알아보는 제요인간의 관계를 알아보기 위하여 상관분석을 실시하였으며, 학업성취와 학교생활만족도 수준에 따른 학업특성의 차이를 알아보기 위하여 다변량분석(MANOVA)을 실시하였다. 그 결과 학업성취수준과학교생활 만족도 간에는 의미 있는 상관관계가 나타나지 않았다. 그리고 학업성취 수준에 따라 숙달접근(F=11.14, p<.001), 심층접근책략(F=4.65, p<.05), 즐거움(F=6.78, p<.01)에는 유의한 차이가 나타났으며, 이는 모두 상집단이 중또는 하집단에 비해 높았다. 학교생활 만족도 수준에 따른 차이에서는 학교생활 만족도에 만족한 집단이 성취목표지향성의 숙달접근이 다른 집단에 비해 더 높았으며(F=3.51, p<.05), 회복탄력성의 긍정성(F=13.92, p<.001)과 사회성(F=6.81, p<.01)은 불만족한 집단이 높은 것으로 나타났다.

일개 의과대학생들의 임상수행평가(Clinical Performance Examination)에 영향을 미치는 변인들 간의 관계

박귀화,정욱진,이운기,신익균,홍두호 한국의학교육학회 2009 Korean journal of medical education Vol.21 No.3

Purpose: The purpose of this study was to identify the causal relationship between the following variables: basic science score, written examination score (Internal medicine and Pediatrics), clinical clerkship score (Internal medicine and Pediatrics), and affective factors (self-efficacy, anxiety, and perception of preparedness). Methods: Forty-two medical students took the clinical performance examination (CPX) at the end of the first semester. One day before the CPX, the students completed a brief survey, which included 11 items that sampled their self-efficacy, preparedness and anxiety with regard to the CPX. The responses from the 38 identifiable surveys (90%), out of 42, were analyzed for this study. Structural equation modeling techniques were used to test the relationships between the variables. The students' basic science scores, clinical clerkship scores, and written examination scores were considered for this study. Results: We found that self-efficacy influenced students' CPX scores indirectly through their preparedness and anxiety. Preparedness influenced students' CPX scores indirectly through their anxiety. Anxiety was predicated on self-efficacy directly or indirectly and it predicted CPX scores. The clinical clerkship scores affected the students' CPX scores indirectly. The written examination scores and basic science scores, however, did not impact the students' CPX scores directly or indirectly. The basic science scores, clinical clerkship scores, and written examination scores were not associated with self-efficacy. Conclusion: Our findings highlight the importance of clinical clerkship education and reasonable medical teaching methods in improving the student self-efficacy for the CPX.

의학전문대학원 학생들의 성격특성, 학습접근법 및 학업성취도 간의 관계

박귀화,전수경 한국청소년학회 2007 청소년학연구 Vol.14 No.6

The aim of this research are to investigate the relationship between personality, approaches to learning, and academic achievement. Specifically, the difference of personality traits and approaches to learning by gender and by school year; personality traits impacting on the approaches to learning; and the sub-factor of personality and the approaches to learning influencing on the academic achievement were examined. In total, 115 students from year 1 to year 3 at G Medical Graduate School participated in this study. The NEO Personality Inventory and Approaches to Learning Inventory were used and for the academic achievement the average grade of the end semester was applied. The data was analyzed with two-way ANOVA, Pearson r, and Stepwise Multi-regression analysis. The first result of research is that there was no difference by gender in personality traits and the approaches to learning while there were differences by the school year in agreeableness and two approaches to learning. Second, openness was negatively correlated with academic achievement and deep approach was positively correlated with academic achievement. Third, openness and conscientiousness impacted on deep approach to learning while neuroticism influenced on surface approach to learning. Finally, openness and surface approach to learning affected the academic achievement negatively while deep approach to learning influenced on it positively. The research results can be applied for the improvement of curriculum and the development of student support program were discussed. 본 연구는 의학전문대학원 학생을 대상으로 성격특성, 학습접근법, 그리고 학업성취도 간의 관계를 밝히는 것을 목적으로 하였다. 구체적으로 성격특성과 학습접근법의 성별, 학년별 차이를 검증하고, 성격특성이 학습접근법에 영향을 미치는 요인과, 성격특성과 학습접근법이 학업성취에 영향을 미치는 요인을 살펴보았다. 연구대상은 G대학교에 재학 중인 의학전문대학원 1, 2 , 3 학년 학생 115명이다. 연구도구는 Big Five 성격 특성에 기초한 NEO 인성검사지, 학습접근검사지를 사용하였으며, 학업성취도는 각 학년의 학기말 성적의 평균평점을 사용하였다. 연구 자료는 ANOVA, Pearson의 r, 그리고 단계적 다중회귀분석 방법으로 분석하였다. 연구결과 첫째, 성격특성 및 학습접근법에 있어서는 모두 성별 차이가 나타나지 않았으며, 성격특성 중 친화성에서, 그리고 학습접근법에서 학년에 따른 차이가 나타났다. 둘째, 성격특성 중 개방성과 학업성취가 부적상관을, 심층접근법은 학업성취와 정적 상관을, 그리고 성격특성 중 성실성, 개방성과 심층접근법이 정적상관을 나타내었다. 셋째, 심층적 접근법에 영향을 미치는 성격 특성은 개방성, 성실성이었으며, 피상적 접근법에 영향을 미치는 성격특성은 신경증이었다. 넷째, 학업성취에 영향을 미치는 변인을 탐색한 결과 성격 특성 중 개방성이 부정적으로 영향을 미쳤으며, 학습접근법 중 심층적 접근은 긍정적으로, 피상적 접근은 부정적으로 영향을 미쳤다. 이러한 결과를 의학전문대학원생의 교육과정 개선, 학생 지원 프로그램 등에 활용하는 방안에 대한 논의를 하였다.

An Analysis of Medical Students’ Perceived Competencies and Educational Needs for the Coming Age of the Fourth Industrial Revolution

박귀화,노혜린,이영희,한의령,여상희,김민정 인하대학교 교육연구소 2020 교육문화연구 Vol.26 No.2

The purpose of this study was to survey the required competence level in the age of the fourth industrial revolution (4IR) and medical students’ self-perceived present competence level as well as to draw the priority rankings of educational needs based on the results. Subjects were 2,143 medical students studying at 11 colleges of medicine. A questionnaire survey was conducted to examine their competence levels. Sub-factors of the questionnaire were: inquiry and self-development (seven), collaboration and leadership (five), social responsibility (five), medical expertise (three), and application of technology and information (three). Survey results were analyzed through descriptive statistical analysis, paired t-test, and Borich needs assessment formula. A paired t-test of required competence level and perceived present competence level was conducted to determine the priority rankings of educational needs for competency development for the age of the 4IR. All competencies demonstrated a statistically significant difference in mean (p<0.05). The Borich needs assessment showed that “using technology” had the highest educational needs. The Locus for Focus analysis identified ‘Communicating and empathizing with patients’, ‘creativity’, ‘legal and ethical judgment skills’, ‘identity as a medical specialist’, and ‘using information and data analysis skills’, as well as ‘using technology’, as the top priorities among the competencies. This study drew the priority rankings of the level of importance of educational needs for competences required in the age of the 4IR. The results will serve as basic data for developing medical education curricula and programs that foster competencies required from medical students in the coming revolutionary industrial age.

의대생의 입학 동기 척도의 개발과 타당화

박귀화,김지웅 한국자료분석학회 2022 Journal of the Korean Data Analysis Society Vol.24 No.1

The purpose of this study is to develop an motivation scale for attending medical school and to verify its validity and reliability. In order to develop the scale, preliminary items were constructed based on the open-ended questionnaire, and then preliminary and main surveys were conducted. The subjects were 148 from 3 schools for the preliminary survey and 300 from 2 schools for the main survey. The collected data were analyzed using exploratory factor analysis(EFA), confirmatory factor analysis(CFA), correlation, and reliability analysis. As a result of the EFA, a total of 7 sub-factors were extracted; amotivation(3items), outstanding grade(4items), meeting parents’ expectation(4items), job stability(4items), social status(4items), aptitude(4items), calling(7items). Also, the hypothesized model was verified by CFA. The reliability of each sub-factor was appropriately in the range of .799 to .919. Amotivation was found to have a positive correlation with academic exhaustion and a negative correlation with academic engagement, while aptitude and calling showed a negative correlation with academic exhaustion and a positive correlation with academic engagement. It was confirmed that it had appropriate validity. These results are expected to be useful in helping students adapt to college life through continuous monitoring and understanding their motivations for attending medical school. 본 연구의 목적은 의대생을 대상으로 한 입학동기 척도를 개발하고 그 타당도와 신뢰도를 검증하는 방법론적 연구이다. 척도를 개발하기 위하여 개방형 설문을 통해 원자료를 구하고, 이를 토대로 하여 예비 문항을 구성한 후 예비조사 및 본조사를 실시하였다. 연구대상은 예비조사를 위해 3개 대학에서 148명을, 본조사를 위해 2개 대학에서 300명을 대상으로 하였다. 수집된 자료는 탐색적 요인분석, 확인적 요인분석, 상관관계, 신뢰도 분석을 사용하여 분석하였다. 탐색적 요인분석 결과, 무동기(3문항), 성적(4문항), 부모의 기대(4문항), 직업 안정성(4문항), 사회적 지위(4문항), 적성(4문항), 소명의식(7문항)의 총 7개의 하위요인을 추출하였다. 확인적 요인분석을 실시한 결과 7개 요인이 적절함을 확인하였다. 각 하위요인의 신뢰도는 .799에서 .919의 범위로 적절하게 나타났다. 무동기는 학업소진과 정적 상관을, 학업참여와는 부적 상관을 보였으며, 적성과 소명의식은 학업소진과 부적 상관을, 학업참여와 정적 상관을 보이는 것으로 나타나 적절한 타당도를 지니고 있음을 확인하였다. 이러한 연구결과는 입학에서부터 학생들의 동기를 파악하고 지속적인 모니터링을 통해 학생들의 대학생활 적응을 돕는데 유용하게 사용될 수 있을 것으로 기대한다.

의과대학생의 개인적 특성과 선호 전공 분야에 따른 직업가치 인식의 차이

박귀화,유효현,임준 한국의학교육학회 2014 Korean journal of medical education Vol.26 No.4

Purpose: Medical students’ values figure prominently in their choice of medical specialty; yet, little research has been performedon this topic. The purpose of this study was to analyze the differences in values according to medical students' individualcharacteristics (medical educational system, gender, and grade) and preferred medical specialty. Methods: A total of 905 medical students participated in the study; 426 were graduate-entry medical students (GEMS), and 479were undergraduate medical students (UMS). Further, 561 were male and 316 were female; 356 were in year 1, 219 were in year2, 230 were in year 3, and 100 were in year 4. Students completed the Physician Values in Practice Scale (PVIPS). The PVIPS comprisessix dimensions: autonomy, management, prestige, service, lifestyle, and scholarly pursuits. The data were analyzed by t-test andanalysis of variance. Results: GEMS had higher scores for service, management, and scholarly pursuits than UMS. Males had higher scores for prestige,lifestyle, and management, whereas female scored higher on service and scholarly pursuits. Higher grade was associated with increasedscores for prestige, lifestyle, and management. The differences in lifestyle and scholarly pursuits were significant between preferredspecialties. Students in support specialties scored significantly higher on lifestyle. With regard to scholarly pursuits, basic sciencespecialties scored significantly higher than other specialties. Conclusion: There were significant differences in PVIPS according to individual characteristics and preferred medical specialty. Thisresult could be useful in developing a medical specialty choice program for medical students.

자기 결정성 이론에 근거한 의과대학생 학업 동기 척도 개발과 타당화

박귀화,윤소정 한국디지털정책학회 2022 디지털융복합연구 Vol.20 No.1

의과대학 학생들이 인식하는 의과대학 수업의 특성

박귀화,윤소정 인문사회 21 2020 인문사회 21 Vol.11 No.5

This study aims to find out the main characteristics of medical school classes through the analysis of 4 years’ class satisfaction (2016~2018) of students. We investigated the class satisfaction differences by basic, clinical, humanities and social sciences category And the main topics were analyzed by Netminer 4.0 topic modeling of qualitative evaluation. As a result of the variance analysis, there was a difference in the satisfaction of lectures by category. In the qualitative evaluation result, five topics were extracted, This study is meaningful in that it analyzes the characteristics of class in medical education. 본 연구는 의과대학 학생들의 4년간(2016~2018년)의 강의만족도 분석을 통해 의과대학 수업에서 나타나는 주요 특성을 알아보는데 목적이 있다. 이를 위해 학생들의 강의만족도 결과가 기초계열, 임상계열, 그리고 인문사회 계열 간에 어떠한 차이가 있는지를 알아보았다. 그리고 강의에 대한 질적 평가에서 나타나는 주요 주제를 Netminer 4.0 토픽 모델링으로 분석하였다. 변량분석 결과 계열별 강의만족도에는 통계적으로 의미 있는 차이가 나타났다. 그리고 학생들이 작성한 강의에 대한 질적평가를 토픽 모델링으로 분석한 결과 5개의 토픽이 추출되었다. 본 연구는 의학교육에서의 수업 특성을 분석했다는 점에서 의의가 있으며, 이를 통해 의과대학 수업 개선을 위한 구체적 방안을 탐색하는데 도움을 줄 수 있을 것이다.

의대생의 도덕성 기반 유형과 COVID-19에 대한 태도와의 관계: 잠재프로파일 분석을 중심으로

박귀화,경선영,윤소정 인문사회 21 2022 인문사회 21 Vol.13 No.1

Relationship Between Moral Foundation Types of MedicalStudents and Attitude on COVID-19: A Latent Profile AnalysisKwihwa Park, Sunyoung Kyung, & Sojung Yune Abstract: This study is to analyze the moral foundation types of medical students, and to find out if there are differences in grade, gender, and attitudes toward COVID-19 by type. 618 students were surveyed on moral foundations questionnaire and their attitudes toward COVID-19. For analysis, latent profile analysis and ANOVA were used. As a result, the moral foundation type of students was the “Individualizing foundations”, “Binding foundations”, and “High Moralist.” There were differences in grade and attitudes toward COVID-19 by type. This study is meaningful in that it revealed the correlation between the moral foundations of students and their attitude toward COVID-19. Key Words: Moral Foundations, COVID-19, Latent Profile Analysis, Pandemic, Medical Student 의대생의 도덕성 기반 유형과 COVID-19에 대한 태도와의 관계:잠재프로파일 분석을 중심으로박 귀 화*ㆍ경 선 영**ㆍ윤 소 정*** 요약: 본 연구의 목적은 잠재프로파일 분석을 통해 의대생의 도덕성 기반 유형을 분석하고, 유형별로 학년과 성별, 그리고 COVID-19에 대한 태도에는 특징적 차이가 있는지를 고찰하는 것이다. 이러한 연구목적을 달성하기 위하여 의대생 618명을 대상으로 하여, 도덕성 기반 척도와 COVID-19에 대한 태도 설문을 실시하였다. 분석방법으로 잠재프로파일분석과 일원배치분산분석을 사용하였다. 그 결과 의대생의 도덕성 기반 유형은 ‘개별화 유형’, ‘결속 유형’, ‘높은 도덕주의자 유형’으로 나타났으며, 유형별로 학년과 COVID-19에 대한 태도에서 차이가 나타났다. 본 연구는 의대생의 도덕성 기반은 팬데믹 위기 상황에 대한 태도와 상관성이 있음을 밝혔다는 데 연구의 의의가 있다. 핵심어: 도덕성 기반, COVID-19, 잠재프로파일 분석, 팬데믹, 의과대학생 □ 접수일: 2022년 2월 9일, 수정일: 2022년 2월 16일, 게재확정일: 2022년 2월 28일* 주저자, 가천대학교 부교수(First Author, Associate Professor, Gachon Univ., Email: ghpark@gachon.ac.kr)** 공동저자, 가천대학교 교수(Co-author, Professor, Gachon Univ., Email: light@gilhospital.com)*** 교신저자, 부산대학교 부교수(Corresponding Author, Associate Professor, Pusan National Univ., Email: cc139@pusan.ac.kr)