Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
권호 표지
DOI QR코드

DOI QR Code

Perception on the Importance of Items on Psychosocial Assessment among Hospice and Palliative Care Social Workers

호스피스·완화의료 사회복지사의 심리사회적 사정항목에 대한 중요도 인식

  • Kim, Won-Chul (Medical Social Services Team, Korea University Guro Hospital) ;
  • Hwang, Myung Jin (Graduate School of Social Welfare, Korea University)
  • 김원철 (고려대학교 구로병원 의료사회사업팀) ;
  • 황명진 (고려대학교 대학원 사회복지학과)
  • Received : 2014.08.19
  • Accepted : 2014.10.24
  • Published : 2014.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This preliminary study is aimed at developing standardized tools for psycho-social assessment of patients in needs for hospice/palliative care. To accomplish the purpose, investigators examined effects of perceptions of social workers on the importance of psycho-social domains of assessment in hospice/palliative care settings. Moreover, investigators paid attention to variances of perceptions of social workers' along with types of institution and credentials of those family settings. Methods: A form of questionnaire was first explored from an initial interview assessment of 10 government-certified hospice care providers and a literature review, second constructed with eight domains and 80 items, and sent by e-mail to 55 institutions and hospitals providing hospice/palliative cares in Korea. Lastly, a total of 31 agencies returned with a completed responses and consent form (56% response rate). SPSS program (version 18.0) was used for data analysis. Results: Study found that social workers perceived patients' family background (m=4.53, 5-point scale) as the most important assessment domain, whereas economic conditions (4.06 point) the least important. Social workers' perception varied by credentials (i.e., license types, training, full-time position, types of care facility). Conclusion: Based upon study findings, investigators can conclude strong needs for developing a assessment tool that measures multiple domains (i.e., psychological, social and ecological aspects) of patients. A standardized assessment tool should be structured with 2 axis (center/core and expanded/peripheral) and tailored for institution type. Second, professional trainings must be provided by strengthening legal institutionalization and fostering qualified social workers with full responsibilities of hospice and palliative care patients.

목적: 본 연구는 우리나라 호스피스 완화의료의 심리사회적 표준사정항목을 개발하기 위한 예비연구로써, 심리사회적 사정항목의 중요도에 대한 호스피스 완화의료 사회복지사의 인식을 조사하였다. 그리고 의료기관의 유형과 사회복지사의 자격조건에 따라 심리사회적 사정항목의 중요도에 대한 인식이 어떤 차이가 있는지를 분석하였다. 방법: 2013년 5월 30일부터 10월 31일까지 전국 55개 완화의료지원기관에 정부인증 호스피스 완화의료기관 10곳의 사회사업초기면접 기록지와 선행연구결과를 반영하여 8개 범주 80개 항목으로 구조화된 설문지를 이메일로 발송하였다. 이 중 조사 참여에 동의한 31개 기관(56%)의 응답을 분석하였다. 수집된 자료는 SPSS 18.0을 이용하여 분석하였다. 결과: 심리사회적 사정영역의 8개 범주 중 가족사항에 대한 평균치가 4.53으로 가장 높고 경제적 사항이 4.06으로 가장 낮게 조사되었다. 또한 사회복지사 자격증, 의료사회사업수련, 호스피스 완화의료 전담여부등 사회복지사의 전문적 자격특성과 병원의 유형에 따라 중요도에 대한 인식이 다른 것으로 나타났다. 결론: 특히 본 연구결과 심리사회적 사정항목의 수행도가 기관마다 차이가 있는 것으로 조사되었고 사정항목을 중요하게 인식함에도 사정하고 있지 않는 등의 편차가 나타나 표준사정항목을 만드는 것이 필요하다고 할 수 있다. 둘째 법적 제도화를 통해 사회복지사의 자격기준과 호스피스 완화의료를 전담할 수 있는 여건을 마련하고 전문교육을 강화하는 방안이 필요하다.

Keywords

References

  1. National Cancer Center, Ministry of Health & Welfare. Introduction to hospice palliative care for palliative care team members. 2nd ed. Seoul:National Cancer Center;2012. p. 365-82.
  2. Sheafor BW., Horejsi CR. Techniques and guidelines of social work practice. Nam GC, Jung SW, Cho SH, translators. 2nd ed. Seoul:Nanam;2010. p. 262.
  3. Specht H, Specht R. Social work assessment: route to clienthood. Social Casework 1986;67:587-93.
  4. National Cancer Center. Guidelines for hospice palliative team. Seoul:National Cancer Center;2004. p. 240-2.
  5. Lee YS. Study on the qualification and services of social worker in hospice palliative care. 2001 Summer Symposium of Korean Soiety for Hospice and Palliative Care; 2001 Jul 7; Seoul, Korea. Seoul:Korean Society for Hospice and Palliative Care;2001. p. 88-95.
  6. Han IY, Lee YS. A study of role perception and performance of hospice social workers. Ewha J Soc Sci 2004;12:375-88.
  7. Kim WC. Psychosocial assessment. 2013 Winter Symposium of Korean Society for Hospice and Palliative Care; 2013 Dec 6; Seoul, Korea. Seoul:Korean Society for Hospice and Palliative Care;2013. p. 46-54.
  8. Lee YS. The past, present and future strategies of Korean social work in hospice and palliative care. Korean J Hosp Palliat Care 2013;16:65-73. https://doi.org/10.14475/kjhpc.2013.16.2.065
  9. Kim CK. Psychosocial assessment of hospice patient: focused on assessment tool. Korean J Hosp Palliat Care 2002;5:43-51.
  10. Hamilton G. Theory and practice of social case work. 1st ed. NY:Columbia University Press;1940.
  11. Hollis F. Casework: a psychosocial therapy. NY:Random House; 1964.
  12. Cowger CD. Assessment of client strengths. In: Saleebey D. The strengths perspective in social work practice. New York:Longman; 1992. p. 139-47.
  13. Hepworth DH, Rooney RH, Larsen JA. Direct social work practice : theory and skills. Heo NS, Han IY, Kim GH, Kim YS, translators. Seoul:House of Nanum;2004. p. 133-40.
  14. Lee WS. Social work practice. 2nd ed. Seoul:Hakjisa;2014. p. 69.
  15. Jang IH. Social work practice. Seoul:Seoul Univ.;1999. p. 9-10.
  16. Kim CK. Psychosocial assessment of hospice patient. 1999 Conference of Korean Academy of Social Welfare; 1999 Apr; Seoul, Korea. Seoul:Korean Academy of Social Welfare;1999. p. 113-26.
  17. Miller RD, Walsh TD. Psychosocial aspects of palliative care in advanced cancer. J Pain Symptom Manage 1991;6:24-9. https://doi.org/10.1016/0885-3924(91)90068-F
  18. Powazki RD, Walsh D. Acute care palliative medicine: psychosocial assessment of patients and primary caregivers. Palliat Med 1999;13:367-74. https://doi.org/10.1191/026921699668067058
  19. Pasacreta JV, Pickett M. Psychosoical aspects of palliative care. Semin Oncol Nurs 1998;14:110-20.
  20. Oliviere D, Hargreaves R, Monroe B. Good practices in palliative care : a psychosocial perspective. Aldershot;Ashgate:1998. p. 48.
  21. Hollis F. The psychosocial approach to the practice of casework, In: Roberts RW, Nee RH. Theories of social casework. Chicago: Univ. of Chicago Press:1970. p. 33-76.
  22. Choi HK. A study on roles and competencies of social worker in hospice palliative care practice. Kyungsung Univ. Soc Sci Res Rev 2013;29:225-48.