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장기요양시설 인간중심 치매케어 온라인 교육 프로그램 개발을 위한 델파이 조사연구

A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities

  • 김다은 (위스콘신대학교 간호대학) ;
  • 사공혜 (서울대학교 간호대학) ;
  • 윤주영 (서울대학교 간호대학.간호과학연구소)
  • Kim, Da Eun (School of Nursing, University of Wisconsin-Madison) ;
  • SaGong, Hae (College of Nursing, Seoul National University) ;
  • Yoon, Ju Young (College of Nursing.Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2019.02.26
  • 심사 : 2019.07.01
  • 발행 : 2019.09.30

초록

Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

키워드

참고문헌

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피인용 문헌

  1. 노인케어 직무에 대한 수행도 및 실습교육요구도 비교에 관한 융합연구 -요양보호사, 사회복지사, 간호조무사 중심으로- vol.18, pp.2, 2019, https://doi.org/10.14400/jdc.2020.18.2.351
  2. Development and Evaluation of a Person-centered Dementia Care Education Program for Nursing Home Staff vol.22, pp.3, 2019, https://doi.org/10.17079/jkgn.2020.22.3.247