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임종돌봄 수행 프로그램 개발을 위한 교육요구도 분석 : 호스피스팀원을 중심으로

The Importance and Performance Analysis for the Development of Endurance Nursing Education Program : Focusing on Hospice Teams

  • 투고 : 2021.05.16
  • 심사 : 2021.07.20
  • 발행 : 2021.07.28

초록

본 연구는 호스피스팀원을 대상으로 임종돌봄 수행의 중요도와 수행도 간의 차이를 조사하여 임종돌봄 프로그램 개발의 기초자료를 제공하고자 시도되었다. 2020년 12월 1일부터 2021년 2월 15일까지 총 6개 기관의 대학병원, 종합병원, 호스피스의료기관의 호스피스팀을 대상으로 127부의 자료를 분석하였고, 서술적 통계, 임상돌봄 수행 중요도와 수행도의 상호차이(Gap)는 paired t-test를 사용하였으며, 임상돌봄 수행 중요도와 수행도의 상호차이 결과분석은 IPA Matrix를 사용하였다. IPA Matrix로 분석한 결과 '신체간호'과 '심리간호'는 지속적으로 유지 강화해야하는 제1사분면 영역에 속하였고, '영적간호'는 장기적인 개선이 요구되는 제3사분면 영역으로 나타났다. 집중개선이 필요한 제2사분면에 속하는 것은 없는 것으로 나타났다. 본 연구결과를 토대로 호스피스팀의 임종돌봄 수행 교육프로그램 구성 시, 신체 및 심리간호는 계속적으로 유지 강화할 수 있는 전략과 영적간호에 대한 장기적인 개선전략 수립이 필요하다.

The purpose of this study was to provide basic data for the development of end-of-life care program by analyzing the importance and performance of end-of-life care. Data were collected from 127 hospice team members currently working in hospice and palliative care units from six different university hospitals, general hospitals and hospice clinics. The data was collected throughout the time span of Dec. 1, 2020 to Feb. 15, 2021. Data were analyzed using descriptive statistics, t-tests, ANOVA, & IPA matrix. As a result of this study, 'physical care' and 'psychological care' were part of the first quadrant that requires maintenance and continuous enhancement. The 'spiritual care' appeared to be in the third quadrant area which entails long-term improvement. Based on the outcome of the study, it is evident that strategies are needed to continuously maintain and enhance physical and psychological care as well establish long-term plans for spiritual care when organizing the hospice team's end-of-life care performance training program.

키워드

참고문헌

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