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The Analysis of Professional Education Needs for the Competencies of Occupational Therapists in Cognitive Rehabilitation: Focusing on the Professors in Occupational Therapy Departments of Universities/Colleges in Korea

작업치료사의 인지재활 직무역량에 대한 교육요구도 분석: 국내 대학 작업치료(학)과 교수자를 중심으로

  • Hong, Seung-Pyo (Dept. of Occupational Therapy, Dongnam Health University) ;
  • Lee, Hee-Ryoung (Dept. of Occupational Therapy, Graduate School, Wonkwang University) ;
  • Han, Dae-Sung (Dept. of Occupational Therapy, College of Health Science, Sangji University) ;
  • Ju, Yu-Mi (Human Development and Rehabilitation, Graduate School of Education Service Science, Dongguk University) ;
  • Kim, Young-Geun (Dept. of Occupational Therapy, Daegu Health College)
  • 홍승표 (동남보건대학교 작업치료과) ;
  • 이희령 (원광대학교 대학원 작업치료학과) ;
  • 한대성 (상지대학교 보건의료대학 작업치료학과) ;
  • 주유미 (동국대학교 교육서비스과학대학원 인간발달재활전공) ;
  • 김영근 (대구보건대학교 작업치료과 )
  • Received : 2023.05.23
  • Accepted : 2023.06.27
  • Published : 2023.08.31

Abstract

Objective : This study aims to identify the status of education in cognitive rehabilitation (CR) in occupational therapy departments of Korean universities/colleges and to analyze the educational needs for professional competencies. Methods : This study was conducted by distributing a questionnaire to professors. The questionnaire extracted items related to professional competencies from the results of a previous Delphi study. A total of 39 respondents from 32 (51.6%) of 62 universities/colleges were analyzed. The questionnaire analysis was conducted using Excel 2010 and SPSS 18.0 to analyze the Borich requirements and the priority of education through the Locus for focus model. Results : The priority of competency in CR was followed by "clinical reasoning ability to explain cognitive problems from the occupational performance perspective", "ability to manage insurance billing for CR", "ability to establish a CR plan based on outcome evaluation", "ability to perform occupation-oriented CR", and "ability to solve problems that occur during CR evaluation and intervention". In the Locus for focus model, items such as occupation-based cognitive assessment, intervention, and skills for documentation were high priorities for education. Conclusion : This study is expected to reflect educational competencies for CR and establish a plan for CR specialists through continuing education.

목적 : 본 연구의 목적은 국내 대학의 작업치료(학)과에서 시행하고 있는 인지재활 교육의 현황을 파악하고, 인지재활 관련 주요 역량에 대한 교육요구도를 분석하고자 한다. 연구방법 : 본 연구는 전국의 작업치료 전공 대학의 교수를 대상으로 인지재활 교육 현황에 대한 설문지를 배포하여 조사하였다. 설문지는 선행연구의 국내 인지재활 작업치료 전문가 델파이 조사 결과 중 전문역량과 관련된 항목을 추출하여 사용하였다. 전국 총 62개 대학 중 32개(51.6%) 대학의 39명의 교수진의 응답을 대상으로 분석하였다. 설문 분석은 엑셀 2010과 SPSS 18.0을 사용하여 인지재활 관련 전문역량에 대한 Borich 요구도와 Locus for focus 모형을 통한 교육의 우선순위를 분석하였다. 결과 : 인지재활 관련 주요 역량별 Borich 요구도에 따른 우선순위를 조사한 결과 '인지문제를 작업수행 관점으로 설명하는 임상적 추론 능력', '인지재활 관련 수가 청구 관련 관리 능력', '결과평가에 따른 인지재활 계획 수립 능력', '작업중심 인지중재 수행 능력', '인지재활 평가 및 중재 시 발생하는 문제를 해결하는 능력' 순으로 높게 나타났다. Locus for focus 모형에서는 작업수행에 기초한 인지재활 평가와 중재, 기록 작성 등의 항목들이 교육 우선순위가 높은 것으로 분석되었다. 결론 : 본 연구를 통하여 국내 작업치료(학)과에서 인지재활 교육의 현황을 인지하여 교육과 교과에 교육내용과 역량을 반영하고, 대학 졸업 후 지속되어야 하는 인지재활 전문가 교육 계획을 수립하는 데 도움이 되기를 기대한다.

Keywords

Acknowledgement

이 논문은 2022년도 대한인지재활학회 정책연구사업에 의해 수행되었음.

References

  1. 건양대학교 ACE 교육과정 개발평가팀. (2012). 역량중심 교육과정 개발 매뉴얼. 건양대학교.
  2. 국가법령정보센터. (2022). 의료기사 등에 관한 법률 시행령. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EC%9D%98%EB%A3%8C%EA%B8%B0%EC%82%AC%EB%93%B1%EC%97%90+%EA%B4%80%ED%95%9C+%EB%B2%95%EB%A5%A0+%EC%8B%9C%ED%96%89%EB%A0%B9#liBgcolor0
  3. 김미란, 김태준, 서영인, 김재효, 채지은, & 이소연. (2017). 대학교육 혁신을 위한 정책 진단과 방안(1): 대학 교육과정 혁신을 중심으로 (연구보고 RR2017-08). 한국교육개발원.
  4. 한국교육개발원. (2020). 2021년 대학 기본역량진단 편람. 한국교육개발원.
  5. Alexander, M. P. (1995). Mild traumatic brain injury: Pathophysiology, natural history, and clinical management. Neurology, 45(7), 1253-1260. https://doi.org/10.1212/wnl.45.7.1253
  6. American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process-fourth edition. American Journal of Occupational Therapy, 74(Supplement_2), 7412410010p1-7412410010p87. https://doi.org/10.5014/ajot.2020.74S2001
  7. Bae, W. J., Park, Y. K., Choi, Y. W., Han, S. H., & Kam, K. Y. (2013). The effects of computer-assisted cognitive rehabilitation on the cognitive function and ADL performance in patients after a chronic stroke according to age. Journal of Korean Society of Occupational Therapy, 21(2), 75-89.
  8. Cho, D. Y. (2009). Exploring how to set priority in need analysis with survey. The Journal of Research in Education, (35), 165-187.
  9. Giles, G. M., Radomski, M. V., Champagne, T., Corcoran, M. A., Gillen, G., Kuhaneck, H. M., Morrison, M. T., Nadeau, B., Obermeyer, I., Toglia, J., & Wolf, T. J. (2013). Cognition, cognitive rehabilitation and occupational performance. American Journal of Occupational Therapy, 67(6 Suppl.), S9-S31. https://doi.org/10.5014/ajot.2013.67S9
  10. Gold, D. A. (2012). An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment. Journal of Clinical and Experimental Neuropsychology, 34(1), 11-34. https://doi.org/10.1080/13803395.2011.614598
  11. Hartman-Maeir, A., Katz, N., & Baum, C. M. (2009). Cognitive Functional Evaluation (CFE) process for individuals with suspected cognitive disabilities. Occupational Therapy in Health Care, 23(1), 1-23. https://doi.org/10.1080/07380570802455516
  12. Hoffmann, T., Bennett, S., Koh, C., & McKenna, K. (2011). The Cochrane review of occupational therapy for cognitive impairment in stroke patients. European Journal of Physical and Rehabilitation Medicine, 47(3), 513-519.
  13. Holmqvist, K., Kamwendo, K., & Ivarsson, A. B. (2012). Occupational therapists' practice patterns for clients with cognitive impairment following acquired brain injury: Development of a questionnaire. Scandinavian Journal of Occupational Therapy, 19(2), 150-163. https://doi.org/10.3109/11038128.2011.576428
  14. Hong, S. (2021). A literature review to establish cognitive functional evaluation in Korea. The Journal of Korean Society of Cognitive Rehabilitation, 10(1), 61-89.
  15. Jeong, J. (2021). Effects of functional cognitive-based interventions on occupational performance in acute stroke clients: Case-report. The Journal of Korean Society of Cognitive Rehabilitation, 10(1), 23-46.
  16. Jung, H., & Lee, J. H. (2022). Investigating professional competency and the needs of training for occupational therapists using sensory integration interventions. Journal of Korean Society of Sensory Integration Therapists, 20(1), 26-38. https://doi.org/10.18064/JKASI.2022.20.1.26
  17. Katz, N., & Toglia, J. (2018). Cognition, occupation, and participation across the lifespan: Neuroscience, neurorehabilitation, and models of intervention in occupational therapy (4th ed.). AOTA Press.
  18. Kim, S. J. (2013). A need analysis of educational supervisors' job competencies at the district offices of education (Doctoral dissertation). Korea National University of Education.
  19. Kwon, J. S. (2021). The necessity of clinical application of functional cognition in occupational therapy. The Journal of Korean Society of Cognitive Rehabilitation, 10(1), 47-59.
  20. Lee, H. S. (2011). A survey of the core job of occupational therapists and their different job tasks depending on the therapist's experience in years and different treatment areas. Korean Journal of Occupational Therapy, 19(1), 1-14.
  21. Lee, H. S., Chang, K. Y., Jung, M. Y., Ku, I. S., & Woo, H. S. (2014). Job analysis of occupational therapists for 2013. Journal of Korean Society of Occupational Therapy, 22(2), 89-112. https://doi.org/10.14519/jksot.2014.22.2.07
  22. Lee, H. R., Kim, J. Y., & Han, D. S. (2012). A survey on the cognitive rehabilitation of occupational therapy in Korea. Korean Journal of Occupational Therapy, 20(2), 73-84.
  23. Lee, H., Kim, Y. G., Hong, S., Ju, Y., & Han, D. (2022). Preliminary study on the current state and future development plans for cognitive rehabilitation in Korea based on an expert Delphi study. Journal of Korean Society of Cognitive Rehabilitation, 11(2), 5-26.
  24. Lee, H. S., Yoon, Y. Y., Noh, C. S., &, Song, J. C. (2017). A study on the derivation and evaluation of core practice competency for occupational therapy. The Journal of Korean Society of Occupational Therapy, 25(4), 113-129. https://doi.org/10.14519/jksot.2017.25.4.09
  25. McClelland, D. C. (1973). Testing for competence rather than for "intelligence". American Psychologist, 28(1), 1-14. http://doi.org/10.1037/h0034092
  26. Oh, J. S., Jeon, B. J., & Son, S. M. (2021). Research trend analysis of occupational therapy using keyword network analysis: Focusing on the Korean Journal of Occupational Therapy. Korean Journal of Occupational Therapy, 29(2), 65-77. https://doi.org/10.14519/kjot.2021.29.2.06
  27. Pyun, C., Lee, J., & Park, Y. (2012). Needs analysis of career consultants' job competency in specialized high school. Journal of Vocational Education & Training, 15(3), 27-51. https://doi.org/10.36907/krivet.2012.15.3.27
  28. Salazar, A. M., Warden, D. L., Schwab, K., Spector, J., Braverman, S., Walter, J., Cole, R., Rosner, M. M., Martin, E. M., Ecklund, J., & Ellenbogen, R. G. (2000). Cognitive rehabilitation for traumatic brain injury: A randomized trial. Defense and Veterans Head Injury Program (DVHIP) Study Group. Journal of the American Medical Association, 283(23), 3075-3081. https://doi.org/10.1001/jama.283.23.3075
  29. Wesson, J., Clemson, L., Brodaty, H., & Reppermund, S. (2016). Estimating functional cognition in older adults using observational assessments of task performance in complex everyday activities: A systematic review and evaluation of measurement properties. Neuroscience and Biobehavioral Reviews, 68, 335-360. https://doi.org/10.1016/j.neubiorev.2016.05.024
  30. Yoo, E. Y., Lee, M. J., Kim, S. Y., & Han, S. (2016). The research trends of the Journal of Korean Society of Occupational Therapy: From 2011 to 2015. The Journal of Korean Society of Occupational Therapy, 24(4), 149-160. http://doi.org/10.14519/jksot.2016.24.4.11