• Title/Summary/Keyword: 사별돌봄

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The Current Status Regarding the Use of Music for Bereavement Care and the Program Coordinators' Perception in Hospice and Palliative Settings in South Korea (국내 호스피스·완화의료 기관 내 사별돌봄을 위한 음악 활용 현황 및 프로그램 코디네이터의 인식)

  • Kim, Jisoo;Lee, Jin Hyung
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.258-266
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    • 2018
  • The purpose of this study was to investigate the current status and the perception of hospice and palliative care program coordinators regarding the use of music in bereavement care in Korea. Both on-line and off-line questionnaires were distributed to program coordinators in 91 institutions, and 54 responses were analyzed by descriptive statistics and Mann-Whitney U test. Even though 92.6% of the participants currently provide a form of bereavement care and 51.9% utilize music as a part of their bereavement program, only 20.3% indicated that their bereavement programs were adequate to address the issues involved, suggesting a need for improvement. As the perceived necessity of bereavement care(4.52) and music therapy based bereavement care(4.20) were generally high, this study supports the need for further development of both forms of bereavement care in Korea.

The Satisfaction of Inpatient Families and Bereaved Families in the Hospice Service (호스피스 병동에 입원한 환자 가족과 사별 가족의 만족도)

  • Park, Theresia;Ra, Jeong-Ran;Seo, In-Ok;Cho, Young-Yee;Choi, Suk-Kyung;Park, Myung-Hee;Heo, Jeong-Hee;Kim, Eun-Kyung
    • Journal of Hospice and Palliative Care
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    • v.2 no.2
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    • pp.91-100
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    • 1999
  • Purpose : This study was performed to investigate the satisfaction in the hospice services provided for inpatient families and bereaved families whose members had been admitted to the hospice unit at Kangnam St. Mary's Hospital to improve the quality of care for the terminally ill patients and their families. Methods : This sample consisted of 33 families of hospice patients during the period of April to lune, 1998 and 30 bereaved families whose patients had died from March, 1993 to March, 1998. The data were collected through a self-report questionnaire and analyzed using t-test and ANOVA. Results : 1) The satisfaction level of inpatient families and bereaved families showed the mean value of 3.5 where the highest value is 5.0. 2) According to age, the level of satisfaction of inpatient families had significant differences in the fields of hospice philosophy, support for the family, medical management and nursing management(P=0.0001). The level of satisfaction of bereaved families showed significant differences in the field of support for the family, medical management, nursing management, and facilities of the hospice unit(P=0.0001). 3) By family relationship, the level of satisfaction of inpatient families had significant differences in the fields of hospice philosophy, support for the family, medical management and nursing management (P=0.0001). 4) According to religion, the level of satisfaction of inpatient families had significant differences in the fields of hospice philosophy, support for the family and nursing management (P=0.0001), but there was no significant difference for the bereaved families. Conclusions : The findings of this study showed that hospice services had positive influence on families with terminal disease such as cancer. To improve the level of satisfaction in the hospice services for families with hospice patients, we need to provide care by an interdisciplinary hospice team approach, and to assess needs of the families according to their socio-psychological characteristics. Further studies need to be conducted with large samples.

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Experience in Widow's Bereavement: Q Methodology - Widow Below 2 Years Bereavement - (배우자 사별여성들의 경험: Q 방법론 적용 - 2년 미만의 사별여성을 중심으로 -)

  • Yang, Soo;Hong, Jin-Ui
    • Journal of Hospice and Palliative Care
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    • v.12 no.2
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    • pp.80-87
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    • 2009
  • Purpose: The purposes of this study were to identify the types of widow's bereavement experience and understand the nature of it's bereavement by using Q-methodological approach. Methods: Contents Q sample included 46 statements obtained from literatures and interviews with 5 widows. P sample consisted of 13 widows who bereaved within 2 years. The data were collected from October 2004 to December 2006 and analyzed using Quanal program. Results: Two types of widow's experience were found. Type 1 was characterized by loss suffering, and type 2 was characterized by acceptance and adaptation Conclusion: Widows were found to experience different types of bereavement. Therefore, bereavement care team should assess the types of suffering pain and provide appropriate care to the widows. Also, need to be developed programs to relieve or prevent suffering of bereavement.

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Development of Records for Home Hospice Care Team (기정 호스피스 팀 기록지 개발)

  • Lee, Jong-Eun;Han, Sung-Suk;Park, Chai-Soon;Yoo, Yang-Sook;Choe, Sang-Ok;Lee, Mi-Song;Kim, Seong-Eun;Lee, Sun-Mi
    • Journal of Hospice and Palliative Care
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    • v.11 no.1
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    • pp.12-29
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    • 2008
  • Purpose: To develop the standardized record forms for home hospice team members, made up of nurse, doctor, social worker, minister and volunteer, to share information and communicate efficiently in their specialized field. Methods: A methodological study revising and complementing initially developed record forms by obtaining content validity from the experts in each field. Results: Reflecting total 27 experts' opinions, final 11 types of home hospice team documents (registration form, visiting record form for a nurse, initial assessment form for a doctor, progress note for a doctor, initial assessment form for spiritual care, visiting record form for a minister, care note for social worker, visiting record form for a volunteer, final summary note, initial assessment form for bereaved family, and follow-up record form for bereaved family) have been developed. Conclusion: It is believed that this study initiated of effective communication between home hospice team members and enhanced quality of home hospice service and its records.

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Bereavement Care in Hospice and Palliative Care (호스피스.완화의료에서의 사별 돌봄)

  • Kim, Chang-Gon
    • Journal of Hospice and Palliative Care
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    • v.10 no.3
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    • pp.120-127
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    • 2007
  • Bereavement is the state of loss resulting from death. Grief is the emotional response associated with loss, intense and acute sorrow resulting from loss. Complicated grief represent a pathological outcome involving social, physical, emotional, cognitive, spiritual morbidity. The common psychiatric disorders associated complicated grief or abnormal grief responses include clinical depression, anxiety disorders, alcohol abuse or other substance abuse, and dependence, psychotic disorders, and post-traumatic stress disorder (PTSD). Grief tasks involve a series of stage or phases following an important loss that gradually permit adjustment and recovery. Three phases of grief involve phase 1 (walking the edges), phase 2 (entering the depths), and phase 3 (reconnecting the world). For intervention to be effective they need to be individually tailored to abnormal grief reaction or unresolved grief reaction. Clear understandings of complicated grief, abnormal responses, factors increasing risk after bereavement will often enable us to prevent psychiatric disorders in bereaved patients.

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Development of a Korean version of the Bereavement Care Confidence Scale (K-BCCS) (한국형 사별돌봄자신감 척도 개발)

  • Kwon, So-Hi;Kim, Young-Joo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.2
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    • pp.197-209
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    • 2021
  • Purpose: The purpose of this study is to evaluate the validity and reliability of the Korean Bereavement Care Confidence Scale (K-BCCS). Methods: The Perinatal Bereavement Care Confidence Scale (PBCCS) was translated into Korean according to an algorithm of cultural adaptation process and excluded six items which were specific to perinatal bereavement. A total of 229 clinical nurses participated in the study. Construct validity, convergent validity, discriminant validity, and group comparison validity were evaluated, and Cronbach's α was calculated to estimate the reliability of the K-BCCS. Results: The K-BCCS consisted of 31 items in 7 factors, including knowledge and skills for bereavement care (12 items), organizational support (6 items), awareness of the needs (3 items), interpersonal skills (3 items), workload influence (2 items), continuous education (2 items), and understanding the grief process (3 items). The factor loading of 31 items within the 7 factors ranged from .60 to .86. For the convergent validity, the construct reliability (CR) ranged from .74 to .94, and the average variance extracted (AVE) ranged from .49 to .73, which is considered acceptable. The discriminant validity showed that the AVEs of the subscales were greater than the square of the correlation coefficient r. The nurses who had experience providing bereavement care (t=4.94, p<.001) or had received bereavement education (t=6.64, p<.001) showed higher K-BCCS values those without experience. The Cronbach's α of 31 items was .93 and ranged from .60 to .94 per subscale. Conclusion: The K-BCCS is a valid and reliable tool for evaluating nurses' confidence in bereavement care.

Gendered Reporting Gap of the Housework Time: A Comparison of Time Diary and Stylized Survey Questionnaire (성별 가사노동시간 측정 : 시간일지와 서베이문항 방식 비교)

  • kim, Eun-Ji;kim, Su-Jeong
    • Survey Research
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    • v.10 no.2
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    • pp.1-21
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    • 2009
  • The purpose of this study is to compare the estimates of housework time by gender using two representative methods of time use study: Time Diary and Stylized Survey Questionnaire. Our analysis is based on the data from the Lifetime Use Survey(2004), which used time-diary questions, and the Korean Labor & Income Panel Study(KLIPS 2004), which used stylized questions on housework hours. The results show that men over-report their housework time in the stylized time use questions. In contrast, women under-report their housework time, which is unusual in the previous studies on response errors and reporting gap. Subgroup analysis shows that widowed/divorced men tend to over-report their contribution to housework more than other groups whereas among women, groups burdened with employed work, caring and housework underestimate their housework time. This reporting gap is explained by gendered norm and perception of time pressure. The theory to explain under-reporting of the housework time has been undeveloped in the previous studies. Our study suggests that perceptions of time pressure be an important factor to explain women's reporting gap of housework estimates.

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Home hospice palliative care service in Korea: Based on focus group interview (가정 호스피스완화의료 서비스 현황 조사: 실무자 포커스 그룹 인터뷰를 중심으로)

  • Koh, Su-Jin;Kim, Yeol;Song, Mi Ok;Choi, Youngsim;Choi, Sung Eun;Jho, Hyun Jung;Huh, Yun Jung;Park, Myung-Hee;Park, Seon Ju;Kwon, So-Hi
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.1
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    • pp.37-52
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    • 2014
  • The aim of this study was to understand home hospice care status and problem in Korea, and ultimately to develop the home hospice standard. This study was conducted as a part of a study on the institutionalization of the home hospice in Korea. A focus group interview with representatives of seven home hospice agency where have provided home hospice service for years was conducted. All of the participants agreed to the essential components for home hospice service including 24 hour on call service, multidisciplinary team visiting, and periodical team meeting. Visiting frequency was 1-3 times per week mostly by nurses. And they agreed requisitely to fulfill an office for home visiting nurses, storage space, and home visiting bags. The obstacles of providing home hospice were 1) no reimbursement system, 2) difficulties to change medication at home, 3) lack of inpatient beds for symptom control. Standardization of home hospice is critical to improve service quality and to develop reimbursement system. The findings of this study could be used as a basic data to develop home hospice standards and guidelines.