• Journal of Hospice and Palliative Care
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• v.15 no.1
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• pp.10-17
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• 2012

Purpose: This study was conducted to identify the perception regarding palliative care among Korean doctors and referral barriers toward palliative care for terminal cancer patients. Methods: Between May and June 2010, 477 specialists mainly caring cancer patients using a web-based, self-administered questionnaire. Results: A total of 128 doctors (26.8%) responded. All respondents (100%) deemed palliative care a necessary service for terminal cancer patients. More than 80% of the respondents agreed to each of the following statements: all cancer centers should provide palliative care service (80.5%); all terminal cancer patients should receive concurrent palliative care along with anti-cancer therapies (89.1%) and caring for terminal cancer patients requires interdisciplinary approach (96.9). While more than 58% of the respondents were satisfied with their performance of physical and psychological symptoms management and emotional support provided by patient's family members, 64% of the responded answered that their general management of the end-of-life care was less than satisfactory. Doctors without prior experience in referring their patients to palliative care specialists accounted for 26.6% of the respondents. The most common barrier to hospice referral, cited by 47.7% of the respondents, was "refusal of patient or family member", followed by "lack of available palliative care resources" (46.1%). Conclusion: Although most doctors do recognize the importance of palliative care for advanced cancer patients, comprehensive and sufficient palliative medicine, including interdisciplinary cooperation and end-of-life care, has not been put into practice. Thus, more active palliative consultation or referral is needed for effective care of terminal cancer patients.

• Proceedings of the KSLP Conference
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• 2017.04a
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• pp.106-106
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• 2017

• KOREAN POULTRY JOURNAL
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• v.45 no.8
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• pp.140-142
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• 2013

• Journal of Hospice and Palliative Care
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• v.11 no.4
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• pp.206-212
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• 2008

Purpose: To evaluate the effectiveness of pilot program on standard curriculum of hospice palliative care education; a basic training program for physician, nurse, social worker and clergies at hospice institute. Methods: To develop an educational program, we used the Education in Palliative and End-of-life Care (EPEC) program as a paradigm and modified it to be suited in our situation: The standard curriculum consists of 19 modules, and it is designed to be applied to the teaching methods, including lecture, interactive lecture, small group discussions, and role play. To verify its contents and teaching methods, we implemented a pilot program which consisted of 3 modules, using various teaching methods; trigger video tapes, interactive lecture, small group discussions, and role play. Results: Overwhelming majority were satisfied with the teaching methods and learner-centered methods, and agreed that the contents were clinically relevant to the care of dying patients. They also indicated that their attitudes would likely change as a result of the education. Conclusion: The effects of the pilot program on standard curriculum of hospice and palliative care are very positive and has broader implications for improving hospice palliative care education. For successful implementation of the program, trainers must also be prepared to teach effectively. Also it must be accompanied with train-the trainer program.

• Journal of Hospice and Palliative Care
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• v.19 no.4
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• pp.310-321
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• 2016

Purpose: The purpose of this study is to examine the level of understanding of hospice palliative care (HPC) and shared decision making (SDM) among middle-aged adults. Methods: Data were collected from 90 middle-aged adults living in D city using a self-reported questionnaire. The SPSS program was used to analyze the data. Results: Among the participants, 76.7% were aware of the HPC while 82.2% of the participants were not aware of SDM. Among all, 85.6% responded positively for needs of HPC, and 77.8% of participants for SDM. Participants with Christian faith (Protestants and Catholics), high income level and present illness were better aware of HPC than others. The most needed services were nursing care and treatment along with systematic counseling and explanation provided by the medical staff. There was also a significant relationship between the HPC factors, gender, income, current health status and current illness status. Participants with high income level were well aware of SDM. Stronger SDM needs were observed among participants with professional jobs or current illness. Conclusion: For continued discussion on HPC and SDM, it is necessary to implement and promote various education programs for medical staff and the public.

• Journal of Hospice and Palliative Care
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• v.21 no.2
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• pp.58-64
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• 2018

Purpose: This study was conducted to evaluate the impact of a two-week palliative care education program on Korean Hospice volunteers. Methods: A total of 71 volunteers were assigned to two groups: Group A (intervention, n=34) and Group B (usual care, n=37). Group A received six sessions of palliative care education for two weeks. The level of volunteers' motivation, death anxiety, and communication with the dying were measured at baseline and after the program ended. Results: The palliative care education program had positive influence on the volunteers' motivation (t=2.341, P=0.022), death anxiety (t=-2.166, P=0.034), and communication with the dying (t=-2.808, P=0.006). Conclusion: The findings of this study suggest that a palliative care education program may be an effective way to boost hospice volunteers' motivation, ease their death anxiety and improve their communication with the dying.

• Korean Journal of Social Welfare Studies
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• v.44 no.2
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• pp.201-230
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• 2013

The study attempted to analyze the experiences concerning professional identities of social workers working in hospice palliative care(HPC) multidisciplinary team by adopting ground theory method. The data were drawn from in-depth interviews with 11 social workers working in HPC teams for more than a year. As a result of the study, 166 concepts, 21 themes and 10 categories were presented. The core theme was identified as "growing up as a professional recognized by clients and other team members". The characteristics of social work and those of hospital setting systematic barriers and problems of the governmental support program worked as external conditions. The conflicts and confusions in social workers' professional identities were brought about as results of the conditions while successful team and the characteristics of individual setting promoted to get over the problems. The social workers experienced professional rewards and personal growth from hospice practices by utilizing diverse strategies. It was proposed that social workers should make efforts to be recognized as an essential profession in HPC multidisciplinary teams together with resolving the institutional problems such as regulations on qualifications of HPC social worker, professional education and governmental supports to improve work conditions.

• Journal of Hospice and Palliative Care
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• v.9 no.2
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• pp.77-85
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• 2006

Purpose: The purpose of this study is to develop the basic curriculum for the nurses who work at hospice and palliative care settings. Methods: Seven curricula of hospice and palliative care for the nurses in Korea and other countries were reviewed, and Education Need for hospice and palliative care was surveyed from 162 nurses by mailing the questionnaires to hospice palliative care settings. Results: 1. The curricula of hospice and palliative care for the nurses in Korea and other countries in common include 'understanding of hospice and palliative care', 'understanding of lift and death', 'pain and symptom management for person with terminal disease', 'on-the-spot study and practical training', 'management of hospice and palliative ward', 'hospice and palliative care at home', 'physical assessment', 'therapeutic communication skills', 'children's hospice', 'administration and management of hospice and palliative care', 'interdisciplinary team of hospice and palliative care', 'ethics and laws in hospice and palliative care', 'psychological, social and spiritual care', 'care of the dying', 'bereavement care', etc. 2. The scores above 3.3 were marked for 34 items in education Need Survey. The highest scores were given in the order for the items 'understanding of death and dying', 'attitude and response to death and dying', 'understanding and assessment of pain' etc. respondents marked that they have been trained for 'pain and symptom management', 'ethics and laws in hospice and palliative care', 'building the system for cooperation and publicity activities in hospice' etc. 3. The basic curriculum of hospice and palliative care for the nurses requires 78 studying hours for 17 subjects, comprising 48 hours of theory education and 30 hours of practical training. The education methods are lectures, discussions, and case studies. Conclusion: The efforts of developed basic curriculum should be evaluated after educating nurses. It is necessary to develop the standard curriculum and regularly update it based on the result of education Need Survey for actively working nurses in hospice and palliative care settings.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.30 no.3
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• pp.77-86
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• 2002

위성은 일단 한 번 발사하고 나면 운용궤도상에서 수리 및 회수가 거의 불가능하기 때문에 위성에 들어가는 모든 개발 부품들은 완벽한 설계, 충분한 해석, 고 작업도의 제작, 그리고 다양한 시험이 반드시 수반되어야 한다. 위성시스템에서 전자 소자의 신뢰성에 영향을 주는 인자는 다양하다. 과도한 열은 전자소자의 실패를 유발해서 결과적으로는 전체 위성의 실패를 유도할 수 있다. 이 논문에서는 다목적 실용위성 2호의 고전력 소산 전장품의 열부하 완화를 위한 방안을 경우별로 연구 비교하였다. 고전력 소산 전장품의 열부하를 완화하기 위해서는 하우징 두께의 증가가 필요하며, 전력조절기의 다이오드나 트랜지스터처럼 전력소산이 큰 소자에 대해서는 장착위치를 변경하거나 장착 부분의 열전도율을 증가시키는 방법이 필요하다. 또한 전력조절기처럼 장착면이 좁은 경우에는 복사의 영향이 크며, 이러한 전장품의 열부하를 완화하기 위해서는 주위 벽면의 온도를 낮추거나 하우징 표면 방사율을 증가시키는 방법이 효과적임이 알 수 있다.

• The Korean Journal of Rheology
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• v.7 no.3
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• pp.211-224
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• 1995

묽은 고분자 용액의선형 점탄성과 완화시간 스펙트럼에 대하여 비드수, 유체역학적 상호작용, 배제 부피와 비선형 스프링들의 영향을 비드-스프링 모델을 통하여 연구하였다. Fixman의 모델을 개량하였고, 비선형 스프링개념을 도입한후 선형점탄성에 관한 식들을 유 도하였다. 그중에서 주로 복고 점도의 크기와 위상차에 대한 BSM 파라미터들의 영향을 살 펴보았다. 실험데이터에서 진동수에 따른 위상차의 평평한 부분의 길이로부터 비드수를 Mark-Houwink 식의 지수 값으로부터 유체역학적 상호작용 파라미터를 그리고 fitting 파라 미터로써 배제 부피 파라미터와 비선형 스프링 파라미터의 함수형태로 표현되는 동적 확장 파라미터를 결정할수 있었다. 또한 광산란 실험등으로부터 배제 부피 파라미터를 결정하게 된다면 이로부터 비선형 스프링 파라미터도 결정할수 있음을 알수 있었다. 한편 불연속적인 현태인 BSM의 완화시간 스펙트럼에 미치는 BSM 파라미터들의 영향을 분석함으로써 각 파람터의 효과와 차이점을 분명히 알수 있었다. 본논문에서는 BSM에 비드수, 유체역학적 상호작용 배제 부피 그리고 비선형 스프링 효과를 동시에 적용하는 방법을 제시하였으며 이 방법을 통하여 묽은 고분자 용액의 선형 점탄성 실험 데이터를 정량적으로 설명할 수 있었다.