• Journal of Hospice and Palliative Care
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• v.18 no.4
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• pp.285-293
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• 2015

Purpose: This study was conducted to explore the effects of attitude to death in hospice and palliative professionals on their terminal care stress, and to analyze relationships among variables related to the two aforementioned parameters, such as depression and coping strategies. Methods: Participants were 131 hospice and palliative professionals from the cancer units of two tertiary hospitals and two general hospitals, two hospice facilities, two geriatric hospitals, and two convalescent hospitals in J province. Data were collected from April through June 2015 and analyzed using t-test, factor analysis, ANOVA ($Scheff{\acute{e}}$ test), ANCOVA, and Pearson's correlation and a path analysis using the SPSS/WIN 21.0 and AMOS 18.0 programs. Results: The score for attitude to death was low (2.63), and that for depression was 0.45. Among all, 16.0% of the participants showed need for depression management. They scored 3.82 on terminal care stress. The subcategory with the highest mark was inner conflicts on limitation given availability of medical services (4.04). The score on coping strategy was low (3.13). They used passive coping strategies such as interpersonal avoidance (4.03), fulfilling basic needs (3.65) such as sleeping or eating. Attitudes to death had a direct negative effect on the terminal care stress level and indirectly affected through depression and fulfilling basic needs (CS2). Conclusion: It is necessary to provide hospice and palliative professionals with education on death and dying, as well as access to programs that provide emotional support and promote positive cognition of death and dying.

• 재활복지
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• v.20 no.1
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• pp.43-64
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• 2016

This study is to reveal the effects affecting mother' coping resources on caring stress of mothers caring for adult children with developmental disabilities. The research data was collected from the service users recruited from two disability organizations and the disabled community welfare centers in South Korea. The survey was limited to mothers caring for adult children with developmental disabilities over the age of 18. The samples of the study consisted of 119 mothers. The data were analysed through SPSS statistical program. It was used for the analysis method of Frequency analysis, T-test, ANOVA and Step wise regression. Analysis results are as follows: the family support and friend support of social coping resources is affecting in caring stress of mothers. Also, the mothers who is working are more caring stress than unemployed mothers and the mothers who is between 50age and 54age are more caring stress than the mothers of under 49 age. Based on these results, I proposed the idea of several programs for social work practice for community welfare centers based on the results.

• Journal of Hospice and Palliative Care
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• v.22 no.4
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• pp.207-218
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• 2019

Purpose: Physician competency in end-of-life (EOL) care is becoming increasingly important. This study investigated the EOL care curricula in Korean medical schools. Methods: Questionnaires were issued to the faculty members responsible for the EOL care curricula at each of the medical schools. These included questions on the structure and content of the curricula, teaching methods, and faculty members' attitudes to the curricula. Results: Characteristics of the EOL care curricula were compiled from 27 (66%) of the 41 medical schools. All of the medical schools taught essential aspects of the EOL care curriculum either as a separate course or embedded within other medical education courses. The mean time spent on EOL care teaching was 10 hrs (range, 2~32 hrs). The most frequently taught topics were delivering bad news (100%) and symptom management (74%). When the palliative care education assessment tool (PEAT) was used to evaluate the curricula, a median of 11 PEAT objectives was met (range, 2~26; maximum, 83). More than two teaching methods were used in most of the curricula. However, lectures were the only teaching method used by three medical schools. 78% of faculty members who were responsible for curriculum reported dissatisfaction with it, whereas 18% believed that the time allotted to it was adequate. Only 7% of these faculty members believed that their students were adequately prepared to practice EOL care. Conclusion: There is a need to improve EOL care education in basic medical curricula and to take a more systematic approach to achieving learning outcomes.

• 한국벤처창업학회:학술대회논문집
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• 2023.11a
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• pp.135-138
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• 2023

2000년대 들어 상담에 대한 관심과 상담 수요가 크게 늘어가고 있는 상황에서 상대적으로 직무 특성상 상담자들 또한 심리적인 어려움들을 느끼면서 상담자 스스로 자신의 정신 건강 및 유지를 위한 자기돌봄의 중요성이 증가하고 있는 것이 사실이다. 상담자는 많은 시간을 내담자와의 직접적인 대면을 통해서 내담자의 다양한 문제에 대한 해결과 도움을 제공해 줌에 있어 지속적인 치료 과정을 함께한다. 상담자는 내담자와의 상황 대면을 통한 치료 과정을 함께하면서 치료의 긍정적인 면을 접하기도 하지만, 한편으로는 지속적인 스트레스로 인해 심리적 소진과 다양한 정서적 피로도를 경험하게 된다. 이에 다양한 심리적·정서적 소진과 피로도에 대해 적절하고 유연하게 대처하기 위해서는 상담자 스스로 자신을 보호할 수 있는 자기돌봄이 필요하며, 상담자 자신이 어떠한 상황에서도 긍정적인 마음을 유지 할 수 있는 자기효능감을 향상시키는 것이 중요하다. 본 연구는 마음 챙김에 기반한 MBSR 프로그램이 다양한 상담 현장에서 심리적 소진을 겪고 있는 상담자들의 심리적 안녕감, 특히 상담자의 자기돌봄 및 자기효능감에 어떠한 영향을 미치는지 확인하고자 하였다. 이를 위해 실제 현장에서 활동하고 있는 상담경력 1년에서 5년 미만의 상담자 40명을 대상으로 주 1회기, 회기 당 2시간의 총 12주간의 MBSR 프로그램을 통한 상담자의 자기돌봄 및 효능감의 변화가 상담자의 심리적 안녕감에 긍정적 요인으로 적용될 수 있다는 것을 확인하여 실제 상담 현장에서의 상담자들이 겪고 있는 심리적 소진의 완화를 통한 안정적인 상담 현장이 조성될 수 있도록 기여하고자 한다.

• Journal of Hospice and Palliative Care
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• v.22 no.2
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• pp.67-76
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• 2019

For hospice palliative care that provides comprehensive and general care, it is necessary to use assessment tools to objectively list issues and detail care plans. The initial assessment is a process of establishing an overall direction of care by identifying the patient's symptoms, social and spiritual issues and palliative care needs on the admission day or within one day of admission. This process is also used to identify the patients' and families' awareness of the illness, prognosis, treatment options and if the Physician Orders for Life-Sustaining Treatment (POLST) has been drafted. Consisting of 13 simple questions regarding the physical, mental, social, and spiritual domains, the Needs at the End-of-Life Screening Tool (NEST) is recommended as an initial assessment tool. Using specific assessment tools, a care plan is established for the issues identified in the initial assessment within three days of admission. A multidisciplinary assessment tool can be helpful in the physical domain. The psychosocial domain evaluates psychological distress, anxiety and depression. The social domain examines an ability to make decisions, understanding of the socioeconomic circumstance, family relationship, and death preparedness. A spiritual evaluation is also important, for which the Functional Assessment of Chronic Illness Therapy-Spiritual WellBeing Scale (FACIT-Sp) or the Spiritual Health Inventory (SHI) can be used. The use of an assessment tool could not only contribute to pain mitigation a better quality of life for patients, but also provide systematic training for a multidisciplinary team; And the process itself could be a stepping stone for the better care provision.

• The Journal of the Korea Contents Association
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• v.18 no.10
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• pp.382-393
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• 2018

Patients with dementia are increasing steadily and becoming a social problem. Care workers in hospitals are increasingly interested in emotional labor. Therefore, this study examines the caregiving experience of dementia patients in the nursing home. The effects of emotional labor and exhaustion of nursing home workers on job stress and satisfaction were analyzed and the moderating effect of care experience was analyzed. The results of the study are as follows. First, the caregiver experience of the nursing hospital workers showed the initial mind, the perception of the early dementia patients, the difficulties, the physical and mental limitations, the satisfaction, the experience through nursing practice, and the change of mind about life. Second, emotional labor and burnout have positive effects on job stress. Care experience reduced the impact of emotional labor and exhaustion on job stress. Finally, the relationship between job stress and job satisfaction showed positive influence.

• The Journal of the Korea Contents Association
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• v.21 no.6
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• pp.261-273
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• 2021

This study analyzed the model by using the data of 416 counselors working in the counseling field to verify the moderated mediation effect of burnout on life satisfaction, through counselors' self-care in the process of counselors' stress. First, counselors' stress had an effect on life satisfaction through burnout. Second, the interaction effect between counselors' stress and self-care was significant and the relationship between stress and burnout was changed according to the level of self-care. Third, counselors' stress was found to be controlled by self-care, which has a mediating effect on life satisfaction through burnout. The results of this study are meaningful in that it provides an empirical basis for self-care factors that can contribute to the improvement of the counselor's personal and professional growth and quality of life through the verification of the effect of self-care that improves the satisfaction of life by preventing and alleviating the stress and burnout of the counselors.

• Journal of Hospice and Palliative Care
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• v.15 no.1
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• pp.30-35
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• 2012

Purposes: Most medical schools in Korea do not provide adequate education in end-of-life care. This study was designed to illustrate the need to improve end-of-life care education and to assess the effect of the education on fourth-year medical students' awareness and attitude towards hospice and palliative care for terminally ill patients. Methods: One hundred sixty six fourth-year medical students were surveyed with questionnaires on end-of-life care before and after they received the education. Results: Before receiving the education, students most frequently answered "at the end of life" (33.6%) was appropriate time to write an advance medical directive. After the education, the most frequent answer was "in healthy status" (58.7%). More students agreed to withholding or withdrawing futile life-sustaining treatment increased after the education (48.1% vs. 92.5% (P<0.001) for cardiopulmonary resuscitation, 38.3% vs. 92.5% (P<0.001) for intubation and mechanical ventilation, 39.1% vs. 85.8% (P<0.001) for inotropics, 60.9% vs. 94.8% (P<0.001) for dialysis and 27.8% vs. 56.0% (P<0.001) for total parenteral nutrition). Significantly more students opposed euthanasia after the education (46.6% vs. 82.1%, P<0.001). All students agreed to the need for education in end-of-life care. Conclusion: After reflecting on the meaning of death through the end-of-life care education, most students recognized the need for the education. The education brought remarkable changes in students' awareness and attitude towards patients at the end of life. We suggest end-of-life care education should be included in the regular curriculum of all medical schools in Korea.

• Journal of Hospice and Palliative Care
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• v.19 no.1
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• pp.11-25
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• 2016

Purpose: The purpose of this study was to determine the factors that influence healthcare providers' attitude towards end-of-life care (EOLC) in the emergency department (ED) in hospital settings. Methods: From June 1 through June 30, 2014, a descriptive correlational study was performed with 41 doctors and 105 nurses stationed in the ED. Results: According to a regression model on the factors affecting healthcare providers' professional attitude towards EOLC, 28.1% of variance (F=15.185, P=0.000) was explained by awareness of death, gender and personal attitude towards EOLC. And 34.1% of the healthcare providers' personal attitude was related with awareness of death, experience of hospice education, occupations and professional attitude towards EOLC. Conclusion: This study demonstrated that attitude towards EOLC was influenced by awareness of death and personal characteristics. Healthcare providers in the ED should be provided with tailored training to improve their understanding of death. Also an educational program should be developed and provided to ED healthcare providers to improve their awareness of death.

• Journal of the Korean Applied Science and Technology
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• v.36 no.4
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• pp.1373-1384
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• 2019

This study is a descriptive research to analyze the factors affecting the care burden of dementia patients in the community. The data was collected from 223 dementia patients in the community for 10 days from November 30 to December 9, 2018. The results showed that there was a statistically significant difference in caring burden according to demographic characteristics according to the age group of the main caregivers, the relationship with dementia patients, the duration of caring for dementia patients, and the difficulty of caring for dementia patients. Had a negative correlation with dementia knowledge(r=-.145, p=.030). The factors affecting the care burden of dementia patients were as follows: dementia care period(β=.408, p=.006), difficulty in caring for dementia patients(β=-.307, p=.023), relationship with dementia patients(β=-.299, p=.013), and age group of primary caregivers of dementia patients(β=-.265, p=.007). Therefore, in order to alleviate the burden of caring for dementia patients in the community, a practical and continuous care intervention program is needed