Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Hospice Education among Hospice Professionals and Its Regional Variations in Korea -Outcomes from a 2008 Hospice Palliative Care Institutions Support Project-

한국 호스피스.완화의료 전문인력 교육의 지역적 변이 -2008년 말기 암환자 전문기관 활성화 지원사업 신청기관 인력을 중심으로-

  • Kang, Jin-A (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Shin, Dong-Wook (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Hwang, Eun-Joo (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Kim, Hyo-Young (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Ahn, Seong-Hoo (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Yoo, Yang-Sook (College of Nursing, The Catholic University of Korea)
  • 강진아 (국립암센터 호스피스완화의료사업과) ;
  • 신동욱 (국립암센터 호스피스완화의료사업과) ;
  • 황은주 (국립암센터 호스피스완화의료사업과) ;
  • 김효영 (국립암센터 호스피스완화의료사업과) ;
  • 안성후 (국립암센터 호스피스완화의료사업과) ;
  • 유양숙 (가톨릭대학교 간호대학)
  • Published : 2009.09.01
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Abstract

Proper education of hospice professionals is essential for ensuring quality of end-of-life care. In 2005, 'End-of-life Care Task Force Team' by Ministry of Health and Welfare established '60 hours of hospice education' as basic requirement for hospice professionals. This study is aimed to determine how many of the hospice professionals meet with the criteria and whether there are significant regional variations. Methods: We analyzed the data from 46 hospice organizations, which submitted the application to the 2008 designation program of Ministry of Health, Welfare, and Family Affairs. Data included details of the educational records of each hospice professionals. Results: Total 673 hospice professionals were included in the analysis. Overall, only 41.5% (279/673) met the requirement. Nurses (46.8%; 177/378) were more likely to meet the requirement than doctors (35.8%; 38/106), social workers (32.0%; 24/75) and clergies (35.1%; 40/114). Hospice professionals of the organizations in metropolitan area received more education than those in small cities or rural area (52.4% vs. 25.0% for doctors, 50.6% vs. 43.9% for nurses, 42.9% vs. 25.5% for social workers). By geographic areas, hospice professionals in southeast regions received less education than other part of Korea (28.1% vs. 43.0${\sim}$48.8%, respectively). Conclusion: Less than half of the Korean hospice professionals has received proper amount of hospice education, and significant regional variations existed. National programs to promote the education of hospice professionals and eliminate its disparities are greatly warranted. Implementation of the 60-hour currirulum for hospice professionals, based on the train-the-trainer model, would be regarded as one potential solution.

목적: 말기 암환자 돌봄의 질을 향상시키기 위해서는 호스피스 완화의료 전문인력을 위한 적절한 교육이 필수적인 요소이다. 보건복지가족부 내 말기 암환자 TF 위원회에서는 2005년에 호스피스 완화의료 전문인력에게 필요한 기본조건으로서 60시간 이상의 호스피스 완화의료 교육을 받도록 제시한 바 있다. 이에 국내 호스피스 완화의료 전문인력의 교육현황을 알아보고, 교육실태에 있어서 지역적인 변이가 있는지를 밝히고자 본 연구를 시행하였다. 방법: 2008년 보건복지가족부가 실시한 말기 암환자 전문기관 활성화 지원사업에 지원한 호스피스기관 중 46개 기관의 전문인력 673명의 교육현황 자료를 분석하였다. 결과: 총 673명 중에서 60시간 이상의 호스피스 완화 의료 교육을 이수한 경우는 279명(41.5%)이었다. 간호사 378명 중 60시간 이상 교육을 이수한 경우는 177명(46.8%)이었으며, 의사는 106명 중 38명(35.8%), 사회복지사는 75명중 24명(32.0%), 성직자는 114명중 40명(35.1%)이었다. 60시간 이상의 교육을 이수한 경우는 경상도 지역이 다른 지역에 비하여 상대적으로 적었다. 또한 중소도시에 소재한 기관의 전문인력은 대도시에 소재한 기관의 전문인력보다 60시간 이상 교육을 이수한 비율이 낮았다. 기관 종류에 따라서는 병원에 근무하는 호스피스 완화의료 전문인력이 60시간 이상의 교육을 이수한 경우가 상대적으로 적었다. 결론: 본 연구의 결과 60시간 이상 호스피스 완화의료 교육을 이수한 전문인력은 전체의 41.5%였으며, 지역적으로 변이가 있는 것을 알 수 있었다. 앞으로 호스피스 완화의료 전문인력을 위한 교육을 활성화하고 지역적인 불균형을 해결하기 위한 제도적 대안이 요구된다. Train-the-trainer 모델을 기반으로 호스피스 완화의료 전문인력을 위하여 개발한 60시간의 교육 프로그램을 운영하는 것이 바람직한 대안이 될 수 있을 것이라고 생각한다.

Keywords

References

  1. Lawrie I, Lloyd-Silliams M. Training in the interdisplenary environment. In: Speck P, ed. New York:Oxford University Press; 2006. p. 153-65.
  2. National Cancer Center. Education Report on the 2005 Hospice Palliative Institutionalization for Terminal Cancer Patients. 1st ed. Korea:National Cancer Center;2006. p. 23.
  3. Kim SY, Choi YS, Shin SW, Chong MK, Lee SN, Lee SW, et al. Development of education program for physicians -based on the 2004 hospice palliative model project for terminal cancer-. Korean J Hosp Palliat Care 2006;9(2):67-76.
  4. Choi ES, Yoo YS, Kim HS, Lee SW. Curriculum development for hospice and palliative nurses. Korean J Hosp Palliat Care 2006;9(2):77-85.
  5. National Cancer Center. Hospice&Palliative care professionals workshop for planning standard training program delivery; 2008 Oct 28; National Cancer Center, Korea. National Cancer Center; 2008.
  6. Yoo SJ, The education of Korean hospice nurse, Catholic Cancer Center Autumn Cancer Symposium; 2003 Sep 26; Seoul, Korea. Catholic University. Catholic Cancer Center; 2003.
  7. Ministry of Health, Welfare, and Family Affairs. Second term 10 year action plan for cancer control (Cancer Control 2015). Seoul, Korea. Ministry of Health, Welfare, and Family Affairs; 2006. p. 109.
  8. Kang JA, Yoo YS, Park JN, Kim WC, Nam EJ, Koh SJ, et al. The effects of the pilot program in standard curriculum of hospice and palliative care education. Korean J Hosp Palliait Care 2008;11(4):206-12.
  9. World Health Organization. Cancer Control: Knowledge into action: WHO guide for effective programmes;module5. 1st ed. Switzerland:World Health Organization;2007. p. 32.
  10. Vangeest JB. Process evaluation of an educational intervention to improve end-of-life care: the education for physicians on end-oflife care (EPEC) program. Am J Hosp Palliat Care 2001;18(4): 233-8. https://doi.org/10.1177/104990910101800407
  11. Sullivan AM, Lakoma MD, Billings JA, Peters AS, Block SD. Creating enduring change: demonstrating the long-term impact of a faculty development program in palliative care. J Gen Intern Med 2006;21(9):907-14. https://doi.org/10.1007/BF02743136
  12. Rolheiser Carol, Ross John A, Hogaboam-Gray Anne, Assessment in the cooperative classroom: using an action research enhanced version of the train the trainer in-service model to impact teacher attitude and practices. The Annual Meeting of the American Education Research Association; 1999 April 19-23; Montreal, Quebec, Canada. 1999.
  13. National Cancer Center. Hospice&Palliative care professionals workshop for planning standard training program delivery; 2008 Oct 28; National Cancer Center, Korea. National Cancer Center; 2008.
  14. MGL[Internet].Korea:Korea Ministry of Government Legislation; c2009[cited 2009 May20]. Avaliable from://moleg.go.kr.
  15. MGL[Internet].Korea:Korea Ministry of Government Legislation; c2009[cited 2009 May20]. Avaliable from://moleg.go.kr.
  16. National Cancer Center. 2009 Hospice and Palliative care Trainer's training Handbook:(National Cancer Control Institute). 1st ed. National Cancer Center;2009. p. 3-14.