Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Evaluation of Continuing Education Program to Enhance Competency for Hospice Volunteers: An Exploratory Mixed-Methods Design

호스피스 자원봉사자 역량강화를 위한 지속교육의 효과: 혼합연구방법의 적용

  • Seo, Minjeong (College of Nursing, Gyeongsang National University) ;
  • Cho, Han-A (College of Nursing, Gyeongsang National University) ;
  • Han, Sang Mi (Department of Nursing, University of Gyeongnam Geochang) ;
  • Ko, Youngshim (College of Nursing, Gyeongsang National University) ;
  • Gil, Cho-Rong (College of Nursing, Gyeongsang National University)
  • Received : 2019.08.06
  • Accepted : 2019.11.27
  • Published : 2019.12.01
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Abstract

Purpose: Hospice volunteers are serving an invisible yet pivotal role in the hospice and palliative care team. This study investigated how effectively a continuing education program could enhance hospice volunteers' competency. Methods: A total of 20 hours (four hours per week) of training was provided to 30 hospice volunteers who participated in the continuing education for hospice volunteers. Efficiency of the education was analyzed with an exploratory mixed-methods design. For quantitative analysis, the volunteers were asked, before and after the training, about their attitudes towards hospice care, what makes a meaningful life, self-efficacy and satisfaction with their volunteer service. Descriptive statistics, paired t-tests, and Wilcoxon signed-rank test were performed using SPSS Window 20.0. For qualitative research, participants were placed in three groups for a focus group interview, and data were analyzed by content analysis. Results: A quantitative study result shows that this training can significantly affect hospice volunteers' attitudes and improve their self-efficacy. A qualitative study result shows that participants wanted to receive continuous education from the physical/psychosocial/spiritual aspects to better serve end-of-life patients and their family members even though they have to spare significant time for the volunteer service. They wanted to know how to take good care of patients without getting themselves injured and how to provide spiritual care. Conclusion: The continuing education program reflecting volunteers' requests is strongly needed to improve their competency. An effective continuing education requires continuous training and support in areas where hospice volunteers are interested in. A good alternative is to combine web-based and hands-on training, thereby allowing hospice volunteers freely take training that suits their interest.

목적: 호스피스 자원봉사자는 환자와 가족의 곁에서 보이지 않는 손의 역할을 하며 호스피스 완화의료팀 내에서 중추적인 역할을 수행하고 있다. 본 연구는 호스피스 자원봉사자 역량강화를 위한 지속교육과정의 효과를 혼합연구방법을 통해 파악하고자 하였다. 방법: 본 연구는 G도 J시에 소재한 G대학교의 매주 4시간씩 총 20시간의 호스피스 자원봉사자 지속교육 과정에 참여한 호스피스 자원봉사자 30명을 대상으로 하였다. 자료의 양적연구를 위해 대상자의 교육 전후 호스피스 태도, 의미 있는 삶, 자기효능감, 자원봉사활동 만족도를 조사하였다. 자료는 SPSS Window 20.0을 사용하여 기술통계, paired t-test, Wilcoxon signed-rank test로 분석하였다. 질적 연구를 위해 교육 참여자들에게 포커스그룹 인터뷰를 시행하였으며, 수집된 자료는 내용분석하였다. 결과: 호스피스 자원봉사자 지속교육 과정의 효과에 대한 양적연구 결과, 호스피스 자원봉사자의 호스피스 태도(t=-2.52, P=0.018)와 자기효능감(z=-2.06, P=0.40)을 향상시키는 것으로 나타났다. 질적 연구 결과, 참여자들은 자신의 신체를 다치지 않으면서 효과적으로 환자들을 돌볼 수 있는 방법과 영적 돌봄을 제공할 수 있는 실제적인 방법을 알기 원하였다. 참여자들은 삶의 마무리를 돕는 봉사에 대한 자부심과 베푸는 기쁨이 나의 삶에 감사로 돌아오기 때문에 지속적으로 봉사활동을 하고 있었으며, 개인시간 할애가 많음에도 불구하고 환자를 잘 돌보고 싶은 열정으로 지속적 배움에 대한 열의를 나타냈다. 결론: 호스피스 자원봉사자들은 지속교육 과정을 통해 환자와 가족을 돌보기 위한 역량 강화를 원하였으며, 이러한 교육은 호스피스 태도와 자기효능감을 높이는 것으로 나타났다. 자원봉사자들의 역량강화를 위해서는 대상자들의 신체적·사회적·영적인 접근을 모두 강화시키는 지속교육이 필요하다. 효율적이고 체계화된 지속교육을 위해서는 웹기반 교육과정 개발 및 지역별 컨소시엄 형성이 도움이 될 수 있다.

Keywords

References

  1. Shim SH. A case study on the experience of hospice volunteers. Korean J Hosp Palliat Care 2016;19:45-60. https://doi.org/10.14475/kjhpc.2016.19.1.45
  2. Kim YH, Kim MJ. Occupational stress and emotional intelligence in hospice volunteers. Korean J Hosp Palliat Care 2015;18:112-9. https://doi.org/10.14475/kjhpc.2015.18.2.112
  3. Rho SH, Lim SH. Factors affecting subjective quality of life of hospice volunteers. Korean J Hosp Palliat Care 2011;14:163-71. https://doi.org/10.14475/kjhpc.2011.14.3.163
  4. Huh JS, Kim HJ. Comparison of education programs for hospice workers. Korean J Hosp Palliat Care 2008;11:78-81.
  5. Ministry of Health and Welfare. Development of hospice volunteer's education program for terminal cancer patient. Sejong;Ministry of Health and Welfare;2007.
  6. Brock CM, Herndon CM. A survey of hospice volunteer coordinators: training methods and objectives of current hospice volunteer training programs. Am J Hosp Palliat Care 2017;34:412-6. https://doi.org/10.1177/1049909115625961
  7. Hospice UK [Internet]. England; Wales; Hospice UK: c2019. [cited 2019 Oct 9]. Available from: https://www.hospiceuk.org/what-we-offer/courses-conferences-and-learning-events.
  8. Lee MR, Lee WH. Hospice volunteer’s attitude toward care of the dying. Korean J Hosp Palliat Care 2001;4:57-67.
  9. Choi GH, Kwon SH. The effects of a hospice palliative education program on pPerception of hospice, attitude to death, and meaning of life in adults. Korean J Hosp Palliat Care 2018;21:14-22. https://doi.org/10.14475/kjhpc.2018.21.1.14
  10. Park JY. A study on the effects of hospice volunteer's self-efficacy and social support on exhaustion [master's thesis]. Daegu: Kyungpook National Univ.; 2014. Korean.
  11. National Hospice and Palliative Care Orgnization [Internet]. Virginia: National Hospice and Palliative Care Orgnization; c2019 [cited 2019 Oct 9]. Available from: https://www.nhpco.org/online_course/complementary-therapies-designing-funding-training-and-integrating-avolunteer-program-into-your-hospice-services/.
  12. Hur HK, Song HY. Effects of foot massage and supportive communication by hospice volunteers on depression, anxiety, and mood of cancer patients who undergo intravenous chemotherapy at out-patient department. Korean J Hosp Palliat Care 2010;13:232-42. https://doi.org/10.14475/kjhpc.2010.13.4.232
  13. Kang JS. A meta-analysis of laughter therapy in Korean journal. AJMAHS 2017;7:489-501. https://doi.org/10.14257/AJMAHS.2017.01.08
  14. Kim SH, Kim SH. The effect of clinical art therapy on pain relief and life quality of hospice patients. J Korean Acad Clin Art Ther 2014;9:44-50.
  15. Creswell JW, Vicki LPC. Designing and conducting mixed methods research. 2nd ed. Los Angeles, CA:Sage Publications;2011. p. 68-71, 203-12.
  16. Boling E, Easterling WV, Hardre PL, Howard CD, Roman TA. ADDIE: Perspectives in Transition. Educl Technol 2011;51:34-8.
  17. Frommelt KH. The effects of death education on nurses’ attitudes toward caring for terminally ill persons and their families. Am J Hosp Palliat Care 1991;8:37-43. https://doi.org/10.1177/104990919100800509
  18. Jeon KS. Well-being of middle-aged Koreans: development of scales related to happiness and meaning of life, and comparisons between groups [dissertation]. Seoul: ChungAng Univ.; 2010. Korean.
  19. Bandura A. Self-efficacy: The exercise of control. New York:W.H. Freeman and Company;1997.
  20. Lee, YM, Schwarzer R, Jerusalem M. Korean Adaptation of the General Self-Efficacy Scale [Internet]. Berlin FU; Freie Universitat Berlin;1994. [cited 2019 Oct 9]. Available from: http://userpage.fu-berlin.de/-health/korean.htm.
  21. Kwon JS. The effect of volunteer participation type on the satisfaction of university student volunteers [master's thesis]. Seoul: Seoul National Univ.; 1999. Korean.
  22. Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008;62:107-15. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  23. Lincoln YS, Guba EG. Naturalistic inquiry. Berverly Hills:Sage Publications;1985. p. 438-9.
  24. Choi GH, Kwon SH. The effects of the hospice & palliative care education program for caregivers. Korean J Hosp Palliat Care 2018;21:33-9. https://doi.org/10.14475/kjhpc.2018.21.1.33
  25. Grossman CH, Brooker J, Michael N, Kissane D. Death anxiety interventions in patients with advanced cancer: A systematic review. Palliat Med 2018:32;172-84. https://doi.org/10.1177/0269216317722123
  26. Han SY. A case study on hospice team’s experience of the decision of patients’ hospice and life sustaining treatments. Health Soc Welf Rev 2019;39:452-84. https://doi.org/10.15709/hswr.2019.39.1.452
  27. Lavenburg P, Bernt FM. Training and supporting hospice volunteers: A regional survey. Am J Hosp Palliat Care 2012;29:355-61. https://doi.org/10.1177/1049909111423527
  28. Kenny LJ. An evaluation-based model for palliative care education: making a difference to practice. Int J Palliat Nurs 2003;9:189-94. https://doi.org/10.12968/ijpn.2003.9.5.11489
  29. Kim DJ. Study on factors that induce musculoskeletal symptoms in care workers who offer visiting home-help services. J Korean Soc Occup Environ Hyg 2017;27:352-60. https://doi.org/10.15269/JKSOEH.2017.27.4.352
  30. Cho HJ, Kim ES. The effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. Korean J Hosp Palliat Care 2005;8:163-72.