• 성인간호학회지
• /
• 제15권4호
• /
• pp.585-595
• /
• 2003

Purpose: The purpose of this study was to suggest the projected manpower of hospice and palliative care nurses & APNs(advanced practice nurses)needed in the future. Method: Need model, ratio model and expert opinion were used for projecting the number of hospice and palliative care nurses & APNs. Result: 1. The number of Korean hospice facilities was 64 in 2002. The number of hospice nurses in 2001 was 194 and that of beds was 407. 2. The number of hospice target patients was estimated at a minimum of 16,415 to a maximum of 25,254 in 2002, 12,366 to 26,389 in 2005, and 14,057 to 30,000 in 2020. 3. The number of hospice and palliative nurses needed to meet the demands in 2002, 2005 and 2020 was estimated at a minimum of 1,136 to maximum of 1,748, 1,187 to 1,826, and 1,349 to 2,076, respectively. 4. The number of hospice & palliative care APNs needed to meet the demands in 2002, 2005 and 2020 was estimated at 232, 242, and 274, respectively. Conclusion: The legalization of hospice is expected to increase demands for hospice nurses and advanced practice hospice and palliative care nurses in the future.

• 대한간호학회지
• /
• 제41권3호
• /
• pp.374-381
• /
• 2011

Purpose: The purpose of this study was to develop and validate a hospice palliative care performance measure which would cover more than just physical symptoms or quality of life. Methods: Through an intensive literature review, the author chose questions that measured aspects of physical, emotional, spiritual, social, or practical domains pertinent to hospice palliative care for inclusion in the scale. Content validation of the questions was established by 15 hospice palliative care professionals. A preliminary Hospice Palliative Care Performance Scale (HPCPS) of 20 questions was administered to 134 pairs of terminal cancer patients from 5 hospice palliative care units and their main family caregiver. A validation study was conducted to evaluate construct validity and internal consistency. Results: Factor analysis showed 14 significant questions in five subscales; Physical, Emotional, Spiritual, Social, and Patient' rights. There were no significant differences between the ratings by patients and family members except for three out of the 14 questions. The measure demonstrated construct validity, and Cronbach's ${\alpha}$ of the subscales ranged from .73 to .79. Conclusion: The HPCOS demonstrated acceptable validity and reliability. It can be used to assess effectiveness of hospice palliative care for terminal cancer patients in practice and research.

• Journal of Hospice and Palliative Care
• /
• 제10권3호
• /
• pp.109-119
• /
• 2007

• Journal of Hospice and Palliative Care
• /
• 제25권1호
• /
• pp.50-54
• /
• 2022

Antibiotics are commonly prescribed medications in the hospice and palliative care setting, as well as in many other healthcare settings. The overuse or negligent use of antibiotics is associated with the harmful consequence of fostering the development of antibiotic-resistant pathogens. Thus, there is an urgent need to critically examine and audit antibiotic use in all aspects of healthcare. In the status quo, there is a lack of consistent standards and guidelines surrounding the use of antibiotics in hospice and palliative care settings, leading to significant variations in how antibiotics are prescribed and administered in end-of-life care. It is apparent that greater thought needs to go into antibiotic decisions for patients receiving hospice or palliative care, especially considering the harmful consequences of the overprescription of antibiotics. The literature suggests that many clinicians prescribe antibiotics inappropriately for patients who would not benefit from their use or prescribe them without adequate documentation. Clinicians should be deliberate about when they prescribe antibiotics and adhere to the appropriate documentation standards and procedures within their institution or community. Future research should seek to generate generalizable knowledge about which patients will benefit most from antibiotic therapy during end-of-life care.

• Journal of Hospice and Palliative Care
• /
• 제26권3호
• /
• pp.140-144
• /
• 2023

Many terminally ill cancer patients grapple with a range of physical, psychological, and social challenges. Therefore, it is critical to offer effective psychological interventions to assist them in managing these issues and enhancing their quality of life. This brief communication provides a concise overview of acceptance and commitment therapy (ACT), along with empirical evidence of its application for patients, caregivers, and healthcare professionals in hospice and palliative care settings and an overview of future directions of ACT interventions in South Korea. ACT, a third-wave type of cognitive behavioral therapy, is a model of psychological flexibility that promotes personal growth and empowerment across all life areas. Currently, there is substantial evidence from overseas supporting the effectiveness of ACT on health-related outcomes among patients with various diseases, caregivers, and healthcare professionals. The necessity and significance of conducting ACT-based empirical research in hospice and palliative care settings in South Korea are discussed.

• 호스피스학술지
• /
• 제8권1호
• /
• pp.123-144
• /
• 2008

• Journal of Hospice and Palliative Care
• /
• 제22권1호
• /
• pp.1-7
• /
• 2019

한국에서 호스피스의 기원은 11세기 초, 고려시대의 동서대비원(東西大悲院)에서 그 유래를 찾을 수 있다. 한국에 호스피스가 도입된 이후, 50여년이 흘렀고, 초기에는 종교적 배경과 민간차원의 활동이 더디게 발전해왔으나, 1990년대에 각 종교단체가 구성되고 학회가 출범한 이후, 2000년대 초기부터 정부의 개입으로 제도화가 진행되면서 본격적인 성장기를 맞게 되었다. 비록 말기암환자와 그 가족들의 고통이 경감되고 삶의 질과 서비스의 질은 향상되었으나, 안정적인 재정기반을 보장할 수 있는 현실적인 보상체계는 마련되지 못했었다. 그러나, 2015년에 호스피스 완화의료 서비스에 대한 국민건강보험 급여수가가 인정되었고, 2016년에 "호스피스 완화의료 및 임종과정에 있는 환자의 연명의료결정에 관한 법률"이 제정되어 말기환자의 무의미한 연명치료를 거부할 수 있게 되었으며, 호스피스 완화의료 서비스의 대상 질환이 확대되면서 서비스제공자들에게는 더 많은 도전과 과제들이 남아있다.

• Journal of Hospice and Palliative Care
• /
• 제9권2호
• /
• pp.77-85
• /
• 2006

목적: 호스피스 완화간호 실무를 향상시키기 위하여 간호사를 위한 호스피스 완화의료 기본 교육과정을 개발하기 위함이다. 방법 간호사를 대상으로 하는 국내외 호스피스 완화의료 7개 교육과정의 내용을 비교하였으며, 전국의 호스피스 완화의료 기관에서 근무하는 간호사 162명에게 우편으로 교육 요구도를 조사하였다. 결과: 1. 국내외 교육과정에서 공통적으로 다루고 있는 내용은 호스피스 완화요법의 이해, 삶과 죽음의 이해, 말기 환자의 통증 및 증상관리, 기관견학 및 실습, 호스피스 병동 운영의 실제, 가정 호스피스, 건강사정(신체사정), 치료적 의사소통, 아동 호스피스, 호스피스 운영관리, 호스피스 완화의료 팀, 호스피스 완화의료의 윤리와 법, 심리적 사회적 영적 돌봄, 임종 관리, 사별가족관리 등이었다. 2. 간호사의 호스피스 완화의료에 대한 교육 요구도가 3.5점 이상인 문항은 34개였다. 교육 요구도가 높았던 문항은 '죽음의 이해 ', '죽음에 대한 태도와 반응', '통증의 이해와 평가' 등이었고, 이전에 교육받은 경험이 많았던 문항은 '통증 및 증상완화', '호스피스의 윤리와 법', '호스피스 협력 및 홍보체계 구축'이었다. 3. 17개 내용을 강의, 토론 및 증례 등의 교육방법을 통하여 이론교육 48시간과 실습교육 30시간, 총 78시간의 기본 교육과정 을 구성하였다. 결론: 앞으로 개발된 교육과정으로 교육을 시행하여 효과를 평가하고, 호스피스 완화의료기관 실무자들의 교육 요구도를 정기적으로 파악하여 실무의 발전에 기여할 수 있는 표준 교육과정을 개발하는 것이 필요하다.

• 한국호스피스완화의료학회:학술대회논문집
• /
• 한국호스피스완화의료학회 2000년도 동계학술대회
• /
• pp.175-175
• /
• 2000

• 호스피스학술지
• /
• 제4권2호
• /
• pp.1-8
• /
• 2004

Purpose: This research aims to assess the effect of group education of hospice and palliative care program on recognition of home hospice care for terminal cancer patients and their family members. Methods: The terminal cancer patients or their family members who have visited Sam Anyang Hospital from January to September in 2004 participated in group education of hospice and palliative care program on one time a week. Of those, 32 patients or family members who were called education group has participated in group education more than 4 times and responded to a questionnaire. Sixty three patients or family members who were called non-education group have never participated in group education of hospice and palliative care program during the same period. Data were collected and done comparative analysis about both group. Results: A knowledge difference on definition of hospice and palliative care come out 29 people(91%) in education group and 26 people(41%) in non-education group. The recognition of home hospice care in education group(32 people, 100%) was significantly higher than non-education group(15 people,24%). A intention to home hospice care in education group(23 people, 72%) was significantly higher than non-education group(10 people,16%) and practically number of home hospice care was 15 people(50%) in education group and 8(13%) in non-education group. The recognition about cancer of patients was not significant differences in both group. People that the response to the question about 'Did you let your patient know to be the terminal cancer patient?' is 'yes' was 12 people(38%) in education group and 13(21%) in non-education group. Patients in education group had insight about terminal cancer significantly higher than non-education group. Conclusion: If we educated effective hospice and palliative care program in terminal cancer patients or their family members, we think the recognition of cancer and hospice and palliative care improve, and the home hospice care be activated more and more.