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휴먼서비스종사자의 직무 관련 외상경험과 회복지원방안에 관한 연구
최명민,김연수,서동민 사회복지정책실천회 2020 사회복지정책과 실천 Vol.6 No.1
The purpose of this study was to identify the work-related trauma experiences such as client violence, secondary trauma and vicarious traumatization and to suggest the counterplan of the traumatic experiences among human service workers who engage in the filed of welfare, health, and counseling. The study participants were 16 human service workers who work as social workers, mental health professionals, and counselors. Focus group interviews were conducted as a research method. The results show that study participants experienced client violence such as verbal and physical abuse, threatening, unfair charges, etc. Also they mentioned about vicarious traumatization which affects a daily life and job performances. However, because of the poor protective system and the lack of resources to support recovery from various kinds of work-related trauma, they have difficulty in coping with the trauma by themselves. As recovery support system, different protective policies, and counseling, healing, and rest programs were suggested. The implications of this study were discussed on the basis of the study results. 본 연구는 복지, 상담, 보건 영역에서 서비스를 제공하는 휴먼서비스종사자들이 업무수행 중에 경험하는 클라이언트 폭력과 외상경험의 내용을 파악하고 그에 대한 적절한 대책을 모색하기 위한 연구이다. 이를 위해 일 광역지자체 내 휴먼서비스종사자 16명을 연구참여자로 선정하여 직무특성에 따라 3개의 집단으로 구분한 후 각 집단별로 1회기씩 총 3회에 걸친 포커스집단인터뷰를 실시하고 그 내용을 질적 분석하였다. 연구결과 연구참여자들은업무수행 중 클라이언트로부터 신체적, 언어적 폭력과 더불어 부당한 민원이나 고소고발 등과 같은 의도적인 괴롭힘을 당한 경험을 갖고 있었으며 이와 함께 직무특성으로 인해 의도치 않은 이차 외상도 경험하고 있는 것으로나타났다. 이들은 이러한 경험들이 업무수행 뿐 아니라 일상생활에도 상당한지장을 초래하고 있지만 제대로 대응할 수 있는 제도나 자원의 미비로 인해 어려움을 겪고 있는 현실을 호소하였으며, 종사자가 외상으로부터 회복할수 있는 프로그램을 구축하고 이를 지원하는 행정체계를 마련해 줄 것을 요청하였다. 이와 같은 연구결과를 바탕으로 휴먼서비스종사자들의 트라우마예방과 회복을 지원할 수 있는 실천적 및 제도적 함의를 제시하였다.
최명민 한국정신건강사회복지학회 2006 정신보건과 사회사업 Vol.22 No.-
Social work competencies have received a lot of attention, due to its significancy in Korean social work field. In spite of that, there is few articles dealing with success story of social workers to develop and manage professional competencies. This paper is to examines how social workers can get and retain competencies without burnout in medical setting. For the purpose, the contents of ‘developing professional competencies’ and ‘managing stresses’ were analysed, that found out as the most important factors protecting medical social workers from burnout through the preceding study. The contents were gained by interviewing intensively 10 social workers who had worked with good reputation in medical setting. And Nvivo 2, a computer software program was used for analysis on the basis of Grounded theory. The result of this study categorized 7 methods of ‘developing professional competencies’ including supervision, and 9 strategies of ‘managing their stresses’ including assertiveness. Through these results, it was found that social workers in medical setting were increasing professional competencies with continuous learning and coping stress resourcefully. Based on these results, this study suggested some alternatives to support these efforts. Key words : Social Workers in Medical Setting, Developing Professional Competency, Managing Stress
최명민,이운기,전인상,김현영,Choi, Myung-Min,Lee, Un-Gi,Jeon, In-Sang,Kim, Hyun-Young 대한소아외과학회 2008 소아외과 Vol.14 No.2
Colorectal cancer is extremely rare in children. Unlike adult colorectal cancer, the overall prognosis of colorectal cancer in children is poor. Delayed diagnosis, advanced stages of the disease at presentation, and mucinous type of histology are the major determinants of poor outcome in childhood. A 13-year-old boy with abdominal pain visited our hospital. Physical examination andabdominal ultrasonography identified acute appendicitis with perforation. He underwent appendectomy and then the pathologic findings revealed mucinous adenocarcinoma. The cancer was located at the transverse colon and had metastases on peritoneal wall at $2^{nd}$ laparotomy. Extended right hemicolectomy was performed. He underwent palliative chemotherapy. After 4 months later, hepatic metastasis and aggravated peritoneal seedings developed. He died of renal failure and pneumonia 13 months after operation. We need to have a high index of suspicion for the possibility of a malignant colorectal tumor in any childhood case with nonspecific signs and symptoms.