Current Status of Complementary Therapies Provided by Hospice Palliative Care in South Korea

Kwon, Sinyoung,Bak, Jihye,Kwon, So-Hi Korean Society for Hospice and Palliative Care 2021 한국호스피스.완화의료학회지 Vol.24 No.2

Purpose: The aim of this study was to investigatecomplementary therapiesprovided at hospice palliative care facilities in South Koreaas designated by the Ministry of Health and Welfare. Methods: The survey was conducted via e-mail from September 2 to September 23, 2020, with responsesfrom 109 therapists and 59 managers from 55 different hospice care facilities. Results: Hospices provided an average of 3.67 different types of therapies, ranging from 1 to 7 different types. The most common types of therapies were horticultural therapy (81.4%), music therapy (79.7%), art therapy (76.3%), and aromatherapy (57.6%). The average frequency of sessions was once a week, the median duration was 60 minutes. Most therapists (96.3%) had qualifications, but the certification-issuing organizations and training intensiveness varied greatly. None of the therapists were employed on a full-time basis, and their average monthly income was KRW 270,000. Therapists and managers gave average scores of 8.90 and 8.38 out of 10, respectively, regarding the positive impact of complementary therapies on patients. Conclusion: In order for patients and their families to benefit from complementary therapiesat hospice care facilities, in addition tobetter terms of employment for therapists, evidence-based guidelines for different types of therapies are needed so that therapy sessions can be conducted according to the theoretical underpinnings and characteristics of the type of therapy. It is expected that the results of this study will be used for policy-making in support of therapy as an essential hospice service.

Education, Role, and Prospects of Advanced Practice Nurses in Hospice and Palliative Care in South Korea

Kwon, So-Hi,Park, Myung-Hee,Kim, Hyun Sook Korean Society for Hospice and Palliative Care 2021 한국호스피스.완화의료학회지 Vol.24 No.1

Hospice palliative care refers to holistic care provided by an interdisciplinary team aimed at improving the quality of life of patients suffering from life-threatening diseases and their families. Among interdisciplinary team members, hospice advanced practice nurses (APNs) trained as master's-level advanced nursing professionals are leaders who play an important role in providing patient-centered care and improving the quality of services. The Medical Service Act revised in 2018 requires the scope of practice of APNs in each field to be specified in the Ordinance of the Ministry of Health and Welfare. Accordingly, discussions on the role and scope of practice of hospice APNs are actively underway. In this review, the curriculum of hospice APNs, their work responsibilities and roles, and their current status are reviewed, and the future direction of the hospice APN system is also discussed.

Depression and suicidal ideation in community-dwelling older adults in Korea

Kwon, So-Hi,Sohn, Myungji The Korean Data and Information Science Society 2014 한국데이터정보과학회지 Vol.25 No.3

This study aimed to investigate the prevalence of depression and suicidal ideation in community-dwelling older adults in Korea, as well as identify factors associated with their occurrence, including cognitive impairment. A cross-sectional study of 484 residents was conducted at a senior centre utilising the PHQ-9K and K-MMSE. Demographic data were also collected for analysis. Of the respondents, 38.1% had symptoms of mild to severe depression. Further, 16.7% reported having suicidal ideation, with 5% of respondents having thoughts of suicide every day. The majority of participants had 'normal' scores on the K-MMSE (88.0%), though significant differences were observed in PHQ-9K scores between cognitive-acceptable and cognitive-impaired groups. Depressive symptoms and suicidal ideation were very prevalent in community-dwelling older adults in Korea. This study indicates the need for the development of community-based mental health programs tailored to older adults, and demonstrates the viability of promoting early detection of depressive symptoms through senior centres.

Effects of pain management education for nurses: A systematic review and meta-analysis

So-Hi Kwon,Hyunsim Kim,Seurk Park 한국데이터정보과학회 2020 한국데이터정보과학회지 Vol.31 No.5

The purpose of this meta-analysis was to identify the effects of pain management education for nurses not only on their knowledge and attitudes toward pain management but also on patient outcome, including patient satisfaction and pain intensity. 13 studies were used to estimate the effect sizes of interventions. Pain management interventions were effective for nurses knowledge (SMD=1.18; 95% CI=0.78~1.57), nursesattitudes (SMD=1.97; 95% CI=0.92~3.02), patients satisfaction with pain management (SMD=0.88; 95% CI=0.45~1.31), and patients pain intensity (SMD=-0.31; 95% CI=-0.53~-0.10). The results of this study showed that pain management education for nurses has a positive impact on patients pain intensity and satisfaction along with nurses knowledge and attitudes regarding pain management. For future research, more experimental studies are needed to confirm the effectiveness of nurse pain management education on patient-reported outcomes.

Depression and suicidal ideation in community-dwelling older adults in Korea

So Hi Kwon,Myung Ji Sohn 한국데이터정보과학회 2014 한국데이터정보과학회지 Vol.25 No.3

This study aimed to investigate the prevalence of depression and suicidal ideation in community-dwelling older adults in Korea, as well as identify factors associated with their occurrence, including cognitive impairment. A cross-sectional study of 484 residents was conducted at a senior centre utilising the PHQ-9K and K-MMSE. Demo-graphic data were also collected for analysis. Of the respondents, 38.1% had symptoms of mild to severe depression. Further, 16.7% reported having suicidal ideation, with 5% of respondents having thoughts of suicide every day. The majority of participants had 'normal' scores on the K-MMSE (88.0%), though significant differences were ob-served in PHQ-9K scores between cognitive-acceptable and cognitive-impaired groups. Depressive symptoms and suicidal ideation were very prevalent in community-dwelling older adults in Korea. This study indicates the need for the development of community-based mental health programs tailored to older adults, and demonstrates the viability of promoting early detection of depressive symptoms through senior centres.

통증관리 교육이 일 노인요양병원 간호인력의 통증관리 지식과 태도에 미치는 효과

권소희(Kwon, So-Hi),조연수(Cho, Yeon-Su),김현심(Kim, Hyunsim),박슭(Park, Seurk),전우석(Jeon, Woo-Seok) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.1

Purpose: The purpose of this study is to identify the effects of pain management education, which were conducted as part of the quality improvement project, on the knowledge and attitude toward pain management of nurses and certified caregivers. Methods: The research design was one group pre- and post-test design. The participants were 113 in total including 60 registered nurses and 53 certified caregivers in a long-term care hospital. The Korean Knowledge and Attitude Survey on Pain Management Scale (K-KASP) was measured a week prior to the education and a week after the education. Data were analyzed by paired t-test. Results: The Knowledge and attitude toward pain management were significantly improved between the pre- and post-test in both registered nurses (t=7.94, p<.001) and certified caregivers (t=4.25, p<.001). Conclusion: The results of this study demonstrate the positive effects of pain management education on the knowledge and attitude toward pain management of both registered nurses and certified caregivers in a long-term care hospital. Further study is needed to empower pain management competencies of the nursing staff in long-term care hospitals.

호스피스완화의료서비스 성과평가 도구개발

권소희(Kwon, So-Hi) 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.3

환자의 기능수준에 따른 말초삽입중심정맥카테터의 안전성 및 효용성

권소희(So-Hi Kwon),전우석(Woo-Seok Jeon) 한국데이터정보과학회 2018 한국데이터정보과학회지 Vol.29 No.1

본 연구의 목적은 환자의 기능수준에 따른 말초삽입중심정맥관의 유지기간과 합병증 발생률을 파악함으로써 말초삽입중심정맥관의 안전성과 효용성을 확인하기 위함이다. 본 연구는 부산시 소재 일 종합병원에서 2012년1월부터 2016년 8월까지 PICC 삽입이 이루어진 599건 중 소아에게 시행된 40건을 제외한 559건의 전자의무기록에 대한 검토를 통한 후향적 조사연구이다. 수집된 자료는 SPSS 18.0 for Window 프로그램을 이용하여 기술통계, t-test와 ANOVA, chi-square test로 검증하였다. 말초삽입중심정맥관을 평균 사용기간은 24.83일 이었다. 말초삽입중심정맥관의 삽입 이유는 혈관상태 불량이 507건 (90.7%)으로 가장 많았고, 제거 이유는 사망이 305건 (54.6%)으로 가장 많았다. PICC 삽입은 ECOG PS 4점에서 가장 많았고 (35.8%), 제거이유는 ECOG PS 1점에서는 퇴원 (64.9%)이 가장 많았으나, 그 외 2점 (43.3%), 3점 (62.6%), 4점 (66.5%) 모두에서 사망으로 인한 제거가 가장 많았다. 합병증은 발생률은 1.4% (8건)였다. 환자의 기능 상태는 카테터 삽입기간 (p < .001)과 제거이유 (p < .001)와 통계적으로 유의한 상관관계가 있었다. 본 연구의 결과는 말초혈관중심정맥삽입이 안전하며, 가능한 오래 사용하기 위해서는 환자의 기능수준이 저하되기 전에 우선적으로 고려해야 함을 시사한다. The purpose of this study was to identify safety and efficacy of peripherally inserted central catheters (PICC) in different performance status. There were total 599 cases of PICC insertion from January 2012 to August 2016 in a hospital. Among 599 cases, 40 pediatric cases were excluded and 559 cases were analysed. Data including PICC related complications, catheter days, patients’ performance status at the time of PICC insertion, and information regarding PICC operation was extracted from electronic medical records. In results, reasons for insertion were mostly poor peripheral vein in 507 cases (90.7%). The most frequent reasons to PICC removal were patients’ death in 305 cases (54.6%). And the incident rate of complication related to PICC was 1.4%, Performance status was significantly related to catheter days (p < .001) and reason to removal (p < .001). This study showed that the PICC inserted by nurse specialists has been used safely and effectively. And it is suggested that PICC should be considered earlier than patient’s performance status deteriorates.

간호사의 가족간호 자신감과 가족간호 교육요구도: 임종기 환자 가족을 중심으로

권소희(Kwon, So-Hi),김영주(Kim, Young-Joo) 한국보건간호학회 2021 韓國保健看護學會誌 Vol.35 No.3

병원 교육전담간호사가 인지한 신규간호사 필수 간호술기와 실습 교육 개선방안

권소희(So-Hi Kwon),김수현(Su Hyun Kim),정선영(Sun Young Jung),모문희(Moon Hee Mo),전영미(Young Mi Chun),홍선연(Sun Yeun Hong),이우숙(Woo Sook Lee),박주영(Juyoung Park),박지현(Jihyun Park),이현주(Hyoun Ju Lee),손정태(Jung Tae Son) 한국데이터정보과학회 2021 한국데이터정보과학회지 Vol.32 No.2

본 연구는 병원 교육전담간호사가 신규간호사 교육 경험을 통해 인지한 필수 간호술기와 간호학 실습교육의 개선방안에 대해 포커스 그룹 인터뷰와 설문조사의 혼합연구방법을 이용하여 탐색하였다. 총 119개의 간호술기 중에서 교육전담간호사 전원이 매우 중요하다고 평가한 간호술기가 23개였다. 또한 교육전담간호사들은 신규간호사가 실무적응의 어려움을 보이는 원인을 무균술을 포함한 기본 원칙의 준수와 조작의 미숙, 대상자 상황 이해의 어려움, 낯선 상황에서의 미숙한 대처, 간호사로서 태도의 미흡으로 인식하고 있었다. 신규간호사의 임상실무역량을 높이기 위해서는 간호교육에서 간호전문직 의식을 고취시키기 위한 사고력 증진 교육 강화와 더불어 임상실무 역량을 향상시키기 위한 임상 실습의 교육 체계 개선과 프로그램 개발이 필요하다. 본 연구의 결과는 향후 임상의 요구와 대학의 현실을 반영하는 실습내용과 방법을 구성하는데 있어 유용한 기준으로 활용될 수 있을 것으로 기대 한다. This study explored the essential nursing skills recognized by 6 clincal nurse educators through new graduate nurse education experiences and ways to improve nursing practice education using a mixture of focus group interviews and surveys. Of the total 119 nursing skills, 23 skills were evaluated as very important by all participants. In addition, clincal nurse educators pointed out that new graduate nurses fail to comply with basic principles such as the aseptic technique and that the manipulation of medical devices is immature. Clincal nurse educators recognized that new graduate nurses did not understand the patient’s situation well, that they were immature in dealing with unfamiliar situations, and that their attitude as a professional nurse was inappropriate. In order to improve the practical adaptability of new graduate nurses, it is necessary to improve the education system and develop programs for clinical practice education. The findings are expected to be a useful criterion for building practical content and methods of nursing education curriculum.