본 연구는 노인통합돌봄 분야의 전문가 양성 방안과 자격화 요구를 탐색하여 그 의미를 찾고자 하였다. 본 연구는 장기요양 사례관리자(케어매니저) 인력 양성 체계 구축을 위한 탐색적 연구로 인력 양성의 필요성, 핵심 직무역량과 역할, 교육과정과 자격기준을 전문가와의 심층적인 인터뷰를 통해 심도있게 탐구하고자 하였다. 이를 위하여 민간기관 24명, 공공기관 20명, 학계 6명 총 50명을 대상으로 심층면접을 실시하였다. Colaizzi의 분석방법을 적용하여 분석한 결과, 장기요양사례관리의 필요성 3개, 장기요양사례관리자의 필요성 2개, 장기요양사례관리자의 직무역량 8개, 역할(명칭) 4개, 교육과정 4개, 자격기준 2개, 배치기준 및 처우 2개 총 25의 주제로 도출되었다. 따라서 지역사회기반 노인통합돌봄서비스를 중심으로 장기요양사례관리자 연력을 양성하기 위해서는 본 연구결과에 기초하여 향후 장기요양사례관리자(케어매니저)의 역할을 체계적으로 정립하고, 전문 인력을 양성하기 위한 방안이 모색해야 할 것이다.
Abstract The purpose of this study is to comprehensively investigate and analyze the process of revising the careworker curriculum in South Korea with a primary focus on augmenting practice competencies. This research involved an analysis of the existing 240-hour curriculum, complemented by a comprehensive literature review. Additionally, Focus Group Interviews were conducted with a cohort of 20 present careworkers to effectively identify the prevailing needs within the practice field. This study expanded the curriculum duration from 240 to 320 hours. Subsequently, pilot courses were executed, incorporating enhanced content related to dementia care, humanity in caregiving, and infectious disease management. These modifications were delivered via webinars to 64 active care workers, a method chosen due to the constraints imposed by the COVID-19 pandemic. This study employed a pre-post design to inquire about the perceptions of older adults and their job skills. Fifty-four female care workers (84.2%) and eleven male care workers (15.8%) participated in the study, with an average age of 52 years, experiencing 3 years and 8 months. Several areas exhibited statistical significance; understanding and managing depression and anxiety (2.175*), supporting leisure activities(2.956**), implementing abuse prevention behaviors (3.187**), creating a safe environment(2.496**), assisting with mobility(2.978**), aiding in illness management(2.805**), transferring responsibilities(2.726**), documenting cases(2.238*), and overseeing caregiver health and safety(2.805*). Based on our findings, we have devised a plan to incorporate the following content within the additional 80 hours. In a broader context, this study contributes to the ongoing discourse on caregiver education and training in South Korea.
The growing in the number of dementia patients makes an increasing socio-economic burden due to dementia treatment and management costs. Institutional intervention and professional development for dementia at the national level is important. In the case of dementia education, qualitative improvement is needed to support quantitative expansion. This study was done to develop curriculum for dementia specialists, “developing a curriculum (DACUM)” method was used. Through the DACUM method, our study reviewed literatures of dementia education for specialists. A committee for DACUM was gathered and a survey was conducted on professors of nursing, social welfare, occupational therapy and field specialists in dementia for an interdisciplinary study. The importance of the dementia specialist's competence derived from the DACUM analysis was examined by focusing on the duties, tasks, and elements. The knowledge, skills, and attitudes required by each of duties according to dementia specialist competency are drawn. As a result 7 duties, 31 tasks and one 108 elements were descended from DACUM analysis. The seven duties were determined management planning, education and counseling, health care, resource development and cooperation, case management and project management. Related subjects were originated based on the relevance and importance of the topic, and a total of 29 subjects were related subjects. The dementia specialist curriculum developed using DACUM method. There is a strong need for education that links theoretical education to dementia-related practical education. Because of the lack of human infrastructure for field training, we propose further study on simulation scenarios and model building for actual training.
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