KMID : 0856920140170040259
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Journal of Hospice and Palliative Care 2014 Volume.17 No. 4 p.259 ~ p.269
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Perception on the Importance of Items on Psychosocial Assessment among Hospice and Palliative Care Social Workers
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Kim Won-Chul
Hwang Myung-Jin
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Abstract
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Purpose: This preliminary study is aimed at developing standardized tools for psycho-social assessment of patients in needs for hospice/palliative care. To accomplish the purpose, investigators examined effects of perceptions of social workers on the importance of psycho-social domains of assessment in hospice/palliative care settings. Moreover, investigators paid attention to variances of perceptions of social workers¡¯ along with types of institution and credentials of those family settings.
Methods: A form of questionnaire was first explored from an initial interview assessment of 10 government-certified hospice care providers and a literature review, second constructed with eight domains and 80 items, and sent by e-mail to 55 institutions and hospitals providing hospice/palliative cares in Korea. Lastly, a total of 31 agencies returned with a completed responses and consent form (56% response rate). SPSS program (version 18.0) was used for data analysis.
Results: Study found that social workers perceived patients¡¯ family background (m=4.53, 5-point scale) as the most important assessment domain, whereas economic conditions (4.06 point) the least important. Social workers¡¯ perception varied by credentials (i.e., license types, training, full-time position, types of care facility).
Conclusion: Based upon study findings, investigators can conclude strong needs for developing a assessment tool that measures multiple domains (i.e., psychological, social and ecological aspects) of patients. A standardized assessment tool should be structured with 2 axis (center/core and expanded/peripheral) and tailored for institution type. Second, professional trainings must be provided by strengthening legal institutionalization and fostering qualified social workers with full responsibilities of hospice and palliative care patients.
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KEYWORD
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Self-assessment, Psychology, Social work, Hospice care, Palliative care
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