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델파이 절차를 통한 재난정신건강지원 인력의 역할 및 자격 제안

Suggestions for Roles and Qualifications of Disaster Mental Health Workforce Using a Delphi Process

박수현|석정호|유성은|최윤경|윤혜영
(사)위기관리이론과실천 (Crisis and Emergency Management: Theory and Praxis)|2021.08|Crisisonomy|제17권 제8호|pp. 83-102|DOI http://doi.org/10.14251/crisisonomy.2021.17.8.83

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참고문헌

키워드

mental health델파이 조사역할재난정신건강disaster자격인력양성delphi surveydo no harmqualification of workforce

초록

본 연구에서는 재난 상황에서 대응하는 정신건강지원 인력의 역할과 책임에 대한 다직역 전문가들의 의견을 수렴하기 위해 델파이 조사를 수행하였다. 델파이 조사의 패널은 총 20명으로, 간호, 사회복지, 심리, 정신의학 분야의 전문가 각 5명씩으로 구성되었다. 델파이 설문지는 문헌조사, 포커스그룹 인터뷰 및 공청회 등을 거쳐 작성된 20개 범주와 69개의 세부항목으로 구성되었다. 패널들은1점(전혀 적절하지 않음)~10점(매우 적절함) 척도 상에서 역할 및 자격 규정(안)의 적절성을 평정하였고, 각 세부항목을 수행하는데 적합하다고 생각하는 인력의 유형을 선택하였다. 델파이 결과는재난정신건강지원인력의 역할 및 책임에 관한 범주와 기술, 세부 항목의 적절성 모두 평균 8점 이상으로, 적절성이 매우 양호한 것으로 평가되었으나 각 역할 및 책임을 맡을 수 있는 인력의 자격에차이가 있음을 보여주었다. 이러한 결과는 전문가들의 관점에 기반한 것으로, 추후 실무자들의 관점을 보완할 필요성이 논의되었다.

Abstract

This study aimed to derive expert consensus regarding roles and responsibilities of disaster mental health personnel using a Delphi process. The Delphi panel was composed of twenty multidisciplinary experts from the field of psychology, nursing, social welfare, and psychiatry. Based on literature review, focus group interviews, and a public forum, 20 categories and 69 subdivisions of roles and responsibilities of disaster mental health workforce were developed. The Dephi panel assessed relevance of the content and suggested qualified mental health personnel for each role and responsibility. The result indicated that expert consensus was derived for all 20 categories and 69 subdivisions, with the consensus mean of 8 or above on a scale of 1 to 10. On the other hand, there was a slight difference in expert consensus regarding qualifications of personnel to perform each role and responsibility. These results were based on the viewpoints of experts, and thus its clinical applications and practical utility in the disaster mental health field were discussed.

참고문헌 (36)

  1. Adams, Lavonne M, "Exploring the Concept of Surge Capacity", The Online Journal of Issues in Nursing, 14(2) (2009)[DOI]
  2. "Guidelines for Provision of Psychological Support to People Affected by the 2009Victorian Bushfires" (2010)[URL]
  3. Bisson, Jonathan I., "TENTS Guidelines : Development of Post-disaster Psychosocial Care Guidelines through a Delphi Process", The British Journal of Psychiatry, 196(1), pp.69~74 (2010)
  4. Bloor, Michael, "Useful but no Oracle : Reflections on the Use of a Delphi Group in a Multi-methods Policy Research Study", Qualitative Research, 15(1), pp.57~70 (2015)
  5. Boulkedid, Rym, "Using and Rporting the Delphi Method for Selecting Healthcare Quality Indicators : A Systematic Review", PloS one, 6(6), pp.e20476~ (2011)[DOI]
  6. Scoping Document for Mental Health Response to Victorian Bushfires, "Bryant, Richard A.", Victorian Bushfire Cross-Professional Education and Training Working Group, ~ (2009)
  7. Bryant, Richard A., "Post-traumatic Stress Disorder : A State-of-the-art Review of Evidence and Challenges", World Psychiatry, 18(3), pp.259~269 (2019)
  8. A Study on Psychological Support for Resilience After Disaster, "Choi, Nam Hee", Hope Bridge Korea Disaster Relief Association, ~ (2018)
  9. Cohen, Raquel E, "Mental Health Services for Victims of Disasters", World Psychiatry, 1(3), pp.149~152 (2002)
  10. Dalkey, Norman C, "The Delphi Method : An Experimental Study of Group Opinion" (1969), Rand
  11. Diamond, Ivan R., "Defining Consensus : A Systematic Review Recommends Methodologic Criteria for Reporting of Delphi Studies", Journal of Clinical Epidemiology, 67(4), pp.401~409 (2014)
  12. "Disaster Mental Health Education Management System" (2021)[URL]
  13. "European Society for Traumatic Stress Studies" (2021)[URL]
  14. Everly, George S. Jr., "On Academics : Training for Disaster Response Personnel : the Development of Proposed Core Competencies in Disaster Mental Health", Public Health Reports, 123(4), pp.539~542 (2008)
  15. Gilliland, Burl E., "Crisis Intervention Strategies", pp.2016, Thomson Brooks
  16. 허심양, "재난 후 공동체 리질리언스 촉진 개입 원칙에 관한 체계적 문헌 고찰", Korean Journal of Clinical Psychology, 36(2), pp.255~282 (2017), 한국임상심리학회[DOI]
  17. Inter-Agency Standing Committee(IASC), "Mental Health and Psychosocial Support in Humanitarian Emergencies:What Should Humanitarian Health Actor Know?", ~ (2010)
  18. Jorm, Anthony F, "Using the Delphi Expert Consensus Method in Mental Health Research", Australian & New Zealand Journal of Psychiatry, 49(10), pp.887~897 (2015)
  19. Kessler, Ronald C., "Mental Illness and Suicidality after Hurricane Katrina", Bulletin of the World Health Organization, 84(12), pp.930~939 (2006)
  20. King, Richard V., "Competencies for Disaster Mental Health", Current Psychiatry Reports, 17(3), pp.14~ (2015)
  21. Kristensen, Pal, "Prevalence of Psychiatric Disorders and Functional Impairment After Loss of a Family Member : A Longitudinal Study After the 2004 Tsunami", Depression and Anxiety, 32(1), pp.49~56 (2015)
  22. Kwon, Jung-Hye, "Psychological First Aid for Disasters and Trauma" (2014), Hakjisa
  23. Sang Min Lee, "Development of Korean Disaster Mental Health Support Guidelines: Results of a Scoping Review and a Delphi Survey", PSYCHIATRY INVESTIGATION, 16(2), pp.130~138 (2019), 대한신경정신의학회[DOI]
  24. Development of a Disaster Mental Health Support Training Program and Education of Target Workforce R&D Report, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2019)
  25. National Institute of Mental Health, "Mental Health and Mass Violence: Evidence-based Early Psychological Intervention for Victims", survivors of Mass Violence. A Workshop to Reach Consensus on Best Practices, 2002
  26. 오혜영, "재난에서의 집단 트라우마와 지역공동체 탄력성", 한국심리학회지: 상담 및 심리치료, 28(3), pp.943~969 (2016), 한국상담심리학회
  27. 박성용, "국내 재난정신건강지원의 현재 한계 및 향후 개선을위한 실무자들의 경험 조사", 신경정신의학, 55(2), pp.131~139 (2016), 대한신경정신의학회[DOI]
  28. The Victorian disaster mental health workforce capacity survey, "Reifels, Lennart", The University of Melbourne, ~ (2012)
  29. Reilly, David. H., "The Current Status of Competency-based Training, Part 1 : Validity, Reliability, Logistical, and Ethical issues", Journal of School Psychology, 15(1), pp.68~74 (1977)
  30. Rodolfa, Emil., "A Cube Model for Ccompetency Development : Implications for Psychology Educators and Regulators", Professional Psychology : Research and Practice, 36(4), pp.347~354 (2005)
  31. Skulmoski, Gregory J., "The Delphi Method for Graduate Research", Journal of Information Technology Education : Research, 6(1), pp.1~21 (2007)
  32. Suzuki, Yuriko, "Development of Disaster Mental Health Guidelines through the Delphi Process in Japan", International Journal of Mental Health Systems, 6(1), pp.1~11 (2012)
  33. Takahashi, Sho, "Acute Mental Health Needs Duration during Major Disasters : A Phenomenological Experience of Disaster Psychiatric Assistance Teams(DPATs)in Japan", International Journal of Environmental Research and Public Health, 17(5), pp.1530~ (2020)
  34. Tammela, Outi, "Applications of Consensus Methods in the Improvement of Care of Paediatric Patients : a Step Forward from a ‘Good Guess’", Acta Paediatrica, 102(2), pp.111~115 (2013)
  35. Walsh, Lauren, "Core Competencies for Disaster Medicine and Public Health", Disaster Medicine and Public Health Preparedness, 6(1), pp.44~52 (2012)
  36. Hyae-young Yoon, "The Development and Validation of the Perceived Competence Scale for Disaster Mental Health Workforce", PSYCHIATRY INVESTIGATION, 16(11), pp.816~828 (2019), 대한신경정신의학회[DOI]

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