델파이 절차를 통한 재난정신건강 위기지원팀 운영 가이드라인의 개발
Development of Management Guidelines for a Disaster Mental Health Crisis Assistance Team using a Delphi Process
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초록
‘재난정신건강위기지원’은재난생존자와지역사회의심리사회적회복을도모하기위한일련의활동을의미한다. 재난발생시정신건강위기지원은 개인 차원이 아닌 팀 차원으로 제공되므로 지역사회에 이를 수행하는 훈련된 팀을 양성하는 것이 중요하다. 하지만 국내 현실에맞게 재난정신건강 위기지원팀을 어떻게 양성하고 교육, 훈련시킬 것인지에 대한 전문가들의 합치된 의견에 대한 검증은 부족하다. 본 연구는 델파이 절차를 사용하여 재난정신건강 위기지원팀(DMH-CAT)의 운영 가이드라인을 개발하는 것을 목적으로 하였다. 본 연구에서는전문가 패널을 통해 초기문항을 구성하였고, 이에 대한 전문가들의 합치된 의견을 알아보기 위해 초기문항 구성을 위한 전문가 패널에 참여하지 않은 재난정신건강 분야 전문가들을 대상으로 2회기의 구조화된 온라인 설문을 실시하였다. 이러한 과정을 거쳐, 총 13개의 세부영역에서 84개의 가이드라인이 개발되었다. 가이드라인 세부 영역으로는 용어의 정의, 미션과 목표, 구성, 팀, 팀 리더, 팀원의 역할 및 기능(평상시와 재난∙위기 발생 시), 팀 역량 및 운영체계에 대한 평가, 교육과 훈련, 팀 케어 및 소진예방, 윤리가 포함되었다. 최종 문항에 대한 전문가동의평정평균은 1–9점척도에서 8.20으로전반적으로높게나타났다. 본연구에서개발한 DMH-CAT 운영가이드라인은가능한일반적인원칙들을기술하는항목들로구성되어있어재난정신건강위기지원을위한다양한형태의팀에서활용할수있을것으로기대한다.
Abstract
Disaster mental health crisis assistance refers to a series of activities to promote psychosocial recovery of disaster survivors and the community affected by a disaster. Crisis assistance activities are performed at a team level, not at an individual level, and thus it is important to foster trained assistance teams in the community. Yet expert consensus regarding how to cultivate and provide such team training is lacking. The purpose of this study was to develop management guidelines for a Disaster Mental Health Crisis Assistance Team (DMH-CAT) using a Delphi process. In this study, an expert panel was conducted to develop initial items for management guidelines, subsequent to which two structured online surveys were administered to disaster mental health experts who had not participated in the initial item development. Through this process, 84 guidelines across 13 domains were derived. The subsections in the guideline included definition of terms, mission and goals, composition, roles of the team, team leader, and team members in preparation and acute disaster phases, respectively, assessment of team competency and operational systems, education and training, team care and prevention of burnout, and ethics. Overall the level of expert consensus for the final items was high, with a consensus mean of 8.20 on a scale of 1 to 9. The management guidelines of the DMH-CAT developed in this study are composed of items describing general principles that are applicable to various forms of the DMH-CAT.
참고문헌 (13)
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