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작업장 기반의 직무디자인(Work design) 적용 중재가 직업복귀(Return to work)에 미치는 영향: 무작위 대조 연구

Effects Of Workplace-Based Work Design Application Interventions On Return To Work: Randomized Controlled Study

김수경|이상숙|유명훈|유두한|이재신|전유미|서재근
한국장애인고용공단 고용개발원 (Korea Employment Agency for the Disabled / Employment Development Institute)|2024.08|장애와 고용 (Disability & Employment)|제34권 제3호|pp. 43-67|DOI 10.15707/disem.2024.34.3.003

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키워드

직업복귀훈련(return to work program)직무디자인(work design)작업장 기반작업강화훈련(work hardening)return to work programwork designworkplace-basedwork hardening

초록

연구문제 또는 목적: 본 연구는 작업장 기반의 직업복귀훈련(workplace-based return to work program)을 중심으로 직무디자인(work design)이 적용된 훈련이 일반적 직업복귀훈련(General return to work program)과 어떠한 차이가 있으며 실제 훈련을 참여하는 산재노동자들에게 직업복귀에 미치는 영향을 확인하고자 하였다. 연구방법: 2024년 7월부터 대전소재의 D병원에서 직업복귀훈련에 참여한 20명의 산재노동자를 대상으로 실험군과 대조군을 나눠서 훈련을 진행하였다. 훈련은 주 5회 2시간식 8주간 훈련을 진행하였다. 실험군은 직무디자인을 적용한 작업장 기반의 직업복귀훈련을 진행하였고 대조군은 일반적 직업복귀훈련을 진행하였다. 평가도구는 직업능력평가(Functional Capacity Evaluations), 작업수행의 질(Performance quality rating scale), 캐나다 작업수행 측정(Canadian Occupational Performance Measure), 재활동기(Motivation for Rehabilitation), 삶의 질(Short-Form 36)의 도구를 사용하여 전·후 비교를 하였다. 결론 또는 시사점: 훈련 후 실험군과 대조군은 모두 직업능력, 작업수행의 질, 수행도, 만족도, 삶의 질에서는 유의한 변화가 있었으며, 대조군에 비하여 실험군에서 변화량이 높았다. 직업복귀훈련에서 작업장 기반의 직무디자인을 활용한 중재가 긍정적인 영향을 미친다. 향후 직업복귀훈련에서 근거적으로 활용될 것으로 제시한다.

Abstract

Purpose: This study focuses on workplace-based return to work programs to determine how work design training differs from general return to work programs and how it affects the return to work of injured workers who participate in such programs. Methods: From July 2024, 20 injured workers who participated in return to work programs at D Hospital in Daejeon were divided into experimental and control groups. The training was conducted for 8 weeks for 2 hours five times a week. The experimental group received workplace-based vocational rehabilitation training with job design, while the control group received general return to work program. The pre- and post-assessment tools were Functional Capacity Evaluations, Performance quality rating scale, Canadian Occupational Performance Measure, Motivation for Rehabilitation, and Quality of Life (Short-Form 36). Result: After training, both the experimental and control groups showed significant changes in work skills, quality of work performance, performance, satisfaction, and quality of life, with higher changes in the experimental group than in the control group. The intervention using workplace-based job design in return to work program has a positive impact. It is suggested that it can be used as a basis for future return to work program

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