DACUM기법에 의한 1급 응급구조사의 직무분석

Abstract

Objective : This study grasps specific task on paramedics who plays a great role in the emergency scene, thereby eliciting definition of job called paramedics and analyzing occupation by DACUM method. Thus, the aim is to suggest working-level guidelines on the task of paramedics. Methods : It targeted paramedics who are working at hospitals, fire stations, and industries in Seoul and Gyeonggi area from Oct. 11, 2010 to Nov. 30. A total of 608 copies of questionnaire were analyzed by DACUM method. A research tool on occupational analysis consisted of 8 pieces for duty, 43 pieces for task, and 149 pieces for task elements. In order to survey performance frequency, importance, and difficulty by element, each task was developed by this research team, and each task was analyzed and finally elicited through workshop of DACUM method. Results : The occupational definition of paramedics, which was defined through this DACUM, was elicited as ‘professional job of performing emergency medical care on the scene,during transferring, or within medical institution in order to maintain life and prevent wound deterioration, targeting a person who is put in emergency situation.’ Task element,whose performance frequency was indicated to be the highest, was in order of checking mental status(2.76±0.497), checking vital signs(2.70±0.578), and airway/c-spine immobilization(2.69±.546). Especially, defibrillation stood at 2.23±.655 points. Task element, whose performance frequency was low, was in order of caring sexual abuse victims(1.32±0.563), performing cricothyrotomy(1.36±0.618), and caring cardiac arrest victims(1.40±0.636). Importance of task was in order of airway/c-spine immobilization (2.88±0.338), maintenance of respiration(2.88±0.351), caring cardiac arrest victims(2.87±0.349), and performing CPR(2.87±0.361). Task element, whose importance is low, was indicated to be in order of enema(2.29±0.736), urinary catheterization(2.35±0.664), and nasogastric intubation(2.35±0.667). Task element, whose difficulty was shown to be the highest, was indicated to be in order of caring cardiac arrest victims during pregnancy (2.60±0.559), caring cardiovascular injury(2.59±0.546), and labor management(2.53±0.533). Conclusion : Based on the results of this study, the job performance work table(Dacom chart) of paramedics is suggested to be used, thereby being applied to development in education and curriculum of paramedics. It is necessary to evaluate usefulness of the job performance work table by estimating effect of education for paramedics based on the job performance work table of paramedics.