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데이컴 기법에 의한 1급 응급구조사 직무분석

Job analysis of paramedic on the developing a curriculum method

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Purpose: The purpose of this study was to investigate the extended job of paramedic after the 1st job description in 2000 by the National Health Personnel Licensing Examination Board. Methods: This study was carried out from May 2012 to July 2013 on the Developing A Curriculum (DACUM) method to analysts 330 responses among 400 questionnaires (response rate 82.5%) after analysing 30 pilot questionnaires. In order to enhance validity and reliability of this job description, 2 job analysts in universities and 10 EMT-Paramedics in hospitals and fire stations were recruited. Results: There were differences between 166 (year 2000) and 240 (2012) in task element. There were higher answering at triaging patient(2.64 frequency, 4.15 importance), calling for help(2.68 frequency, 4.07 importance) in disaster emergency care. There were higher answering at measuring vital sign (3.95 frequency, 4.22 importance), measuring ECG(3.84 frequency, 4.14 importance), wound care(3.48 frequency, 3.86 importance), bleeding control & wound care(3.46 frequency, 3.86 importance), applying O2(3.40 frequency, 3.94 importance) in physician assistant. Conclusion: Scope of extended practice as a physician assistant in hospital setting recommended us to replace the present curriculum and national exam with new curriculum and national written & skill test.

Abstract

Purpose: The purpose of this study was to investigate the extended job of paramedic after the 1st job description in 2000 by the National Health Personnel Licensing Examination Board. Methods: This study was carried out from May 2012 to July 2013 on the Developing A Curriculum (DACUM) method to analysts 330 responses among 400 questionnaires (response rate 82.5%) after analysing 30 pilot questionnaires. In order to enhance validity and reliability of this job description, 2 job analysts in universities and 10 EMT-Paramedics in hospitals and fire stations were recruited. Results: There were differences between 166 (year 2000) and 240 (2012) in task element. There were higher answering at triaging patient(2.64 frequency, 4.15 importance), calling for help(2.68 frequency, 4.07 importance) in disaster emergency care. There were higher answering at measuring vital sign (3.95 frequency, 4.22 importance), measuring ECG(3.84 frequency, 4.14 importance), wound care(3.48 frequency, 3.86 importance), bleeding control & wound care(3.46 frequency, 3.86 importance), applying O2(3.40 frequency, 3.94 importance) in physician assistant. Conclusion: Scope of extended practice as a physician assistant in hospital setting recommended us to replace the present curriculum and national exam with new curriculum and national written & skill test.

참고문헌 (16)

  1. Norton RE, "DACUM handbook" (1997), Ohio State University
  2. National Health Personnel Licensing Examination Board, "Job description of emergency medical technician", ~ (2000)
  3. Bureau of Labor Statistics. U.S. Department of Labor, "Emergency medical technicians and paramedics" (2010)
  4. City of Pittsburgh, Bureau of Emergency Medical Services, "ALS Patient Care Protocols", ~ (2007)
  5. 김태민, "응급구조사 직무기술서 작성에 따른 일의 요소별 빈도 및 중요도 조사 연구", 한국응급구조학회지, 5(1), pp.199~212 (2001), 사단법인 한국응급구조학회
  6. 손인아, "1급 응급구조사의 직무분석에 관한 연구", 한국응급구조학회지, 9(1), pp.43~53 (2005), 사단법인 한국응급구조학회
  7. Heo J, "The development of job competency and behavioral indicators for paramedics of Korea", 박사, pp.2011
  8. 배기숙, "DACUM기법에 의한 1급 응급구조사의 직무분석", 한국응급구조학회지, 15(1), pp.5~24 (2011), 사단법인 한국응급구조학회
  9. Lim KS, "Disaster Emergency Medicine" (1995), Koonja Publishing Inc
  10. 엄태환, "임상 1급응급구조사의 특성과 업무범위 간의 상관관계", 한국산학기술학회논문지, 13(12), pp.5968~5975 (2012), 한국산학기술학회[DOI]
  11. Lee YK, "Improvement devices for physician assistant", The 31th Medical Forum (2011), Korea Medical Association
  12. "Korea Healthlog" (2011)[URL]
  13. "Doctornews" (2012)[URL]
  14. 유순규, "델파이 방법에 의한 응급구조사 국가시험 과목개선 제안", 한국응급구조학회지, 14(2), pp.57~69 (2010), 사단법인 한국응급구조학회
  15. 유순규, "응급구조사 실기시험 개선 연구", 한국응급구조학회지, 16(3), pp.45~62 (2012), 사단법인 한국응급구조학회

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