보건의료인 대상 심리적 응급처치(PFA) 교육 특성과 효과에 대한 체계적 문헌고찰

Abstract

Purpose: The purpose of this systematic literature review was to identify the contents and effects of Psychological First Aid (PFA) training for health personnel in previous studies. Methods: This study followed the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A systematic literature search was conducted using 10 electronic databases, including PubMed, EMBASE, CENTRAL, CINAHL, PsycINFO, RISS, KISS, KoreaMed, KMBASE, and NDSL. Search terms included ‘PFA’, ‘disaster psychosocial support’, ‘education’, ‘intervention’, and ‘health personnel’. Out of 390 studies retrieved, 8 studies were finally included in this systematic review. Quality of studies was assessed using the ROB-2 and RoBANS. Result: Studies reported PFA based on WHO manual and other useful strategies including case study, role-play, simulation with standardized patients (SP), application (app), web-based simulation and etc. Overall, studies reported significant improvement in PFA knowledge, performance competence, and self-esteem of health personnel. Limitations of the included studies included a lack of rigorous methodological research design and possibility of risk of bias. Conclusion: PFA training is useful in improving psychological intervention capabilities of health personnel in early disaster situations. These findings will serve as a foundation for the development of PFA training programs in Korean health care units and disaster preparedness institutes.