DOI QR코드

DOI QR Code

Study on the Experience of Unbelief in the Process of Providing Home Visiting Care Service: Focusing on the perspective of the Facility Director

재가방문요양 서비스 제공과정에서 겪는 불신경험에 관한 연구: 시설운영자 관점을 중심으로

  • Jun-Suk Kim (A+ Gwacheon Happiness Elderly Welfare Center) ;
  • Ji-Hye Kim (Dept. of Social Welfare, Graduate School of General, SungKyul University) ;
  • Jung-Mi Kim (Dept. of Social Welfare, Graduate School of General, SungKyul University) ;
  • Mi-Young Park (Dept. of Social Welfare, Graduate School of General, SungKyul University) ;
  • Byung Woo Lim (Dept. of Social Welfare, SungKyul University)
  • 김준숙 (A+과천행복노인복지센터) ;
  • 김지혜 (성결대학교 일반대학원) ;
  • 김정미 (성결대학교 일반대학원) ;
  • 박미영 (성결대학교 일반대학원) ;
  • 임병우 (성결대학교 사회복지학과)
  • Received : 2023.08.17
  • Accepted : 2023.10.20
  • Published : 2023.10.28

Abstract

Through inductive content analysis, this study sought to examine the crisis experienced by the institution, the quality of service, and the distrust of the system and institution based on the experience of distrust in the home-visiting care service of bbeneficiary and guardians. FGI was conducted on five managers of institutions that provide home-visiting care services. As a result, the central phenomenon was found: deterioration of service quality, distrust of systems and institutions, and difficulties in opera-ting long-term care institutions. In order to improve the quality of home-visited care services and build trust in care workers and institutions, first, home-based associations or operating corporations should develop new education program plans and manuals to strengthen the capabilities of care workers and social workers. Second, the NHIS's monitoring system and the professional management system of care workers should be established. Third, it is necessary to improve awareness of the role, expertise, and rights of care workers, and fourth, improvement measures are required to reduce the turnover rate of care workers, which is the cause of the deterioration of the quality of long-term care services.

본 연구는 귀납적 내용분석을 통하여 재가방문요양기관의 시설장이 겪고 있는 수급자와 보호자의 재가방문요양 서비스에 대한 불신경험을 토대로 심층적 접근을 하여 재가방문요양기관이 겪고 있는 위기와 서비스 질의 저하 및 노인장기요양보험제도와 기관에 대한 불신 현상을 살펴보고자 하였다. 재가방문요양 서비스를 제공하고 있는 기관의 시설장 5명을 대상으로 FGI를 실시하여 인터뷰 내용을 전사한 후 귀납적 내용분석을 하였다. 그 결과 서비스의 질 저하, 제도 및 기관에 대한 불신, 장기요양기관 운영의 애로사항이라는 중심현상을 발견하였다. 본 연구를 토대로 재가방문요양 서비스의 질을 향상시키고 요양보호사와 기관에 대한 신뢰를 구축하기 위해 첫째, 재가협회나 재가방문요양기관 운영법인은 요양보호사와 사회복지사의 역량강화를 위한 신규 교육프로그램 계획과 매뉴얼을 개발해야 한다. 둘째, 국민건강보험공단의 실효적인 모니터링 시스템과 요양보호사의 전문성 관리 체계를 구축하여야 한다. 셋째, 요양보호사의 역할, 전문성, 권리 등의 인식개선 운동이 필요하며 넷째, 장기요양서비스의 질 저하 원인인 요양보호사의 이직률을 낮추기 위해 요양보호사의 근무처우에 대한 개선방안이 요구된다.

Keywords

References

  1. National Health Insurance Service(2023). 2022 Long term care Insurance Statistical Yearbook. Gangwon : NHIS
  2. National Health Insurance Service(2021). 2020 Long term care Insurance Statistical Yearbook. Gangwon : NHIS
  3. National Health Insurance Service(2011). 2010 Long term care Insurance Statistical Yearbook. Gangwon : NHIS
  4. National Health Insurance Service(2009). 2008 Long term care Insurance Statistical Yearbook. Gangwon : NHIS
  5. J. H. Yang, B. H. Park, B. Y. Jin, M. K. Kim (2020). Difficulties experienced by home-based long-term care service providers: home-visit nurses, social workers, and paid caregivers. Journal of the Korean Gerontological Society, 40(6), 1205-1220. DOI : 10.31888/JKGS.2020.40.6.1205
  6. S. M. Lee(2013). A study on the effects of care helpers' job satisfaction on their turnover intention. The Hanyoung Academic Journal, 5, 155-169. http://www.riss.kr/link?id=A99931231
  7. Y. H. Seo(2014). Influence of the nature of Domiciliary Care Beneficiary on Job Stress of Care Helper. Journal of the Korean Welfare Practice Society, 5(1), 35-153. DOI : 10.16972/apjbve.7.4.201212.169
  8. K. A. Ko. (2016). "A Study on Factors Influencing of duty Satisfaction about elderly care helpers (Centerd Jeju Island)". The Journal of Long Term Care, 3(2), 72-93. UCI : I410-ECN-0102-2018-300-003900210
  9. S. H. Park(2021). The Influence of Nursing Helpers' Job Stress on their Job Satisfaction and the Mediating Effect of that Stress on those Helpers' Self-Esteem. The Journal of Long Term Care, 9(2), 83-102. DOI : 10.32928/TJLTC.9.2.4
  10. N. K. Kwon&N. J. Yang(2017). Study of Conflicts in Long-term Care Services: Focusing on conflicts between the elderly and care workers. The Korean Journal of Gerontological Social Welfare, 72(3), 141-165. DOI : 10.21194/KJGSW.72.3.201709.141
  11. M. J. Kim&Y. J. Kim(2012). Study on the Elder-Care Experiences of Home Care Workers. The Journal of Korean Academy of Qualitative Research in Social Welfares, 6(2), 159-194. DOI : 10.22867/kaqsw.2012.6.2.159
  12. The National Institute of Korean Language. https://stdict.korean.go.kr
  13. W. .S Kim(2016). Two Perspectives on Trust and Distrust Relationships in Organizations. Korean Journal of Social Science, 37(2), 173-199. http://www.riss.kr/link?id=A101866779 101866779
  14. M. H. Lee, W. G. LEE(2021). Effects of Distrust on Individual Ambidexterity in Large-sized Firms: Moderating Effects of Cognitive Flexibility and Communication Types. Korean Corporation Management Review, 28(4), 79-88. DOI : 10.21052/KCMR.2021.28.4.04
  15. B. W. Lim & O. J. Lee.(2012). A Study on the Experience of Social Activities in Old Age by Applying Grounded Theory. The Journal of Korean Policy Studies, 12(4), 497-517. UCI : G704-SER000008612.2012.12.4.010
  16. I. S. Oh, H. M. Kim, S. Y. Lee & M. J. Lee(2016). Effective Counseling Strategies Based on Contextual Understanding of School Violence. Korea Journal of Counseling, 17(2), 257-279. DOI : 10.15703/kjc.17.2.201604.257
  17. E. J. Ko & H. K. Kim(2021). The Effect of Health Literacy and Self-efficacy on the Quality of Care Service for Home Visitor Care Workers. The Journal of korean academic society of home care nursing), 28(3), 276-284. DOI : 10.22705/JKASHCN.2021.28.3.276
  18. M. S. Kim & S. I. Chol(2010). Effects of the In-Home Visitation Care Facility Directors' Leadership Types on Organizational Effec0 tiveness and the Moderating Role of Organizational Trust. The Journal of the Korea Contents Association), 10(9), 327-337. DOI : 10.5392/JKCA.2010.10.9.327
  19. S. E. Kim(2012). A Study on the Labor Experiences of Care Service Workers: Focused on emotional labor and relation-based labor. The Women's Studies, 1, 103-136. DOI : 10.33949/tws.2012..1.004
  20. Y. E. Kim(2016). A comparative study of changes in care helper Duty satisfaction - Focused on Jeju facility care helpers. Korean Journal of Care Management, 20, 93-119. UCI : G704-SER000003121.2016..20.007
  21. D. M. Seo(2013). A Study on the Stabilization of Care Workers Supply in Korea. The Journal of Long Term Care), 1(1), 100-136. UCI : I410-ECN-0102-2018-300-003900043
  22. B. R. Lee(2012). The Effect of Social Support on the Job Satisfaction of Care Workers in Domiciliary Care institutions. Journal of community welfare, 43, 489-511. UCI : G704-001921.2012..43.010 G704-001921.2012..43.010
  23. S. G. Lee(2015). A Study on effect of the Psychological Empowerment and Job Satisfaction of Caregivers of Domiciliary Care Centers on the Quality of Long Term Care Service. The Korean Journal of Gerontological Social Welfare, 70, 9-30. DOI : 10.21194/kjgsw..70.201512.9
  24. E. M. Park & S. I. Cho(2011). A Systematic Evaluation for better Elderly Visiting Home-help Services. Journal of Policy Development, 11(2), 109-141. DOI : 10.35224/kapd.2011.11.2.005
  25. MOHW. (2023). The 3rd Basic Plan for LongTerm Care(2023-2327). Sejong : MOHW.