• Title/Summary/Keyword: 노인장기요양시설

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The Relationship among Potential Job-related Risks, Emotional Dissonance, and Turnover Intention of Caregivers at Long-term Care Facilities : Focus on the Mediating Effect of Burnout (장기요양기관 내 위험발생가능성, 감정부조화가 요양보호사의 이직의도에 미치는 영향 : 소진의 매개효과를 중심으로)

  • Lee, Hyun Jung;Um, Myung Yong
    • Korean Journal of Social Welfare Studies
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    • v.48 no.4
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    • pp.187-219
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    • 2017
  • The purpose of this study was to examine the relationship among potential job-related risks, emotional dissonance, and job turnover intention of caregivers at the long-term care facilities in South Korea, and to explore the potential mediator role of burnout in this association. For the study, survey data of 434 caregivers at long-term care facilities were collected and analyzed using structural equation modeling method. The results showed that high level of caregivers'perception of the potential job-related risks led to increased burnout and turnover intention of caregivers. Second, caregivers'burnout partially mediated the effect of the potential job-related risks on turnover intention. Third, the more caregivers experience emotional dissonance, the higher the possibility of caregivers'burnout. On the other hand, emotional dissonance of caregivers did not give significant direct impact on turnover intention. Burnout fully mediated the relationship between emotional dissonance and turnover intention of caregivers. Lastly, the more caregivers experience burnout, the higher possibility of turnover intention. Based on the results, researchers suggested possible intervention methods as well as preventive measures to reduce the turnover of caregivers at long-term care facilities.

The Effect of Publicness on the Service Quality in Long-Term Care Facilities (공공성이 노인장기요양시설의 서비스 질에 미치는 효과)

  • Kwon, Hyunjung;Hong, Kyungzoon
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.253-280
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    • 2015
  • This study reconsiders the concept of publicness by raising a question about the problems which the recent marketization of social services in South Korea. The existing perspective on publicness, however, is insufficient to account for the entire Long-term care market because only public organizations have publicness. Accordingly, this study presents 'integrated publicness', particularly 'dimensional publicness' and 'normative publicness'. A disproportional stratified sampling procedure was used to consider ownership. A merged dataset combining surveys from 248 Long-term Care facilities and on-line resources was used and analyzed by multiple regression, negative binomial regression and multiple imputation analysis. The analysis results suggest as follows. First, ownership publicness appeared more effective in the overall. Second, the regulations on the government funding did not show effective, and the regulation on evaluation system showed the effect. Third, professionalization of normative publicness showed a negative effect on service structure and showed a positive effect on service process. Lastly, user of free services whose public accountability was identified to be effective on service structure and outcome. These findings suggest that not only existing ownership but also dimensional publicness and normative publicness showed an effect on service quality. In this respect, this is important as the performance produced by empirical models of integrated publicness, in this situation that the outcome of marketization is insignificant.

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A Five-Senses Stimulation Program for preventing Senile Dementia Diseases (오감 자극 노인성 치매 예방 프로그램)

  • Chong, Min-Yeong;Park, Cheon-Gyu;Son, Myeong-Dong
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.594-600
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    • 2010
  • As senile diseases increase with the aged increasing rapidly in an aging society, implementation of the aged long-term care insurance have an effect on the aged care and treatment. Though a decrease in prevalence rate can reduce social costs, the significance of that is overlooked. Especially, a program for a slight Alzheimer's disease and senile demetia in the spot of care facilities and welfare organs is nothing or a few programs which use only fragmentary techniques. So, In this paper, we propose a five-senses stimulation program for preventing senile dementia disease. It includes twenty processes stimulating five senses through proper harmony of senile dementia disease prevention techniques - hand exercises(sense of touch), remembrance therapy(sense of sight), cure recreation(sense of taste), music therapy(sense of hearing), gardening remedy(sense of smell).

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Factors affecting family Caregivers' Preference for Utilization of Community Eldercare Services (가족부양자의 재가복지서비스 이용의사에 영향을 미치는 요인에 관한 연구)

  • Song, Da-Young
    • Korean Journal of Social Welfare
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    • v.53
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    • pp.105-128
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    • 2003
  • This study examined the factors affecting family caregiver's preference for utilization of community care services among those who are caring for 65+ elderly parents, and aimed to show how social eldercare services would be settled in Korea. Help-seeking behavior model developed by Anderson and Newman(1973) was used to analyze the factors affecting their preference for utilizing the community care service among 283 family caregivers. Frequency, Chi-square, and Multinominal logistic analysis on SAS 6.12 was used. According to the results, about 90% of the family caregivers have preference for community and institute care services. In community care service, about a half comprise the preference with charge while the other without charge. However, about 90% of those for institute care service show their willingness to pay for the service. Also, a majority of caregivers like to rely on social eldercare service, rather than family as exclusively responsible, against long-term care for their elderly parents. Multinominal analysis demonstrates that use versus nonuse of community care services is primarily affected by predisposing factors(including age, carer-caree closeness, and familism) and need factors (including economic or psychological burden of eldercare, and additional role for family care). Enabling factors, such as family income level, economic support from other family members and siblings, and supportive care-helpers, are mainly associated with the preferences of free versus charge in service use. These findings provide some implications and suggestions for the development of social eldercare services in our aging society.

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A Study on the Care Worker's Working Condition and Wage with Public Data of the NHIC (공공데이터를 활용한 요양보호사 근로실태 및 임금 분석)

  • Kyoung, Seung-Ku;Jang, So-Hyun;Lee, Yong-Gab
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.339-350
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    • 2017
  • In December 2014, the study analyzed the wage level of Long-term Care Facilities reported by the National Health Insurance Organization Database. From 2008 to 2014, 1,231.357 people in Korea were acquired qualification for care worker. This study tries to the wage of 1,221,085 care workers. We found out that 91.3% of all are women, and 41% out of care worker qualification were between 50-59 years old. And only 14.8% were employed as care workers. About 73.2% of the nursing care workers had less than 3 years of service at the current job, and their wages were 129.2 million won per month for Nursing Home and 6,421 won per hour for the home care center. In order to investigate care workers, it needs to distinguish between Nursing Home and home care center, and it was also confirmed that wage increases was not reached. In addition, we can question the effect of improvement allowance for better working condition, and suggest fundamental problems for care workers' wage and status.

Status of oral health care provided by care workers in accordance with their oral health awareness and knowledge (요양보호사의 구강보건인식 및 지식에 따른 구강보건제공현황)

  • Kim, Min-young;Kang, Kyung-hee
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.161-166
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    • 2016
  • By studying the status of oral health provided by caregivers working in care facilities in accordance with their oral health awareness and knowledge, this thesis sought to find a plan of development to enhance the oral health for the elderly in care facilities. A survey was carried out from the 16th of August to the 2nd of September 2016, with 200 care givers as the subjects, working in 14 long-term care facilities for elderly, located in the city of D. Frequency analysis and independent sample t-test were conducted of the collected data, using SPSS 18.0. The results of the study were as follows; for gender, female was 91.5% which was higher than that of male, and married for marital status, 50 for age, highschool for education, christian for religion were shown to be the highest. The highest number of people for daily care was 6~7. In terms of status for providing oral health and oral health awareness of caregivers, the existence of oral hygiene guideline was statistically meaningful, and in terms of the status of oral health provided and oral health knowledge, there were notable differences in storage of dentures, and usage of mouthwash(p<.05).

Development of Daycare Center for Senior Users as Community-Cohesive Facility (노인데이케어센터의 지역융합형 발전방향)

  • Han, Jeong-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1489-1495
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    • 2014
  • Facing aged society, long-term care insurance for senior citizen has been introduced in Korea since 2008 in order to take away care burden from family. Daycare Center is one of the institutions developed by the idea of social care. Noticing many problems around adult day services (ADS) such as low quality of services and lack of running sources, this paper would suggest the norm of day care center in terms of community cohesive facilities. In addition, to find out the future vision of ADS, interviews with 10 experts are also analyzed. The result is that new health care program would be community-friendly, tailor-made, communication-based and intergenerational one.

Current Status of Rehabilitation Services in Long-Term Care Hospitals for Health Promotion of Jeollabuk-do Residents (전라북도민 건강증진을 위한 요양병원 재활서비스 현황)

  • Cho, Seung-Hyun
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.199-206
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    • 2021
  • As the super-aged society is imminent, the number of people with senile diseases is also increasing, resulting in a lack of facilities and policies as a social problem. National Health Insurance Service is being talked about as a realistic alternative to medical coverage. Long-term care hospitals are classified into acute-stage hospitals and long-term care facilities and are acting as an alternative to reducing medical expenses. However, in long-term care hospitals, which are the core of maintenance rehabilitation, the quality of service issues have been raised seriously. Currently, there is a problem of mass production of refugees from rehabilitation due to a problem of the medical system. In particular, in the preceding study in 2015, the status of long-term care hospitals in Jeollabuk-do was the worst. Therefore, using public data, the general status of long-term care hospitals in Jeollabuk-do, status of frequent disease, status of rehabilitation services, and status of occupational therapy services are to be explored.

Effects of the Long-Term Caregivers' Job Stress on Psychological Burnout and Organizational Effectiveness and the Moderating Role of Social Support (직무스트레스가 조직유효성에 미치는 영향 : 서울소재 재가노인방문요양시설의 요양보호사를 중심으로)

  • Lee, Young-Hwa;Lim, Wang-Kyu
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.414-428
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    • 2011
  • The purpose of this study was to investigate the effects of the elderly long-term care workers' job stress on psychological burnout and organizational effectiveness and the moderating role of social support. For this study, data were collected from 290 long-term caregivers from 50 in-home visitation care facilities in Seoul using structured questionnaires. Collected data were analyzed using hierarchical regression techniques. Results showed that role three job stress variables had positive effects on caregivers' psychological burnout; that two job stress variables(role ambiguity and role conflict) and psycholigcal burnout had negaive effects on caregivers' job satisfaction whereas they had positive effects on caregivers' intent to leave; that workload negatively impacted caregivers' job satisfaction but no effect on their intent to leave; and that two social support variables played moderating roles in the relationship between job stress and psychological burnout and the relationship between job stress and organizational effectiveness.

A Survey on the Awareness and Performance of Infection Management of Workers in long-term Care Institutions (장기요양 기관 종사자들의 감염관리에 대한 인지도 및 수행도 연구)

  • Park, Mi-Jin;Moon, Heakyung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1393-1404
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    • 2021
  • The current study was conducted to understand the status of infection management through a survey on the status of awareness and performance of infection management and to improve efficient infection management and education programs of workers in long-term care institutions. The subjects of the study were 134 workers at 35 long-term care institutions in the C region, and data were collected from July 12 to 30, 2021. They agree to participate in research self reported structured questionnaire by SPSS program ver. 22.0. As a result of the study, the subject's awareness of infection management appeared to be a difference in accordance with occupation (F=3.181, p=.032) and education experience (F=6.372, p=.013). Also, factors influencing the subject's performance of infection management were occupation (F=3.972, p=.010) and education experience (F=4.403, p=.038). The relationship between awareness of infection management and performance resilience fined out a significantly positive correlation (r=.919, p<.001). As a result, for patient safety in long-term care institutions in the COVID-19 pandemic situation, it is very important for workers not only to recognize the importance of infection management but also to directly perform infection management activities. To this end, regardless of the size of the institution, it is necessary to prepare a systematic and continuous curriculum by occupation and educational topic, and to legally strengthen the evaluation system to improve the quality of the infection management system.