• 한국노년학
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• v.31 no.2
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• pp.195-209
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• 2011

This study examined the prevalence of and factors associated with unmet care need among community-dwelling middle-aged and older people in Korea. Data were from the 2006 Korean Longitudinal Study on Ageing (KLoSA), a national survey of 10,254 non-institutionalized adults aged 45 or older. Having unmet care needs was defined as needing personal assistance with activities of daily living (ADL) or instrumental activities of daily living (IADL) but having no available helper. Weighted logistic regressions were fitted to examine factors associated with unmet care needs. Overall, 7.3%, 14.5%, and 41.8% of subjects among the middle-aged, younger old, and older old, respectively, reported care needs of these, 34%, 33%,and 24% had unmet needs. Factors associated with unmet needs differed among the three groups: Education and income level were negatively associated with unmet needs among the middle-aged, but living alone was the only factor positively associated with unmet needs in both the younger and older old. The prevalence of and factors associated with unmet care needs differ by life-stage. Needed are home- and community-based care and services to meet the need for personal assistance among the elderly living alone in a community.

• The Journal of the Korea Contents Association
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• v.14 no.8
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• pp.207-219
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• 2014

Recognizing the lack of empirical study that evaluates the influence of social care services on care sufficiency of individuals with disability, we have focused our study on the following research questions: What is the level of care sufficiency for individuals with disability?, What is the profile of care for individuals with disability from both formal and informal providers?, What are the service use conditions and determinants of social care service use?. This study analyzed data of 1204 individuals with disability who needed daily assistance from 5th wave of Korea Welfare Panel Study. Results showed that 50% of the respondents experienced care deficit. 77% of the respondents received no care from informal care providers and 90% from formal care providers. Despite social care services brought by the expansion of socialization of care, the average number of social service use on care was less than 1, which suggests that socialization of care did not significantly contribute to care sufficiency. In addition, for people who are 64 or younger, social care services was substituted by care from informal care providers and for those who are 65 or older, social care services supplemented care from informal care providers.

• Journal of the Korea Convergence Society
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• v.9 no.1
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• pp.363-375
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• 2018

The purpose of this study is to investigate the difference of grandchild care experience and psychological health between grandfathers and grandmothers, and the effects of grandchild care experience on the psychological health of them. The objects of this study were 371 grandparents who were living in Seoul and Gyeonggi provinces and caring for children aged 3~5. The results of this study were as follows: First, grandfathers performed more basic needs fulfilling, active parent, and educational role and felt more psychological well-being and generativity. Second, both grandfathers and grandmothers had higher generativity as they carried out more social emotional support and educational roles. For grandmother, the more the role of fulfilling the basic desire and social emotional support, the higher the psychological well-being. For grandfather, however, the four care roles did not affect the psychological well-being.

• Journal of Hospice and Palliative Care
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• v.21 no.2
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• pp.41-50
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• 2018

Spirituality is an essential part of human beings. Spiritual care, designed to meet the spiritual needs of terminally ill patients and their families, is one of the most important aspects of hospice and palliative care (HPC). This study reviewed and analyzed literature utilizing the most commonly used Korean and international healthcare databases to identify care models that adequately address the spiritual needs of terminally ill patients and their families in practice. The results of this study show that spirituality is an intrinsic part of humans, meaning that people are holistic beings. The literature has provided ten evidence-based theories that can be used as models in HPC. Three of the models focus on how the spiritual care outcomes of viewing spiritual health, quality of life, and coping, are important outcomes. The remaining seven models focus on implementation of spiritual care. The "whole-person care model" addresses the multidisciplinary collaboration within HPC. The "existential functioning model" emphasizes the existential needs of human beings. The "open pluralism view" considers the cultural diversity and other types of diversity of care recipients. The "spiritual-relational view" and "framework of systemic organization" models focus on the relationship between hospital palliative care teams and terminally ill patients. The "principal components model" and "actioning spirituality and spiritual care in education and training model" explain the overall dynamics of the spiritual care process. Based on these models, continuous clinical research efforts are needed to establish an optimal spiritual care model for HPC.

• Journal of Family Resource Management and Policy Review
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• v.25 no.3
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• pp.31-45
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• 2021

Despite efforts to expand public care services as social demands increase, the problem of the after-school self-care of elementary school students who were in the situation of care cliff remains. Thus, this study focused on community-based childcare to solve the issue of school-age childcare in Korea. The purpose of this study was to explore the experience of community-based childcare of participants who had school-aged children who lived in Seoul and GyeongGi province (Korea). Focus group interviews were conducted with ten married working mothers among clients of a community-based childcare provider that has been operating for more than five years. Based on the findings of this study, it is clear that community-based childcare is a useful welfare resource. In addition, the results of this study can be used as data for developing policies and programs for school-age childcare or the after-school self-care of elementary school students. Furthermore, it may broaden the horizons of research related to community-based childcare.

• The Journal of the Korea Contents Association
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• v.18 no.11
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• pp.258-266
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• 2018

The purpose of this study was to investigate the current status and the perception of hospice and palliative care program coordinators regarding the use of music in bereavement care in Korea. Both on-line and off-line questionnaires were distributed to program coordinators in 91 institutions, and 54 responses were analyzed by descriptive statistics and Mann-Whitney U test. Even though 92.6% of the participants currently provide a form of bereavement care and 51.9% utilize music as a part of their bereavement program, only 20.3% indicated that their bereavement programs were adequate to address the issues involved, suggesting a need for improvement. As the perceived necessity of bereavement care(4.52) and music therapy based bereavement care(4.20) were generally high, this study supports the need for further development of both forms of bereavement care in Korea.

• Journal of Hospice and Palliative Care
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• v.18 no.4
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• pp.285-293
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• 2015

Purpose: This study was conducted to explore the effects of attitude to death in hospice and palliative professionals on their terminal care stress, and to analyze relationships among variables related to the two aforementioned parameters, such as depression and coping strategies. Methods: Participants were 131 hospice and palliative professionals from the cancer units of two tertiary hospitals and two general hospitals, two hospice facilities, two geriatric hospitals, and two convalescent hospitals in J province. Data were collected from April through June 2015 and analyzed using t-test, factor analysis, ANOVA ($Scheff{\acute{e}}$ test), ANCOVA, and Pearson's correlation and a path analysis using the SPSS/WIN 21.0 and AMOS 18.0 programs. Results: The score for attitude to death was low (2.63), and that for depression was 0.45. Among all, 16.0% of the participants showed need for depression management. They scored 3.82 on terminal care stress. The subcategory with the highest mark was inner conflicts on limitation given availability of medical services (4.04). The score on coping strategy was low (3.13). They used passive coping strategies such as interpersonal avoidance (4.03), fulfilling basic needs (3.65) such as sleeping or eating. Attitudes to death had a direct negative effect on the terminal care stress level and indirectly affected through depression and fulfilling basic needs (CS2). Conclusion: It is necessary to provide hospice and palliative professionals with education on death and dying, as well as access to programs that provide emotional support and promote positive cognition of death and dying.

• Journal of Digital Convergence
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• v.13 no.4
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• pp.283-293
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• 2015

This study explores experiences of male family care worker who are caring for their family members with chronic health conditions at home. Qualitative methodologies were used; semi-structured in-depth interviews with seven participants. Data were analysed using thematic analysis. Results indicated that men are playing greater roles in the provision of care for family members. Findings are presented as three themes: adaptation of role transformations, development for new relationships, and learning to cope with the unexpected. The results suggest that male family care workers experience changes in the ways that they adapt their traditional roles to the new roles they assume as caregivers. Implications for social workers and other care providers are discussed.

• Korean Journal of Social Welfare
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• v.66 no.1
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• pp.221-249
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• 2014

This paper has the objectives to define the concept of 'Good Care' which is the service goal we are aiming essentially for the improvement of long-term care service quality, to find out the components for 'Good Care', and to explore the conditions that create a good care. In addition, we tried to find the answer about what is the best way to measure the service quality. For this, I referred the advanced researches which explored the fundamental properties of care and tried to find the answer from the accumulated wisdom of service field through the 5-year long term care service experience. As a result of research, the good care can be defined as helping someone to be able to maintain his own life as maximum as possible with the goal to assure total quality life. The most important condition for good care is making 'a good care relationship'. Without damaging the relationship between care provider and care receiver, the individualized service focusing on the demand of care receiver based on mutual reliability, mutual respect and smooth communication should be provided. For the evaluation system, it is reasonable to set the standard according to the size of each institution for the core quality of facility service and establish the certification system of absolute standard to carry out the quantitative evaluation rather than the relative evaluation in the whole. For the part over the absolute certification standard, it is reasonable for each institution to characterize its own characteristics autonomously and carry out the qualitative evaluation for this. For the evaluation of home visit care service, it is recommended to contain the evaluation contents such as user satisfaction, satisfaction of care worker, how well the case management system of home care service center is operated etc.

• Korean Journal of Social Welfare Studies
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• v.45 no.2
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• pp.99-122
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• 2014

The purpose of this study is to examine how providing care to grandchildren and the continuity of care affects the grandparents' perception on old-age support. Specifically, in this study, providing care is divided into three continuous types: did not provide care, provided care at one point in time and provided care at two points in time. This is done to investigate how the duration of providing care influences the perception on old-age support. The results show that grandparents providing care to their grandchildren prefer to reside with their own children in the future more often than those who do not provide care to their grandchildren. Furthermore, grandparents providing care to their grandchildren during two-time points and grandparents providing care during one-time point prefer to reside with their adult children in the future more than grandparents providing care not once during two-time points. Interestingly, grandparents who provide care to grandchildren during two-time points prefer to reside with their children in the future more frequently than grandparents providing care during just one-time point. These results suggest it is likely that grandparents recognize providing care to their grandchildren as an insurance in care and support for themselves in the future. Additionally, these results suggest that the family plays an efficient and flexible role to meet needs of family members through a reciprocal relationship in Korean society where the public sector is weak. These findings have suggested theoretical implications.