• Journal of Music and Human Behavior
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• v.20 no.1
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• pp.99-115
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• 2023

Given the ongoing discussion regarding remote music therapy following the COVID-19 pandemic and the pivotal role of parental involvement in it, this study investigated parents' perceptions on their roles in a synchronous videoconferencing music therapy for their children with developmental disabilities. A total of 32 participants participated in an online survey comprising 68 questions. Descriptive statistics summarized the collected responses, and Pearson's correlation was conducted to examine the relationship between perceived parental roles, psychological burden, and willingness to participate in future remote music therapy. The findings showed that parents of children with developmental disabilities acknowledged the benefits of tele-music therapy and possessed substantial information about its implementation. Furthermore, they reported their roles of providing physical, participatory, and mediating support. As parents exhibited greater satisfaction with their role in supporting their children's participation or managing their off-task behaviors, they perceived reduced psychological burden. These findings hold significant implications for expansion of tele-music therapy strategies to address the unique needs of children with developmental disabilities and support their parents as immediate mediators for their children.

• Journal of Korean Academy of Nursing
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• v.24 no.2
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• pp.226-240
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• 1994

본 연구의 목적은 한국의 사회심리적 간호현상을 밝힘에 있다. 이를 위한 자료는9명의 임상경험이 많은 병원 간호사들을 심층면담하여 수집하였으며, 분석은 해석학적 현상학과 근거 이론 방법에서 사용하는 계속비교 분석 방법을 이용하였다. 사회심리적 간호는 ‘정보제공’, ‘위로’, ‘상담’, ‘지도’의 네가지 범주로 구분되었다. 이 중에서 정보제공이 가장 많이 사용되었고 중요하게 여겨 진 반면, 상담과 지도는 흔히 사용되지 않았다. 이는 상담과 지도는 고도의 의사소통 기술, 인간관계에 대한 이해, 그리고 타인에 대한 감성등이 요구되었기 때문이다. 사회심리적 간호제공에 방해를 주는 요인도 밝혀졌다. 첫째, 가족이나 보호자들의 상주로 인해 간호사들이 사회심리적 간호의 임을 이들에게 떠넘기는 경향이 있었다. 둘째, 간호사의 특성, 즉 치료적 인간관계를 확립할 수 있는 간호사의 능력부족이 방해요인이었다. 셋째, 신체적 간호만을 중시하고 높은 간호사대 환자 비율을 가진 병원 시스템이 방해요인이었다. 넷째, 조밀한 병상등의 병원환경도 해요인으로 나타났다. 사회심리적 간호는 간호사-환자-보호자 관계를 치료적으로 형성 유지할 수 있는 간호사의 능력에 따라 결정되었기 때문에 이에 대한 분석을 계속하였으며, 치료적 관계형성과 유지에 영향을 주는 요인은 다음과 같이 나타났다. 첫째, 간호사의 기술적, 신체적 간호의 유능성이 치료적 관계형성에 필요하였다. 둘째, 환자 및 보호자와 신뢰관계를 구축할 수 있는 능력이 필요하였다. 셋째, 환자의 요구에 따르는 역할을 제대로 수행할 수는 능력이 필요하였다. 즉, 치료적 관계형성은 환자와의 신뢰형성만으로는 부족하며, 환자와 보호자의 요구에 따르는 역할, 즉 정보제공자, 위로자, 상담자, 지도자의 역할까지도 수행할 수 있어야 함을 의미한다. 이 외에도, 간호사들이 치료적 관계를 형성하고 유지하기 위하여 사용한 대책들을 제시하고 논의하였다. 본 연구는 한국의 사회심리적 간호의 범주, 방해요인, 촉진요인 등을 설명하고 기술하였기에, 우리나라의 간호사들이 사회심리적 간호를 위해 어떠한 일들을 주로 수행하며, 어떻게 환자 및 보호자들과 상호작용하면서 간호중재를 펴나가는가를 이해하는데 도움을 주리라 여겨진다.

• Korean Journal of Social Welfare
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• v.64 no.4
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• pp.311-336
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• 2012

Under the Korean mental health circumstances where familistic culture is predominant and social resources are limited, siblings are an important presence that effect chronically mentally ill people's lives. Despite this fact, our society in some aspect overlooks their importance. Therefore, this study is focused on the role of siblings as caregivers of chronically mentally ill adults and is conducted to understand the relevant process and types of how siblings fulfill the role of caregivers. In order to achieve this goal, data was collected from nine study participants through individual interviews and focus group interviews and its contents were analyzed according to Grounded Theory. The results revealed that the siblings' experiences as caregivers of chronically mentally ill people were mainly categorized as 'carrying painful memory, responsibility, and concern about the obscure future of the mentally ill sibling and finding a caring role different from those of parents.' Moreover three types of sibling caregivers were recognized: 'reality-adapting, obligation fulfilling' type, 'sacrificial self-responsibility fulfilling' type, and 'growing guardianship creator' type. This research aimed to vividly deliver the voices of research participants and proposed social support and permanent planning services based on the experiences and desires unique to siblings.

• Proceedings of the KAIS Fall Conference
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• 2009.12a
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• pp.322-325
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• 2009

병원의 의료 서비스에 대한 고객의 불만과 고충 내용을 분석하여 불만족을 파악함으로써 고객 불만족의 재발을 막고 이에 대한 해결방안을 제시하고 적용하는 고객만족 경영 전략을 수립하고자 분석한 결과 다음과 같다. 1. 조사대상자의 성별은 남자가 높은 분포를 보였고 계절별로는 환자측면과 보호자측면 모두 여름에 높았고 요일별로는 모든 측면에서 월요일에 불만족이 많았다. 이용형태별로는 환자측면은 외래가, 보호자측면은 입원이 높았고 발생부서별로는 환자측면과 보호자측면 모두 진료부에 대한 불만사항이 많았고 소리함을 통한 접수가 많았다. 2. 불만요일별 항목 특성 중 진료서비스 항목은 진료정 확성이 높은 분포를 보였고 보호자는 진료서비스에서, 환자는 절차서비스에서 높은 불만을 보였다. 3. 발생부서별로는 절차서비스는 진료지원에서 높은 점수가, 진료서비스는 진료부에서 높은 점수를 보였으며 친절서비스에서는 간호부가 높은 점수를 보였고 편의환경서비스에서는 행정부가 높은 점수를 보였으며 통계적으로 유의한 차이를 보였다.4. 불만요인별 상관관계의 결과는 진료서비스는 성별의 역 상관관계를 보였다. 친절서비스는 성별과 연령이 정상관 관계를 보였고, 진료서비스는 역상관 관계를 보였다. 절차서비스는 성별과 연령, 진료서비스, 친절서비스가 역상관 관계를 보였다. 편의환경서비스는 성별과 연령이 정상관 관계를 보였고, 진료서비스, 친절서비스, 절차서비스는 역상관 관계를 보였다. 현 의료서비스에 대한 고객의 불만 및 고충 내용이 병원 의료서비스의 질을 개선하는데 이바지할 수 있는 기초자료로써 그 의의가 있다.

• Child Health Nursing Research
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• v.23 no.1
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• pp.70-80
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• 2017

Purpose: In this study a caregiver's role improvement program was developed and tested to identify the effect on uncertainty, stress, and role performance of caregivers with hospitalized children. Methods: The design of this study was a quasi-experimental study with a nonequivalent control group and a non-synchronized design. Thirty-three caregivers were assigned to the experimental group and 33 to the control group. Data were collected from March 5 2016 to April 10 2016. For the experimental treatment, each individual was given on-site education with situated learning (given 30 minutes each, for 2 sessions), and self-repetition learning activities were performed from the e-book. Data were analyzed using t-test, ${\chi}^2-test$, Fisher's exact test, paired t-test, and independent t-test. Results: The level of uncertainty and stress decreased, and role performance level improved for these caregivers with hospitalized children. Conclusion: The findings of this study show that using on-site education through situated learning and self-repetition learning with an e-book as in the caregiver's role improvement program is an effective intervention. Therefore, utilizing the caregiver role improvement program developed in this study is recommended as an effective intervention for caregivers of hospitalized children.

• The Korean Society of Law and Medicine
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• v.20 no.2
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• pp.43-82
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• 2019

In Korea surrogate medical decision makings happen without legal grounds. The purpose of this article is to research the issues in preparing policies for decision-making on behalf of unrepresented patients. As aspects of comparative law, there are two approaches. One of them is to regulate default surrogate list. If no agent or guardian has been appointed, some legislatures provide that members of patient's family who is reasonably available, in descending order of priority of not, may act as surrogate: (1) the spouse, unless legally separated; (2) an adult child; (3) a parent; or (4) an adult brother or sister. If none of them is eligible to act as surrogate, some legislatures allow close friends to make health-care decisions for adult individuals who lack capacity. On the other hand there are other legislatures which provide no surrogate decision maker list but oblige the responsible authority to determine with advice of family members or friends of the patient. In the end the first approach can not guarantee that the surrogate decision maker like family members or friends will determine in the best interest of the patient.

• Korean Parent-Child Health Journal
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• v.18 no.1
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• pp.28-38
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• 2015

Purpose: This study was conducted to identify the role and role burden of caregivers with hospitalized children. Methods: The participants included 149 main caregivers from two pediatric hospitals whose children have been hospitalized for at least 2 days at children's hospital. The data were collected from August 1 to september 30, 2013 using self-report questionnaires of checklist type for caregivers' role and Likert scale for role burden. Results: Role for hospitalized children showed that personal hygiene was the highest, and consultation with nurses and doctors was the lowest in total frequency per day. Of the role for the caregivers themselves and family, personal hygiene was the highest, and home management was the lowest. The degree of role burden perceived by hospitalized children's caregivers was the slightly high. Of the categories, emotional burden was the highest and dependent burden was the lowest. There were differences by caregivers' age, children's age, and children's health status. Conclusion: The caregivers performed various roles, especially more frequently on personal hygiene and nutrition for their hospitalized children and themselves and family, and had slightly high role burden. These results may contribute to develop nursing interventions that can help adapt on hospitalization of children and their caregivers.

• 재활복지
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• v.18 no.4
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• pp.207-220
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• 2014

The purpose of this study is to determine the parent-perceived effect of adaptive seating devices on the lives of infant or young children with physical and brain lesion disabilities(age 1-13y) and their families. Using the seating device for disabled parents of 42 people with disabilities who use FIATS-AS to investigate functional outcomes. All parents completed the FIATS-AS 4 times-2 times before and 2 times after their child received a new adaptive seating system. Repeated-measures analysis of variance detected significant mean differences among the FIATS-AS scores. Also to estimating the impact of the new seating intervention for the 3 age cohorts using the FIATS-AS scores. The FIATS-AS detected a significant interaction between age cohort and interview time. Providing adaptive seating devices has been found that the positive effects on guardians. The change was significant in 1~7 years of age. Environmental modification, such as seating and other assistive technology devices, may have an important role to play in the lives of young children with disabilities and their families.

• The Journal of the Korea Contents Association
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• v.14 no.5
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• pp.156-165
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• 2014

In this study, the effect of communication with a guardian of a recipient of a Long-term Care Program on job satisfaction of care helpers of in-home care facilities for the elderly is analyzed. First, most of the care helpers are content with their job despite low pay and short work-hour. Especially, they are aware of the need of communication with a guardian but skeptical about the need of having intimacy with a guardian, so the relation between a care helper and a guardian is usually formal only. Second, in terms of characteristics of a guardian, care helpers have higher job satisfaction when a guardian is a male and old, and does not have an unreasonable demand. Third, they have higher job satisfaction when they have better communicate with a guardian rather than higher intimacy. Considering this result, we should make programs such as education for a guardian to develop intimacy with a care helper and one for a care helper to develop intimacy and communicate effectively with a guardian. It is also needed to have guidelines which set up relationship between a helper and a guardian.

• The Journal of the Korea Contents Association
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• v.19 no.7
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• pp.598-608
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• 2019

This study aimed to investigate the role of social support to enhance posttraumatic growth in the Family Caregivers focusing on their trauma by development of the elderly with dementia. The study subjects were 204 family Caregivers for the elderly with dementia and the data were analyzed by the gender. This study utilized IBM SPSS Statistics ver. 20.0 for analysis, and the main results of this study were as follows. First, female group of the family Caregivers showed significantly higher in the level of trauma while male group showed significantly higher in the informal areas of social support and posttraumatic growth. Second, female group showed the protective effect in the formal area of social support and male group did the effect in the formal and informal area of social support. As such, this study investigated the level of trauma by gender of family Caregivers for the elderly with dementia and suggested the implementation strategies to enhance posttraumatic growth. Moreover, this study has the meaning to provide the required fundamental data to establish proper community care upon demonstrating the practical analysis results considering the characteristics of social support.