• 제목/요약/키워드: 자녀돌봄

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소아중환자실 부모의 돌봄참여에 대한 간호사의 인식: 내용 분석 연구 (Nurses' Perceptions toward Parent Participation in Pediatric Intensive Care Unit: A Content Analysis)

  • 김초희;채선미
    • 한국산학기술학회논문지
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    • 제20권12호
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    • pp.493-501
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    • 2019
  • 본 연구의 목적은 부모의 돌봄참여에 대한 소아중환자실 간호사의 인식을 파악하는 것이다. 연구대상은 서울에 위치한 상급종합병원 2곳의 소아중환자실에 근무하고 있는 간호사 5명이며, 일대일 심층 면담을 수행하였다. 자료수집 기간은 2016년 1월부터 2월까지였고 전통적 내용분석을 이용해 자료를 분석하였다. 연구 결과 소아중환자실 부모의 돌봄참여에 대한 간호사의 인식은 5개 범주와 43개 하위범주가 도출되었으며, 5개 범주는 필요성, 의미, 효과, 장애 요인과 촉진방안으로 나타났다. 간호사는 소아중환자실에서 집중 간호를 필요로 하는 자녀의 중증 상태로 인해 부모가 정서적 부담을 경험하며, 면회가 제한된 병원 정책이 이러한 부담을 악화시킨다는 점에서 소아중환자실에서 부모 돌봄참여의 필요성과 그 효과를 인식하고 있었다. 주요한 장애 요인은 부모의 돌봄참여에 대한 간호사의 지식과 역량의 부족, 과중한 업무 부담, 소아중환자실과 병원 내 정책이나 지침의 부족으로 나타났다. 촉진방안은 간호사 대상 부모 돌봄참여의 의미와 실천방안에 대한 교육 제공, 간호사뿐 아니라 부모를 포함하여 인식개선 활동, 전담 전문가를 지원하는 방안으로 나타났다. 본 연구의 결과를 기반으로 향후 소아중환자실에서 부모의 돌봄참여를 통합적으로 도입하기 위한 간호 중재의 개발과 효과 검증을 위한 후속 연구가 필요할 것이다.

공공데이터를 활용한 초등학생 돌봄시설의 최적입지 선정 (Optimal Location Modeling for Elementary Student's Care facility using Public Data)

  • 이지원;김지영;유기윤;양성철
    • 지적과 국토정보
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    • 제49권2호
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    • pp.109-122
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    • 2019
  • 맞벌이 가구의 증가로 육아에 대한 사회적 관심이 커지고 있다. 특히 자녀의 초등학교 입학은 상대적으로 이른 하교시간 때문에 돌봄의 공백이 생겨 출산과 더불어 여성의 경력단절에 주된 원인으로 꼽힌다. 본 연구는 이러한 정책적 기조에 부합하여 초등학생 대상 돌봄시설의 최적 입지선정 방안을 제안하였다. 돌봄시설의 후보로 기존 아이돌봄시설을 대상으로 하였으며, 최적입지 선정 시 수리적 최적화뿐만 아니라 입지적 특성을 고려하는 이중구조의 평가방법을 사용하였다. 실험은 서울시 송파구를 대상으로 진행하였으며, 총 258개의 후보시설 중 36개의 최적입지를 선정하였다. 먼저 공공데이터를 활용하여 돌봄시설의 특성에 맞는 평가기준을 세운 후 입지점수를 매겨 이에 해당하는 1차 후보시설을 선별하였으며, 이때 다양한 공공데이터를 하나로 통합하기 위하여 격자리샘플링 방법을 사용하였다. 다음으로 선별된 시설을 대상으로 공간 최적화 모델인 p-median 방법을 활용하여 최종 돌봄시설을 선정하였다. 이렇게 선정된 결과는 총 거리를 고려한 위치적 최적해 일뿐 아니라 돌봄시설의 특성을 고려한 다양한 입지적 기준을 만족하는 값이다. 본 연구에서 제안한 방법을 통해 공공데이터 융합 및 활용도를 높일 수 있고, 공공시설 최적입지 선정 시 정책 의사결정에 도움을 줄 것으로 기대한다.

기업의 자녀돌봄지원제도가 미취학자녀를 둔 기혼여성의 이직의향 및 일-가정 상호작용에 미치는 영향 (The effect of family care program in workplace on turnover intention and work-family interaction for married working women)

  • 정영금;한영선
    • 가족자원경영과 정책
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    • 제20권1호
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    • pp.61-87
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    • 2016
  • The purpose of this study is to demonstrate how having a family care program in the workplace for working women with preschool children affects these women's work and family life. This study employs a panel analysis based on data from the Korean Longitudinal Survey of Women and Families. The major results are as follows. First, financial support for nursery care is only significantly related to the turnover of married women with preschool children. Second, the negative effects of work on the family are significantly influenced by financial support for nursery care and maternity leave. Third, financial support for nursery care is also significantly related to the positive effects of work on the family. In conclusion, a family-friendly care program including financial support for nursery care and maternity leave in the workplace is an important support system for working mothers in raising their children.

소득계층을 중심으로 본 영유아 자녀 돌봄 및 교육 실태와 정책적 함의 (A Study on the Income Class Differences in Early Childhood Care and Education and the Policy Implications)

  • 이성림;성미애
    • 가정과삶의질연구
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    • 제30권6호
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    • pp.23-37
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    • 2012
  • Using data from the 2008 Korean Longitudinal Survey of Women and Families, this study investigated the income class differences in the modes, amount of time, and expenses for caring and educating a child in early childhood. The sample consisted of 1,849 households with a child aged 6 years or less. The major findings were as follows. First, the lower-income class was more likely to rely on child care centers and less likely to use services provided by kindergarten or private education. Their total amount of time required to provide care and education for their child was about 4 or 5 hours less than that of the other income classes; this result was due to the fact that they consumed less hours for home care, kindergarten, and private education. Second, we found there were more similarities than differences between middle-income and upper-income classes in the modes, amount of time, and expenses to care for and educate their young children; however, the middle-income class used less private education than the upper-income classes in terms of usage rate and length of time. Lastly, the other variables which were significantly related with the amount of time and expenses for child care and education included mother's employment, age of the child, and having siblings, and the family size. Based on the results, implications for public policy on early childhood care and education were suggested.

베이비붐세대의 자녀돌봄부담감, 노화불안, 노후준비 및 삶의 질 (Baby Boom Generation's Burden for Taking Care of Children, Aging Anxiety, Preparations for Old Age and Quality of Life)

  • 김정선;강숙
    • 한국보건간호학회지
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    • 제26권3호
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    • pp.440-452
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    • 2012
  • Purpose: The purpose of this study was to provide basic data for use in development of strategy for healthy aging preparation and successful transfer to old age by identifying factors influencing quality of life of the baby boom generation. Methods: The data were collected from a total of 205 members of the baby boom generation(aged 48 to 56), and analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression using the SPSS(Version19.0) program. Results: Burden for taking care of children, aging anxiety, preparations for old age, and quality of life according to the general characteristics and health-related characteristics commonly showed a significant difference in education level and presence of stress. The greater the more burden for taking care of children and the deeper the aging anxiety, the lower the quality of life, and the better prepared for aging, the higher the quality of life. Factors affecting quality of life in the baby boom generation included preparations for old age, burden for taking care of children, monthly household income, and quality of sleep. Explanatory power was 32%. Conclusion: For successful transition to old age and for improvement of quality of life in the baby boom generation, a comprehensive approach in micro and macro dimensions will be sought.

일-가정 균형을 위한 지역사회의 자녀 돌봄 지원 실태에 대한 연구 -서울, 경기지역 맞벌이 가정을 중심으로 (The Study on Supporting Situation of the Community Child Care Service for the Work-Family Balance - Focused on Dual Income Families Living in Seoul and Gyeonggi Province)

  • 조성은;정지영;한지수
    • 가족자원경영과 정책
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    • 제13권1호
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    • pp.147-168
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    • 2009
  • The purpose of this study is to research support systems of the community child care services for optimum work-family balance. For this purpose, the questionnaire to be completed combined four areas: the workplace, school, community and home. Then questions concerning demographic factors and community-related aspects were analysed for this article. After analyzing 197 questionnaires, supplementary questions were asked, by interview to 10 samples. Full-time working wives (eg. working from 9am to 6pm) who have 1 or more children under 10 years old, living in Seoul and Gyeonggi province were collected as samples. The results were as follows: First, child care from family and relatives, and community services was properly used during the week, but dual working parents took complete charge of child care on Saturdays. Second, emergency child care was usually provided by the family, while relatives and community child care services were used less. Third, parents spent 17% of their monthly income on total child care expenditure. Fourth, community child care services were not used often, but the level of satisfaction with them was very high. Finally, they used relatives' services for safety reasons and community services for location, and only based on informed decisions. Therefore, Saturday child care programmes need to be initiated to help physically and mentally tired parents, with more general provision of positive and diverse public support systems.

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발달장애 성인자녀를 둔 부모의 돌봄 스트레스와 삶의 만족도 -가족탄력성, 대처방식의 매개효과- (The caregiving stress and life satisfaction of parents of adult children with developmental disabilities: The mediating effects of family resilience and coping styles)

  • 이원남;김경신
    • 한국가족관계학회지
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    • 제21권4호
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    • pp.27-50
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    • 2017
  • Objectives: This study was carried out in order to evaluate the overall process that the caregiving stress of parents of adult children with developmental disabilities affected their life satisfaction through the levels of family resilience, and coping styles on the basis of stress-coping-adaptation model of Lazarus and Folkman(1984). Method: For this purpose, the structured survey was conducted by 394 parents of adult children with developmental disabilities. The data was analysed by AMOS 20.0 version. Results: The findings can be summarized as follows: First, the structural equation model(SEM) analysis was conducted in order to examine the various paths that parents' caregiving stress affected their life satisfaction. The model's goodness-of-fit was fine($x^2=225.20$, df=95, p=000. RMSEA=.06, TLI=.95). There were significant relationships between caregiving stress and family resilience(${\beta}=-.36$, p<.001), emotion-focused coping style(${\beta}=.47$, p<.001), life satisfaction(${\beta}=-.53$, p<.001). Second, family resilience and emotion-focused coping showed mediating effects on the relationship between caregiving stress and life satisfaction. Conclusions: The strategies for enhancing family resilience and social services for applying effective coping methods should be expanded in order to diminish the caregiving stress of parents of adult children with developmental disabilities.

영아어머니의 자녀돌봄의 부담감과 지지, 교육 및 상담요구에 관한 조사연구 (The study on the maternal burden of caretaking, the support and educational need for the caretaking activities of the infants′ mother)

  • 한경자
    • Child Health Nursing Research
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    • 제3권2호
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    • pp.228-240
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    • 1997
  • It is important to asess the risk factors of parenting and provide early intervention for promotion of the maternal caretaking ability. The purpose of the study was to identify the maternal burden of caretaking, the supporting and the educational need for the caretaking activities of the mother of infant. Sixty three mothers of infants who visited the wellbaby clinic of S university hospital and one health center during the period of November 1st, to 30th in 1996 comprised the subjects of this study, Data were gathered through the instruments that were developed by researcher. Statistical analysis of this study was used ANOVA and Pearson correlation. The results were as follows : 1) The mean score of the maternal burden of caretaking was 22.06. The maternal burden of caretaking was significantly high in the mothers who had vaginal delivery compare with the mothers who had caeserean section and in the muthers who gave artificial feeding compare with the group of breast or mixed feeding. 2) The mean score of the support need for the caretaking activities was 30.69. The support need for the caretaking activities was significantly high in the mothers who had the second child, compare with the mothers who had first or third child. And the support need for the caretaking activities was significantly high in the mothers who had caretaking help compare with the mothers who had no caretaking help. The specific subjects of 'mother-infant interaction', 'immunization' and 'prevention of accident' on the support need for the caretaking activities were relatively high. 3) The mean score of the educational need of caretaking activities was 29.3. The educational need of caretaking activities was significantly high in the mother who had the second child compare with the mothers who had first or third child. And the educational need of caretaking activities was significantly high in the mothers who had caretaking help compare with the mothers who had no caretaking help. The specific subjects of 'mother-infant interaction', 'emergency care' and 'prevention of accident' on educational need of caretaking were relatively high. 4) The maternal burden of caretaking was not correlated with the support need or the educational need of caretaking activities. But the support need of caretaking activities was significantly correlated with the educational need of caretaking activities. 5) The support and educational need of caretaking activities were significantly high in the mothers who wanted home care for caretaking their infants. Through the study, it was found that there is considerable maternal burden of caretaking as well as the support and educational need on the caretaking activities in the mothers whose child is young. Therefore developing the systematic and effective program is needed to meet the mother's need. The results of this study will be useful resources to develop the program. On the other hand, it can be recommanded that home health care will be one of the approach to support the mothers caretaking activities.

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보호아동의 친가정 복귀 과정에서 친부모의 경험 연구 (A Study on the Birth Parent's Experience in the Process of Family Reunification for Children in Social Care)

  • 김주현
    • 한국사회복지학
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    • 제64권1호
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    • pp.273-297
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    • 2012
  • 본 연구는 보호아동이 친가정으로 복귀하는 과정에서 친부모의 경험이 어떠한지를 살펴보고자 친부모 11명을 대상으로 심층 인터뷰한 후 근거이론방법으로 분석하였다. 분석결과, 인과적 조건은 '자녀를 맡김'이 도출되었고, 현상은 '형벌같은 삶', '자녀와의 분리상황에 적응함'으로 나타났다. 이에 맥락적 조건은 '가족 신념', '자녀양육 신념'이며, 중재적 조건은 '재기할 힘', '뜻대로 안됨'이었다. 작용/상호 작용 전략은 '양육기반 마련하기', '부모 역할 지속하기', '적응에 저항하기', '자녀복귀시기 조정하기'로 나타났다. 결과로는 '돌봄 부담감', '맡기고 싶음', '가족의식 강화됨', '미래가 희망적임'이 도출되었다. 과정분석 결과, 시간의 경과에 따라 (1) 자녀위탁단계: 자녀를 위탁한 모진 부모가 됨, (2) 자녀 위탁 후 단계: 자녀복귀위해 무너진 가정세움, (3) 자녀 친가정 복귀 단계: 나, 가족, 세상에 떳떳함 (4) 자녀 친가정 복귀 이후 단계: 재위탁 경계하며 가정지킴으로 구분되었고 보호아동의 친부모들은 자녀를 친가정으로 복귀시키는 과정에서 끊임없는 긴장의 연속을 경험하는 것으로 나타났다. 이에 보호아동의 친가정 복귀를 촉진하기 위한 실천적 대안을 제시하였다.

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손자녀 양육 조부모와 자녀와의 갈등에 영향을 미치는 요인: 조부모의 특성을 중심으로 (Factors Affecting the Conflict between Grandparents Raising Grandchildren and Adult Children: Focusing on Grandparents' Characteristics)

  • 김미혜;성기옥;팽경희;최희진;최소영
    • 한국노년학
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    • 제31권4호
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    • pp.905-923
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    • 2011
  • 본 연구는 손자녀 양육 조부모와 그들의 자녀 사이에서 손자녀 양육으로부터 비롯되는 갈등 요인을 밝히고자 하였다. 이를 위해 제3차 국민노후보장패널자료를 분석 데이터로 사용하여 손자녀 양육 조부모와 그들의 성인 자녀와의 갈등에 영향을 미칠 수 있는 요인을 손자녀 양육 조부모의 인구사회학적 요인과 경제적 요인, 돌봄 관련 요인, 건강 요인, 가족관계 요인을 중심으로 분석하였다. 분석결과 첫째, 조부모가 남성일수록, 연령이 높을수록, 학력이 높을수록, 종교가 없을수록, 비취업자인 경우에 자녀와의 갈등이 높은 것으로 나타났다. 둘째, 조부모의 근로소득과 금융소득이 없는 경우, 사적이전소득이 있을 경우, 즉 경제적으로 어려운 경우에 자녀와의 갈등이 높은 것으로 나타났다. 셋째, 손자녀의 연령이 낮을수록, 손자녀 양육 대가가 없는 경우, 손자녀 양육으로 인해 근로나 소득활동을 중단 또는 단축한 경우에 자녀와의 갈등이 높았으며, 조부모의 신체적 건강상태가 좋을수록, 정신적 건강상태가 나쁠수록 자녀와의 갈등이 높았다. 마지막으로 조부모의 가족관계 만족도와 배우자관계 만족도가 낮을수록, 자녀와의 관계 만족도가 높을수록 자녀와의 갈등이 높은 것으로 나타났다. 이는 자식을 위해 대가 없이 희생하는 전통노인과는 다른 양상으로서 손자녀 양육 대가 부재와 갈등에 대한 이해가 필요함을 시사한다.