• 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.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.2
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• pp.394-401
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• 2016

This study examined the experience of long-term care workers who care for people with dementia at home. A descriptive exploratory methodology was applied within the qualitative research paradigm. The data were collected using individual in-depth interviews with 10 long-term care workers who had at least 3 years working experience caring for people with dementia. The data were analyzed within the qualitative content analysis. Job selection, struggling and strategies for the role accomplishment were found to be the main categories. This study emphasized the role of caring as social filial piety from the concept of nonpayment of work in the family.

• Proceedings of the Korean Society of Computer Information Conference
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• 2022.01a
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• pp.189-190
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• 2022

최근 노인관련 요양 문제는 이미 사회적 이슈로 떠오르면서 각 가정에서의 돌봄이 곤란한 어르신들이 요양원, 재가복지센터, 주간보호센터, 노인전문병원 등에서 요양보호사의 도움이 절대적으로 필요한 일상이 되었다. 무엇보다도 장기요양서비스를 이용하는 어르신 대부분은 노인성 질환 또는 치매를 앓고 있다. 이는 각 가정에서의 돌봄이 어려운 어르신들에게 직접서비스를 제공 하는 종사자인 요양보호사들은 다양한 치매어르신들의 문제행동을 안고 현장에서의 돌봄을 제공한다. 따라서, 요양보호사의 직무 관련 스트레스에 미치는 영향력 파악과 이와 더불어 직무스트레스가 치매어르신의 문제행동과 종사자의 소진 간의 매개 효과가 있는 지 규명하는 연구들이 활발하게 이루어 짐으로 이를 규명한 내용을 토대로 대안 마련을 위한 유익한 제언들이 필요하다.

• Journal of the Korea Convergence Society
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• v.9 no.8
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• pp.319-330
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• 2018

The aim of this study was to identify the relationship of caregiving appraisal and family function among senile dementia patients' families using in-home services for the Long-Term Care Insurance(LTCI). The participants were 121 family caregivers of senile dementia patients using in-home services for the LTCI. The participants' mean age was $53.80{\pm}10.86years$, all middle-aged women(75.2%). When negative cognition's burden and neutral one's demand in their caregiving appraisal were low and positive cognition's satisfaction and mastery in their caregiving appraisal were high, emotional function in their family function was high. There is a need to develop nursing interventions for strengthening positive cognition's satisfaction and decreasing neutral one's demand in their caregiving appraisal to improve emotional function and communication of senile dementia patients' families.

• 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.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.4
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• pp.203-210
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• 2018

The UK is famous for being the first country in Europe to adopt the policies of marketisation regarding social welfare. Numerous other countries, including social democratic countries, have followed suit, and South Korea has also adopted the marketisation of care through the introduction of long-term care insurance. The aim of this study is to examine recent reforms concerning adult social care market in the UK, and to determine policy recommendations to further develop the Korean long-term care insurance market. Findings show that the UK has actively regulated and managed the care market. In particular, after the sudden bankruptcy of nursing homes, the CQC systematically analyzes the risks of bankruptcy of big service providers in terms of financial conditions and quality of services according to the six steps detailed in the Care Act 2014. If some service providers experience high levels of risk, the CQC reports results to local authorities in order to manage the risk of bankruptcy of these service providers. Such reforms in the UK suggest a number of policy measures for South Korea in which the problems of long-term care market are prevalent, including increased system management, introduction of a new inspection system, the expansion of public-based inspection organizations, and disclosure of information by the National Health Insurance Corporation.

• Journal of Preventive Medicine and Public Health
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• v.31 no.3 s.62
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• pp.564-578
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• 1998

Most extended care facilities have admitted both the healthy and unhealthy elderly, among which members' average caring demand vary. The Aged Welfare Law, however, currently provides no reasonable basis on the staffing policy for extended care facilities. It just reflects the admitted number of the elderly rather than differences in members' average caring demand among facilities. This study is designed to estimate the need for caring staff on the basis of the correlation between the individual health status measured by various tools including Activities of Daily Living and caring demand by actual service time for each one. The sample included all of the admitted elderly(187 persons) in 4 extended care facilities, two in Seoul and the other two in Kangwon-Do over the survey period October 5 through October 20, 1996. The survey process consisted of 3 stages. (1) The current staffing information was collected through self-completed written questionnaires left for head of official in each facility. (2) Six graduate students at School of Public Health interviewed all residents to collect information on their health status and sociodemographics. The response rate for the interview was relatively high(85%). (3) Information on direct and indirect caring time consumed for each residents came from self-completed written questionnaires given to nurses and helpers in each target facilities. Analysis of the data was made using Pearson's correlation and multiple regression technique through SAS program. Based on this procedure, the following was found. 1. No facility meet the staffing standard in the Aged Welfare Law completely. 2. It is actual service time that is most correlated with ADL(Activities of daily living). 3. When all of the elderly are divided by four groups based on the level of ADL, the mean values of needed caring time in each group are 15, 21, 36 and 88 minutes respectively. 4. There is no significant difference among facilities in distribution of elderly person by group. 5. No facility meets the estimated number of nurses and helpers which reflects health status of the admitted elderly. Therefore, it is required that severity of the admitted elderly be considered in establishing staffing standard for extended care facility.

• Korean Journal of Social Welfare
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• v.66 no.2
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• pp.5-29
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• 2014

The purpose of this study is to interpret how the long-term care evaluation system implements in the actual service settings with institutional isomorphism and decoupling based on new-institutional theory. This study conducted in-depth interview with employees engaged in 7 long term care service facilities. Directed qualitative content analysis was used to analyze the data. As a result, unlike the intention of the long-term care evaluation system to improve the efficiency of the organization by market competition, it found that organizations forcibly adapted a evaluation system to rely on government's resources and it results in isomorphism phenomena which is similar between organizations. This results confirmed that the evaluation system has implemented in the direction of enhancing the government's role to standardize and institutionalize the long-term care service rather than improving the efficiency of the organization by market competition. This study also partially found the phenomenon of decoupling between organizational formal structure accompanied by isomorphism and real behaviors. These results suggest that it is required to improve government's evaluation indicators on the issue of inefficiency caused by dual structure of organizations. In addition, this study proposes that government's evaluation index which is reflected the characteristics of care service is necessary for operating.

• The Journal of the Korea Contents Association
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• v.22 no.10
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• pp.330-348
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• 2022

The purpose of this study is to derive useful theoretical and practical implications for the prevention and overcoming of burnout of visiting caregivers by conducting a qualitative case study researb on the burnout experience of visiting caregivers. To this end, we analyzed the context in which visiting caregivers experienced relationships with the elderly 65 years of age or older and their family carers for long-term care benefit service, and the dispatched home elderly welfare center. As a result, a total of 12 high-level categories were derived, Which were 'I fell into a suspicious person', 'Fallen self-esteem', 'Visiting caregiver activity I don't want to do anymore', 'Oppressed being', 'In a violent situation Exposure', 'Devaluated care worker', 'Work that is difficult to be recognized as a professional occupation', 'Labor where the boundaries of work are not clear', 'Disappointment with family guardians', 'Social awareness and effort that is not easy to improve', 'Poor treatment of dispatching agencies' and 'Distrust of dispatching agencies'.

• Korean Journal of Occupational Health Nursing
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• v.32 no.4
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• pp.174-184
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• 2023

Purpose: The purpose of this study was to examine the impact of the working environment on person-centered care for home visiting dementia caregivers. Methods: Participants in this study were 146 caregivers, with the least 6 months of experience working at visiting care centers in Busan, and used a total of 133 questionnaires suitable for analysis. Data were collected from June 9 to July 20, 2023, and were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficients, and multiple linear regression using IBM/SPSS 27.0. Results: As a result of multiple linear regression analysis, organizational factors (β=-.37, p<.001), job-related factors (β=-.27, p=.001), and religion (β=.18, p<.013) were factors affecting person-centered care of home visiting dementia caregivers, and working environment explained 37% (F=10.63, p<.001) of person-centered care. Conclusion: Based on the results of this study, the exploration of strategies to improve the working environment will be necessary in order to increase person-centered care for home visiting dementia caregivers.