• Korean Journal of Social Welfare
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• v.65 no.3
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• pp.155-182
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• 2013

The purpose of this study is to examine how the long-term care effects the elderly that adapt themselves to the caring facility, what their experiences are and what kinds of behavioral characteristics they present. We have analyzed the research conducted on 15 elderly individuals who are living in an elderly long-term care facility, by using the grounded theory approach of Strauss and Corbin (1998). As a result, 170 concepts, 42 sub-categories, and 15 categories were set by the open coding process. During the adaptation process in a long-term care facility, the primary experience or feeling by the elderly is that they had been 'deserted'. However, when consolidating the casual conditions, contextual conditions, intervening conditions, the action/interaction strategy, and consequence, the primary experience was that the elderly came to an 'acceptance'. Such acceptance was then sub-categorized into a destiny-resignation type, reality-acceptance type, and voluntary-selection type. Based on the results of this study, we recommend practical alternatives which will improve surrounding circumstances including caring facilities, its employees, relationships with other elderly individuals, and family support.

• 한국노년학
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• v.30 no.4
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• pp.1345-1357
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• 2010

This research, with the participants of the female elderly using a home-visit bath among long-term care services, made an in-depth analysis of what they experience while getting a home-visit bath. We conducted in-depth interviews with 8 elderly people. According to the result, the female elderly experienced the absence of a caregiver, difficulty in carrying out daily life due to physical diseases, getting what they need by themselves, getting comfortable in body and mind, accepting their given situation though feeling shame at getting a bath, and expressing their desires. In addition, they had a close relationship with a care helper. On the basis of the results, a systematic training system which could intensify the professionalism of care helpers was suggested. For the enhancement of the elderly's emotional stability in a long-term care, an integrated case management system was also suggested, which supports the family by organizing an integrated network by region between a long-term care service, home-visit care service, welfare center, and the National Health Insurance Corporation.

• 한국노년학
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• v.31 no.4
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• pp.1067-1081
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• 2011

This study aimed to compare job stress and job satisfaction of long-term care staffs caring for demented seniors with rating 3 and physically disabled seniors with rating 1. Survey was conducted upon 212 long-term care staffs in long-term care institutions in Ejungboo, Goyang, and Paju. There were, first of all, statistically significant differences between those groups in the level of overall stress, stress related to service subjects, and stress in service procedures. Regression analyses, secondly, showed that the relationship between job stress and job satisfaction was statistically significant only for long-term care staffs for demented seniors with rating 3. The results suggest that it is necessary to lower the level of stress especially for the staffs caring for demented seniors with rating 3. Furthermore, we need to consider the stress, that the staffs feels in the process of caring for long-term care service beneficiaries, as a important variable for intervention programs to reduce the level of stress among long-term care staffs.

• The Journal of the Korea Contents Association
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• v.15 no.10
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• pp.193-204
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• 2015

This study investigated how the ageism of geriatric care helpers influenced on elder abuse during their long-term care service for elderly, and analyzed the mediating effects of counselling from public organizations on the causal relationship between ageism and elder abuse. The data used in this study was collected from 627 of care helpers working at elderly long-term care institutions in Gyeongsangnam-do Province, using structured survey(or questionnaire), and analyzed by Baron and Kenny(1986)'s multiple regression method. Ageism has a meaningful influence on elder abuse and counselling from public organizations has meaningful mediating effect on the relationship between ageism and elder abuse. These results show that elder abuse according to ageism can be improved by counselling from public organizations and It presents some practical implications for ageism and counselling from public organizations.

• 한국노년학
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• v.30 no.4
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• pp.1027-1044
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• 2010

This study is to examine the effective system for providing services for long-term care elders, despite the expansion of formal care, informal care still is needed. Thus, this study's purpose is to classify the informal-formal resources linkages types of long-term care elders and looks into service satisfaction by these types and discover effective informal-formal resources linkages models. For that, this study is to divide informal-formal resources linkages types by the degree of providing services of informal and formal caregivers and discover the informal-formal resources linkages types using cluster analysis and explores the effectiveness of service satisfaction using multiple regression. The study's results is to suggest four models, such as family care, complementary, separation, formal service and complementary type was founded to be the most effective and then based on the result, we discuss as follows. First, we must strive to combine informal resources into formal service systemto the system for providing of service is made up the complementary type. Second, the system for providing services of long-term care elders is required integrated care system to alining of medical and long-term care services. Third, we have to consider a measure to improve of formal service type, for the satisfaction of formal service appears low relatively. Based on research findings, this study propose that the informal-formal resources linkages models are subdivided into the dimension of quantity and quality of care for improving the effectiveness of long-term care services.

• Journal of Digital Convergence
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• v.14 no.9
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• pp.399-406
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• 2016

This study aimed to identify the level of knowledge, attitude toward the elderly, competence of carers, and the correlation between these variables. Research design employed a cross sectional descriptive study using structured questionnaires. Data were collected from 145 carers who have worked in long term care facilities from June 2014 to September 2014. Descriptive statistics, ANOVA, independent t-test, and Pearson correlation coefficient were performed to identify the relationship among variables. The competence of carers was related to a positive attitude and a higher knowledge of caring for the elderly. Therefore, educational content that considers improvement among carers who have a low level of educational status should be developed. It should require carers to have a positive attitude toward the elderly through improving the job environment in order to increase the quality of long term care.

• 한국사회정책
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• v.20 no.2
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• pp.97-129
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• 2013

This study aims to investigate causes of the emergence of so-called 'family-care workers' in the Long-term Care Insurance system in Korea. The LTCI system introduced in 2008 financially support the utilization of formal care services for the eligible elderly with care needs by paying for services of their care workers. Interestingly, 38.4 percent of payments for the in-home services were claimed by family members registered as qualified long-term care workers in 2012. We interviewed ten family care workers in depth and analyzed the needs of the aged and their families to explain the emergence of family care workers. The emergence of family-care workers is an inevitable result of choice by family members who face a dual burden of living and caring; be the additional choice following discharge the duty to support the elderly; be the alternative choice to fulfill unaccepted needs for services. These results suggest the needs for a comprehensive public provision of both income and social service support for the aged and an introduction of financial support for family care complementing the formal care support in the LTCI in Korea.

• 한국노년학
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• v.29 no.3
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• pp.1043-1061
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• 2009

The purpose of this study is to evaluate cost side by type of long term care services economically, and then to discuss the findings and implications for the results of analysis. For this research, primary caregivers that provide care the elderly requiring long term care services sanctioned by National Health Insurance Corporation were drawn and surveyed. Among collected data, data for 422 primary caregivers were used for this study. The subjects used in this study consisted of family caregivers from various settings that give care to the elderly. The results of this study can be summarized as follows. First, caregiver's household income level is low. Therefore, caregiving families with the elderly are likely to have financial difficulties. Second, under coverage of long term care insurance system, the direct cost caregiving households pay for the elderly is still very high. Third, indirect cost of caregiving households accounted for the larger proportion caregiving costs. Fourth, social cost burden for caregiving the elderly is very high. This cost amount is appropriately equal to household income of caregivers surveyed in the research. Fifth, service use cost of caregiving households is differentiated by type of long term care service. Sixth, direct cost of caregiving households is statistically significantly differentiated by type of long term care service, but is differentiated less than service use cost. Seventh, social indirect cost for caregiving the elderly is statistically significantly differentiated by type of long term care service. Eighth, social cost amounts for the elderly utilizing long term care service is very high, total social cost per capita by types of long term care service tend to converge on average social cost per capita of total service.

• 한국노년학
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• v.31 no.1
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• pp.97-109
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• 2011

The purpose of this work is to examine how work stressors are related to the burnout among staff in long-term care facilities for the elderly. This study offers some responses to a growing stress and burnout for the long-term care workers. The demand for long-term care workers is set to rise in light of an increasing share of older people and dependent elderly. Long-term care workers provide long-term care services to persons with a reduced degree of functional, physical or cognitive capacity. Cross-sectional survey data were collected from 216 staff in long-term care facilities. The standardised Maslach Burnout Inventory(MBI) was used to assess levels of burnout in long-term care workers. The MBI consists of 22 items using a 5-point Likert scale, measuring three sub-scales of burnout; Emotional exhaustion, Depersonalization, and Personal accomplishment. Data were analyzed using regression. This study is empirically tested the degree of association between burnout and its antecedents. The majority of differences in burnout could be explained by work stressors such as client relationship, job overload, job role conflict, and conflicts with clients' family. The study also identified workers' perceptions of their image in society and emotional support as predictors of burnout. Therefore long-term care facilities are encouraged to review their practices so that workers well-being is supported. The study findings suggest attention for organizational oriented initiatives to cope with burnout.

• The Journal of the Korea Contents Association
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• v.21 no.11
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• pp.646-656
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• 2021

This study examined effects of attitude toward the elderly, empathy and job stress on quality of service among caregivers in long-term care facilities. The participants were 133 caregivers in C province. Data were collected from May 1 to August 31, 2019 through self reported structured questionnaire. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise regression. Empathy correlated negatively with job stress and correlated positively quality of service. Attitude toward the elderly and job stress were negatively correlated with quality of service. Job stress, empathy and attitude toward the elderly explained 31.6% of variance in quality of service among caregivers in long-term care facilities. The findings indicate that caregivers' job stress, empathy and attitude toward the elderly are important factors to be considered for the improving quality of service among caregivers in long-term care facilities.