• Title/Summary/Keyword: 좋은 돌봄

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A Study on the Concept and Improvement Plan of Long-Term Care Service Quality -The Voice of Service Field for 'Good Care'- (장기요양서비스의 질 개념 정립과 향상 방안 -현행 전략의 한계와 '좋은 돌봄'을 위한 현장의 목소리-)

  • Seok, Jaeeun
    • 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.

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The Necessary Conditions and Deterring Factors of Good Care (좋은 돌봄의 필요조건과 저해요인에 관한 연구 - 노인돌봄을 중심으로 -)

  • Seok, Jaeeun;Noh, Hyejin;Lim, Jeonggi
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.203-225
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    • 2015
  • Social care service has grown much with the introduction of Long-Term Care Insurance, but it remains difficult to answer in the affirmative to the question: are we providing sufficiently good care? This study has its purpose in figuring out what conditions are necessary to realize good care in our society. The study has used focus group interview (FGI) as a way to acquire realistic knowledge on the conditions that create good care and its deterring factors. The focus group interview, which targeted long-term care workers and facility heads, was conducted three times from January through March 2014, with each session taking about 3 hours. The analysis showed that the components of good care were mutual understanding and recognition through active interaction, making a good relationship based on mutual trust and respect, professionalism of care worker with flexible judgment that provides customized services, professionalism of center manager with appropriate intermediation, and the tripartite partnership among family, elderly, and care worker. Meanwhile, the deterring factors of good care were identified as devaluation of care labor, ambiguous job description and abuse, unprofessionalism of care worker and manager, inappropriate interference and indifference of family, and the structural constraints on long-term care environment.

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Institutionalization of Care Labor and Differences among Women (돌봄노동의 제도화와 여성들의 차이)

  • Lee, Sook-Jin
    • Issues in Feminism
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    • v.11 no.2
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    • pp.49-83
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    • 2011
  • This article explores the characteristics of care and care labor which is core keyword of the welfare state and the way of institutionalization of care labor, focusing specially on differences among women. Caring is defined by the expression of morality and labor accompanied by concrete action. But, care labor in the welfare state is defined by "activities involved in caring for the ill, elderly, handicapped and dependent", and I think, that definition is more useful than the narrow one for policy institutionalization. But the latter definition intentionally separates the domestic work from care work. Care labor is considered to be different from the market labor in terms of motivations, but there are some limits in standardization and commercialization of the traits of emotional and moral engagement. Thus, requiring of emotional motivation as one of the job descriptions is not realistic. Welfare state is institutionalizing women's unpaid care work in family through de-familization, and its policy tools are cash benefits and services for care-related, which influence to the female wage worker and fulltime housewife, care receiver and care giver, and polarization of women's class in a very different way. Cash benefits enhances the division of gender labor, polarizes the care laborer and weakens of expansion the care as decent job. The movement of feminist welfare state have a vision of universal service expansion and need the policy list for de-gendering of care labor.

A Study on the Relationship between Providing Care for Grandchildren and the Health of Middle and Old-aged Women (손자녀돌봄 유형과 조모의 건강에 관한 연구)

  • Kim, Hye Jin
    • Korean Journal of Social Welfare
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    • v.69 no.1
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    • pp.59-77
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    • 2017
  • The purpose of this study is to understand Korean women in later life by identifying the relationships between providing care for grandchildren and the health of women who aged above 50 years old. Focusing on the longitudinal patterns of providing care of grandchildren and physical and psychological health, this study used data from the second, third, fourth, and fifth waves of Korean Retirement and Income Study(KReIS) and regression to analyze the data. The following results were found. First, women who stopped providing care for grandchildren were more likely to have higher physical health status in later life than those who providing no care between the second wave to the fourth wave of the KReIS(p < .05). In addition, women who have continuously provided care for grandchildren were more likely to have lower physical health status at marginally significant level. However, there is no significant relationship between providing care for grandchildren and women's psychological health status. The findings of this study suggest that there are the different findings for the relationships between providing care for grandchildren and physical health status and psychological health status based on the longitudinal patterns of providing care of grandchildren. Lastly this paper discusses implications for future researcher and social welfare practitioners.

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A Study of Effect on Quality of Life of Cancer Patient's Caregiver : Focusing on the Mediating Effect of Feeling of Burden and Growth (사회적 지지와 암환자 가족의 삶의 질의 관계에서 돌봄부담감과 내적성장의 매개효과)

  • Rhee, Young-Sun
    • Korean Journal of Social Welfare
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    • v.61 no.2
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    • pp.325-348
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    • 2009
  • This study intends to investigate the main and mediating effects which caregiving appraisal and positive reappraisal exert on quality of life (QOL) of primary family caregivers of cancer patient considering the relationship with social support. The processes of this study areas follows. First, the variables which research model were chosen on the basis of stress-appraisal-coping theory through reviews of the previous studies. Second, a survey was conducted upon 295 primary caregiver of patient with cancer at National Cancer Center. Collected data were analyzed by SPSS 12.0 and SEM (Structural Equation Modeling) method using AMOS 5.0. The summary of the result is as follows. First, the entire model including measurement and structural model shows sufficient fit index of CFI(.951), TLI(.940) and RMSEA(.062). Second, the results of analysis of direct effects among variables are as follows. The 'Social support' has statistically significant direct effect on the 'feeling of burden' and 'growth'. The 'feeling of burden' has statistically significant direct effect on the 'growth' and 'QOL-mental and physical'. The 'growth' has statistically significant direct effect on the 'QOL-mental'. Third, the results of analysis of mediating effects of the 'social support and QOL' and 'feeling of burden and QOL' are as follows. The effects of 'social support' on 'QOL-mental' are significantly mediated by the 'feeling of burden' and 'growth'. The effects of 'social support' on 'QOL-physical' are significantly mediated by the 'feeling of burden'. The effects of 'feeling of burden' on 'QOL-mental' are significantly mediated by 'growth'. Through this research, these implications in social work study and practice are found: (1) this study extended the scope of study in the caregiver's health area from negative sides into positive ones by using growth variables as positive reappraisalof caregiving in research model, which has not been tried on the Korean family caregivers of the cancer patient. (2) The effects of positive reappraisal on QOL-mental can provide a foundational necessity for social workers to help family caregivers find positive meaning in their caregiving experience. This approach of social work practice will improve QOL of family caregivers. (3) This study present a framework including social support, negative appraisal, positive reappraisal, and QOL variables available to social work practice and explaining affective relationships among these variables in various aspects.

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The Effects of Nursing Practice Environment and Peer Group Caring Interaction on Retention Intention among Small and Medium-sized Hospital Nurses (중소병원 간호사의 간호근무환경, 동료 간 돌봄-배려행위가 재직의도에 미치는 영향)

  • We, Hyun-O;Kim, Weon-Gyeong;Noh, Eun-Kyung
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.83-92
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    • 2019
  • This descriptive convergence research aimed to explore predictors of retention intention of nurses. Participants were 207 nurses from five small and medium-sized hospital located in city G and province J. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, pearson's corelation coefficient and stepwise multiple regression. Among predictors, nursing practice environment, age, peer group caring interaction, current hospital work experience, and assignment to desired department significantly affected retention intention and nursing practice environment had the greatest effect on retention intention(${\beta}=.35$). Based on the results of this study, it is necessary to make efforts to improve nursing practice environment, caring interaction and good relationship between organizations.

The Influence of Working Environment on Person-centered Care in Home Care Visiting Dementia Caregivers (재가방문 치매 요양보호사의 근무환경이 인간중심돌봄에 미치는 영향)

  • Jang, Doo-Nam; Yu, Jungok
    • 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.

A Case Study on the Community-based Elderly Care Services Provided by the Social Economy Network in Gwangjin-Gu, Seoul (사회적경제 조직의 지역사회 돌봄 네트워킹 가능성에 대한 비판적 고찰: 서울시 광진구 노인돌봄 클러스터 사례연구)

  • Kim, HyoungYong;Han, EunYoung
    • 한국노년학
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    • v.38 no.4
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    • pp.1057-1081
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    • 2018
  • This study analyzed the case of elderly care cluster in Gwangjin-gu to explore the possibilities of social economy as a provider of community-based social services. Community-based means the approach by which community organizations build a voluntary and collaborative network to enhance collective problem-solving abilities. Therefore, it is very likely that the social economy that emphasizes people, labor, community, and democratic principles can contribute to community-based social services. This study analyzed social economic network by using four characteristics of social economy suggested by OECD community economy and employment program as an analysis framework. The results of this study are as follows: First, it is found that social economy would hardly supply community-based social services through network cooperation because of a large variation in community identity, investment to new product, and labor protection. Second, community users are not the consumers of the social economy and the products of the social economy stay in market products only for the organizations in social economy. In order to create good services that meet the needs of residents, community development approaches are required at the same time. The importance of community space where local residents and social economy meet is derived. Third, public support such as purchasing support has weakened the ecosystem of social economy by making the distinction between public economy and social economy more obscure. On the other hand, public investment in community infrastructure is an indirect aid to social economy to communicate with residents and to promote good supply and consumption. In the end, community-based social services need a platform where the social economy and the people meet. This type of public investment can create the ecosystem of the social economy.

Effects of Working Competency of Local Child Centers on the Quality of Service for Children: The Mediation Effect of Self-Efficiency (지역아동센터 종사자의 업무 역량이 아동서비스의 질에 미치는 영향: 자기효능감의 매개효과)

  • Park, Woon-ju
    • The Journal of the Korea Contents Association
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    • v.21 no.1
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    • pp.590-602
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    • 2021
  • This study was originated from the idea that it would be important for caring service of community children center to be positioned as the institution to strengthen the public nature and provide quality care services to children. In particular, competencies of the employees in community children centers play an important role and the quality of children care services is the crucial evaluation parameter for those institutions. The objectives of this study are to investigate the effects of the competency levels of the employees in community children centers on the service quality to children and to verify the mediated effect of self-efficacy on their service quality to children. With respect to the data analysis methods, hierarchical regression analysis was performed. Barron & Kenny's method was used to understand the mediated effect of self-efficacy. Also, Sobel test was performed to investigate the significance of mediated effect of self-efficacy. The study results are, first, the service quality to children might be differed by the level of competencies of the employees in community children centers; and second, partial mediated effect of self-efficacy was found between their competencies and service quality to children. These results implicate that service quality to children can be improved by strengthening competencies of the employees in community children centers and enhancing their self-efficacy. It is necessary to try to improve the service quality by enhancing competencies and self-efficacy of the employees in community children centers, which will lead those institutions to play a crucial role in the caring services.

The Function of the Imaginary Companion in the Picturebooks (그림책에 나타난 상상친구의 기능)

  • Park, Hyun-Kyung;Bong, Jin-Young
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.380-390
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    • 2022
  • This research is to find out what kinds of function imaginary companions do to the characters in a picture book featuring imaginary companions. To this end, a total of 26 picture books featuring imaginary companions published in Korea were analyzed using content analysis to assess the function of imaginary companions in the relationship between the main character and imaginary companions. As a result of the study, the imaginary companions were found to play the function of playmates (77%), care givers and/or advisers (42%), companions (42%), other egos (38%), those who get wish realized (23%), those who sharing emotion (23%), and emotion controllers (19%). In the picture book, the imaginary companion was performing various functions according to the situation and needs of the characters. Mostly two to three (2~3) kinds of functions were performed in the each analyzed picture book, and as a result of analyzing trends out of 26 picture books, it showed that there are three types of trends in relationship, which was horizontal, vertical and other egos. The imginary companions depicted in the picture books were not only being who helps realize whishes, take care of main characters, and control their emotions, but also appeared to share hearts, project other ego and be a good friend with an equal level of relationship that plays together always.