• Title/Summary/Keyword: CARE 방법

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Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study (중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법)

  • Kim, Hyun Sook;Choi, Eun Kyoung;Kim, Tae Hee;Yun, Hye Young;Kim, Eun Ji;Hong, Jin Ju;Hong, Jeong A;Kim, Geon Ah;Kim, Sung Ha
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.87-99
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    • 2019
  • Purpose: This study aimed to identify the difficulties with end-of-life care (EOLC) experienced by intensive care unit (ICU) nurses and to investigate their educational needs for EOLC. Methods: Mixed methods were used to survey ICU nurses at a university hospital. Quantitative data (N=106) were collected through a questionnaire and analyzed using an independent samples t-test, ANOVA, Mann-Whitney U test and $Scheff{\acute{e}}$ test. Qualitative data (N=19) were collected through focus group interviews and analyzed through qualitative content analysis. Results: The mean score on the difficulty of EOLC was 3.41 out of 5. The education needs derived from the qualitative analysis was categorized into four themes: 1) guidelines on professional EOLC, 2) spiritual care, 3) a program to take care of feelings of patients, families and nurses, and 4) activities to think about death. Conclusion: This study confirmed that ICU nurses were experiencing an extreme difficulty in providing EOLC. In addition, a qualitative analysis confirmed that they needed an EOL nursing program. To mitigate the difficulties experienced by nurses involved in EOLC, there is an urgent need to develop an education program for EOLC tailored to nurses' needs.

Factors Affecting End-of-life Care Performance of Nurses in Hospice and Palliative Nursing Institutions (호스피스 완화의료 전문기관 간호사의 임종간호수행 영향요인)

  • Min-Gi Jun;Myoung-Jin Kwon
    • Journal of Industrial Convergence
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    • v.22 no.5
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    • pp.107-116
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    • 2024
  • This study is a descriptive research study to determine the extent to which end-of-life care stress, death awareness, and prior decision-making attitudes of nurses at a hospice and palliative nursing institution have an impact on end-of-life care performance. The subjects of this study were 200 nurses working at a hospice and palliative nursing institution. Data collection for this study was conducted from August 9 to September 30, 2021, using two methods: written questionnaire and internet survey. The data analysis method used Pearson's correlation coefficient to analyze the relationship between the subjects' end-of-life care stress, death awareness, prior decision-making attitude, and end-of-life care performance. Hierarchical Regression was used to identify factors affecting the subject's end-of-life care performance. The results of this study showed a significant correlation between end-of-life care performance and death awareness (r=.22, p=.002), and end-of-life care performance and prior decision-making attitude (r=.20, p=.004). And prior decision-making attitude and death awareness had a significant impact on end-of-life care performance. As death awareness and prior decision-making attitudes increased, end-of-life care performance increased, and end-of-life care stress did not appear to be a statistically significant factor influencing end-of-life care performance. In order to improve hospice nurses' ability to provide end-of-life care, intervention that takes into account the influencing factors is required.

Implementation of SNS-based Web Integrated System for Child Care Participate Activation (보육 참여 활성화를 위한 SNS 기반의 웹 통합 시스템 구현)

  • Han, Jin Seok;Kim, Bong Han
    • Journal of Digital Convergence
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    • v.11 no.9
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    • pp.139-145
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    • 2013
  • In most of the child-care facility, Children's photos, newsletters, menu, training plans, etc. made in print and is delivered through the child's bag. This method does not allow the parents to check their kids' condition and the regarding information. To solve these problems, parents using internet-based CCTV monitoring, or a call to teachers and the child's condition is unknown. In reality, however, is difficult. Therefore, to enable active participation in care SNS-based web integration system is to implement. Through the implementation of this system, the cause of the problem does not completely eliminate but a large portion will be eliminated.

Role based access control of healthcare information system for Mobile environments (모바일 환경에 적합한 헬스 케어 정보 시스템에서의 역할기반 접근제어)

  • Lee You-Ri;Park Dong-Gue
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.3 s.35
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    • pp.119-132
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    • 2005
  • The health care system revolutionized by the use of information and communication technologies. Computer information processing and electronic communication technologies play an increasingly important role in the area of health care. We propose a new role based access control model for pervasive health care systems, which changed location, time, environment information. Also our model can be solved the occurrence of an reduction authority problem to pervasive health care system at emergency environment. We propose a new role based access control model for pervasive health care systems, which combines role-to-role delegations, negative permission, context concept and dynamic context aware access control. With out approach we aim to preserver the advantages of RBAC and offer groat flexibility and fine-grained access control in pervasive healthcare information systems.

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Study of the Care Labor Experience of Semi-Aged Caregivers (준고령 요양보호사의 돌봄노동 경험 연구)

  • Lee, Chee-Sook;Byun, Sang-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.4908-4918
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    • 2014
  • This study analyzed the characteristics and meaning of care labor by examining the experience of semi-aged caregivers. To that end, in-depth interviews were conducted for a qualitative study of 15 semi-aged caregivers working at elderly care facilities located in the Kyunggi-do region. The interview was conducted with a major focus on three categories: perception of care labor by semi-aged caregivers; stress experienced in the course of care labor; and insights earned through care labor. The analysis showed that semi-aged caregivers have a positive experience through care labor. This finding will contribute to understanding the characteristics and meaning of semi-aged care labor from a different perspective.

A Comparison Study on the Perceptions of Parents and Directors of Child-Care Centers regarding Parent Education (어린이집 원장의 기관유형에 따른 부모교육에 대한 인식)

  • Kwon, Yi Jeong
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.321-330
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    • 2018
  • The purpose of this study was to investigate the differences in the perception of directors of child-care center about parental education according to types of child-care centers. The subjects were 147 directors of child-care centers who reside in Chungbuk, Sejong, and Jeonbuk. Data were collected through questionnaires. The collected data were analyzed using SPSS 18, and frequency analysis, chi-square method and ANOVA method and Tukey test was also used for the posttest. The results of this study are as follows. There was no difference in the recognition of the director about the necessity of the parental education depending on the type of child-care center. There was a difference in the recognition of the directors in relation to subjects of parental education, the execution method, and evaluation area of parent education.

The Status and Challenges of Child Care Policy (보육정책의 실태와 과제)

  • Rho, Myung-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5738-5744
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    • 2012
  • The purposes of this study are to analyze the status of Child Care Policy, to discover the problems faced by child care policy and to provide better Child Care policies to reorient in the future. The following problems have been identified through the Child Care Policy Analysis of: (1) Due to '0 to 2 years' free Child Care, Dual-earner families was difficult to use Child Care facilities. (2) Low-income families with children over 36 months were excluded from receiving Care allowance. Child Care of publicity is difficult to secure. Because children using Child Care facilities use private type Child Care facilities than the national and public Child Care. Policy proposals to provide better Child Care policies are to increase the number of the national and public Child Care, to pay practical parenting allowance, to increase the number of high quality Infant Daycare Centers, to expand Part-time child care services and to support parent education and counseling program.

The Analysis of Activities and Satisfaction of Volunteers for Hospice Care (호스피스 자원봉사자의 활동 및 만족도 분석)

  • Kim, Boon-Han;Jung, Yun;Park, Kyung-Bok
    • Journal of Hospice and Palliative Care
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    • v.5 no.2
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    • pp.163-171
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    • 2002
  • Purpose : The purpose of this study was to analyze activities and satisfaction of volunteers for hospice care. Methods : We used 271 reports of hospice care and 20 questionnaire of activities and satisfaction of volunteers for hospice care from volunteers of in a community. Window SPSS-PC was used for the data analysis and the statistical method used were the descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results : 1) The highest score of activity was emotional area and the next activities was physical area. 2) The degree of emotional area (t=4.94, P<.05) and spiritual area (t=3.80, P<.05) was influence by religion of volunteers. 3) The mean score of satisfaction was 3.61. 4) There was correlation between duration of activity and death experience (r=.558, P<.05), emotional care (r=.698, P<.01), spiritual care (r=.474, P<.05), satisfaction (r=.651, P<.01), and the between physical care and family care (r=.559, P<.05), and the between spiritual cue and family care (r=.512, P<.05), and between emotional care and satisfaction (r=.536, P<.05). Conclution : The above result indicated that we must develope the management and education of volunteer of hospice care for various hospice care. Also, We should to encouraged the continuous education and efficient management.

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A Process Analysis on the Experiences of Preliminary Child Care Teachers in Child Care Practice (예비보육교사의 실습 경험에 관한 과정 분석)

  • You, Byoungye;Yang, Sungeun
    • Korean Journal of Childcare and Education
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    • v.9 no.3
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    • pp.95-119
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    • 2013
  • The study uses a qualitative research method for an in-depth study on child care practice for preliminary child care teachers. The study shows firstly that prior to practice, a preliminary child care teacher expects to perform a dual role. The preliminary child care teacher conceives an unequal, vertical relationship with a practice guidance teacher and serves as someone between a teacher and a friend to children, while perceiving the facility head as a mediator and practice colleagues as companions. Secondly, the preliminary child care teacher performed a triple role, while the practice guidance teacher played the role of a preliminary child care teacher. A preliminary child care teacher has mutually supportive interaction with a practice guidance teacher and serves as someone between a teacher and a friend, while acting as an important supporter to the facility head and as an uncomfortable competitor to a practice colleague. Thirdly, when a practice is completed, a preliminary child care teacher feels satisfied and sorry, while emphasizing a balance between theory and practice in a curriculum. The purpose of the current study lies in figuring out the needs for child care practice for a preliminary child care teacher who is the subject in child care practice to suggest improvements for a qualitative enhancement of child care practice.

The Effects of the Expansion of Formal Home Care Services for the Elderly on Time Allocation of Family in Korea (노인 재가서비스의 확대가 가족의 생활시간에 미친 영향: 삼중차이 방법의 적용)

  • Lee, Seungho;Byun, Geumsun;Shin, Yumi
    • 한국사회정책
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    • v.23 no.1
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    • pp.227-256
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    • 2016
  • This study examines whether formal home care has led to a reduction in family member's allocation of time to care of elderly and changing the allocation of other time: informal care, market work, leisure, etc. Long-term care for the elderly is not the entire burden of elderly families anymore due to the increasing of the formal home care service for elderly since mid-2000's. This study uses triple difference(DDD) methods for evaluating policy reforms when reforms are equally and nation-wide accessible and analyzes data from the 2004 and 2009 Time Use Survey Data of the National Statistical Office in Korea. The treatment group is composed of the families of the elderly who need care and low- and middle- income family. Controlling for demographic characters, the three-way interaction term has statically significant and negative impact on care time of family members in treatment group statistically significant. The results reveal that the policy changes in elderly home care service affect time allocation of family members with old adults, which decreases caregiving time in a daily life. This result becomes apparent when we limit the case of women. But the level of reduction is not enough to change other kinds of time-informal care, market work, leisure, etc. The results indicate that formal home care for the elderly can reduce the burden of caregiving in families, but only minimally.