• 가정∙방문간호학회지
• /
• 제25권2호
• /
• pp.155-164
• /
• 2018

Purpose: This study aimed to explore the interactions of single mothers with health care workers during their transition to motherhood. Method: This qualitative study conducted focus group interviews with 16 single mothers who were identified at four facilities for single mothers and provided written informed consent. from Junre to October 2017. Each focus group session was recorded and transcribed verbatim. Result: Four categories emerged from the data: "trapped behind a will of eyes," "oil on water," "standing naked in a public square," and "Support from being called a mother." Conclusion: The study results showed that health care workers should provide health care service to single mothers with thorough consideration and care. The findings suggest that appropriate education is necessary for health care workers and prospective health care workers who provide maternal and neonatal care to improve the medical services that they provide to single mothers.

• 보건의료산업학회지
• /
• 제10권3호
• /
• pp.173-184
• /
• 2016

Objectives : This research analyzed the general characteristics of care workers and verified the correlation among self-perceived health, job stress and customer orientation. Methods : We conducted a survey from May 1st, to May 31st, 2015 of 260 care workers who are affiliated with elderly care facilities or home care facilities in Busan, Korea. Results : The more the workers were stressed about their organizational culture, the more they recognized psychological difficulties. However, there was no correlation between organizational culture and their tendency to be oriented toward customers. It was verified that the recognized psychological health has a positive regulation effect between customer orientation and job stress such as job skill requirement(p<0.01), job autonomy(p<0.01), and organizational culture(p<0.01). Conclusions : Because both suppliers and recipients of care services are aging, it is necessary for elderly care facilities to make a greater effort to minimize the physical and psychological losses of recipients.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제17권4호
• /
• pp.15-23
• /
• 2011

Long-term care Insurance system for the Elderly was started to respond to the aged society on July 2008 in Korea. So responsibility of the care for the old is being changed from the family to the society. The introduction of that insurance system has brought the growth of demand for care service. To improve the level of quality for care service providers in long-term care, the role of care worker in providers is recognized as important. But welfare system for the care worker seems to be poor. So the Seoul Metropolitan Council is preparing an ordinance for the care worker and the purpose of this study is for the ordinance as well. Questionnaires, interviews, documentary surveys were used to carry out this study. The results of this study are summarized as follows. The job stability is the most important thing for the care worker, so local government has to make efforts to promote the job stability of care worker. A welfare center for care workers is needed for the health for care workers in the local government. And the local government has to supervise service providers more strictly and evaluate them in treatments of care worker.

• 한국직업건강간호학회지
• /
• 제16권2호
• /
• pp.188-196
• /
• 2007

Purpose: The objective of this study was to evaluate long-term care needs using RAI MDS-HC and MI-CHOICE among the disabled workers. Methods: Data were obtained from 45 personal care recipients with the disability of mental and nervous system, and analyzed using SAS 9.1 by applying t-test, ${\chi}^2$ test, or fisher's exact test. Results: Only 'bed mobility' and 'indoor ambulation' items of ADL and problem activity were statistically significant factors by the level of personal care benefit. By MICHOICE grouping, 20.0 percent of subjects belonged to nursing home group, 51.5 percent were home care service, 28.9 percent were intermittent personal care. Conclusion: Personal care services in industrial accident compensation insurance have been categorized with two groups according to level of disability. But our results could contribute to provide personal care service according to the long term care needs.

• 한국융합학회논문지
• /
• 제12권1호
• /
• pp.341-351
• /
• 2021

본 연구의 목적은 돌봄 종사자의 감정부조화와 우울, 불안 간의 관계를 조사하고, 감정부조화와 우울 및 불안 간의 관계에서 정서지능의 조절효과를 알아보는 것이다. 이를 위하여 돌봄 종사자 142명을 대상으로 감정부조화 평가척도, 정서지능 척도, PHQ-9, GAD-7을 실시하였다. 수집된 자료는 SPSS 25.0 프로그램으로 분석하였다. 분석 결과, 감정부조화와 타인 정서인식이 우울 및 불안에 유의한 영향을 미치는 것으로 나타났다. 또한, 감정부조화와 우울 간의 관계에서 타인 정서인식의 조절효과가 나타났다. 마지막으로, 이러한 결과를 바탕으로 돌봄 종사자의 감정노동 및 정신 건강 문제에 대한 개입 방안을 제안하고 논의하였다.

• 산업융합연구
• /
• 제21권10호
• /
• pp.65-80
• /
• 2023

본 연구는 귀납적 내용분석을 통하여 재가방문요양기관의 시설장이 겪고 있는 수급자와 보호자의 재가방문요양 서비스에 대한 불신경험을 토대로 심층적 접근을 하여 재가방문요양기관이 겪고 있는 위기와 서비스 질의 저하 및 노인장기요양보험제도와 기관에 대한 불신 현상을 살펴보고자 하였다. 재가방문요양 서비스를 제공하고 있는 기관의 시설장 5명을 대상으로 FGI를 실시하여 인터뷰 내용을 전사한 후 귀납적 내용분석을 하였다. 그 결과 서비스의 질 저하, 제도 및 기관에 대한 불신, 장기요양기관 운영의 애로사항이라는 중심현상을 발견하였다. 본 연구를 토대로 재가방문요양 서비스의 질을 향상시키고 요양보호사와 기관에 대한 신뢰를 구축하기 위해 첫째, 재가협회나 재가방문요양기관 운영법인은 요양보호사와 사회복지사의 역량강화를 위한 신규 교육프로그램 계획과 매뉴얼을 개발해야 한다. 둘째, 국민건강보험공단의 실효적인 모니터링 시스템과 요양보호사의 전문성 관리 체계를 구축하여야 한다. 셋째, 요양보호사의 역할, 전문성, 권리 등의 인식개선 운동이 필요하며 넷째, 장기요양서비스의 질 저하 원인인 요양보호사의 이직률을 낮추기 위해 요양보호사의 근무처우에 대한 개선방안이 요구된다.

• 지역사회간호학회지
• /
• 제12권2호
• /
• pp.361-374
• /
• 2001

This study was done to identify a status of home visiting project as a community health nursing system, that was the organization. personal who have age, educational background, marital status, position, experience of the home visiting in the public sectors in part of Seoul. Kyonggi, Kang-won area, It was done to provide basis data for the development of effective visiting nurses project in the health sectors, where was Health Centers in urban and rural. Branch of Health Center in rural and Health posts. The question airs were distributed 352 public health workers who working place was 118 health workers in 12 health centers in Seoul. 56 public health workers among 39 health center and other public health sectors in Kyonggi and 178 public health workers among health center and health care sectors. Data collected from October to December. 2000. The analysis by SAS system with F test, percentage and frequency. The major result were as follows. The general characteristics of the respondent show that most of them were graduates from community college and RN-BS with broadcast that they had not completed CPHN course but only two health workers have trained for the visiting nurses project. As for their grade in the position, the most of health workers have seventh level and the other CHP were above sixth level in the health care post that in the government structure. This indicates that workers do not have great authority in decision making, the most period of works in the position was one and two years indicating that they change jobs frequently. On an average their clinical experience was 4.11 years which is ideal for the total service. As for preparation of staff for home visiting workers education on visiting nurses program have to receive short term or longer term training course for strong emphasis. The analysis showed that public health visiting workers responds about active job performance that based on an area, approach of acting by districts, education and position are shown statistically significant difference between acceptance of the visiting nursing job show the same as well as visiting nurses project. Special concerns for visiting Nursing care spread came to burden, many of activity carry out main solution is covered the health problem connective support system needs of quality and quantity which out health problem. As 71.1% of visiting health service held on the poor population was under the guardianship of the law, but people who health insurance wide application under law shown a tendency to increase gradually. The general characteristics of the patients showed 56.2% of female on average of age was 66.1 years old, they have health problem was the most of 47.6% of high blood pressure and stroke, the other and as a problem that economics, which is complex welfare with out health problem. Community health care service should be combined health and social work program. The form of delivery of visiting health care given the most guide and education with counselling and support. (33.6%) Among the six category of visiting care service shown statistically significant difference and next is fundamental care, remedy care with priority.

• 가정∙방문간호학회지
• /
• 제19권1호
• /
• pp.55-62
• /
• 2012

Purpose: This study was conducted to investigate the worker's service quality of the elders at a nursing home. Methods: A total of 371 workers, who were engaged in caring for the elders at a nursing home in B-Metropolitan city and Kyungnam, answered the questionnaires regarding the knowledge & skills of service, information cognition and service quality for the elders related to their clients. Results: Service quality for the elders was significantly correlated to the level of knowledge and skills, as well as the information cognition for the elders, and frequency of educational participation. Service quality for the elders was statistically significant predictors of knowledge and skills, and information cognition for the elders. These two variables accounted for 37% of the variance in service quality for the elders. Conclusion: In order to improve the worker's care level, the workers engaged in caring for the elders should make the efforts to be given a nursing education related to the knowledge & skills, as well as the information for the elders.

• 한국직업건강간호학회지
• /
• 제16권1호
• /
• pp.58-66
• /
• 2007

Purpose: A national long-term care system for elderly and the disabled has its unique evolution in each country. Japan, Germany and the United States may be the typical examples of respective social insurance system. This paper reviews the counterpart examples of Japan, Germany and the United States and looks at their accumulated long-term care system experiences and personal care system under workers' compensation. Methods: Literature review and website searching were conducted. Key words as 'workers' compensation insurance', 'personal care benefit' and 'long term care' were used in searching the related literatures. Results: Though the personal care benefit under current Workers'Compensation in Korea is very similar to Japan's, the long-term care system of Korea is not as well established. Germany and the United States have the provision of personal care benefit for injured workers within long term care system. Conclusions: We recommend some key issues to take into account for improving personal care benefit system in workers' compensation in Korea as follows: providing a comprehensive coverage through the linkage of long term care, introducing an assessment & evaluation system for the appropriate benefits, establishing insurer's role for quality management of personal care service, and developing a policy for family caregivers.

• 한국보건간호학회지
• /
• 제33권2호
• /
• pp.163-174
• /
• 2019

Purpose: The purpose of this study was to identify the effects of job stress, depression and fatigue on sleep quality of care workers employed in long-term care facilities. Methods: The participants were 213 care workers who worked in 11 long-term care facilities. The collected data was analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple linear regression with using the SPSS 23.0 program. Results: We found that patient-related job stress was the greatest stressor among care workers' job stresses. A significant difference in sleep quality was observed according to the self-perceived health status of the care workers. The care workers' sleep quality was negatively correlated with job stress (r=-.16, p=.018), depression (r=-.31, p<.001) and fatigue (r=-.29, p<.001). The influencing factors of sleep quality were depression (${\beta}=-0.22$, p=.001) and fatigue (${\beta}=-0.15$, p=.047). Conclusion: It is necessary to improve the health status and sleep quality of care workers by developing and applying health promotion programs to reduce the depression and fatigue of the care worker. This will ultimately improve the quality of service care for the patients.