• 한국치위생학회지
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• 제18권3호
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• pp.295-310
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• 2018

Objectives: The purpose of this study is to identify the factors affecting job satisfaction, job stress, turnover intention, work-family and family-work relationship of married dental hygienists with young children. Methods: 242 copies of self-reported questionnaires were analyzed. Statistical analysis of collected data was conducted using the statistical program of Stata 13.0 (StataCorp., College Station, TX, USA). Results: Turnover intention was higher when the child age was lower and the child support and parenting stress were higher. But when working hours were adjustable, the turnover intention was low. Job stress was higher as the position, monthly income and night working hours were higher. Job satisfaction was higher as night work was fewer, work time was adjustable and family life satisfaction was higher. When parenting stress was high, job satisfaction was low and job stress and turnover intention were high. Work-family relationships were more affected by lower monthly income and parents-first child caregivers. Workplace factors affecting the family life were monthly income, caregiver and number of night work. The higher the parenting stress, the greater the mutual influence between family and work life. Age, family life, parenting stress and turnover intention were identified to affect family-work relationship. Parenting stress and job stress were identified to be influential on work-family relationship. Conclusions: Married dental hygienists are leaving the clinical setting due to their marriage and childbirth, or showing the effects on family-work and work-family relationships due to parenting. Efforts should be made to efficiently utilize professional manpower and to improve the psychological and physical working environment surrounding the married dental hygienists.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.382-393
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• 2018

치매환자는 꾸준히 증가하는 추세로 사회적 문제로 대두되고 있으며, 환자들에게 서비스를 제공하는 자들에 대한 처우의 관심도 증가하고 있다. 따라서 본 연구는 치매환자를 돌보는 요양원 종사자의 돌봄 경험을 살펴보고, 그들의 감정노동, 소진이 직무스트레스와 만족에 미치는 영향과 돌봄 경험의 조절효과를 분석하였다. 연구결과는 다음과 같다. 첫째, 요양병원 종사자의 돌봄 경험은 초기 간호사 마음가짐, 초기 간호수행(돌봄)시 치매환자에 대한 인식, 업무수행(돌봄)과정의 애로사항, 돌봄 과정에서 생기는 신체적 정신적 한계, 업무수행(돌봄)과정의 만족, 치매환자 간호수행(돌봄)을 통한 경험, 개인적 삶에 대한 마음가짐의 변화로 나타났다. 둘째, 감정노동과 소진은 직무스트레스에 정(+)의 영향을 미치는 것으로 나타났으며, 이 과정에서 돌봄 경험은 감정노동과 소진이 직무 스트레스에 미치는 영향을 유의하게 조절(완화)하는 역할을 하는 것으로 나타났다. 마지막으로 직무 스트레스와 직무 만족 간의 관계는 지지되었다.

• 기본간호학회지
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• 제3권1호
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• pp.19-36
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• 1996

The purpose of this study was to provide basic information for developing family-focused nursing interventions for families with chronic illness. The subjects were 68 families of chronically ill patients in hospitalization and 68 families, as a comparison group, who didn't have chronically ill family members. The results of this study were as follows. 1. families with chronic illness showed higher anxiety scores (t=2.28, P=.024) and lower family functioning scores than normal families(the performance of family functioning : t=2.83, P=.005, the satisfaction of family functioning : t=5.76, P=.000) 2. In family caregiver systems, spouses of chronically ill patients showed higher anxiety scores (t=2.72, P=.008) and lower family functioning scores than those of normal families(the performance of family functioning : t=2.28, P=.026, the satisfaction of family functioning : t=4.41, P=.000) : however, the anxiety scores between children of chronically ill patients and those of normal families were no statistically significant differences. with regard to satisfaction of family functioning, children of chronically ill patients showed lower scores than those of normal family(t=3.85, P=.000). 3. In families with chronic illness, there were significantly positive correlations between the perceived importance of family functioning and anxiety(r=.415, P=.001) and between the performance and satisfaction of family functioning(r=.727, P=.001) ; however, there was a negative correlation between satisfaction of family functioning and anxiety(r=-.334, P=.01). In normal families, there was no significant correlation between family functioning and anxiety. Findings of this study suggest that families with chronic illness need family-focused nursing interventions for relieving their anxiety and for improving family functioning. in conclusion, the investigation of family functioning and anxiety provides useful information in family-focused nursing care, especially for spouses of chronically ill patients. This information will contribute to developing the support systems for family caregivers and education programs for managing chronically ill patients.

• 한국병원경영학회지
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• 제28권4호
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• pp.23-32
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• 2023

Purposes: Caregivers are placed in a poor working environment because there is no special legal basis or definition in the current medical system, and they have difficulty in supplying manpower due to frequent job change and retirement. Therefore, this study aimed to find out the effect on job consciousness, job stress, job satisfaction, and turnover intention of caregivers in nursing hospitals for the elderly. Methodology: In this study, a survey was conducted from May 2nd to 16th, 2022, targeting caregivers with more than 6 months of work experience working at 10 nursing hospitals in D City. Data were collected through convenience sampling, and a self-administered questionnaire method was used, in which subjects filled out a questionnaire. A total of 240 questionnaires were distributed, and 220 copies were considered for the final analysis after excluding non-response or inappropriate questionnaires for data use. Data analysis used t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis, and the main results are as follows. Findings: Job stress and job satisfaction showed a significant correlation with the level of turnover intention, and were also found to be major determinants. On the other hand, among the occupational characteristics of the study subjects, employment type, job motivation, service period, number of patients, injury experience, and license status showed a significant difference from turnover intention. Conclusion: As a result of the above research, in order to prevent job turnover and retirement by improving job stress and job satisfaction of caregivers engaged in nursing hospitals, it is necessary not only to legalize caregivers, but also to secure an appropriate level of caregivers for nursing hospitals and improve specific treatment for caregivers. Ultimately, a policy alternative that can provide quality nursing service is required.

• 대한간호학회지
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• 제31권1호
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• pp.81-93
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• 2001

The purpose of this study was to develop a continuing nursing care program for cancer patients and the caregivers staying at their home and to test its effects on patients' symptom distress, caregiver burden, and satisfaction of life. The continuing nursing care program was based on the homecare needs of cancer patients, and was provided by three clinical nurses who took care of the patients while they were hospitalized. The program consisted of discharge education about selfcare using education materials(book and handout) and provisions of direct care. These were counselling and education during which visiting patients' home one week after discharge and telephone counseling two weeks after discharge. Counseling by telephone was always available during the research period. A quasi-experimental research design was used to test the effects of the program. Subjects for this study were 53 cancer patients discharged from the hospital and caregivers. These subjects were assigned to an experimental group (n=23) receiving continuous nursing care, or to a control group (n=30) not receiving continuous nursing care. Data from control group was collected first to protect from contamination. Data collection was done from October of 1998 to February of 2000. The collected data was analysed using mean, t-test, and chi-square test computed by SPSS software. The summary of results was as follows: 1) The symptom distress was a little decreased at posttest, but there were no significant differences between the experimental and the control group in symptom distress. 2) The score of caregiver burden was significantly decreased in experimental group at posttest, but no differences in control group. 3) There were no significant differences between the experimental and control group in the satisfaction of life. 4) The score of satisfaction of continuing nursing care program in experimental group at posttest was 2.321 of 3. In conclusion, even though this study did not obtain evidence of effectiveness of continuing nursing care program on patients, such as. It is still expected to be effective by a more improved program. Therefore we want to give some suggestions for further studies. 1) It is needed to make a communication channel with the patient's doctor to response promptly and appropriately to patient's conditions. 2) The research is necessary on patients in terminal stage or early stage of cancer diagnosis who have many nursing needs. 3) It is needed to readjust the roles and job assignment of clinical nurse to implement effectively as a program provider.

• Child Health Nursing Research
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• 제16권3호
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• pp.220-229
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• 2010

Purpose: The purpose of this study was to describe quality of life in school age children and the relationship between quality of life and parenting attitude as perceived by children and parent-child communication pattern. Methods: Data were collected between May 26 and June 3, 2009 using self-report questionnaires from 148 pairs of children and their parents. The children were enrolled in 4th to 6th grades. The questionnaires included the Parental Bonding Instrument (PBI), Parent-Child Communication (PCC) Scale, and Pediatric Quality of Life Inventory (PedsQL). The data were analyzed using the SPSS WIN 17.0 program. Results: The Quality of Life (QOL) score for the children was significantly higher among children reporting higher parental bonding attitude (mother r=.38, father r=.34) and parent-child communication (mother r=.43, father r=.36). Results of multiple regression showed that factors significantly associated with QOL were academic achievement, caregiver available after school, parent-child communication, school satisfaction, relationship with peers, and birth order among siblings. Conclusion: Positive relationships and good communication with parents and satisfaction with school life were important factors associated with quality of life in school age children.

• 한국실내디자인학회논문집
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• 제24권4호
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• pp.152-160
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• 2015

This paper proposes high quality of healthcare environments for a user-oriented children's hospital by identifying the user needs according to residential characteristics of the child, especially the hospitalization period. Caregivers, mostly parents of children in a children's hospital, participated in a questionnaire survey. The user's demands, satisfaction and hospital environment assessment were measured. A total of 103 copies of the questionnaire were finally collected and analyzed. The data was processed statistically using SPSS WIN 18.0 Version software. The results and conclusions are as follows. 1)The participants were categorized into three groups according to the hospitalization period of the child (less than 7 days, 7-20 days, and more than 21 days). 2)When the patients stayed longer in the hospital, their satisfaction was lower and their demands were higher. The long-term group required a more spacious bathroom for the child inpatients and their caregivers as well as sufficient individual storage spaces that are appropriate for the length of stay. 3)The longer they were hospitalized, the more negative they evaluated the hospital environment. These results suggest that the period of hospitalization is one of the crucial factors that impact the user's satisfaction and demands. Therefore, it is necessary to identify the design factors such as territoriality, privacy, accessability, and aesthetics to improve the satisfaction of the long-term child inpatients and their caregivers.

• 여성건강간호학회지
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• 제15권3호
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• pp.196-204
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• 2009

Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.

• Clinical and Experimental Pediatrics
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• 제53권3호
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• pp.364-372
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• 2010

목 적: 성공적인 천식 치료를 위해서는 증상이 조절된 이후에도 일정 기간의 유지 치료가 지속되어야 하며, 이를 위해서는 소아 환자의 경우 보호자의 순응도가 매우 중요하다. 본 연구는 천식 조절상태 환아의 보호자가 장기간의 유지 치료에 순응하는 데 관련된 요인을 알아보고자 하였다. 방 법: 고려대학교 안암병원 소아청소년과에서 천식으로 진단하여 유지 치료를 받고 있는 환아 중에서 NAEPP 가이드라인에 따른 천식 조절상태가 최소 3개월 이상 유지되면서 치료 순응도가 높은 보호자 18명을 대상으로 하였다. 질적 분석 방법 중 하나인 심층 면담을 통해 보호자들의 천식 치료와 관한 경험, 천식 및 천식 치료에 대한 인식, 치료자와의 상호 관계에 대한 자료를 얻고, 이들의 높은 치료 순응도와 관련된 요인들을 분석하였다. 결 과: 총 18명의 보호자(어머니 15명, 아버지 1명, 할머니 2명)가 심층 면담에 참여하였고 이들의 평균 연령은 40.0세였다. 심층면담 결과 보호자 및 환자 영역에 해당하는 8개의 순응 요인과 치료 영역에 해당하는 4개의 순응 요인이 밝혀졌다. 보호자 및 환자 영역에서는 천식 치료 후 증상 호전에 따른 일상활동의 수행(77.8%), 천식의 장기간 치료 필요성에 대한 인식(50.0%), 부작용보다 우선하는 치료제의 필요성에 대한 가치 인식(38.9%) 등이 주로 언급되었다. 치료 영역에서 가장 흔히 언급된 요인은 치료자에 대한 신뢰(77.8%), 진료 방식 및 태도에 대한 전반적인 만족(77.8%), 객관적인 검사를 통한 지속적인 치료 필요성의 제시(38.9%)였다. 결 론: 소아 천식 치료의 순응도 향상을 위해서는 보호자/환자 측면의 요인과 치료 측면의 복합적인 작용에 대한 고려가 필요하다. 치료자로서는 보호자와의 상호 협력 관계 형성을 위한 노력이 가장 기본적으로 선행되어야 할 것으로 생각된다.

• 한국산학기술학회논문지
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• 제19권8호
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• pp.276-282
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• 2018

본 논문은 일개 지역암센터에서 제공되는 재가암환자관리프로그램의 만족도와 요구에 대한 조사를 통해 프로그램의 질 향상을 높이기 위해 시행하였다. 재가암환자관리에 등록된 된 환자와 보호자를 대상으로 2015년 3월부터 2015년 10월까지 자체적으로 개발된 설문지를 통해 면대면으로 조사를 시행하였다. 환자 59명과 보호자 41명, 총 101명을 대상으로 설문조사가 이루어졌다. 암종에서는 유방암이 주된 암이었으며 재가암환자의 방문회수에 대하여 51명(86%)의 환자와 36명(85%)의 환자 보호자가 만족하였다. 서비스 신청경로는 환자의 경우 암센터홍보지가 22명(37.29%), 보호자의 경우에는 주변사람의 권유가 11명(26.19%)으로 가장 많았다. 환자에게 직접 제공되는 처치를 제외하고 가장 선호하는 것은 심리상담이었으며, 나들이와 암종별 교육의 만족도도 높게 나타났다. 프로그램의 만족도는 5점 척도에서 $4.14{\pm}1.21$로 비교적 높게 나왔으며 환자가 보호자보다 높았으나 통계적으로 의미는 없었다($4.29{\pm}1.11$, $3.93{\pm}1.31$, p=0.141). 자아존중감은 보호자가 환자보다 높았으나 통계적으로 유의하지 않았다. 향후 재가암환자와 보호자들의 삶의 질을 높일 수 있도록 심리상담과 환자의 경제적인 상황을 고려한 맞춤형 프로그램개발이 필요할 것이다.