• 제목/요약/키워드: Caring system

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노인장기요양보험제도와 돌봄 정의 (Korean Long-Term Care Insurance System and Caring Justice)

  • 최희경
    • 한국사회정책
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    • 제25권3호
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    • pp.103-130
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    • 2018
  • 본 연구에서는 노인 돌봄을 돌봄 논의와 지원정책에 통합해야 함을 전제로 노인장기요양보험제도를 돌봄정의의 관점에서 분석하였다. 돌봄 정의는 돌봄에 대한 책임과 권리를 모든 사회구성원이 동등하게 분담하는 이상을 의미하며, 돌봄 정의의 실현을 위해 탈상품화, 탈가족화, 탈젠더화, 노인의 참여와 권한의 네 가지 차원이 설정되었다. 노인장기요양보험제도를 네 가지 차원에서 분석한 결과 시장 위주의 상품화와 젠더화 된 돌봄 서비스를 통해 노인을 배제한 돌봄의 탈가족화를 추구함으로써 돌봄 정의가 실현되지 못하고 있는 것으로 나타났다. 노인장기요양보험제도에서 나타난 노인 돌봄의 상품화, 가족화, 젠더화, 노인 배제를 극복하기 위한 방안으로 돌봄 서비스 비용의 적정화와 공공화를 통한 돌봄 노동의 사회적 위상 제고, 생애주기적 차원에서 아동, 성인, 노인을 통합적으로 포괄하는 돌봄 방식의 재조직화, 노인과 돌봄 관계 당사자들이 돌봄의 조직화와 결정 과정에 참여하고 결정권과 선택권을 행사할 수 있는 제도적 변화를 제시하였다.

The Experiences of Family Caregiving in a Chronic Care Unit

  • Cho, Myung-Ok
    • 대한간호학회지
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    • 제35권8호
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    • pp.1461-1475
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    • 2005
  • Purpose. The main purpose of this critical ethnography was to examines the process and discourses through which family caregivers experience while caring for their sick family member in a hospital. Methods. This was achieved by conducting in-depth interviews with 12 family caregivers, and by observing their caring activities and daily lives in natural settings. The study field was a unit for neurologic patients. Data was analyzed using taxonomy, discourse analysis, and proxemics. All research work was iteratively processed from March 2003 to December 2004. Results. Constant comparative analysis of the data yielded the process of becoming a successful family caregiver: encountering the differences and chaos as novice; constructing their world of skilled caregivers; and becoming a hospital family as experienced caregivers. During the process of becoming an experienced hospital family, the discourse of family centered idea guided their caring behaviors and daily lives. Conclusion. The paternalistic family caregivers struggled, cooperated, and harmonized with the patriarchal world of professional health care system. During this process of becoming hospital family, professional nurses must act as cultural brokers between the lay family caring system and the professional caring system.

문화간호를 위한 한국인의 민간 돌봄에 대한 연구 : 출생을 중심으로 (Study on Folk Caring in Korea for Cultural Nursing)

  • 고성희;조명옥;최영희;강신표
    • 대한간호학회지
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    • 제20권3호
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    • pp.430-458
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    • 1990
  • Care is a central concept of nursing. Nursing would not exist without caring. Care and quality of life are closely related. Human behavior is a manifestation of culture. We can say that caring and nursing care are expression of culture. The nurse must understand the relationship of culture with care for ensure quality nursing care. But knowledge of cultural factors in nursing is not well developed. Time and in - depth study are needed to find meaningful relationships between culture and care. Nurses recognized the importance of culturally appropriate nursing There are two care systems in culturally based nursing. The folk care system and the professional nursing care system. The folk care system existed long before the professional nursing care system was introduced into this culture. If the discrepancy between these two care systems is great, the client may receive inappropriate nursing care. Culture and subcaltures are diverse and dynamic in nature. Nurses need to know the caring behaviors, patterns, and their meaning in their own culture. In Korea we have taken some first step to study cultural nursing phenomena. It is not our intent necessarily to return to the past and develop a nationalistic of nursing, but to identify the core of traditional caring and relate that to professional nursing care. Our Assumptions are as follows : 1) Care is essential for human growth, well being and survial. 2) 7here are diverse and universal forma, expressions, patterns, and processes of human care that exist transcul - turally. 3) The behaviors and functions of caring differ according to the social structure of each culture. 4) Cultures have folk and professional care values, beliefs, and practices. To promote the quality of nursing care we must understand the folk care value, beliefs, and practices. We undertook this study to understand caring in our traditional culture. The Goals of this study were as follows : 1) To identify patterns in caring behavior, 2) To identify the structural components of caring, and 3) To understand the meaning and some principles of caring. We faised several questions in this study. Who is the care-giver? Who is the care-receipient? Was the woman the major care -giver at any time? What are the patterns in caring behavior? What art the priciples underlying the caring process? We used an interdisciplinary team approach, composed of representatives from nursing and anthropology, to contribute in -depth understanding of caring through a socicaltural perspeetive. A Field study was conducted in Ro-Bong, a small agricultural kinship village. The subjects were nine women and one man aged be or more years of age. Data were collected from january 15 to 21, 1990 through opem-ended in-depth interviews and observations. The interview focused on caring behaviors sorrounding birth, aging, death and child rearing. We analysed these data for meaning, pattern and priciples of caring. In this report we describe caring behaviors surrounding childbirth. The care-givers were primarily mothers- in -low, other women in the family older than the mother - to- be, older neighbor woman, husbands, and mothers of the mother-to- be. The care receivers were the mother-to-be the baby, and the immediate family as a component of kinship. Emerging caring behavior included praying, helping proscribing, giving moral advice(Deug - Dam), showing concern, instructing, protecting, making preparations, showing consideration, touching, trusting, encouraging, giving emotional comfort, being with, worrying about, being patient, preventing problems, showing by an example, looking after bringing up, taking care of postnatal health, streng thening the health condition, entering into another's feelings(empathizing), and sharing food, joy and sorrow The emerging caring component were affection, touching, nurtuing, teaching, praying, comforting, encouraging, sharing. empathizing, self - discipline, protecting, preparing, helping and compassion. Emerging principles of. caring were solidarity, heir- archzeal relationships, sex - role distinction. Caring during birth expresses the valve of life and reflects the valued traditional beliefs that human birth is given by god and a unique unifying family event reaching back to include the ancestors and foreward to later generations. In addition, We found positive and rational foundations for traditionl caring behaviors surrounding birth, these should not be stigmatized as inational or superstitious. The nurse appropriately adopts the rational and positive nature of traditional caring behaviors to promote the quality of nursing care.

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A Study of Caring for the Elderly by the Families and Extended Families Within a Korcean Clan Village

  • Cho, Myoun-Gok
    • 대한간호학회지
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    • 제33권4호
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    • pp.495-502
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    • 2003
  • Purpose. This ethnography is aimed at describing the care-giving practices of the nuclear family and relatives of the elderly within a clan village in relation to their socio-cultural context. Four basic notions of the study came from Leininger's culture care theory and the nurse-client negotiation model of Anderson. In order to understand the cultural system of caring, the following questions were explored: What caring behaviors are performed for the elderly person in a clan and how do these behavior relate to the various components of that particular culture\ulcorner Method. Data for this study was gathered through twenty-one fieldwork expeditions between September 1994 and December 2002 using interviews and participant observation of 7 families drown from two extended families. Data was analyzed using the techniques of taxonomy, value, and proxemics analysis. Findings. The socio-cultural context of caring for elderly people, their caring values, and four categories of caring were explored. Values of caring and every day life in the clan were hierarchical, reciprocal, and collective. The four categories of caring were: being with, empowering, keeping territory, and enhancing spirituality. Conclusions. The results of this study can be used to understand culture-specific care and to provide culturally congruent care for the elderly in a clinical setting.

돌봄정의(Caring Justice) 개념구성과 한국 장기요양정책의 평가 (The Conceptualization of Caring Justice and an Evaluation of Long-Term Care Policy in Korea)

  • 석재은
    • 한국사회정책
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    • 제25권2호
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    • pp.57-91
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    • 2018
  • 사회적 돌봄의 급격한 성장에도 불구하고, 돌봄에 대한 이해는 분절적이고 돌봄은 여전히 주변화(marginalizing) 되어 있다. 돌봄의 사회화가 실질적으로 '절반(折半)의 사회화'에 머물고 있는 것은 돌봄을 둘러싼 사회 부정의(不正義)의 결과이다. 따라서 돌봄의 문제를 정의(Justice)의 관점에서 접근할 필요가 있다. 이 논문에서는 돌봄정의(Caring Justice)를 논함에 있어 존 롤스의 사회계약론에 기반한 사회정의 접근이 가지는 한계를 페미니스트 돌봄윤리에 관한 저작들을 통해 정리하고, Nancy Fraser의 3차원 정의기준인 (재)분배(redistribution), 인정(recognition), 대표(representation)를 기준으로 돌봄정의 개념을 새롭게 구성하였다. 이 때 돌봄의 관계적 측면에 주목하여, 돌봄정의 개념을 돌봄수혜자의 돌봄 사회권(社會權) 측면뿐만 아니라 돌봄제공자의 노동권(勞動權) 측면을 포함하는 통합적(統合的) 개념으로 구성하였다. 그리고 돌봄정의 분석틀에 입각하여 돌봄정책 이념유형(ideal types)을 도출한 다음, 한국 돌봄정책의 중심축인 노인 장기요양정책을 평가하였다. 연구결과는 다음과 같다: 첫째, 돌봄책임의 사회화 및 사회적 자원의 정당한 분배 관점에서, 특히 돌봄제공자의 노동권 강화가 필요하다. 둘째, 돌봄윤리와 돌봄의 개별화 관점에서 돌봄수혜자 및 돌봄제공자의 관계적 자율성을 보장하는 서비스 제공체계와 돌봄문화가 필요하다. 셋째, 돌봄책임을 민주적으로 배분하고 정당한 자원배분을 위하여 돌봄문제를 정치적 중심 아젠다로 다루어야 한다. 이를 위해 돌봄의 주변화(marginalization of care)로부터 돌봄의 주류화(mainstreaming of care)로의 패러다임 전환이 필요하다. 궁극적으로 돌봄사회(Caring Society)를 지향해야 한다.

기혼취업여성의 일-가정 균형 실태 : 초등학교 저학년생 자녀를 둔 가정을 중심으로 (A study for the balance between Work and Family of married working women : focused on the families with the child(ren) of lower grades)

  • 송혜림
    • 가족자원경영과 정책
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    • 제18권3호
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    • pp.41-59
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    • 2014
  • This study investigate the balance between work and family of married working women. Data from 12 married working women who have child(ren) in age 7-9. was collected through in-depth interviews. The interviews was to examine their child-caring and the balance between work and family. The results show that the child(ren)'s age, the quality of after school program, the time to go to work and out of work, the type of work and labor flexibility were the important factors which affect the everyday child-caring. The respondents were unsatisfied with their balance between work and family, especially they felt that their leisure time is insufficient, but they seemed to accept this unbalance to some extent because they recognize the child-caring is more important than their balance between work and family in this life cycle. In conclusion the public support for the child-caring of dual-earner families with the child(ren) in lower grades has to be more extended because the support system and services for this life cycle are weak and insufficient compared with the support system for the child(ren) of the preschool ages. The currently public services for child-caring are still far from their needs to achieve the balance between work and family. So the whole child care support policies and systems are to be continued with more balanced perspectives and practical programs.

간호교육과정틀에 관한 소고 -돌봄과학과 보건정책 중심으로- (A Reconsidering on Setting for Philosophy and Curriculum Development in Nursing Education)

  • 김명자
    • 기본간호학회지
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    • 제2권1호
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    • pp.55-66
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    • 1995
  • The goals of nursing education, and the bases for evaluating them depend on the goals of nursing practice. In order to prepare for the coming twenty first century and the meet changing societal demands and health needs, it is necessary to develop a new conceptual framework for future nursing education. While hospitals will still be in significant components of the health care system, will no longer be central focus or dominant influence. Health care services will be more usually delivered at community base. The nursing education required by that new approach must provide for reconsidered about a concept of caring as nursing curriculum. The changes in health care delivery that have occured, now being proposed, for nursing education undergoing its own changes. So the philosophy and objectives of education meed to reconsidering about the caring concept and general nursing. Nurse educators must prepare students to practic in condition of constant change. At the same time nurse educators must emphasize preparation about that. The practice of science of caring in nursing draws on a basic knowledge of the behavioral knowledge, biophysical processes, pathological processes, nursing skills and procedures and various treatment regimes and problem solving to help decision making in nursing situations. The concept of care is probably one of the least understood ideas used by professional and nonprofessional people, yet it is probably one of the most improtant concepts to be understood by nursing. Human caring and human relationships are closely interrelated. Humn caring remains an essential dimension of professional work and the science of caring as essental to the discipline of nursing. It is expected that the objectives of nursing education will be accomplished when the course and content of the curriculum are based on this conceptual framework. One recurrent education goal with some consistency is that of equipping the student with the necessary skills to live effectively and productivly in the world of tomorrow. In the new vision we are developing, professional education must also include exposure to liberal arts, encouragement of critical thinking, and a moral context for advanced professional education that is based upon a contextual health policy and caring science educational model.

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팬데믹 상황에서 음압병실 근무 간호사의 COVID-19 환자 간호 경험 (Nurses' Experience with Caring for COVID-19 Patients in a Negative Pressure Room Amid the Pandemic Situation)

  • 노은영;채영준;김현정;김은진;박연환
    • 대한간호학회지
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    • 제51권5호
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    • pp.585-596
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    • 2021
  • Purpose: The purpose of this study was to explore nurses' experience with caring for COVID-19 patients in a negative pressure room amid the spread of the pandemic. Methods: This study was a qualitative research, and focus group interviews were used to collect data. Three focus groups comprising 19 nurses were interviewed from February 17 to 25, 2021. All interviews were recorded and transcribed verbatim with the consent of the participants. The verbatim transcripts were scrutinized using thematic analysis. Results: Two main themes emerged from the analysis: 'Struggling in an isolated space' and 'Limitations of nursing infrastructure and system'. The nurses caring for COVID-19 patients experienced anxiety and fear about the infection, physical exhaustion, emotional burnout, and a sense of duty as a nurse. They also acknowledged the lack of guidelines, increased task and burden, limitations of nursing care, and the demand for improving the limitations of the nursing system. Conclusion: The results of this study demonstrate that nurses caring for COVID-19 patients encounter physical and emotional problems within the limited healthcare system. The study suggests that comprehensive interventions are needed for nurses. Furthermore, detailed guidelines, strengthening of nursing personnel, and improvements to the nursing system are vital to effectively cope with the pandemic. The government and medical institutions should be aware of the needs of nurses and what they are going through, and make efforts to improve the quality of life of healthcare workers and create a safe healthcare environment.

인간과학적 배경과 Watson의 돌봄이론 (Human science paradigm and Watson's theory of human caring)

  • 한선희;남은숙
    • 한국간호교육학회지
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    • 제3권2호
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    • pp.246-254
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    • 1997
  • Nursing have been caught between the paradigm of medical science with a body part view of a person and the paradigm of medical science with an emphasis on unsurpassable control, rigor, objectivism, and neutrality of value. But it is inappropriate to apply impersonal, objective model of science for the personal unique and gestalt experiences of nursing phenomena. Jean Watson proposed a theory of human caring based on human science paradigm to explain human phenomena. This study reviewed the theory of nursing by Jean Watson and the researches based on Waton's theory. In this study the researcher examined the philosophical back ground, value system and key concepts of Watson's theory Watson's perspective of person and human existence includes humanistic and phenomenological characteristics. She also emphasized nurse-patient relationship as an intersubjective(transpersonal) caring relationship. Examination of the studies based on Watson's theory consistantly revealed Watson's theory of human caring based on the human science paradigm is more appropriate than traditional medical science paradigm for explaining nursing phenomena. For the purpose of refining the theory and promoting usefulness of the theory, it would be desirable to test the theory to the nursing phenomena and to apply the theory to practice and education.

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중학생의 배려심·다문화수용성 향상을 위한 비주얼 씽킹 활용 식생활교육 프로그램 개발 및 적용: 2015 개정 기술·가정과 교육과정을 중심으로 (Development and Evaluation of Dietary Education Program Using Visual Thinking to Improve Caring Ability and Multicultural Acceptance for Middle School Students: Based on Technology and Home Economics Curriculum Revised in 2015)

  • 고지원;박선성;김서현;김유경
    • 한국가정과교육학회지
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    • 제34권2호
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    • pp.153-166
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    • 2022
  • 본 연구는 중학생의 배려심 및 다문화수용성 향상을 위해 중학교 기술·가정교과의 '가정생활과 안전'영역의 '청소년기의 영양과 식행동, 식사의 계획과 선택' 내용 요소를 중심으로 교수·학습 과정안을 개발하였다. ADDIE 모형을 바탕으로 개발된 교수·학습 과정안은 비주얼 씽킹을 활용하여, 배려와 감사의 마음 기르기, 가족에 대한 배려, 다문화 가족에 대한 이해와 배려, 사랑의 도시락 만들기의 주제로 총 5차시로 개발되었다. 개발된 프로그램은 중학교 3학년(교육군 34명, 비교육군 35명)을 대상으로 적용되었고, 수업 전·후 교육군과 비교육군의 배려심 및 다문화수용성의 차이를 대응표본(paired t-test)을 통해 비교하였다. 식생활 교육프로그램 적용 후, 교육군의 배려심 하위영역인 식생활, 정서적, 행동적, 인지적 배려 모두 유의적으로 증가하였으며(p<.001), 다문화수용성 하위영역인 다양성, 관계성, 보편성 또한 유의적으로 증가하였다. 비교육군의 배려심 및 다문화수용성 사전-사후 평균에는 유의미한 차이가 없었다. 따라서 본 연구에서 개발된 식생활 교육프로그램은 중학생들의 배려심 및 다문화수용성 향상에 긍정적인 효과를 주었음을 시사한다.