• Title/Summary/Keyword: Duty of care

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Analysis and Framing of Dietitian's of Description (영양사 직무기술서 작성 연구)

  • Mun, Hyeon-Gyeong;Lee, Ae-Rang;Lee, Yeong-Hui;Jang, Yeong-Ju
    • Journal of the Korean Dietetic Association
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    • v.7 no.1
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    • pp.87-104
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    • 2001
  • This study was conducted as a part of the project developing the standards of national board test for the dietitian's licence. The purpose of this study was to define the job description of dietitians, and to describe the task elements based on the detailed analysis of the dietitians' work. This study team established the research team which was composed of food and nutrition experts, 7 of registered dietitians and 3 of university professors. Draft job description form was made to fully explain the dietitians' task elements, process and sequence by the research team. Final job description form was confirmed after the validity of 576 task elements was reevaluated upon 4 point scale test based on the frequency, importance, and difficulty by 21 field registered dietitian by the study team. It was also confirmed by the university. This form was formated by following DACUM method which analyzed the job description containing duty, task and task elements. It was organized to include every dietitians' work and to describe the every detailed process of work. Duty was defined as the specific and independent work as a dietitian, and was composed of 17 parts, i.e 10 parts in food supply management area and 6 parts in nutritional care service area and self promotion area. Duties were also divided into 99 tasks containing the 576 detailed task elements to describe definite action, steps and decisions. Seventeen parts are following; menu planning, storage and inventory control, food production, meal service, waste management, sanitation, equipment and facility management, human resource management, financial management, nutrition assessment of life cycle, nutritional assessment of several disease, nutritional assessment in specific condition, medical nutrition therapy, nutritional education, public health nutrition and self promotion. If these protocols are properly performed and presented, they can provide the likelihood that dietetics professionals work as a primary contributors in promoting health care and preventing disease nationally.

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Education, certification system and extent of duty in dental hygienists of developed countries (일부 선진국 치과위생사의 교육제도, 자격인증제도 및 업무범위)

  • Nam, Yong-Ok;Yoo, Ja-Hea
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.453-462
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    • 2014
  • Objectives : The purpose of the study is to investigate the education, certification system, and extent of duty of dental hygienist between Korea and five developed countries including United States, Canada, England, Australia, and Japan. Methods : Internet based access to five developed countries was made and the analysis was done for the definition of occupation, main duties, similar occupations, education policy, job descriptions, license certification system, standards of duty, Q & A management, current status of obtaining certification, and scope of work. Results : United States has a two-year associate degree(AS) and a four-year bachelor degree(BS). Canada has two to three years degree and a two-year course is accepted in england and Australia. In the meanwhile, Korea and Japan have two-year and four-year educational courses. The duty of dental hygienists includes the prevention education for dental health and continuing dental health care. Most of the dental hygienists in Korea and Japan play the assistant roles for the dental surgeons. United States has national board examinations including written examinations, practical examinations, and computer assisted examination. Written and practical examinations are also conducted in Korea. England and Australia have the recognized educational organizations for qualification. Conclusions : Problem based and problem solving skills are the most important in dental hygienist education in Korea. The training of highly competent dental hygienists must be done for the improvement of dental hygiene in Korea in the near future.

The Roles and Professional Competencies of Health Education Specialists in Private Health Care Setting (민간 의료기관에서 보건교육사의 활동 영역과 능력 개발)

  • Kim, Young-Bok
    • Korean Journal of Health Education and Promotion
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    • v.27 no.2
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    • pp.37-48
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    • 2010
  • Objectives: In health care setting, patient education and health promotion services are inexpensive and effective initiatives to change health behavior due to use medical service resources and personnel. This study performed to define the responsibilities and competencies of health education specialist in private health care setting. For our suggestion, we reviewed regulatory, recommendation, and programs related to health education and promotion in clinics and hospitals. Results and Conclusion: The health promoting hospital and health services in Europe and innovative hospitals of community health promotion in the U.S. were examples of approaches that supply target groups with health promotion services in health care setting. The National Commission for Health Education Credentialing has suggested the specified responsibilities and competencies of health education specialist in health care setting according to their general duty. Considering the recommendation of the NCHEC, our suggestion included: 1) the three kinds of job scope, 2) the major targets, 3) the specified responsibilities and competencies, and 4) the available health promotion programs in clinic and hospital setting. The suggestion will contribute to the development of job market for health education specialist and to the cooperation with community health resources in health promotion services and comprehensive health care.

Job Analysis for Curriculum Improvement of Radiologic technologist (교육과정 개선을 위한 방사선사 직무분석)

  • Lee, Yoon-Hee;Park, Jae-Hyun
    • Journal of radiological science and technology
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    • v.34 no.3
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    • pp.221-229
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    • 2011
  • This paper reports a series of job analyses to develop a curriculum for radiologic technologists by using DACUM (Development A Curriculum). With this method, the jobs of radiologic technologist were divided into 8 duties and 59 tasks. The results showed that the most important duty was 'exposure management (M=4.72)', the most difficult duty was 'radiation therapy (M=4.29)', and the most frequently performed duty was 'radiation examination (M=4.19)' respectively. In addition these results were compared with the current curriculum. It turned out that there are quite differences between the school education and actual work. For example, 'patients care' duty was identified as the main job but only 57.1% of the schools offer related courses. The current curriculum focused on the theory for the radiologic technologist is not sufficient to perform the field operation.

Attitudes of Hospice Volunteers towards Death with Dignity (호스피스 자원봉사자의 존엄사에 대한 태도요인)

  • Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.1-14
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    • 2011
  • The purpose of this study was analyzed the factors of influencing toward attitude to death with dignity to hospice volunteers. The data was collected for 21 days from 14 March to 3 April 2010. Among a total of 220 cases of the questionaries, only 195 cases were used. To data were analyzed by factor analysis, independent t-test, one-way anova and logistic regression using PASW statistics 18.0. The results were as follows; The attitudes towards death with dignity according to general characteristics was high in those with will to agreed to the passive euthanasia than those opposite to the attitude factors, namely, acceptive, the right to decide, negative, and dereliction of duty attitude factors. Significant variables for effects of death with dignity were gender, acceptive attitude factor and dereliction of duty attitude factors. Given that main provider of human organs is the brain-dead and we don't have enough organ donation, death with dignity should be linked with activating policy of organ donation, while solving donation shortage problem. This way, constructing social implementation and sharing consciousness on organ donation, would be diluting the bio-ethic controversies.

Task Analysis of Korean Geriatric Care Managers (노인 케어매니저의 직무 분석)

  • Oh Pok-Ja;Kim Il-Ok;Kim Young-Hye;Shin Sung-Rae;Lee Kyoung-Soon;Han Suk-Jung
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.770-781
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    • 2006
  • Purpose: This study was designed to create a job description for Korean geriatric care managers and examine performance frequency, importance, and difficulty of task elements. Method: The sample consisted of 38 geriatric care managers and professors who performed duties related to geriatric care management at community based-facilities in Korea. A survey method was used, and the questionnaire included frequency, importance, and difficulty of task elements in job descriptions using the DACUM method. Using SPSS WIN 10.0, descriptive statistics such as frequency distribution, means, and standard deviation were conducted to examine the subject's general characteristics, frequency, importance, and difficulties of task performance. Result: The Job description of geriatric care managers revealed 10 duties, 34 tasks, and 105 task elements. On all ten duties, the average performance frequency, importance, and difficulty was 2.55, 2.21 and 2.43 respectively. Conclusion: The job description of geriatric care managers includes duty, task, and task elements and the definition of a completed job. Thus we recommend a data based trial to confirm and validate the information gathered.

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers (중환자실 환자 가족의 경험: 의료인들과의 상호작용)

  • Lee, Mimi;Yi, Myungsun
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.76-86
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    • 2017
  • Purpose: The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers. Methods: The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families. Results: Five themes and 13 sub-themes emerged. "Captive of patients' delayed death: Fear and anxiety" describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. "Families as the weak: Suppression and resistance" describes interpersonal difficulties arising due to lack of information and trust with healthcare providers. "Deprivation of authority and duty as families: Helplessness" illustrate situational barriers in attempting to protect and support family member. "Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation" describes how they satisfied with themselves by regaining trust relationship. Lastly, "Acceptance of reality through direct care participation: Relief and peace" illustrates peace of mind by gaining sense of reality through active direct care participation. Conclusion: This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions.

An Analysis of Demand on EMD Education in Emergency Medical Care Information Centers (응급의료정보센터의 응급통신관리교육 요구도 분석)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.141-148
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    • 2004
  • The purpose of this study which was done by questionnaire survey on doctors, paramedics, radio operators, computer technicians, administrators in Emergency Medical Care Information Centers was to analyze demand on EMD education. The significant 101 data were collected in 12 Emergency Medical Care Information Centers from Dec. 17, 2003 to Jan. 31, 2004 and analyzed by using SPSS. The conclusions from this study were summarized as follows. Composition of respondents who work in Emergency Medical Care Information Centers were 40.7% 26-30 years old in age, 56.4% male in sex, 55.6% medical direction in duty, 76.2% paramedics in certificate. 54.5% out of the paramedics had two years present career, 62.3% had one year past career, 31.0% didn't receive EMD education, 39.0% wanted 5-8 hours continuing education. The paramedics received more EMD education on Introduction to Emergency Medical Concepts, Obtaining Information from Callers, Providing Emergency Care Instructions and wanted more continuing education on Providing Emergency Care Instructions, Key Questions & Pre-Arrival Instructions, Obtaining Information from Callers. This study will be helpful to build up an education system for EMDs such as continuing education, curriculum, certification.

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An Analysis of the Meaning of Respite for Family Caregivers of Elderly with Dementia (포커스그룹 인터뷰를 통한 치매노인 가족수발자의 휴식에 대한 의미분석)

  • Song, Mi-Ryeong;Lee, Yong-Mi;Cheon, Suk-Hee
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.482-492
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    • 2010
  • Purpose: This study was a qualitative research study in which focus group interviews were used to collect data on the meaning of respite for family caregivers who are taking care of elders with dementia. Methods: The focus group interviews and participants consisted of 2 family caregiver groups, for a total of 8 people taking care of their elders and 5 professional caregivers working in a geriatrics hospital or social welfare institutions. Content analysis was used and debriefing notes were referred in order to analyze the data. Results: The meaning of respite in this research was measured using 4 main categories: 'Temporary break from routine', 'direct help', 'psychological comfort', 'valuables which cannot be taken easily' and 9 subcategories: 'Temporary diversion of attention', 'temporarily free from my duty', 'taking care of oneself', 'receiving economic help', 'empathize with others', 'comfort based on trust', 'resting together with the elder', 'no time to rest', 'cannot get out of one's obligatory duty'. Conclusion: The findings of the study show that rest means not only a temporary relief from caretaking, but also a real respite based on the patients' stable state and comfort. These results indicate a new meaning for respite, that the first step of respite program has to begin even when the caregivers do not recognize the need for respite.

Current status of long-term care facility workers' physical function improvement activities for the elderly

  • Kim, Il-Ok;Kim, Mi-Ran;Shin, Jang-Hoon;Kim, Sun-Haeng
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.261-268
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    • 2020
  • Objective: This study was conducted to provide basic data on physical function improvement activities of elderly care facilities by identifying the degree of physical improvement activities of elderly caregivers. Design: Descriptive correlational study. Methods: The instrument of this study consisted of 12 questions on the general characteristics of the subject. For the assessment of improvement in physical function activities, the measuring tool used for the elderly consisted of a total of 20 questions. For data analysis, Pearson's correlation coefficient & Spearman's rho and multiple regression were used. Results: The higher the age of the subjects, the lower their educational background (r=-0.273, p<0.05), and the higher the probability of having a religion (r=-0.258, p<0.05), the more stable the employment type (r=-0.333, p<0.05). The higher the level of education, the higher the monthly income (r=0.187, p<0.01), and the shorter the career (r=-0.204, p<0.05). The more stable employment, the more unstable duty (r=-0.245, p<0.05), and the more unstable work, the higher the monthly income (r=-0.206, p<0.05) and the longer the career, the higher the monthly income (r=0.247, p<0.05). The more stable the employment, the more activities to improve physical function were found (r=0.341, p<0.05), and the more unstable the duty, the more activities to improve physical function were found (r=0.321, p<0.05), and the higher monthly income, the less physical function improvement activities (r=-0.196, p<0.05). Conclusions: It is necessary to provide regular services by a dedicated physical therapist for physical function improvement activities in order to improve the quality of life of the elderly in the future.