• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.668-678
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• 2002

Purpose: The number of nursing home residents has been increasing in Korea. Nurses need to know the lived experience of relocation of the elderly to long-term care facilities. However, studies on this issue has not yet been conducted in Korea. Therefore, this study was carried out to understand the experience of institutionalization of the elderly using a phenomenological approach. Method: There were 11 participants who consisted of 5 men and 6 women living in 3 different nursing homes. The data was collected through in-depth interviews and participant observation from June 1999 to October 2001, and analyzed by Colaizzi's phenomenological method. Result: A total of 275 meaningful statements related to the experience of institutionalization by the elderly were obtained. Of the 275 statements, 175 were found as the statements with more general forms. 28 themes were grouped into 8 theme clusters. These theme clusters included' resentment at their sons', irresistible admission', 'humiliation on institutionalization', 'being unbearable to shock', 'grief to unfamiliarity', 'being in agony of outwards', 'regret for self-life' and 'comfort for new residence'. Conclusion: Based on these results. we can understand the lived experience of institutionalization of the Korean elderly. We need to develop a nursing program to help the elderly cope with this crisis, and studies about the familys experience on their parents admission to institutionalized facility warrant further exploration.

• Journal of Home Health Care Nursing
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• v.29 no.3
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• pp.329-338
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• 2022

Purpose: This study aimed to develop an infection control e-learning training program for long-term care facility care workers to prevent emerging infectious diseases and evaluate its effectiveness. Method: The program was developed using the analysis design development implementation evaluation (ADDIE) model. The effectiveness of the program was evaluated for 30 care workers. The knowledge and performance of the care workers before and after the program were analyzed by a t-test. Results: In the analysis stages, a literature review on infection control, knowledge and performance of infection control, and education needs was performed, and focus group interviews with ten care workers were conducted. In the design stage, education topics, educational content, and educational methods were selected for the program. A video was produced centered on eight themes. In the development stage, a system for education was developed, and each topic was uploaded. In the implementation stage, the program was applied to 30 care workers, and a questionnaire was administered. In the program's final evaluation, there was a significant difference in infection control knowledge (t=3.06, p=.005), and there was no significant difference in infection control performance. Conclusion: In this study, the necessary topics were finally selected by quantitatively and qualitatively analyzing the educational needs of care workers taking care of the elderly in long-term care facilities. It is necessary to understand the long-term effect and the degree of performance of the observation method in the future.

• Health Policy and Management
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• v.15 no.4
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• pp.136-160
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• 2005

Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.

• Korean Institute of Interior Design Journal
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• v.20 no.1
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• pp.3-13
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• 2011

The Korean society is recently becoming the aging society at an unprecedentedly rapid speed. Following the increase of the older population, their needs for special care is also rocketing. However, due to the increase of working women, nuclear-families, and old persons living alone, new facilities for the elderly such as nursing home are urgently needed. Thus, many nursing homes for the elderly are also rapidly providing. It is needed to examine if such nursing homes are properly designed for the dependent elderly to live. This study was carried out by the field observation using a checking sheet with measuring and taking photograph. The subjects were 12 nursing homes which gave positive responses for walking through their facilities. The items for observing and measuring were made based on the regulation on improving the facilities for the disabled, the elderly, and the pregnant. Whether each item fits the regulation or not was examined. The 9 areas in each nursing home were examined : entrance, hallway and corridor, stair, elevator, ramp, bed room, shower and locker room, bathroom, and rest room. It was founded that many accessible-related items were met. However, many supportive-related items such as ones for the visual disabled, and many supportive-related and accessible-related ones for bathroom, shower room, and restroom were unmet. In the process of this research, it was founded that the tool for evaluating the design of nursing home in terms of universal design should be developed.

• Architectural research
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• v.14 no.3
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• pp.85-92
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• 2012

In Japan, there are over the 100's fires in the social welfare organs every years. People are interested in fire protection who live in an institution for the aged or weak person's places and worried about it. I surveyed the social welfare organs were safety from fire to firewarden who worked at an institution for the aged in Tokyo. In the paper, I asked how do you think about the fire safety problems and condition of the facilities. And base on firewarden's view, I reviewed(examined) the fire prevention measures, each facility's problems and how to improve the fire protection.

• Proceedings of the Korean Society of Computer Information Conference
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• 2017.01a
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• pp.97-98
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• 2017

우리나라의 대표적인 노인여가활동 프로그램의 중심인 경로당은 노인여가복지시설로 노인복지법 제36조에 의거 만65세 이상인 지역노인이 자율적으로 친목을 도모하고 취미활동과 공동작업장을 운영한다. 또한 각종 정보교환과 기타 여가활동을 할 수 있도록 하는 장소를 제공함을 목적으로 하는 시설이다. 그러나 선행연구들에 의하면 가장 가까이에 있는 시설이지만 여러 가지 이유로 활성화되지 못하고 있는 실정이다. 이에 본 연구에서는 노인여가활동 프로그램과 관련된 연구들의 결과를 토대로 현황을 분석하고, 노인여가활동 프로그램의 가치를 극대화하고 지속가능성을 확보하기 위한 방안에 대하여 제안하고자 한다.

• Journal of Families and Better Life
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• v.21 no.6
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• pp.81-95
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• 2003

While Korean traditional culture considers it necessary that children support their parents, a new trend of silver support is expanding by the recent social change, the increase of women's working, and the reluctance to support the old people. However, the number of silver welfare facilities in Korea is short for the demand with limited selections of them. Based on the situation, the following results of the study what kind of policies Korea service for the old people in the USA where early stepped into the aging society: 1. provide specific and proper social-supporting service and facilities with charge or free for the old people to be able to select one of them, according to economic, physical and psychological situation of the old people; rather to prepare service and facilities for all the old people. 2. increasing community service support for the home-staying old people 3. the development of support program for the family of the old 4. the improvement of housing environment for the home-staying senior 5. prepare the housing alternatives for the senior would be home-like environment.

• Journal of Digital Convergence
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• v.15 no.2
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• pp.519-525
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• 2017

The purpose of this study is to elaborate the factors and strategies to revitalize the policies of elderly-friendly care industry. The analysis was carried out using the method called DEMATEL. The analytical method is based on the DEMATEL technique. The purpose of this study is to clarify the complexity and unclear relationship between activation factors and factors that constitute the elderly friendly-care industry through the prioritization of policy strengthening. As the result of analysis, it was analyzed that the most intensive activation intensity was the highest total strength of meal service(22.095). Followed by health promotion facilities(19.97) and health care(17.726). The lowest factor is sport(15.896). Therefore, in order to improve and promote these factors, continuous policy measures should be sought that are closely related to facility care services, home care services, and preventive support services.

• Research in Community and Public Health Nursing
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• v.15 no.4
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.239-253
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• 2020

This study is a descriptive research that provides basic data to develop customized emergency education programs for strengthening the emergency coping ability of facility and group home caregivers. Data were collected from 7.10~8.15 in 2020 in the S and G areas. A total of 236 questionnaires were included for the analysis. Data were analyzed using χ², t-test, ANOVA, and Pearson's correlation coefficients. Approximately 68.9% facilities and 50.7% group homes experienced emergencies, and there was a significant difference (χ²=8.42, p=0.004). First aid personnel were nurses (nurse aides) 55.3% facility and 42.7% of facility directors group home, showing differences (χ²=27.84, p<.001). 56.5% and 68.0% in the facility and group home, first aid care : ice pack, medication, Heimrich in the facility and 119 and guardian call, ice pack, Heimrich for the group home. First aid knowledge was determined to be significantly different between the facilities (11.60±2.09) and group homes (9.08±2.28) (t=8.39, p<0.001). Similarly, the emergency coping abilities showed a significant difference (t=8.00, p<0.001) between facilities (52.94±5.27) and group homes (47.33±4.39). In addition, a positive correlation was established between the experience of emergency situations and the emergency coping ability in the facilities. Overall, our data indicates that the emergency experience, emergency knowledge, and emergency coping abilities of the facility and group home caregivers are significantly different. We propose that emergency education tailored to the characteristics of each institution is needed.