• 한국아동복지학
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• 제40호
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• pp.285-322
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• 2012

본 연구는 가족중심실천이 아동의 자기효능감에 미치는 영향을 탐색하고, 가족중심실천의 일차적 대상이 되는 가족강점의 매개효과를 검증함으로써 가족중심실천의 성과를 확인하고, 실천 함의를 도출하고자 하였다. 연구 분석은 삼성과 사회복지공동모금회 기획사업인 우리아이 희망네트워크 지원 사업에 참여한 아동과 주 양육자가 작성한 서비스 평가 자료를 기초로 다중회귀분석을 활용한 매개분석을 하였고, 연구모형검증을 위해 Sobel test를 하였다. 연구결과는 다음과 같다. 첫째, 가족이 경험한 가족중심실천에 대한 평가는 상당히 높아 가족중심실천이 충실히 이루어지고 있는 것으로 나타났다. 둘째, 가족중심실천에 참여한 아동의 자기효능감과 가족강점 수준의 사업 참여 전후를 비교해 보면 둘 다 참여 후에 유의하게 향상하였다. 셋째, 가족강점은 가족중심실천과 아동 자기효능감 간의 관계에서 완전매개효과를 갖는 것으로 나타났다. 즉, 가족중심실천은 아동의 자기효능감에 가족강점을 매개로 간접적인 영향을 미쳤다. 이러한 결과를 근거로 아동복지 영역에서 강점관점에 기반을 둔 가족중심실천의 필요성과 좀 더 효과적인 실천을 위한 방안을 제언하였다.

• 한국융합학회논문지
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• 제11권12호
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• pp.353-362
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• 2020

본 연구는 경기도 지역사회복지관 사회복지사의 가족중심실천에 관한 중요도와 수행도 간의 차이를 분석하고 이러한 차이를 개선할 수 있는 기관 차원의 전략을 탐색하기 위한 목적으로 수행되었다. 이를 위해 경기도 지역사회복지관 54개소 사회복지사 232명을 대상으로 설문조사를 실시하여 대응표본 t-검증과 IPA분석기법을 활용하였다. 연구결과 첫째, 지역사회복지관 사회복지사의 가족중심실천에 관한 중요도는 높게 인식하고 있으나 현재 수행도는 낮은 것으로 나타났다. 둘째, 가족중심실천에 관한 중요도-수행도 차이 검증 결과, 가족중심실천의 6개 하위요인 영역과 18개 세부 항목 모두 통계적으로 유의미한 차이가 있는 것으로 나타났다. 셋째, 가족중심실천의 중요도-수행도 IPA분석한 결과, 하위요인별 유지영역(가족의사결정, 포괄적서비스), 과잉영역(가족초점), 저순위영역(가족강점, 개별화), 집중영역(가족과의 협력)으로 조사되었다. 이러한 결과를 중심으로 가족중심실천에 관한 중요도와 수행도의 차이를 개선할 수 있는 기관차원의 전략적 방안을 제시하였다.

• Child Health Nursing Research
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• 제23권1호
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• pp.28-36
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• 2017

Purpose: This paper is a report on the concept analysis of family-centered care for hospitalized children. Methods: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword 'family centered care' or 'family centered nursing' combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). Results: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the 'willingness of family to participate', 'competency and willingness of staff,' and 'institution policy and system.' Additionally, family-centered care does significantly impact 'the health of the children', 'family empowerment' and 'work satisfaction and self-confidence of staff'. Conclusion: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

• Child Studies in Asia-Pacific Contexts
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• 제7권1호
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• pp.1-13
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• 2017

The rich cultural backgrounds and practices of children from native cultures are often absent in classroom instruction, as teachers might feel that they have inadequate knowledge and backgrounds in the unique practices of these populations. Historically, children from native cultures have had challenging educational experiences and poor educational outcomes. To address these challenges, we propose a Family and Culture Based (FCB) framework that draws from family-centered practice, asset-based practice, and culturally responsive pedagogy. This article describes the three steps of the FCB framework, which uses a teacher-as-learner approach to instruct students from native cultures by engaging teachers in reflection, gaining knowledge about the cultural practices of the family and community, and integrating the new knowledge into practice. We use a Pacific Islands case (Native Hawaiian family) and a Pacific Northwest case (First Nations family) to illustrate the potential benefits of using the FCB framework with indigenous students.

• 중환자간호학회지
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• 제12권3호
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• pp.1-12
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• 2019

Purpose : This study aims to identify the relationship between person-centered critical care nursing (PCCN) and family satisfaction for intensive care unit (ICU) nurses. Methods : This research used a cross-sectional survey. The participants were 142 nurses and 121 family members from 8 ICUs in 4 hospitals in B city. The questionnaire survey was conducted between December 2018 and March 2019. The eight ICUs were divided into those that scored high and those that scored low for person-centered care relative to the average score for PCCN, and the difference in family satisfaction between the ICUs with high and low scores was compared using t-test. Results : The mean score of PCCN was $3.68{\pm}0.40$ out of 5. In the subcategories of PCCN, "comfort"was the highest at $3.95{\pm}0.49$, followed by "respect" at $3.73{\pm}0.57$, "compassion" at $3.59{\pm}0.57$, and "individuality" at $3.47{\pm}0.54$. The average score of family satisfaction with the ICUs was $3.45{\pm}0.67$ out of 5. In its subcategories, "emotion" was the highest at $3.69{\pm}0.72$, followed by "information" at $3.61{\pm}0.75$, "participation" at $3.30{\pm}0.79$, and "resources" at $3.20{\pm}0.80$. The family satisfaction ($3.75{\pm}0.54$) with the ICU of the highest-scoring PCCN was significantly higher than the family satisfaction ($3.25{\pm}0.53$) with the ICU with the lowest-scoring PCCN (t=4.97, p<.001). Conclusion: The results suggest that the PCCN scores of ICU nurses should be promoted to improve family satisfaction. It is necessary to pursue a variety of ways to secure the provision of person-centered nursing practice in ICUs.

• 여성건강간호학회지
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• 제25권2호
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• pp.234-235
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• 2019

• 한국의료질향상학회지
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• 제27권1호
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• pp.26-42
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• 2021

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

• 대한간호학회지
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• 제46권3호
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• pp.463-474
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• 2016

Purpose: For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases. Methods: Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1. Results: The PCE group demonstrated significant improvements in knowledge (F=91.09, p<.001), self-efficacy (F=15.19, p<.001) and CPR skills and performance (F=8.10, p=.008), as well as significant differences over time (knowledge: F=364.25, p<.001; self-efficacy: F=1162.28, p<.001; CPR skills and performance: F=1798.81, p<.001). There were significant group-by-time interactions for knowledge (F=8.10, p=.001), self-efficacy (F=4.30, p =.019) and CPR skills and performance (F=4.81, p=.036) by repeated measures ANOVA. Conclusion: This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice.

• Child Health Nursing Research
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• 제26권1호
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• pp.72-81
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• 2020

Purpose: This study was conducted to investigate nurses' perceptions and performance of family-centered care (FCC) at a children's hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system. Methods: A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses' perspectives on FCC. In total, 157 nurses working at a large teritagy children's hospital responded to a self-report survey and 18 nurses participated in focus group interviews. Results: Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children's hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC. Conclusion: Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.

• 한국사회복지학
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• 제47권
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• pp.243-271
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• 2001

This study examines family relationship among North Korean migrant families in early adaptation (approximately, up to $5{\sim}6$ years after arrival in the South). Family cohesion, communication, power relationship, and conflicts and domestic violence among family members were examined by the perceptions of 67 male and female householders and their spouses. In the four areas of family relationship, the subjects have quite positive perceptions and shows no critically significant difference on the perceptions between before and after arrival. However, positive perception on family relationship gradually decreases as the length of time of in the South increases with linear or nonlinear patterns according to subcategories of family relationship. These findings suggest several social work practice implications in resettlement assistance for the North Korean migrant families.