• Health Policy and Management
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• v.9 no.1
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• The Journal of the Korea Contents Association
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• v.12 no.4
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• pp.282-291
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• 2012

This study investigated the job satisfaction of care worker affect on service quality. It was intended to provide the basic information for enhancing the Job satisfaction and making better quality of service. In order to meet the above purpose, the questionnaire method was applied for the care workers who worked at the 16 home care facilities located in Busan metropolitan city. 250 sheets of questionnaire were distributed and the total of 216 sheets were sampled among the collected questionnaire and analyzed. For data analysis, the statistics package of SPSS/WIN 12.0 was employed to perform reliability test, descriptive statistics analysis, correlation analysis, regression analysis. And the obtained results are as follows: As the result of the regression analysis to find out how care worker's job satisfaction will affect towards the quality of the service, service quality increased as the care worker's job satisfaction rate was higher. For the job satisfaction's sub-variables, it showed high service quality as the satisfaction was increased in the order of task satisfaction level and job safety level.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.6
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• pp.5-18
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• 1999

This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

• Research in Community and Public Health Nursing
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• v.9 no.1
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• pp.181-199
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• 1998

This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.

• The Journal of the Korea Contents Association
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• v.13 no.5
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• pp.234-242
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• 2013

In 2007, Long-Term Care Insurance Law was enacted to share the family burden of caring for the elderly who are unable to perform every day living activities due to their old age and chronic diseases such as senile dementia, diabetes mellitus, stroke and more. Backed by this law, since 2008, care workers have been sent to the elderly care centers or each elder's home to help them not only with their recovery from illnesses, but also with general activities from dressing, eating, bathing, walking even to toileting. However, according to the recently released survey by National Human Rights Commission, it has been found that the caring workers are in a very poor working condition including low income, abused blanket wage system, shortage of welfare services, extra works and even sexual harrassment. It is becoming an important issue due to fast-ageing population, the fact that the care workers have had experiences of violation in their right of labor while they are at work needs to be carefully treated. In that sense, this article presents some difficulties the caring workers face and proposes effective ways to solve these problems through the perspective of human rights and human labor rights based on the report written by National Human Rights Commission. In short, for this law to function properly and to boost the worker's capability of providing better services to beneficiaries, followings can be good answers - enhanced management and supervision on caring plans and care centers, providing immediate counselling and protection for victimized care givers, training courses offered to promote service receiver's sincere respect and strengthened awareness upon care givers.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.285-293
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• 2017

This study examined the causal relationship among job stress, fatigue, and job satisfaction, which affect the turnover intention of elderly nursing home care workers. Data were collected from Sep.15 to Sep. 30, 2014. Structured self-administered questionnaires were delivered and collected without the respondents' personal information. The subjects were 232 female care workers working in nursing homes in D city. The data were analyzed using the SPSSWIN 21.0 and AMOS 21.0 programs. Covariance structure analysis was performed to estimate the causal relationship between the variables affecting the turnover intention of care workers. The results of the analysis were as follows. The variables included in this study were fatigue, which comprised 4.9% of job stress. Job satisfaction explained 54.6% of job stress and fatigue. The turnover intention was 46.2% due to job stress, fatigue, and job satisfaction. In other words, job stress, fatigue, and job satisfaction had a direct or indirect effect on the turnover intention of care workers. In conclusion, job stress, fatigue, and job satisfaction affect the turnover intention. Therefore, a policy to improve the work environment and working conditions is needed to reduce the turnover intention of care workers, and fulfill their duties in a stable life time workplace.

• The Journal of the Korea Contents Association
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• v.12 no.7
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• pp.215-222
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• 2012

The purpose of this study was to examine the impact of education for welldying on the death anxiety and death reception of care workers who were most closely linked to death among workers who were engaged in senior welfare. It's basically meant to let care workers have a good understanding of death, death process and death-related factors to help elderly people close their life in a comfortable manner. The subjects in this study were the care workers who worked in J nursing home in the region of Gwangju. They received education in nine sessions, once a week, and the collected data were analyzed by the statistical package 15.0. The statistical analysis methods used in this study were reliability analysis, descriptive statistics analysis, t-test and ANOVA. The findings of the study were as follows: First, the welldying program participants showed a decrease in death anxiety. Second, the welldying program participants became more receptive to death.

• Korean Journal of Human Ecology
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• v.8 no.2
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• pp.419-435
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• 1999

The purpose of this article was to develop an interdisciplinary program for the aged living welfare in College of Home Economics. This program was developed through the analysis of gerontology curriculum in Korea, Japan, and America, and survey research with social workers who were working in the welfare institutes for the elderly in Korea. Moreover, an interdisciplinary program for the aged living welfare was designed based on the professional role of elderly care and the scope of educational context which were identified. Particular note was that this program could be most effectively implemented in the College of Home Economics. Recommendations for the development and implementation of the program were highlighted.

• Journal of Industrial Convergence
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• v.20 no.7
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• pp.107-113
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• 2022

The purpose of this study is to identify the effect of the job environment of nursing care workers on organizational commitment and to verify the mediating effect of job satisfaction based on this. Data collection was conducted on 340 nursing care workers, centering on elderly care facilities in Gyeonggi-do, and the uncollected questionnaires and abnormalities were removed and the final 267 were selected as the subjects of the study. Data analysis results were derived through SPSS WIN 2.0 and PROCESS Macro V3.5, and Hayes (2013)'s Macro Model Number 4 was applied to verify the mediating effect of job satisfaction. As a result of the analysis, the partial mediating effect of the job satisfaction was confirmed in the effect of the job environment of the caregiver on organizational commitment. Based on the analysis results, practical and policy suggestions for improving the job environment and increasing job satisfaction of nursing caregivers, and follow-up studies were proposed to overcome the limitations of this study.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.27 no.2
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• pp.198-209
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• 2020

Purpose: This study sought to develop a scale to evaluate patient-centered healthcare services at hospitals and verify its reliability and validity. Methods: We conducted a literature review and interviewed medical personnel and practitioners in medical institutions. We also conducted a content validation and preliminary survey of experts, including 40 preliminary items. We conducted the main survey among 240 medical institution workers to assess the validity and reliability of the preliminary measurement tool. Results: The validity and reliability of the scale were assessed by 29 items underlying six factors: ease of communication, continuity and extension of the hospital's role, stable environment, emotional support, respect for patients' values, and offer of information. Cronbach's α of the whole tool was .91, while the value of each factor ranged from .82 to .74, thereby verifying its reliability. Conclusion: The patient-centered healthcare services scale was identified as a tool appropriate for healthcare professionals. This tool will be useful in a diverse range of research on the development of educational programs for patient-centered healthcare services and the promotion of patient-centered causes.