• 가정간호학회지
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• 제12권1권
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• pp.70-91
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• 2005

Purpose: Long-term care facilities have a responsibility to provide care service that enables residents to maintain their maximal functional capacity and quality of life. Also their needs must be reflected to the service programs. In oder to provide an adequate service, we should assess the elderly's physical, psychological and social health status and the need. In addition to this, the long-term care facilities must be defined clearly by the type of services. This study would contribute to conduct appropriate services in public long-term care policy for the older population in the future. This study would provide informations of long-term care facilities' services and older persons' needs for long-term care. Method: To achieve this objectives, this paper investigates the types, service programs of long-term care institutes and job descriptions of workers. The subjects were consisted of 150 long-term care institutes. 150 institutes of long-term care facilities were drawn from all over the country by a nonrandom, convenience sampling. The data were analyzed by frequency, percentage, $x^2$-test using SPSS program. The instruments of this study were self-reported questionnaires for long-term care institutes. The data were collected from March 1, 2004 to may 31, 2004. Results: Service programs of long-term care institutes were not enough for residents' demands. The job descriptions among nurse, social worker and physical therapist were not clearly defined. The nurse's main role was medication and checking vital sign(49.7%), that of social worker's was observation and supervising (31.2%). The most significant problems were lacking of diverse service programs for residents. Conclusion: Considering these findings and conclusion, the needs of long-term care services should be provided by individual physical and psychological level. And the professional manpower for elderly should be educated in multi disciplines.

• Human Ecology Research
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• 제55권6호
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• pp.581-592
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• 2017

This study investigated the occupational experiences of social workers in child care facilities. The participants of the study were six social workers in child care facilities. This qualitative research used a Consensual Qualitative Research (CQR) method that and classified the main findings into five categories and twelve sub-themes. This study revealed that child care professionals define themselves as "caregivers" and "role models." Positive effects of institutional life on a child were forming peer relationships and being able to use diverse services while negative effects included acquiring a social stigma, having problems in developing attachment between a child and a surrogate caregiver, developing passive attitude and weak will power from communal living. Meanwhile, conflicts with children and poor working conditions led to burnout for caregivers. Our recommendations on the direction of change for the facilities are: categorizing admitted children, supporting restoration of family functions, reinforcing support for children's preparation for an independent life, and developing expertise. This paper provides a better understanding of child care facilities as well as encourages further social discourse on institutionalized children in order to promote policy making and implementation.

• 성인간호학회지
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• 제27권4호
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• pp.418-427
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• 2015

Purpose: Focus group interviews were conducted to explore the current status and barriers of health care services in nursing home from the viewpoint of staffs taking care of nursing home residents. Methods: A qualitative thematic analysis using the focus group interview method was used. A total of 32 health care professionals (19 nurses and 13 social workers) from thirteen nursing homes in South Korea attended (5 focus groups) in 2014. Results: The two main themes were identified: 'minimal health care services that left personal care needs unmet' which has three subthemes of 'stereotyped and fragmented care by types of care providers', 'medically-oriented health care services' and 'health care services mixed with social or recreational programs'; and 'barriers to proper and timely care in nursing homes' with four subthemes including 'unmet care needs due to cognitive dysfunction or lack of expression', 'care guides or tools not suitable for long-term care facilities', 'health care needs that are beyond the facility's care boundary', and 'care delay due to lack of understanding on the older adult's status'. Conclusion: The findings from this study should help health care policy makers to recognize the factors that influence health care services and provide direction for nurses and other staffs involved in supporting health care services for nursing home residents.

• International Journal of Human Ecology
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• 제9권2호
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• pp.1-11
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• 2008

This paper examines the value of unpaid care work using the 2004 time use survey and compared them to economic measures such as GDP, tax revenue, value of paid work, government expenditure on care-related personnel expenditure and remuneration of paid care workers. It employs the mean earnings approach and generalist approach. It finds that the value of unpaid care work (compared to GDP) is between 18% and 29% using different approaches. The value of care of household members and for others in the community (person care) is between 5% and 8%. Furthermore, the value of unpaid care work is greater than that of direct tax regardless of the approach used. In addition, the value of person care is estimated at between 22% and 35% of the total value of the paid economy. The value of unpaid care work far exceeds the value of government expenditure on care-related personnel and the remuneration of paid care workers. This research suggests that unpaid care work (mostly conducted by women) should be recognized as part of production activities. This is because caring and household maintenance activities are necessary for individual well-being but also it contributes to the national economic competitiveness particularly through human resource development.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.394-401
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• 2016

치매인구의 증가와 더불어 노인 장기요양 서비스 및 이의 돌봄 주체인 요양보호사 역할에 대한 중요성은 아무리 강조해도 지나침이 없다. 본 연구는 요양보호사들의 치매노인 돌봄경험을 통해 돌봄행위 내면에 배어 있는 돌봄의 의미를 알아보고 행위수행의 촉진 및 장애요인을 파악하여 질적인 돌봄제공을 위한 가이드라인으로 삼고자 하였다. 이를 위해 질적 연구방법 중 서술묘사적 방법을 적용하여 요양보호사들의 경험을 심도 있게 파악해 보고자 하였다. 치매교육과정을 이수한 10명의 요양보호사를 대상으로 심층인터뷰 방법을 적용하여 자료를 수집하였다. 인터뷰자료는 질적내용분석 방법을 적용하여 직업선택의 기준, 역할수행위기, 그리고 역할 수행 전략 등으로 나누어 분석되었다. '넓은문', '돌봄의 상품화' 등이 직업 선택기준으로 도출되었으며, 역할수행적 측면에서는 역할위기로 '내마음의 벽', '질병의 벽', '사회적 벽'이 주제로 도출되었다. 마지막, 수행전략으로 '나는 촛불이다', '자율성과 지속성', 그리고 '사회적 효의 실천자' 등이 주제로 나타났다. 본 연구는 돌봄이 가정에서 무보수 성차적 역할로 가치폄하 되던 사회적 고정관념으로부터 사회적 효의 실천이라는 새로운 상품브랜드로 재탄생되고 있는 것으로 나타났다.

• 한국치위생학회지
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• 제14권5호
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• pp.715-721
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• 2014

Objectives : The purpose of the study is to investigate the perception of elderly oral health care in the care workers in nursing homes. Methods : A self-reported questionnaire was filled out by 200 care workers in nursing homes in Daegu and Busan. Data were analyzed by SPSS 18.0 program. Results : The oral health care was maintained by innately healthy mouth(49.5%), dentists(48.5%), public health centers including institution and dentistry(46.5%), regular visit to dentistry(44.0%), and ingestion of healthy food(38.5%). Fifty eight percent of the respondents(116 persons) agreed that regular and proper toothbrushing is the most important behavior to maintain the healthy teeth. The regular visit to dental clinics(Wald=7.076, p=0.008) and an oral care by specialist (Wald=5.210, p=0.022) influenced on elderly oral health status(p<0.05). Conclusions : The oral health care education is very important for the workers in the nursing homes that the education can improve the perception toward the elderly oral health.

• 가정과삶의질연구
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• 제24권3호
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• pp.95-115
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• 2006

The purpose of this study was to analyze the affecting factors on male salary workers' pre-retirement plans and pre-retirement planning programs. The focus was on male workers' pre-retirement plans and programs for economy, housing, family relationship, leisure and health care in their elderly life. The major findings were as follows: First, the salary workers estimated their level of economic and health problems among their elderly life as relatively high. Second, the major factors affecting the level of planning for post-retirement were salary workers' age, job satisfaction, and reserved savings for their elderly life. Third, the major affecting factors on participation in pre-retirement planning programs were age, educational attainment, and spouse's job status. From these findings, it can be concluded that salary workers' level of pre-retirement planning and the needs of pre-retirement planning programs differed from their personal characteristics and preferences. Also, salary workers' characteristics related to job and retirement had more important effects on their pre-retirement planning than economic status.

• Journal of Hospice and Palliative Care
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• 제16권2호
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• pp.98-107
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• 2013

목적: 본 연구는 우리나라의 가정 호스피스 기관의 서비스 실태와 문제점을 파악함으로써 가정 호스피스의 개념을 재정립하고, 가정 호스피스의 표준 설정과 제도화, 다양한 호스피스 유형들의 연계 체계 구축의 기초자료로 활용하고자 시도되었다. 방법: 2011년 5월을 기준으로 확인된 호스피스 기관 166개 중 의학적 돌봄을 포함하는 가정 호스피스를 운영한다고 응답한 29개 기관 전수의 질문지가 자료 분석에 사용되었다. 결과: 대상 기관 중 호스피스 입원 병실이 있는 경우는 51.7%, 순수 가정형은 34.5%이었다. 팀 구성원은 간호사와 자원봉사자가 각각 62.0%, 62.1%, 팀 구성원의 방문은 간호사와 자원봉사자가 각각 평균 8.84회와 6.0회, 팀 회의는 월평균 2.65회, 비용은 대부분 무료로, 필요한 재원을 마련하는 방법에는 개인의 기부가 가장 많았다. 하루 평균 방문 환자 수는 평균 2.46명, 비암성 환자는 6.9%의 기관만이 돌보고 있었다. 58.6% 기관에서 협력의뢰를 위한 공식적인 체계를 구축하고 있었으며, 방문 범위는 44.8%에서 거리나 시간에 제한을 두고 있었다. 제공되는 서비스는 가족 상담과 서비스 연계가 가장 많았고, 가정 호스피스 의뢰방법은 환자 및 가족의 직접 의뢰가 51.7%로 가장 많았다. 대부분은 서비스 제공을 위한 기본 의료장비 및 물품을 갖추고 있는 반면 특수 장비는 부족하였다. 호스피스 전용병상이 있는 경우는 대부분 정부 및 공공기관의 후원으로 이루어지고 서비스 측면에서는 팀 회의, 통증조절, 증상조절이 잘 이루어지고 있었다. 기관운영 장애요인으로는 재정문제, 인력부족, 호스피스 인식 부족의 순위를 보였으며, 이를 위해 가장 먼저 해결해야 할 과제로는 '수가제도화'라고 주장하였다. 결론: 현재 우리나라의 가정 호스피스는 호스피스 본연의 목적을 달성하기에는 많은 제한이 있으므로 빠른 제도화와 서비스 표준 확립이 이루어져야 할 것이다.

• 대한가정학회지
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• 제33권5호
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• pp.13-25
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• 1995

The purpose of this study was to understand the variables affecting the dual role strain and the satisfaction with the life of working mothers, Based on this result, the family policies for the balance between family life and work were proposed. 1) For the family, husband's psychological and behavioral supports were needed to wives as workers. 2) For business, the child care support and services have to be provided for children of both male and female employees. 3) For the government, the policies can be proposed : child care center or support and service in the business, child care program after school hours, insurance policies for child safety, deduction in income taxes corresponding expenditures for child care service.

• 호스피스학술지
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• 제2권2호
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• pp.28-48
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• 2002

The advances of medical technologies have not only prolonged human life span, but also extended suffering period for the patients with incurable medical diseases. Hospice movement was developed to help these patients keep dignity and lives peaceful at the end of their life. Since many patients prefer to spend the last moment of life at home with their family, hospice home care has become very popular worldwide. The purpose of this study for a promotion and development of hospice home care in Korea, and features basic research on medical profession's knowledge and attitudes to hospice home care. This study which was used for the research questionnaires developed by the researcher that were answered by 100 physicians and 127 nurses in a general hospital. Data were collected from April 22, 2002 to May 10, 2002. The SPSS was used to make a comparative analysis of the frequency, percentile, ANOVA, and x2-test. The results of the study were as follows; 1.The medical profession showed high level of knowledge of the definition and philosophy of hospice. However, the physician group of the examinees showed insufficient knowledge of the fact that hospice care includes bereavement care, while the nurse group's response to the same question showed a significant difference(x2=10.752, p=.001). 2.For whom the hospice home care is provided, 95.6% of the respondents showed very high level of knowledge as answering that the incurable terminal illness patients and their families are the beneficiaries of hospice care. The respondents counted nurses, volunteers, pastors, physicians and social workers, consecutively, as hospice care providers. More nurse were positive toward pastors than physicians in regarding as a hospice care provider by a significant difference(x2=11.634, p=.001). 3.For when to referral hospice home care to the patients, only 34.2% answered that patients with less than 6 months of survival time are advised to receive hospice care, reflecting very low level of knowledge. 23.0% of the physicians and 48.0% of the nurses answered that hospice care should be provided when death is imminent, making a significant difference between the two groups(x2=6.413, p=.000). 4.To promote hospice activities, 87.2% pointed out that it is crucial to make general people, including those engaging in the medical field, more aware of hospice. 79.7% answered that a national hospice management should be developed, marking a significant difference between the physician group and nurse group(x2=10.485, p=.001). 5.Advantages of hospice home care are 87.2% responded that patients can have better rest at home receiving hospice home care. Economical merit was brought forward as one of the advantages also, where there was a significant difference between the physicians group and nurse group(x2=7.009, p=.008). 6.The medical professions' attitude to hospice home care are 92.8% of the physicians answered that they would advise incurable terminally ill patients to be discharged from hospital, with 44.3% of them advising the patients to receive hospice home care after leaving the hospital. From the nurses' point of view, 20.9% of the terminally ill patients are being referred to hospice home care after discharge, which makes a significant difference from the physicians' response(x2=19.121, p=.001). 7. 30.6% of physicians have referred terminally ill patients to hospice home care, 75.9% of whom were satisfied with their decision. Those physicians who have never referred their patients to hospice home care either did not know how to do it(66.7%) or were afraid of losing trust by giving the patients an impression of giving up(27.3%). 94.9% of the physicians responded that they would refer their last stage patients to a doctor who is involving palliative care. 8.Only 36.2% of nurses have suggested to physicians that refer the terminally ill patients discharged from the hospital to hospice home care. Once suggested, 95.8% of the physicians have accepted the suggestion. Nurses were reluctant to suggest hospice home care to the physicians, as 48.8% of the nurses said they did not want to. From the result of this study the following conclusion can be drawn, the medical profession's awareness of general hospice care has been increased greatly compared to the results of the previously performed studies. However, this study result also shows that their knowledge of hospice home care is not good enough yet. There is a need for high recommended that medical education institute and develop regular courses on various types of hospice care. Medical field training courses for physicians and nurses will be very helpful as well. It is also important to train hospice experts such as palliative physicians and develop a national hospice management urgently in order to improve the hospice care in Korea.