• 한국화재소방학회논문지
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• 제30권6호
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• pp.124-129
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• 2016

본 연구의 목적은 노인요양시설 화재 소방안전 관련법의 중복 및 충돌 사례를 분석하고, 향후 시사점을 노인복지적 관점에서 제시하는 것이다. 노인요양시설은 소방관련된 시설에 대하여 건축법 및 소방시설법의 적용을 받는다. 여기에서 건축법 등 관련 법령과 소방시설법령 간 법 적용의 공백은 물론 중복 적용으로 인한 충돌 문제가 나타났다. 점차 관련 규정을 개선하고 있으나 아직 개선사항이 산재해 있고, 기존 시설에 대한 적용문제도 남아있다. 구체적인 사례 검토 결과를 살펴보며 이러한 문제점들과 향후 노인복지적 관점에서 시사점을 제시해보고자 한다.

• 한국보건간호학회지
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• 제36권2호
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• pp.212-226
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• 2022

Purpose: The purpose of this study was to explore nurses' experience of the role adaptation process and barriers in long-term care (LTC) facilities including nursing homes, daycare centers, and home visit nursing centers. Methods: After in-depth interviews with 13 nurses who were working at the LTC facilities in G province, the data were analyzed using Colaizzi's phenomenological methodology. Results: 17 themes with 6 theme clusters, and 2 categories emerged: nursing role adaptation process in the LTC (role expectation and readiness, role perception and performance, limits of role performance), and barriers to nursing role adaptation in the LTC facility (organizational, situational, and institutional-environmental barriers). Conclusion: The results showed that it is critical to establish the nurses' role in caring for the health of the elderly and maintaining the quality of care in the LTC facilities. In response to the growing demand for quality care in the LTC facilities, more institutional and environmental changes are needed to address the current barriers that prevent nurses from performing their appropriate roles.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권4호
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• pp.7-20
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• 2023

Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of physical and environmental factors on behavioral·psychological health and quality of life for the elderly people with dementia who reside in long-term care facilities. This follow-up study of the previous literature review aims to further identify physical and environmental factors, that improve health and quality of life for the elderly people with dementia, published in recent five years and to expand the understanding of clinical outcomes as mechanism that mediate the effect of physical environmental factors on improving behavioral·psychological health and quality of life for the elderly people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies that link the design of dementia care facilities to health- and quality of care(QOL)-related outcomes and this follow-up review scrutinized peer-reviewed articles published in recent five years (from January 2018 to December 2022), filling the gap between the previous literature review and the current state of research. Results: The review identified a growing body of literature that articulates environment-related factors that improve behavioral·psychological health and quality of life for the elderly people with dementia living long-term care facilities. Implications: The findings of the review can be translated to design implications and design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

• 보건행정학회지
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• 제12권1호
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• pp.21-53
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• 2002

The purpose of this study is to measure the resource use of the elderly in long-term care services and to examine the effects of patient and facility characteristics on their use of resources. The data were collected from 510 old people over sixty years of age, residing in five long-term care hospitals and two skilled nursing homes during the period between December 1, 2000 and February 28, 2001. For a full sample, when the first level of RUG(Resource Use Group)-III categories were employed as the proxy of patient severity, facility characteristics, such as location, size and ownership, have large effects on the resource use measured by service intensity, whereas patient characteristics such as severity have little or no effect. The resource use is significantly high if the facility: (1) is located in rural areas (gun): (2) has mare than 200 beds; (3) is a long-term care hospital; (4) is private; and (5) has a low percentage of medical aid patients. The analysis of the resource use in each RUG-III categories, for which ADL(Ability of Daily Living) were employed as the prosy of patient severity, shows a similar result. The loose relationship between the needs of residents and the resource use seems to be closely associated with the ineffective reimbursement system for providers. The current reimbursement system has no provision for quality improvement and reimburses facilities simply according to their types: fee-for-service for long-term care hospitals, and monthly-flat-rate or full-coverage-national-aid for skilled nursing facilities. It will be necessary to develop a more reasonable reimbursement system that takes patient's severity into account and gives incentives for long-term care providers to offer cost-effective services.

• 보건행정학회지
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• 제17권2호
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• pp.52-67
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• 2007

Korean government is preparing the long-term care financing and delivery system in order to cope with rapid population aging. The system should be designed to provide demented patients with an appropriate services that the patients want to take, and considered to be necessary for them. In this regard, this study aims to analyse empirically a relationship between the types of long-term care services that demented patients wanted to take and they actually received during 2004. The caregivers of 609 dementia patients, who were randomly selected in a manner of proportional allocation from a nationwide claim database of the Korean National Health Insurance Corporation, were interviewed in September, 2005. Independent variables include socio-demographic characteristics, Activities of Daily Living(ADL) and Instrumental Activities of Daily Living(IADL). To explore the correspondence of the types of long-term care services that demented patients wanted to take and that they actually received, and its affecting factors, we conducted chi-square test and logistic regression analysis. Main findings are as follows. First, while only 20% of study subjects wanted home services as a long-term care services, those who wanted to use the long-term care facilities and general hospital were 37%, 43% respectively. Second, the correspondence rate was just 38% on average, and extremely low in the demented patients who wanted to use long-term care facilities. Third, the demented patients who resided in urban areas and received relatively high level of education showed high correspondence rate. Fourth, the high ADL score was closely related to low correspondence rate.

• 한국보건간호학회지
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• 제29권3호
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• pp.551-564
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• 2015

Purpose: Th study is to explore the working conditions and factors related to job satisfaction of nurses in long-term care facilities for the elderly. Methods: A total of 127 nurses working long-term care facilities, from June to November 2014, completed questionnaires. Face to face interviews were conducted. The questionnaire consists of a total of 32 questions, including 5 questions related to general characteristics, 15 questions related to working conditions, and 12 questions related to job satisfaction(likert scale of 1 to 5). Results: The majority of nurses were employed in institutional care facilities, in urban area, and in privately owned facilities. On average, employed nurses worked 170.7 hours per month. Only 40.9% of them got more than two million won for their monthly salary. They were satisfied with the nature and worth of their work and the workplace relationship, but not with their wages and promotion opportunity 40.2% of nurses reported satisfaction with job. In multiple logistic regression analysis, age was a statistically significant influencing factor on general job satisfaction. Conclusion: The findings suggest that policies must be to improve nurses' working conditions, for wages, and to support them with education and training for skills development.

• 산경연구논집
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• 제9권10호
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• pp.39-50
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• 2018

Purpose - This study is to propose discriminative management strategies to long-term care facilities based on the empirical analysis after reviewing the effects of social support, perceived by long-term care facility employees, to service orientation. Research design, data, and Methodology - The research model designed social support, job stress, organizational commitment, and service orientation. The survey collected data from 453 customers in a long-term care facility in jeju. The SPSS 18.0 package was used for analysis. Results - First, social support for long-term care facility employees has a negative(-) effect to job stress. Test results, social support factors except appraisal support had a negative impact on job stress. Second, social support has a positive(+) effect to organizational commitment. Test results, informational support, tangible support and appraisal support had significant effects on organizational commitment. However, emotional support had a positive impact on affective commitment and normative commitment. Third, social support has a positive(+) effect to service orientation. Test results had a positive impact. Fourth, job stress has a negative(-) effect to organizational commitment. In the test results, employee's continuance commitment and normative commitment had significant negative effects in job stress. However, affective commitment had no significant impact. Fifth, job stress has a negative(-) effect to service orientation. Test results showed a negative impact. Conclusions - The study implies the following. First, that there should be a change in the social perception of long-term care facilities. 'Long-Term Care Insurance for The Elderly' was enacted to emphasize this responsibility for the elderly problems as a new system. Enactment of this Act was expected to improve the quality of life of the people by stabilizing the elderly life and reducing the burden of families. Therefore, long-term care facility system should be as efficient as possible for making plans for systematic and organizational support. Second, the efforts of facility managers to minimize job stress of employees is necessary. Accordingly, performing spontaneous work is required for a comfortable working environment and management. Third, the systematic education and training to employees for service oriented behavior of the facility will be required in the long term.

• 한국치위생학회지
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• 제17권5호
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• pp.705-719
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• 2017

Objectives: The purpose of this study is to look into the health insurance systems and application in Korea and Japan in order to improve elderly people's quality of life. Their quality of life can be improved by upgrading the long term care systems; and extending treatment and prevention. Methods: This study is to examine long term care systems articles through content analysis in the National Health Insurance Service. Data were collected from the printed Internet and analyzed. Results: A part-time dentist system in elderly care facilities has trouble in taking care of old people's oral health due to both lack of time and operational difficulties. It is urgent to arrange dental experts who can permanently stay in care facilities and to build systems which can be managed periodically and continually. Conclusions: As having staff training for the efficiency and using the manpower in care facilities (care workers), it is necessary to solve the unequal medical service in oral health care for the elderly in Korea.

• 가정∙방문간호학회지
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• 제26권2호
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• pp.166-179
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• 2019

Purpose: The purpose of this study was to identify the job performance and educational needs, and recognition of professionalism among care workers, and to organize educational programs according to the priorities of care workers. Methods: The participants were 119 care workers who were working in long-term care facilities. Data were collected from May 31 to June 7, 2019 using self-report questionnaires. Collected data were analyzed using t-tests, ANOVA, and Spearman's Correlation Coefficients. Results: The performance aspects of the job were as follows: care for safety and infection-related, communication and leisure support, and excretion. The most demanded educational needs were in first-aid. Care workers had more than average professional recognition. Job performance and educational needs, and recognition of professionalism differed significantly according to several general characteristics. Conclusions: The educational needs of the areas with low frequency of job performance were high. First-aid is low in frequency, but it is important to cope with emergencies, so it is necessary to continue education. Also, there is a difference in recognition of professionalism according to the career. It will be necessary to develop individualized education programs to meet the needs of care workers.

• 한국사회복지학
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• 제69권1호
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• pp.33-57
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• 2017

본 연구는 한국의 장기요양서비스 제도적 맥락 속에서 발생한 시장화와 공존하고 있는 공공성의 관점에서 요양보호사의 근로조건이 서비스 질에 미치는 효과를 실증분석 하였다. 기존 연구들은 사회서비스의 낮은 생산성과 시장화로 가중된 저임금노동시장의 문제가 서비스 질 저하를 가져온다고 추론한 것이지, 근로조건과 서비스 질의 두 변수간의 인과관계를 규명한 것이 아니다. 본 연구의 노인장기요양서비스 제도적 맥락에서 본 요양보호사의 근로조건과 서비스 질과의 이론적 관련성은 Daly와 Lewis(2000)의 돌봄의 통합적 접근을 통해 조망하였다. 자료는 전국에 있는 노인장기요양시설을 소유권을 중심으로 비비례층화표집하여 248개 조직에 대한 설문조사를 통해 수집하였고, 이를 다시 인터넷 자료와 병합하였다. 분석결과, 요양보호사의 근로조건 가운데 3개 영역에서 임금수준이 높을수록, 부가급여가 존재할수록, 교육 및 훈련을 지원할수록 서비스 질이 높은 것으로 나타났다. 이는 정부가 규제하는 노동시장정책과 평가제도상의 최소기준을 넘어서는 조직의 규범적 차원에서의 근로조건과 보상체계가 장기요양서비스 질에 긍정적인 영향을 미치고 있다는 것을 보여준다.