• Title/Summary/Keyword: Long-Term Care Facilities

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Effects of Physical Environment on Quality of Life among Residents with Dementia in Long-Term Care Facilities in Canada and Sweden: A longitudinal study in a large-scale institutional setting versus a small-scale homelike setting

  • Lee, Sook Young;Hung, Lillian;Chaudhury, Habib;Morelli, Agneta
    • Architectural research
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    • v.23 no.2
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    • pp.19-28
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    • 2021
  • Reduction in competence makes older adults with dementia more sensitive to the influence of the physical environment. The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N= 11), Canada and Stockholm (N=13), Sweden had a difference in their quality of life (QoL). QoL was assessed using Dementia Care Mapping tool three times over one year for the reliability of data. The results of the study demonstrated that the residents with dementia living in a homelike and positive stimulating setting showed less withdrawn behaviors and a higher level of well-being compared to those in a large-scale institutional setting. This study also found that the residents living in a large-scale institutional environment spent more monotonous times than the other groups, which may be to provision of fewer structured activity programs or less social interaction with neighbors or staff members. Residents living in a large-scale institutional setting in Canada showed so far as five times more agitated/ distressed behaviors and twice more withdrawal compared to the ones living in a small-scale homelike setting in Sweden. The study supports that the large-scale institutional environment was considerably associated with levels of lower quality of life among the residents with dementia.

The Elderly Welfare Facilities Unit-Care Type Development According to the Atmosphere of a Traditional Korean House (한옥의 공간을 적용한 노인복지시설 유니트케어의 평면 유형)

  • Nam, Yun-Cheol
    • Journal of The Korean Digital Architecture Interior Association
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    • v.12 no.2
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    • pp.5-13
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    • 2012
  • After elderly long term care insurance implementation (July 1, 2008), the elderly medical and welfare facilities covered by medical insurance continuously increases 30 to 63% sanction annually. Rapid growth of senior citizen welfare facilities arises in a poor residential environment issues. In most cases, it is the legal minimum criteria tailored for 4 persons accommodated in nature, such as the hospital. Therefore, 'Hometown-style traditional Korean House' is needed to rest comfortable for elderly people. Research goal is to provide direction and design materials by developing a type of architectural planning for the elderly welfare facilities unit care of the atmosphere of a traditional Korean House. The following two elements are applied to the elderly welfare facilities. Senior citizen welfare facilities in the main living space are applied to modern residential space of the elderly-friendly atmosphere of a traditional Korean House. It is applied for the Korean lifestyle and residential culture are through an analysis of Japan's leading development unit care system.

The Factors Affecting the Wage of Home Care Workers: Focusing on Incheon Metropolitan City (재가요양보호사의 임금 수준에 영향을 미치는 요인: 인천광역시를 중심으로)

  • Ha, Seok Cheol
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.421-429
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    • 2019
  • The purpose of this study is to examine factors affecting the wage of home care workers in Incheon. For this study, 306 home care workers in Incheon were analyzed. Personal factors, work environmental factors, and regional factors were entered in the analytic model. Results showed that education level, license, employment status, work hours, and service types were associated with the wage of home care workers. Also, factors related to the supply and demand of long-term care (i.e., the number of long-term care facilities per 100 care workers, the number of long-term care facilities per 100 benefit recipients, the number of care workers per benefit recipients) were positively associated with the wage. Policy implications are discussed.

Utilizing Home-Care Robots the Disaster Evacuation of the Elderly to Welfare Evacuation Centers and Their Application to Life Support (노인복지대피센터와 생활지원 적용의 재난대피 홈케어 로봇 활용)

  • Keiko, Kitagawa;Noh, Hwang-Woo;Nobuo, Mishima;Yukuo, Hayashida;Yim, Dong Kyun
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.471-472
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    • 2017
  • There are 3,931,822 elderly who receives long-term care at home and 1,704,469 elderly who stay at long-term care facilities in those of 34,610,000 of +65 years old population in Japan; thus, the elderly people who need home care are 2.3 times more than facilities (2016).In the near future, the number of elderly people with a degree of daily life independence and dementia category II or more will increase to 4.7 million (12.8% of the elderly population). Therefore, the use of home-care robots is essential for the disaster evacuation of the overwhelming majority of those elderly who need home care and for of vitals checks to keep family, caregivers, and medical professionals informed to reduce the risk in chronic health conditions in welfare evacuation centers. This also helps to care for the caregivers who are caring for the elderly, and the introduction of home-robots to evacuation centers should receive prompt attention from our care-friendly society.

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Effect of Long-term Care Worker's Person-Centered Care on Service Quality of long term care facility -Focusing on mediating effects of long term care worker's emotional labor and job satisfaction- (요양보호사의 인간중심케어와 서비스 질의 관계 -요양보호사의 감정노동과 직무만족의 매개효과 중심-)

  • Song, Myeong-Seop;Rhee, Young-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.476-484
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    • 2021
  • In this study, we analyze the relationships between long-term care workers' person-centeredness and job satisfaction, emotional labor, and service quality. Self-administered questionnaires were used to collect data from 460 long-term care workers in long-term care facilities. In the research model, person-centered care was verified using independent variables, with emotional labor (surface behavior, internal behavior) and job satisfaction applied as parameters, and service quality applied as a dependent variable. The results of this study are as follows. First, the fit of the model is good. Second, the implicit behavior of emotional labor is found to be an important factor affecting service quality. Also, emotional labor is an important mediator, improving the value of person-centered care and service quality. There is a positive correlation between internal behavior and service quality, and a negative correlation between surface behavior and service quality. Third, emotional labor (surface behavior, internal behavior) is the most influential variable in terms of service quality. The results of this study demonstrate the necessity to pay clinical and academic attention to person-centered care in terms of long-term care workers' emotional labor and service quality.

Effect of the ADDIE Model-based Distance Infection Control Education Program on Infection Control Performance of Care Workers

  • Min Sun Song
    • International Journal of Advanced Culture Technology
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    • v.12 no.1
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    • pp.190-201
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    • 2024
  • This study examined the effect of the distance Infection Control Education Program (ICEP), developed based on the ADDIE model, on infection control knowledge, attitude, and performance among care workers in long-term care facilities nationwide. The program, developed based on the ADDIE model, was applied to 173 care workers directly responsible for nursing care of elderly residents in lomg-term care facilities. The distance ICEP for care workers was conducted through the website and lasted 30 minutes for each of the eight topics. To determine the effectiveness of the education, infection control knowledge, attitude, performance, and satisfaction were surveyed before and four weeks after the program. Differences in infection control knowledge, attitude, and performance before and after the distance ICEP were assessed by a t-test. A significant difference was observed in knowledge and infection control performance after the distance ICEP was administered to care workers. In the sub-domains of infection control performance, overall understanding of infection, regular infection control education, infection control by special pathogen (multidrug-resistant bacteria, tuberculosis, tick-borne infectious diseases), and detailed infection control education by infection site (pressure ulcers and urinary tract infections) were significantly improved. Infection control knowledge and performance improved through the distance ICEP applied to care workers. Satisfaction also displayed high scores on most items and indicated that it was helpful for infection control in facilities, confirming the effectiveness of infection control education. Based on the survey of care workers nationwide, the infection education program can be effectively used for care workers in the future.

A Study on Geriatric Wards in General Hospitals - focused on the case of N hospital - (종합병원 내 노인요양병동 모델 연구 - N병원 사례를 중심으로 -)

  • Sul, Woo-In;Kang, Mi-Seon
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.05a
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    • pp.187-190
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    • 2005
  • As the population of the elderly has increased and the nuclear family has become popular, the demands of long-term care services for the elderly have arisen. However, a lot of patients, who need long-term care services, are in general hospitals because existing facilities for the elderly are not sufficient in terms of both quality and quantity. In this study, it is considered a good alternative to set geriatric wards, offering long-term care services for the elderly, in general hospitals. This study shows an analysis of geriatric wards in general hospitals, especially, based on the case of N hospital, and suggests the spacial elements of geriatric wards, which is different from other wards in the aspects of space program and operating system.

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A Study on the Perception of Quality of Care Services by Care Workers using Big Data (빅데이터를 활용한 요양보호사의 서비스질 인식에 관한 연구)

  • Han-A Cho
    • Journal of Korean Dental Hygiene Science
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    • v.6 no.1
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    • pp.13-25
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    • 2023
  • Background: This study was conducted to confirm the service quality management of care workers, who are direct service personnel of long-term care insurance for the elderly, using unstructured big data. Methods: Using a textome, this study collected and analyzed unstructured social data related to care workers' service quality. Frequency, TF-IDF, centrality, semantic network, and CONCOR analyses were conducted on the top 50 keywords collected by crawling the data. Results: As a result of frequency analysis, the top-ranked keywords were 'Long-term care services,' 'Care workers,' 'Quality of care services,' 'Long term care,' 'Long term care facilities,' 'Enhancement,' 'Elderly,' 'Treatment,' 'Improvement,' and 'Necessity.' The results of degree centrality and eigenvector centrality were almost the same as those of the frequency analysis. As a result of the CONCOR analysis, it was found that the improvement in the quality of long-term care services, the operation of the long-term care services, the long-term care services system, and the perception of the psychological aspects of the care workers were of high concern. Conclusion: This study contributes to setting various directions for improving the service quality of care workers by presenting perceptions related to the service quality of care workers as a meaningful group.

Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals (요양병원 간호사의 노인 환자 임종간호 경험)

  • Lee, Chun Yee;Lee, Ga Eon
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.199-211
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    • 2020
  • Purpose: The purpose of this qualitative study was to describe the essence and the meaning of nurses' experiences of end-of-life care (EOLC) for elderly patients in the long-term care hospitals (LTCHs). Methods: Data were gathered from 12 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method. Results: The emergent 5 themes were 'Doing the best for protecting patients' life', 'Providing a comfortable dying process for patients', 'Supporting a family's keeping on patient's death', 'Reflecting on life' and 'Desiring for the establishment of a humanity end-of-life care environment'. Conclusion: The end-of-life care for the elderly patients includes supporting elderly patients' comfortable dying process and helping the family keep the death of the elderly. The results indicated that physical facilities and end-of-life nursing capacity should be established in LTCHs for improving the quality of EOLC.

Demand Prospect of Professional Workers in Execution of the Elderly's Long-Term Care Insurance -Nurse, Social Welfare, Care Probation Professional workers- (노인 장기요양 보험제도 실시에 따른 전문직종사자의 수요 예측 -간호사, 사회복지사, 요양보호사를 중심으로-)

  • Park, Myung-Sun;Kang, Sang-Mok
    • Communications for Statistical Applications and Methods
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    • v.17 no.3
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    • pp.423-440
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    • 2010
  • The purpose of this paper is to prepare the department creation and the staff increase of education institution by forecasting the demand of health and welfare workers according to execution of the elderly's long-terms treatment insurance system in July, 2008. We estimated confirmors of the elderly's long-terms treatment and the demand of professional workers of health and welfare field due to the increase of care insurance users in facilities treatment organization, care at home service facilities, and family allowance facilities for 2010-2030. The numbers of social welfare professional worker are estimated as 16,624 workers in 2020 and 24,688 workers in 2030. The numbers of nurses are forecasted as 11.287 in 2020 and 16,624 in 2030, we expect that the increase of the demand be accelerated. The demand of necessary care probation worker is 44,824 in 2009, but we already trained over around 500,000 workers in 1,078 education institutions through one year in Aug. 31, 2009, which excesses over the numbers of workers demanded as much as 10 times.