• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1620-1627
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• 2000

Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

• 한국사회복지학
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• 제58권2호
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• pp.355-375
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• 2006

이 연구는 사회복지사의 직무특성이 직무만족에 미치는 영향을 고찰함으로써 사회복지사의 직무 설계 시 고려해야 할 요소를 밝혀내기 위해 시행되었다. 설문은 사회복지관의 사회복지사와 의료사회복지사 240명이 응답한 결과를 토대로 분석하였다. 연구결과 사회복지기관 사회복지사의 직무만족에는 자율성, 피드백, 정체성, 전문성, 필요성의 직무특성과 자기효능감이 영향을 미쳤으며, 의료사회복지사의 직무만족에는 필요성과 자기효능감, 성별, 직위만이 영향을 미쳐, 직무특성요인이 부분적으로 결과변수에 영향을 미치는 것으로 나타났다. 특히 핵크맨과 올드햄(1975)의 핵심직무특성보다는 정체성, 전문성, 필요성의 직무특성 영향력이 보다 강한 것으로 나타나, 사회복지사의 지식과 기술, 기법 외에 관점이나 정체성, 필요성 등을 강조하는 접근이 필요한 것으로 나타났다. 또한 자기효능감이 직무만족에 미치는 영향력이 다른 변수보다 강하였고, 직무 특성이 직무만족에 영향을 미침에 있어 부분적인 매개역할을 하고 있는 것으로 나타나, 사회복지사의 자기효능감을 증진시키기 위한 교육과 지지적인 환경, 수퍼비전 등이 필요한 것으로 나타났다. 이 연구는 핵크맨과 올드햄(1975)의 핵심직무특성 모형을 사회복지조직에 적용한 연구로, 직무설계 시 사회복지실천현장의 특성별로 달리 나타나는 직무특성 요인을 감안한 직무의 설계와 재설계를 통하여 사회복지사 효율성을 도모해야 할 필요성을 제기하고 있다.

• 한국사회복지학
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• 제47권
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• pp.7-33
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• 2001

The purpose of this study was to the impact of organizational culture on the organizational effectiveness in hospitals were empirically analysed. Data were collected by 151 social workers including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. The results of this study were summarized as follows; First, most social workers report that characteristic of culture in their hospitals are group culture the first, hierarchial culture the second, rational culture the third, and developmental culture finally in order of social worker's recognition. Second, according to the types of organizational culture, there were significantly different levels of organizational effectiveness. Social worker's perceived group cultures in hospital showed higher job satisfaction, organizational commitment than other culture patterns. And also, social worker's perceived developmental cultures in hospital showed higher organizational commitment quality of social service than other culture patterns. Third, multiple regression analysis was conducted to find the relationship of organizational culture and organizational effectiveness. As a result, developmental culture showed a strong relationship with job satisfaction, organizational commitment and quality of social services Finally, as for the cultural affects on the organizational effectiveness depended on intensive attention to developmental culture in hospital Consolidating the attribute of developmental culture in hospital is also proposed to improve the organizational cultures.

• 보건행정학회지
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• 제12권4호
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• pp.34-55
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• 2002

In this study, the impact of organizational culture on the quality of social work services in hospitals were empirically analysed. A mailed questionnaire survey was conducted between February 19 and April 10, 2001. A sample of total 70 hospitals, including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. According to coping strategy and reacting pattern with the environmental changes, four types of organizational culture in each hospital, classified as group culture, developmental culture, hierarchial culture, and rational culture, were adopted for the independent variables. Three dimensional aspects of quality of social work service - structure, process, and outcome were selected as dependent variables in this study. Also the quality of social work service was distributed into provider-perceiving quality and consumer-perceiving quality The major findings were as following in summary; First, most social workers reported that the characteristic of culture in their hospitals are group culture the first, hierarchial culture the second, developmental culture the third, and rational culture finally in order of comparing the level of quality perceived between social worker's recognition. Second, service provider and consumer, The provider-perceiving quality showed less score than that of consumer, especially the lowest was the score of quality of outcome perceived by provider. Third, according to the types of organizational culture, there were significantly different levels of quality in total social work services, structure dimension and process dimension. The quality of outcome dimension did not show significant differences among the type of organizational culture. Finally, the most influential variables to the quality of social work service ice proved departmental form of social work unit, leader of social work unit, and developmental culture of hospital To assure quality services, accordingly, social work unit in hospital is required to be organized as a single unit, that means to be an independent department of which qualified social worker is supposed to control the unit. It is strongly recommended to develop leadership for the leaders of social work unit.

• 한국사회복지학
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• 제47권
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• pp.107-147
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• 2001

In the 1990s, with enacting of the laws on the family violence in Korea, agencies such as helpline 1366, counseling center and shelter for the female victims have been rapidly increasing in number. Also police and medical center have been viewed as having major responsibility for delivering services and social workers in community welfare center and public social worker have been expected play a role in community-based delivery systems for the female victims. The purpose of this study is to measure the level of the inter agency coordination and to find out the factors affecting the inter-agency coordination in family violence and to make policy implications for a better delivery system. The data were obtained from a social survey of family violence agencies, counselling center/shelter/helpline 1366, police, medical center, social workers of community center and of public sector in Seoul and Kyeongi area. The major results are as follows: 1) the level of inter-agency coordination is low, specially the referal cases of police and medical center is very poor. 2) The type of inter-agency coordination is referals and information sharing among agencies. 3) the factors affecting inter-agency coordination is agency type, wills and efforts of agency, information sharing, experience of family violence education. The current findings suggest that the delivery system to promote inter-agency coordination efforts and for police and medical center, social worker in private and public agency to respond promptly and properly would be built up.

• 대한예방한의학회지
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• 제1권1호
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• pp.137-148
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• 1997

The Serial Securities and the Social Welfare, as the national policy aimed at securing generals' lives, are the policies or systems for the stabilization in lift; especially of law-incomers and workers, for which the povernment has to establish the Social Security System. No wonder the Social Insurance System is a part of the Social Security System and the most important. The Social Insurance System, along with Public Assistance, is underlying the Social Security System. Social Security System includes medical insurance, industrial accident Compensation insurance, national pention insurance and employment insurance. The study is on 'The Oriental Medical Insurance and the Industrial Accident Compensation in the Social Security System' . The rate of industrial accident in Korea marks the highest rank in the world. for laborer, industrial accident do not merely mean the loss of health but the question of the right to live in terms of their loss of opportunity of life. The industrial accident compensation system should be established as the es post facto remedy system to guarantee the injured worker and his/her family's life. The oriental medical insurance system which began to operate in 1987 in Korea is based on unionism and divided into 3 parts; one part for the worker, a second part for the community inhabitants, and a third part for the public service personnel and private school personnel. Today the medical problem must be the most important social assignment to be considered. The medical system of contemporary industrial society has began greatly stood out in relief as a part of social welfare not emphasized on gainings of physicians. Accordingly systematization of the oriental medical insurance was strongly Pursued and it was developed to to the extent of entire nation insurance. Though the history of it is very short, most of the people are getting benefit from the insurance system by the social security system method. This study develops the Oriental Medical Insurance, the Workmen's Accident Compensation Insurance, the Pension System in relation to the industrial accident compensation of Employees, along with the ideas and principles of social insurance.

• 한국융합학회논문지
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• 제8권11호
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• pp.71-76
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• 2017

우리 사회는 산업 전반에 걸쳐 빠른 성장을 보이고 있으나 핵가족화와 고령화 시대에 접어들고 있어 노인에 대한 요양 서비스와 같은 사회복지 서비스의 수용가 급격하게 증가하고 있는 추세이다. 그러나 노인과 관련된 요양시설에 종사하고 있는 사회복지사들의 직무가 명확하지 않아 직무 스트레스가 발생되고 있으며, 직무 만족도가 현저하게 낮아지고 있는 상황이다. 이에 본 논문에서는 노인요양시설의 사회복지사 직무와 관련하여 복지 서비스를 실천함에 있어 보다 좋은 환경 및 표준화된 절차에 의하여 서비스에 집중할 수 있도록 직무와 융합한 지식 기반의 관리시스템을 제안한다. 제안 시스템을 통하여 사회복지사들이 자기 개발 및 정보 공유를 통하여 신속한 업무 파악과 직무 스트레스에서의 탈피에 의한 업무 만족도를 향상시킬 수 있을 것으로 기대된다.

• 대한간호학회지
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• 제37권4호
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• pp.529-539
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• 2007

Purpose: This quantitative meta analysis sought to determine the effectiveness of SMIs. Method: Forty-six experimental studies with a randomized or nonequivalent control group pre-post test design were included in the analysis. The selected studies were classified according to the sample characteristics, the types and methods of the interventions, and the types of outcome variables. Six intervention types were distinguished: cognitive-behavioral intervention(CBT), relaxation techniques(RT), exercise(EX), multimodal programs 1 and 2(MT1, 2), and organization-focused interventions(OTs). Effect sizes were calculated for the 4 outcome categories across intervention types: psycho-social outcome, behavioral-personal resources, physiologic, and organizational outcome. Results : Individual worker-focused interventions(ITs) were more effective than OTs. A small but significant overall effect was found A moderate effect was found for RT, and small effects were found for other ITs, The effect size for OTs was the smallest. The interventions involving CBT and RT appeared to be the preferred means of reducing worker's psycho-social and organizational outcomes. With regard to physiologic outcomes, RT appeared to be most effective. CBT appeared to be most effective in reducing psycho-social outcomes. The effects of OT were non-significant, except for the psycho-social outcomes. Conclusions: SMIs are effective. Interventions involving RT and CBT are more effective than other types.

• 한국사회복지학
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• 제59권2호
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• pp.223-249
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• 2007

학제간 팀 접근을 통해 사회복지서비스를 제공하는 의료현장에서는 의료팀의 사회복지사 역할에 대한 명확한 인식과 기대를 파악하는 것이 사회복지사의 효과적인 역할수행에 매우 중요하다. 이에 본 연구는 의사, 간호사, 영양사 등의 의료팀성원을 대상으로 의료사회복지사의 역할에 대한 인식유형과 각 유형의 특성을 Q방법론을 활용하여 조사하였다. 연구결과 의료사회복지사에 대한 인식은 심리사회적 상담자 유형, 자원개발 및 연결자 유형, 복합기능수행자 유형의 3가지 유형으로 도출되었다. 이상의 결과를 바탕으로 의료사회복지실천의 함의를 찾아보았다.

• The Journal of Korean Physical Therapy
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• 제11권3호
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• pp.141-150
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• 1999

The ratio of the Korean old aged man increase $4\%$ in 2030. As the growth of the old man over sixty-five years old, there needs a care Health specialist, care worker who helps different people in daily life. The old man welfare facilities are a medical doctor, nurse, physical therapy, occupational therapy, nutritionist, social worker, and care worker. They constitute teamwork and effort activities of daily living and rehabilitation. According to Japanese care worker low; a research worker makes the care welfare programs from Article 1 to 26 that agree with the real state of Korea.