• Title/Summary/Keyword: Nursing Home Workers

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Social Support and Acculturative Stress in Migrant Workers (외국인 노동자의 사회적 지지와 문화적응 스트레스)

  • Lee, Soon-Hee;Lee, Young-Joo;Kim, Sook-Young;Kim, Shin-Jeong
    • Journal of Korean Academy of Nursing
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    • v.39 no.6
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    • pp.899-910
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    • 2009
  • Purpose: The purpose of this study was to collect basic data on social support and acculturative stress in migrant workers. Methods: Between August, 2007 and January, 2008 171 immigrant workers completed data collection using a questionnaire. Workers were recruited from 2 churches, one in Seoul and the other in Gyeonggi Province. Mean and standard deviation, t-test, ANOVA, Pearson correlation coefficients and Stepwise multiple regression were used to analyze the data. Results: The average score for social support was 3.73 (${\pm}0.65$) and for acculturative stress, 2.52 (${\pm}0.65$). There were significant differences acculturative stress according to gender (t=2.152, p=.033), kind of job (t=2.597, p=.040), and have community or not (t=2.899, p=.005). There was a significant negative correlation between social support and acculturative stress (r=-.270, p=.001). Factors influencing acculturative stress were existence of participants having a community of people from their home country or not ($R^2=.151$, p=.002). Conclusion: More studies are needed to identify the variables that influence acculturative stress in immigrant workers.

The Study on the effects of Job Stress of Female Caregivers in Home-based Elderly Welfare Center on Turnover Intention: Self-elasticity as a controlling variable (재가노인복지센터 여성 요양보호사의 직무스트레스가 이직의도에 미치는 영향: 자아탄력성을 조절변인으로)

  • Lee, Eun-A;Ku, Hyun-Su
    • Journal of Industrial Convergence
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    • v.18 no.5
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    • pp.54-61
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    • 2020
  • The purpose of this study was to understand the effect of job stress of female caregivers working in home-based elderly welfare centers on turnover intentions and to understand the moderating effect of self-elasticity in these relationships. The subject of the study was a self-written questionnaire survey of 170 nursing care workers at 28 home-based elderly welfare centers in Seoul, and 150 copies were collected and 133 people were finally analyzed excluding 17 unscrupulous responses. As a result of the study, first, the average value of turnover intention was high in the group with low experience of female caregivers at home-based elderly welfare centers and the group without religion. Second, the higher the job stress of nursing care workers, the higher the intention of turnover. Third, there was a moderating effect of self-elasticity between the job stress and the of turnover of nursing care workers. Therefore, it was necessary to consider measures to prevent job stress of nursing caregivers and improve self-resilience.

The Influencing Factors on Infection Management Behavior of Health Worker in Long Term Care Facilities (장기요양시설 요양보호사의 감염관리 수행에 영향을 미치는 요인)

  • Kim, Kyoung Ja;Park, Sung Won
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.23 no.2
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    • pp.155-165
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    • 2016
  • Purpose: The purpose of this study was to investigate factors influencing health workers' infection management behavior in long-term care facilities. Methods: A descriptive cross-sectional survey was conducted with 180 health workers who are employed in long-term care facilities. The data were collected from April, 25 until July, in 2016. Results: Infection management behavior positively correlated with the perceived importance of infection management (r=.77, p<.001), but role conflict negatively correlated with infection management behavior (r=.28, p<.001). The hierarchical regression model with general characteristics (first step) and perceived importance of infection management, work environment, and role conflict (second step) against infection management behavior was statistically significant (F=31.93, p<.001). This model could explain 62.8% of infection management behavior ($R^2=.62$, ${\Delta}R^2=.39$). Particularly, perceived importance of infection management was identified as factors influencing infection management behavior(${\beta}=.70$, p<.001). Conclusion: The findings of this study imply that systemic education about infection control and monitoring should be considered, so as to encourage proper infection management behaviors among health workers in long-term care facilities.

Home Care Support and Support Requirements According to Health Condition in the Poor Elderly People Living Alone (일 지역 취약가구 독거노인의 건강상태에 따른 가정지원과 도움요구)

  • Park, Ji-Won;Kim, Yong-Soon;Kim, Ki-Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.16 no.2
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    • pp.89-97
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    • 2009
  • Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

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Development of a Linking Model between Community Resourses and Industrial Injury Insurance Organs for the Activation of Medical Rehabilitation Services for Industrial Injury Patients (산재환자의 의료재활서비스 활성화를 위한 산재보험시설과 민간시설간의 연계모형 개발)

  • Kim, Hee-Girl
    • Korean Journal of Occupational Health Nursing
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    • v.14 no.1
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    • pp.56-70
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    • 2005
  • Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

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Development of Infection Control E-learning Training Program for Preventing Emerging Infectious Diseases for Long-term Care Facility Care Workers (장기요양시설 요양보호사 신종감염병 예방 원격 감염관리 교육 프로그램 개발)

  • Song, Min Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.3
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    • pp.329-338
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    • 2022
  • Purpose: This study aimed to develop an infection control e-learning training program for long-term care facility care workers to prevent emerging infectious diseases and evaluate its effectiveness. Method: The program was developed using the analysis design development implementation evaluation (ADDIE) model. The effectiveness of the program was evaluated for 30 care workers. The knowledge and performance of the care workers before and after the program were analyzed by a t-test. Results: In the analysis stages, a literature review on infection control, knowledge and performance of infection control, and education needs was performed, and focus group interviews with ten care workers were conducted. In the design stage, education topics, educational content, and educational methods were selected for the program. A video was produced centered on eight themes. In the development stage, a system for education was developed, and each topic was uploaded. In the implementation stage, the program was applied to 30 care workers, and a questionnaire was administered. In the program's final evaluation, there was a significant difference in infection control knowledge (t=3.06, p=.005), and there was no significant difference in infection control performance. Conclusion: In this study, the necessary topics were finally selected by quantitatively and qualitatively analyzing the educational needs of care workers taking care of the elderly in long-term care facilities. It is necessary to understand the long-term effect and the degree of performance of the observation method in the future.

A Study for the Evaluation of Students on a Practical Performance of the Home Health Care (일 가정간호 교육기관 교육생의 임상수행능력 평가에 관한 연구)

  • Kang, Kyu-Sook;Kim, Cho-Ja;Lee, Won-Hee;Oh, Eui-Geum;Park, Hee-Ok
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.11 no.1
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    • pp.44-56
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    • 2004
  • This study was conducted to investigate the evaluation of students on a practical performance of the home health care and to provide data for practical education on the home care nurse institution. Research was performed from March to December. 2002. 40 Respondents participated in the evaluation four times. The data were analysed by using the SPSS/PC + version 10. 0. The results of this study were as followings: 1. The average age of the subjects was 32. Majority of the subjects were interested in home health care. Majority of the subjects were staff nurse(57.5%) and workers at general hospitals(50%). 2. According to the result of the comparison of practical performances. performance evaluations of 20 items were higher when they admitted special practice than when they admitted any other practice. There was an positive increase in the evaluation of health assessment. nursing documentation. explanation. coping with emergency status. coordination and self assertion. In addition to health assessment. CPR. oxygenation. education & consultation. developmental assessment of child. nursing documentation. mastering nursing practice and consideration of client were significantly different. 3. The subjects were useful for practical circumference where they are working at. From these research findings. the following suggestions have been drawn: it is needed to manage practical curriculum variously and to include not only clinical aspect but also organic or administrational aspect and to reflect on students' needs and to choose to be reasonable items and to develop instruments for evaluation capability of home care nurse.

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Differences in Job Stress by Occupation Before and After the Reaction to COVID-19 among Care Facility for the Elderly (요양시설 종사자의 코로나 19 대응 전·후 직종별 직무스트레스 차이)

  • Oh, Doonam;Kim, Jungjae
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.531-540
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    • 2022
  • This study is a descriptive survey study attempted to find out the difference in stress by occupation before and after responding to COVID-19 among care facility for the elderly. In this study, a survey was conducted on workers in care facility for the elderly in Chungcheongnam-do and Gyeonggi-do from March 22 to April 25, 2021. Of a total of 220 questionnaires, 206 were collected, and the data were analyzed through t-test, one way ANOVA, and chi-square test. According to the research results, the difference in the sub-areas of job stress before and after the COVID-19 response of nursing home workers shows that nurses have job demands(t=-3.90, p<.001), job instablity(t=-3.30, p=.002), the nursing assistant has job demands(t=-2.45, p=.018), nursing care workers have job autonomy(t=-3.34, p=.001) showed a significant difference. Therefore, in order to effectively solve job stress according to the occupation of workers in care facility for the elderly in the COVID-19 era, stress relief programs for each occupation must be customized.

Case Analysis of Visiting Nursing Center for Improving Efficiencies: Based on Business Management Consulting (방문간호센터 경영효율성 개선 사례 분석: 경영 컨설팅 적용을 중심으로)

  • Lim, Ji Young;Kim, Juhang;Kim, Seonhee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.28 no.2
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    • pp.111-123
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    • 2021
  • Purpose: This study aimed to present the management strategies necessary to improve the operational efficiency of visiting nurse centers and evaluate their effectiveness. Methods: The subjects of this study were visiting nurse centers registered as long-term care centers. Based on value chain analysis, cost information analysis, and data envelope analysis, the study was carried out according to the Magerison's management consulting procedure, for six months. This procedure comprised eight sub-steps of approach and application. Results: The following management strategies were agreed upon: establishment of a cooperative network with other visiting care centers, creation of high satisfaction of external customers by providing practical training to care workers, and making rehabilitation and exercise services as the core nursing activities to be focused on. Conclusion: The management consulting process and analysis method applied in this study can referred to as a useful methodological framework for revitalizing visiting nursing centers in the future.