• 제목/요약/키워드: Person-Centered Care

검색결과 71건 처리시간 0.025초

발달장애인의 사회적 농업분야 일자리 창출방안 연구 (Study on the Creation of Jobs in the Social Farming of People with Developmental Disabilities)

  • 임재현
    • 한국콘텐츠학회논문지
    • /
    • 제20권8호
    • /
    • pp.466-479
    • /
    • 2020
  • 본 연구는 사회적 농업에서 발달장애인의 일자리 가능성을 모색하여 창출방안을 도출하고자 하였다. 이를 위해 해외 사회적 농업 활동 중에서 발달장애인 대상 사례를 참조하였다. 그리고 국내의 사회적 농장 다섯 곳을 방문하여 관찰하고, 담당자를 인터뷰하였다. 연구내용은 발달장애인의 일자리로서 사회적 농업의 의미와 가능성을 파악하고 사회적 농업에서 지속가능한 발달장애인 일자리 창출방안을 탐색하였다. 연구결과, 국내의 사회적 농업은 초기단계 있으며, 발달장애인에 대한 치유와 돌봄 중심의 농업체험 중심의 활동이 대부분이었다. 향후 지속적인 농업교육과 활동을 통해서 발달장애인에게 적합한 농업 일자리로서의 가능성이 충분하다는 결론을 도출하였다. 이러한 결과를 바탕으로 본 연구에서는 사회적 농업 분야에서 발달장애인 일자리 창출모형을 제안하였다. 본 연구에서 제시하는 일자리 창출모형은 크게 치유중심의 체험형, 돌봄 중심의 보호작업형, 사회적 일자리 모형으로 구분하였고, 사회적 일자리 모형에 스마트 팜 모형과 식물공장 모형을 추가하였다.

장기요양시설 거주노인의 치매 여부에 따른 신체활동수준과 관련 요인: 개인 및 기관 특성의 영향 (Current Status and Factors Related to Physical Activity of Older Nursing Home Residents with and without Dementia: Effects of Individual and Institutional Characteristics)

  • 전승연;김홍수
    • 보건행정학회지
    • /
    • 제28권4호
    • /
    • pp.392-401
    • /
    • 2018
  • Background: Physical activity (PA) is critical for maintaining the health and well-being of older people in community and also institutional settings. The purpose of this study was to examine the current status of PA and related individual and organizational factors among older nursing home residents with and without dementia. Methods: This is a secondary data analysis study of a nationwide survey of 92 long-term care facilities in Korea, and the study sample includes older residents with dementia (n= 753) and without dementia (n= 480). The level of PA was measured by PA time and whether or not residents had an outdoor activity over the past 3 days. Multi-variate, multi-level analyses were conducted. Results: More than half of the sample in both groups had no or less than 1 hour of PA. About one out of four older people in our sample had no outdoor activity over the past 3 days regardless of whether or not they had dementia. Among the people without dementia, several individual-level factors were associated with PA, including dependency for activities of daily living, social activity participation, and caregivers' belief in the functional improvement of residents. Unlike the non-dementia group, individual- and organizationallevel factors including staffing level and having the relevant equipment for PA were associated with PA among those with dementia. Conclusion: Study findings provide evidence on the lack of PA among older nursing home residents, and the importance of institutional capacity with regard to human resources and physical equipment for promoting PA among people with dementia, in particular. Policies and supports are needed to promote the implementation of healthy aging programs including PA for older nursing home residents. Such programs should be person-centered with consideration to the physical and cognitive status of individual residents.

빅데이터를 이용한 독거노인 돌봄 AI 대화형 말동무 아가야(AGAYA) 로봇 시스템에 관한 연구 (A Study on Interactive Talking Companion Doll Robot System Using Big Data for the Elderly Living Alone)

  • 송문선
    • 한국콘텐츠학회논문지
    • /
    • 제22권5호
    • /
    • pp.305-318
    • /
    • 2022
  • 본 연구는 4차 혁명기술의 핵심인 AI 기술을 활용한 대화형 AI 토이 로봇의 독거노인 돌봄에 대한 효과성에 주목하고, 보다 인간 중심적인 돌봄으로의 개인화, 맞춤화에 기여할 수 있도록 R&D를 통한 '아가야'라는 AI 토이 로봇을 개발하였다. R&D 작업은 활용 중인 AI 스피커와 AI 대화 인형의 기능을 고찰, 현재 AI 로봇을 사용 중인 총 6명의 독거노인과의 인터뷰, 독거노인의 AI 대화 로봇 사용 현황과 효과성, 한계성, 개선점 등을 파악한 후 진행되었다. 첫째, P-TTS 기술을 적용하여 듣고 싶은 사람의 음성을 자율적으로 선택하여 들음으로써 심리적 친밀감을 강화하고 둘째, 추억저장 및 소환기능으로 자신만의 심적 치유를 가능케 하며 셋째, 눈, 코, 입, 귀, 손의 5감의 다양한 역할을 추가하였고 넷째, 따뜻한 체온 유지, 아로마, 살균 및 미세먼지 제거부, 편리한 충전방식 등의 기술을 개발하였다. 이러한 기술들은 친밀감, 개인화 지향을 통한 독거노인의 대화형 로봇에 대한 사용을 확대하고, 돌봄의 수혜자라는 수동적인 프레임에서 벗어나 스스로 남은 노후를 생산적이고 독립적으로 기획할 수 있는 긍정적 이미지의 독거 노인상을 구축하는데 기여한다.

한국 간호지식체의 생산과정과 담론분석적 전망 (A Producing Process for Korean Nursing Knowledge and Discourse on Analytic Prospects)

  • 권봉숙;박형숙
    • 대한간호학회지
    • /
    • 제27권1호
    • /
    • pp.61-70
    • /
    • 1997
  • The purpose of this study was to identify the producing process for Korean nursing knowledge as applied by Foucault's discourse analytic method. By Foucault's discourse analytic method, the problem is not what is knowledge but what sort of knowledge is made up through specific level of practice. A Korean body of nursing knowledge has been discussed since 1980. At the end of 19th century, missionaries transplanted western nursing knowledge and method to Korea. Western nursing knowledge and methods have been developed continuously with both merits and demerits to Korean society. Recently our world has be come a global community via advances in transportation and correspondence. Although each person is different in skin color and shape. there is a clear line between Oriental people and Western people. Nursing science is only one in our world. but western humanistic nursing practice based on western worldview and human life has limits. It is natural that the Koreans as Oriental people have a systemic nursing science to reveal the specific experiential and concrete body of nursing knowledge rooted in the Korean worldview and human life. Nursing science is to understand human beings, to promote health. to prevent illness. to restore health. to alleviate suffering and to search for principles needed throughout all of human life. In Korea, now is the quickening period to shape a Korean body of nursing knowledge because of a shortage of nursing language in matters of intellectual recognition, and unfamiliar practical nursing field where there is no familiarity in the system of nursing research methodology. In reviewing articles from the Journal of the Nurses' Academic Society on Korean body of nursing knowledge, it was found that there are two common features. The first, human body and mind are inseperable that is one unit in this world and health is keeping a harmonious relationship between human body and mind. The second, Korean nursing practice is based on human nature and family ties. Accordingly discourse analysis has a good future prospect to produce a Korean body of nursing knowledge for analytic research on body and mind monism and family centered care based on human nature and family ties.

  • PDF

청년층 세대 비교로 살펴본 가족 건강성과 기능 요구도: 1차 및 2차 에코부머를 중심으로 (A generational comparison of young adults' needs for family strengths and functions : A study on 1st and 2nd echoboomers)

  • 강민지;유계숙
    • 한국가족관계학회지
    • /
    • 제23권3호
    • /
    • pp.131-152
    • /
    • 2018
  • Objectives: The purpose of this study was to compare the first echo boomer to second in the needs for family strengths and family functions, after controlling the sociodemographic characteristics. Method: For this study, a survey was conducted with 406 never-married young adults, which has 182 first echo boomers and 224 seconds echo boomers as using the same self-report questionnaire. Results: First, the two echo boomer groups exhibited similar patterns in their perception of the three family strengths, positive family values, pursuit of coexistence, and spiritual value, in that order. On the other hand, in regard to family functions, groups' perceived emotion entertainment leisure function as core functions of the family, but the second echo boomers, unlike the first echo boomers, expressed a higher need for economic functions rather than functions for children generation. Second, the analysis of this study indicated that, even in cases where first and second echo boomers had the same social-demographic characteristics, the latter in contrast with the former tended not to regard spiritual values such love for shared ethical values, compassion, and religious beliefs as a family strength, and did not require functions for children generation of the family. Conclusions: From these findings, the differences in the needs for family strengths and functions expressed by the two generations belonging to two different birth cohorts were influenced by various changes in Korean society occurring between the two generations, such as the social divergence in the functions of care and nurture, the increase in one-person and childless households, and the weakening of kinship-centered or communitarian forms of familism.

병원간호사의 직장 폭력 경험 실태 및 대응 체계에 대한 인식 (Prevalence of workplace violence against registered nurses and their perceptions of relevant management systems in acute care hospitals)

  • 박승미;곽은주;이예원;박은준
    • 한국간호교육학회지
    • /
    • 제29권3호
    • /
    • pp.319-334
    • /
    • 2023
  • Purpose: This study investigated the prevalence and perceptions of workplace violence against registered nurses (RNs) in hospitals. Methods: One thousand RNs replied to a nationwide survey from November 14 to December 22, 2022. They reported their general characteristics, prevalence of and their responses to different types of workplace violence from patients, family caregivers, physicians, and nurse peers, as well as their perceptions of workplace violence management systems. Results: A total of 71.1% of the RNs reported that they had experienced workplace violence in the last six months. The violence and sexual harassment experienced from patients and family caregivers were 57.3% and 19.1%, respectively. Furthermore, violence, sexual harassment, and workplace harassment from physicians were experienced by 24.6%, 4.0%, and 7.4%, respectively, of the RNs, and those from nurse peers by 21.4%, 3.1%, and 11.3%, respectively. The RNs stated that they often responded to workplace violence with passive and inactive behaviors, which were more serious toward physicians' workplace violence or sexual harassment from different perpetrators. Only 69.5% were aware of their hospital's workplace violence management systems, while only 14.7%~27.4%, according to the type of hospital (p=.471), perceived the systems as effective. Multiple important strategies were identified to prevent workplace violence. Conclusion: Critical suggestions are discussed for the prevention of workplace violence, including protecting the human rights of healthcare professionals, inter-organizational collaboration, and a culture of person-centered healthcare, and training nurse managers' competency in managing workplace violence.

스트레스와 소화기능을 활용한 체질별 맞춤 수면관리 (Individualized Sleep Management for Each Sasang Type Using Stress and Digestive Function)

  • 이슬;채한;박지은;김국화;이정윤
    • 사상체질의학회지
    • /
    • 제36권1호
    • /
    • pp.13-30
    • /
    • 2024
  • Objectives This study aimed to analyze the influence of various sleep-related factors that affect sleep quality by each Sasang type. Methods A total of 400 subjects were included for this study, 108 males and 292 females. Sasang type was diagnosed using the SCAT. Then, the characteristics of each Sasang type were analyzed using HRV, DITI, and PSQI, PSS, and SDFI questionnaires. Logistic regression analysis was used to predict sleep-related factors that affect sleep disorders by Sasang types. Results This study shows that the pathophysiological characteristics for stress and digestive function of each Sasang type can differentiate sleep management through a logistic regression model including subscales of PSS and SDFI. Stress had no effect on the occurrence of sleep disturbance within only So-Eum, since the stress level is originally high in the So-Eum regardless of sleep quality. Rather, decreased appetite and poor eating habits had a significant impact on the decline in sleep quality. In addition, poor digestion and eating habits in So-Yang had a greater impact and poor digestion in Tae-Eum had a greater impact on the decline in sleep quality. Conclusion The stress and subscales of digestive function provide differentiated sleep management in So-Yang, Tae-Eum, and So-Eum types. The individualized sleep management for each Sasang type with statistically validated PSS and SDFI would be useful for sleep-related experts planning safe and effective person-centered health care as well as for Western clinicians who want to incorporate Sasang typology into their treatments as integrative medical technique in the future.

고령자 가구의 소비특성 및 소비패턴 결정요인 (The Determinants of Consumption Characteristics and Patterns of Elderly Households)

  • 김진훈
    • 한국노년학
    • /
    • 제36권3호
    • /
    • pp.905-926
    • /
    • 2016
  • 고령에 대한 개념은 학자와 법령 등에 따라 다양하게 정의되고 있으나, 본 연구의 특성상 소비지출이 소득과 관련이 깊으므로, 고령자고용촉진법에서 기준으로 하고 있는 55세를 고령자의 기준연령으로 설정하였으며, 고령자 가구는 고령자 1인가구와 고령자부부가족만으로 제한하여 연구를 진행하였다. 소비특성은 욕구의 반영이라는 표출된 욕구로 파악될 수 있어 사회복지 측면에서도 의미 있는 분석 대상이라 사료된다. 따라서 본 연구는 고령자 가구의 소비형태를 유형화해서 소비특성을 파악하고, 소비패턴을 결정하는 요인을 찾아 고령자 가구의 표출된 욕구를 통해 관련 정책 수립에 기여하고자 하였다. 조사대상인 고령자 가구 소비 패턴의 내재적 구조 유형을 살펴보기 위해 고령자 가구의 소비지출 항목을 투입하여 군집분석(Cluster analysis)의 K-means법을 실시하였으며, 결과 4개의 군으로 유형화 되어 각각 '보건의료 중심형', '저축 중심형', '생계 중심형', '식비 중심형'으로 명칭을 부여하였다. 고령자 가구의 소비패턴 결정에 영향을 미치는 요인을 분석하기 위하여 이항로지스틱 분석을 사용하였다. 연구결과 고령자 가구는 서로 다른 욕구와 문제에 직면해 있으며, 이를 해결하기 위한 접근방법도 다양해야 할 필요성이 있었다. 특히 지금까지 노인하면 경제적 빈곤자로 인식되어 왔으나, 연구에서는 저축을 통해 준비된 가구들도 있다는 것을 알 수 있었다. 전반적으로 생계 중심형이 가장 많았으며, 이에 영향을 주는 요인으로 혼인여부와 가계소득이 중요한 역할을 하고 있었다. 따라서 고령자 가구의 소득확대에 대한 노력이 필요함을 시사하고 있다. 또한 연령, 주택소유, 주관적 건강상태 등도 유의미한 영향력이 있는 것으로 나타났다. 이러한 연구 결과를 통해 결론 부분에서는 보건의식에 대한 고령자 스스로의 인식 개선, 노년기의 건강 상태에 대한 표준화된 기준 제시, 고령자의 문화생활에 대한 접근성 확보, 삶의 질을 높이기 위한 재정관리 코디, 고령자에게 맞는 일자리 개발과 보급, 협동주거형태인 공동생활가정 보급 등을 제도적 과제로 제언하였다.

<박타령>에 나타난 재화(財貨)의 문제와 신재효 (The Problem of Property Portrayed in Baktaryeong and Shin Jae?hyo)

  • 정충권
    • 고전문학과교육
    • /
    • 제35호
    • /
    • pp.221-251
    • /
    • 2017
  • 이 글에서는 신재효의 개작본 <박타령>에 담긴 재화의 문제를, 인물들의 재화 관련 행위를 통해 살펴 본 후, 그것을 근거로 하여 신재효의 재화관과 현실 인식 문제에 대해 논의해 보고자 하였다. 그 결과 <박타령>에서는, 놀부에게는 곡물 중심의 축적 재화를 지닌 기존 텍스트에서의 부농 형상에다, 화폐 경제에 민감한 자로서 돈의 운용 증식에 능숙한 부민의 형상이 부가되었음을 알 수 있었다. 반면 흥부에게는 최소한의 생존 재화도 없이 자신의 농토로부터도 유리된 빈농의 형상에다, 놀부류 인물이 주도하는 화폐경제에 적응하지 못하여 소외감을 느끼는 빈민의 형상이 더 부가되었다. 이러한 개작은 신재효 나름대로의 재화관의 소산일 수 있었다. <박타령>의 세부 서술을 통해 볼 때, 그는, 지나친 집착을 해서는 곤란하지만, 재화와 돈에 대한 관심은, 기본적으로는 인간 삶에 있어 긍정되어야 할 것이라 보았음을 알 수 있었다. 이와 더불어 빈민 문제에 있어서는, 하층민의 경제적 노력과 부민들의 배려가 필요하리라 보았다. 하지만 그는 당시 격변해가는 세태 하에 향촌 사회 중인 부호가로서의 위기감과 그로 인한 자기 방어 의식도 텍스트 속에 담아낼 수밖에 없었다. 요컨대 <박타령>은 신재효자신의 재화관을 준거로 하여 기존 <흥보가(전)>의 빈부 문제를 실상에 더 부합하게 그려내면서 당대 현실에 대한 그 나름대로의 진단도 담아낸 기획성의 텍스트였다.

뇌성마비아 어머니의 경험 (Lived experience of mothers who have child with cerebral palsy)

  • 이화자;김이순;이지원;권수자;강인순;안혜경
    • Child Health Nursing Research
    • /
    • 제2권1호
    • /
    • pp.93-111
    • /
    • 1996
  • The purpose of the study is to identify the lived experience of mothers who have children with cerebral palsy in order to understand their agony. Moreover, the result of study was to find some nursing intervention for disabled children and their mothers. For this purpose, ten mothers who are willing to cooperate with this research were selected at random from those who have children with the cerebral palsy, currently using the municipal facilities for the handicapped with cerebral malfunction. Data collection was done from October 4, 1994 th December 31, 1994. The data were collected by asking the mothers mentioned above with some unstructured open-ended questions, recorded on the tapes with permission by the interviewee in order to prevent missing of the interviewed contents. These collected data have been substantiated and properly analyzed on the basis of phenomenological approach initiated by Colaizzi's method. The results and validity are proved to be credible by means of the individual checking of the interviewed mothers. The results of this study are as follows : 1. When the mother is first informed of the diagnosis of cerebral palsy on her child, she usually misses the crucial timing needed for proper treatment of the child's disorder because she is notified through the doctor's indifference and his apparently inactive, matter-of-fact attitude. At first she suspects the doctor's diagnosis and tries to attribute it to the unknown cause from a certain genetic problem and then she quickly wants to deny the whole situation that her child is really suffering from the cerebral palsy. The reality is too much for her to accept as it is and she would not believe her child is abnormal. Therefore, she even attempts depend on the power of God for its solution. 2. The mother, who goes thorough this kind of uncommon experiences, is totally devoted to the treatment and care of the child and completely ignores her own life and happiness. At the same time, she feels sorry for her other normal children she believes having not enough care and concern. Also, she feels sorry for the sick child when the child's brothers or sisters show special concern for the patient out of sympathy. It is sorry and not satisfied for her that the child is growing with abnormality and neighbor other around have inappropriate attitudes. Likewise, she is discontent with her husband's lack of concern about the child's treatment. She believes that the health care system in this society isn't fulfilling its due purpose. In the state of her utmost distress and anxiety, she always feels the need of competent consultants, and is angry about that her child is treated as an abnormal being, she is trying to hide the child from other people and to make him or her disappear, if possible. Although she doesn't have harmonious relation with her husband, she id happy when he shows his affection for the child and she feels relieved and thankful when the relatives don't mention about the child's condition Since the child's overall status of health is continuously in unstable conditions, requiring her all-time readiness for an emergency, she feels guilty of her child's illness toward the fEmily members as if it was her own fault to have borne such an abnormal child and she feels responsible for the child morally and financially if necessary Because her life is centered on taking care of the child, she cannot afford to enjoy her own life and happiness. She is a lonely mother, fatigued, with no proper relationship with other people around her. With this sense of guilt and responsibility as a mother of an unusual disease, she has no choice but to grieve her destiny from which she is not allowed to escape. 3. Nevertheless, the mother with the child suffering from the cerebral palsy does not easily give up the hope of getting her child cured and she believes that in the long run, though slower than hoped, her abnormal son or daughter will be eventually cured to become a normal sibling someday. This kind of hope is sustained by the mother's strong faith coming from observing the progress of other similar children getting better. Sometimes she is encouraged to have this faith by other mothers who share the same painful experiences, believing that her child will improve even more rapidly than others with the same palsy. Full of hope, she painstakingly waits for the child's healing. Moreover, she plans to have another child. she thinks that the patient child's brothers and sisters only can truly understand and look after the patients. However, when she notices that the progress of other children under the treatment does not look so hopeful, she is distressed by the thoughts that her child may never get well. Too, she is worried that the patient's brother or sister will be born as the same invalid with the cerebral disease. She is discouraged to have another baby as much as she is encouraged to. She is also troubled by the thought that in case she has another baby, she will have to be forced. to neglect the patient child, especially when she does have an extra hand or some reliable person to help her with taking care of the patient.

  • PDF