• 한국직업건강간호학회지
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• 제25권1호
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• pp.19-28
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• 2016

Purpose: This study was a descriptive research to identify the effects of communication skills, compassion satisfaction, compassion fatigue on burnout among staff of long term care insurance for the elderly in National Health Insurance Services in Korea. Methods: A descriptive cross-sectional design was used. The participants were 191 staffs of long-term care insurance in National Health Insurance Services. Data were collected via mail from the 24 branch offices which were randomly selected among the total of 226 centers of National Health Insurance Corporation. Stamm's professional quality of life (ProQOL) and Communication Skills Test tool were included in questionnaire to detect. SPSS/WIN 20.0 was used to conduct the descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 69% and compassion fatigue was the most significant factor in burnout among staff of long term care insurance services. Conclusion: The results indicate that the factors influencing staffs' burnout are compassion fatigue, compassion satisfaction, and education level. Therefore, strategies to decrease compassion fatigue and improve compassion satisfaction are needed to decrease burnout for staffs of long-term care insurance in National Health Insurance Services.

• 한국기록관리학회지
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• 제12권1호
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• pp.167-187
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• 2012

본 연구는 국가기록원의 분원인 서울기록정보센터의 방문이용자들을 대상으로 기록정보서비스에 대한 그들의 인식과 경험을 조사하는 것을 목적으로 하였다. 이를 위해 북미에서 수행된 아카이브 매트릭스 프로젝트(Archival Metrics Project)의 이용자 설문지를 수정 보완하여 설문 도구로 활용하였으며, 이용자와 직원에 대한 면담도 실시하였다. 47명의 설문 데이터와 이용자 1명 및 직원 2명에 대한 면담데이터 분석 결과, 이용자의 방문목적이 조상의 토지소유 확인을 위한 증거자료 수집에 집중되어 있으며 이용되는 기록의 유형도 토지 임야관련 자료에 편중되어 있음을 알 수 있었다. 직원에 대한 이용자의 인식은 긍정적인 편이었으며 직원이 기꺼이 도움을 제공하고 친절하다는 의견을 나타냈다. 그러나 기록의 소장여부 에 있어 직원이 정확한 정보를 제공하지 못한다는 의견이 있었고 직원 역시 기록 부존재에 대한 사실 확인이 어렵다는 것을 문제점으로 인식하고 있었다. 나라기록포털의 유용성과 이용의 용이성에 대한 이용자 평가는 높지 않은 것으로 나타났으며 이용자들은 나라기록포털에서의 검색이 매우 불편하다는 의견을 보였다. 이용자들은 국가기록원 서비스에 대하여 전반적으로 만족한다고 응답하였으나 몇몇 이용자들은 보다 신속한 업무 처리와 비공개자료의 기준을 명확히 할 것을 제안하였다.

• 한국비블리아학회지
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• 제25권2호
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• pp.59-76
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• 2014

본 연구의 목적은 공공도서관 노인 서비스 현황을 노인 이용자들과 사서들의 인식 조사를 통해 파악하고 이를 토대로 보다 나은 공공도서관 노인 서비스를 위한 실질적 제언을 하고자함에 있다. 노인 이용자와 사서들의 노인서비스에 대한 인식 조사를 위해 ALA 서비스 가이드라인을 활용한 인터뷰를 진행하였으며 인터뷰자료는 질적 분석방법으로 분석하였다. 분석결과 노인 이용자들은 다음과 같은 열 가지 사항이 노인 서비스 발전을 위해 필요하다고 생각하는 것으로 나타났다: 첫째, 노인 이용자를 위한 다양한 맞춤형 평생교육 프로그램, 둘째, 평생교육 프로그램 강사진의 우수한 자질과 이의 유지를 위한 정기적인 평가, 셋째, 다양하고 새로운 정보자원의 제공, 넷째, 도서관 서비스 및 프로그램에 대한 적극적 홍보, 다섯째, 도서관 직원의 친절한 태도 및 전문성 유지, 여섯째, 정기적인 도서관 직원 교육, 일곱째, 노인 이용자의 도서관 이용 편의와 활성화를 위한 이용자 교육, 여덟째, 노인 이용자를 위한 맞춤형 자료, 시설 및 설비, 아홉째, 여가 시간 활용을 위한 공간으로서의 도서관의 역할, 열 번째, 노인 이용자를 위한 편리한 맞춤형 도서관 서비스. 이에 덧붙여 도서관 사서들은 다음의 네 가지 사항이 노인 서비스 발전을 위해 필요하다고 생각하는 것으로 나타났다: 첫째, 노인 이용자를 위한 맞춤식 서비스와 프로그램, 둘째, 노인 이용자를 위한 장서, 시설 및 설비, 셋째, 노인 서비스를 위한 예산 확보, 넷째, 노인 서비스를 전담할 수 있는 전문 인력. 두 집단 모두 노인이용자를 위한 맞춤 서비스, 프로그램, 장서, 시설, 설비가 필요하며 노인 서비스 전문 사서와 이들을 위한 정기적인 교육이 노인 서비스 발전을 위해 필수적이라고 생각하는 것으로 나타났다.

• 한국보건간호학회지
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• 제19권2호
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• pp.177-187
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• 2005

The purpose of this study was to 1) identify the current management status of the Visiting Health Care Services (VHCS) and 2) to analyze the workload of the staff in the VHCS located in the Public Health Centers (PHCs) in the urban and rural areas. Method: A descriptive research design and a prospective, time and motion research design were used. A total of 18 PHCs in Gangwon Province participated in this study. A questionnaire and semi-structured observational sheet were utilized. A total of 650 self report records of the work load from the VHCS personnel were collected for a 10 day period at each of the 18 PHCs. A descriptive analysis was then done. Results: The major results were as follows. 1) The VHCS staff (nurses and nurse aids) was being assigned additional work such as maternal health care, chronic disease care, mental health care and health promotion on top of their VHCS duties. 2) The average number of home visits per client during the past year was 5.8. More specifically, the clients in the severe dependent group received an average of 27.1 visits, those clients in the moderate dependent group received 14.0 visits those clients in the slightly dependent group received 5.0 visits and those clients in the self-care group received 1.6 visits. 3) The time required for the work duties of the VHCS staff totaled 488 minutes per day. The percentage of time for home visits was only 17.4%, and this didn't include travel time. Conclusion: The main problems of VHCS were identified as a lack of personnel and a lack of time for the home visits. Strategies that are directed at the construction of a better infrastructure for VHCS are needed.

• 한국병원경영학회지
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• 제10권2호
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• pp.1-25
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• 2005

This study purports to investigate the determinants of patient satisfaction and intent to revisit at national university hospitals in Korea. A total of 8 independent variables for outpatients, 9 independent variables for inpatients, and an intervening variable of overall patient satisfaction were selected through literature review. The independent variables for outpatients contain the level of satisfaction with physicians, nurses, ancillary staff, administrative procedure, medical cost, physical environment, facility convenience. and health recovery. With regard to the independent variables for inpatients, the quality of ward services was added to those of outpatients. Each variable contains 3 to 8 items measuring the level of satisfaction with various aspects of the variable. The sample used in this study consisted of 879 outpatients and 821 inpatients. Data were collected with interview survey and analyzed using path analysis. The major findings of the study are as follows: 1) The following variables have significantly positive effect on the intent to revisit of outpatients: health recovery, overall satisfaction, satisfaction with physicians, and ancillary staff. 2) The following variables have significantly positive effect on the intent to revisit of inpatients: health recovery, satisfaction with nurses and physicians, overall satisfaction, and administrative procedure. 3) The following variables of admission procedure, satisfaction with ancillary staff, facility convenience, quality of ward services were found to have significantly positive effect only on the level of overall satisfaction, even though they do not have significant total effect on the intent to revisit. The results of the study indicate that national university hospitals in Korea should make an effort to improve the satisfactory level of patients with clinical outcome, services provided by physicians, nurses, and ancillary staff, and the quality of administrative procedure for enhancing the intent to revisit of patients.

• 한국응급구조학회지
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• 제12권1호
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• pp.5-15
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• 2008

Purpose : Centering on users(patients) who are offered the patient transport service by the emergency medical service system in our country, the use and satisfaction are analyzed with the transport service in 119 Emergency Medical Service System and Private transport agent. Results : 1. As for personnel in ambulance cars, 119 emergency staff showed a higher boarding rate of the first-class emergency medical technicians than private transportation centers : 48.4% and 17.7%, respectively. 2. Private transportation centers showed higher user satisfaction with transportation service than 119 emergency staff, which was not statistically significant. 3. As for the case that needs to receive the transport service in the future, the ratio with the will to use 119 Emergency Medical Service System(70.9%) was indicated to be much higher than the ratio of the private transport agent(29.1%). Suggestions : First, Centers transporting first-aid patients should essentially secure a sufficient number of first-class emergency medical technicians as professional emergency medical staff to reinforce qualitative improvement in emergency medical service. Second, It is necessary to establish a systematic monitoring system and develop educational programs in order to enhance satisfaction with the use of 119 emergency staff. Third, the government or the local government needs to positively support and guide the private transport agent, which is in charge of the public medical service.

• 한국보건간호학회지
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• 제19권1호
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• pp.108-116
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• 2005

The purpose of this study is to determine the level of recognition of home care services and to provide basic data for implementation of home care services. Data collection was carried out between December 2004 and January 2005 by surveying 88 nurses and 40 physicians working at a general hospital and 28 physicians working at different clinics in the Seoul metropolitan city area. The results of this study were as follows: 1. Home care services were recognized by $94.2\%$ of nurses, $77.5\%$ of physicians and $92.9\%$ of clinic physicians. The main sources of information for most of them were medical and nursing journals. 2. The percentages of staff regarding find home care services as necessary for the institutions were $88.6\%$ of nurses, $74.4\%$ of physicians and $57.1\%$ of clinic physicians. All of them anticipated that home care services would maintain 'continuous care' and 'long-term patient care'. 3. The percentages of staff willing to refer their patients to home care were $95.5\%$ of nurses, $100\%$ of physicians and $87.1\%$of clinic physicians. However, only $7.1\%$ of clinic physicians were willing to refer actively. 4. Most nurses and physicians replied that a majority of test-related services is suitable for home care services. However, among medication-related services, intravenous injections were not suitable for home care services. Among treatment-related services, most nurses and physicians replied that Levin tube feeding, oral and nasal suction, simple dressing, perineal care, and enema were suitable for home care services, but incision and drainage, and tracheostomy tube change were not suitable for home care services. In conclusion, for the implementation of hospital-based home care services, it is necessary to educate nurses and physicians on the present condition and precedent at other hospitals.

• 한국직업건강간호학회지
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• 제20권3호
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• pp.319-327
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• 2011

Purpose: The purpose of this study was to measure patient satisfaction among injured workers and determine the factors that affect satisfaction of the hospital services. Methods: The subjects of this study were 231 injured workers hospitalized in I WC Hospital and D WC Hospital located in one of the major cities in Korea, all of whom agreed to participate in this research. The questionnaires were selected as literature suggested for explaining satisfaction of the hospital services, general characteristics of injured workers, characteristics of the hospital services. The data were analyzed with descriptive statistics, t-test, ANOVA, multiple regression analysis by SPSS/WIN 18.0. Results: The patient satisfaction level is at 3.2 point, which is lower than general patient satisfaction in previous study. There were significant differences in satisfaction scores, depending on the gender, degree of medical treatments, the specialty of medical team, staff's kindness, medical treatment process, the cleanliness of hospital and the convenience of facilities. It was found that the patient satisfaction among injured workers is affected by the characteristics of the hospital services. Conclusion: It is necessary to promote medical facilities, specialization of doctors and nurses, staff's kindness, medical treatment process and hospital cleanliness for developing Workers' Compensation hospital services.

• 보건교육건강증진학회지
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• 제7권2호
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• pp.78-88
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• 1990

The subject of this study is to review the practical approaches of Home Care Services. Included is a brief overview of its nature, providers of Home Care Services, recent history of Home Care Services, and the impact of the national movement toward cost containment in health care. The data used in this study are obtained from the Elderly Program of the Medical Services and other data on the Home Care Services in Japan. With the growing elderly population in Japan, it is to be expected that the medical care expenditure for this sector will continue to increase. With the aim of keeping expenditure for medical care within reasonable bounds, it is essential that this increasing expenditure on the elderly be used effectively. With the Health and Medical Services Law for the Aged was enforced, therefore, remuneration for medical treatment of the elderly and what is known as the staff placement standard at hospital for the elderly were rationalized. In addition to rationalization from the point of view of medical care supply, it is necessary to guarantee the appropriate treatment within the community and at home for those elderly who are bedridden but not in need of hospital care. For this it is required that Home Care Services, such as health services like visiting guidance by public health nurse in hospital of Health Center. So that the elderly can feel secure in receiving treatment within the community and at home, allowances for guidance on leaving hospital and for intermittent nursing and guidance thereafter are to be newly introduced. Home care Services in one aspect of comprehensive health care, it is comprised of health services provided to individuals and families in their homes. Its purposes include promoting, maintaining and restoring health, specifically maximazing independent functioning and minimizing the disabling effects of illness, including terminal illness. Services appropriate to the needs of clients and their families are planned, coordinated, and delivered by providers organized for the delivery of home health care through the use of contractual arrangement, employed staff, or a combination of the two.

• 한국콘텐츠학회논문지
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• 제19권7호
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• pp.67-81
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• 2019

본 연구는 대학 행정 직원의 다양한 직무스트레스와 그 영향 요인에 대해 실증적으로 분석하여 대학 행정직원의 근로환경에 대한 이해를 높이고 사회복지적 개입을 모색하는데 목적이 있다. 연구를 위해 2017년 3월부터 약 5주간 서울 소재 4년제 대학교에 근무하는 행정 직원 250명을 대상으로 편의 표집하여 설문조사를 실시하였으며, 이 중 227부를 최종 분석에 활용하였다. 연구 결과, 조직적 특성(조직몰입, 조직문화, 조직 지원)과 직무 특성(직무만족, 직무 통제, 감정노동)은 직무 스트레스에 유의미한 영향을 미치는 것으로 나타났다. 이에 따른 제언으로 첫째, 통합적이고 다양한 문제에 적합한 서비스를 제공하기 위해 근로자지원프로그램(EAP) 도입이 필요하다. 둘째, 대학이 갖고 있는 자원 및 인프라를 활용한 다양한 형태의 복지 서비스(상담, 여가활동 기회 제공, 역량 강화 교육 등) 제공이 요구된다. 마지막으로 대학 행정 직원의 업무환경 개선을 위한 지자체 및 교육청의 정책적 지원이 필요하다.