• 성인간호학회지
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• 제25권4호
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• pp.409-421
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• 2013

Purpose: This qualitative study was designed to explore and describe the nursing staff reported experiences of managing the medical needs of nursing home residents in South Korea. Methods: Using a focus group interview method, qualitative data were collected from March to May 2012. Twenty five registered nurses and nurse aids working in nursing homes were recruited through a convenient sampling method. Participants participated in one of four focus group interviews lasted up to two hours in which their day-to-day experiences of taking care of the medical needs of the elderly residents. All interviews were recorded and transcribed in verbatim, and analyzed according to the qualitative thematic analysis method using MAXQDA software. Results: The overriding theme was 'experiencing differences between the requirements of the regulatory system and the actual reality of the work place.' The findings of differences between what were true and what is required was based in four subcategories. The nursing home residents had far more medical needs than what were reported. Another finding was that the family members were seen as non-supportive and negligent towards the residents. Conclusion: The findings of the study support the need for changes in the regulatory system. The regulatory limitations of current system with a shortage of resources pushed the participants to experience discrepancies between the required regulation and the reality. Additional research could contribute more exemplars to support changes.

• 한국식생활문화학회지
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• 제35권1호
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• pp.79-85
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• 2020

This study aims to classify parents by considering important factors in the management of foodservice for children. An offline survey was conducted by enrolling 583 Korean parents whose children attended public or private kindergartens in Seoul. The important factors required for managing foodservice for children are meal service resources, menu management, and food allergy. Considering these factors, parents were grouped into 3 clusters: the allergy important group, environment important group, and high concern group. Evaluation of the demographic characteristics revealed a significant difference between clusters with respect to type of kindergarten. Parents perceived that a private kitchen is more required than a private dining room, and perceptions about the need for a private kitchen and dining room were significantly different among the clusters. Furthermore, the results reveal significant differences between clusters, when considering the need to support meal service. Therefore, the government needs to consider characteristics of the parent cluster if they plan to support the kindergarten foodservice. We believe that this study can be used as supportive data to establish a working policy.

• 한국융합학회논문지
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• 제11권8호
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• pp.131-138
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• 2020

본 연구는 난임 환자를 담당하는 간호사의 난임 간호 교육 요구도를 파악하기 위하여 시도된 연구이다. 본 연구의 대상자는 5개의 난임 전문 병원과 1개 보건소에서 난임 환자를 담당하는 간호사 194명이었다. 자료는 난임 질환과 증상에 대한 정보, 난임 대상자의 일상 생활에 대한 정보 제공, 난임 대상자의 지지와 상담 내용을 포함한 자가보고식 설문지를 통하여 수집되었다. 난임 질환과 증상에 대한 정보 요구도의 평균 점수는 3.52점이었고, 난임 대상자의 일상 생활에 대한 정보 제공 교육 요구도는 평균 3.36점이었으며 난임 대상자의 지지와 상담에 대한 교육 요구도는 평균 3.32점이었다. 각 하부 영역중에서는 '난임 치료 과정과 중재', '운동', '배우자와의 지지 체계 형성'이 난임 환자를 담당하는 간호사들의 교육 요구도 항목 중 가장 높은 것으로 나타났다. 본 연구 결과를 통해서 난임 환자에게 효과적으로 교육을 하기 위해서 난임 환자를 담당하는 간호사는 난임 간호 교육에 대한 분명한 개념인식과 목적을 가지고 그들의 신체적, 심리적 요구를 충족시킬 수 있는 전략개발을 할 필요가 있다.

• 재활복지
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• 제22권1호
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• pp.115-139
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• 2018

본 연구는 AAC 서비스에 대한 보조공학사들의 인식 및 요구를 살펴보고 AAC 서비스의 확대 및 효율적 제공을 위한 실제적 방안을 제시하는 것이다. 이러한 목적을 위해 전국에 있는 보조기구센터 10곳에 소속된 전문가를 중심으로 연구대상자를 선정하였으며, 총 69명의 보조공학사를 대상으로 설문조사를 실시하였다. 연구결과는 다음과 같다. 첫째, AAC 사용 및 교육의 경험이 있는 보조공학사들이 더 많았으며, 교육 경로는 '학교정규 수업을 통해'가 가장 높았다. 둘째, AAC에 대한 보조공학사들의 이해 및 관심에 대한 일반적 인식은 매우 높은 것으로 나타났으며, 이들의 AAC 사용경험 유무에서 유의미한 차이가 나타났다. 셋째, AAC 사용자 및 제공자를 위한 AAC 정보제공 및 지원의 확대가 필요하며, 미래에는 AAC에 대한 요구가 높아짐은 물론 공학기술을 기반으로 한 AAC 기기들이 주를 이룰 것이라고 응답하였다. 본 연구는 AAC 서비스가 센터 현장의 AAC 사용자 및 제공자들을 위한 보다 효율적 지원방향을 마련하는데 기초자료를 제공할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3411-3417
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• 2013

Over the last 10 years, the number of cancer survivors in South Korea has reached nearly one million with a survival rate of 49.4%. However, integrated supportive care for cancer survivors is lagging. One area in which the current cancer control policy needs updating is in the utilization of information and communication technology (ICT). The remarkable progress in the field of ICT over the past 10 years presents exciting new opportunities for health promotion. Recent communication innovations are conducive to the exchange of meta-information, giving rise to a new service area and transforming patients into active medical consumers. Consequently, such innovations encourage active participation in the mutual utilization and sharing of high-quality information. However, these benefits from new ICTs will almost certainly not be equally available to all, leading to so-called communication inequalities where cancer survivors from lower socioeconomic classes will likely have more limited access to the best means of making use of the health information. Therefore, most essentially, emphasis must be placed on helping cancer survivors and their caregivers utilize such advances in ICT to create a more efficient flow of health information, thereby reducing communication inequalities and expanding social support. Once we enhance access to health information and better manage the quality of information, as a matter of fact, we can expect an alleviation of the health inequalities faced by cancer survivors.

• 대한영양사협회학술지
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• 제10권2호
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• pp.197-204
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• 2004

The purposes of this study was to analyze the operational difference of foodservice center for homebound elderly by the presence of the dietitian. The questionnaire was developed to measure all variables for menu management and distributed to 103 meal service centers in charge of congregate meal service program and 57 centers for home-delivered meal service program. The data of 160 centers in charge of congregate meal service and home-delivered service centers were usable for analysis. Statistical data analysis was completed using the SAS 8.1 package program for descriptive analysis and chi-square test. Only 21.9% meal service centers had dietitians, what is more, they were not professionals who did menu management but foodservice managers, volunteers, cook or social workers. The current foodservice programs for the homebound elderly were operated without professional. In the part of menu managemet, dietitians were more actively involved in menu planning in the elderly foodservice center in the presence of the dietitians. The performance level of healthcare service was not significantly different, but the nutrition education in the elderly foodservice center with the dietitians was more frequently performed than that without the dietitians(p<0.05). In the food purchasing and food production management, the significant differences were shown that in the elderly foodservice centers in the presence of the dietitians, the proportion of the contract purchasing was significantly higher than that of direct purchasing(p<0.01). In food sanitary management, the significant differences were not shown in the part of management of keeping meal for identifying the cause of food-borne illness and left-over, but the sanitation education for the foodservice employees was performed more frequently by the presence of the dietitians(p<0.01). In conclusion, the foodservice management was more systematically conducted in the elderly foodservice centers in the presence of the dietitians than that without dietitians. The elderly foodservice program has offered the health-related support for homebound elderly. Although there were several problems in elderly foodservice management, the program delivered well-targeted, effective, and efficient nutrition services and wide range of supportive service to the at-risk older population. It needs to be managed by professional for the improvement in the elderly foodservice.

• 대한간호학회지
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• 제30권4호
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• pp.1045-1054
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• 2000

As cost pressures have escalated, policy makers, politicians, health care providers and families have tried to devise ways to reduce health care costs. While originally developed to enhance patient control and to provide better care at the end of life, hospice care has recently received significant attention as a mean of reducing health care costs. As a program providing care for patients who are dying at their homes, hospice has expanded slowly since the opening of the first hospice in Korea in 1963. Therefore, a variety of services that responds to the needs and concerns of many dying people and their families is limited The purpose of this study was to determine the potential cost savings at the end of life among patients who used home hospice compared with the patients who received institutional care in Korea. This study used a retrospective, descriptive design. The sample for this study included 46 patients who died of lung cancer: 25 patients who received home hospice care and 21 patients who received institutional care. Data on patient characteristics, kinds and frequencies of provided treatment and nursing services, and hospice and hospital charges during the last month before death were collected. Cost of care was measured by the average cost per patient per day in the last month of life. The results of the study indicated that there were significant differences in average cost of care between home hospice sample and institutional care sample (t=9.956, p<.001; home hospice sample: M=18,102 won, institutional care sample: M=317,578 won). The cost of the home hospice sample was approximately 6% of the cost of institutional care. The majority of the home hospice nursing services were education (35.7%) and supportive counseling (25.2%), followed by medication management (13.6%), assessment (12.1%), basic nursing (7.2%), treatment (5.5%) and others. In institutional care sample, basic nursing and treatment were more emphasized than education or supportive counseling among the nursing services provided. The results of this study showed the potential for hospice to reduce costs and implications for policymakers and clinicians to incorporate hospice program into the formal health care delivery system in Korea.

• 지역사회간호학회지
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• 제15권4호
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• pp.539-550
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• 2004

Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

• 지역사회간호학회지
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• 제33권3호
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• pp.269-278
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• 2022

Purpose: This study analyzed the retention factors of Korean community health practitioners who sustained over 20 years based on a multi-dimensional framework. This study suggests global implications for nurses working in rural or remote areas, even during a worldwide pandemic. Methods: The participants were 16 Korean community health practitioners who worked in rural or remote locations for over 20 years. This study identified nurses' key retention factors contributing to long service in rural and remote areas. This is a qualitative study based on the narrative method and analysis was conducted using grounded theory. A semi-structured questionnaire was conducted based on the following: the life flow of the participants' first experience, episodes during the work experience, and reflections on the past 20 years. Results: First, personal 'financial needs' and 'callings' were motivation-related causal conditions. The adaptation of environment-work-community was the contextual condition leading to intervening conditions, building coping strategies by encountering a lifetime crisis. The consequences of 'transition' and 'maturation' naturally occurred with chronological changes. The unique factors were related to the 'external changes' in the Korean primary health system, which improved the participants' social status and welfare. Conclusion: Considering multi-dimensional retention factors was critical, including chronological (i.e., historical changes) and external factors (i.e., healthcare systems), to be supportive synchronously for rural nurses. Without this, the individuals working in the rural areas could be victimized by insecurity and self-commitment. Furthermore, considering the global pandemic, the retention of nurses is crucial to prevent the severity of isolation in rural and remote areas.

• 한국안광학회지
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• 제17권4호
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• pp.353-363
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• 2012

목적: 실습생과 실습업체의 임상실습에 관한 중요도와 필요도를 조사하여 효과적인 임상실습 프로그램을 만드는 기초자료로 활용하고자 하였다. 방법: 임상실습 경험이 있는 263명의 실습생과 안경원 원장 100명을 대상으로 임상실습에 관한 중요도와 필요도에 대한 설문조사를 실시하고 통계분석을 하였다. 결과: 임상실습의 전반적인 중요도는 실습생은 '안경사 직종에 대한 적성파악의 중요성($4.29{\pm}0.72$)'이 가장 높게 나타났고 실습업체는 '안경업계 현장에 대한 이해의 중요성$(4.48{\pm}0.52)$'이 가장 높게 나타났다. 임상실습의 직무 항목별 중요도는 실습생과 실습업체 모두 '고객응대 및 고객관리 항목의 중요성'이 각각 $4.46{\pm}0.70$과 $4.18{\pm}0.86$으로 가장 높게 나타났다. 임상실습 시간 및 실습업체의 중요도는 실습생과 실습업체 모두 '업체 원장을 비롯한 직원들의 적극적인 지도와 교육의 중요성'이 각각 $4.53{\pm}0.66$과 $4.35{\pm}0.59$로 가장 높게 나타났다. 임상실습 시 학교 지원의 중요도는 실습생은 '실습업체와 실습생에 대한 행정지원의 중요성$(4.10{\pm}0.78)$'이 가장 높게 나타났고 실습업체는 '임상실습 전 학교 오리엔테이션의 중요성$(3.98{\pm}0.68)$'이 가장 높게 나타났다. 임상실습의 전반적 필요도는 실습생은 '임상실습지 확대의 필요성$(4.43{\pm}0.73)$'이 가장 높게 나타났고 실습업체는 '안경광학과 교육과정 내 임상실습의 필요성$(4.39{\pm}0.65)$'이 가장 높게 나타났다. 임상실습의 직무 항목별 필요도는 실습생은 '안경 피팅 항목의 필요성$(4.40{\pm}0.71)$'이 가장 높게 나타났고 실습업체는 '조제가공 항목의 필요성$(4.12{\pm}0.83)$'이 가장 높게 나타났다. 결론: 효과적인 임상실습을 위해 실습생과 실습업체의 중요도와 필요도가 반영된 임상실습 프로그램이 요구되며 이에 따른 학교와 산업체간의 협조와 관심이 요구된다.