• The Journal of the Korea Contents Association
• /
• v.18 no.5
• /
• pp.58-70
• /
• 2018

This study aimed to investigate the positive and negative appraisals of care work held by care workers in elderly care facilities and to analyze the mediating effect of care worker's appraisals of care work on the relationship between job environment and service quality. For the purpose of the study, the data were collected from 298 care workers by using non-random and purpose sampling method. The results of the study showed job environment was a significant predictor in explaining in the variances of care work appraisal and service quality. In addition, care worker's positive and negative appraisals of care work were statistically significant mediators in the association of between job environment and service quality. Finding of the study indicated that service quality could be improved by not only improving job environment but also strengthening care worker's positive appraisal of care work. Finally, based on the findings of the study, implications and limitations of the study were discussed.

• Journal of Korean Academy of Nursing
• /
• v.34 no.2
• /
• pp.278-289
• /
• 2004

Purpose: The purpose of this study was to classify the elderly in long-term care facilities using the Resource Utilization Group(RUG-III) and to examine the feasibility of a payment method based on the RUG-III classification system in Korea. Method: This study measured resident characteristics using a Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. Data was collected from 530 elderly residents over sixty, residing in long-term care facilities. Resource use for individual patients was measured by a wage-weighted sum of staff time and the total time spent with the patient by nurses, aides, and physiotherapists. Result: The subjects were classified into 4 groups out of 7 major groups. The group of Clinically Complex was the largest (46.3%), and then Reduced Physical Function(27.2%), Behavior Problems (17.0%), and Impaired Cognition (9.4%) followed. Homogeneity of the RUG-III groups was examined by total coefficient of variation of resource use. The results showed homogeneity of resource use within RUG-III groups. Also, the difference in resource use among RUG major groups was statistically significant (p<0.001), and it also showed a hierarchy pattern as resource use increases in the same RUG group with an increase of severity levels(ADL). Conclusion: The results of this study showed that the RUG-Ill classification system differentiates resources provided to elderly in long-term care facilities in Korea.

• Journal of Korean Public Health Nursing
• /
• v.36 no.2
• /
• pp.212-226
• /
• 2022

Purpose: The purpose of this study was to explore nurses' experience of the role adaptation process and barriers in long-term care (LTC) facilities including nursing homes, daycare centers, and home visit nursing centers. Methods: After in-depth interviews with 13 nurses who were working at the LTC facilities in G province, the data were analyzed using Colaizzi's phenomenological methodology. Results: 17 themes with 6 theme clusters, and 2 categories emerged: nursing role adaptation process in the LTC (role expectation and readiness, role perception and performance, limits of role performance), and barriers to nursing role adaptation in the LTC facility (organizational, situational, and institutional-environmental barriers). Conclusion: The results showed that it is critical to establish the nurses' role in caring for the health of the elderly and maintaining the quality of care in the LTC facilities. In response to the growing demand for quality care in the LTC facilities, more institutional and environmental changes are needed to address the current barriers that prevent nurses from performing their appropriate roles.

• Journal of Families and Better Life
• /
• v.26 no.1
• /
• pp.31-49
• /
• 2008

This study has been performed to explore verbal and behavioral expression of sexual desires among male elderly residents who have been living in long tenn care facilities. There are three topics covered in this study; first, in what situations and how seriously do care workers encounter expression of sexual desires of the elderly residents? Second, what kind of negative consequences do they believe those sexual behaviors will lead to? Third, how can we implement defensive measures against the sexual behaviors? In this study, twenty three care workers working full time in five retirement and care facilities were asked about their experience and perception of the above study agendas, and answers of the qualitative interview were drawn as follow; first, the elderly residents apparently show a variety of sexual harassment and provoking behaviors such as sticking to specific women, physically touching and attacking, and induce obscenely activities against female residents, care workers, and volunteer visitors. Second, their sexual behaviors are often influenced by their isolated and abandoned emotionality as well as living situation in rural areas. Third, their sexual behaviors often critically affect care work plan and facility managements by severely discouraging female care givers and community supporters. Therefore in this study, suggestions and defensive measures were made as follows: first, education and counselling programs toward female workers and volunteers need to be developed, and the programs should cover psychological and behavioral mechanism of sexuality in later life. Second, self control plans need to be empowered toward the elderly residents; in the plans, the elderly residents shall be encouraged to evaluate primary cause and proper solutions of sexual behaviors of their peering residents. Third, combination of healthy housing and care facilities for frail elderly need to be integrated in a neighboring location, so that when residents and workers encounter extreme episodes of sexuality of healthy residents in a housing facility, the problematic sexual residents are partially transferred into a neighboring care facility and thereafter other residents and cafe givers are relieved from stressful contacts with the extremely sexual residents.

• Journal of Preventive Medicine and Public Health
• /
• v.48 no.5
• /
• pp.257-263
• /
• 2015

Objectives: Although the prevalence of depressive disorders in South Korea's general population is known, no reports on the prevalence of depression among patients who visit primary care facilities have been published. This preliminary study was conducted to identify the prevalence of depressive disorder in patients that visit two primary care facilities. Methods: Among 231 consecutive eligible patients who visited two primary care settings, 184 patients consented to a diagnostic interview for depression by psychiatrists following the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. There were no significant differences in sociodemographic characteristics such as gender, age, or level of education between the groups that consented and declined the diagnostic examination. The prevalence of depressive disorder and the proportion of newly diagnosed patients among depressive disorder patients were calculated. Results: The prevalence of depressive disorder of patients in the two primary care facilities was 14.1% (95% confidence interval [CI], 9.1 to 19.2), with major depressive disorder 5.4% (95% CI, 2.1 to 8.7), dysthymia 1.1% (95% CI, 0.0 to 2.6), and depressive disorder, not otherwise specified 7.6% (95% CI, 3.7 to 11.5). Among the 26 patients with depressive disorder, 19 patients were newly diagnosed. Conclusions: As compared to the general population, a higher prevalence of depressive disorders was observed among patients at two primary care facilities. Further study is needed with larger samples to inform the development of a primary care setting-based depression screening, management, and referral system to increase the efficiency of limited health care resources.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.12 no.3
• /
• pp.7-14
• /
• 2006

The purpose of this study was to analyze the elderly welfare facilities in Germany, which already entered into the aging society. Especially, the multipurpose and large elderly welfare facilities, where more than 50 elderly people lived, were analyzed. For this purpose, a field study was conducted between January 13 and February 3, 2005. This study tried to find out the architectural characteristics and trends of elderly welfare facility. There are about 9200 elderly welfare facilities in Germany, and about 7% of the elderly people over 65 years old live there. As for the multipurpose elderly welfare facilities, there are about 5800 facilities, 64% of the total facilities. The elderly welfare facility carries out single function at the early stage, and adds up another functions step by step. In general, the facility is managed with focusing on two main functions (care function and residential function). In a small town, the care function is the major one of the facility. However, in the city, the major functions of the facilities are both care and residential function, which are elderly residence or safeguard house.

• Journal of Korean Society of Occupational and Environmental Hygiene
• /
• v.18 no.4
• /
• pp.262-270
• /
• 2008

This study was conducted to measure concentrations of particulate matter ($PM_{10}$, $PM_{2.5}$) and endotoxin in thirty public facilities (7 elderly-care facilities, 4 hypermarkets, 4 university hospitals, 7 child-care facilities, 4 subway stations and 4 bus terminals) from September 2004 to February 2007 in Seoul and Gyeonggi-do province. $PM_{10}$ or $PM_{2.5}$ was measured with glass fiber filter and mini volume air sampler for 6 to 8 hours in indoor and outdoor of the facilities and expressed as ${\mu}g/m^3$. After weighing the filter, endotoxin was analyzed by Limulus Ameobocyte Lysate method ($EU/m^3$). $PM_{10}$ in indoor air was higher (GM and GSD was 78.00 and $1.92\;{\mu}g/m^3$, respectively) than the outdoor air (GM and GSD was 60.70 and $2.23\;{\mu}g/m^3$, respectively, I/O=1.28). All measurements was not exceeded the national maintenance standard. Elderly-care and child-care facilities showed relatively higher concentrations ($83.27\;{\mu}g/m^3$ and $81.75\;{\mu}g/m^3$; I/O=2.01 and 1.19, respectively) than hypermarkets or university hospitals. The highest PM2.5 was seen in child-care facilities ($62.15\;{\mu}g/m^3$, I/O=2.42). The I/O of the endotoxin in the PM10 and the $PM_{2.5}$ was exceeded 1.0 (1.37 and 1.57, respectively). Indoor $PM_{10}$ was affected by user/day and humidity, and endotoxin in the PM10 was affected by temperature. In conclusion, elderly- and child-care facilities are high priority facilities to be improved indoor air quality.

• Journal of Agricultural Extension & Community Development
• /
• v.12 no.1
• /
• pp.97-107
• /
• 2005

The purpose of this study was to make a survey of the operation of childcare facilities in rural regions through in-depth interviews with 5 facility principals. Owing to regional disadvantages, rural childcare facilities have many problems as follows: uneven distribution of facilities, shortage of teachers, financial difficulties, unsuitable programs for rural regions, insufficient reeducation of principals and teachers, and poor operations and accessibility for handicapped or very young children. The principals proposed that many conditions might be made better as follows: evenly distributing facilities in step with needs and supply, raising the salary of teachers of rural facilities, supporting the facilities themselves side by side with supporting children, improving 'childcare fee supporting system' of the Ministry of Agriculture and Forestry, developing and spreading programs suitable for rural regions, and promoting the reeducation of principals and teachers through online programs.

• Korean Journal of Child Studies
• /
• v.27 no.2
• /
• pp.153-165
• /
• 2006

This study examined moderating effects of mother's support and community environment on relationships between after school self-care and problem behaviors. Subjects were 579 3rd and 6th grade elementary school children. Major findings were positive relationships between after school self-care and problem behaviors. Neither gender differences nor grade differences were found in the relationships between after school self-care and problem behaviors. Moderating effects of care by relatives or neighbors on mother's support was shown in the relationships between after school self-care and internal problem behaviors. Moderating effects of proximity to harmful facilities were found in relationships between after school self-care and external problem behaviors.

• Korean Journal of Human Ecology
• /
• v.17 no.2
• /
• pp.181-190
• /
• 2008

The study aims to find out and examine the variables that make a difference between pre-service teachers' child care efficacy (CCE) and general self-efficacy (GSE). The subjects were 232 pre-service child care teachers going to an educational institution and a college. The results are as follows. First, the variables of "age", "teacher training facilities", "field experience in child care centers", and "experience of child care" and "paraprofessional teachers" are important variables in pre-service teachers' CCE. Second, the variables of "age", "level of education", "teacher training facilities", "field experience in child care center", and "experience of child care or paraprofessional teachers" significantly affect the pre-service teachers' GSE. Third, the "age" variable is essential in explaining pre-service teachers' GSE. The Pre-service teachers' GSE is significantly related to the pre-service teachers' CCE.