• 한국보건간호학회지
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• 제31권1호
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• pp.19-33
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• 2017

Purpose: This study was conducted to explore the meaning and contents of high-quality aged care facilities and provide basic data for evaluation of service quality in such facilities. Methods: The focus group interviews and participants consisted of two user groups, for a total of 16 family caregivers of the elderly living in facilities and four service provider groups, for a total of 26 chief managers and caregivers working in aged care facilities. All interviews were recorded and transcribed as they occurred. Content analysis was used and debriefing notes were referred to in order to analyze the data. Results: Four themes of a high-quality aged care facility emerged from the analysis; 1) a place to rest for comfortable later years; 2) systematic value-based management; 3) providing professional care; 4) comprehensive service provision in response to diverse needs. Conclusion: The findings of the study showed the importance of client centered care and ethical mindset of providers, which had not been included in the existing quality evaluation programs. Based on these results, medical treatments, end-of-life care and more comprehensive and extended services including family care need to be provided in facilities to ensure good quality aged care.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제10권2호
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• pp.83-89
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• 2004

The purpose of this study is to gain basic data for operating our country's welfare facilities for the aged by understanding the characteristics of unit care which has been developed in Japan's welfare facilities for the aged. To do this, the theological study through literature and the case studies through field survey on two welfare facilities for the aged in Japan were conducted. As a result, the characteristics of construction in the hardware side and the characteristics of practice in the software side were sorted and organized.

• 지역사회간호학회지
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• 제9권2호
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• pp.324-335
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• 1998

This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권4호
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• pp.67-80
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• 2014

Purpose : Long-term Care Insurance sets up facility standard and installation standard of aged care facilities and decides the presence of minimum number of rooms and its size in care facilities by using systematic instruments. Therefore, most aged care facilities had renovation in expansion and reconstruction following the revised regulations and even facility space structure and space composition are continuously improving. The study is to determine the purpose and trend by comparing before and after space composition of facilities which followed the implementation of Long-term Care Insurance and also to suggest hierarchical space composition suitable for aged care facilities through derived problems and to provide basic materials to plan the most appropriate facility for the aged. Methods : J-graph based on Space Syntax Theory will be schematized through in-site facility survey and before and after facility floor plan. Space composition trend will be analyzed by comparing indexes through S3 program. Results : As a result of 5 cases analysis, the following results were found; the average of whole space depth is increasing due to the Extension, the number of volunteers is decreasing and rooms for geriatric care helpers are being created due to the geriatric care helper introduction duty. Also, there are solariums being created to improve the health of the aged and dispensaries are being placed on every floor with the increase of documentary work for geriatric care helpers. With the policy implementation, care facility space composition and structure are changing with facility standard and it was analyzed that facilities were mostly put under the control of limited number of people in care room and total ground area per person. It was also found that there is increase in care space integration through before and after comparison of whole integration value. This is considered as the important result not only in facility standard satisfaction, but also in care support of geriatric care helpers and the aged, its main users. Implication : In order for elderly care facilities to have quality improvement and to develop as suitable facilities for characteristics of the aged, independent environmental facility standard preparation of elderly care facilities is needed through mutual cooperation of construction fields with regulation and policy related researches.

• 벤처창업연구
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• 제8권1호
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• pp.79-87
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• 2013

노인요양시설은 나날이 증가하고 있으며 시설에 근무하는 직원들의 직무만족은 시설운영의 효율성을 좌우하는 요인이 된다. 직원들의 직무만족이 저하되면 사기저하, 이직, 소진, 과다한 스트레스 등이 유발되어 서비스 저하와 시설운영의 비효율성을 가져올 수 있다. 따라서 본 연구는 노인요양시설에 근무하는 직원의 직무만족 관련요인을 찾아 수요가 증가하고 있는 노인요양시설의 인적관리에 도움이 되는 변수를 제시하고 노인요양시설의 운영 효율화에 기여하고자 한다. 조사대상은 29개 노인요양시설에 근무하는 직원들로서 연구에 참여하기로 동의한 152명이었다. 본 연구결과, 노인요양시설 직원의 직무만족 관련요인은 사회인구학적 특성에서는 현재 시설에서의 근무년수이었고, 시설특성에서는 직원회의 결과의 반영정도였다. 즉, 현재 시설에서의 근무년수가 장기적일수록 직원의 직무만족이 높았고, 직원회의 시 직원들의 의견이 반영되는 정도가 높을수록 직원의 직무만족이 높았다. 본 연구 결과를 바탕으로 볼 때, 노인요양시설 직원의 직무만족을 높이기 위해서는 직원이 시설에 장기간 근무하도록 배려하는 것과 직원회의를 개최하여 직원들의 의견을 적극적으로 반영하는 방안에 대해 모색해야 할 것이다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제4권7호
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• pp.31-38
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• 1998

Korea is facing the problems of old aging society recently. In the future the ploblems will become more serious. Specially health care services for the aged are very poor in the aspect of both systems of services and supplies of facilities. This paper aims to identify the types as well as present statistical conditions of health care facilities for the aged in Korea.

• 한국병원경영학회지
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• 제12권4호
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• pp.22-44
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• 2007

The objective of this study is to examine relevant factors of the service level of aged care facilities. The sample used in this study consisted of 357 aged care facilities in Korea. Data were collected with self-administered questionnaire and 140 returned questionnaire were analyzed by SPSS Version 12.0. The major findings of the study are as follows: First, there was no significant mean difference in the service level by the facility characteristics, except the length of operation. Second, it was found that both administrative characteristics and employer characteristics were positively associated with the level of nursing and supportive services. Third, the study results revealed that the following three variables of employee education and training, community networks, and employer's philosophy and management principles had significant positive effects on the level of nursing services. Meanwhile, the following two variables of employee education and training, and community networks had significant positive effects on the level of supportive services. In conclusion, in order to improve their service level, the managers of aged care facilities in Korea should make efforts to provide more employee education and training, establish networks with the community stakeholders, for example, local clinics and hospitals. It is also recommended for the government to make a policy inducing more qualified private investors to enter the aged care market, as well as to strengthen the qualification of the managers of the public aged care facilities.

• 한국실내디자인학회논문집
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• 제16권3호
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• pp.93-101
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• 2007

The purpose of this study is to propose our direction of long-tenn care facility for elderly. The long-tenn care insurance plays an important role for human well-being. The functional and architectural changes of Japanese elderly care facilities have been analysed in order to predict changes in Korean welfare facilities. In Japan, Unit-care and private rooms are essential elements after reforming welfare facilities for aged. This study proposes components of unit-care through the analysis of 20 facilities for the aged. A unit is basically consist of private rooms, rest room, public living area, kitchen, health care service station, and bath room. Besides, smoking room, tea room, public terrace, guest room, court yard, and so on can be added. A unit can be connected with other unit by semi-public spaces or can be independently organized. This relationship has been classified into 2 types; Open unit type and Separated unit type.

• 한국산학기술학회논문지
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• 제15권8호
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• pp.4908-4918
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• 2014

본 연구는 노인요양시설 준고령 요양보호사의 경험을 통해 돌봄노동의 특성과 의미를 규명하는 것이다. 이를 위해 경기도에 소재한 노인요양시설에서 근무하고 있는 요양보호사 15명을 대상으로 심층면접을 실시하였고, 질적연구 방법에 의한 분석을 하였다. 면접은 '준고령 요양보호사의 돌봄노동에 대한 인식', '돌봄 과정에서 경험하는 스트레스와 대처', '돌봄노동이 주는 성찰적 의미'에 초점을 맞추었다. 분석 결과, 준고령 요양보호사들은 돌봄노동을 통해서 긍정적인 경험을 하는 것으로 나타났다. 이러한 결과는 준고령 요양보호사에 의한 돌봄노동의 성격을 새로운 관점에서 파악하는데 기여할 것으로 본다.

• 가정∙방문간호학회지
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• 제21권1호
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• pp.5-13
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• 2014

Purpose: This study aimed to identify on the factors that influence vitality, by surveying the level of vitality, perceptive health condition, depression, family support, leisure activities, and religious activities of the elderly people using the welfare facilities for the aged. Methods: The subjects were 200 elderly people using welfare facilities for the aged such as senior welfare center or silver hall in Y city. Data was collected from December 1, 2012 to January 31, 2013, using a self-report structured questionnaire. Data was analyzed using the SPSS 20.0 for Windows, and analyses such as frequencies (percentage), means(standard deviation), t-test, Pearson's correlation coefficient, and Multiple Linear Regression, were conducted. Results: The participants exhibited a mean vitality score of $3.36{\pm}0.65$ out of 5. Means for the other measures were as follows: perceptive health condition, $3.32{\pm}0.65$; depression, $3.25{\pm}0.84$; family support, $3.64{\pm}0.64$; leisure activities, $2.97{\pm}0.65$; and religious activities, $3.05{\pm}0.92$ points. These factors explained 73.2% of the total variance. Conclusion: Further research is needed on vitality of the elderly people using care facilities for the aged. Moreover, I suggest that vitality and depression are examined as psychological aspects in the operational elements of elderly care facilities.