• Title/Summary/Keyword: child care environment

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The Major Elements of Psychological Assessment and Intervention for Children and Adolescents after a Disaster: A Professional Delphi Preliminary Survey (재난 시 소아청소년 정신건강 평가 및 치료의 주요 요소: 전문가 델파이 예비 조사)

  • Park, Jang-Ho;Lee, Mi-Sun;Chang, Hyoung Yoon;Hwang, Jun-Won;Lee, Ju-Hyun;Kim, Ji-Youn;Lee, Cheol-Soon;Kim, Eunji;Bae, Seung-Min;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.3
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    • pp.164-172
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    • 2016
  • Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

Recent Fertility and its Policy Implications (최근의 출산력과 정책적 함의)

  • Park, Kyung-Ae
    • Korea journal of population studies
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    • v.30 no.3
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    • pp.137-156
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    • 2007
  • Total fertility rate (TFR) increased from the lowest 1.08 in 2005 to 1.13 in 2006, and a debate is made whether the increase is temporary or continuous as a result of various pro-natal policies. This study intends to explore policy implications revealed in recent fertility change using vital statistics. For this purpose, tempo-adjusted fertility rate by birth order, fertility rate by age of mother and birth order, age-specific fertility for married, and age-specific divorce rate for married are analyzed. The increase of TFR and births for 2006 is largely due to increase of first births at early thirties with slowdown of delayed first marriage and first child birth. The increase of female population (the third wave effect of baby boom) and first marriages of late twenties in 2006 and 2007 would lead to increase of fertility during 2007-2008. But further increase is uncertain because of the decrease trend of marital fertility and increase trend of never-married for twenties. TFRs for first and second births reduced rapidly, while TFRs for third and above births showed no changes, and second births were largely affected by tempo adjustment of fertility. Thus, constructing social environment for first and second births is more effective and necessary than encouraging third births. In addition, social responsibility of child care, child-women health issues due to delayed births, and the need for multi-cultural family support system are discussed.

An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea (자녀를 둔 어머니의 출산과정 경험)

  • Kim, Young-Hee
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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A Study on Family Stress and Coping of the Parents of Child who has a Cleft Lip or / and Cleft Palate (구순 및 구개열 환아 부모의 가족 스트레스와 대처에 관한 연구)

  • Roh Nan Lee;Tak Young, Ran
    • Child Health Nursing Research
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    • v.2 no.2
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    • pp.45-57
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    • 1996
  • A serious disease in a family influences the entire family member given the fact that the members closely interact with each other. Especially in terms of pediatric nursing, study on family gains importance as the need to care of families whose children with developmental disabilities and chronic disease This study was done based on The Resiliency Model of Family Adjustment and Adaptation(McCubbin, 1991) is intended to examine the stress of parents whose children suffer from cleft lip or /and cleft palate. It also helps them to cope with the stress and analyze the relationship between the stress and coping This study used Family Inventory of Life Events and Changes (FILE) and Coping Health Inventory for Parents(CHIP) for measuring family stress and coping. The two instruments are revised to fit the social and cultural environment of Korean culture. Data collection was done from April 18, 1996 to May 18, 1996 at 8 University medical centers located in Seoul. Those who answered questionnaires were 84 parents whose children have cleft lip or /and cleft palate. SPSS PC+ was used to analyze the data collotted. Programs used for data analysis were t-test, ANOVA, Pearson correlation coefficient. The study is summarized as follows .1. The average score of family stress is 10.46(percentage of the full score 24.90) and 'finance and business strains'(3.25), and 'intrafamily strains'(2.65) ranked the highest. The average score of family's coping is 1.93, which is close to the answer of' moderately helpful' and they are measured to put their utmost efforts to' intergration and cooperation of family and optimistic definition on the situation'. 2. There is no significant statistical correlation between the family stress and coping. 3. Mothers show more stress than fathers in the parts of 'illness and family care strains' and 'losses'(t〓-2.34, t〓-2.32, p<.05). 4. Fathers show more willingness to cope with the stress than mothers do in the parts of' seeking social support','self-esteem','emotional comfort' 5. Mothers are more stress than fathers in the parts of family stress and its coping with it by usual traits(t〓-2.78, p<.05). Parents with religion are measured to cope more willingly than those who are not 6. Income of a family shows positive correlationship with family coping (r〓.28, p<.05). The study shows that gender difference is significant variable in studying on family stress and coping. Mothers get more stress than fathers, which has much to do with the fact that they are in charge of raising children and keeping houseworks. Accordingly, managing family crisis and its survival can be induced by giving support for the mothers, studying fathers including the rest of the family members and giving nursing care and arbitration ; religious background is also considered to be one of the important factors in family stress , judging from the relationship between family income and family's coping, caring given to suffering children is needed on societal levels. The above considerations bring up the need to have a longitudinal study of children with congenital anomaly including cleft lip or /and cleft palate and their families about family stress and coping. Resiliency programs on family system and their effectiveness and the relationship between the enlarged families with social and cultural values reflecting Korean tradition are also needed to be studied.

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A Study on the Nursing Profession as Stipulated by Health & Medical Laws of Korea (우리나라 보건의료법령에 명시된 간호에 관한 연구)

  • Kim, Eun-Young
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.116-132
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    • 1997
  • The purpose of the study is to find out how laws related to the nursing profession can be improved by analyzing the rules and regulations concerning nursing. Furthermore, to help settle legal matters in the process of doing nursing work. The data used for the study are the Health and Medical Act, the Maternal and Child Health Act, the School Health Act, the Special Act for Health and Medical Service in Rural Areas, the Industrial Health & Safety Act and the Notice on Nursing Professional Courses analyzed by age and content. The results of the study are as follows : First, basic nursing practice includes 'nursing care for recuperation and assistance in medical treatment and in special areas including the pre-vention of disease, maintenance of health, control of environment, and other therapeutic activities. It is suggested that the phrase 'assistance in medical treatment' should be eliminated as it limits the basic nursing practice to the assistance of the medical treatment. Second, Article 56 of the Health & Medical Act prescribes a special nurse but it does not prescribe a specific job. Accordingly, the new provison concerning the specific jobs of a special nurse should be added or a job guide should be inseated. Third, it is prescribed that those who have completed the training course after obtaining a license are qualified to be a midwife, a special nurse and a nurse practitioner working in special areas. However, school nurses, occupational health nurses and maternal and health workers are required to obtain a nurse license, but not to take an additional training course. Nurses working in special areas should be legally recognized as nurse specialists. The regulations to control various qualification standards consistently should be established. Fourth, the qualifications and types of nurses by area prescribed by Article 54 of the Health and Medical Act are not consistent with those of special nurses as recognized by affiliated organizations of the Korean Nurse Association and some hospitals. Accordingly, the qualifications and types of special nurses should be adjusted in consideration of special nurses. Fifth, as Article 16, Paragraph 2 of the Health and Medical Act does not prescribe the type and scope of first - aid treatment that nurses can provide, the first-aid treatment of nurses might be considered as an unlicensed practice. The specific regulations regarding these matters should be established. Sixth, the contents of the nursing record, which are prescribed by Article 21 of the Health and Medical Act as a duty, include 1) matters concerning body temperature, pulse, breath and blood pressure 2) matters concerning drug prescription 3) matters concerning input and output 4) matters concerning the treatment and nursing care (Article 17 of the Enforcement Regulations, Health and Medical Act). However, these matters are limited to basic nursing care and assistance in medical treatment. The new recording methods on nursing process are suggested to be adopted legally. Seventh, the prescription right entrusted to nurses which are prescribed by the School Health Act, the Special Act on Health and Medical Service for Rural Areas, and the Industrial Health and Safety Act are not consistent with the rights of nurses as prescribed by the Health and Medical Act. New regulations prescribing the partial right for medical treatment entrusted to nurses in consideration of the restraint of time and place in emergency situations should be established.

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A Longitudinal Exploratory Study on Change Research Trends and Patterns of Children's Problem Behaviors for Their Temperament and Parenting Behaviors -Focured on the Category and Content Analysis of Chronological Problem Behaviors from 1970 to 2015- (유아의 기질과 부모의 양육 행동 관련 유아의 문제행동 변화 연구 추이 및 유형에 대한 종단적 탐색 연구 -1970~2015년까지의 연대별 문제행동 범주와 내용분석을 중심으로-)

  • Kim, Joeng Kyoum;Kang, Young-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.6722-6742
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    • 2015
  • This study is intended to look for implications through longitudinal exploratory research on the change of children's problem behaviors for their temperament and parenting behaviors. The results are as follows. The factors influencing children's problem behaviors rose to 62 factors between 1990 and 2000, and 93 factors between 2000 and 2010 from total 41 factors between 1970 and 1990, which they were more than doubled after the 2000s compared with the earlier studies, subdividing children's problem behaviors. The proportion of the factors influencing children's problem behaviors showed that parents' moral thinking had the highest, and their negative thinking or emotion for children were higher than their moral thinking, which their problem behaviors were more greatly affected by parenting attitudes toward them than their own temperament or attitudes. The earlier studies were more likely to find the cause of children's problem behaviors for looking into the factors and causes influencing children's problem behaviors in terms of children's personal mental health, but there was more proportion of social environment, peer and teacher relationship while soaring family, relationship, home environment and child care center environment factors as well as children's personal factors after the 2000s. Consequently, the alternative resources or the environments of the times should be applied in other ways.

The Story of Grandmothers' Experience Raising Children (할머니의 양육경험 이야기 : 자녀 세대와 손자녀 세대 양육을 중심으로)

  • Kim, Yoon Sook;Jun, Yeon Woo;Jo, Hea Soog
    • Korean Journal of Childcare and Education
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    • v.8 no.3
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    • pp.185-208
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    • 2012
  • The goal of this study is to take a look at grandmothers' experience raising children with a focus on the children's generation and the grandchildren's generation. To do this, we conducted in-depth interviews with three grandmothers who raised their children and their grandchildren. As a result, grandmothers' experience raising children was shown in three categories: change in the raising environment, the raising culture, and the sense of value of raising children. These results suggest that the raising experience of grandmothers who have raised children in the past and are currently raising children again are being changed by the transition in raising experience, raising culture, and sense of value of raising children.

A Qualitative Study on Classroom Culture in a Toddler Class of 2 year olds (만 2세 영아반의 교실문화에 관한 질적연구)

  • Hong, Sung Hee;Cho, Eun-Lae
    • Korean Journal of Childcare and Education
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    • v.9 no.6
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    • pp.171-196
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    • 2013
  • The purpose of this study was to examine the characteristics of classroom culture in a toddler class of 2 year olds. Data was collected through 16 sessions of non-participatory observations and teacher interviews of toddlers in H daycare center. Collected data was carefully read and categorized accordingly to fit the theme of this qualitative study. Data analysis yielded four conclusions regarding the toddlers' classroom culture: behavior to advance together as a group, communicating through body language, complete reliance and responses towards the instructor, and a dichotomy between disintegration and integration. The result of this study suggests a need for instructor's proper guidance and establishing an appropriate childcare environment, as well as a reconsideration regarding toddlers as a host of the classroom culture, to increase the understanding of toddler's interactions in classrooms and social trends.

The Effects of Individual, Family, and Peer Factors on the Internalizing and Externalizing Problem Behavior of Adolescents (청소년의 개인요인, 가족요인 및 또래요인이 내면화·외현화 문제행동에 미치는 영향)

  • Kim, Youn Hwa
    • Human Ecology Research
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    • v.52 no.4
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    • pp.371-382
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    • 2014
  • This study investigated the relationships among individual factors, family factors, peer relationships and the internalizing and externalizing behaviors of adolescents. The data were obtained from a sample of 417 7th and 8th grade students. These data were collected with questionnaires and analyzed by using a t-test, Pearson's correlation, and a multiple regression analysis with SPSS ver. 18.0. The results can be summarized as follows. There is a significant difference in an adolescent's self-control, their father's rejective rearing, peer pressure, and the peer relationship between boys and girls. The results showed that boys had higher self-esteem and father's rejective rearing than girls. On the other hand, girls had higher peer pressure and more intimate peer relationships than boys. The results revealed that the 7th grade students had higher self-esteem and mother's warmth rearing than the 8th graders. Furthermore, the 8th grade students showed higher shame, mother's rejective rearing, marital conflict, internalizing behavior, and externalizing behavior than the 7th graders. The internalizing behavior in boys was influenced by shame, marital conflict, and peer pressure. In the case of girls, the internalizing behavior was affected by shame, mother's warmth rearing, and peer pressure. The externalizing behavior in boys was influenced by self-control and shame. In the case of girls, the externalizing behavior was affected by self-control, shame, marital conflict, and peer pressure. Adolescents who exhibited higher levels of shame than others and higher peer pressure showed internalizing problem behaviors. Adolescents who had less self-control and more shame, experienced more externalizing behavior problems.

Information Needs and Behavior of North Korean Refugees (북한이탈주민의 정보요구와 정보행태에 관한 연구 - 부산지역 거주자를 중심으로 -)

  • Cho Yong-Wan
    • Journal of the Korean Society for Library and Information Science
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    • v.40 no.3
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    • pp.121-149
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    • 2006
  • In recent days North Korean refugees. who hope to move into and settle in South Korea, have been rapidly increasing. However their adaptation to South Korea is reported to have not been so much successful as they expected. Considering such situations, this study attempts to investigate their information needs and behavior. North Korean refugees have various and strong information needs for settlement and daily life. The strongest were information needs related to economic Problem, specifically job and business related information needs. It was followed by information needs related to social welfare, health and security child care and education, and North Korean situation In order to meet their information needs. North Korean refugees were heavily dependent on informal interpersonal information sources such as their family members. friends. and their own neighborhoods. as compared to such formal interpersonal information sources as Public officers. social welfare agents, and NGOs members. Meanwhile. their usage of mass media such as TV. newspapers, and internet as information sources was also heavy However the overall information environment surrounding them appeared to be relatively inferior to that of average South Koreans.