• 가정과삶의질연구
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• 제23권6호
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• pp.95-104
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• 2005

This study surveyed the perception and demand for the child care policy and child care service of working mothers with children under age 6. The subjects were 266 working mothers in Seoul and Kyoung-Gi Province. Data were collected with the questionnaire method and analyzed by spss-win program, including median, mode, mean, standard deviation, and t-test. The result of this study can be summarized as follows. (1) The working mothers considered both parents have the responsibility on child care and strongly demanded the national support on child care. (2) The working mothers prefered own mother and relatives to child care center as a carer of infants and toddlers, but prefered child care center for children age 3-5. (3) The working mothers demanded the increase of finantial support for family and child care center. (4) The working mothers focused on 'the security and care Program' and focused next on 'diet and health care program' in child care service. (5) The working mothers did not nearly know about the accreditation system of child care centers. This results suggest that the national and social support for child care service is an essential part in promoting children's and the working mothers' welfare.

• 디지털융복합연구
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• 제17권1호
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• pp.457-465
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• 2019

본 연구의 목적은 양육시설 아동을 위한 보편적 긍정적 행동지원 모형을 개발하는 것이다. 이를 위해 55명의 양육시설 종사자 직원을 대상으로 PBS에 관한 요구도를 조사한 결과, 응답자의 76%가 문제행동 예방에 PBS가 필요하며, 인성교육의 대안이라고 응답하였고, 70% 정도가 시설에서 PBS를 운영해 볼 생각이 있다고 응답하였다. 구체적인 모형을 구성해보면, 준비단계에서는 PBS 팀 구성 및 직원교육, 기대행동선정, 현재 행동의 기초선 측정, 보편적 PBS환경을 구축하기를 제안한다. 실행단계에서는 사회적 기술교수, 강화실시하기, 자기행동 목표정하기와 행동점검, 문제행동학생지도, 모니터링 방안을 포함한다. 마지막으로 중재/전-후-유지기 간의 목표행동 변화측정, 사회기술 및 학업성취도 변화, 사회적 타당도 등을 측정하는 효과평가단계를 제안한다. 이 모형을 양육시설 아동들을 대상으로 적용함으로써 문제행동의 감소, 바람직한 행동의 증진과 동시에 아동들을 지도하는 종사자들의 효능감도 향상시킬 수 있을 것으로 기대한다.

• 문화기술의 융합
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• 제4권4호
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• pp.145-154
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• 2018

본 연구는 육아휴직제도가 출산에 미치는 정책효과에 대한 분석을 수행하였다. 육아휴직제도는 1차적으로 일과 가정의 양립을 취지로 하고 있다. 그러나 출산율 제고의 문제가 부각되면서 육아휴직제도 또한 출산장려책의 일환으로 기대되면서 육아휴직의 대상과 급여 혜택 또한 강화되어 왔다. 본 연구에서는 이러한 배경 하에서 복지패널 자료를 활용하여 가임기 여성 및 그 배우자의 육아휴직 혜택 이후 출산효과를 이중차분의 방법을 활용하여 분석하였다. 분석결과 육아휴직제도의 정책효과는 출산에 관한 한 아직까지 긍정적이지 않는 것으로 나타났다. 이러한 분석결과는 출산율 제고에 있어서 육아휴직제도의 실질적인 확대 외에 우리나라의 가정친화적인 노동환경 재정립의 필요성을 시사하고 있다.

• Child Health Nursing Research
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• 제23권1호
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• pp.28-36
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• 2017

Purpose: This paper is a report on the concept analysis of family-centered care for hospitalized children. Methods: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword 'family centered care' or 'family centered nursing' combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). Results: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the 'willingness of family to participate', 'competency and willingness of staff,' and 'institution policy and system.' Additionally, family-centered care does significantly impact 'the health of the children', 'family empowerment' and 'work satisfaction and self-confidence of staff'. Conclusion: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

• 보건행정학회지
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• 제16권2호
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• pp.77-95
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• 2006

The present study was conducted to examine the degree of variation in length-of-stay (LOS) among health care institutions participating in 17 diagnosis-related groups (DRGs) payment system and to find out hospital characteristics affecting the variation. Electronic medical claims data for treatments of severity classification '0' of 17 DRGs provided for two $years(2003{\sim}2004)$ were collected. For each DRG, the degree of variation in average LOS among health care institutions were analyzed using the random effect model. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS. Significant variations in LOS were observed 9 DRGs including unilateral/bilateral lens procedures, adult/child tonsilectomy, other anal procedures, bilateral adult/child herniorraphy, unilateral child herniorraphy, and hysterectomy, and hysterectomy using laparoscopic procedure. Among the 9 DRGs, five DRGs were selected to investigate the factors explaining for the variation. It was observed that the location of institution was significant predictors for all five DRGs. Within the same DRGs, LOS was significantly shorter among the institutions located in Seoul than those in other areas. As compared to clinics, hospitals and general hospitals/tertiary care institutions showed significantly longer LOS for DRGs of lens procedures, tonsilectomy, and other anal procedures. It is recommended that the institutions located in other than Seoul area benchmark the strategies of the institution in Seoul in efficiently managing LOS. Also, significant variation within the same severity classification such as other anal procedures implies the imminent need for improvement of patient classification system.

• International Journal of Human Ecology
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• 제15권2호
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• pp.81-92
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• 2014

This paper explores factors associated with multiple concurrent care and education arrangements in early childhood in South Korea. It draws on a subsample from the Korean Longitudinal Survey of Women and Families. Results show that about one-fifth of the families utilized multiple arrangements for their first preschool child. The primary non-parental option in multiplicity was nurseries or kindergartens. Home care and education options such as home study materials were found to be most prevalent secondary non-parental option, followed by services at private institution as well as relative care. Children's age, care cost, non-parental care time and time constraints were found to be positively related to the incidence of multiplicity for the first preschool child while family income and cost constraints were negatively associated. As a secondary option in the multiplicity, services at private institutions increased with children's age, care cost and when the grandparents live far from the parents' house. Home care and education utilization was found more among mothers with low degree of time constraints. Utilization of relative support decreased with the children's age and meant lower care cost and increased with mother's employment, fathers' education, family income, cost constraints and when grandparents live nearby. This paper, based on the associated factors, suggests how issues of children enrichment and constraints might be related to the multiplicity.

• 아동학회지
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• 제2권
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• pp.83-103
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• 1981

1. Outline of the Study A boom of baby hotels is taking place in Japan. Baby hotel means day care centers that renders services day and night for babies of working mothers. These baby hotels are thriving because many mothers welcome the system because of their needs. However, accidents occurred in a row recently and therefore baby hotel has suddenly become a social issue. According to the ministry of health welfare, there are 587 baby hotels in Japan accommodating about 10,000 children and they are mostly located around amusement centers. The reasons that these baby hotels thrive in spite of the fact that there are 22,000 day care centers in Japan are : (1) shortage of day care centers compared to the needs (2) most centers do not take in babies below 1 year. This study aims to describe the present status of the baby hotels and the background of the phenomena that made it possible for them to thrive with no permission from the government. This study mostly deals with the phenomena in Tokyo. 2. Day Care Policy in Japan and the Problems of Baby Hotels The present review deals with the problems from the following 6 dementions. (1) the shortage of day care centers (2) inadequate system for the care of babies (3) inadequate daily hours of day care centers (4) Unflexable enrollment system of day care centers (5) imperfect enfollment process & guidelines (6) lack of alternative institutions 3. Result The Ministry of Health & Welfare affered the following ways to cape with the problems of baby hotels : (1) restraint of the baby hotels (2) utilization of existing day care centers for the care of babies. In my opinion, these suggestions seem too superficial in solving the problems. I would rather suggest that the Japanese government review the whole system of child welfare administration. The Child welfare Law of Japan made a clear statement in its article 24 that, "if day care centers are not available, alternative institution for proper care of children must be sought for." My suggestions for the alternative care are : (1) public nursing rooms (2) family day care (3) extention of kindergarten hours (4) foster family care.

• 한국보육학회지
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• 제19권1호
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• pp.159-174
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• 2019

본 연구는 중증장애아동의 주 양육자인 어머니가 낮병원과 보육서비스 기관 이용을 통해 자녀와 본인의 삶에 어떤 변화를 경험했는지, 어려움이 있었다면 무엇인지 알아보고, 중증장애아동의 의료적 욕구와 발달과업에 대한 욕구를 모두 충족시킬 수 있는 정책적 실천적 개선점을 논의하고자 하였다. 연구대상은 1년 이상 낮병원 이용 경험이 있고, 어린이집 또는 유치원을 이용한 장애아동 어머니 9명을 눈덩이 표집방법으로 모집하여 포커스그룹 면담 또는 개별면담을 실시하였다. 분석결과 중증장애아동 어머니는 자녀가 성장함에 따라 낮병원외의 기관을 알게 되고 이용하게 되면서 차츰 삶의 균형을 찾아가기 시작했다. 처음으로 자녀와 떨어져 지내며 걱정을 보이기도 했지만, 차츰 긍정적으로 생각하며 자녀와 떨어져 있는 시간에 적응하고 있었다. 연구 참여자들은 중증장애아동인 자녀도 낮병원 외에 어린이집이나 유치원을 이용하게 되면서 표정이 밝아지거나, 웃는 모습을 보이는 등 다양한 경험을 긍정적으로 하고 있다고 느꼈다. 이를 통해 연구 참여자들은 주변사람과의 쉼을 느끼고 재충전 되는 경험을 했다. 본 연구 결과를 통해 수요자 관점에서의 보육, 복지, 의료에 대한 종합적 정책적 제언을 논의하였다.

• 가족자원경영과 정책
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• 제26권1호
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• pp.59-73
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• 2022

이 연구는 질적 연구 방법론에 의한 현장사례연구로서, 공동육아나눔터의 주요 기능과 운영상의 문제 및 활성화 조건을 탐구한 것이다. 지역(대도시·중소도시·군단위), 개소 시기, 운영기관, 위치, 맞벌이자녀초등전담돌봄 여부, 2020년 돌봄공동체시범사업 참여 여부 등을 고려하여 전국 8지역을 사례로 선정하였다. 공동연구자가 각 센터 현장을 함께 방문하여 센터장 혹은 전담직원을 대상으로 반구조화된 질문지를 활용하여 심층면접을 진행하였다. 면접자료를 전사하여 34개의 하위범주와 12개의 범주를 구성하고, 공동육아나눔터의 주요기능과 운영상의 어려움 그리고 활성화 조건이라는 세 가지 주제를 도출하였다. 이러한 주제를 토대로 공동육아나눔터 활성화방안을 제안하였다.

• 한국보육지원학회지
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• 제20권1호
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• pp.91-111
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• 2024

Objective: The purpose of this study is to explore trends in institutional evaluation research in early childhood education through keyword network analysis. This aims to understand trends in academic discourse on institutional evaluation and gain implications for follow-up research and related policy directions. Methods: A total of 6,629 keywords were extracted from 572 dissertations and journal articles published from January 2006 to October 2023 for the purpose of analyzing and visualizing the frequency and centrality of keywords, as well as the structural properties of keyword networks. The analysis and visualization were conducted using the TEXTOM, UCINET6, and NetDraw programs. Results: First, the number of institutional evaluation studies increased steadily from 2006 to 2010 and then decreased, with a higher frequency of studies on daycare centers compared to kindergartens. Second, the most frequently occurring keyword in the analysis was 'daycare center,' and the highest connection strength was found in the term 'daycare-center-evaluation.' Third, network analysis revealed that key terms for institutional evaluation research included 'evaluation certification,' 'recognition,' 'evaluation indicators,' 'teacher,' 'daycare center,' and 'kindergarten.' In the ego network analysis for each institution, 'parent' emerged as a highly ranked keyword. Conclusion/Implications: This study confirmed the perspectives of previous studies by revealing the structure of core concepts in early childhood education institution evaluation research, and provided implications for follow-up and direction of institution evaluation