• Title/Summary/Keyword: children in institutional care

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Study on Influencing Factors on Attitude toward Marriage of Undergraduate with Institutional Background (대학에 진학한 시설보호 청년의 결혼 태도 영향 요인)

  • Jung, SunWook;Lee, MinJung
    • The Journal of the Korea Contents Association
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    • v.16 no.9
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    • pp.362-375
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    • 2016
  • The purpose of this study is to find influencing factors on attitude toward marriage of undergraduate with institutional care background. Intimate romantic relationship is one of developmental tasks of emerging adulthood. And attitude towards marriage is connected with intimate, romantic relationship. This study has focus on attitude towards marriage out of marriage issues. The method of this study is the survey on 214 undergraduates who have lived in institution for children over two years. The results of the findings are as follows. First, they are favorably inclined towards marriage. Second, gender, financial conditions, ego-identity exercise a significant effect on attitude towards marriage. Subcategory of ego-identity that affects attitude towards marriage the most is self-receptiveness. Implication and limitation of this study are discussed finally.

Service Quality beyond Access: A Multilevel Analysis of Neonatal, Infant, and Under-Five Child Mortality Using the Indian Demographic and Health Survey 2015~2016

  • Kim, Rockli;Choi, Narshil;Subramanian, S.V.;Oh, Juhwan
    • Perspectives in Nursing Science
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    • v.15 no.2
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    • pp.49-69
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    • 2018
  • Purpose: The purpose of this study was to derive contextual indicators of medical provider quality and assess their relative importance along with the individual utilization of antenatal care (ANC) and institutional births with a skilled birth attendant (SBA) in India using a multilevel framework. Methods: The 2015~2016 Demographic and Health Survey (DHS) from India was used to assess the outcomes of neonatal, infant, and under-five child mortality. The final analytic sample included 182,980 children across 28,283 communities, 640 districts, and 36 states and union territories. The contextual indicators of medical provider quality for districts and states were derived from the individual-level number of ANC visits (<4 or ${\geq}4$) and institutional delivery with SBA. A series of random effects logistic regression models were estimated with a stepwise addition of predictor variables. Results: About half of the mothers (47.3%) had attended ${\geq}4$ ANC visits and 75.8% delivered in institutional settings with SBAs. Based on ANC visits, 276~281 districts (43.1~43.9%) and 13~16 states (36.5~44.4%) were classified as "low" quality areas, whereas 268~285 districts (41.9~44.5%) and 8~9 states (22.2~25.0%) were classified as "low" quality areas based on institutional delivery with SBAs. Conditional on a comprehensive set of covariates, the individual use of both ANC and SBA were significantly associated with all mortality outcomes (OR: 1.17, 95% CI: 1.08, 1.26, and OR: 1.10, 95% CI: 1.02, 1.19, respectively, for under-five child mortality) and remained robust even after adjusting for contextual indicators of medical provider quality. Districts and states with low quality were associated with 57~61% and 27~43% higher odds of under-five child mortality, respectively. Conclusion: When simultaneously considered, district- and state-level provider quality mattered more than individual access to care for all mortality outcomes in India. Further investigations are needed to assess the importance of improving the quality of health service delivery at higher levels to prevent unnecessary child deaths in developing countries.

Exploring Communication Difficulties in Pediatric Hematology: Oncology Nurses

  • Citak, Ebru Akgun;Toruner, Ebru Kilicarslan;Gunes, Nebahat Bora
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5477-5482
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    • 2013
  • Background: Communication plays an important role for the well being of patients, families and also health care professionals in cancer care. Conversely, ineffective communication may cause depression, increased anxiety, hopelessness and decreased of quality life for patients, families and also nurses. Objective: This study aimed to explore communication difficulties of pediatric hematology/oncology nurses with patients and their families, as well as their suggestions about communication difficulties. Materials and Methods: It was conducted in a pediatric hematology/oncology hospital in Ankara, Turkey. Qualitative data were collected by focus groups, with 21 pediatric hematology/oncology nursing staff from three groups. Content analysis was used for data analysis. Results: Findings were grouped in three main categories. The first category concerned communication difficulties, assessing problems in responding to questions, ineffective communication and conflicts with the patient's families. The second was about the effects of communication difficulties on nurses and the last main category involved suggestions for empowering nurses with communication difficulties, the theme being related to institutional issues. Conclusions: Nurses experience communication difficulties with children and their families during long hospital stays. Communication difficulties particularly increase during crisis periods, like at the time of first diagnosis, relapse, the terminal stage or on days with special meaning such as holidays. The results obtained indicate that pediatric nurses and the child/family need to be supported, especially during crisis periods. Feeling of empowerment in communication will improve the quality of care by reducing the feelings of exhaustion and incompetence in nurses.

The Effect of Childcare Teacher's Happiness and Self-Leadership on Respect for Young Children's Rights (보육교사의 행복감과 셀프리더십이 유아권리존중에 미치는 영향)

  • Ahn, Sun Shin;Yoon, Hyun Suk
    • Korean Journal of Child Education & Care
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    • v.19 no.2
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    • pp.71-84
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    • 2019
  • Objective: This study examined the how childcare teachers' happiness and self-leadership influences on respect for young children's rights. Methods: For this purpose, 350 childcare teachers in G city were surveyed. Data of 291 copies as final research subjects were analyzed through one-way ANOVA and hierarchical regression analysis. Results: First, external and self-regulating happiness sub-factors of happiness, differed according to the academic background. Behavioral and cognitive strategies, the sub-factors of self-leadership, differed according to the academic background and career. The right to life, right to protection, development rights, and participation rights, which are sub-factors of respect for young children's rights, differed according to the academic background and career, and the development rights differed depending on the type of childcare center. Second, there was a significant positive correlation among the happiness, self-leadership and respect for young children's rights. Third, the happiness and self-leadership of childcare teachers have a significant effect on the respect of young children's rights. Conclusion/Implications: This study is to confirm the necessity of efforts for institutional and educational measures to promote the happiness and self-leadership of childcare teachers as part of efforts to raise childcare teachers who are highly aware of the need to respect young children's rights.

Care and future expectations of families with severe disabilities (중증장애 가족의 돌봄과 미래기대)

  • Shin, Kyung-An
    • Journal of Industrial Convergence
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    • v.18 no.6
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    • pp.139-146
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    • 2020
  • Care of people with severe disabilities requires care throughout their life cycle compared to non-disabled families. For this reason, carers of severely handicapped families are highly likely to have negative feelings throughout the family as well as daily stress. Disabled families also have a high rate of experiencing difficulties between non-disabled children or married couples in life centered on the disabled. In particular, the rapid aging in Korea affects the lives of the elderly disabilities along with the aging of the caregivers. The study explored alternatives to realistic support through the past and present experiences of caregivers with disabilities through qualitative research methods, and derived hopes and expectations for the future as follows.First, after confirming the disability for infants and toddlers with disabilities, information about the support system or system is provided from the rating agency. Second, providing "customized care support" suitable for the type of disability or individual characteristics at the social, political, institutional, and economic levels. Third, the provision of programs for non-disabled children and the provision of healing programs only for families with disabilities or those with disabilities. Fourth, the provision of spaces and programs that provide rest and rest for adults with disabilities. Fifth, the application of a long-term care system for the elderly reflecting the aging age of the disabled and institutionalization of community care for the disabled. The research is meaningful in that it presents discussion points for improving the quality of life of adults and the elderly with disabilities.

Current Situation and Policies of Early Childhood Care and Education in North Korea (북한의 보육 정책 및 현황)

  • Lee, So Hee;Kwack, Young Sook;Joung, Yoo-Sook;Lee, Soyoung Irene;Kim, Bongseog;Sohn, Seok Han;Chung, Un-Sun;Yang, Jaewon;Bhang, Soo-Young;Hwang, Jun-Won;Hong, Minha;Lee, Yeon Jung;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.1
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    • pp.1-5
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    • 2014
  • In order to resolve the decline in population due to low birthrates, the South Korean government is expanding its free child care policies with an increased budget. In anticipating the effects and problems of our system, it will be worthy of attention to refer to the child care systems of other countries. In this paper, we reviewed the past and present policies and the current situation of the child care system in North Korea. North Korea started its free child care system earlier than that of South Korea, for the purpose of utilizing the women's labor force and rearing children to be revolutionary men of Juche type (Kimilsungism), in order to construct a communistic society. 'Child Care Education Law', which is the legal foundation of the child care system, regulates institutions for nursery schools and kindergarten and informs people that the country is responsible for support of child care. Despite their interest and progress in both quantity and quality in the child care system until the 1980s, the free child care system was partially disrupted, and discrepancies between ideology and actual situation were revealed due to economic difficulties from the 1990s. Because people's survival and physical health have been threatened, it is barely possible to find any study investigating the effect of institutional child care from early childhood and the instillation of unique ideology by group education from the preschool period on mental health.

A Diagnostic Study of Teachers' Safety Education Activities in Early-child Care Centers: Based on the PRECEDE Model (유아교육기관 교사의 안전교육 실시와 관련된 교육적 진단요인: PRECEDE 모형을 근간으로)

  • Park, Hee-Jeong;Lee, Myung-Sun
    • Korean Journal of Health Education and Promotion
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    • v.22 no.2
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    • pp.19-32
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    • 2005
  • Objectives: The purpose of this study was to examine teachers' safety education activities to determine the significant educational diagnosis variables and to identify their needs of safety education in early-child care centers based on the PRECEDE model. Methods: A total of 304 teachers in early-child care centers participated in this study selected by a multi-stage stratified sampling method considering 11 regions in Seoul, Korea. Self-report type questionnaires were posted to all teachers in 220 early-child care centers by ground mailing service and the 304 teachers completed the questionnaires. The participants' responses were anonymously coded into and analyzed in SPSS program. Results: 'Scratch or bite' was the most frequent accident type(78.3%) and the frequent accident places were 'classroom(88.8%)' and 'playground(67.8%)'. The most frequently conducted safety education activities were 'reminding children their safe behaviors at the beginning and the end of daily class' and the next was 'saving a special time for safety education.' For educational diagnosis factors, related to safety education activities, teachers' safety education activity was more frequent when teachers' safety knowledge was high(p<.001), when teachers had good application skills of their knowledge to their teaching activities(p<.001), when they had strong needs on safety training opportunities(p<.05), and their interests on safety education(p<.001). For enabling factors, class preparation by safety education guide-book review(p<.001), by development of educational materials(p<.001), and by search for the related reference (p<.001), and by participation to safety education training programs for teachers(p<.01) were the significant enabling factors on teachers' safety class activities. For the reinforcing factors, the center-wide support of safety education brochures to children (p<.001), the concerns of centers utilizing safety education specialists(p<.001), and the concerns about safety information collection out of centers(p<.001) were significant factors related with teachers' safety education activities. Conclusions: The significant educational and institutional factors on teachers' safety education activities were teachers' concerns on safety education, their interests on safety knowledge, and the strong concerns on child safety education from the centers.

A basic study on the animal welfare evaluation in Korean zoos (국내 동물원의 동물복지 평가에 관한 기초 연구)

  • Cho, Kyung Uk;Choe, Byung-In;Kim, Hwi Yool;Han, Jin Soo;Kim, Jin Suk
    • Korean Journal of Veterinary Research
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    • v.49 no.1
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    • pp.91-99
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    • 2009
  • The concept about zoo is changing from the animal exhibition which simply contained the animals to the ecological zoo which has the function of preserving the animal species. At the central point of maintaining such role, the basic principle called the animal welfare lies obviously. Korea has applied the animal welfare principles such as carrying out the enrichment in the zoos since 2003, but there has not been any institutional device to evaluate and examine the application of the animal welfare so far. This study aims to confirm the level of animal welfare in Korea and suggest a developmental direction. For the purpose of the study, 12 zoos in Korea were evaluated according to 68 evaluating categories. 'Five Principles of Animal Welfare' in the Secretary of State's Standards of Modern Zoo Practice were selected and carried out as the evaluation categories, and the result, from the highest to lowest score given, was 'provision of food and water', 'provision of protection from fear and distress', 'provision of health care', 'provision of an opportunity to express most normal behaviours', and 'provision of a suitable enrichment' with the overall score of the entire Korean zoos being 2.86 (${\pm}$ 0.56). It was also confirmed that in order to improve the animal welfare of the Korean zoos, the animal management system must be standardized and organized. The evaluation and feedback, the active practice of animal welfare and its legislative support should be provided to establish an effective institutional device as well.

A Review of Laws and Evaluation Criteria on Health, Nutrition, and Safety in Child Care Centers (어린이집 건강과 영양, 안전관리 현황과 과제)

  • Choi, Hye Jin;Nam, Mi Kyoung;Son, Won Kyoung
    • Korean Journal of Childcare and Education
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    • v.10 no.2
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    • pp.43-71
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    • 2014
  • This study reviews recent trends of laws and evaluation criteria of heath, nutrition, and safety in child care centers, and addresses future research directions on them. To this end, we analyzed Child Care Laws, Child Care Acts, Child Care Program Accreditation Standards and Criteria, as well as master's theses, doctoral dissertations and journals that have been published on these issues since 1991. Through a comprehensive and critical review, we revealed three following findings in terms of child heath, nutrition, and safety. First, it is necessary to strengthen regulations for all children's heath, nutrition, and safety, or to discuss measures corresponding to those regulations to provide the best possible care to every child. Second, a careful examination of accreditation standards on health, nutrition and safety found that, although specific actions and criteria on these issues were already prepared, their implementation is not mandatory and the quality of provided health, nutrition and safety is not properly guaranteed. This finding shows that what is still necessary is to devise effective plans for handling institutional frameworks and processes of child care program accreditation standards. Third, among the three categories of health, nutrition, and safety, the topics on safety were found to be studied most frequently, whereas the other two topics were considered much less. It thus indicates that more research on health and nutrition are necessary.

Health-promoting Behaviors and Related Factors for College Students by Type of Residence (대학생의 기숙사 생활 여부에 따른 건강증진행위와 관련 요인)

  • Oh, Nan-Suk;Park, Jae-Yong;Han, Chang-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.28 no.2
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    • pp.27-40
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    • 2011
  • Objectives: This study was conducted to identify health-promoting behaviors and related factors by type of residence between two groups of college students: those who live in dormitories and those who commute from home. Methods: We used the data from 2,287 students (870 male, 1417 female) from 14 colleges in Daegu and Kyungpook areas and compared health-promoting practice scores, general characteristics, health environment, and parental support. Multiple regression analysis was performed with health-promoting practice scores as a dependent variable. Results: Dormitory residents presented significantly lower health-promoting practice scores than commuters in both gender. Multiple regression analysis showed that the factors associated with health-promoting behaviors were health environment (p<0.05) and parental influence/support (p<0.01) for male dormitory residents. For female dormitory residents interest in health(p<0.05), stress(p<0.05), and parental influence/support(p<0.01) were associated. Conclusions: Systematic development of health education programs would be needed for the practice of health promotion behavior of college dormitory students with the help of environmental and institutional support. We suggest a program for stress management, smoking, health behavior, and alcohol and a parental program to increase contact with their children for a positive parental influence and support.