• Perspectives in Nursing Science
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• 제7권1호
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• pp.10-22
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• 2010

Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

• International Journal of Internet, Broadcasting and Communication
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• 제8권3호
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• pp.1-11
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• 2016

This study investigates whether different SNS with different characteristics have different impacts on participatory social capital in Korea. At least in Korea, SNS are categorized into five types (community, blog, micro-blog, profile-based service and instant message service), and participatory social capital is specified by three types (off-line political participation, on-line political participation, on-line civic engagement). Using Nielsen KoreanClick's web-based survey data, our regression analysis shows that SNS which are more open and focused on information sharing contribute more to participatory social capital.

• Educational Technology International
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• 제9권2호
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• pp.143-164
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• 2008

The purpose of this study was to find the existential meanings of the culturally marginalized community organization. Based on the findings, the study examined the issues related to operating the organization and found the ways of helping such organization through service learning programs. For the study, the researcher chose the Korean school of Knoxville in the USA as a service community organization. This study used a qualitative method using narrative construction in the nature of the text shapes with first-person point of views. The research findings were discussed based on the observations and participation in the organization. The study found that the Korean school plays a role as a cultural liaison connecting the Korean culture to other cultures while enabling students to critically accept their native systems, values, and customs through understanding of their native language. However, problems were found in operating the school due to the lack of skills and knowledge of the school administration. Suggestions were made and implemented to the school in order to improve the performance of the school.

• 산업진흥연구
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• 제7권2호
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• pp.1-13
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• 2022

본 연구는 대구 지역사회서비스투자사업을 제공하는 기관별 현황과 성과를 통해 효율성을 살펴보고 각 기관의 효율적인 운영을 위한 방향을 모색하는데 그 목적이 있다. 지역사회서비스투자사업의 추진 목적에 부합되는 관리 실태를 점검하여 효율적이고 효과적인 사업추진을 도모하기 위하여 수요자에게 필요한 체계적인 서비스 제공 및 품질개선, 환경개선을 위해서는 서비스 제공기관의 효율성 분석을 통해 정확한 상황과 그에 대한 문제점을 파악하고, 지역 특성에 맞는 프로그램을 개발하고 적극적인 서비스 관리가 필요하다. 구체적으로 각 기관의 정보를 바탕으로 효율성을 측정하고 이를 지방자치단체 간 비교 분석함으로써 보다 안정적이고 지속가능한 지역사회서비스의 제공방향을 모색하는 것이다. 이를 위해 DEA(data envelopment analysis, 자료포락분석) 방법을 활용하여 각각의 기관을 효율성을 분석하고 지자체별로 비교하여 효율적 운영을 위한 목표와 정책적 함의를 제시하는데 그 의의가 있다.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.354-360
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• 2001

This study was carried out to investigate the present status of nutrition services for infants in public health centers and the need for nutrition services of health workers and infants mothers. The study subjects were 146 health workers and 197 infants mothers. The results were as follows : At present, the only major nutrition services for infants were vaccination and dental care. Proper nutrition management services were available to infants. Nutrition knowledge scores were 16.8 for health workers and 15.3 for mothers out of 20 possible points. Health workers strongly demanded a well-organized nutrition education program, government support, audio-visual materials and the employment of a community nutritionist. The public health workers, in particular, demanded the development of education programs for breastfeeding and weaning. The infants mothers demanded services of nutrition information and teaching of cooking and menu planning. Based on this, the results suggest that the employment of a community nutritionist and the development of practical nutrition service programs for infants are needed very urgently for public health centers.

• 한국사회복지학
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• 제56권4호
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• pp.123-147
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• 2004

본 연구에서는 노인요양보험제도의 도입을 앞두고 재가 요보호 노인 가족의 재가복지 및 재가보건서비스의 이용의향을 유형별로 알아보고, 이에 관련된 요인을 행동주의모델을 이용하여 검토함과 동시에 서비스를 이용하지 않는 이유를 분석하는 것을 목표로 하였다. 각 서비스 이용의향에 관련된 요인을 로지스틱 회귀분석을 통해 분석한 결과, 선행요인으로는 재가복지와 재가보건 서비스 모두 연령이 낮은 사람이 이용의향이 높았다. 서비스 이용촉진 및 저해요인 중에는 경제적인 여유가 있거나 부부양자가 있는 사람, 혹은 부양과 관련된 정보를 제공해 줄 사람이 있어, 물적 자원이 있거나 비공식적 지원을 받고 있는 사람이 재가복지와 재가보건 서비스에 대한 이용의향이 모두 높게 나타났다. 욕구요인에서는 예상과는 달리, 노인의 증상이 심각하거나 거동불편 정도가 심한 사람, 혹은 요보호 노인 외에도 요보호 가족이 있어 서비스에 대한 이용 욕구가 높은 집단이 오히려 이용의향이 낮게 나타났는데, 서비스의 유료화를 위해서는 경제적 자원과 같은 촉진요인을 가지고 있지 않으면 서비스에 대한 욕구(필요도)가 높아도 서비스 이용으로 연결되지 못할 위험이 있는 것으로 해석된다. 한편 서비스를 이용하지 않는 이유로는 경제적인 부담 이외에 '가족이 돌봐야 한다'. '노인이 싫어한다'와 같은 전통적인 부양의식이 차지하는 비율이 높았다. 요보호 노인의 증가로 서비스에 대한 이용 의향이 이전에 비해 높아지고 있지만, 서비스에 대한 욕구가 높음에도 불구하고 서비스 이용의향이 없는 사람이 적지 않았다. 본 연구를 통해 재가복지 서비스에 대한 이용의향과 재가보건 서비스에 대한 이용의향을 나타낸 집단의 특성이 유사한 것이 확인되었고, 향후 클라이언트 위주의 서비스 제공을 위해서는 보건복지 서비스의 연계를 통한 서비스 제공의 필요성이 재확인되었다.

• 지역사회간호학회지
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• 제14권3호
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• pp.520-532
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• 2003

Purpose: The purpose of this study was to identify the health status and request of community residents. This study is part of development of efficient health life enhancement programs. Methods: The subjects of this study were 586 households in a rural community and well-trained interviewers visited every household in the designated area and individually interviewed heads of households for general information and health service utilization. The data were collected using a questionnaire for seven months from March 25 to September 24, 2002. The data were analyzed using frequency. percentage by SPSSWIN (v 10.0). Results: 1. 58.9% of subjects were above sixty, and 60.8% of them were women. 2. The most serious problems they identified were health problems (45.6%), and the second was(##-was+were) economic problems(22.0%). 3. Almost half of the study population regarded themselves as healthy (46.2%). The types of illness they had were neuralgia, arthritis, hypertension, diabetes, and heart disease. 4. Most of the study population answered that they didn't do anything special for health enhancement. 5. Among medical facilities, hospitals or medical clinics (55.3%) were most commonly utilized when they were sick. 6. The highest request of the subjects was 'Home visiting service (45.4%)', and 'free treatment connected to the service of hospitals' was the second. What they needed most regarding health enhancement programs in health life enhancement centers was 'free health examination (58.2%), and heath education programs (57.7%). 7. As a result of investigating the subjects' demand for nursing services in health life enhancement center, 'the clinical examination' was the most requested, and next was 'blood pressure check', 'emergency treatment', and 'rehabilitation service', in that order.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.42-50
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• 2023

Purpose: The purpose of this study was to identify barriers to effective conversations about advance care planning (ACP) and palliative care reported by health care and community-based service providers in Massachusetts, USA. Methods: This qualitative research analyzed open-ended responses to two survey questions, inquiring about perceived barriers to having conversations about ACP and palliative care with patients and consumers. Data were collected between November 2017 and June 2019 from nine organizations in Massachusetts, including health care provider organizations, health insurers, community-based organizations, and a nursing education institution. Two researchers reviewed and coded the responses and identified common themes inductively. Results: Across 142 responses, primary barriers to ACP included hesitation and lack of understanding and knowledge, discomfort and resistance among service providers, lack of staff knowledge, difficulties with followup, and differences in ACP policies across regions. Common barriers to palliative care were misconceptions about palliative care and lack of knowledge, service providers' lack of preparedness, and limited policy support and availability. Challenges relevant to both ACP and palliative care were fear and discomfort around serious illness discussions, lack of knowledge and awareness, discussions that occur too late, and cultural and language barriers. Conclusion: Health care practitioners and community-based professionals reported consumer-, service provider-, and system-level barriers to facilitating conversations about ACP and palliative care with patients experiencing serious illness. There is a need for more tools and support to strengthen service providers' ACP and palliative care competencies and to promote a structured approach to health care planning conversations.

• 지역사회간호학회지
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• 제28권4호
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• pp.397-409
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• 2017

Purpose: Competency is a key foundation of the nursing education curriculum and a baseline element of nursing practice. The purpose of this study was to explore the competencies of community health nurses in a maternal early childhood sustained home-visiting program based on nurses' field experiences. Methods: The participants were 21 nurses who had more than 1 year of experience in this program. Reflective interviews were performed; lasting 1 hour per nurse, on August 18, 2016, and the collected data were analyzed using qualitative directed content analysis. Results: Twenty-four themes were extracted for 9 competencies. The major themes included implementing a long-term relationship-based approach, providing client-led service rather than expert-led service, helping mothers with psychosocial difficulties, and applying skills in a practical manner in the home environment. Conclusion: In order to develop a home-visiting program as part of maternal-early childhood nursing practice, nurses should develop competencies that help them make significant and positive interventions. Results indicate that the curriculum for community health nurses should be changed to improve competencies in building relationships with clients and to focus on the application of skills in specific cases and in clinical practice.

• 한국HCI학회:학술대회논문집
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• 한국HCI학회 2008년도 학술대회 1부
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• pp.309-313
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• 2008

지능적인 사용자 중심의 서비스 제공 실현은 현재 여러 분야에서 활발히 진행 중인 유비쿼터스 컴퓨팅의 최종 목표이다. [1] 이와 같은 지능적 환경 구성의 목표 실현을 위하여 상황인지 기법은 핵심 요소로써 간주 되고 있으며 각 연구 기관에서 심도 높게 진행되고 있다. 이에 본 연구에서는 상황인지 기반 동적 환경 구성 및 사용자 중심의 서비스 제공 기법으로써 커뮤니티 컴퓨팅을 소개 하고 이를 구현하기 워하여 OSSGi(Open Services Gateway Initiative) 기반의 커뮤니티 컴퓨팅 통합 플랫폼을 제안한다.