• 성인간호학회지
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• 제22권4호
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• pp.384-394
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• 2010

Purpose: This study was to explore family member's caregiving stress and satisfaction of care for patients with dementia in long term care facilities and day care centers. Methods: The subjects were 129 family members of elders with dementia from ten long term care facilities and eight day care centers in Daegu and Kyungsangbukdo. Data were collected from August to October, 2007. The instruments were self administered questionnaires and included. The Family Perceptions of Caregiving Role (FPCR) and the Family Perceptions of Care Tool (FPCT) which were developed by Maas and Buckwalter (1990) and translated by Park (2002). Results: Family member's care giving stress in day care centers were higher than that of long term care facilities (t=-2.89, p=.005) especially in the categories of captivity (t=-3.27, p=.001), guilty (t=-2.93, p=.004), and loss (t=-2.44, p=.016). Family member's satisfaction of care in day care centers was higher than that of long term care facilities (t=-3.21, p=.002) in the (use - categories or measures since you are referring to the instrument and delete aspects) aspects of effective management (t=-3.69, p=.000) and activity (t=-2.00, p=.045). Conclusion: The results of this study showed that family members' perceptions toward their care giving roles and satisfaction of care differ whether the facilities are long term care or day care centers. This study provides baseline data that could be used for improving the quality of long term care services.

• 대한가정학회지
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• 제36권6호
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• pp.95-108
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• 1998

This study is the second study which was aimed to validate the Infant/ Toddler Environment Rating Scale(ITERS). The test-retest reliability included 10 infant/toddler classes among 30 national/public and private child care centers in Inchon city which had been observed in the first validation study. The Spearman's correlation coefficient for test-retest reliability was ranged from .52 to .84. In addition, two raters observed 10 family day care centers in Inchon city, where two observers independently rated each centers on the ITERS during a single visit. The Spearman's correlation coefficient for interrater reliability was ranged from.72 to .99 For the second measure of content validity, experts who were working in day care centers and who were graduate students, lecturers, or professors majoring child studies rated the appropriateness of each ITERS items for the provision of high-quality programs for infants and toddlers, using a 1(low) to 5(high) scale. The mean rating was ranged from 2.52 to 4.52. In sum, when the rating scores were analyzed by the type of child care centers, national/public child care centers have better quality than private or family child care centers.

• 한국노년학
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• 제31권3호
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• pp.691-709
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• 2011

본 연구는 주·야간보호서비스의 이용실태와 SERVQUAL 모형으로 서비스품질을 측정하고, 이를 바탕으로 시사점을 논의하는 데 목적이 있다. 대전광역시 및 충남북 군단위 농촌지역의 주·야간보호시설 이용자 208명을 대상으로 자료를 분석하였다. 분석결과는 다음과 같다. 첫째, 유형성, 신뢰성, 응답성, 확신성, 공감성 모든 범주에서 기대수준보다 지각수준이 더 높아서 양의 값을 나타내고 있다. 대부분의 이용노인이 서비스를 이용하기전 기대수준보다 서비스를 이용하고 느끼는 지각수준에서 높게 평가하고 있다. 둘째, 인구사회학적 특성에 따라 서비스품질을 살펴보았으나, 통계적으로 유의미한 차이는 나타나지 않았다. 셋째, 기관특성의 차원에서 서비스품질을 살펴보면, 지각수준에서는 지역과 시설의 운영형태에 따라, 기대수준에서는 설립주체, 주당 프로그램 제공횟수, 시설규모에 따라 통계적으로 유의하게 차이가 있는 것으로 나타났다. 넷째, 서비스이용자의 특성에 따라 서비스품질을 살펴보았으나, 통계적으로 유의미한 차이는 나타나지 않았다.

• 아동학회지
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• 제22권3호
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• pp.287-308
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• 2001

This study analyzed Korean edu-care programs for young children, including such parameters as educational planning and management, instructional materials, health, social life, expressiveness, language, and discovery. Using a questionnaire consisting of 170 items developed for the study, 830 parents evaluated the programs of 200 day care centers which their young children were attending Results showed that the programs serving children from birth through 2 years of age need to be better tailored to their developmental level by months of age, and the quality of programs for 3- to 5-year-olds needs to be enhanced. Suggestions were presented for the improvement of edu-care programs.

• 한국의료질향상학회지
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• 제2권2호
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• pp.56-71
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• 1996

Background : Review of readmissions in health care facilities is necessary from the viewpoint of both economic concerns and quality considerations. To identify the characteristics, factors, and causes of multiple admissions in comparison with single admissions is essential for both providers and payers in order to assure quality care and efficient use of medical resources. Methods: All discharges from an university hospital in 1993 were analyzed, and the characteristics of multiple admissions were identified and were compared with those of single admissions by using the data bases of the discharge abstract and billing for reimbursement. Medical records of patients readmitted within 6 days after the previous discharge were reviewed to identify the reasons for such prompt readmission. Statistical analysis between groups of patients were performed by using SPSS. Result : The mean age was higher in multiple admissions than those of single admissions, and the average length of stay was longer in multiple admissions than in single admissions. The hospital cost per day is higher in single admissions while the cost per case is higher in multiple admissions. More than half of readmissions occurred within one month after the preceding discharges. Above 15% of the readmission within 6 days after the preceding discharges seemed to have close relationship with quality of care provided during the preceding hospitalization. The death rate of the patients readmitted within 6 days was the highest in comparison with multiple admissions and single admissions. Conclusion : Potential preventable readmissions should be reduced by identifying characteristics of multiple admissions, especially unplanned readmission, and by applying some interventions such as standard predischarge assessment or careful follow-up care after discharge for high risk readmission groups. As the results of these efforts, health care facilities could achieve quality improvement in medical care, and effective use of hospital resources.

• 아동학회지
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• 제7권1호
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• pp.1-23
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• 1986

The present study investigated the current child care practices of professional working mothers in Korea and their needs for substitute child care outside the home. Three hundred twenty-two professional working mothers who have children under 6 years of age in Seoul, Pusan, Taegu, and Taejon were surveyed with the use of a questionnaire. It was found that during their working hours, most of the professional working mothers put their children in the care of either the paternal or the maternal grandmothers. Others put the children in the care of a full-time housekeeper or a part-time housekeeper. While all the mothers had worked out a way to care for their children, almost all of them would use day care if facilities were available. Specifically, 42 per cent prefer child care at their work site, 21 per cent prefer family day care, and only 3 per cent indicated that they would not use any child care facilities. Most of the working mothers think that their employer should manage the day care program. Others prefer social agency or government management. Regarding costs, most prefer that costs should be split 50-50 between the employer and the family. In addition, professional working mothers wanted quality programs with educational components rather than mere custodial care. It was concluded that variety in types of quality child care programs should be available to provide working mothers the options of choosing what they want for their children. The main type of programs suggested by this study is work site based child care for children under 3 years of age. The existing law for the Saemaul Nursery School program should be implemented so as to include programs for children under 3.

• 아동학회지
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• 제13권2호
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• pp.129-144
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• 1992

The purpose of this study was to investigate the current status of family child care. The status of family child care was explored in terms of general characteristics, program quality, and child behavior. The subjects were 17 family child care and their 102 children and 60 parents. Harms & Clifford's (1989) FDCRS(Family Day Care Rating Scale) was used to measure program quality. Child behavior was recorded by time sampling in two 30 min observations during the free play session in each facility. A questionnaire for caregiver and parents was used to investigate general characteristics. The data were analysed by frequency, percentage, and Pearson's r. Results showed that (1) a wide range of variable accounted for the general characteristics of family child care, (2) the level of program quality as rated by the FDCRS was below mid-point, (3) children engaged in solitary behavior much more than in peer interactions or caregiver-child interactions.

• 산업융합연구
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• 제12권1호
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• pp.1-23
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• 2014

This study is to research parents' awareness of the child-care quality and their loyalty toward the day care center, targeting parents who are the most important role in infant development. Therefore the purpose of this study is to find out the top priorities of the day care center services that parents recognize and its influence on the parents' loyalty to the center.

• 한국의료질향상학회지
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• 제12권1호
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• pp.6-16
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• 2006

Objectives : The purpose of this study was to identify the characteristics influencing consultation and waiting time in ambulatory patients. Methods : This study was conducted in a tertiary teaching hospital. Subjects were a total of 10,383 ambulatory patients. Consultation time was measured by time spent for meeting with his/her physician per patient. Waiting time was defined as the time difference between each patient's reserved time and time to meet with his/her physician for ambulatory care. Multiple regression analyses were performed to determine the factors influencing consultation and waiting time. Results : Consultation time was different according to patient' age, previous experience of clinic visit, recent admission history, medical department, specialist care, type of reservation, and day of the week. Significant factors influencing waiting time were patient' age, residential area, previous experience of clinic visit, recent admission history, medical department, specialist care, time spent after ambulatory care begins, and day of the week. Conclusions : The medical department was the strongest factor affecting both consultation time and waiting time. The ambulatory reservation management systems should take into account patient characteristics as well as care-related features.

• 기본간호학회지
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• 제26권2호
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• pp.75-85
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• 2019

Purpose: The purpose of this study was to examine effects of music intervention on environmental stress and sleep quality in liver transplant patients who are receiving care in one-person isolation rooms of an ICU. Methods: The study was a quasi-experimental design pre-and-post nonequivalent control group. Participants were 37 patients (18 in the experimental group and 19 in the control group) who, after receiving liver transplant, were hospitalized in one-person isolation rooms of the ICU. The study covered patients admitted between August 2016 and December 2017. Earplugs and sleep shades were provided as ordinary care to both experimental and control groups, and music intervention was provided to the experimental group three times a day for 30 minutes each from the first day of hospitalization. Results: The first hypothesis, "The experimental group who received music intervention will experience a lower environmental stress level than the control group" was supported (Z=-3.212, p<.001). The second hypothesis, "The experimental group who received music intervention will experience a higher sleep quality than the control group" was also supported (t=3.715, p=.001). Conclusion: Findings show that music intervention is an effective nursing intervention to reduce environmental stress and improve sleep quality in liver transplant patients in the ICU.