• 아동학회지
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• 제24권3호
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• pp.135-149
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• 2003

This study aimed to develop an observation scale for assessing the quality of day care programs and to examine reliability and validity of the scale. Instruments included 3 self-assessment scales, the Evaluation Scale for Early Childhood Programs and an observation scale completed by 8 trained observers in 89 day care sites. Item analysis indicated that most items were acceptable in terms of item discrimination and item response distribution. Cronbach ${\alpha}^{\prime}s$ and inter-observer reliability were relatively high. Validity of the scale was evidenced by correlations between the observation scale and the criterion measure and inter-correlations among sub-areas of the observation scale. Scores on the observation scale were validated by quality ratings from self-assessment scores.

• 대한가정학회지
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• 제35권2호
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• pp.309-319
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• 1997

The purpose of this study was to examine the maternal separation anxiety depending on the quality of day care and mother's self-esteem. subjects consisted of 187 mothers who had children from 60 t 36 months of age. the instruments used were the questionnaires which consisted of the Maternal separation anxiety scale(Cho and park, 1992), Self-Esteem Inventory(Coopersmith, 1967), and the checklist which consisted of the early childhood environment Rating scale(Harms & Clifford, 1980) and the Family Day Care Rating scale(Harms & Clifford, 1989). The datas were analyzed by the statistical method based o frequency, percentile, t-test, and one-way ANOVA. The main results were as follows : First, there was a significant difference in maternal separation anxiety by mothers' age and not by their educational levels. Second, there were no significant differences in maternal separation anxiety by children's age, sex, and girth order. Third, there was no significant difference in maternal separation anxiety by quality of day 2 care, size of group, and adult-child ratio. Forth, there was a significant differences in maternal separation anxiety by mother's self-esteem.

• 융합정보논문지
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• 제10권9호
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• pp.136-146
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• 2020

본 연구는 서울형 데이케어센터 요양보호사의 직무스트레스가 직무만족에 미치는 영향을 자아탄력성이 조절하는지 검증하고자 요양보호사의 직무스트레스가 직무만족에 미치는 영향을 확인하고, 요양보호사의 직무스트레스가 직무만족에 영향을 미치는 과정에서 자아탄력성의 조절효과를 확인하였다. 서울시 데이케어센터 28곳의 종사자 256명을 대상으로 직무스트레스, 직무만족, 자아탄력성의 연구조사를 실시하였으며, 요양보호사 138명을 중심으로 분석하였다. 자료분석은 SPSS 25.0 및 Hayes가 제시한 SPSS PROCESS Macro를 활용하였다. 연구결과 첫째, 요양보호사 직군이 타 직군보다 직무스트레스 높고 직무만족감이 상대적으로 낮았다. 둘째, 직무스트레스가 직무만족에 부적(-)영향을 확인하였다. 셋째, 자아탄력성이 직무스트레스와 직무만족 사이에서 정적(+) 조절효과를 확인했다.

• 한국보건간호학회지
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• 제8권2호
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• pp.71-82
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• 1994

The article reviewed the elderly health care management problems in policy development issue of the nation. Policy of Korean government on elderly health care has still not yet developed. The main stream of policy which is effective on elderly welfare policy is 'Elderly care are responsible by their families'. Now only those aged whose family members are not able to take care of their parents are receive custodial care at the non-profit nursing homes. This article examined the main stream policy in pro and cons aspects in relation to social changes such as: demographic changes. family structure changes. attitude changes. health care delivery system. and political settlement view points in connection with medical insurance program. Finally. a model for the elderly health care management was proposed which will provide chronic care services at the community level. such as nursing homes. day care centers. day hospitals, respite care units, and special care institute for dementia.

• 한국실내디자인학회논문집
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• 제24권3호
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• pp.165-175
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• 2015

Korean medical welfare facilities for the elderly provide the conveniences to care geriatric illness such as dementia and stroke. The medical welfare facility categorizes elderly care facilities, nursing homes, and geriatrics hospitals based on the Korean welfare of the aged act. The government makes an effort to secure feed rate and finances of medical welfare facilities. However, the qualitative improvement of facilities is inadequate. The purpose of this study is to analyze the conditions and problems of existing facilities using an environmental evaluation and to discuss the improvement direction related to the daycare centers for the elderly. The method of this study is literature review and field survey. Firstly, we analyzed the previous studies to develop the tool, evaluating the environment of day care centers for the old. Secondly, the items of environmental evaluation are deduced. Thirdly, we select the facilities to conduct field survey and analyze the results of field survey. Lastly, We discussed the problems and improvement directions through the results. It is judged that this study is an useful as the basic guideline to strengthen the minimum legal standards of day care center for the elderly due to the suggestion of insufficient environmental evaluation items.

• 중환자간호학회지
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• 제4권1호
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• pp.51-63
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• 2011

Purpose: This study aimed to examine the effects of extended family visiting hours in the intensive care unit (ICU). Methods: The subjects were 168 ICU patients and their family members. Two 30-minute visits a day were allowed to the control group according to current policy, while four 30-minute visits a day were allowed to the experimental group. Patients' state anxiety was measured at the first day of ICU admission, and on the third day of ICU admission patients' anxiety and family satisfaction were measured. For the infection rate, comparison was made between the experimental and control data-collecting periods. Results: The patients' state anxiety significantly decreased in the experimental group. Family satisfaction of experimental group was significantly higher than that of control group. There was no significant difference in the infection rate. Nurses positively evaluated extension of visiting hours because it could stabilize patients, reduce the number of arrangements for additional visits, and help establish trust relationship with families. Conclusion: Extended family visiting hours in the ICU reduced patients' anxiety and improved family satisfaction but had no effect on the infection rate. Extended family visiting hours in the ICU is expected to improve the quality of critical care.

• 아동학회지
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• 제25권5호
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• pp.129-145
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• 2004

This research aimed to analyze the quality of center-based infant/toddler programs in Korea. Scale for infant and toddler programs divide accreditation standards into 4 areas(physical environment, curriculum, health care, management system) with 60 standards. Standards can be divided into basic criteria and general criteria. The subjects are 149 day care centers(44 infant day care centers and 105 day care centers), and raters(teachers or principal) assessed the quality of each item on a 5-point Likert scale. The results of this study are as follows: 1) Self-evaluation result have marked 3.67 as average(range : 2.32~4.90), which barely meets basic criteria level. 2) Physical environment area has received worst score(3.41) and Health care area has received best score(3.92). 3) Each standard's score indicate the quality of infant/toddler care program: Feed care(4.29), Affectionate teacher-infant interaction(4.14) were highly rated while Nature environment/anmal/plant(2.75) and Teacher's facilities(2.74) were rated low. 4) Some variation factors showed differences in the qualitative level; number of child, education level of principal.

• 한국보육지원학회지
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• 제10권3호
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• pp.159-177
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• 2014

본 연구는 보육시설을 이용하는 영유아 어머니들의 양육죄책감에 영향을 미치는 변인을 분석하였다. 양육과정에서 경험하는 보편적 양육죄책감이 아닌 보육시설에 자녀를 맡기는 상황에서 경험하는 타인양육에 대한 죄책감에 연구의 초점을 두었다. 이를 위해 광주 전남지역에 거주하는 어머니 350명을 대상으로 사회인구학적 변인에 따라 양육죄책감에 차이가 있는지 분석하였다. 또한 양육죄책감에 대한 어머니의 양육효능감, 교사의 지지, 어머니의 적극적 상호작용, 보육시설 만족도의 상대적인 영향력을 분석하였다. 본 연구의 결과로 첫째, 영아 어머니가 유아 어머니에 비해, 그리고 첫째아의 어머니가 둘째이후 자녀의 어머니에 비해 높은 양육죄책감을 보고하였다. 둘째, 양육죄책감 영향요인 중, 교사의 정서적 지지가 양육죄책감을 가장 잘 설명하는 변인으로 나타났다. 또한 양육효능감과 어머니의 적극적 상호작용, 그리고 보육만족도가 유의한 설명력을 보였다. 이는 자녀를 보육시설에 맡기는 상황에서 경험하게 되는 어머니들의 양육죄책감을 줄일 수 있는 방법으로, 교사와 어머니 간의 적극적 상호협력을 통한 양육공조의 중요성을 시사한다.

• 지역사회간호학회지
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• 제15권4호
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제10권1호
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• pp.19-28
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• 2004

Recently, as the population of the elderly rapidly increases, the number of the special care facility for the elderly is a big social issue. The services for the elderly are divided two way. One is a facility care, the other is an in-home care. In-home care(day care, short stay care, home help) facility for the elderly in seoul are insufficient now. So this study quantitatively estimate In-home care facility needed in seoul in 2007, 2012 and 2017, propose a arrangement of these facility in seoul.