• Title/Summary/Keyword: indirect care

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The mediation Effects of Affection-Rejection Parenting in The relationships between Mothers' report of Marital conflicts and Preschoolers' behavioral and emotional control (어머니가 보고한 부부갈등과 유아의 행동조절 및 정서조절 관계에서 애정-거부적 양육행동의 매개효과)

  • Min, Ha-Yeoung
    • Journal of Families and Better Life
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    • v.28 no.5
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    • pp.1-12
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    • 2010
  • This study investigates the mediation effects of affection-rejection parenting in the relationships between reports by mothers in regards to marital conflicts and the behavior and emotional control of preschoolers. The participants were 311 preschoolers and their mothers. A total of 311 preschoolers attended kindergartens or day care centers in Daegu or Gyeongbuk Province. The collected data were analyzed by Pearson's correlation, single and hierarchical multiple regressions, using SPSS Win 15.0. The results are as follows. (1) Mothers' marital conflicts exerted indirect effects on preschoolers' behavioral control mediated by affection parenting. (2) Mothers' marital conflicts exerted indirect effects on preschoolers' behavioral control mediated by rejection parenting. (3) Mothers' marital conflicts partly exerted indirect effects on preschoolers' emotional control mediated by affection parenting. (4) Mothers' marital conflicts partly exerted indirect effects on preschoolers' emotional control mediated by rejection parenting.

Paternal Involvement within Contexts: Ecological Examination of Korean Fathers in Korea and in the U.S.

  • Kwon, Young-In
    • International Journal of Human Ecology
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    • v.11 no.1
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    • pp.35-47
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    • 2010
  • Based on concepts of human ecology, this study explored how diverse systems- cultural setting, work context and maternal perception- shape paternal involvement in child care. For this purpose, I compared Korean fathers (n=93) and Korean sojourner fathers in the United States (n=129). Hypothesized structural equation model explaining direct and indirect relationships among variables was developed. The results showed that cultural context had no direct relationship with paternal involvement. Cultural context showed indirect influence on paternal involvement through fathers' work context. Maternal perception, which had significant relationship with paternal involvement, was not explained by cultural context. However, it was significantly influenced by work context.

The effect of social capital, health risk behavior and health status on medical care utilization by the elderly (노인의 사회자본과 건강위해 행위 및 건강수준이 의료서비스 이용에 미치는 영향)

  • Woo, Kyung-Sook;Seo, Jae-Hee;Kim, Gye-Soo;Shin, Young-Jeon
    • Health Policy and Management
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    • v.22 no.4
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    • pp.497-521
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    • 2012
  • Objectives This study aimed to investigate the effect of social capital, health risk behavior and health status on medical care utilization by the elderly. The data and Research method Data were obtained from the 4th wave survey of the Korea Welfare Panel Study. 4,087 household members aged 65 years and over were subject to analysis. Descriptive statistics are used to describe the basic features of the data in a study. we performed a structural equation modeling(SEM) analysis to evaluate the effect of social capital and mediating effect of health risk behavior and health status. Results Results showed that factors related to medical care utilization of the elderly were different depending on types of service (inpatient and outpatient service) except health status. Age, higher social capital, more health-risk behavior and poorer health status were associated with increased use of inpatient service. Social capital was found to have a positive direct effect on it. Also, social capital had an indirect effect on reducing use of inpatient services by improving health status. On the other hand, lower age and higher household income tended to increase use of outpatient service, while higher social capital and higher health status were inversely related. Social capital had a direct effect and an indirect effect on reducing use of outpatient service and, at that time, health status played a mediating role. Conclusions Social capital may contribute to improve health status and indirectly reduce medical care utilization of the elderly by enhancing their health status. These results provide evidence that more policy and strategy considerations should be needed for the elderly to strengthen their social capital in order to enhance their levels of health and more efficient utilization of medical care.

Comparison of Nursing Activity Time According to the Change in Grade of Nursing Management Fee in One University Hospital (일개 대학병원의 간호관리료 등급변화에 따른 간호사의 간호활동시간 비교)

  • Park, Jeong Ok;Kim, Heai Yong;Roh, Gyeong Shik;Roh, Young Duck;Park, Myeong Bun;So, Ji Eun;Park, Mi Mi;Bang, Kyung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.95-105
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    • 2010
  • Purpose: The purpose of this study was to examine the difference between direct and indirect nursing activity times according to the grade of nursing management fee. Methods: The subjects of this study were 324 working nurses at the time of 3rd grade and 319 working nurses at the 2nd grade of nursing management fee in one university hospital. Nursing activity time was measured in April and May, and in September and October of 2008 for comparison. The data were analyzed by SPSS win using frequency and t-test. Results: Direct nursing care activity time per one patient was significantly higher at 2nd grade than 3rd grade in day shift (t=-2.55, p=.012). Direct nursing care workload per one nurse was significantly lower at 2nd grade than 3rd grade in evening shift (t=2.21, p=.030), whereas indirect nursing care workload was lower at 2nd level in night shift (t=2.43 p=.016). Conclusion: The findings from this study showed that higher nurse-to-patient ratio can provide greater amount of direct nursing care activity for the patient. Also, it decreased workload of nurses. The higher nurse-to-patient ratio will be beneficial for promoting quality of nursing care as well as decreasing nurse's heavy workload.

A Study of Nursing College Students' Attitude towards Death by Psychosocial Characteristics (간호대학생의 사회심리적 특성에 따른 죽음에 대한 태도)

  • Hwang, Kyung-Hye;Cho, Ok-Hee;Chung, Mi-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.20 no.1
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    • pp.63-71
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    • 2013
  • Purpose: This study was performed to identify nursing college students' attitudes towards death and was conducted as a pre-investigation to prepare them for coping with terminally ill patients in their clinical practice. Methods: The subjects consisted of 321 nursing students. Their attitudes towards death were measured by using the Collett-Lester Fear of Death Scale(CLFODS). The data obtained were analyzed by using the one-wayANOVA and Duncan's multiple test using the SAS 9.2 soft ware program. Results: The mean CLFODS score was 2.99. Among the 4 subscales, there were significant differences among the students with respect to grade, indirect experience of death, social isolation, daily life stress, and suicidal ideation in the past year. Conclusion: A negative attitude towards death was observed in the psychosocial characteristics, with indirect experience of death, social isolation, daily life stress, and suicidal ideation in the past year. It is necessary to educate students on how to care for dying patients before clinical practice. This education can be carried out by developing a death education program after considering the above mentioned psychosocial characteristics noted in this study.

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A Study on the Establishment of a Fee System for Hospital based Home Nursing Care (일 종합병원에서의 가정간호수가 체계 방안을 위한 일 연구)

  • Kim, Cho-Ja;Jo, Won-Jeong;Choe, Hae-Seon
    • The Korean Nurse
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    • v.32 no.1
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    • pp.61-76
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    • 1993
  • This study was done in order La provide basic data to a Fee System for hospital based Home Health Care services in Korea in the future. It was done by investigating activities provided to possible Home Health Care clients who could be discharged early from genera] hospitals and then estimating the nursing care fee according to each nursing activity based upon the time used for activity. The subjects of the study were selected by convenience sampling and consisted of 35 clients who might be clients for Home Nursing Care and were presently admitted to a medical- surgical ward of Y University Medical Center located in Seoul, Korea. The data collection period was from September 1, 1991 to September 30, 1991. The research in strum nets utilized for the study were a client selection criterial for Home Health Care developed by Choo(l991) and a check-list of nursing activity developed by researcher. The results of the study were as follows : 1. There were 44 different nursing activities provided in the seven days but the time was calculated for only 25 of the nursing activities. 2. Fees for the 25 different nursing activities were calculated by multipling the median of the average wage of a staff nurse having five years experience in an A grade general hospital to the Lime of the nursing activity. The results were compared with the insurance fee which the government recognized as an appropriate fee for that activity. The nursing activities with a lower calculated fee than the insurance fee were suction, catheterization, exercise education and dressing change. The nursing activities with a higher calculated fee than the government recognized fee were 1M injection and vital sign check. 3. There was a range of 1-15 nursing activities provided daily to the client. For the average number of nursing activities per day of 6.26 events the nursing care fee was calaulated at W 6136 per day. 4. Based upon the results of the study, a recommentdation for a Home Health Care fee per visit based on the nursing activities provided could be formulated for a Home Health Care fee system. It could be formulated as following: 1) Home health Care fee per visit $=[(direct{\;} nursing{\;}fee(direct{\;}nursing{\;}care{\;}time{\;}per{\;}activity{\;}{\times}{\;}average{\;}nursing{\;}wage)+indirect fee]{\times}average$ nursing activity per visit]+management fee+ materials fee+a travel fee In this way a nursing fee could be calculated based upon the result of the study of the nursing fees per visit. 2) Nursing activity fees per visit. = $([direct nursing{\;}care{\;}fee+indirect{\;}nursing{\;}fee]{\times}average$ number of nursing activities provided per visit] (W 6, 136) + travel fee(\ 5, 542) +management fee material $fee({\alpha})\{\;}16, 436+{\alpha}$ The nursing fee per visit as calculated in this research of $\{\;}15, 0000+{\alpha}$ could be adjusted according to the patient's condition or the use of high technology nursing care or according to the amount of time spent for travel. The nursing care fee per visit presented in this study can be validated through a Home Health Care demonstration project.

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Indirect revascularization surgery for moyamoya disease in children and its special considerations

  • Wang, Kyu-Chang;Phi, Ji Hoon;Lee, Ji Yeoun;Kim, Seung-Ki;Cho, Byung-Kyu
    • Clinical and Experimental Pediatrics
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    • v.55 no.11
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    • pp.408-413
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    • 2012
  • Moyamoya disease (MMD) is the most common pediatric cerebrovascular disease in Far Eastern countries. In children, MMD frequently manifests as ischemic symptomatology. Cerebral perfusion gradually decreases as the disease progresses, which often leads to cerebral infarction. The benefits of revascularization surgery, whether direct or indirect, have been well established in MMD patients with ischemic symptoms. In adults, the increase in cerebral blood flow achieved with indirect revascularization is often unsatisfactory, and direct revascularization is usually feasible. In children, however, direct revascularization is frequently technically not feasible, whereas the response to indirect revascularization is excellent, although 1 or 2 weeks are required for stabilization of symptoms. The authors describe surgical procedures and perioperative care in indirect revascularization for MMD. In addition, special considerations with regard to very young patients, patients with recent cerebral infarction, and patients with hyperthyroidism are discussed.

A Study of father's care giving in infancy (아버지의 영아 돌봄에 관한 문헌연구)

  • Kim, Young-Hee
    • Korean Parent-Child Health Journal
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    • v.1
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    • pp.75-87
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    • 1998
  • These days social and economical changes have influence on the structure of family and the role of family members. Working mothers and widowers with children are increasing because of economical difficulties. Support from relatives are decreasing because of the conspicuous trend toward nuclear families. According to these reasons androgynous fathers are required. Today's fathers in Korea socially and culturally have learned about traditional parenting, but they are changing their fathering styles to meet the demands of the times. However they don't have their own fathering models. Therefore nurses who hold an advantageous position to teach and support from clinic have to encourage them to care their infants. The purposes of this study were to define father's care giving in infancy, understand influencing factors on fathering, and the differences between fathering and mothering, then contribute to nursing implementation for supporting fathers. This study was designed to review references about father's care giving. The results were follows: Six aspects of parent participation were direct care. indirect care, play, decision-making concerning the child, amount of time of sole responsibility for the child and overall availability to the child. Direct care involved feeding, bathing, going to child if child awakens. dressing, putting child to bed, taking child to doctor, nurse, or dentist, transporting child to and from sitter, day care, or school, washing child's hair. Indirect care involved cleaning up after child, preparing child's food, fixing child's broken playthings, washing child's clothes, arranging baby-sitting, shopping for child's toys and clothes, transporting baby-sitter to and from your home. Young fathers were gradually participating in direct care like feeding, taking child to doctor. Father's care giving stimulated mothering and promoted parent-infant relationship. Influencing factors of fathering would be divided into father characteristics, surrounding factors, infant attributes. Father characteristics were age, role perception, relationship with parent. Surrounding factors were the opportunity of early contact, support system, spouse's expectation, marital adjustment, feeding type, past experience of care giving. Infant attributes were temperament, behavior, age, sex. The differences between fathering and mothering were reviewed. Fathers were poor at care giving. but their caring was similar to mother's. This subtle difference positively worked upon infant's growth and development. On the basis of these theoretical data, nurses can empower fathers to cooperate with mothers in caring infants.

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The Nutrition Assessment and Care for the Elderly in Japan

  • Sugiyama, Michiko;Nishimura, Akio;Koyama, Hideo
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.12-26
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    • 2000
  • In Japan, a new nursing insurance system was enforced in April 2000, where premiums were paid according to the level of necessary care. Our project, Nutrition Care and Management(NCM) for the elderly was started in 1995, funded by the Ministry of Health and Welfare of Japan. The NCM project was to provide appropriate nutrition care for the elderly and to see that it effectively functions as part of the health care services. There were 4 stages to the project : the first stage was to find out the PEM status among the elderly patients in hospital and home-care settings in Japan. The 2nd stage was to develop and evaluate nutritional assessment methods, anthropometry, resting energy expenditure measuring methods using of portable indirect calorimeter, and the convenient protein energy intake assessment methods, etc. for the elderly patients with PEM risk. The 3rd stage was to examine the effectiveness of the nutrition care plan induced of protein energy supplement and team care in improving nutrition among the elderly patients. The last stage was to develop the NCM set for the elderly patient based on the past three years of scientific evidence. it is expected that the NCM system for the elderly will provide adequate nutritional care management, improve the elderly care environment and create effective resource management.

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Child Care Teachers' Difficulties Communicating with Parents and How It Affects Teacher-Child Interactions: The Mediating Effects of Teachers' Self-Esteem (보육교사가 지각하는 학부모와 의사소통의 어려움이 영유아와 상호작용에 미치는 영향: 보육교사의 자아존중감의 매개효과)

  • Park, Bokyung;Park, Mi Ja
    • Korean Journal of Childcare and Education
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    • v.15 no.3
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    • pp.1-19
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    • 2019
  • Objective: This study examined the mediating effects of child care teachers' self-esteem in the relationship between teachers' difficulties communicating with parents and teacher-child interactions. Methods: A total of 450 child care teachers answered questionnaires based on three research variables. Data were analyzed using SEM. Results: First, child care teachers' difficulties communicating with parents had a direct effect on teacher-child interactions. That is, child care teachers who experienced more difficulties communicating with parents showed more negative teacher-child interactions. Second, child care teachers' difficulties communicating with parents had an indirect effect on teacher-child interactions through teachers' self-esteem. In other words, when child care teachers experienced more difficulties communicating with parents, their self-esteem was lower, which led to increased negative teacher-child interactions. Conclusion/Implications: This study highlights the importance of effective communication between child care teachers and parents. In addition, these findings contribute to a better understanding of the mechanism by which child care teachers' difficulties communicating with parents influence teacher-child interactions.