• 한국보육지원학회지
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• 제9권1호
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• pp.51-79
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• 2013

이 연구는 노동권 부모권 관점의 일-가족양립정책을 통해서 여성이 노동자로서 어떻게 복지국가에 통합되어 가는지를 살펴보기 위함이었다. 일-가족양립정책의 노동권과 부모권이 국가차원에서 어떻게 구성되는지는, 돌봄을 둘러싼 젠더체계를 중심으로 돌봄의 사회화방식(탈가족화 탈상품화 가족화 상품화전략)을 통해서 살펴보았다. 실제로 영국과 스웨덴은 돌봄의 젠더체계를 기본으로 돌봄의 책임주체가 다르게 상정되면서, 돌봄의 사회화도 다른 성격으로 발전하였고, 이것이 여성과 남성의 노동권과 부모권에 주는 함의도 다른 결과를 가져온다는 것을 보여주었다. 특히 그 사회에서 여성을 노동자로 보는가, 혹은 돌봄자(carer)로 보는가는 돌봄의 사회화가 어떻게 발전되는가에 있어 중요한 출발점이었다. 돌봄이 사적문제로 한정되는 영국은 당연히 일과 가족의 양립문제는 개인과 시장이 풀어야 할 문제로 가치가 축소되었다. 스웨덴 사례는 돌봄의 사회적 가치가 합의된 상태에서 탈상품화를 통한 남성의 가족화와 탈가족화를 동반한 여성의 상품화 전략만이 실질적인 노동권과 부모권을 획득하는 수단이 될 수 있음을 보여주고 있다.

• 가정과삶의질연구
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• 제33권1호
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• pp.87-97
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• 2015

This study aims to examine how home child care allowance influences a mother's choice of child care type. To accomplish this goal, we surveyed 432 mothers who had at least one child under 5 years old. The data were analyzed by frequencies, percentages, means and binomial logistic regressions. The results showed that unemployed mothers and mothers with younger children had a high tendency to choose home child care allowance instead of child care subsidy. Second, mother's employment status, age of first child and an interactive term of mother's employment status and home child care receipt influenced a concordance between an ideal and actual child care type. Unemployed mothers and mothers with younger children were more likely to experience a concordance between their ideal and actual types of child care. By investigating how home child care allowance affects the right of choice in child care type, this study provides empirical information to policy makers and researchers and contributes to develop cash-benefit policies for families with young children.

• 한국사회복지학
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• 제58권2호
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• pp.223-249
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• 2006

본 연구는 남성 돌봄 노동참여 지원정책을 통해 경제협력개발기구 국가들을 유형화함으로써 세 가지 주목할 만한 결과를 도출하였다. 첫째, 남성 돌봄 노동참여 정책의 지원수준과 전통적 주 생계부양자 모형의 강도를 통해 OECD 15개국을 5개의 유형으로 구분하였다. 이러한 유형화는 탈상품화를 중심으로 복지체제를 유명화한 주류 복지국가의 분석과 달리 남성의 노동력의 가족화와 탈상품화를 준거로 분석했을 때 새로운 유형화의 가능성을 제시하였다는 점이다. 둘째, 합계출산율, 여성의 경제활동 참가율 지표에서 남성의 돌봄 노동참여 지원 수준이 높고, 전통적 주 생계부양자가구의 비율이 낮은 국가군일수록 합계출산율과 여성의 경제활동 참가율이 높은 것으로 나타났다. 셋째, 한국의 남성에 대한 돌봄 노동참여 지원 정책의 수준은 OECD 국가 중 가장 낮은 것으로 나타났다. 이러한 돌봄 노동에 대한 낮은 수준의 성간 공유가 결국 한국 여성의 낮은 경제활동 참가율, 저출산 현상을 설명하는 하나의 주요한 요인이 될 수 있다는 것이다.

• 대한간호학회지
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• 제24권2호
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• pp.190-205
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• 1994

Respect for human life and respect for human dignity are two basic values to which organized nursing has urged its members to adhere in their service to mankind. Thus it is the nurses’ duty to provide health care in support of sustenance of life and to pay respect for the patient’s right to dignity. In practice, however, nurses may experience dilemmas between these duties much due to the de velopment of modern advanced techniques. These dilemmas have become more complex and difficult to resolve. Nurses are often faced with situations in which the terminally ill refuse professional care, posing serious conflicts between respect for human life and respect for human rights to self-determination. In such cases, resolution of the problem is not a simple matter, thus requires intensive study into the ethical questions related to the situation. The purpose of this study was to identify ethical problems that nurses experience in caring for terminally ill patients and explore the ways to the resolution of problems within the context of the situations. The methodology used for the study was a case study method which ‘New Casuistry’ proposed by Jonsen & Toulmin(1988) and the ‘Specified Principlism’ proposed by Degrazia(1992) as an alternative to old deductive and intuitive method. Cases were developed through semistructured indepth interviews according to the casutistry method. A total of seven nurses were interviewd who were caring for therminally ill patients. Four cases out of a total 14 cases were related to the topic. Through the case analysis it became evident that nurses appreciated other values more often than respect for the patient’s right to self-determination. These other values were convenience and efficiency in nursing practice in case 1, preservation of life above all other values in case 2, provision of nursing care to fulfill the nurse’s professional obligation at most in case 3, and respect for the family’s demand against the patient’s wish in case 4. This study showed that the most important ethical problems were conflict between respect for the patient’s right to self-determination and sustenance of life for the fulfillment of professional obligation. For this problem, benefit /burden analysis from the perspective of the patient and family for the promotion of patient’s wellbeing may be a way to resolve the conflict. Further, through these analysis it was shown that physicians’ and families’ opinions dominated in the decision - making and the opinions of nurses’ and patients’ tended not to be reflected. Thus the patient's right to his or her care was not readily respected. To solve this problem. nurses should make efforts to communicate reciprocally with their patients, family members and physicians in an effort to respect for their patient’s rights to life and diginity from the point of view and values of the patient. It is also important that nurses provide good basic nursing care up to the time of death regardless of decisions about providing or not aggressive treat-ment for chronically and terminally ill patients.

• 성인간호학회지
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• 제25권3호
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• pp.344-355
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• 2013

Purpose: The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology. Methods: Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program. Results: Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is 'Rational accepted', which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs' restraints. Type II is 'Sardonic sensibility', which means that they have a negative and a cynical attitude to use of physical restraints. Type III is 'Ambivalent', which means that they have conflicts between rationality and emotion, and type IV is 'Practical claim of a right', which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints. Conclusion: The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients' safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers' subjectivity considering the Korean context.

• 한국생활과학회지
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• 제4권1호
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• pp.13-29
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• 1995

The purposes of this study are to investigate the characteristics of recognitions and attitudes of new generation family on the family life, and to help the family members of the new generation family to be able to adapt to the future family and society with the right senses and attitudes on the family life. Three-hundred married men and women who were less than 35 years old, and who continued marriage for less than five years were selected. The results of this study were as follow; 1) Types of family composition was mostly nuclear family, and got help from their parents in managing household work. 2) Most new generation family was more likely to share equal roles and rights in household affairs, decision making and ownership of real properties. 3) Most new generation family considered the personality and the sense of value as the most important conditions which their spouse must have. And they were affirmative to wives' employment. 4) Most new generation family wanted 2 children. And preferred showed that they did not care much about son preference. 5) Most new generation family showed strong sense of responsibility for taking care of their old parents. However, they showed independency of financial planning for later years. 6) In many ways of life, their recognitions and attitudes were progressive but their were conservative in practical life as the older generations did.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.69-79
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• 2023

Purpose: This study aimed to investigate the involvement of patients who died from hematologic neoplasms in the decision-making process surrounding the withdrawal of life-sustaining treatment (LST). Methods: A total of 255 patients diagnosed with hematologic neoplasms who ultimately died following decisions related to LST during their end-of-life period at a university hospital were included in the study. Data were retrospectively obtained from electronic medical records and analyzed utilizing the chi-square test, independent t-test, and logistic regression. Results: In total, 42.0% of patients participated in the decision-making process regarding LST for their hematologic neoplasms, while 58.0% of decisions were made with family involvement. Among these patients, 65.1% died in general wards and 34.9% in intensive care units (ICUs) as a result of decisions such as the suspension of LST. The period from the LST decision to death was longer when the decision was made by the patient (average, 27.15 days) than when it was made by the family (average, 7.48 days). Most decisions were made by doctors and family members in the ICU, where only 20.6% of patients exercised their right to make decisions regarding LST, a rate considerably lower than 79.4% observed in general wards. Decisions to withhold or withdraw LST were more commonly made by patients themselves than by their families. Conclusion: The key to discussing the decision to suspend hospice care and LST is respecting the patient's self-determination. If a patient is lucid prior to admission to the ICU, considerations about suspending LST should involve the patient input.

• 한국생활과학회지
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• 제9권3호
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• pp.257-270
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• 2000

Poor children are a field of causing of various Issues and become a subject of sympathy, concern and anger, against adult's poor such as sleeper outdoors and unemployed to be made a subject of discussion. This study has theoretically investigated the poverty concept, family trait around poor children. And also for understanding the above status, poverty circumstances have been focused children family and shelter-care children. The conclusions are as follows. First, the family of children head was formed with children under fifteen years of age. It was reported that solo families were 26.4% and living together families with relatives were 64.7%. As status of producing causes, parents death was shown the most rate as 49% and abscondence or missing was 31.9%. Second, In the shelter-care aspect, the highest case is a parents-divorce with 42.5%, while children-head case is just shown 0.5%. Therefore, in a child right viewpoint, it needs more systematical/long-range study on children poverty, and some policies for protecting the poverty-children must be established in social policy.

• 한국사회복지학
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• 제57권4호
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• pp.291-319
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• 2005

본 논문은 성 통합적 관점에서 가족정책의 재구조화에 대한 논의를 전개함으로써 몇 가지 주목할 만한 결론에 도달했다. 첫째는 가족정책의 관점이 노동하는 주체의 관점에 섰을 때 일과 가족 양립의 문제가 특정한 성의 문제가 아닌 보편적 시민의 문제가 된다는 점이다. 즉 허구적 믿음에 근거한 공 사적영역의 분리를(성별구분 없이) 노동하는 주체의 관점에서 통합시킬 때 공적가치인 정의의 문제와 사적가치인 보살핌의 대립이 해소될 수 있다는 것이다. 둘째는 노동주체로서 남성과 여성의 통합성과 현실적 문제로써 여성과 남성의 차이에 근거한 '이해'의 상이함을 반영하기 위해서는 가족정책의 틀은 가족 구성원이 노동하는 장소에 따라 구분해야 한다는 것이다. 셋째는 가족정책의 틀에 따라 가족정책을 가족영역과 시장영역으로 나누었을 때 가족정책의 내용은 가족구성원이 노동권과 가족권을 실현하는데 장애가 되는 요인들을 완화 제거하는 정책이어야 한다는 것이다. 마지막으로 가족정책의 방향은 여성과 남성이 생계부양과 보살핌의 책무를 함께 나누게 하는 것이다. 이는 노동하는 주체의 관점에서 허구적인 공 사적영역의 분리를 통합시켜 내는 것으로, 궁극적인 가족정책의 지향점이라고 할 수 있는 보편적 일과 가족 양립을 실현하는 길이라는 것이다.

• Journal of Hospice and Palliative Care
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• 제15권2호
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• pp.108-111
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• 2012

손으로의 전이성 암은 드문 질환으로 환자를 진료함에 있어 간과되기 쉽다. 간세포성 암종 환자에서 손으로의 전이는 지금까지 전세계적으로 5예가 보고되고 있으며, 이 논문에서는 간세포성 암종의 우측 4번째 손가락으로의 전이를 보고하고자 한다. 환자는 통증과 부종을 호소하였으며 보존적 치료에도 증상이 점차 악화되어 절단 수술을 받고 증상이 호전되었다. 이 보고는 진료의사들이 암환자의 손에 병변이 관찰될 때 전이성 암의 가능성을 염두에 두고 접근하여 증상 조절을 해야 한다는 것을 시사한다.