• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.15-23
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• 2011

Long-term care Insurance system for the Elderly was started to respond to the aged society on July 2008 in Korea. So responsibility of the care for the old is being changed from the family to the society. The introduction of that insurance system has brought the growth of demand for care service. To improve the level of quality for care service providers in long-term care, the role of care worker in providers is recognized as important. But welfare system for the care worker seems to be poor. So the Seoul Metropolitan Council is preparing an ordinance for the care worker and the purpose of this study is for the ordinance as well. Questionnaires, interviews, documentary surveys were used to carry out this study. The results of this study are summarized as follows. The job stability is the most important thing for the care worker, so local government has to make efforts to promote the job stability of care worker. A welfare center for care workers is needed for the health for care workers in the local government. And the local government has to supervise service providers more strictly and evaluate them in treatments of care worker.

• 가정∙방문간호학회지
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• 제12권1권
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• pp.70-91
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• 2005

Purpose: Long-term care facilities have a responsibility to provide care service that enables residents to maintain their maximal functional capacity and quality of life. Also their needs must be reflected to the service programs. In oder to provide an adequate service, we should assess the elderly's physical, psychological and social health status and the need. In addition to this, the long-term care facilities must be defined clearly by the type of services. This study would contribute to conduct appropriate services in public long-term care policy for the older population in the future. This study would provide informations of long-term care facilities' services and older persons' needs for long-term care. Method: To achieve this objectives, this paper investigates the types, service programs of long-term care institutes and job descriptions of workers. The subjects were consisted of 150 long-term care institutes. 150 institutes of long-term care facilities were drawn from all over the country by a nonrandom, convenience sampling. The data were analyzed by frequency, percentage, $x^2$-test using SPSS program. The instruments of this study were self-reported questionnaires for long-term care institutes. The data were collected from March 1, 2004 to may 31, 2004. Results: Service programs of long-term care institutes were not enough for residents' demands. The job descriptions among nurse, social worker and physical therapist were not clearly defined. The nurse's main role was medication and checking vital sign(49.7%), that of social worker's was observation and supervising (31.2%). The most significant problems were lacking of diverse service programs for residents. Conclusion: Considering these findings and conclusion, the needs of long-term care services should be provided by individual physical and psychological level. And the professional manpower for elderly should be educated in multi disciplines.

• 보건행정학회지
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• 제30권1호
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• pp.92-99
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• 2020

Background: The purpose of this study is to analyze the effect of the income support allowance policy for the care workers on wage level. Methods: The analysis data was constructed using database (DB) of long-term care institution, DB of long-term care personnel status, and DB of health insurance qualification and contribution possessed by National Health Insurance Services. We analyzed the wage status of care workers 2009 to 2016 through basic analysis. We used the difference-in-difference analysis method for the workers who worked in the same institution from 2012 to 2013, The effects of the income allowance policy on wage increase were analyzed. Results: As a result of the net effect of the income support allowance policy, the monthly average wage of the care worker increased by 25,676 won and the hourly wage increased by 478 won. As a result of the analysis, it can be confirmed that the income support allowance policy has achieved some of the goals of raising the wage level of the care workers, and the effect of raising wages for other occupations in the long-term care business can be confirmed. Conclusion: The low wage problem of long-term care workers such as care workers is not the only problem in Korea. In other countries, there are various wage support policies for employees. In particular, it is necessary to refer to the improvement in the treatment of care workers in Japan and wage pass-through in the United States. In addition to wages, there is a need to promote policies to provide employment motivation through efforts to improve their social status and improve their job status and career development for employees in long-term care facilities.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권8호
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• pp.569-576
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• 2019

본 연구는 재가요양보호사의 직무스트레스와 이직의도와의 관계에서 직업의식 매개효과를 검증하고, 그 결과를 기초하여 재가요양보호사의 이직의도를 감소시키려는 목적으로 수행하게 되었다. 연구대상은 서울·경기지역에서 일하고 있는 재가요양보호사 447명을 대상으로 하였다. 연구목적을 위해 자료분석은 SPSS 통계패키지를 활용하여 기술분석과 상관관계 분석 및 다중공선성 확인 후 매개효과를 검증하였다. 분석결과 첫째, 재가요양보호사가 연령이 낮고, 월가구소득이 높을수록 이직의도가 높을 것으로 나타났다. 둘째, 재가요양보호사가 직무스트레스를 높게 인식할수록 이직의도가 높아지는 것으로 나타났다. 셋째, 직업의식이 높을수록 이직의도는 낮게 나타났다. 넷째, 재가요양보호사의 직무스트레스는 직업의식을 부분 매개하여 이직의도에 통계적으로 유의미한 영향을 주는 것으로 나타났다. 이상의 결과를 토대로 재가요양보호사의 이직을 예방하고 노인돌봄 서비스의 질을 향상시키기 위한 임상적·정책적 실천에 대한 제언을 하였다.

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.172-184
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• 2014

본 연구는 Q방법을 활용하여 현행 우리나라 노인 장기요양인력 양성체계에 관하여 다양한 이해관계집단의 구성원들이 갖는 주관적인 인식을 찾고, 인식 유형별 특성 등 논의과정을 통해 현행 노인 장기요양인력 양성체계와 관련한 사회복지적 함의를 찾고자 하는데 있다. 노인 장기요양인력 양성체계에 관한 인식 연구 결과, 기존 인력의 재교육을 강조하는 유형(유형1: 재교육 강조형), 공공서비스 제공자로서 윤리의식을 강조하는 유형(유형2: 전문직 윤리지향형), 실기 실습 중심의 교육을 강조하는 유형(유형3: 실기 실습 중심 교육지향형), 정부의 정책 판단의 중요성 등 공공부문의 역할을 강조하는 유형(유형4: 정부의 정책 판단 강조형), 그리고 장기요양 수급자의 증가에 따른 인력 수요를 강조하는 유형(유형5: 장기요양 수요 강조형) 등 다섯 가지 유형으로 나타났다. 또한 본 연구에서는 Q연구가 갖는 일반화의 한계를 보완하기 위한 양적 접근방법이자, 도출된 Q유형의 신뢰도와 타당도를 높이기 위한 Q사정도구로서 Q블록을 개발하였고, Q유형과 Q사정도구를 활용한 조사 결과에서는 높은 일치도를 나타내 보였다.

• 가정∙방문간호학회지
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• 제23권2호
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• pp.155-165
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• 2016

Purpose: The purpose of this study was to investigate factors influencing health workers' infection management behavior in long-term care facilities. Methods: A descriptive cross-sectional survey was conducted with 180 health workers who are employed in long-term care facilities. The data were collected from April, 25 until July, in 2016. Results: Infection management behavior positively correlated with the perceived importance of infection management (r=.77, p<.001), but role conflict negatively correlated with infection management behavior (r=.28, p<.001). The hierarchical regression model with general characteristics (first step) and perceived importance of infection management, work environment, and role conflict (second step) against infection management behavior was statistically significant (F=31.93, p<.001). This model could explain 62.8% of infection management behavior ($R^2=.62$, ${\Delta}R^2=.39$). Particularly, perceived importance of infection management was identified as factors influencing infection management behavior(${\beta}=.70$, p<.001). Conclusion: The findings of this study imply that systemic education about infection control and monitoring should be considered, so as to encourage proper infection management behaviors among health workers in long-term care facilities.

• 한국융합학회논문지
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• 제11권3호
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• pp.237-244
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• 2020

초고령사회에 진입한 일본은 의료 및 복지에 대한 수요증가에 대응하기 위해서 정부의 다양한 정책적 방안들이 논의되고 있다. 특히 개호인력 확보 및 인력양성을 위해 일본정부와 지자체가 1) 인프라 구축, 2) 개호복지사 수학자금 등 대출제도, 3)외국인 유학생 개호인력유입 등 다양한 방면으로 전문 인력 확보 대책을 추진하고 있다. 또한, 교육기관인 대학에서도 커뮤니티케어 교육연구센터를 설립하여 의료, 복지, 교육에 관한 전문인재 육성의 질적 향상을 도모하고, 직업교육을 통해 개호전문인력을 지속적으로 육성하고 있다. 한국도 급속한 고령화와 의료기술의 진보 등 보건의료를 둘러싼 환경이 크게 변화하면서 고령자에 대한 개호 수요가 증가할 것으로 전망되고 있다. 개호요구의 급증에 비해 노동 인구의 감소로 심각한 인력부족을 겪고 있는 일본의 선 경험에 비추어 보건인력 확보에 대한 정책방안의 논의가 이루어져 할 것이다.

• 한국치위생학회지
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• 제15권2호
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• pp.245-251
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• 2015

Objectives: The purpose of this study is to evaluate the oral health awareness and oral health care provided by workers in the long-term elderly care facilities. Methods: A self-reported questionnaire was completed by 213 workers in long-term elderly care facilities. The questionnaire consisted of general characteristics, oral health awareness, oral health behavior, oral health knowledge, oral health care professionals, oral health care, oral health care improvement, and denture care. Except the incomplete answers, 200 data were analyzed by the statistical software of SPSS WIN 18.0. Results: Highly educated people tended to have higher oral health awareness. The workers in the facility maintained the oral health care but they suggested that dental professionals are needed. Conclusions: It is necessary to suggest the oral health care management by dental professionals.

• 가정∙방문간호학회지
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• 제27권1호
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• pp.5-15
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• 2020

Purpose: To identify the relationship between care worker's awareness of human rights and the compliance of caring behaviors among long-term care workers, and to identify factors affecting compliance with caring behaviors. Methods: Using self-report questionnaires, data were collected from 153 long-term care workers between October 4th and October 20th, 2019. Collected data were analyzed using the SPSS/WIN 26.0 program. Results: The data indicate a difference in awareness of human rights according to: the careers of care workers, the possession of other health care-related licenses, and the perceived needs of human rights education. The data also indicate a difference in the compliance of caring behaviors according to: gender, family care experience, and dementia care experience. The factors influencing compliance of caring behaviors, according to the study, are gender (β=.19, p=.009), family care experience (β=.19, p=.023), and human rights (β=.38, p<.001). It was found that 23% could explain the compliance of caring behaviors. Conclusion: Long term care workers were found to have a higher level of the compliance of caring behaviors as their awareness of human rights increased. In order to increase the compliance of caring behaviors among long-term care workers, more educational programs on human rights should be provided.

• 한국산학기술학회논문지
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• 제22권3호
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• pp.476-484
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• 2021

본 연구에서는 요양보호사의 인간중심케어와 직무만족, 감정노동, 서비스 질 간의 관계를 분석하였다. 연구대상 및 조사방법은 전국의 장기요양시설에 근무하는 요양보호사 460명을 대상으로 자기 기입식 설문지를 활용하였다. 연구모형에서 독립변수는 인간중심케어, 매개변수는 직무관련 감정노동(표면행위, 내면행위)과 직무만족, 종속변수는 서비스질로 구성하였다. 모형의 적합성과 서비스 질에 영향을 미치는 각 요인들의 직접효과 및 간접효과를 검증한 결과 모형의 적합도는 적합한 수준이었고, 감정노동 중 내면행위가 서비스 질에 영향을 미치는 중요한 변수임을 알 수 있었다. 특히, 감정노동은 인간중심케어의 가치와 서비스 질에 매우 큰 영향을 미치고 있어 중요한 매개변인 역할을 한다는 것을 확인할 수 있었다. 또한, 인간중심케어가 감정노동을 매개로 하여 서비스 질에 영향을 미치는 총 효과는 통계적으로 유의미한 것으로 나타났고, 내면행위와 서비스질의 관계는 정(+)적 상관관계를 보인 반면, 표면행위와 서비스질의 관계는 부(-)적 상관관계를 갖고 있음을 확인할 수 있었다. 위의 연구 결과를 토대로 인간중심케어에 있어서 요양보호사들의 감정노동과 서비스 질에 대한 임상적, 학문적 관심을 환기시킬 필요가 있음을 제안하였다.