Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Development of an Ecological Model to Improve Health Care Management for Children in Child Care Centers

보육시설 아동의 건강관리향상을 위한 생태학적 모형 개발

  • Received : 2013.01.14
  • Accepted : 2013.01.21
  • Published : 2013.01.31
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Abstract

Purpose: This study was conducted to identify current health care management and barriers in health care management according to ecological systems, and to develop an ecological model for enhancing health care in child care centers. Methods: Focus group interviews were conducted with directors and teachers of child care centers, and with parents of children enrolled in child care. Data were analyzed by the latent content analysis method. Results: Twelve categories of health care management were identified. Barriers to child health care included knowledge deficit and lack of competence in health care by teachers, lack of useful health care manuals, non-existence of professional child health care personnel in child care centers, lack of mutual information sharing and disagreement on child health conditions between child care personnel and parents, lack of specific health related child care inspection criteria and time flexible child care centers with a lack of policy on collaboration with health care facilities. The ecological model developed included specific strategies to improve health care management in child care. Conclusion: The proposed ecological model to improve child health care management should be useful to plan future health care program considering both the immediate and indirect social environment surrounding children in child care.

목적 보육시설 내 아동건강관리 현황 및 생태학적 모형의 체계에 따른 아동건강관리 장애요인을 확인하고 보육시설 아동건강관리 향상을 위한 생태학적 모형을 개발하는 데 있다. 방법 포커스 그룹 연구방법을 적용하였으며, 서울특별시 S구 소재 보육시설 중 재원아동 70명 이상의 국공립, 법인 및 민간 어린이집의 원장, 보육교사, 보육아동 부모, 3개 집단 총 22명을 대상으로 3차에 걸친 포커스 그룹 면담을 실시한 후 잠재적 내용분석법을 활용하여 분석하였다. 결과 보육시설 내 아동건강관리 현황으로는 '발달상태확인', '건강행위훈련' 등 12개 범주가 확인되었다. 생태학적 체계에 따른 보육시설 내 아동건강관리 장애요인으로는 질병관리에 대한 지식부족, 갑작스런 사고에 대한 미숙한 대처, 아동건강관리 전문인력의 부재, 유용한 건강관리 매뉴얼의 부족, 발달 및 건강에 대한 보육시설-부모 간 의견차이, 자녀건강관리에 대한 부모의 과도한 위임, 건강관리와 관련된 보육시설평가인증 항목의 부족 등 총25개 범주가 확인되었다. 결론 본 연구에서 제시된 보육시설 아동건강관리 향상을 위한 생태학적 모형은 보육아동을 위한 건강관리에 직 간접적으로 영향을 미치는 생태학적 체계의 요인을 고려한 프로그램 및 정책 개발 시 유용한 자료로 활용될 수 있을 것으로 사료된다.

Keywords

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