• Title/Summary/Keyword: 가족의사결정

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A Study on Application of Family Group Conferencing Model in Korean Child Protection: Focus on Family Group Conference in New Zealand (한국 아동보호체계에 있어서의 가족의사결정모델 적용가능성에 관한 연구: 뉴질랜드의 패밀리그룹컨퍼런스 제도를 중심으로)

  • Jung, Eun-Jue
    • Journal of the Korean Society of Child Welfare
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    • no.27
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    • pp.7-35
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    • 2008
  • The model of family decision-making in child protection has been widely discussed and adopted in many countries. The purpose of this study was to introduce the model and, then, investigate whether this process is applicable in child care and protection services in Korea. The main goal in the study has been to explore the philosophical and practical foundations of the family involvement approach in decision-making and describe the international applications of the model. Family group conferencing, originally developed and enacted in New Zealand, has been critically examined. The potential contributions of the study may include seeking a more effective intervention for child protection through determining whether the model is appropriate or desirable in issues of philosophy, practice and policy within the Korean culture.

중국 가족에서의 여성의 지위: 6개 도시와 농촌 지역을 중심으로

  • Song, Yu-Jin
    • Korea journal of population studies
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    • v.28 no.1
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    • pp.203-233
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    • 2005
  • 기존 연구에 의하면 중국 여성의 사회적 지위는 높게 평가된다. 그러나 실증적인 자료에 근거하여 이루어진 중국 여성의 가족 내 지위에 대한 연구는 매우 부족하다. 이 연구는 중국 여성의 지위에 대한 균형적인 시각을 얻기 위하여 가족 내 여성의 지위를 알아보고자 한다. 가족 내 여성의 지위를 파악하기 위하여 아버지의 자녀 양육과 자녀교육 관련 의사결정 과정에의 참여를 중심으로 성역할 분담을 살펴보았다. 이를 위하여 6개 도시 지역과 농촌 지역에서 수집된 자료의 통계 분석와 상해 산동 지역에서의 포커스 그룹 인터뷰가 통합적으로 이용되었다. 연구의 결과는 다음과 같다. 첫째, 지역에 관계없이 중국 사회에서 자녀 양육의 주책임은 어머니에게 있다. 둘째, 아버지들은 자녀 양육 활동보다 의사결정 과정에 더 높은 참여율을 보인다. 셋째, 아버지의 자녀 양육 참여율은 농촌에 비해 도시 지역에서 높게 나타난다. 반면, 의사결정의 경우는 도시에 비해 농촌 지역 아버지들의 참여율이 더 높다. 넷째, 전통적인 성역할 구분에 대한 가치관도 도시와 농촌 지역간에 차이가 있다. 결과적으로 중국 가족 내 여성의 지위는 지역별로 차이가 있는 것으로 보이며, 중국 가족에서 자녀 양육 책임이 동등하게 분담되지 않아서 여성의 이중부담이 큰 것으로 생각된다.

Perception about Shared Decision Making of Family Caregivers of Early Dementia Patients: A Qualitative Content Analysis Study (초기 치매환자 가족 돌봄제공자의 공유 의사결정에 대한 인식: 질적 내용분석 연구)

  • Kim, Yun-Jae;Song, Jun-Ah
    • 한국노년학
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    • v.38 no.3
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    • pp.501-519
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    • 2018
  • The purpose of this study was to explore perception about shared decision making of family caregivers of patients with early dementia (PWED). This study was conducted with a sample of 12 family caregivers (mean age = $71.4{\pm}10.4$) of PWED from three dementia safety centers in Seoul. In-depth interviews were done for each participant about shared decision making and data were analyzed using qualitative content analysis. Six categories and 17 sub-categories identified for participants' perception about shared decision making: means to facilitate communication with patients with dementia, means to secure autonomy of patients, opportunity to facilitate treatment, cause of increasing family caregivers' burden, cause of worsening relationship with patients, and option for choices depending on priority change. The findings of this study can provide a knowledge basis for health care professionals and policy makers to understand how family caregivers of PWED think about shared decision making. It would be of great value to develop educational programs and practical guidelines about shared decision making for PWED and their family, which may contribute to respecting PWED's self-determination right as well as reducing burden of their family.

Influential Variables on the Husbands' Authoritarian Communication (남아의 권위주의적 의사소통 관련변인)

  • 김순옥
    • Journal of Families and Better Life
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    • v.13 no.1
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    • pp.157-167
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    • 1995
  • 본 연구는 평등한 부부관계로의 변화를 요구하는 현대사회에서 부인과의 대등하고 민주적인 의사소통을 저해하고, 부인의 정신.신체증상 호소라든가 가족문제를 야기시키는 한국남편의 전형적인 권위주위적 의사소통에 대한 관련변인을 밝혀내어 부부간의 민주적인 관계형성을 도모하고자 하는데 기초자료를 제공하기 위하여 수행되었다. 서울시에 거주하는 328쌍의 부부를 대상으로 남편의 권위주의적 의사소통에 대한 관련변인을 살펴본 결과 개인적 변인으로 자아존중감 성역할태도, 부부간의 변인으로 부부간의 의사결정권, 부부간의 학력차, 부부간의 연령차, 가족환경적 변인으로 남편의 성장가족에서 친부의 권위주위적 행동, 주관적인 사회계층이 통계적으로 유의미하였으며, 개인적 변인, 부부간의 변인, 가족환경적 변인은 남편의 권위주의적 의사소통의 전체분산 중 14.5%, 11.3%, 11.5%를 각각 설명해 주고 있다. 개인, 부부간, 가족환경 변인을 모두 고려하였을 때는 자아존중감, 부부간의 의사결정권 친부의 권위주의적 행동, 성역할 태도, 부부간의 학력차가 통계적으로 유의미하였으며, 이들 변인은 남편의 권위주의적 의사소통의 전체분산 중 25.2%를 설명해 주고 있다.

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Surrogate and Shared Medical Decision Making for Unrepresented Patients (의료행위에 대한 동의에서 환자 보호자의 법적 지위와 역할 - 대행결정권과 공동의사결정을 중심으로 -)

  • Kim, SooJeong
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.43-82
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    • 2019
  • In Korea surrogate medical decision makings happen without legal grounds. The purpose of this article is to research the issues in preparing policies for decision-making on behalf of unrepresented patients. As aspects of comparative law, there are two approaches. One of them is to regulate default surrogate list. If no agent or guardian has been appointed, some legislatures provide that members of patient's family who is reasonably available, in descending order of priority of not, may act as surrogate: (1) the spouse, unless legally separated; (2) an adult child; (3) a parent; or (4) an adult brother or sister. If none of them is eligible to act as surrogate, some legislatures allow close friends to make health-care decisions for adult individuals who lack capacity. On the other hand there are other legislatures which provide no surrogate decision maker list but oblige the responsible authority to determine with advice of family members or friends of the patient. In the end the first approach can not guarantee that the surrogate decision maker like family members or friends will determine in the best interest of the patient.

Effects of the Personal Space the Psychological Distance and the Communication between Adolescent Children and their Parents on Family Cohesion and Adaptability (부모.청소년자녀간의 대인거리.심리적거리.의사소통이 가족의 응집성과 적응력에 미치는 영향)

  • 서병숙
    • Journal of Families and Better Life
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    • v.12 no.1
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    • pp.104-116
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    • 1994
  • 본 연구에서는 청소년기 자녀들이 가족의 응집성과 가족의 적응력을 어떻게 지각하 고 있는가를 실증적으로 살펴보고자한다. 연구결과 첫째 부모와 청소년 자녀간의 대인거리, 심리적거리, 의사소통개방성은 부모의 연령, 자녀의 성별, 재학부별에 의하여 부모와 자녀관 계를 상당한 정도로 예측할 수 있다. 둘째 부모와 청소년 자녀간의 의사소통은 자녀들이 지 각하는 가족의 응집성과 적응력에서 가장큰 영향력을 보인다 이는 청소년 자녀가 있는 가족 의 정서적 유대감과 변화대처능력은 부모와의 대화가 결정적으로 중요하고 자녀와의 갈등이 나 문제해결에 있어 부모와 자녀간의 대화가 결정적으로 중요하고 자녀와의 갈등이나 문제 해결에 있어 부모와 자녀간의 대화가 일차적인 기능을 하게 됨을 반영한다. 셋째 부모와 청 소년 자녀간의 의사소통 중에서도 특히 부와의 의사소통이 가장 큰 영향력을 미치는 것으로 보아 변화의 시기인 청소년기 자녀의 성장과정에서 아버지의 역할이 강조된다.

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A Study on Differentiated Conflict-Inducing Factors Toward Family Travel Apart From Decision-Maker and Family members (가족관광시 의사결정자와 가족구성원과의 갈등유발요인 차이에 관한 연구)

  • Chae, Ye-Byeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.7
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    • pp.2436-2443
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    • 2010
  • The present study aims at investigating conflict-raising factors generable for or during a familial travel in our country, with an outlook that understanding of such conflict raisers in an analytic manner be utilized as the basic data for research on travel behaviors. More specifically, key focus in this study was made on the aspect of tourism science, to wit, how sort of conflict inducers existent between a decision maker of a family and its constituents during outdoor travel of that family vary with familial life-cycle in terms of the tourist behavior theory. Such research attempts are likely, firstly, to offer some clues to invigorate inter-communicability among familial stakeholders in determining the travel intention. Secondly, such attempts also expectedly provide better trustability among family members affordable from converged opinions by familial stakeholders. Thirdly, the predictive recognition of factors inducing familial conflicts in a detailed manner is deemed to lead to reduced trial and error in determining decisions among family members.

Types of Shared Medical Decision Making for Terminally Ill Patients (말기 환자의 공유 의료적 의사결정에 관한 의료인의 인식 유형)

  • Jo, Kae Hwa;Kim, Gyun Moo
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.278-288
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    • 2014
  • Purpose: The purpose of this study is to analyze types of shared medical decision making by health professionals in a decision making position. Methods: The Q-methodology was used. Q sample was constructed with a total of 35 Q-statements that were offered with a 9-point rating scale. The statements were structured to generate answers that would form a shape of a normal distribution. Answers to Q sample were analyzed using a QUANL PC program. Results: Four types of shared medical decision making were identified. Type I is patient-centered decision making, Type II is physician-centered, Type III is health professional-centered and Type IV is patient-family-centered. Conclusion: Study results indicate that it is recommended to develop an education program based on the four types of shared medical decision making so that health professionals can be provided with different approaches according to their decision making style.

Product Family Design based on Analytic Network Process (Analytic Network Process에 기초한 제품가족 디자인)

  • Kim, Tai-Oun
    • Journal of Intelligence and Information Systems
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    • v.17 no.4
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    • pp.1-17
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    • 2011
  • In order to maintain customer satisfaction and to remain productive and efficient in today's global competition, mass customization is adopted in many leading companies. Mass customization through product family and product platform enables companies to develop new products with flexibility, efficiency and quick responsiveness. Thus, product family strategy based on product platform is well suited to realize the mass customization. Product family is defined as a group of related products that share common features, components, and subsystems; and satisfy a variety of market niches. The objective is to propose a product family design strategy that provides priority weights among product components by satisfying customer requirements. The decision making process for a new product development requires a multiple criteria decision making technique with feedback. An analytical network process is adopted for the decision making modeling and procedure. For the implementation, a netbook product known as a small PC which is appropriate for the product family model is adopted. According to the proposed architecture, the priority weight of each component for each product family is derived. The relationship between the customer requirement and product component is analyzed and evaluated using QFD model.

Types of Perception toward End-of-Life Medical Decision-making of Clinical Nurses: Q-Methodological Approach (말기환자의 의료적 의사결정에 관한 임상간호사의 인식: Q 방법론적 접근)

  • Jo, Kae-Hwa;Kim, Yeon-Ja;Sohn, Ki-Cheul
    • Journal of Hospice and Palliative Care
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    • v.15 no.1
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    • pp.18-29
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    • 2012
  • Purpose: We analyzed how clinical nurses in Korea perceive terminally ill patients' medical decision-making. Methods: The Q-methodology which analyzes the subjectivity of each item was used. We selected 34 Q-statements among those provided by each of 37 subjects and grouped them into a shape of normal distribution using a 9 point scale. The collected data were analyzed using a QUANL PC program. Results: Four types of perception toward medical decision-making were identified. Type I focuses on patient participation, and Type II emphasizes the role of health professionals. Type III is characterized by an open-minded culture toward death, and Type IV values the role of family members. Conclusion: The results of this study indicate the need for development of a multi-disciplinary curriculum medical decision-making and death for medical and nursing students.