• Title/Summary/Keyword: 가족의사결정

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Perceptions of Caregivers and Medical Staff toward DNR and AD (Do Not Resuscitate (DNR)와 Advance Directives (AD)에 대한 환자 보호자와 의료인의 인식)

  • Lee, Sun Ra;Shin, Dong-Soo;Choi, Yong-Jun
    • Journal of Hospice and Palliative Care
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    • v.17 no.2
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    • pp.66-74
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    • 2014
  • Purpose: This study is aimed to investigate perceptions of caregivers and medical staff toward do not resuscitate (DNR) and advance directives (AD). Methods: Participants were 141 caregivers and 272 medical staff members from five general hospitals. A questionnaire used for the study consisted of 20 items: 14 about DNR perceptions, three about AD, one each for age, gender and employment. Results: Both medical staff and caregivers strongly recognized the need for DNR and AD, and the level of recognition was higher with medical staff than caregivers (DNR ${\chi}^2=44.56$, P=0.001; AD ${\chi}^2=16.23$, P=0.001). The main reason for the recognition was to alleviate sufferings of patients in the terminal phase. In most cases, DNR and AD were filled out when patients with terminal conditions were admitted, and patients made the decisions by consulting with their guardians. Medical staff better recognized the need and for growing demand for guidelines for the DNR and AD decision making process than caregivers (${\chi}^2=7.41$, P=0.0025). Conclusion: This study showed that patients highly rely on their caregivers when making decisions for DNR and AD. Thus, it is important that patients and caregivers are provided with objective information about the decisions. Since participants' strong support for DNR and AD was mainly aimed at alleviating patients' suffering, further study is needed in the association with hospice care. Medical staff also needs to understand the different views held by caregivers and fully consider the disparity when informing patients/caregivers to make the DNR and AD decisions.

The Meaning for Marriage Migrant Women to have College Experience (결혼이주여성의 전문대학 학습경험 의미)

  • Baek, Eun-Sook;Han, Sang-Kil
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.179-199
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    • 2017
  • This research was conducted in a phenomenological method to explore what the meaning for marriage migrant women to have college experience is. In other words, It is to find out what the motivation for them to enroll the college is and what the experience of studying in college implies. Also, figuring out how the expectation for life after the college experience is built up structurally is the purpose of the research. To ensure the qualitative warranty of the research, the participants are selected by "Sampling and Data Collection Strategy" suggested by Miles & Huberman (1994); and those selected participants are six marriage migrant women in urban-rural area with 10~18 years of residence period. The information for this research had been collected by in-depth and additional interviews along with observation towards these six participants. The result is the following. First, the motivation for them to enroll the college is; to realize of one's dream, to have confident parental model, to pursuit stabilized domestic economy, to have a professional occupation, and to make it as a mean of searching one's career path. Second, the experience of studying in college implies; enhancing communication ability, establishing self-image in the family and its relationship, having confident in raising children, enhancing healthy living of family, enhancing human relations, and lifelong learning person through set of learning. Third, the structure of how it build the future life is; having independent life pursuing stable living economically, living as a confident Korean by pursuing the value of learning and having a life of human being.

A Trend analysis of the teacher recruitment examination for secondary Home Economics subject - From 2009 to 2016 - (중등 가정교과 임용시험 문항의 출제 경향 분석 - 2009학년도부터 2016학년도까지 -)

  • Baek, Min-kyung
    • Journal of Korean Home Economics Education Association
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    • v.29 no.2
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    • pp.53-66
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    • 2017
  • The aim of this research is to analyze the items of the Secondary School Teacher's Placement Test(SSTPT) which was submitted for 8 years from 2009 to 2016 according to' detailed criteria of SSTPT'. The results of this study are summarized as follows. First, according to the analysis of items which were covered for the last 8 years, it was found that there was little difference between the evaluation area, the evaluation content elements, and the questionnaires since the questions presented in the 12 items of 12 evaluation areas and 42 of 43 evaluation contents. Second, each of the items in the 8-year questionnaire are as follows. Home economics and education 93 times (32.7%), dietary life 43 times (15.2%), family life 41 times (14.4%), clothing 41 times (14.4%), housing life 34 times (12.0%), consumer life 31 times (11.3%). This shows that there is not a large difference between the basic curriculum subjects of the content education and the ratio of question items. Third, the content elements of evaluation categorized by frequency of questionnaires for 8 years are as follows. Home economics and education mainly covers 'the methodology of teaching and learning,' Family life, 'human development,' Consumer life, 'the understanding of household economics and financial management' and 'consumer decision making,' Dietary life, 'cooking principle and practice' and 'management of dietary life,' Clothing life, 'clothing and household goods production,' Housing life, 'the understanding if residential living.' Based on these results, all the areas set in the evaluation area and content should be treated equally, and qualitative item analysis is necessary from a microscopic point of view.

Study on Divorce Caused by Extramarital Relationship : Content Analysis on TV Drama : "Couples Clinic: Love or War" (혼외관계를 사유로 하는 이혼에 관한 연구: 드라마 "부부클리닉 : 사랑과 전쟁"의 내용분석을 중심으로)

  • Yang, Ok-Kyung;Lee, Ki-Yeon;Park, Ji-Young;Lee, Hyun-Young;Kim, Eun-Sil
    • Korean Journal of Social Welfare
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    • v.57 no.3
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    • pp.165-194
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    • 2005
  • This study is to explore how TV drama describes divorce process by the reason of extramarital relationship in the drama. To explore this subject, 30 drama synopses delineating extramarital relationship were analyzed. The results revealed that most of the couples had difficulties in emotional relationship and communication. The couples relationship was described traditionally patriarchal: husbands showed their authorities and wives showed dependency on their husbands. The partners of extramarital relationship were the lovers before current marriage. The patterns of extramarital relationship included 'intention to look for vitality despite satisfying current marriage' for the husbands and 'intention to avoid dissatisfied current marriage temporally' or 'to maintain marriage despite dissatisfaction' for the wives. For those who married 6 years and longer, more extramarital relationship was accepted as a terminator of the marriage. And in many cases, the divorce dose not mean to maintain the relationship with extramarital partner but to collapse of trust in partner. The results imply that the social work needs to be more sensitive to middle-class couples' communication and relationship problems. This will lead to the development of the social work intervention program for the couples.

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Education for Talent and Aptitude Development and Leisure Satisfaction of Middle School Students (중학생의 특기ㆍ적성 교육 활동 참여 실태와 여가 만족)

  • 김경애;정난희;모은자
    • Journal of Korean Home Economics Education Association
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    • v.15 no.2
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    • pp.1-19
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    • 2003
  • The study has examined the relationship between the middle school students´ after school activities and leisure satisfaction to provide the opportunity of making good use of leisure time and of developing students´ latent talent and aptitude. The research finding are as follows : 1. Based on socio-demographic variables. the female students had more rates of participation in talent and aptitude educational activity than male students. The number of the students from rural areas was much bigger than that of cities such as Gwangju or other big cities in Chonnam. But the students whose parents made a lot of money showed less interest in participating talent and aptitude educational activities. 2. Based on the research of socio-demographic variables, students from counties or smaller areas showed more satisfaction than Gwangju in leisure satisfaction among the six subordinate categories. 7th graders were more satisfied in educational and environmental leisure activities than 8th or 9th graders. Moreover. as the family income is higher and as the father´s educational level is higher. satisfaction rate from leisure activities came out to be higher 3. In regard to satisfaction they get from their leisure activities, it was comparatively high when they had the activities voluntarily as their hobbies or for fun. Some students regarded it as their chances for the next step and they were really satisfied, too. And also the period of time was one of the factors that affected students´ satisfaction. They were satisfied enough when they had the activities less than four month in a year The students who had strong concentration and great enthusiasm showed high leisure satisfaction in all areas except for the environmental one.

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Perception and Satisfaction among Zoological Park Visitors (동물원 방문객의 인식 및 만족도 영향요인 연구)

  • Lee, Hyung-Sook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.3
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    • pp.51-59
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    • 2012
  • Zoological parks are considered to be a recreational place for family outings and most importantly the starting place of contact with animals in the modem society. Due to environmental threats and the loss of wildlife habitats, the zoos have significant roles to play in education, research and conservation in addition to the traditional role-entertainment, but research on zoos and their visitors is very limited in Korea. The present study surveyed that the zoo visitors' perceptions of the role of zoos, satisfaction, and behaviors in 6 public zoos, during which 730 zoo visitors were interviewed. The results indicated that the zoos represent an opportunity for family-based trips, enjoyment with family or friends and education that are the primary motives for visiting the zoos. The findings demonstrate that respondents considered the four main roles of zoos namely conservation, education, entertainment, and research to be important and recognize its value for conservation and environmental education. The determinants of satisfaction of zoo visitors were ease of visibility, welfare of captive animals, and the availability of information. Most respondents believed that naturalistic exhibits and animal welfare were very important. In order to reinforce the roles of the zoo in modem society, multidisciplinary efforts are needed to improve the animal welfare, replicate native habitats, and develop various education programs.

Nurses' Perceptions of Person-Centered Care in Long-term Care Hospitals: Focus Group Study (인간중심돌봄에 대한 요양병원 간호사의 인식: 포커스 그룹 연구)

  • Chang, Hee-kyung;Gil, Cho-rong;Kim, Hye-jin;Bea, Han-ju;Yang, Eun-ok;Yoon, Mi-lim;Ha, Ja-hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.441-453
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    • 2018
  • This study was conducted to understand and describe Korean nurses' perception of person-centered care for elderly patients in long-term care hospitals. Qualitative data were collected through four focus group interviews consisting of 21 nurses working in four long-term care hospitals in Jeolla and Gyeongsang provinces. Participants completed interviews from July 19 to 30, 2018. All interviews were recorded, transcribed, and analyzed by employing the thematic analysis method. Six main themes for the attributes of person-centered care for elderly patients in the long-term care hospitals were conceptualized: respecting individual needs, walking to the end, supporting hidden dreams, becoming a family partner, helping patients live like they are at home, and changing culture. Person-centered care perceived by nurses was conducted to provide individualized nursing according to elderly's preferences and help them discover the value and meaning of life through various activity programs. Nurses also recognized person-centered care to maintain cooperative relationships with their family members and share their decision-making process, as well as to form a physical environment and organizational culture that respects the rights and autonomy of the elderly. Based on the results of this study, it is necessary to identify the diverse needs of the elderly and develop nursing intervention programs based on person-centered care.

Public Attitudes Toward Dying with Dignity and Hospice.Palliative Care (품위 있는 죽음과 호스피스.완화의료에 대한 일반 국민들의 태도)

  • Yun, Young-Ho;Rhee, Young-Sun;Nm, So-Young;Chae, Yu-Mie;Heo, Dae-Seuk;Lee, So-Woo;Hong, Young-Seon;Kim, Si-Young;Lee, Kyung-Sik
    • Journal of Hospice and Palliative Care
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    • v.7 no.1
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    • pp.17-28
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    • 2004
  • Purpose: Even though there have been various efforts for the dying with dignity of terminal patients, no researches focused on the public attitudes. Methods: In February 2004, we sampled 1,055 persons over 20 years of age from the sixteen cities and local districts of Korea through the quota sampling method according to their gender, age, and location. We conducted a telephone survey with a structured questionnaire on the attitudes toward dying with dignity and hospice palliative care. Results: The most important conditions for the dying with dignity on the patients' views were 'removing burdens for other people' (27.8%). Over the half of the samples chose their home as a preference for place of death (54.8%). 82.3% of the respondents agreed to the idea of withdrawing the medically futile life-sustaining treatment. Fifty seven percents of the answered public said that they intended to use the hospice service in case of terminal illness. Eighty percents thought that health care insurance should cover hospice service, and 80.9% gave positive response to the necessity of advance directives. Respondents emphasized 'the financial support for the terminal patients' (29.8%), 'covering hospice service with health insurance' (16.5%), and 'the education and public relation for settlement of desirable dying culture and hospice service' (15.9%) as the roles and responsibilities of the government for the dying with dignity. Conclusion: This study shows that there is a possibility of significant consensus on hospice and palliative care system for the dying with dignity of patients and reduction of the suffering for their families among the general public.

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Analyses of Subject Competencies of the Units Related to Core Concept 'Relation' in Middle School Technology-Home Economics Textbooks based on 2015 Revised Curriculum (2015 개정 교육과정 중학교 기술·가정 교과서의 핵심개념 '관계' 단원에 구현된 교과역량 분석)

  • Kim, Soo Min;Yu, Nan Sook
    • Journal of Korean Home Economics Education Association
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    • v.31 no.2
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    • pp.1-18
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    • 2019
  • The purposes of this study were to develop analysis criteria and analyze the two subject competencies of units dealing with the core concept 'Relation' of the middle school Technology-Home Economics textbook in accordance with the 2015 revised curriculum: 'practical-problem-solving-ability' and 'relationship ability'. The subject of analysis of the current study was the activity assignment of Chapter 1 related to the core concept 'Relation', from the twelve middle school 'Technology-Home Economics II' textbooks. The results of this study were as follows: First, some textbooks showed differences in highlighting or downplaying the components of certain subject competencies. The analysis results for 'practical-problem-solving-ability' in textbook A, E, and G were shown in the high frequency, while in textbook D in the lowest frequency. The analysis results for 'relationship ability' in textbook K and A were shown in the high frequency, while in textbook J in the lowest frequency. Second, Value Judgement was the most frequent component of 'practical-problem-solving-ability' followed by Logical Thinking, Practical Reasoning, and Decision-Making. Family Relation and Sense of Community was the component of 'relationship ability' most frequently dealt with followed by Communication, Conflict Management, and Respecting Others, however Environmental and Ecological Awareness was not shown at all. The two subject competencies were mostly reflected in the Technology-Home Economics textbooks from all the twelve publishers.

An Exploratory Study on the "Trust" Operational Scheme for Income Security and Asset Management for People with Developmental Disabilities in Adulthood (성인기 발달장애인의 소득보장과 재산관리를 위한 「신탁」 운영방안에 대한 탐색적 연구)

  • Kim, Seong-Cheon;Kang, Ji-Hyun
    • 재활복지
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    • v.21 no.2
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    • pp.29-62
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    • 2017
  • The purpose of this study is to find out the main operational scheme of the "financial planning" and "the trust" for people with developmental disabilities as a means of property protecting and managing for them. The results are as follows; Regarding to "Financial planning", it is necessary to establish a measure to meet the financial needs for people with developmental disabilities in future plan; Issues to be taken care of in the point of financial planning include plan for the maintenance and use of property for their independent life; and public and private resources and support for the disabled. Obstacles are lack of national awareness of the financial planning for the disabled. In relation to the contents of the "trust" of people with developmental disabilities, the principles of operation are assuring universality, publicness, stability, self-decision making, and individuality; operating system is a mixture of public and private; subjects of target are people with developmental disabilities with no parents or caring family as well as income. The required support is a supervisory system for the secure management of asset to entrusted institutions; the decision support system for people with developmental disabilities; maintaining the qualification of government receipt of public assistance for those who do not redeem up to a certain amount of personal property utilizing the trust system.