• Title/Summary/Keyword: 돌봄체계

Search Result 84, Processing Time 0.025 seconds

Do Korean Medical Schools Provide Adequate End-of-Life Care Education? A Nationwide Survey of the Republic of Korea's End-of-Life Care Curricula

  • Kim, Kyong-Jee;Kim, Do Yeun;Shin, Sung Joon;Heo, Dae Seog;Nam, Eun Mi
    • Journal of Hospice and Palliative Care
    • /
    • v.22 no.4
    • /
    • pp.207-218
    • /
    • 2019
  • Purpose: Physician competency in end-of-life (EOL) care is becoming increasingly important. This study investigated the EOL care curricula in Korean medical schools. Methods: Questionnaires were issued to the faculty members responsible for the EOL care curricula at each of the medical schools. These included questions on the structure and content of the curricula, teaching methods, and faculty members' attitudes to the curricula. Results: Characteristics of the EOL care curricula were compiled from 27 (66%) of the 41 medical schools. All of the medical schools taught essential aspects of the EOL care curriculum either as a separate course or embedded within other medical education courses. The mean time spent on EOL care teaching was 10 hrs (range, 2~32 hrs). The most frequently taught topics were delivering bad news (100%) and symptom management (74%). When the palliative care education assessment tool (PEAT) was used to evaluate the curricula, a median of 11 PEAT objectives was met (range, 2~26; maximum, 83). More than two teaching methods were used in most of the curricula. However, lectures were the only teaching method used by three medical schools. 78% of faculty members who were responsible for curriculum reported dissatisfaction with it, whereas 18% believed that the time allotted to it was adequate. Only 7% of these faculty members believed that their students were adequately prepared to practice EOL care. Conclusion: There is a need to improve EOL care education in basic medical curricula and to take a more systematic approach to achieving learning outcomes.

Systematic Review on Outcome and Trends of Community Care Pilot Project in Korea (국내 지역사회 통합돌봄 선도사업 성과 및 동향에 관한 체계적 문헌고찰)

  • Kim, Kyoung-Beom;Heo, Min-Hee;Jang, Ha-Eun;Noh, Jin-Won;Kim, Jang-Mook
    • Journal of Convergence for Information Technology
    • /
    • v.12 no.5
    • /
    • pp.159-167
    • /
    • 2022
  • At the present time, no systematic review has been conducted to report the project's outcomes or trends. This study systematically reviewed existing evidence related with community care pilot project. A total of 61 articles, including 18 original literatures and 43 review literatures were finally selected. For original literatures, the most frequent literatures focused on demand surveys (n=4) and model proposals (n=4), the utilization of touchpoint (n=3), space design and architectural model (n=3), manpower training and role establishment (n=2), followed by prioritizing objectives (n=1) and research trend study (n=1). For review literatures, the most frequent literature focused on the elderly (n=12) and relatively few literature on the disabled and mental illness (n=2). Since the pilot project for community care has been implemented for only about one year, the present study indicates that more future research is needed to the disabled, mental illness, and homeless should be conducted as well as elderly.

The Relationship between Human Rights Sensitivity, Interpersonal Caring Behavior, and Biomedical Ethics in Nursing Students Who Have Experienced Clinical Practice (임상실습 경험이 있는 간호대학생의 인권감수성, 대인돌봄행위와 생명의료 윤리의식과의 관계)

  • Kim, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.21 no.4
    • /
    • pp.410-418
    • /
    • 2020
  • This study examined the correlations between investigating human rights sensitivity, interpersonal caring behavior, and biomedical ethics in nursing students who have clinical practice experience. The data were collected using structured questionnaires for 3rd and 4th grade nursing students who were attending three universities in Gyeonggi-do and Chungcheong-do. As a result of this study, nursing college students' human rights sensitivity, interpersonal caring behavior, and biomedical ethics were scored as 112.23, 3.95, and 2.03 points, respectively. There were significant differences in human rights sensitivity according to major satisfaction (t=3.320. p=.001), clinical practice satisfaction (t=2.557, p=.012), and clinical peer relationship (t=4.234, p<.001), interpersonal care behavior according to major satisfaction (t=3.423. p=.001), clinical practice satisfaction (t=4.364, p<.001), and clinical peer relationship (t=3.708, p=.001), and biomedical ethics according to major satisfaction (t=-2.404, p=.018). Human rights sensitivity showed positive correlations with biomedical ethics (r=.27, p<.01), and interpersonal caring behavior showed a positive correlation with biomedical ethics (r=.17, p<.05). Based on these findings, it is necessary to develop systematic nursing education programs to strengthen interpersonal caring behavior, biomedical ethics, and human rights sensitivity.

Daily health, family support and the aged's life quality (일상적 건강성 및 가족 지지와 고령자 삶의 질)

  • Lee, mi-ran
    • Proceedings of the Korea Contents Association Conference
    • /
    • 2015.05a
    • /
    • pp.329-330
    • /
    • 2015
  • 전지구적인 고령화시대를 살아가는 인류에게 행복한 노년기 삶의 질에 관한 유용한 방안은 매우 중요한 과제가 되고 있다. 특히, 고령노인의 건강은 삶의 최우선 순위가 될 뿐만 아니라, 가족과 사회 그리고 국가의 다양한 정책과 제도적 시스템을 조절하는 요인으로서 작용한다. 또한 공적 시스템과 비공식적 지원체계는 노년후기 가족의 삶의 질에 큰 영향력을 가질 뿐만 아니라, 노인에 대한 가족 지원을 조절하기 때문에 전방위적으로 구축되어야 한다. 본 연구는 노인의 일상적 건강성을 향상시키고, 노인에 대한 가족지원체계를 보완하며, 성공적이고 행복한 삶의 질에 대하여 파악하고자 한다. 노인의 삶의 질 향상은 노년기 삶의 긍정적 마무리 및 행복감과 관련성이 높다. 따라서, 노년기 공식적 비공식적 지원체계의 다양한 지원과 동시에 가족 지지의 대처자원을 발굴하고, 보완가능한 대체가족 지원시스템을 개발, 강화시켜 독거노인과 돌봄노인의 케어시스템을 다차원적으로 확충해 나가야 할 것이다.

  • PDF

Functions and Roles of Community Child Center Recognized by Practitioners (지역아동센터 운영자의 인식을 통해 본 지역아동센터의 기능과 역할)

  • Lim, Jeonggi;Park, Hyunsun;Chung, Ickjoong
    • Korean Journal of Social Welfare
    • /
    • v.67 no.2
    • /
    • pp.285-310
    • /
    • 2015
  • The purpose of this study is to verify qualitatively and quantitatively practitioners' perceptions of functions and roles of community child center which plays a pivotal role in afterschool care in Korea. To achieve its purposes, we investigate environments, services, workers, service users, and delivery systems of community child center. As a result, 4 types of perception of community child center(service integration-oriented type focusing on professional workers, care-oriented type based on child care center's physical environment, delivering service-oriented type working in collaboration with schools, and individual case management-oriented type) were examined. These results were also classified into two categories. One focused on the importance of workers and supports for service environments. The other focused more on the functions of community child center to find commonality and originality in other afterschool care systems. This study can be valuable in understanding practitioners' different perception on functions and roles of community child center which have not yet been confirmed statistically. The results allow us to apply diverse practitioners' perceptions to the practice, and to elicit discussions regarding improved practice directions for managing community child center. It also can provide useful baseline data in policy decisions and enforcement.

  • PDF

Care and future expectations of families with severe disabilities (중증장애 가족의 돌봄과 미래기대)

  • Shin, Kyung-An
    • Journal of Industrial Convergence
    • /
    • v.18 no.6
    • /
    • pp.139-146
    • /
    • 2020
  • Care of people with severe disabilities requires care throughout their life cycle compared to non-disabled families. For this reason, carers of severely handicapped families are highly likely to have negative feelings throughout the family as well as daily stress. Disabled families also have a high rate of experiencing difficulties between non-disabled children or married couples in life centered on the disabled. In particular, the rapid aging in Korea affects the lives of the elderly disabilities along with the aging of the caregivers. The study explored alternatives to realistic support through the past and present experiences of caregivers with disabilities through qualitative research methods, and derived hopes and expectations for the future as follows.First, after confirming the disability for infants and toddlers with disabilities, information about the support system or system is provided from the rating agency. Second, providing "customized care support" suitable for the type of disability or individual characteristics at the social, political, institutional, and economic levels. Third, the provision of programs for non-disabled children and the provision of healing programs only for families with disabilities or those with disabilities. Fourth, the provision of spaces and programs that provide rest and rest for adults with disabilities. Fifth, the application of a long-term care system for the elderly reflecting the aging age of the disabled and institutionalization of community care for the disabled. The research is meaningful in that it presents discussion points for improving the quality of life of adults and the elderly with disabilities.

Family Members' Caregiving Experience for Middle-aged and Elderly Breast Cancer Survivors at Early Stages (중·고령 초기 유방암 생존자를 돌보는 가족의 경험)

  • Park, So-Young;Park, Hyangkyung;Koo, Hyang Na;Baek, Jung Yun;Noh, Eunjeong
    • 한국노년학
    • /
    • v.40 no.1
    • /
    • pp.111-130
    • /
    • 2020
  • This qualitative study aims to understand family members' caregiving experience for middle-aged and elderly breast cancer survivors at early stages. A total of four families of breast cancer survivors were given focus group interviews(FGI), and an additional family was interviewed individually. The thematic analyses of the FGI and individual in-depth interview discussions revealed the following four themes: first, day-to-day feelings like walking on thin ice (entangled emotions with each treatment stage, regret of watching a survivor's pain, fear of recurrence and death, concerns of changes in family relationships, and various feelings experienced as a daughter), second, caregiving has become a mainstay in my life (unfamiliar and unskilled care, losing my life), third, beginning to recover and different experiences between a survivor and a family caregiver (not understanding a survivor's pain from the abyss, forgetting that the survivor is still a cancer patient and that treating him or her casually), and fourth, moving forward (hope that things will be better, taking care of myself to prevent exhaustion). Based on the results of this study, we proposed social welfare services and policy measures to reflect the psychosocial needs of family caregivers of breast cancer survivors and support family caregivers during the care process.

Family Values and Caring Work of Single-Person Households in Ulsan: A Case Study (울산시 1인가구의 가족가치관 및 돌봄노동에 대한 사례연구)

  • Kwon, Anna
    • Journal of Family Resource Management and Policy Review
    • /
    • v.27 no.2
    • /
    • pp.35-47
    • /
    • 2023
  • The purpose of this study was to understand family changes and dynamics of and to suggest institutional/policy-level tasks for coping with them, by paying attention to changing family values of single-person households and their caring work performed in everyday life. This study selected 11 single-person households residing in Ulsan by considering their age and marital status, and analyzed their overall daily lives, family values, and the characteristics of household work and caring. The characteristics of these single-person households in Ulsan, not only showed the coexistence of "simplicity, but instability" when maintaining and living their own lives, but also showed the ambivalent characteristics of family values by showing a gap between the perception and reality of diversity. In regard to family life, the participants complained of difficulties in "caring and relationship of family of origin" and the "economic factors", and notably showed the "dual value system". For a more stable life, the single-person households were forming social networks to relieve a sense of isolation and loneliness, and to recover relationships, instead of limiting themselves to only the traditional method of family formation. Thus, it would be possible to respond to family changes when changes are promoted in each area of "the perception of life", "family life", and the "family & social relationship", and this research suggests policy-level tasks based on the results of this study.

Effects of a Newborn Care Education Program using infant model (아기모형을 활용한 신생아 돌봄 교육 프로그램 적용 효과)

  • Hwang, Hyemin;Kim, Juok
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.15 no.6
    • /
    • pp.3805-3812
    • /
    • 2014
  • The aims of this study were to examine the effects of a newborn care program (NCP) using an infant model. The subjects of this study were 48 mothers in the G city postpartum center. The NCP educational program was provided orally and via demonstration three times in two weeks. Pre and post questionnaires were given and the data was collected in July 2013 to September 2013. The findings suggest that knowledge of the newborn levels were increased significantly after the NCP (Mean=2.27 vs. 2.81, t=-7.049, p<.001). Parenting efficacy levels were increased significantly after the NCP (Mean=2.69 vs 2.89, t=-5.545, p<.001). The satisfaction with the education levels was 4.12. These findings suggest that providing a structured NCP educational program will be useful for adapting and obtaining a new mother role by improving the level of parenting efficacy and newborn care knowledge.

Categorization of Regional Delivery System for the Elderly Chronic Health Care and Long-Term Care (지역별 노인 만성기 의료 및 요양·돌봄 공급체계 유형화)

  • Nan-He Yoon;Sunghun Yun;Dongmin Seo;Yoon Kim;Hongsoo Kim
    • Health Policy and Management
    • /
    • v.33 no.4
    • /
    • pp.479-488
    • /
    • 2023
  • Background: By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system. Methods: National claims data were used for this study. All claims data of medical and long-term care uses by the elderly and all claims data from long-term care hospitals and nursing homes in 2016 were analyzed to categorize the regional medical and long-term care delivery system. The current status of the delivery system with a high possibility of transition to a needs-based appropriate delivery system was identified. The necessary and actual amount of regional supply was calculated based on their needs, and the structure of delivery systems was evaluated in terms of the needs-based quality of the system. Finally, all regions were categorized into 15 types of medical and care delivery systems for the elderly. Results: Of the total 55 regions, 89.1% of regions had an oversupply of elderly medical and care services compared to the necessary supply based on their needs. However, 69.1% of regions met the criteria for less than two types of needs groups, and 21.8% of regions were identified as regions where the numbers of institutions or regions with a high possibility of transition to an appropriate delivery system were below the average levels for all four needs groups. Conclusion: In order to establish an appropriate community-based integrated elderly care system, it is necessary to analyze the characteristics of the regional delivery system categories and to plan a needs-based delivery system regionally.