• Title/Summary/Keyword: 복지간호활동

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Community Health Practitioner (새로운 건강요원$\cdot$보건진료원)

  • Kim S J
    • The Korean Nurse
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    • v.23 no.1 s.124
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    • pp.25-35
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    • 1984
  • 인간 궁극의 목적은 ''행복한 생활''이며 이를 위한 가장 중요한 조건이 ''건강''이라는데 이론을 제기할 사람이 없다. 그간 우리나라는 1970년대를 거치면서 절대빈곤을 해결하느라고 경제개발계획을 수립하는 등 최선의 노력을 해 왔으며, 따라서 보건정책은 등한시 해 왔던 것이 사실이며 이는 극히 당연한 일이라고 생각한다. 최근 경제 개발 계획의 성공적인 시행으로 중진국의 대열에 서게 되었다. 산업 전략이 빚는 인구 이동의 불가피성, 인구의 도시집중 현상과 사회 구조의 변화는 생활방식 뿐 아니라 의식구조의 변화와 가치관의 변화를 가져왔으며 질병 양상과 건강 문제의 양상을 변화시켰다. 이로 말미암은 경제적, 지역적, 심리적 및 문화적 불균형 상태는 건강관호와 보건의료제도에도 불균형 상태를 갖고 와 불가피하게 된다. 이러한 불균형은 해소되어야 하는 시점에 온 것이며 정부가 목표로 하는 복지사회 건설을 위한 가장 중요한 보건 정책에 정부가 역점을 두게 된 것은 극히 당연하다. 이에 1976년 발족한 한국 보건 개발 연구원이 1977년부터 시작한 시법 사업을 실시한 결과, 지역 주민의 반응, 수용성, 의료 이용도, 의료비 절감 등을 분석하고 그 효율성을 인정받아 1981년 12월 31일 농어촌 보건의료를 위하여 특별 조치법을 제정하고 의료시설, 요원의 도시편중 교통의 불편, 고가의 의료 수가로 소외되어 오던 보건의료 취약지역 주민에게 기본권으로서의 기초 건강 서비스를 제공하기에 이르렀다. 이 건강 관호 제도에 그 바탕을 두며 보건 진료원이 그 척추의 역할을 담당한다. 1981년도와 1982년도에 선발되어 교육을 받고 배치된 738명의 보건 진료원은 38만명의 벽오지주민에게 현재 의료의 손길을 펴고, 질병의 예방을 위한 조치를 취하며 건강의 유지, 증진을 위하여 활동하고 있다. 건강관호는 시설이나 장비가 하는 것이 아니고 건물이 하는 것은 더욱 아니며, 지식과 기술을 갖춘 자격있는 의료인이 소명의식을 갖고 임할 때만 가능하다. 오랜숙원이었던 보건의료의 지역간 경제, 사회적, 문화적 계층간의 불균형을 해소하고 온 국민에게 기본권으로서의 건강을 갖도록 하는 이 새로운 제도는 패기에 넘치는 열정을 지닌 많은 젊은 간호학도들의 참여없이는 성공을 기대할 수 없다. 어떠한 제도이건 새로운 제도가 사회에 정착되기까지는 여러 해 동안의 시행착오와 고난이 반드시 수반되어 왔다는 사실을 우리는 역사를 통해 알고 있다. 그러나 그 제도가 다수를 위해 정의롭고 바람직한 제도일 때 반드시 성공을 거두었다는 사실도 알고 있다.

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The Mediating Effect of Self-efficacy in the Relationship between Sense of Calling and Service Quality of Personal Assistants for People with Disabilities (장애인활동지원사의 소명의식과 서비스 질의 관계에서 자기효능감의 매개효과)

  • So Yoon Lee;Young Chae Kwon
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.657-665
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    • 2023
  • Purpose : The purpose of this study is to examine the mediating effect of self-efficacy in the relationship between sense of calling and service quality of personal assistants for people with disabilities. The subjects of this study were personal assistants for people with disabilities belonging to four disability activity support organizations in K-city, Gyeongsangnam-do, and a total of 308 questionnaires were used for the final analysis. The dsta were collected from March 13, 2023 to to April 28, 2023. The collected data were analyzed by frequency analysis, Pearson's coefficents, Baron & Kenny multiple regression analysis using SPSS WIN 24.0. The results of this study are as follows. First, as a result of analyzing the correlation between sense of calling, self-efficacy, and service quality of personal assistants for people with disabilities, it was found that there was a positive correlation in all sub-variables. Second, in the relationship between sense of calling and service quality, self-efficacy was found to have a partial mediating effect. And self-efficacy was found to have a partial mediating effect in the relationship between prosocial orientation, which are sub-factors of sense of calling, and service quality. These results suggest that it is necessary to increase sense of calling and self-efficacy in order to improve the service quality of personal assistants for people with disabilities, and suggestions are made.

Factors Influencing Safe Nursing Activities of Public Hospital Nurses (공공병원 간호사의 안전간호활동에 미치는 영향 요인)

  • Lee, Ok Kil;Jeong, Suyong
    • Journal of muscle and joint health
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    • v.28 no.3
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    • pp.283-292
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    • 2021
  • Purpose: In this descriptive study, we aimed to identify factors influencing safe nursing activities of nurses working at public hospitals. Methods: We collected data in March 2021 through an online survey. The subjects were 199 nurses who had worked for at least six months at public hospitals. The self-reported questionnaire consisted of items pertaining to safe nursing activities, perception of patient safety culture, and the general characteristics of the subjects. To examine the differences in the safe nursing activities and perception of patient safety culture by general characteristics, we employed a t-test and ANOVA. We conducted a multiple linear regression analysis to explore the factors affecting safe nursing activities. Results: The mean score for safe nursing activity was 4.59±0.39. Perception of patient safety culture and age group were found to be the main factors affecting the safe nursing activities of nurses working at public hospitals (F=17.24, p<.001, Adj. R2=.40). When the score for perception of patient safety culture increased by 1 point, the score for safe nursing activities increased by 0.58 points. In addition, the score for safe nursing activity in the 40s age group was 0.16 points higher than for those in the 20s age group. Conclusion: Effective management and leadership in public hospitals is needed to improve the culture of patient safety at various levels so as to ensure safe nursing activities.

The effect of policy on Korean personal assistance service for persons with disabilities of labor market participation (장애인활동지원서비스제도의 노동시장 참여에 대한 정책효과)

  • Kim, Song Sook;Kim, Yoo-Min;Na, Ga-Yeon;Baek, Seung-Hee;Lee, Kun-Chul
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.267-274
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    • 2021
  • This study used data from the 6rd and 12th year of the Korean Welfare Panel to evaluate the effects of the Personal Assistance Service(PAS) system on the labor market of PAS users' participation. For the purpose of this study, 64 program groups using the Korean PAS and 344 control groups not using the Korean PAS were selected using Caliper matching among the propensity score matching. A chi-square test was used for the difference in characteristics between groups, and a simple difference-in-differences (DID) model and a double-difference multiple regression analysis of DID were performed to estimate the effect of thepolicy before and after the Korean PAS. As a result of the study, it was found that statistically, PAS had no significant effect on the labor market. This is due to the low number of system users, resulting in low post-hoc power, incomplete matching and limited availability of PAS Assistants for Disabled People. Therefore, In order to demonstrate the effectiveness of the Personal Assistance Service(PAS) system, specialized services and systems that meet the needs of the disabled and household members should be implemented.

The Leisure Activity and the Degree of Satisfaction for the Life by Aged persons in a Rural Area (일부(一部) 농촌노인(農村老人)의 여가활동(餘暇活動)과 생활만족도(生活滿足度)와 관련성(關聯性))

  • Kim, Jae-Soog;Park, Jong;Ryu, So-Yeon;Lee, Chul-Gab;Kim, Hak-Ryul;Kim, Yang-Ok
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.131-143
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    • 1999
  • This study was attempted to find the mutual relationship between leisure activities and life satisfaction by the aged persons in a rural area. The data was obtained by interview with questionnaire and the data from 209 persons aged over 65, residing in Dohwa-myeon and Podu-myeon, Koheung-kun, Chollanam-do were analysed. The survey was carried out from Feb. 16th to May 3rd in 1998 and the results are as follows: 1. The survey showed that the major leisure activities were TV watching followed by talking with friends, club activities, taking a walk, visiting friends' or relatives' home and breeding domestic animals. 2. The types of leisure activities were classified into 8 patterns as active self-enlightenment, passive self-enlightenment, temporal amusements, passive self-activities, cozy introspective activities, friend oriented activities, family oriented activities and religious activities. Among the above 8 patterns active self-enlightenment type contributed most to the life satisfaction. 3. The major factors affecting leisure activities were sex, age, average income, religion and educational status. And the major factors affecting life satisfaction were sex, age average income, educational status and a state of health. In conclusion the more the aged persons participated in leisure activities, the better they felt life satisfaction.

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Influence of Clinical Nurses' Personality and Resilience on Happiness Index (임상간호사의 인성, 회복탄력성이 행복지수에 미치는 영향)

  • Kim, Sung-Eun
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.357-365
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    • 2019
  • This study was conducted to identify correlations in clinical nurses' personality, resilience and happiness index to provide basic resources for nurses' happiness at work. Methods: From May 1 to 15, 2019, self-report questionnaires were distributed and collected from 307 of clinical nurses in 10 hospitals located in P-metropolitan city and K-province. Analyses included descriptive statistics, t-test, Analysis of Variance, Pearson's correlation coefficient, and multiple regression, conducted using IBM SPSS/WIN 24.0. Mean scores were nurses' personality 3.67, resilience 3.28, and happiness index 3.28. There were significant differences on the happiness index for: clinical experience, type of work, and leisure activities and a positive correlation between personality and resilience, between personality and happiness index and between happiness index and resilience. Happiness index was influenced by clinical experience 'Less than 1-5' (${\beta}=-.41$), '${\geq}10$' ${\beta}=-.39$), 'Less than 5-10' (${\beta}=-.34$), resilience (${\beta}=.35$), personality (${\beta}=.29$), type of work '3 shifts' (${\beta}=.12$), leisure activities (${\beta}=.10$). Explanatory power of these variables was 41%. Conclusion: Based on the findings of this study, so it is necessary to operated the career management, work management, personality training, support for resilience promotion program and leisure activities in order to increase the happiness index of hospital nurses.

Factors Affecting Suicidal Ideation of Depressed Adults by Age (우울감있는 성인의 나이에 따른 자살생각 영향요인)

  • Kwon, Myoungjin
    • Journal of Digital Convergence
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    • v.16 no.4
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    • pp.267-276
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    • 2018
  • The purpose of the study was to provide basic data for planning and offering nursing intervention to prevent suicide attempts by identifying the factors influencing the suicidal thoughts of depressed adults. The subjects of this study were 1,202 individuals who answered clearly in 2013-2015 National Health and Nutrition Survey. A composite sample plan file was generated using the IBM SPSS 23.0 program, and then the data were weighted and analyzed. Suicidal ideation was influenced by income (50-60s), number of family members (50-60s), marital status (40-50s), subjective health (30-50s, over 70s), stress (30s, over 50s), economic activity status (50s), diabetes (60s or older), alcohol consumption (60s), and Body Mass Index (BMI) (40s). These results suggest that tailor-made interventions for the prevention of suicide need to take into account the general and health-related factors of the subjects.

ALS One-stop Support Service Development Study - Korea-Japan Case Study - (루게릭장애인 원스탑지원서비스 개발연구 - 한일사례연구 -)

  • Chong, Hee-Kyong
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.443-454
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    • 2020
  • This study aims to develop one-stop support service for the ALS. To achieve the purpose, the cases of Korea and Japan were researched. The data used in the multiple-case study mainly referred to diaries, blogs, social networking sites, Youtube, and interviews of the disabled with ALS disease in Korea and Japan, and analyzed support services of both countries. The result of the study showed that, in the onset stage of ALS disease, a fellow counselor should be assigned by family member or person who experienced the disease from KALSA or other organizations to which a patient belongs. Also, it need a counseling by fellow counselor in the stage of softening disability. And after the gastrointestinal procedure, the number of home visits by visiting nurses should increase, and other services by OT and PT are required. In the stage of wearing a respirator, it needs to train and dispatch volunteers for ALS exclusive activities. And it is necessary to set up a family rest area or a respite service for the mentally and physically exhausted primary caregiver by long-term care. Most of all, these services should be one-stop support with linking step by step, not fragmentary support.

Differences in Walking Practices and Happiness among One-person Households by Life Cycles (생애주기별 1인 가구의 걷기 실천과 행복감 차이)

  • Mi-Ah Shin
    • Journal of Industrial Convergence
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    • v.21 no.9
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    • pp.67-75
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    • 2023
  • The purpose of this study was to investigate difference between walking practice and happiness of one-person households according to the life cycles. This is a secondary analysis study using data from the 2021 Community Health Survey. The data were analyzed using SPSS 25 program for composite sample statistical analysis. As a result, in old age, there were many women, low education, and non-economic activities, and there were many basic living and less than 7 hours of sleep. The walking practice of one-person households was low in youth, middle age, and old age of one-person households. The level of happiness by life cycles of one-person households was 6.69 points in youth, 6.43 points in old age, and 6.19 points in middle age, and the happiness of middle age was the lowest. In youth, middle age, and old age of one-person households, there was a significant differences in happiness depending on walking practice. Therefore, social, welfare, and policy strategies should be developed to encourage walking to improve happiness of one-person households.

The Empowerment and YANGSAENG(養生) according to Depression for the Elderly (노인 우울에 따른 임파워먼트와 양생(養生))

  • Kang, Ji Sook;Shin, Mee-Kyung
    • 한국노년학
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    • v.32 no.4
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    • pp.1137-1146
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    • 2012
  • The purpose of this study was to investigate differences on empowerment and YANGSAENG - traditional oriental health promotion - depression and non-depression for the elderly. This Study was a descriptive survey using convenience sampling. Elders(N=215), who agreed to participate in this study completed a self-report questionnaire from October to November of 2010. The collected data were analyzed with the SPSS 17.0 program, which was used for frequency, percentage, mean, standard deviation, t-test and Pearson correlation coefficients. The major findings of this study were as follows. 1) The mean(${\pm}$standard deviation) scores of each measure in this study were 6.61(${\pm}3.53$) for depression, 77.44(${\pm}11.87$) for empowerment, and 109.88(${\pm}18.19$) for YANGSAENG. 37.7% participants belong to the depression group. 2) There were significant differences between depression and non-depression on empowerment(t=6.62, p<.001), YANGSAENG(t=5.31, p<.001). 3) Specifically, among 8 subcategories of YANGSAENG, there were significant differences on Morality Yangsaeng(t=5.93, p<.001), Mind Yangsaeng(t=5.95, p.<001), Diet Yangsaeng(t=3.229, p=.002), Activity and Rest(t=2.21, p=.028), Exercise Yangsaeng(t=4.21, p.<001) and Sleep Yangsaeng(t=4.18, p<.001). 4) Lower depression scores were significantly related to having higher empowerment score(r=-.495, p<.001) and a higher YANGSAENG score(r=-.359, p<.001). Higher empowerment was significantly related to having higher YANGSAENG(r=.351, p<.001). In conclusion, Developing nursing intervention for the depression of the elderly needs more empowerment and more health promotion.