• Title/Summary/Keyword: 장기요양보호

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The Working Conditions for Care Workers and Care Quality in Long-Term Care Services (노인장기요양보험제도에서 요양보호사의 근로조건이 서비스 질에 미치는 효과에 관한 연구)

  • Kwon, Hyun Jung;Hong, Kyung Zoon
    • Korean Journal of Social Welfare
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    • v.69 no.1
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    • pp.33-57
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    • 2017
  • This study examines the effect of working conditions for care workers on the care quality in long-term care facilities, particularly the coexisting perspective on publicness and the marketization of Long-term care services in South Korea brings about. Prior studies have not identified a causal relationship between working conditions and the care quality, only explained cause of a low-wage labor market and low productivity of social services. Theoretical relevance of working conditions and service quality on Long-term care in Korea is to view from a integrated care model by Daly and Lewis(2002). A nonproportional stratified sampling procedure was used to consider Long-term care facility's ownership. A merged dataset combining surveys from 248 Long-Term Care facilities and online resources from NHIC administrative was used and analyzed by multiple regression. The analysis results is showed as follows. Overall, organizations with better working conditions, having higher wage, having greater a fringe benefit, being skills development and training are likely to have good care quality in each area. This research shows that the working conditions, rewards and support to care workers of organizational culture in the normative dimension beyond the minimum standard on labor market policy and evaluation system by government regulations have a positive impact on Long-term care quality.

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A Comparative Study on Job Stress and Job Satisfaction of Long-Term Care Staffs for Physically Disabled Seniors with Rating 1 and for Demented Seniors with Rating 3 (노인장기요양보험에서 1등급 노인과 3등급 치매노인을 케어하는 요양보호사의 직무스트레스와 직무만족에 관한 비교연구)

  • Shin, Jeong Wook;Baek, Ju Hee
    • 한국노년학
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    • v.31 no.4
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    • pp.1067-1081
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    • 2011
  • This study aimed to compare job stress and job satisfaction of long-term care staffs caring for demented seniors with rating 3 and physically disabled seniors with rating 1. Survey was conducted upon 212 long-term care staffs in long-term care institutions in Ejungboo, Goyang, and Paju. There were, first of all, statistically significant differences between those groups in the level of overall stress, stress related to service subjects, and stress in service procedures. Regression analyses, secondly, showed that the relationship between job stress and job satisfaction was statistically significant only for long-term care staffs for demented seniors with rating 3. The results suggest that it is necessary to lower the level of stress especially for the staffs caring for demented seniors with rating 3. Furthermore, we need to consider the stress, that the staffs feels in the process of caring for long-term care service beneficiaries, as a important variable for intervention programs to reduce the level of stress among long-term care staffs.

The Effect of Job Stress and Burnout by Job Environment of Care-givers on Job Satisfaction (요양보호사의 직무환경에 따른 직무스트레스와 소진이 직무만족에 미치는 영향)

  • Jeong, Yun-Mo;Kang, Young-Sig
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3688-3699
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    • 2010
  • The purpose of this study is to understand attributes, stress and burnout related to job environment of healthcare facilities workers for the aged, care-givers, analyze the effect of these factors on job satisfaction, and improve their organizational task to help advance the quality of life and the healthcare facilities for the aged. A survey was made on 129 care-givers working in the healthcare facilities for the aged(care facilities, in-home facilities for the aged) located in Jeonbuk Gunsan area. This study showed that sub-factors of care-givers' job environment such as human environment, compensation system and job expertise have a significant effect on the job burnout, stress and satisfaction. This means that a well-organized compensation system, which is proportionate to the job expertise and ability for human environment, and achievement of innovative thinking, will make a positive relationship, reduce the job burnout and stress, and improve the job satisfaction at the same time. Compared to the rapid increase of old aged patients for long-term care and care-givers' real role and job in the facilities, the job specialization has to be guaranteed to improve job environment of care-givers as various beneficial workers for welfare - professional workers - and the compensation system needs to be properly systematized according to their job capacity. Consequently, the production and participation of professionals with high self-esteem may raise organizational commitment through the maximization of job satisfaction by the participation and devotion to the organization of more professionals by removing factors, which can reduce the frequent job burn-out and stress of care-givers.

A Study on Human Rights Behavior of Korean Care Workerin Long Term Care Facilities: The Interaction Effect of Human Rights Awareness and Service Orientations (장기요양기관 요양보호사의 노인인권옹호행동 영향요인: 개인의 인권의식과 조직의 서비스 지향성을 중심으로)

  • Kim, Min-Kyoung;Kim, Mee-Hye;Kim, Ju-Hyun;Chung, Soon-Dool
    • 한국노년학
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    • v.36 no.3
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    • pp.673-691
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    • 2016
  • As the provision of long-term care policy takes root and with a gradual increase in elderly population, the use of elderly care service has become a growing norm. More than ever, there exists an urgent need for a paradigm shift in the building of an institutional basis for the improvement of care service, from the prevalent practice of 'need based service' toward the concept of 'human rights based service'. A great focus is being shed on care-workers, at the 'front line' of advocating human rights, as their human rights advocacy behaviour is seen as a key variable in providing high quality care service for elders. This study aims to examine how care-workers' individual human rights awareness levels, and the influence of their respective organizations, as an environmental factor, affect their human rights advocacy behaviour. The study includes a comprehensive analysis of the interactions between the regulatory effect of environmental factors (service orientation?) on an organizational level, human rights awareness (individual level) and the service environment (organizational). The analysis sample consisted of 782 registered non-profit corporation of long-term care facilities all over the country in 2014. The findings of the thesis suggest that human rights awareness at individual levels has a significant influence on human rights advocacy behavior. The interaction of human resources management in service orientations was also found to influence human rights advocacy on a significant level. Both human rights awareness at individual level and service orientations at organizational level were thus determined as key variables for improving the human rights awareness of care worker in long-term care facilities in Korea.

How the Ageism Influenced on Elder Abuse and the Mediating Effects of Counselling from Public Organizations :Focusing on Care Helpers Working at Elderly Long-term Care Institutions (노인차별이 노인학대에 미치는 영향과 공적기관상담의 매개효과 :노인장기요양기관 요양보호사를 대상으로)

  • Jin, Chul-Sook
    • The Journal of the Korea Contents Association
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    • v.15 no.10
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    • pp.193-204
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    • 2015
  • This study investigated how the ageism of geriatric care helpers influenced on elder abuse during their long-term care service for elderly, and analyzed the mediating effects of counselling from public organizations on the causal relationship between ageism and elder abuse. The data used in this study was collected from 627 of care helpers working at elderly long-term care institutions in Gyeongsangnam-do Province, using structured survey(or questionnaire), and analyzed by Baron and Kenny(1986)'s multiple regression method. Ageism has a meaningful influence on elder abuse and counselling from public organizations has meaningful mediating effect on the relationship between ageism and elder abuse. These results show that elder abuse according to ageism can be improved by counselling from public organizations and It presents some practical implications for ageism and counselling from public organizations.

Study on the Experience of Unbelief in the Process of Providing Home Visiting Care Service: Focusing on the perspective of the Facility Director (재가방문요양 서비스 제공과정에서 겪는 불신경험에 관한 연구: 시설운영자 관점을 중심으로)

  • Jun-Suk Kim;Ji-Hye Kim;Jung-Mi Kim;Mi-Young Park;Byung Woo Lim
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.65-80
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    • 2023
  • Through inductive content analysis, this study sought to examine the crisis experienced by the institution, the quality of service, and the distrust of the system and institution based on the experience of distrust in the home-visiting care service of bbeneficiary and guardians. FGI was conducted on five managers of institutions that provide home-visiting care services. As a result, the central phenomenon was found: deterioration of service quality, distrust of systems and institutions, and difficulties in opera-ting long-term care institutions. In order to improve the quality of home-visited care services and build trust in care workers and institutions, first, home-based associations or operating corporations should develop new education program plans and manuals to strengthen the capabilities of care workers and social workers. Second, the NHIS's monitoring system and the professional management system of care workers should be established. Third, it is necessary to improve awareness of the role, expertise, and rights of care workers, and fourth, improvement measures are required to reduce the turnover rate of care workers, which is the cause of the deterioration of the quality of long-term care services.

Effects of the Fall Prevention Education Program (FPEP) for Caregivers in Elderly Care Facilities on Fall-related Knowledge, Fall-related Burden, and Caring Behaviors for Fall Prevention (노인요양시설 요양보호사를 위한 낙상예방교육프로그램이 낙상관련 지식, 낙상관련 부담감 및 낙상예방 돌봄행위에 미치는 효과)

  • Kim, Minsuk;Kim, Jeong Sun
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.778-790
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    • 2013
  • The purpose of the study was to examine the effects of the Fall Prevention Education Program (FPEP) on those providing direct care in elderly care facilities regarding fall-related knowledge, fall-related burden, and caring behaviors for fall prevention. The FPEP developed in the study was implemented for 80 minutes per session and four sessions in total. Participants included a total of 47 subjects, 24 in the experimental group and 23 in the control group. The program was implemented from July 16 through August 31, 2012. Data were analyzed using ${\chi}^2$-tests, Fisher's exact probability tests, independent t-tests, and analyses of covariance using the SPSS/Win 19.0 program. According to the pre-and post-test, the experimental group participated in the program showed an increase in fall -related knowledge (t=6.71, p<.001), a decrease in fall-related burden (t=-2.31, p=.026), and an increase in caring behaviors for fall prevention (F=49.50, p<.001) as compared to the control group. The results of the study demonstrated that the FPEP developed for those providing direct care in elderly care facilities was an effective intervention for decreasing fall-related burden and increasing fall-related knowledge and caring behaviors for fall prevention.

Effect of Communication with a Guardian of a Recipient of a Long-term Care Program on Job Satisfaction of Care Helpers (장기요양수급 대상 보호자와의 의사소통이 요양보호사의 직무만족에 미치는 영향)

  • Lee, Yong-Jae;Gang, Tae-Woo
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.156-165
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    • 2014
  • In this study, the effect of communication with a guardian of a recipient of a Long-term Care Program on job satisfaction of care helpers of in-home care facilities for the elderly is analyzed. First, most of the care helpers are content with their job despite low pay and short work-hour. Especially, they are aware of the need of communication with a guardian but skeptical about the need of having intimacy with a guardian, so the relation between a care helper and a guardian is usually formal only. Second, in terms of characteristics of a guardian, care helpers have higher job satisfaction when a guardian is a male and old, and does not have an unreasonable demand. Third, they have higher job satisfaction when they have better communicate with a guardian rather than higher intimacy. Considering this result, we should make programs such as education for a guardian to develop intimacy with a care helper and one for a care helper to develop intimacy and communicate effectively with a guardian. It is also needed to have guidelines which set up relationship between a helper and a guardian.

The Effects of Job Stress and Organizational Commitment of Caregivers in Elderly Long-term Care Facilities on Service Quality (노인장기요양시설 요양보호사의 직무스트레스와 조직몰입이 서비스 질에 미치는 영향)

  • Kim, Ji-Hye;Shim, Kyu-Soon;Yu, Young-Hee;Lee, Eun-A
    • Journal of Industrial Convergence
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    • v.18 no.6
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    • pp.155-163
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    • 2020
  • The purpose of this study was to verify the effect of job stress of caregivers on service quality for improve the quality of elderly long-term care services and the mediating effect of organizational commitment in the process. To this end, 30 long-term care facilities were randomly sampled out of 1,705 long-term care facilities in Gyeonggi-do, and as a result of a questionnaire survey of 500 caregiver for one month in May 2020, 443 samples were collected, and a total of 415 samples were finally analyzed. As for the analysis method, SPSS WIN 21.0 was used to verify the mediation model using frequency analysis, descriptive analysis, correlation analysis, and regression analysis. As a result of the study, first, job stress had a negative effect on service quality and organizational commitment. Second, organizational commitment has a static effect on service quality. Third, organizational commitment was verified as a perfect mediating in the relationship between job stress and service quality. This suggested the importance of the effect of organizational commitment in the process between job stress and service quality of caregivers and sought a policy ways to to improve the service quality of caregivers.

The Effect of the Possibility of Job-related Risk, Emotional Labor, and Emotional Leadership on Turnover Intention of Caregivers in Long-term Care Facilities (장기요양기관 내 위험발생가능성, 감정노동, 감성리더십이 요양보호사의 이직의도에 미치는 영향)

  • Lee, Hyun Jung;Um, Myung Yong
    • Korean Journal of Social Welfare
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    • v.69 no.2
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    • pp.191-218
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    • 2017
  • The purpose of this study was to examine the effect of the possibility of job-related risk, emotional labor, and emotional leadership on the job turnover intention of caregivers working at the long-term care facilities in Korea. For the study, survey data of 434 caregivers at senior nursing homes were collected and analyzed using hierarchical multiple regression method. The results showed that high level of caregivers'perception of both the possibility of management risk and employee risk led to increased turnover intention. On the other hand, perception of the possibility of social-disaster risk did not give significant impact on turnover intention. Although the perception of the possibility of service user risk gave statistically significant effect on the turnover intention, the direction was the opposite to the one set at the research hypothesis. Frequent camouflage behavior("surface acting") of caregivers, which is the kind of emotional labor led to increased turnover intention. However, caregivers'behavior consistent with their inner warm heart("deep acting") did not lead to a statistically significant result. Lastly, the more caregivers perceive their superiors'emotionally supportive leadership, the lower possibility of turnover intention. Based on the above result, the researchers suggested several intervention methods in order to prevent turnover of caregivers and improve service quality of long-term care institutions.

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