• Journal of Digital Convergence
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• v.14 no.10
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• pp.71-81
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• 2016

The objective of this study is to suggest methods to improve in-home service quality through service evaluation by long-term care workers. To achieve this objective, general characteristics of 223 long-term care workers, evaluation of service and agency, and retraining needs have been surveyed. An assessment of the survey results have resulted in the following conclusions. Though long-term care workers are not uneducated, the majority face unstable employment. And the content of supervision hoped for in producing improved long-term care services has been found to be based on the service-user's relationships. Moreover, among topics needing to be addressed for retraining, much attention has been shown for understanding of the elderly and their families, health care knowledge about geriatric diseases, and counseling techniques directed towards the affected person and their family. Findings from the research are as follow: enhancing the quality of long-term care requires a structural reassessment; upgrading the quality of care agencies requires the improvement of methods used to raise awareness of users and their guardians and the expansion of opportunities for education programs for professionalism.

• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.765-776
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• 1997

Hospitals accomodate patients who have a high risk of infection due to reduced immunity as well as people who require surgical, medical or other treatments. Consequently, the role of clinical nurses, who come into close contact with these patients is very important in the control of nosocomial infection. This study was done to investigate and compare the level of perception of the importance of the control of nosocomial infections as well as the level of actual performance, and the level of satisfaction with the control of nosocomial infection by the clinical nurses. Thus, the purpose of this study is to contribute basic data for improving policies and educational programs to control nosocomial infection. A summary of the survey results is as follows. 1) The means of scores on all categories of the inquiry were 4. 51 for awareness 4.42 for actual performance, and 3.20 for satisfaction, of a possible high score of 5.00. 2) Correlations of the level of perception of importance between characteristics of nurses and hospital control of nosocomial infection differed significantly according to the type of hospital establishment type (p=.005), age(p=.000), career(p=.000), position (p=.002), and regular conferences on infection control in working departments(p=.003), Correlation of the level of actual performance between characteristics of nurses and hospital control of nosocomial infection diffesed significantly according to type of hospital(p=.000), hospital size (p=.009), working department(p=.000), age(p=.000), career (p=.000), school career(p=.040), position (p=.000), education experience on nosocomial infection(p=.020), and regular conferences on infection control in working department(p=.000). Correlation of degree of satisfaction between characteristics of nurses and hospital control of nosocomial infection also differed significantly according to the type of hospital establishment (p=.003), working department(p=.000), age (p=.000), and regular conferences on infection control in working department (p=.000). 3) Correlation between clinical nurses, level of perception of importance and actual level of performance for the control of nosocomial infection was relatively positive (r=.57, p=.000). Correlation between clinical nurses degree of satisfaction and level of actual performance for control of nosocomial infection was relatively positive (r=.47, p=.000). Correlation between clinical nurses, level of perception of importance and degree of satisfaction degree with the control of nosocomial infection was also relatively positive (r=.27, p=.000).

• Korean Journal of Occupational Health Nursing
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• v.11 no.2
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• pp.91-107
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• 2002

In order to evaluate the factors related to therapeutic compliance of hypertensive patients in small and medium scale industry, the questionnaire survey and the blood pressure measurement were performed on 138 hypertensive patients who were reported to have C or $D_2$ result of hypertension at the workers' periodic health examination from March to November 2001. The contents of questionnaire included the informations of factors related to therapeutic compliance of hypertensive patients such as, age, sex, marital status, income, education levels, scale, occupation, work duration, smoking and drinking habits, exercise, family history, stress and A type personality, employer's concern, organizational culture, health status, awareness, knowledge and attitude toward the needs of hypertension treatment, and experience of health education. The results of the study were as follows: 1. The proportion of those who were compliant to the treatment of hypertension was 41.3% of subjects. Among small scale industry less than 50 employees, the rate of therapeutic compliance group was 27.5% and therapeutic noncompliance group was 72.5%. Among medium scale industry more than 50 employees, the rate of therapeutic compliance group was 60.3% and therapeutic noncompliance group was 39.7%. 2. Among therapeutic noncompliance group, 95.1% of patients were aware of the fact that workers have hypertension, and 77.8% of patients got 6-10 marks of hypertension related knowledge. For health education, 27.2% were experienced and 34.6% said no intention to participate. And for hypertension treatment, 9.9% said no need to get the treatment and 44.4% said have no idea whether get treatment or not. 3. The significant factors related to therapeutic compliance of hypertensive patients in small scale industry were work duration, A type personality(anger), health status, attitude toward the needs of hypertension treatment, and experience of health education. 4. The significant factors related to therapeutic compliance of hypertensive patients in medium scale industry were age, occupation, subjective symptom, attitude toward the needs of hypertension treatment, and experience of health education. In consideration of above findings, it was suggested that in order to improve the therapeutic compliance in small and medium scale industry hypertensives, it be necessary to change attitude, perception, knowledge and treatment of hypertension by various methods such as effective health education and individually consulting programs by occupational health professional.

• Korean Journal of Social Welfare
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• v.55
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• pp.155-179
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• 2003

This paper compares two indicators, economic development and social condition, to find a better way to measure the level of social welfare development. The results show that social condition is more adequate indicator than economic development. The social condition has high correlation with the development of social welfare in all the 78 countries as well as in five groups of countries when the economic development is controlled. The comparison of two indicators reveals important findings. Among other things, the higher the level of social condition compared with economic development, the larger the social welfare expenditure. This tendency is particularly strong among the western European countries and former socialist countries. This result implies that the macro-level policy of social redistribution is also important for the development of social welfare in addition to micro-level policy of income redistribution. As we expected, the results show that the level of Korean social welfare development is very low. Considering our levels of economic development and social condition, predicted social welfare expenditure from regression model is at least 17% of GDP, but we are spending only 30% of this predicted expenditure. Another serious problem in Korean social welfare is unbalanced expenditure between social insurance and public assistance. On the basis of these results, this paper suggests three implications for social policy to improve Korean social welfare: First of all, the gap between predicted and actual expenditures should be closed to improve the minimum level of social welfare. Secondly, the level of social condition itself should be improved to increase the public awareness of social welfare. Finally, the wide difference in expenditure between universal and selective social welfare programs should also be removed to decrease the relative deprivation of the poor.

• Journal of the Korean Institute of Landscape Architecture
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• v.37 no.6
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• pp.28-38
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• 2010

Community centers, silver towns and resting places are representative community facilities in rural villages. These community facilities affect villagers directly or indirectly in terms of life quality. Current community facilities of rural village are in poor condition in spite of their importance. In particular, the small size of community facilities and standardized programs are common issues in rural villages. As a result, it is necessary to research and investigate the improvement of community spaces and provide a variety of community activities. The purpose of this research is to provide appropriate area standards for 5 category community facilities(community centers, sliver towns, resting places, community yards, gymnasiums and recreation areas) and also to provide basic information for future village planning. The precedent study of community facilities was investigated. In addition, 25 rural villages in 5 districts were investigated regarding their facility conditions and current community satisfaction. As a result, appropriate rural village area standards are provided. The research results of the community facility standards are almost higher than the current representative community facilities average area. This is expected to improve the community facility environment, people's activities and to increase the growth of awareness in community.

• Korean Journal of Health Education and Promotion
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• v.16 no.1
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• pp.31-43
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• 1999

Increase of automobiles become today's environmental problem decreasing space for our children's playground. The traffic situation around us shows automobiles over filled the public roads and started to intrude even on the side walks. Children's traffic safety education for the awareness of the danger from traffic mishaps, and for the behavior to cope with preventives measure by continual learning programs in systematized method is very important need in current health education. For this research, the subject was represented by 243 students from 4th grade in D Elementary School located at Daechi-dong, Seoul. During total of 5 weeks (September 4, 1997 to September 30, 1997), lessons were taught to the subject. Lessons consist of traffic safety education and customized education program that were designed and developed specificially for the subject level. In this research, Case group of 3 classes and control group of 3classes were predetermined before subject's degree of knowledge, attitude, and practice was analized. The difference before and after the training of this education was observed to verify the effectively and to find the influential factors of this education program. On September 2-3, survey study was performed after the training. the results of this study were as follows: 1. The knowledge analysis from the comparison between before and after of the training shows case group and control group scored(8.36, 8.86) before the traning, but scored(10.36, 8.52) after the traning. the difference from the result of the case group is statistically significant(p〈0.001). 2. The attitude analysis from the comparison between before and after of the training shows case group and control group scored(48.23, 49.87) before the training, but scored (51.05, 48.45) after the traning. the difference from the result of the case group is statistically significant(p〈0.001) 3. The practice analysis from the comparison between before and after of the training shows case group and control group scored (27.42, 28.08) before the training, but scored(30.49, 28.25) after the training. The differece from the result of the case group is statistically significant (p〈0.001). 4. The correlation analysis of traffic safety education's influence on traffic safety knowledge, attitude, and practice before training shows the relationship between attitude and practice was satistically significant(p〈0.05). The result after the training shows the relationship between knowledge and attitude, attitude and practice, and knowledge and practice was all statistically significant(p〈0.001).

• Journal of Environmental Impact Assessment
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• v.16 no.6
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• pp.511-524
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• 2007

Korea has 30 years of experiences in environmental impact assessment (EIA). Although EIA includes sanitation-public health factor, considering health impacts, among 74 unit projects of 17 sections, health impacts haven't been properly considered or have been ignored in many cases. The increasing awareness on the importance of health impacts has triggered this study to seek an optimal introduction scheme of health impact assessment (HIA). The processes of EIA already include screening, scoping, analysis, impact assessment, consultation, document review, decision making and monitoring, in which they would be the essential parts of HIA. In this context, integrating HIA into the existing EIA process could be the most effective way to use the benefits in both legal and procedural processes existed and to avoid the confusion and overlapping since the close relationships between environment and health impacts might be. Furthermore, it is desirable that the existing sanitation-public health factor should be substituted by and extended to environment-health factor with sufficient determinants to properly consider health impacts. When considering the first step of HIA, the prospective and qualitative approach is suitable more than the retrospective and quantitative one due to the lack of database accumulated. Similarly, an approach based on epidemiology and toxicology could analyze the limited evidences and impacts related to human disease, whereas one based on socio-science and psychology could provide the effective means available for predicting how the people and community will act by the change of surroundings. Checklist approach with various and comprehensive health determinants focused on prospective and qualitative methods will be very useful for more convenient and progressive dissemination of HIA. Various checklist approaches of toolkits could be found from HIA documents elsewhere, for example Westminster Toolkit, and they would be helpful to figure out how to develop common procedures and health determinants for checklist, in which the unique characteristics on korean cultural and political context compared to abroad should be carefully considered since checklist would be the most basic and essential part of HIA. After the establishment of checklist and procedural processes, the pilot projects should be conducted. Main purpose of pilot projects is to apparently prove the effectiveness and profitability of HIA. Pilot projects should be implemented to decide the effectiveness and suitability of HIA for future projects, programs and policies, and should be provided as the positive cases that can be achieved through the proper implementation and progress.

• The Journal of the Korea Contents Association
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• v.20 no.8
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• pp.75-87
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• 2020

The purpose of this study is to examine teachers' stages of concern and levels of use about SW education based on Concerns-Based Adoption Model and to provide implications for teacher education. For this purpose, 152 survey responses were collected from elementary school teachers in South Korea. The result indicated that elementary school teachers' concerns about SW education showed the nonuser pattern in that teachers score highest in stage 0(awareness) to stage 2(personal) and in stage 6(refocusing). Additionally, teachers who are currently implementing SW education showed a tendency to be in the level of mechanical use or routine, and more than half of the teachers who are not implementing SW education showed no motivation to change current practices. There were statistically significant differences in the stages of concern depending on gender, teaching experience, SW training experience, SW teaching experience, and there were differences in the levels of use depending on the teachers' grade level in charge, SW training experience, and SW teaching experience. Based on the results of the research, various SW related programs as well as successful SW education experience for teachers need to be provided for teacher education in order to promote SW education.

• Health Policy and Management
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• v.9 no.1
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.7
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• pp.589-598
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• 2017

The purpose of this study is to define the relationships among awareness about the necessity of disaster preparedness education, the actual educational status, preparedness knowledge, and the certainty of knowledge among nurses. The study participants comprised a total of 125 nurses with over 3 months of clinical experience in general hospitals with more than 100 beds in a metropolitan city. Data were collected in January 2016 and analyzed by descriptive statistics, a t-test, ANOVA, and Pearson correlation coefficients. The results showed meaningful correlations between the existence of educational programs in hospitals and disaster preparedness abilities (r=.29, p=.001). There were also meaningful correlations between educational experience within a year and disaster preparedness abilities (r=.33, p<.001). There was a negative relationship between disaster preparedness abilities and knowledge (r=-.27, p=.003) and a positive relationship with confidence about the correctness of knowledge(r=.23, p=.003). Based on the results, an educational program in a clinical setting is needed to improve the degree of confidence about the correctness of knowledge and ultimately to enhance disaster preparedness abilities.