Kim, Jihye;Kim, Seokjoon;Lee, Junyoung;Lee, Okjin;Oh, Gayoung
Journal of The Korea Institute of Healthcare Architecture
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v.17
no.4
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pp.15-23
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2011
Long-term care Insurance system for the Elderly was started to respond to the aged society on July 2008 in Korea. So responsibility of the care for the old is being changed from the family to the society. The introduction of that insurance system has brought the growth of demand for care service. To improve the level of quality for care service providers in long-term care, the role of care worker in providers is recognized as important. But welfare system for the care worker seems to be poor. So the Seoul Metropolitan Council is preparing an ordinance for the care worker and the purpose of this study is for the ordinance as well. Questionnaires, interviews, documentary surveys were used to carry out this study. The results of this study are summarized as follows. The job stability is the most important thing for the care worker, so local government has to make efforts to promote the job stability of care worker. A welfare center for care workers is needed for the health for care workers in the local government. And the local government has to supervise service providers more strictly and evaluate them in treatments of care worker.
This study aimed to investigate the positive and negative appraisals of care work held by care workers in elderly care facilities and to analyze the mediating effect of care worker's appraisals of care work on the relationship between job environment and service quality. For the purpose of the study, the data were collected from 298 care workers by using non-random and purpose sampling method. The results of the study showed job environment was a significant predictor in explaining in the variances of care work appraisal and service quality. In addition, care worker's positive and negative appraisals of care work were statistically significant mediators in the association of between job environment and service quality. Finding of the study indicated that service quality could be improved by not only improving job environment but also strengthening care worker's positive appraisal of care work. Finally, based on the findings of the study, implications and limitations of the study were discussed.
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.
This study was done to identify a status of home visiting project as a community health nursing system, that was the organization. personal who have age, educational background, marital status, position, experience of the home visiting in the public sectors in part of Seoul. Kyonggi, Kang-won area, It was done to provide basis data for the development of effective visiting nurses project in the health sectors, where was Health Centers in urban and rural. Branch of Health Center in rural and Health posts. The question airs were distributed 352 public health workers who working place was 118 health workers in 12 health centers in Seoul. 56 public health workers among 39 health center and other public health sectors in Kyonggi and 178 public health workers among health center and health care sectors. Data collected from October to December. 2000. The analysis by SAS system with F test, percentage and frequency. The major result were as follows. The general characteristics of the respondent show that most of them were graduates from community college and RN-BS with broadcast that they had not completed CPHN course but only two health workers have trained for the visiting nurses project. As for their grade in the position, the most of health workers have seventh level and the other CHP were above sixth level in the health care post that in the government structure. This indicates that workers do not have great authority in decision making, the most period of works in the position was one and two years indicating that they change jobs frequently. On an average their clinical experience was 4.11 years which is ideal for the total service. As for preparation of staff for home visiting workers education on visiting nurses program have to receive short term or longer term training course for strong emphasis. The analysis showed that public health visiting workers responds about active job performance that based on an area, approach of acting by districts, education and position are shown statistically significant difference between acceptance of the visiting nursing job show the same as well as visiting nurses project. Special concerns for visiting Nursing care spread came to burden, many of activity carry out main solution is covered the health problem connective support system needs of quality and quantity which out health problem. As 71.1% of visiting health service held on the poor population was under the guardianship of the law, but people who health insurance wide application under law shown a tendency to increase gradually. The general characteristics of the patients showed 56.2% of female on average of age was 66.1 years old, they have health problem was the most of 47.6% of high blood pressure and stroke, the other and as a problem that economics, which is complex welfare with out health problem. Community health care service should be combined health and social work program. The form of delivery of visiting health care given the most guide and education with counselling and support. (33.6%) Among the six category of visiting care service shown statistically significant difference and next is fundamental care, remedy care with priority.
The objective of this study was to analyze the status of health examination, and the health care management of industries in Seoul. This will provide effective industrial health care services. 46 industries were selected as a sample, and were given self administered questionnaire developed by the academic affairs of community health nursing. The results of this study are as follows: (1) The general characteristics of industries: The greater part of the industries were manu facturing companies, 300-900 workers, in a one shift system. (2) The general characteristics of health man ager: 96% of the companies had industrial nurses and the larger industries had comprehensive health managers. 90% of the industrial nurses were full-time employees and 77% of the industrial physician were part time employees. 80% of the industrial physician were age 50 or older, while 59% of the industrial nurses were 25-29 years of age. (3) Health examination and follow up care: The proportions of the workers who took general health examination was 94%. Of those, 12% took secondary examinations. In secondary examinations, 36% were evaluated at the C-grade, 20% were evaluated at the D-grade. The proportion of the workers who were required to take special examination were 29% and of that, the proportion of the workers who actually took the examination was 88%. 85% of the workers who were recommended for follow up cares were given follow up care while working. The physical agents among the special examination were done the most frequently to detect the examination effects. (4) Health care services: Industrial nurses performed health examination most frequently and health education was done the least. There were significant differences in health care services according to the size of the industries. Companies with 300 workers or less had higher health care services than other groups. The three primary reasons of health care management and examinations of workers are: First, industrial nurses are requires to accumulate professional knowledge and experience through continuos' activities. Second, systematic and concert examination for industrial workers should be performed periodically. Third, it needs developing health education strategies that are important workers for health promotion in industries.
This study aims to investigate causes of the emergence of so-called 'family-care workers' in the Long-term Care Insurance system in Korea. The LTCI system introduced in 2008 financially support the utilization of formal care services for the eligible elderly with care needs by paying for services of their care workers. Interestingly, 38.4 percent of payments for the in-home services were claimed by family members registered as qualified long-term care workers in 2012. We interviewed ten family care workers in depth and analyzed the needs of the aged and their families to explain the emergence of family care workers. The emergence of family-care workers is an inevitable result of choice by family members who face a dual burden of living and caring; be the additional choice following discharge the duty to support the elderly; be the alternative choice to fulfill unaccepted needs for services. These results suggest the needs for a comprehensive public provision of both income and social service support for the aged and an introduction of financial support for family care complementing the formal care support in the LTCI in Korea.
Journal of the Korea Academia-Industrial cooperation Society
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v.14
no.4
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pp.1675-1682
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2013
The purpose of this study is to examine the effect of care workers' assistance services on behavioral changes of the elderly. To achieve this, a survey was carried out on 100 elderly people, who receive the services from care workers in J area-based elderly care facilities, and elderly patient families. The results of this study are as follows. First, the effect of care workers' assistance services on the elderly's satisfaction of physical activities showed that the nursing and caregiving services have a significant positive effect on their satisfaction of physical activities(p<.05). Second, the effect of care workers' assistance services on the elderly's satisfaction of psycho-emotional activities showed that the caregiving services have a significant positive effect on their satisfaction of psycho-emotional activities(p<.01). Third, the effect of care workers' assistance services on the elderly's satisfaction of social cognition activities showed that the caregiving services have a significant positive effect on their satisfaction of social cognition activities(p<.01). Consequently, if the elderly receive the repetitive and continuous nursing and caregiving service in the limit that is forced to deteriorate the elderly's physical, psychological and cognitive development, and slow down their activities, there will be changes and promotion in their physical, psychological and cognitive behaviors. In other words, it is of use in that care workers' continuous assistance services can improve the elderly's life, driven by the changes of their physical, psychological and cognitive behaviors.
Purpose: The purpose of this study was to develope and evaluate the effects of an AIDS education program among health care workers on knowledge, attitudes and care intention about AIDS. Methods: This study was conducted by self reporting with a 44 items of structured questionnaire by 291 health care workers. The research was a quasi-experimental study using one group pre-post design. AIDS education program was consisted of phases for 50 minutes, using power point by a researcher and research assistants. Data were collected before and after education and was analyzed by descriptive statistics and paired t-test. Results: The level of general cognition about AIDS was low. There were a statistically significant increases in the mean of knowledge(t=-22.17, p=.000) and care intention(t=-2.74, p=.006). However, there was no significant difference in the mean of attitudes(t=-.57, p=.569) between the pre-post test. Conclusion: The findings of this study showed the benefits of providing educational interventions for improving knowledge and care about AIDS, while there not any significant changes in attitudes, especially in items based on Korean socio-cultural values. Therefore, to increase attitude about AIDS, various teaching strategies need to be further studied and evaluated.
Purpose: This study was to analyze the factors that affect the service relationship of long term care workers for the elderly and to provide basic resource for the successful connection of long term care services. Methods: 259 subjects who were engaged in long term care units completed a self-administered questionnaire that measured the extent of service linkage among one another. The Cronbach's ${\alpha}$ score determined the internal consistency of the acquired data and the discriminated validity was estimated by Pearson's correlation coefficient. Multiple regression analysis was conducted to investigate the influence of the known factors on the service linkage. Results: Acceptance and participation negatively influenced on the service linkage. Reliance, comprehension, recognition on service, and frequent contact with others positively activated the service linkage of long term care workers. Conclusion: The establishments of systemic training courses providing education that emphasizes reliability and recognizes other services, including work environment to contact easily are needed to improve the service-linkage of long-term care workers for the elderly.
Journal of the Korea Society of Computer and Information
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v.23
no.10
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pp.119-125
/
2018
The purpose of this study was to investigate the effect of health care on the body composition and metabolic Syndrome risk factors in male office workers. The subjects of this study were 30~40's male office workers and their physical activities were increased by mobile healthcare. The date analysis in this study was carried out paired ttest using SPSS 20.0 version(${\alpha}=.05$). The result of study were as follow: First. body composition kg(p<.015), BMI(p<.041), WC(p<.026) were significantly decreased after Increase in Physical Activity Using Mobile Health Care, although these did not reach statistical significance, SMM(p<.123), BF(p<.059) was slightly increased and decreased trend. Second, SBP(p<.300), DBP(p<.384) was slightly decreased trend and BS(p<.034) were significantly decreased after Increase in Physical Activity Using Mobile Health Care, Third, plasma TC(p<.015), TG(p<.003), LDL-C)(p<.000) were significantly decreased after Increase in Physical Activity Using Mobile Health Care and plasma HDL-C (p<.003) were significantly increased. These results suggest that increased physical activity using mobile health care has a positive effect on the body composition and metabolic syndrome index in male office workers. Sedentary lifestyles could be changed by Continuous feedback using mobile healthcare.
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