• Title/Summary/Keyword: Care need

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유료노인요양시설(Nursing Home)의 이용 결정 요인에 관한 연구 (A Study on the Determining Factors of Utilizing the Nursing Home)

  • 한승의
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.582-588
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    • 2001
  • Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.

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일본 노인보건시설의 공간구성에 관한 연구 (A Study on the Spatial Composition of Health Facilities for the Elderly in Japan)

  • 소준영
    • 한국실내디자인학회논문집
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    • 제14권2호
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    • pp.142-152
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    • 2005
  • It is estimated that the need to build health facilities for the elderly will grow in the near future as the Korean society is aging. Thus the study on the spatial composition of 22 facilities as well as on the cases of health facilities for the elderly in Japan, where public health and medicare for aged people are well taken care of, was conducted and the following are the results: 1. As of 2000, there was one facility for every 8,000 and 1,100 aged citizen under long-term care, and these facilities secured beds enough for $8\%$ of those who need long-term care. 2. The spatial composition was categorized into general living space, long-term care, management, provision, and home assistance, and housing was provided. Moreover, the space was divided according to their nature of use, the arrangement, the form of entrance into the building, moving line inside, the relationship with the health facilities and their characteristics are analyzed based on different users, managers, moving line including that of provision of food, the relationship between different spaces with different functions as well as on the relationship between locations of each space. 3. The total capacity, building area and actual area of the welfare facilities for the elderly are analyzed, and area per person, detailed area for each space, percentage of each living space for long-term care patients and characteristics of recuperation room are suggested.

우리나라 보건의료 조직 연구의 현황과 과제 (An Analysis of Research on Health Care Organizations in Korea)

  • 유명순
    • 보건행정학회지
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    • 제20권1호
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    • pp.155-182
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    • 2010
  • This study reviews 302 articles on health care organizations (HCOs) from 33 Korean Research Foundation registered journals. Articles are classified by criteria, focusing on study topics and methods. Key findings: (1) 'health care' journals are the major source of research on HCOs, (2) there has been a rapid increase in the amount of articles since the 1990s, (3) the majority of the studies deals with micro issues such as job attitude or motivation, (4) approximately 17% of the articles does not provide hypotheses based on theoretical assumptions, (5) few studies attempt to propose a new concept or theoretical framework, (6) most of the studies consider 'individual' as a level of analysis, (7) the use of cross-sectional data collected by survey questionnaire is general, and (8) individuals in a single occupation from multiple organizations are the main data source. Based on the findings, some directions for future research are proposed. Most of all, having more opportunities to introduce theories of organization and organizational behavior in health care need to be made in order to enhance understanding of HCOs. Next, sophisticated methodologies to guide empirical investigations should be developed to reduce deficiencies in research. Finally, efforts to encourage interdisciplinary approaches to the study on HCOs also need to be increased.

보육교사와 학령전기 아동 어머니의 아동 건강증진 교육요구 (Needs for Children's Health Promotion Education as Perceived by Child Care Center Teachers and Mothers)

  • 이영란;박선남;이미란
    • Child Health Nursing Research
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    • 제24권2호
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    • pp.186-198
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    • 2018
  • Purpose: The purpose of this study was to determine the needs for children's health promotion education programs as perceived by child care center teachers and mothers. Methods: This study conducted a survey of 88 child care center teachers and 70 mothers of preschool children in Seoul from January 4 to February 5, 2016. This study aimed to characterize the current conditions of health promotion education for preschool children and the needs for health promotion education as perceived by child care center teachers and mothers of preschool children. Results: Areas of high need for health promotion education included lifestyle improvements for preventing diseases in children and awareness of the importance of health in educational objectives, standardized educational manuals, health educators as educators, child care centers as educational places, local health centers as educational support organizations, regular class hours as educational time, role play for training, and actual models in the educational medium. The educational subjects for which a high need was reported included safety and accident prevention, the role of smartphones and TV watching in mental health, and personal hygiene and disease prevention. Conclusion: These findings suggest that it is necessary to develop a health promotion education program for preschool children.

간호사의 가족간호 자신감과 가족간호 교육요구도: 임종기 환자 가족을 중심으로 (Nurses' Confidence in Family Nursing and Their Needs for Family Nursing Education: Focusing on the Family of Dying Patients)

  • 권소희;김영주
    • 한국보건간호학회지
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    • 제35권3호
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    • pp.356-367
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    • 2021
  • Purpose: This study aimed to identify the confidence and educational needs of clinical nurses in care for the family of dying patients. Methods: The subjects of this study were 218 clinical nurses working at two tertiary general hospitals located in D city, Korea, and the data were collected through online questionnaires. The collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Scheffe test and 𝝌2 test using the SPSS WIN 20.0 program. Results: 97.6% of clinical nurses recognized the need for family care for dying patients, but 76.7% had never received any education on family care for dying patients. The average score of dying patients' confidence in family care was 3.09. About 90% of clinical nurses were willing to participate in family nursing education for dying patients. The group with more than 5 years of clinical experience was significantly higher than the group with less than 5 years of clinical experience. Conclusion: This study recognized the necessity of family nursing for dying patients highly. It is necessary to develop and apply an educational program based on the education topic that recognizes the need highly.

Multi-Agent Systems: Effective Approach for Cancer Care Information Management

  • Mohammadzadeh, Niloofar;Safdari, Reza;Rahimi, Azin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7757-7759
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    • 2013
  • Physicians, in order to study the causes of cancer, detect cancer earlier, prevent or determine the effectiveness of treatment, and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive, and timely cancer data. The cancer care environment has become more complex because of the need for coordination and communication among health care professionals with different skills in a variety of roles and the existence of large amounts of data with various formats. The goals of health care systems in such a complex environment are correct health data management, providing appropriate information needs of users to enhance the integrity and quality of health care, timely access to accurate information and reducing medical errors. These roles in new systems with use of agents efficiently perform well. Because of the potential capability of agent systems to solve complex and dynamic health problems, health care system, in order to gain full advantage of E- health, steps must be taken to make use of this technology. Multi-agent systems have effective roles in health service quality improvement especially in telemedicine, emergency situations and management of chronic diseases such as cancer. In the design and implementation of agent based systems, planning items such as information confidentiality and privacy, architecture, communication standards, ethical and legal aspects, identification opportunities and barriers should be considered. It should be noted that usage of agent systems only with a technical view is associated with many problems such as lack of user acceptance. The aim of this commentary is to survey applications, opportunities and barriers of this new artificial intelligence tool for cancer care information as an approach to improve cancer care management.

국내 호스피스·완화의료 기관 내 사별돌봄을 위한 음악 활용 현황 및 프로그램 코디네이터의 인식 (The Current Status Regarding the Use of Music for Bereavement Care and the Program Coordinators' Perception in Hospice and Palliative Settings in South Korea)

  • 김지수;이진형
    • 한국콘텐츠학회논문지
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    • 제18권11호
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    • pp.258-266
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    • 2018
  • 본 연구는 국내 호스피스 완화의료 기관 내 사별돌봄을 위한 음악 활용 현황 및 음악 활용에 대한 프로그램 코디네이터의 인식을 조사하여 향후 적용될 음악치료 사별돌봄 프로그램에 대한 구체적 자료를 제시하고자 한다. 본 연구에서는 국내 호스피스 완화의료 기관 중 보건복지부가 지정한 호스피스 완화의료 전문기관 및 시범사업 중인 요양병원 91곳을 대상으로 온 오프라인 설문조사를 진행하였다. 설문조사는 2016년 10월부터 약 한달 간 진행되었으며, 수집된 54부의 자료는 SPSS 기술통계 및 Mann-Whitney U 검정을 통해 분석되었다. 연구 결과 전체 기관 중 92.6%에서 사별돌봄 프로그램을 운영하며, 51.9%는 음악을 활용하고 있었다. 이중 현재 운영 중인 프로그램이 사별돌봄의 필요를 충족하고 있다고 보고한 경우는 단 20.3%에 불과하나 사별돌봄 프로그램 필요성(4.52점)과 사별돌봄 음악치료 프로그램 필요성(4.20점)에 대해서는 모두 높게 인식하고 있어 현 프로그램에 대한 개선이 요구됨을 알 수 있다.

한국과 독일 방문요양의 등급별 급여 비교 연구 (A Comparative Study on the Care Services According to Care Levels in the Korean and German Home Care System)

  • 박종덕
    • 가정∙방문간호학회지
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    • 제23권2호
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    • pp.243-252
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    • 2016
  • Purpose: This study aims to classify multiple forms of home care services from a service user's perspective. By comparing the German system to the Korean one, this study seeks to find better ways of enhancing client-centered care. Methods: The data of 121 home care users were collected from six home care centers that had under the management of nursing managers for more than five years. The researcher used a German instrument to estimate the level of care. Results: High correlation was found between German and Korean assessment criteria (r=0.81, p<.001). However, compared to their German counterparts, Korean home care providers allocated more time towards provision of domestic help per daily visit. German home care providers allocated more time towards services relating to provision of support for physical activities, including personal hygiene. It was confirmed that the level of care in Korea does not correlate with either the categories of home care services and duration. Conclusion: Therefore, care services should be offered according to long-term care needs. This study suggests a need for systematic care aimed at strengthening the client's autonomy which should be properly planned, implemented, and managed.

아동간호의 질에 대한 개념분석 (Quality of Pediatric Nursing Care: Concept Analysis)

  • 최미영;방경숙
    • 대한간호학회지
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    • 제40권6호
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    • pp.757-764
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    • 2010
  • Purpose: This paper is a report of a concept analysis of 'quality of pediatric nursing care', Methods: Rodgers's evolutionary method of concept analysis was used. Data were collected from published literature related to quality of pediatric nursing care. Results: Quality of pediatric nursing care was identified with three dimensions and seven attributes: 1) nurse's character: technical competence, interpersonal competence, 2) nurse's activities: developmentally appropriate care, attentiveness, entertainment, 3) nurse-parent interaction: nurse-parent partnership, emotional support. Antecedents of quality of pediatric nursing care were 'child and parent's expectation about pediatric nursing care', 'previous caring experience of pediatric nurses'. Consequences of quality of pediatric nursing care were 'meet child and parent's needs' and 'better health outcomes.' Conclusion: 'Quality of pediatric nursing care' is a core concept in pediatric nursing practice. Appropriate instruments to operationalize the concept need to be developed.

보육시설 영유아의 건강관리를 위한 특수보육 요구조사 II - 보육교사의 요구를 중심으로 - (Needs of Day-care Staff for a Center-based Child Care Health Program II)

  • 한경자;최미영;김지수
    • Child Health Nursing Research
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    • 제13권2호
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    • pp.128-135
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    • 2007
  • Purpose: To investigate health problems in child day care centers, needs for Child Care Health Programs, and management of sick children by day-care staff. Methods: A cross-sectional descriptive study. Day-care staff (N=206) from 33 day care centers in Seoul, completed a structured questionnaire. Results: Almost half of the day-care staff (53.4%) experienced sick events in their child at least once a month. The most frequently reported difficulty in having a sick child was in not having a health professional to consult, and almost all day-care staff (99.5%) had asked parents not to bring a sick child to the day care center. The biggest reason of exclusion was due to infectious disease including measles, chicken pox, mumps, diarrhea·vomiting, and pink eye. The majority of day-care staff (97.6%) agreed that there is a need for Center-based Child Care Health Program (CCCHP), and expected general health & illness management, and special care for chronic disease from CCCHP. Conclusion: These results showed a high incidence of sickness in children in day care centers, and there were great demands for a Center-based Child Care Health Program for day-care staff. Also the results of this study can be utilized as a basis for the establishment of child care policy in Korea.

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