• Title/Summary/Keyword: Care worker

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Study on Health Education Providing System in Korea - Health Education Policy- (한국의 보건교육 제공체계 연구 - 보건교육 정책을 중심으로 -)

  • 김대희;임재은
    • Korean Journal of Health Education and Promotion
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    • v.8 no.2
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    • pp.6-23
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    • 1991
  • The method of this study is as follows : First, the interview with the civil servants concerned. Second, the review of the pertinent public ledgers. Third, the review of the existing reference. The results of this study are as follows. 1) The health education system in Korea has only the head. But it does not have the trunk and the limbs that it can move with. 2) Health educator should have the essential work that is the planning and coordinating work of intersectoral health education programs. They should also have the trust works from other sectors. 3) The proposition in the health education policy is as follows: First, the department or section of health education should be made newly in the public health organization. Second, at the level of province(Do) and county(Gun), the health educator should be stationed. Third, most training courses of health care members should involve health education subjects. Fourth, the health center at the level of county(Gun) should have a minimum material and audio-visual equipment of health education. Fifth, regular health education should be put into practice through local broadcast or CATV etc.. Sixth, school health education should be consolidated. Seventh, village health worker(nurse) should be stationed at the level of health center, so that he(she) can work as health educator. 4) The ultimate model of health education system is that of Fig. 5. But it is impossible to change the system synoptically. At first health educator should be stationed at health center. And then the system should be gradually organized.

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A Research of Worker's Uniform in the Mechanical Industry (기계공업 종사자의 작업복 착용 실태조사 연구)

  • 김혜령;서미아
    • The Research Journal of the Costume Culture
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    • v.10 no.6
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    • pp.718-734
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    • 2002
  • The purpose of this study is to provide basic data f3r improvement in Working Uniform in both scientific and efficient ways. The study were enforced by questionnaire and personal interview. The subject of the survey were the workers of 264 in mechanic industry in Seoul. The results obtained from the researches by methods above are as follows. 1. In general, Working Uniform could be classified types of two. One is loose-fitting one-piece garment covering the body and legs, the other is two-piece garment. The latter is a jacket with either sports collar or soutein collar, fastened with either buttons or a zipper and its sleeve is finished by cuffs and tapes. Regarding to color. inkblue, dark navy, khaky, dark beige are favourable ones. 2. In regard to the necessity of uniform that workers suppose, most of them were aware of it and agreed wearing uniform could play an important part. The reason why are on the basis of safety-first and work efficiency and also to protect a body from harmful or toxic dirt specially in machinery workplace. 3. The purpose of wearing an uniform according to statistics of population make some difference in age, gender. categories of industry, and the scale of factory. 4. In regard to care of uniform, front hem, edge of sleeve in a jacket, and knee, hip part in pants were most vulnerable spots for dirt. The parts damaged easily are edge of sleeve in a jacket and a zipper in pants. On the average, laundry have been done by water and was once a week frequency.

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Development of Village Health Worker Training Program in Tuguegarao, Phillipines (필리핀 뚜게가라오 지역에서의 마을보건원 훈련 프로그램 개발 사례)

  • Kim, Jung-Min;Lee, Hye-Yeon;Pakr, Dae-Jin;Oak, Chul-Ho;Jeon, Man-Joong;Yu, Byeng-Chul;Koh, Kwang-Wook;Lee, Yong-Hwan
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.324-334
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    • 2008
  • Objectives: The purpose of this study was to develop and execute the village heath worker(VHW) training program which based on short term overseas medical volunteer and medical mission. Methods: Through case studies of previous VHW program and review articles about the state of medical volunteer and medical mission, we developed the VHW training program. Pilot test of the program was carried out in Tugeugarao city, Phillipines on July, 2008. The subject were 32 persons from 15 villages around Tuguegarao city. After training we surveyed regarding the satisfaction of training and the degree of getting knowledge and skills. Results: Through article review, we got the common subjects of previous VHW training program and the limitations of overseas medical volunteer and medical mission. We developed VHW training program aiming to community health promotion through community participation and community change. The main text was "Where There Is No Doctor" of Hesperian Foundation. The program executed through 1 day intensive lecture and practice. The satisfaction of the program was 8.95±1.70 on 10 point rating scale. Conclusions: We strongly expect VHW training program can be available as new model of short overseas medical volunteer as well as medical mission if we could systemize it with the confirming subject before training , management after training and continuous support through connection with the field.

The Evaluation of Worker's Job Stress Status in Workplace of a Local Area (일개 지역 사업장 근로자의 직무스트레스수준 평가)

  • Kim, Ki Ryeon;Park, Jeung Hee;Kim, Young Mi
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.2
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    • pp.216-223
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    • 2008
  • Purpose: This study was performed to evaluate the worker's job stress status in the workplace of a local area. Method: Data were collected from October to December, 2007. The subjects were 208 workers at 2 work sites in Busan Metropolitan area, who were examined using Job-Strain-Model Questionnaire. Data were analyzed by SPSS 12.0 Win Program to get the percentage, mean, standard deviation, t-test, ${\chi}^2$-test, ANOVA. Results: The results of this study were as follows: In the mean sub-factors job stress level, the mean of job demand was $28.7{\pm}4.4$(median 29.0), the mean of job discretion was $54.7{\pm}8.2$(median 54.0), the mean of social support was $21.8{\pm}2.9$(range:8-32). This study's subjects were appeared as active group with relatively higher score of job demand and job discretion than the average value of those. There was no statistically significant difference of general characteristics among the different job strain groups. There was statistically significant difference with of social supports among the different job strain groups. Conclusion: In conclusion, the subjects of this study's were active group. Thus, it is suggested that it is be necessary to repeated the education of the job task work for active group with high score of job demand and job discretion.

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How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?

  • Ruitenburg, Martijn M.;Frings-Dresen, Monique H.W.;Sluiter, Judith K.
    • Safety and Health at Work
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    • v.7 no.1
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    • pp.18-31
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    • 2016
  • Background: A job-specific Worker's Health Surveillance (WHS) for hospital physicians is a preventive occupational health strategy aiming at early detection of their diminished work-related health in order to improve or maintain physician's health and quality of care. This study addresses what steps should be taken to determine the content of a job-specific WHS for hospital physicians and outlines that content. Methods: Based on four questions, decision trees were developed for physical and psychological job demands and for biological, chemical, and physical exposures to decide whether or not to include work-related health effects related to occupational exposures or aspects of health reflecting insufficient job requirements. Information was gathered locally through self-reporting and systematic observations at the workplace and from evidence in international publications. Results: Information from the decision trees on the prevalence and impact of the health- or work-functioning effect led to inclusion of occupational exposures (e.g., biological agents, emotionally demanding situations), job requirements (e.g., sufficient vision, judging ability), or health effects (e.g., depressive symptoms, neck complaints). Additionally, following the Dutch guideline for occupational physicians and based on specific job demands, screening for cardiovascular diseases, work ability, drug use, and alcohol consumption was included. Targeted interventions were selected when a health or work functioning problem existed and were chosen based on evidence for effectiveness. Conclusion: The process of developing a job-specific WHS for hospital physicians was described and the content presented, which might serve as an example for other jobs. Before implementation, it must first be tested for feasibility and acceptability.

Knowledge, Attitude, and Behavior Status on Oral Health Care of Geriatric Care Workers in Long-Term Care Facilities (장기요양시설 요양보호사의 구강건강관리에 대한 지식, 태도, 행동)

  • Jeon, Hyun-Sun;Han, Sun-Young;Chung, Won-Gyun;Choi, Jong-Hoon
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.569-576
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    • 2015
  • The aim of this study was to assess the oral health knowledge, attitude and behavior among geriatric care workers in long-term care facilities. A self-administered questionnaire was obtained from 212 geriatric care workers attending a professional education program of 2014 dementia pilot project. The questionnaire consisted of 4 parts of the training experience (2 items), knowledge (16 items), attitude (13 items), and behavior (4 items) on oral health care. Collected data were analyzed by frequency analysis, independent t-test, and one-way ANOVA using SPSS Statistics ver. 20.0. The percentage of educational experience on oral care was 27.9% and most respondents answered that they have received the education about denture cleaning (98.3%) and brushing method (91.4%). The average knowledge score was $10.88{\pm}1.70$, and respondents showed high-level agreement in 8 of the 10 items in attitude questions. They revealed difficulties in providing oral care to the elderly people because of their lack of knowledge. The deficiencies of knowledge about oral care would have a decisive effect on not only oral and general health, but also quality of life of the elderly people. Therefore, it is required to develop professional oral care training programs for geriatric care workers and support systems should be legalized.

Performance of elderly oral health management and related factors among care workers in long-term-care hospitals (요양병원 요양보호사의 노인 구강건강관리 수행도 관련요인)

  • Choi, Se-Eun;Han, Mi-Ah;Park, Jong;Ryu, So-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.791-803
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    • 2017
  • Objectives: Oral health management is important to improve the quality of life among the elderly. This study investigated the performance of elderly oral health management among some care workers in long-term-care hospitals. Methods: The study subjects were 174 care workers in 10 long-term-care hospitals. Data on general characteristics of care workers, attitude, recognition and knowledge of elderly health, performance of elderly oral health management were collected by a self-administered questionnaire. Data were analyzed through descriptive analysis, t-test, ANOVA, correlation and multiple regression analysis by using a SPSS version 23.0 statistical program. Results: The performance score of oral health management was $4.34{\pm}0.64$ on the 5-point Likert scale. The subjects who exercised more than 2 times a month were significantly higher in their performance of elderly oral health management compared to subjects who did not exercise (${\beta}=0.232$, p=0.035). And, the subjects who cared 10-19 persons were significantly higher in performance of elderly oral health management compared to subjects who cared more than 20 elderly (${\beta}=0.246$, p=0.020). The oral health behavior of care worker (${\beta}=0.271$, p<0.001) and the knowledge of oral health care (${\beta}=0.055$, p=0.008) were positively related to the performance of elderly oral health management. Conclusions: The educational program designed to improve knowledge of care workers in accordance with the standard textbook for training care workers should be developed, and the long term education program should be reinforced to improve the performance for elderly oral health care. If care workers can care a proper number of old persons, they will give oral health care to them.

Problems in the field of maternal and child health care and its improvement in rural Korea (우리나라 농촌(農村)의 모자보건(母子保健)의 문제점(問題點)과 개선방안(改善方案))

  • Lee, Sung-Kwan
    • Journal of agricultural medicine and community health
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    • v.1 no.1
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    • pp.29-36
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    • 1976
  • Introduction Recently, changes in the patterns and concepts of maternity care, in both developing and developed countries have been accelerating. An outstanding development in this field is the number of deliveries taking place in hospitals or maternity centers. In Korea, however, more than 90% of deliveries are carried out at home with the help of untrained relatives or even without helpers. It is estimated that less than 10% of deliveries are assisted by professional persons such as a physician or a midwife. Taking into account the shortage of professional person i11 rural Korea, it is difficult to expect widespread prenatal, postnatal, and delivery care by professional persons in the near future, It is unrealistic, therefore, to expect rapid development of MCH care by professional persons in rural Korea due to economic and sociological reasons. Given these conditions. it is reasonable that an educated village women could used as a "maternity aid", serving simple and technically easy roles in the MCH field, if we could give such a women incentive to do so. The midwife and physician are assigned difficult problems in the MCH field which could not be solved by the village worker. However, with the application of the village worker system, we could expect to improve maternal and child hoalth through the replacement of untrained relatives as birth attendants with educated and trained maternity aides. We hope that this system will be a way of improving MCH care, which is only one part of the general health services offered at the local health centre level. Problems of MCH in rural Korea The field of MCH is not only the weakest point in the medical field in our country hut it has also dropped behind other developing countries. Regarding the knowledge about pregnancy and delivery, a large proportion of our respondents reported having only a little knowledge, while 29% reported that they had "sufficient" knowledge. The average number of pregnancies among women residing in rural areas was 4.3 while the rate of women with 5 or more pregnancies among general women and women who terminated childbearing were 43 and 80% respectively. The rate of unwanted pregnancy among general women was 19.7%. The total rate for complications during pregnancy was 15.4%, toxemia being the major complication. The rate of pregnant women with chronic disease was 7%. Regarding the interval of pregnancy, the rates of pregnancy within 12 months and within 36 months after last delivery were 9 and 49% respectively. Induced abortion has been increasing in rural areas, being as high as 30-50% in some locations. The maternal death rate was shown 10 times higher than in developed countries (35/10,000 live births). Prenatal care Most women had no consultation with a physician during the prenatal period. Of those women who did have prenatal care, the majority (63%) received such care only 1 or 2 times throughout the entire period of pregnancy. Also, in 80% of these women the first visit Game after 4 months of gestation. Delivery conditions This field is lagging behind other public health problems in our country. Namely, more than 95% of the women deliveried their baby at home, and delivery attendance by a professional person occurred only 11% of the time. Attendance rate by laymen was 78% while those receiving no care at all was 16%. For instruments used to cut the umbilical corn, sterilized scissors were used by 19%, non-sterilized scissors by 63% and 16% used sickles. Regarding delivery sheets, the rate of use of clean sheets was only 10%, unclean sheets, vinyl and papers 72%, and without sheets, 18%. The main reason for not using a hospital as a place of delivery was that the women felt they did not need it as they had previously experience easy deliveries outside hospitals. Difficult delivery composed about 5% of the total. Child health The main food for infants (95%) was breast milk. Regarding weaning time, the rates within one year, up to one and half, two, three and more than three years were 28,43,60,81 and 91% respectively, and even after the next pregnancy still continued lactation. The vaccination of children is the only service for child health in rural Korea. As shown in the Table, the rates of all kinds of vaccination were very low and insufficient. Infant death rate was 42 per 1,000 live births. Most of the deaths were caused by preventable diseases. Death of infants within the neonatal period was 83% meaning that deaths from communicable diseases decreased remarkably after that time. Infant deaths which occurred without medical care was 52%. Methods of improvement in the MCH field 1. Through the activities of village health workers (VHW) to detect pregnant women by home visiting and. after registration. visiting once a month to observe any abnormalities in pregnant women. If they find warning signs of abnormalities. they refer them to the public health nurse or midwife. Sterilized delivery kits were distributed to the expected mother 2 weeks prior to expected date of delivery by the VHW. If a delivery was expected to be difficult, then the VHW took the mother to a physician or call a physician to help after birth, the VHW visits the mother and baby to confirm health and to recommend the baby be given proper vaccination. 2. Through the midwife or public health nurse (aid nurse) Examination of pregnant women who are referred by the VHW to confirm abnormalities and to treat them. If the midwife or aid nurse could not solve the problems, they refer the pregnant women to the OB-GY specialist. The midwife and PHN will attend in the cases of normal deliveries and they help in the birth. The PHN will conduct vaccination for all infants and children under 5, years old. 3. The Physician will help only in those cases referred to him by the PHN or VHW. However, the physician should examine all pregnant women at least three times during their pregnancy. First, the physician will identify the pregnancy and conduct general physical examination to confirm any chronic disease that might disturb the continuity of the pregnancy. Second, if the pregnant woman shows any abnormalities the physician must examine and treat. Third, at 9 or 10 months of gestation (after sitting of the baby) the physician should examine the position of the fetus and measure the pelvis to recommend institutional delivery of those who are expected to have a difficult delivery. And of course. the medical care of both the mother and the infants are responsible of the physician. Overall, large areas of the field of MCH would be served by the VHW, PHN, or midwife so the physician is needed only as a parttime worker.

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The Influence of Teacher's Demographic and Sociological Characteristics and the Emotional Support of the Director and Co-worker on the Childcare Efficacy of Infant Teacher (영아반 교사의 인구사회학적 특성과 원장과 동료교사의 정서적 지지가 보육효능감에 미치는 영향)

  • Jeong, Kkot Nim;Moon, Hae Lyun
    • Korean Journal of Child Education & Care
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    • v.18 no.4
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    • pp.175-185
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    • 2018
  • Objective: The purpose of this study is to investigate the influence of teachers' demographic and sociological characteristics and the emotional support of the director and co-worker on the childcare efficacy of infant teachers. Methods: In this study, 169 Infant teachers of childcare centers have participated, where are located in Seoul and Gyeonggi-do Areas. The data was analyzed by using t-test and one way ANOVA to confirm the differences among groups, and also correlations analysis and multiple regression analysis were performed to analyze the interrelationship between variables and their effects. Results: Study outcome according to study subjects is as follows. First, we found a statistically meaningful difference in marital status and career by the differences of childcare efficacy depending on demographic and sociological characteristics of infant teachers. Second, childcare efficacy of infant teachers showed the most evident correlationship with co-workers support followed by the director's support. Third, the data also revealed that childcare efficacy of infant teachers was influenced by co-workers' support, their careers, marital status and their directors' support in order. Conclusion/Implications: In conclusion, higher levels of childcare efficacy were shown by the experienced and married early childhood teachers and the emotional support of co-workers has the greatest influence on their childcare efficacy.

A Study of the Employment Condition and Labour Experience of Elementary After-School Care Teachers: A Case of Gwangju Metropolitan City (초등돌봄교사의 고용형태와 노동경험에 관한 연구: 광주광역시 사례를 중심으로)

  • Kim, Hyun Mi;Shin, Julia Jiwon
    • 한국사회정책
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    • v.23 no.2
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    • pp.141-172
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    • 2016
  • This study examines the employment conditions and labour experience of elementary after-school care teachers in South Korea. Based on the empirical data collected through in-depth interviews with after-school care teachers in Gwangju Metropolitan City, the study considers multifaceted problems faced by after-school care teachers in their workplace. The after-school care class is part of educational policies initiated and rapidly expanded by the Ministry of Education, resulting in the substantial increase of non-regular school workers. The irregularization of after-school care teachers illustrates that the common problems faced by female non-regular workers, such as social discrimination, exclusion and inequality, are also transplanted into the typical public sector. In the case of Gwangju Metropolitan City, during the past two years there have been evident increases both in under 15-hour short time contract care teachers and outsourcing of care classes. Temporary part-time contract care teachers suffer relentless job insecurity and experience poor working conditions, exclusion and discrimination within the workplace and labour alienation. In order to minimize the organized resistance of care teachers, school authorities implicitly individualize and isolate care teachers through hierarchization, the division of labour and the spatial division of classes between indefinite and temporary contract teachers.