• Human Ecology Research
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• 제55권6호
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• pp.581-592
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• 2017

This study investigated the occupational experiences of social workers in child care facilities. The participants of the study were six social workers in child care facilities. This qualitative research used a Consensual Qualitative Research (CQR) method that and classified the main findings into five categories and twelve sub-themes. This study revealed that child care professionals define themselves as "caregivers" and "role models." Positive effects of institutional life on a child were forming peer relationships and being able to use diverse services while negative effects included acquiring a social stigma, having problems in developing attachment between a child and a surrogate caregiver, developing passive attitude and weak will power from communal living. Meanwhile, conflicts with children and poor working conditions led to burnout for caregivers. Our recommendations on the direction of change for the facilities are: categorizing admitted children, supporting restoration of family functions, reinforcing support for children's preparation for an independent life, and developing expertise. This paper provides a better understanding of child care facilities as well as encourages further social discourse on institutionalized children in order to promote policy making and implementation.

• 대한간호학회지
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• 제39권1호
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• pp.53-61
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• 2009

Purpose: This study was done to identify the relationship between goodness-of-fit for mother-preschool child dyads and parenting stress experienced by the mother. Methods: Study participants were 500 mothers who had children aged 3 to 5 who attended one of ten kindergartens or infant schools in M City or B City. Descriptive statistics and Pearson's correlation coefficients were calculated using the SPSS program. Results: Comparison of goodness-of-fit scores for mother-preschool child dyad according to the characteristics of the participants, showed a significant difference according to child's age, gender, and birth order, mother's education and occupation, father's age and education, family income, and the chief caregiver in the family. There was a positive correlation between goodness-of-fit scores for mother-child dyad and parenting stress scores for mothers. Conclusion: The findings of the study indicate a need to identify differences between children's behavioral problems and parenting styles according to the degree of discord in the mother-child temperaments. It is also necessary to develop and apply nursing programs to promote harmonizing of temperaments, programs in which the characteristics of the child and the mother are considered.

• Journal of Information Science Theory and Practice
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• 제10권4호
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• pp.23-37
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• 2022

The pandemic of Coronavirus disease (COVID-19) has contributed more challenges for mothers as the family's primary caregiver in overcoming the widespread infection. Pandemic-related information is essential for mothers to reduce uncertainty as well as to maintain the health of family members during this unprecedented situation. Adopting the framework of the Situational Theory of Problem Solving, this study extends the theory by, first, testing the mediating role of COVID-19 anxiety on mothers' information seeking and information forwarding, referred to as active communication action of problem solving, as well as preventive behavior; and second, by predicting the effect of information seeking on preventive behavior. Referring to an online survey from 371 Indonesian mothers, the findings suggest that in terms of direct effect, only problem recognition was found to have no significant effect on situational motivation. The results suggest that Indonesian mothers perceive COVID-19 as personally relevant so that they are motivated to solve the problem by seeking and forwarding related information. In addition, COVID-19 anxiety was found to play a significant role in predicting information seeking, information forwarding, and preventive behavior. The result of this study is expected to give insights for risk communicators and health professionals in Indonesia in communicating COVID-19, particularly to mothers.

• 한국의료질향상학회지
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• 제27권1호
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• pp.26-42
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• 2021

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

• 한국보건간호학회지
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• 제14권1호
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• pp.131-146
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• 2000

The purpose of this study is to clarify the correlation between the degree of patients daily activities and that of a sense and social support of families. This study covers families of 252 patients under home health nursing care at 6 University Hospitals during the period of March to May. 1999. The data were collected by using three different questionnaires. Data were analysed by utilizing SAS program such as frequency. average. percentage. t-test. ANOVA. Scheffe test and Pearson Correlation Coefficient. The results were as follows: 1. The average score of patients' daily living activity was $2.36\pm0.67$. $97.2\%$ patients turned out to be. in part. dependent on their family's care. $66.5\%$ of the patients were still dependent on their families in walking: $66.3\%$ In bathing: and $61.0\%$ in using toilet. 2. The average score burdened family caregivers had felt was 2.25 in 4 full point which can be interpreted as average. Among the six burden dimensions. time was said to be the No. 1 burden-yielding factor. When it comes to the characteristics of patients. there were tendencies for patients with lower incomes residing in communal housing. with cerebrovasculal diseases and with higher score of daily living activity to show a higher burden scores. 3. The average score of social support was 2.49 in 5 point. which represents a average score. Among other items. the opportunity of social integration was 2.66. topping the list whereas a chance of upbringing was starkly low at 2.42. The higher scores of social support were shown in cases where the caregiver was male spouse. total care giving duration exceeded 25 months and malignant patients daily living activity scores were low. 4. The score of patients daily activity was positively correlated to the degree of the family burden (r=0.1942). Data indicates there was direct correlation between daily living activity and burden of time consuming, self-improving and physical impairment. 5. The score of the patients daily living was negatively correlated to the social support (r=0.3414), As a whole. there was negative correlation between social support and the formation of intimacy and self-confidence.

• 한국콘텐츠학회논문지
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• 제17권10호
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• pp.667-685
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• 2017

본 연구는 호스피스병동에서 말기 암 환자를 돌보는 가족들의 돌봄 경험의 의미와 본질을 탐색하는 것을 목적으로 하고 있다. 이를 위해 인간의 의식 속에 드러나는 현상과 경험의 본질을 파악하기에 적합한 Giorgi의 현상학적 연구방법으로 접근하여 9명의 말기 암 환자 배우자와 직계가족 보호자를 대상으로 심층면담을 실시하였다. 자료 분석 결과 122개의 중심의미와 45개의 주제가 도출되었고"삶의 집착", "침상 지킴이", "돌봄 희생", "돌봄 장정(長征)의 피로", "애증의 골", "병자에게 복수하기", "소진 후의 허탄함", "간병 돌봄 동역자의 위로", "체념 속에서의 최선", "고통으로부터의 자유", "암의 역설적 축복", "성찰적 전회", "존엄한 죽음의 준비"의 13개 본질적 주제가 드러났다. 이와 같은 연구 결과에 근거하여 호스피스 병동에 말기 암 환자 보호자와 직계가족의 공통적 경험의 의미를 논의했으며, 보호자의 심리 정서적 부담을 완화하고 삶의 재구성에 기여할 수 있는 심리상담 차원에서의 제언을 하였다.

• 성인간호학회지
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• 제20권3호
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• pp.443-451
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• 2008

Purpose: This study is to examine how dementia day care service affects fatigue, depression and life satisfaction of caregiver. Methods: The study was conducted using a convenient sampling method from 6 Dementia Day Care Center in Incheon. Thirty nine primary caregivers answered the questionnaires. Pre-test was done before demented elders start using the dementia day care center and post-test was done five months after. Data were analyzed by using descriptive statistics and paired t-test. Results: There was a significant difference in caregivers' fatigue level after using dementia day care service(t=2.188, p=.035). Results of subcategories were as follows; There was a significant difference in caregivers' physical fatigue level(t=2.270, p=.029) and psychological fatigue level(t=2.277, p=.029) after using dementia day care service. However, there was not significant difference in caregivers' neurological fatigue level(t=1.312, p=.197). There was a significant difference in caregivers' depression level(t=3.066, p=.004) and life satisfaction(t=-2.131, p=.040) after using dementia day care service. Conclusion: The results indicated that dementia day care service is helpful for family with demented elders. Therefore it is necessary to expand dementia day care center in terms of its size and numbers in order to support increasing number of demented elders and their families.

• 여성건강간호학회지
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• 제15권3호
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• pp.196-204
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• 2009

Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.

• 성인간호학회지
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• 제19권1호
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• pp.24-34
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• 2007

Purpose: The objective of this study was to define the predictors of health related quality of life(HRQoL) of women caregivers of the demented elderly patients. Methods: The subjects of this study were 140 pairs of patients with dementia and their caregivers. The characteristics of dementia patients and caregivers, Barthel index and SF-36 were measured in this study. T-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression were used for data analysis. Results: The health related quality of life(HRQoL) score of women caregivers was $288.35{\pm}66.10$ for norm based scoring. HRQoL of women caregivers was correlated with patients' ADL, severity of dementia, caregivers' age, burden, and family support. The major factors that affected the physical components of women caregivers of patients with dementia was the age of the caregiver, burden, and ADL which explained 36.0% of HRQoL. The main predictors of women caregivers' emotional state was the caregiver's burden. Conclusion: Patients' support systems must be implemented to improve the physical HRQoL of caregivers. A caregivers' burden relief program needs to be prepared to increase their emotional HRQoL and further studies and efforts will be needed to evaluate those effects.

• 한국간호교육학회지
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• 제24권3호
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• pp.250-258
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• 2018

Purpose: This study aimed to investigate the influence of health status and types of health management on depression in middle-aged women. Methods: A convenience sample of 188 participants was recruited from health centers in S city. Using a structured questionnaire, data was collected and analyzed by t-test, ANOVA, Pearson's correlation, and linear regression using SPSS/WIN 23 program. Results: Results of the regression analysis showed that perceived current health status (${\beta}=-0.55$, p<.001), no caregiver (${\beta}=0.47$, p<.001), chronic diseases lasting more than three months (${\beta}=0.36$, p<.001), perceived health status compared to peer group (${\beta}=0.32$, p<.001), walking for health (${\beta}=-0.20$, p=.002), caregiver except family (${\beta}=0.18$, p=.001), and gastrointestinal disease (${\beta}=0.10$, p=.022) influenced depression in middle-aged women. Overall, approximately 69.7% of total variance explained this model (adjusted $R^2=0.678$, F=57.21, p<.001). Conclusion: This study suggests that it is more important to understand the level of perceived health status in middle-aged women. Furthermore, it is necessary to develop programs that include various health management methods and strengthen the health care with the help of families and neighbors in order to manage depression in middle-aged women.