• Journal of Korean Academy of Nursing
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• v.42 no.2
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• pp.181-189
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• 2012

Purpose: This study was done to compare breast feeding rates and factors influencing feeding practice between late preterm ($34{\leq}GA<37$) and preterm infants (GA<34). Methods: A survey was done of 207 late preterm and 117 preterm infants in neonatal intensive care units (NICU) of 4 university hospitals in D city. Data were collected from July 2009 to June 2010 from 324 medical records in the NICU. Breast-feeding at home was checked either by telephone survey or questioning during hospital visits. Results: Rate of breast feeding for late preterm infants was significantly lower than for preterm infants. There was no significant difference in breast-feeding at home. We found differences in factors influencing breast feeding between the two groups. Factors influencing feeding for late preterm infants were type of delivery, mothers' occupation, feeding type during hospitalization, time elapse from hospital discharge, total admission days, infant's body weight at first feeding and length of NPO (nothing by mouth). Factors influencing feeding for preterm infants were birth order, maternal disease and obstetric complications, and one-minute Apgar score. Conclusion: Results of the study show low rates of breast-feeding for late preterm infants indicating a need for breast-feeding education for mothers of these infants.

• Journal of the Korean Home Economics Association
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• v.12 no.34
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• pp.711-735
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• 1974

This paper aims at investigating the realities of puerperal period of Korean women, chiefly in the city of Seoul, on the basis of their living standard, schooling caree by age groups, to contribute to the improvement in health of mother and child. In this paper in which the writer, aming 492 women in Seoul a subject of this investigation and giving them 34 items of questionnaires, has studied their concern and practices to recover their health during a lying-in period, and drawn a conclusion as follows : Though their place of childbirth and food they take during the period are varied according to their standard of living, their practices and managements after parturition are true to the conventional usage which is far from modern scientific methods. Problems for the better management during puerperal period are : 1. to have expactent and nursing mothers better educated in their antenatal care ; 2. to let the family planners have more understanding about the problems of puerperal period ; 3. to make those who are concerned study on the problems interdependent between puerperal period and pregnancy and child birth.

• Journal of Korean Academy of Nursing Administration
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• v.13 no.4
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• pp.553-561
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• 2007

Purpose: This study aimed to assess needs of training programs for APN practice courses and continuing education programs for APNs to provide baseline data to improve APN education and practice. Methods: A total of 98 questionnaires were distributed to professors in 38 nursing institutions and 64 (65.3%) were returned. Data collection was performed in November and December, 2007 through email. Results: Professors in charge of geriatric and home care nurse practitioner programs constituted 43.7% of the study participants. Forty-one percent answered that they were satisfied with the practice programs they currently have operated, while 36.5% responded to have difficulty in appointment of institutions for practice programs and 56.3% had problems in assignment of preceptorship. In case of developing training programs for APN practice courses, 58.7% answered that they are willing to participate, and 90.6% felt needs for development of continuing education programs for APNs. Regarding liability insurance for APN students, only 11.5% provided insurance policy. Conclusion: The study results indicated that standardized training programs are needed to assure quality of APN education, and continuing education programs are required to provide opportunities for APNs to improve competencies.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.285-293
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• 2017

This study examined the causal relationship among job stress, fatigue, and job satisfaction, which affect the turnover intention of elderly nursing home care workers. Data were collected from Sep.15 to Sep. 30, 2014. Structured self-administered questionnaires were delivered and collected without the respondents' personal information. The subjects were 232 female care workers working in nursing homes in D city. The data were analyzed using the SPSSWIN 21.0 and AMOS 21.0 programs. Covariance structure analysis was performed to estimate the causal relationship between the variables affecting the turnover intention of care workers. The results of the analysis were as follows. The variables included in this study were fatigue, which comprised 4.9% of job stress. Job satisfaction explained 54.6% of job stress and fatigue. The turnover intention was 46.2% due to job stress, fatigue, and job satisfaction. In other words, job stress, fatigue, and job satisfaction had a direct or indirect effect on the turnover intention of care workers. In conclusion, job stress, fatigue, and job satisfaction affect the turnover intention. Therefore, a policy to improve the work environment and working conditions is needed to reduce the turnover intention of care workers, and fulfill their duties in a stable life time workplace.

• Journal of Home Health Care Nursing
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• v.2
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• pp.19-34
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• 1995

The purpose of this study was to analysis level on family caregiver's burden for the elderly with chronic disease in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales(1982), ADL by Lawton(1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 213 family caregiver of elderly with chronic disease in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows ; 1. Total burden was evaluated below average, the mean of family burden was 46.98. By the diagnostic classification, Hypertension was 27.37, DM 32.46, CVA 62.96, Dementia 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the patient's disease diagnosis (F=33.82, p<0.001), severity of dementia(F=30.52, p<0.001), the status of disease management(F=11.53, p<0.001), ADL(F=10.54, p<0.001), PADL(F=7.50, p<0.001), income(F=7.17, p<0.001), caregiver's health status(F=24.53, p<0.001), a view of patient's prognosis (F=22.17, p<0.001), relationship with the patient(F=33.82, p<0.001), the number of hours per day spent on caregiving(F=77.52, p<0.001), level of intimacy of caregiver and patients(F=8.75, p<0.001), level of helping(F=4.90, p<0.01), the frequency of caregiving activity(F=3.80, p<0.01), the number of admission(F=5.54, p<0.01), the length of caregiving(F=4.43, p<0.01), other chronic patient in family(t=2.81, p<0.01), caregiver's job(F=3.11, p<0.01), the duration of illness(F=2.98, p<0.05), caregiver's religion(F=2.93, p<0.05), medical security(F=3.89, p<0.05), caregiving's helper(t=2.42, p<0.05). 3. PADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, IADL, caregiver's health status, the length of caregiving. level of intimacy of caregiver and patients, patient's age, the patient's disease diagnosis and patient's job accounted for 76% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the diagnostic classification, number of priority care group, Hypertension was 4 (8.0%), DM 4(8.0%), CVA 34(64.1%), Dementia 45(75.0%).

• Women's Health Nursing
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• v.4 no.1
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• pp.84-102
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• 1998

In this study the levels and influencing characteristics of maternal identity and self confidence for caring the baby were identified during the immediate postpartum period. 114 primiparous women who delivered vaginally normal baby participated in the survey from August 1 to October 31, 1996. SD scale was to measure maternal identity which consisted of 11 items for mother and 6 items for baby. Likert scale was to measure self confidence for caring the baby (38 items). Cronbach's alphas for evaluating internal consistency as follows : .86 for maternal identity and .96 for self confidence scale for caring the baby. The study showed these results : 1. Mean score of maternal identity(82.03 : 52.65 for mother, 29.38 for baby) was considered relatively low. 2. Mean score of self confidence for caring the baby(113.91) was considered relatively low. 3. There were significant influencing characteristics of primiparous to maternal identity : age(total ; F=3.53, p=.0329, for mother ; F=2.60, p=.0719, for baby ; F=3.12, p=.0481), prenatal infant care preparation(total ; t=2.31, p=.0306, for mother ; F=2.62, p=.0160), knowledge about infant care during the hospitalization(for baby ; F=3.94, p=.02222), colostrum feeding(total ; t=1.95, p=.0541, for baby ; t=2.71, p=.0080), frequency of breast feeding during the hospitalization(for baby ; F=3.91, p=.0228)and feeding type after discharge(for baby ; F=3.18, p=.0456). 4. There were significant influencing characteristics of primiparous to self confidence for caring the baby : routine husband support(F=6.09, p=.0031), prenatal infant care preparation(t=2.04, p=.0574), knowledge about infant care during the hospitalization(F=3.15, p=.0467), education of breast feeding during the hospitalization(t=-1.79, p=.0850). 5. Correlation between maternal identity and self confidence for caring the baby was r=.37608(p=.0001). This study implies that special education programs for primipara are needed. For the future, this study suggest that maternal role variables need to be monitored through the home visiting follow up. Also intervention programs related to prenatal care, discharge education, home visiting follow up need to be developed and then evaluated their effectiveness.

• Journal of the Korean housing association
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• v.14 no.2
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• pp.121-132
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• 2003

This study has been performed to explore main reasons for staying in paid elderly residential care facilities among the residents. In this study, five males and seven females aged 65 to 82 were asked about main reasons for staying in the facilities. The answers of the qualitative interview were drawn as follows; first, some residents had suddenly decided to move into the facility due to critical life events such as bereavement, serious illness, or supporting problems. Second, some residents had taken a long period of considerations on whether staying home or in the facilities, because their health and family supports gradually diminished over the long life span. On the other hand, a few of them voluntarily chose to stay at the facilities, because they recognized supervised group activities, nutritionally well-planned meals, and health care as major inconveniences. In this study, suggestions were made as follows: first, guiding and settlement programs should be developed for the residents of the sudden events, particularly at early stage of admission. Second, intensive nursing care units should be in separation from healthy independent groups, so that the residents are relieved from stressful contacts with extremely ill patients in the residential area.

• Journal of the Korean Institute of Rural Architecture
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• v.10 no.4
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• pp.9-16
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• 2008

The purpose of this study is to compare and seize the type of the path of flow for nurses and living assistant, of the path of flow for evacuation and walking practice by analysis plan for the care facilities in the out-of-home service. It supposed many problem for living in the care facilities for the aged get down activity, especially their relates with difficulty in walking. And services of nurses and living assistant get mixed properties by that problem for the aged with difficulty in walking. It classified into T type, L type, H type, ${\Box}$ type, - type all the path of flow for nurses and living assistant on the longest from nursing station to each bedroom, the path of flow for evacuation from each room to exit, the path of flow for walking practice on the corridor and lobby. The three path of flow are influenced by an inner court, especially passable court is the important primary factor in the communication between the aged, a course and time required of flow.

• Journal of the Korean housing association
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• v.14 no.4
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• pp.57-67
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• 2003

The purpose of the study is to propose the basic data for an aged residential building suitable for Korean environment and it is based on the outcomes of investigation on The Aged Care Residential Service in Australia including the scale and arrangement of private zone and specific characteristics of each compartment. The brief outcomes of the research are follows as. - The Aged Care Residential Services have been functionally running divided into Nursing home, Hostel and Retirement Village by the classification standard of the residential classification scale. - Single bed rooms have 75% of total residential area and the square of single bed room is about $20\textrm{m}^2$and that of two-bed room is about $31\textrm{m}^2$. - There are two types of ensuite such as one single-bed room and one ensuite and bed room for two or three persons and ensuite type. The square of ensuite varies as single is 50∼60%, single for public is 25∼30%, and double for public is 15∼20%. - Assisted bathrooms are generally located in the middle of building and it is suggested to be occupied about $1.25\textrm{m}^2$ per person. Sitting rooms are two types such as room type whose square has about $12\textrm{m}^2$ and a lounge type has $16\textrm{m}^2$.

• Journal of The Korea Institute of Healthcare Architecture
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• v.25 no.1
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• pp.51-60
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• 2019

Purpose: This study aims to analyze design guidelines for hospice facilities in the US, UK, and Canada focused on design considerations and space requirements, and utilizes them as baseline data for establishing standards for Korean hospice facilities. Methods: Comparative review was carried out to investigate hospice care models, design consideration, and room sizes and requirements for design guideline of hospice facilities in United States, UK and Canada identified on electronic database and review articles, and to examine major characteristics and tendencies of hospice facilities. Results: The hospice care models characteristics in design guidelines is generally largely divided into hospital-based hospice facility, Nursing home-based hospice facility, and daycare hospice. The design considerations in hospice facilities focused on medical efficiency, flexibility, barrier-free environment, person-centered care, and stability. There is also a need for single resident room, rooms for the patient's family, and isolation room for infection control. Implications: it is recommended to establish standards for the installation and operation of required and recommended rooms and considerations when establishing the standards of hospice facilities in Korea. This Study is limited to a simple comparative analysis of the framework of guideline.