This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.
The purpose of this study is to investigate of mental health professionals regarding job burnout, emotional labor and mental health by verifying the moderating effect of resilience. Results from analyzing 1,020 mental health professionals(certified people with 1st, 2nd grade licence in nursing, social welfare, and psychology) collected in the academic service studies by the National Mental Health Education Research Center in 2014 showed that job burnouts and emotional labor both had negative correlation with mental health, but in cases of analyzing moderating effects in resilience, only job burnout presented significant results. Accordingly, the results indicated that resilience could buffer the danger of mental health of mental health workers from job burnouts and emotional laboring. This study shows that it is important to care about the mental health of not only the people who receive mental health care services, but also the mental health care professionals who provide services. It also shows that the research has to be conducted with convergence considering both sides. Measures regarding the mental health care of mental health professionals were further discussed based on the results of this study.
This study was conducted in an attempt to determine the factors that cause excessive daytime sleepiness among 927 subway station employees located in Seoul. Data were collected with a structured questionnaire through the web site and were analyzed using SPSS 20.0 statistical software. Results showed that marital status made a statistically significant difference in general characteristics, and hobby/leisure activities made a statistically significant difference in health-related characteristics. Workplace and satisfaction with the organization made a significant difference in job-related characteristics, and physical environment, job demand, job autonomy, relationship conflicts, organizational system, inappropriate compensation, and organizational culture made a statistically significant difference in job stress factors. Factors that affect excessive daytime sleepiness were hobby and leisure activities, satisfaction with the organization, physical environment, job demand, job autonomy, organizational system and organizational culture, showing a 20.5% explanatory power. This study proposes the operation of programs that can improve the physical environment, change the organizational system and increase satisfaction with the organizational culture among station employees in order that they can enjoy their hobby/leisure life and relieve job stress so that they can avoid excessive daytime sleepiness.
Asia-Pacific Journal of Business Venturing and Entrepreneurship
/
v.8
no.2
/
pp.161-174
/
2013
The purpose of this study was to examine the efficiency of senior welfare centers and the cause of differences among senior welfare centers in that regard, and to investigate influential factors for the differences in efficiency and the size of the influence of the factors. What methods would be effective at assessing the efficiency of senior welfare centers by taking into account their circumstances was reviewed, and post-hoc analyses were made by using data envelopment analysis(DEA) and Tobit analysis, which were useful tools to evaluate relative efficiency. After 24 senior welfare centers located in Seoul were selected, their yearly operating data of 2011 were utilized. In this study, we set limits to the medical welfare of the elderly welfare services business, and divided into model 2 including the elderly population in the region and model 1, input factors for only internal factors, such as full-time workers. We calculated a valid result by proceeding a BCC analysis and analysis of CCR respectively. As this study has some limitations, follow-up research should be implemented. Yet this study is of significance in that it attempted to present general norms for the efficiency analysis of senior welfare centers by using a DEA model and made various post-hoc analyses based on the efficiency data to give significant suggestions on the service of senior welfare centers.
The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.
The 「Health Care Workforce Support Act」 was came into effect on 29 October 2019. Health care workforce is the most important national health resource, and the quantity and quality of them is also related to the level of national health care. This study examined the background and major contents of this Act and suggested future improvement by analyzing main issues. Th e Act was enacted to support the health care workforce for their recruitment and better working environment. By stipulating the establishment of the master plan, management of the supply and demand, improvement of working environment for health care workforce, the act contributed to raise the quality of health service and health promotion. Given that the act was developed in consideration to support of health care workers, it has many meanings. However, it is necessary to reexamine the above-mentioned five issues in order to develop the effective law while utilizing the significance of the law for health care workforce support and has to revise as soon as possible.
Employing female in the field of science and engineering is becoming increasingly important with diversity and creativity emerging as key factors to build Creative Economy. Under these circumstances, it is necessary to recognize and discourage gender discrimination in the labor market by analyzing wages - the market value of labor which determines one's economic status. This study uses the Oaxaca-Ransom decomposition (1994) to analyze the gender wage gap and identify factors influencing the pay gap in science and engineering labor force. The results of this study are as follows: First, the average wage of female scientists and engineers reaches only 65% of that of male labor force, and the male scientist and engineers are superior in terms of personal attributes, for instance, education background. Second, looking at the factors that influence wages, wage premiums are associated with higher education background, older age, longer period of service, and weekly working hours for both male and female in managerial positions. Third, the wage decomposition shows that in the case of science and engineering labor force, the productivity difference by personal attributes reaches about 58%, and gender discrimination by the characteristics of the labor market stands at about 41%. This means the wage gap by productivity level in science and engineering labor force is wider, and the gender gap is smaller compared to non-science and engineering fields. However, the results of an analysis on specialties and education background of male and female scientists and engineers suggest that the discrimination against women is more serious when the percentage of the female labor force is low and the percentage of temporary workers in the labor market is high. In order to eliminate this discrimination, it is necessary to reduce the imbalance of female scientists and engineers in the labor market, among others, while female scientists and engineers, themselves, need to make continuous efforts to strengthen their capabilities.
Mobile Virtual Private Network (MVPN) provides VPN services without geographical restriction to mobile workers using mobile devices. Coexistence of Mobile IP (MIP) protocol for mobility and IPsec-based VPN technology are necessary in order to provide continuous VPN service to mobile users. However, Problems like registration failure or frequent IPsec tunnel re-negotiation occur when IPsec-based VPN Gateway (GW) and MIP are used together. In order to solve these problems, IETF proposes a mechanism which uses external home agent (x-HA) located external to the corporate VPN GW. In addition, based on the IETF proposal, a mechanism that assigns x-HA dynamically in the networks where MN is currently located was also proposed with the purpose to reduce handover latency as well as end-to-end delay. However, this mechanism has problems such as exposure of a session key for dynamic Mobility Security Association (MSA) or a long latency in case of the handover between different networks. In this paper, we propose a new MVPN protocol in order to minimize handover latency, enhance the security in key exchange, and to reduce data losses cause by handover. Through a course of simulation, the performance of proposed protocol is compared with the existing mechanism.
This study aimed to assess whether the changes in compliance rates of evaluation criteria after healthcare accreditation among radiologic technologists working at four university hospitals which had acquired healthcare accreditation in Daejeon metropolitan area. In this study, the evaluation criteria of healthcare accreditation were reclassified and reevaluated to three areas which include patient safety, staff safety, and environmental safety. Each area has eight, three, and five questions, respectively. Each compliance rate was quantitatively measured on a scale of 0 to 10 before and after in this study. The result shows that the overall compliance rates were decreased on all areas compared to the time healthcare accreditation was obtained. The compliance rate of hand hygiene was drastically reduced. To maintain the compliance rates, not only individuals but healthcare organizations should simultaneously endeavor. In particular, healthcare organizations should make an effort to provide continuous education opportunity to their workers and supervise the compliance regularly.
The purpose of this study is to deduce the effective improvement plans of engineering education system and to provide the base materials by analyzing satisfaction and problems in the perception survey of stakeholders related in engineering education system including Engineering Education Accreditation System. Engineering education system improvement plans from the results of study are as follows. First, government and university should provide more financial support to the college in order to improve education environment such as laboratories and equipment. Second, in order to improve links among engineering education stakeholders, student-professor, student-faculty, and colleges should operate effective mentoring program and consultation plan. Third, according to service quality evaluation, colleges need to give rewards to distinguished faculties for their outstanding work and build up job training about services in order to enhance satisfaction of students and professors, Also, business related to Engineering Education Accreditation System should be simplified and needs to increase the number of workers exclusively responsible for this work. Forth, in order to enhance comprehension of learning outcome and outcome of Engineering Education Accreditation System, it is necessary to improve Engineering education innovation center's status, to establish active systematic promotion system and to operate engineering education evaluation expert committee such as 'Engineering education system evaluation council'. Fifth, because of the stakeholder's shortage of benefits and tiredness accumulation, the issue of effectiveness in engineering education institutions has raised controversy. Thus, engineering education institutions needs to take measure necessary. Moreover, engineering education improvements should be improved by reflecting opinions from professors, faculties and students who are practically planning, operating and participating engineering education programs.
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