• Title/Summary/Keyword: care of family

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

  • Kwon, So-Hi;Kim, Young-Joo
    • Journal of Korean Public Health Nursing
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    • v.35 no.3
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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.

Factors that Influence the Type of Child Care Services and Child Care Expenses (보육서비스 유형 선택과 비용의 결정요인)

  • Park, Sun-Wook
    • Korean Journal of Human Ecology
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    • v.20 no.4
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    • pp.831-847
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    • 2011
  • This study investigated the factors that influence child care expenses and the type of child care services used by preschool children. Data for this study was obtained from a questionnaire completed by mothers of preschool children during the spring of 2009. The data was analyzed by the following methods: $X^2$, ANOVA, multinominal logit analysis, and multiple regression analysis. The results of this study showed the significant factors that affected the types of child care services used by preschool children. These factors were the child's age, child's sex, mother's age, mother's educational level, mother's employment status, family income, type of residence, residential area, and family type. Monthly child care expenses for one child was an average of 374,000 won and it accounted for about 9 percent of their family income. The significant factors that affect child care expenses were the mother's educational level, the mother's employment status, the number of preschool children, family income, residential area, family type and the type of child care services.

Child-Care Infrastructures and the Perception of Community Family-Friendliness : Parents with Young Children in 25 Provinces in Seoul (보육서비스 인프라가 영유아 부모의 지역사회 가족친화성 인식에 미치는 영향 : 서울시 25개 구를 중심으로)

  • Yoo, Jae-Eon;Chin, Meejung
    • Journal of Families and Better Life
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    • v.31 no.3
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    • pp.63-79
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    • 2013
  • The aim of this study was to investigate the influence of family-friendly community policy and child care policy on parents with young children. Particularly, two specific questions were addressed: 1) Were there differences in the perception of community family-friendliness among parents with young children in Seoul provinces? 2) Were there differences in the perception of community family-friendliness among parents with young children, depending on child-care infrastructures in Seoul provinces? Data for this study were drawn from multiple sources. Individual-level indicators were drawn from the survey of 1,246 parents with children under age 6 in Seoul. Community-level indicators were drawn from the 2011 Seoul census data. Frequency, descriptive statistics, GIS mapping, and hierarchical linear model analysis were conducted to examine the perception of community family-friendliness by individual, child-care infrastructures, and the community at large. The major results of the present study are as follows: The perception of parents on community family-friendliness varied across the 25 provinces in Seoul. The perception of community family-friendliness was positively related with the total number of child day-care centers, and the number of infant-toddler child daycare centers. The number of accredited child daycare centers was negatively associated with the perception of community family-friendliness.

Factors Related to Family Caregiver Financial Burden of Out-Of Pocket Expenses for the Nursing home service under Long-term Care Insurance System (노인장기요양보험 시설서비스 본인부담금에 대한 가족수발자의 경제적 부담감 영향요인)

  • Han, Eun-Jeong;Lee, Jung-Suk;Kwon, Jinhee
    • Health Policy and Management
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    • v.22 no.3
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    • pp.383-402
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    • 2012
  • The purpose of this study is to investigate the factors affecting family caregiver financial burden of out-of pocket expenses for the nursing home service under Long-term Care Insurance System. We conducted a national cross-sectional descriptive survey from July to September 2010 to collect data based on the long-term care benefits cost specification. Total 1,016 family caregivers completed questionnaires. 185 subjects of total were excluded from the data analysis due to being answered by user(18 cases), or caregivers not to pay for services expenditures(122 cases), having a missing data on family caregivers characteristics(45 cases). Finally, 831 subjects were included in the study. The average financial burden was 3.18(${\pm}0.71$). We divided subjects into two groups by level of burden, high-burden group and low-burden group. In the result of the multiple logistic regression analysis, family caregiver financial burden was significantly higher in family caregivers with ages 40 to 49 compared to less than 40, lower educational level, unsatisfaction for long-term care service, high percentage(more than 50%) of cost-sharing and high total out-of pocket expenses(more than 300,000 won) for long-term care services. Also, Family caregivers who are spouse felt higher financial burden compared to son. This study is meaningful as the first attempt to measure family caregiver financial burden for long-term care service and to identify factors affecting the financial burden. Family caregivers felt financial burden of out-of pocket expenses for the nursing home service. The policy makers, the insurer, and the providers need to pay attention to ease family caregiver financial burden.

The Effects of Social Resources on Depression Among Family Caregivers Caring for the Elderly in Need of Long-term Care: The Mediating Effect of Spiritual Well-being

  • Kim, Kyung Ho;Choi, Young Ho
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.7
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    • pp.143-151
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    • 2019
  • The purpose of the present study was to investigate the causal relationships between social support, spiritual well-being, and depression among family caregivers caring for the elderly in need of long-term care. Based on previous studies and theoretical backgrounds, a mediation research model including the aforementioned variables was proposed. A total of 383 family caregivers from 25 long-term care facilities in G Metropolitan City were included in the present study and hierarchical regression was used. The primary results were as follows. First, family caregivers' social support was negatively associated with depression. Second, family caregivers' social support was positively associated with spiritual well-being. Third, family caregivers' spiritual well-being was negatively associated with depression. Fourth, social support was positively associated with spiritual well-being, which was related to weaker depression among family caregivers. Finally, theoretical implications of these findings and recommendations for policy and practice were also discussed.

A Study on the Community Care as Alternative Care (대안적 돌봄으로서 공동체 돌봄에 대한 고찰)

  • Cha, Sung-Lan
    • Journal of Family Resource Management and Policy Review
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    • v.23 no.3
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    • pp.109-132
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    • 2019
  • Objectives : The purpose of this study was to identify problems in defining the concept of care and redefine it broadly, to examine the possibility of community care as an alternative way to change the negative image of care concept. Method : The literature review method was used for the study. Results : First, care is limitedly conceptualized as a concept of physical care and care for children and the elderly. Second, child care is perceived only as a burden, and it is avoided to express care needs in the youth period, and the care of the elderly is putting off responsibility between the public and the private sector. Third, through community care, we should be able to feel happiness in life itself and care needs to be recognized as a way of being throughout our life.

Development of a Comprehensive and Integrated Child-Care Services Model (포괄적인 장애아 통합보육 서비스 모형 개발)

  • Choi Bo Ga;Jeon Gwee Yeon;Chung Chung Hee;Kim Soo Young
    • Journal of the Korean Home Economics Association
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    • v.43 no.4 s.206
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    • pp.79-95
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    • 2005
  • The Purpose of this study was to develop a comprehensive and integrated child-care services model for children both with and without disabilities. The comprehensive perspective included several dimensions such as education, child welfare, family welfare, and community welfare. Survey research based on theories and models regarding the integrated child-care services was carried out to determine the overall needs of child-care institutions, parents, and community members. The results revealed the need for development in the following three areas: (1) edu-care curriculums for integrated programs, (2) programs for supporting family members who have disabilities children, and (3) improved community members' perception about integrated child-care services. A model was developed for fulfil these identified needs.

Family Stress, Perceived Social Support, and Coping in Family who has a Developmentally Disabled Child (발달장애아동가족의 가족스트레스, 인지적 사회 지지와 가족 적응)

  • Tak Young Ran;Lee Hee Young
    • Child Health Nursing Research
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    • v.3 no.1
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    • pp.42-51
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    • 1997
  • Although a family-centered approach to health care for developmentally disabled children has been advocated, existing systems of care have not adequately addressed the support needs of the family system and the essential role that parents play in the daily care of these children. The overall purpose of this research is to examine family system adaptation to the care of a developmetally disabled child using the Resiliency Model of Family Stress, Adjustement, and Adaptation Framework. Relationships among family system demands (stressors, strains, transitions, child's illness factors) and family system strengths and capabilities(resource of social support) were examined to determine their separate and combined contribution to explanining the variability in family system outcomes (family system coping ). The subject for this study was 46 families who have a child with developmental disabilities(mental retardation and / or autism) from three special educational programs in Seoul, Korea. Results from correlation and hierachial regression analysis revealed that perceived social support operated as a resiliency factor between family stress and coping. Child and family characteristics appeared to be important predictors of perceived social support and coping. In summary, there is evidence that the resource of social support as a family strength and capability was found to improve the family coping. These findings also must be viewed within the context that sample of families of children with disabilities was relatively small and eligible families from support group of special educational program.

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The Moderating Effect of Social Support Resources on Caregiving Burden and Life Satisfaction of Family Caregivers Performing Long-Term Care of the Elderly: A Focus on Using Home Care Services Under the Long-Term Care Insurance System (장기요양노인을 돌보는 가족의 부양부담과 생활만족도의 관계에서 사회적 지지 자원의 조절효과 -장기요양재가서비스 이용자를 돌보는 가족부양자를 중심으로-)

  • Park, Ju-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.21 no.3
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    • pp.121-139
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    • 2017
  • This study aimed to explore the moderating effect of social support resources on the life satisfaction and caregiving burden of family caregivers taking care of the elderly in long-term care services. The study participants were selected from among the family caregivers utilizing 30 home care centers in Seoul, Korea. Of the candidates who agreed to participate in the study, 250 caregivers who had supported the elderly at home for at least 6 months were selected. The data collected were analyzed using SPSS ver. 21.0. The study findings were as follows. First, the whole family caregivers' caregiving burden of family caregivers was found to be slightly higher than the median value. More specifically, the physical burden was the heaviest, followed by the family relationship burden, the social activity burden, the emotional burden, and the financial burden. Social support resources and life satisfaction were found to be a little bit higher than the median value. Second, the variables that statistically significantly increased life satisfaction, starting with the strongest effect, were a lower psycho emotional burden, greater informational support resources, a lower economical burden, greater emotional support, a younger caregiver age, a higher monthly income, and a shorter care period. Third, informational support resources were found to have a moderating effect on the relationship between the support burden and life satisfaction. The more the participants used the informational support resource subcategory of the social support resources, the narrower the life satisfaction decrease, even though the caregivers felt a support burden. Informational support resources appear to have a statistically significant buffering effect.

Association between caregiving activities and care burden among caregivers of people with dementia

  • Park, Eun-Ju
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.11 no.4
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    • pp.346-354
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    • 2018
  • The purpose of this study was to examine the difference in the association between caregiver's activities and caregiving burden according to gender and family relationship of caregivers of older people with dementia. This study used data from the Caregivers of Alzheimer's Disease Research survey (n=476). The association between caregiving activities and care burden was analyzed by multiple regression. In this study, the caregivers were predominantly spouses, followed by daughters. The care burden, especially personal burden, and depression were significantly higher in women than men. The spouses (either male or female), compared with the sons and daughters, spent significantly more time providing care. Care time and depression of caregivers and physical disability of the patient were significantly correlated with care burden. Among the caregiving activities, using transportation, dressing, eating, looking after appearance, and supervising were significantly associated with care burden. The daughters and daughters-in-law presented more care burden with higher number of care days, and the female spouse who were younger tended to experience higher care burden. Daughters who provided longer time looking after appearance exhibited higher care burden. For female spouse, eating time was significantly associated with care burden. The association between caregiving activities and care burden of caregivers of people with dementia differed by gender and family relationship with the patient. This study was characterized by analyzing the effect of caregiving activities on caregiving burden by gender and family relationship of caregivers.