• 가족자원경영과 정책
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• 제17권2호
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• pp.75-91
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• 2013

This study is focused on the amount of time spent on child care by mothers with preschool children with developmental disabilities. It is designed to find out how much time mothers spend taking care of their children and to identify related factors. The subjects of this study are 162 mothers of children with developmental disabilities residing in Seoul. The findings are as follows: First, mothers with preschool children with developmental disabilities spent 6 hours and 50 minutes per day caring for their children during weekdays and 6 hours and 10 minutes on weekend days. This is double the amount of time spent by the average mother with preschool children. Second, mothers spent much more time caring for their disabled children than they do for their children without disabilities. Third, determinants of a mother's time for caring their disabled child during weekdays were mother's employment, the number of children, and gender of the disabled child. On weekend days, determinants of mother's care time were the number of children and husband's help for childrearing.

• Child Health Nursing Research
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• 제28권2호
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• pp.142-153
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• 2022

Purpose: Preventing missed care is important in neonatal intensive care units (NICUs) due to neonates' vulnerabilities. This study examined missed care and its influencing factors among NICU nurses. Methods: Missed care among 120 Korean NICU nurses was measured using a cross-culturally adapted online questionnaire. The frequency of missed care for 32 nursing activities and the significance of 23 reasons for missed care were collected. Results: All participants had missed at least 1 activity, missing on average 19.35 activities during a typical work-day. The most common missed item was "provide developmental care for the baby". The most common reason for missed care was "emergency within the unit or deterioration of one of the assigned patients". The final regression model explained 9.6% of variance in missed care. The average daily number of assigned patients receiving inotropes or sedation over the last month influenced the total number of missed care items. Conclusion: Missed care was affected by nurses' workload related to the number of patients taking medication. Frequently missed activities, especially those related to developmental care, require patience and time, conflicting with safety prioritization and inadequate working conditions. NICU nurses' working conditions should be improved to ensure adequate time for nursing activities.

• 아동학회지
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• 제13권2호
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• pp.217-228
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• 1992

The purpose of this study is to examine the effects of early full-time nonparental care during infancy/toddlerhood on children's socioemotional behaviors during the preschool period. Subjects for this study were 105 three- to five-year-olds from middle-class families in the U. S. A. Children were assigned to one of three groups according to their early care history. Children's social interactions with peers and caregivers during indoor free-play sessions in day care centers were observed for 20 minutes. The head teachers rated the children's social and emotional behaviors on two questionnaires. Mothers completed the Attachment Q-sort for attachment assessment for the preschoolers. In addition, mothers were asked to fill out a questionnaire on their parenting practices. Children who had received full-time nonparental care during infancy and/or toddlerhood were rated by their teachers as being more intellectually competent than children who did not receive full-time nonparental care during first three years of life. They were, however, rated by teachers and were observed by the researcher as being more aggressive than children with no full-time nonparental care. These children were observed to engage in less wandering/onlooking behaviors than children who had not had any full-time nonparental care. Children's attachment security scores and dependency scores did not differ as a function of early nonparental care histories. When the effects of early care patterns, sex of child, and current attachment security to mothers on aggressive behaviors of the preschoolers were examined by a hierarchical regression model, then any "pure" effects of nonparental care and of attachment security on child aggression were minimal after controlling for family background, child care center quality, and maternal childrearing practices. Strong buffering factors for the preschool children (family characteristics, parenting styles, and high quality nonparental care) mediated a possible risk factor of early nonparental care and promoted optimal outcomes for the children.

• 대한간호학회지
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• 제39권1호
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• pp.95-106
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• 2009

Purpose: The purposes of this study were to explore the functional status of elderly residents and to analyze time use, and finally identify factors to predict nursing care needs in relation to functional status and health related variables. Methods: In this study a descriptive-correlational design was used. Functional status of participants was obtained through interviews, and nursing care time was examined using a 1 min time-motion study with a standardized instrument developed by Korea Long-Term Care Planning Committee (2005). Results: The mean total functional score was 65 (range 28-125) and mean total nursing care time was 144.15 min per day. There were significant positive relationships between total nursing care time, marital status, back pain, dementia, and vision impairment. Multiple regression analyses showed that a liner combination of number of illnesses, types of primary disease, ADL, IADL, cognitive function, nursing demand, and rehabilitation demand explained 42.8% of variance of total nursing time. ADL (${\beta}$=-.533) was the most significant predictor of nursing service need. Conclusion: Identifying factors that result in variations of service need has implications for adequate nursing service, estimation of optimum nurse to patient ratio, quality of care and patient safety.

• 사회복지연구
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• 제45권2호
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• pp.99-122
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• 2014

본 연구의 목적은 손자녀 돌봄의 행위와 그것이 지속되는 유형이 조부모의 노후부양관에 어떠한 영향을 미치는지 살펴보는 것이다. 특히, 본 연구에서는 돌봄이 지속되는 유형을 미 돌봄, 일시 돌봄, 지속 돌봄의 세 가지로 구분하여 분석에 투입함으로써 그 논의의 심도를 더하고자 하였다. 연구결과, 손자녀를 돌보는 조부모가 그렇지 않은 조부모에 비해 노후에 자신의 성인 자녀와의 동거를 더 선호하는 것으로 나타났다. 또한 돌봄 지속 유형에 대한 결과에서도 두 시기 동안 한 번도 손자녀 돌봄을 수행하지 않은 조부모에 비해 한 시기의 일시 돌봄을 행한 조부모와 두 시기 모두 돌봄을 제공한 지속 돌봄의 조부모 모두 자녀와의 동거를 더 선호하는 것으로 나타났다. 결과 중 흥미로운 점은 지속 돌봄을 행한 조부모가 일시 돌봄을 수행한 조부모보다 자녀와의 동거를 더 선호한다는 것이다. 이는 손자녀 돌봄을 행하고 있는 조부모가 그들이 제공하는 돌봄 서비스를 이후 자신의 부양을 위한 보험적 성격의 자원으로 인식하고 있을 가능성이 있음을 보여주는 결과이다. 또한 공적 영역의 역할이 미흡한 한국 사회에서 가족이 그 구성원들의 욕구 충족을 위해 상호 호혜적인 관계를 통해 효율적이고 유연하게 대응하고 있음을 보여주는 결과이기도 하다. 본 연구는 이러한 결과를 바탕으로 이론적 함의를 제시하였다.

• 대한가정학회지
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• 제33권4호
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• pp.301-313
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• 1995

The purpose of this study was to investigate the differences of child care and it's costs between the full time housewives and employed wives' families with preschool children. the results of this study were as follows ; 1) The child care was performed primarily by herselves in the case of full time housewives' families, whereas the child care of employed wife families was done by babysitter or nursing facilities. 2) Most of unemployed wives' families undertook the burden of time cost, whereas the families of employed wives had to pay heavy expenses of money cost f9or the child care arrangements 3) In the estimation of money cost for the child care arrangements income had the highest effect. In contrast with this, in the case of time cost, occupational status of housewives had the highest effect. It was suggested for enhancing the sense of well - being of housewife it is necessary to perceive the value of household production and the social support for child care arrangements in all families, whether unemployed or employed.

• 대한가정학회지
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• 제49권9호
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• pp.121-130
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• 2011

The purpose of this study was to explore potential correlation between the amount of time children spent in child care centers and their daily stress levels. The subjects of this study were 165 children (aged 2~5) who attended a child care center in Seoul. Children were interviewed individually, and tested using 23 picture cards which describe a range of stressful situations. The results of this study were as follows: the children's age led to significant differences in their stress level. The age at which the children first entered the child care center had no significant impact on their stress level. However, the times spent in child care centers showed a significant correlation with stress. The longer time the child spent in the center, the higher the degree of stress they encountered.

• 대한영양사협회학술지
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• 제2권2호
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• pp.199-215
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• 1996

In Korea, the majority of hospital dietitians expend most of their time performing food management related activities, and only a few carry out nutrition care activities in full-time. This study was designed to measure productivity of the clinical nutrition team and assess the role of clinical dietitians in the only 2200-bed teaching hospital in Korea. Six full-time clinical dietitians collected time data for four weeks according to the nutrition care activities outlined. Three clinical dietitians assigned to 7 units recorded how often physicians implemented their recommendations for two months. Two kinds of survey questionaire were developed and sent to the patients and the health care team. The followings are a summary of the results. 1. The clinical nutrition team of 6 full-time dietitians expended 75% of their time performing patient care activities, 20% in non-patient care activities and 5% in delay and transit. 2. Each clinical dietitian assigned to the units carried out 56 patient care activities on daily basis. 3. The average time required for the clinical nutrition services was 60.2 minutes for outpatient counseling, 89 minutes for inpatient counseling, 72.5 minutes for nutrition management, 95 minutes for malnutrition consult and 121 minutes for dysphagia diet management. 4. Physicians' implementation of clinical dietitians' recommendations was 98.5%. 5. Most physicians and nurses viewed the clinical dietitians on the units assertive, contributing to the quality improvement of medical services, and helpful to the patients as well as the health care team. 6. Most patients viewed the clinical dietitians on the units considerate, attentive and helpful. Based on these results, it is suggested that (1) daily meal round and nutrition care monitoring are effective tools for nutrition intervention in the hospital setting. (2) unit assignment of clinical dietitians enhances the patients' satisfaction in the nutrition services provided as well as the perceptions of health care team on clinical dietitian's expertise.

• 가정과삶의질연구
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• 제22권1호
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• pp.139-151
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• 2004

The purposes of this study were to examine the time use on weekdays and weekends by the time amount of each activities and compare time amounts of single parent with that of two parents family. So two methods were applied, one was secondary data analysis ,the other was deep-interview. The major findings of analysis of time use were as follows; 1) Mothers in single parent family used significantly less time amount of household labor and family care than them in two parent family 2) Fathers in single parent family used significantly more time amount of household labor but used significantly less time amounts of family care than them in two parent family And 3) Mothers in single parent family used significantly more time amounts of household labor and family care than fathers in single parent family. The results of deep-interview were as follows; roughly the amounts of household labor time, family care time, leisure time were of little quantity and absence of spouse, family size, family life cycle stage, economic condition, sex role identity, psychological factor maybe seemed important.

• 한국사회정책
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• 제23권1호
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• pp.227-256
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• 2016

본 연구는 노인 재가서비스의 확대가 노인을 돌보는 가족 구성원의 생활시간에 미친 효과를 분석하였다. 고령화와 가족구조의 변화 등으로 노인에 대한 가족의 돌봄부담이 가중되면서 공적 노인돌봄서비스를 확대해야 한다는 사회적 공감대가 형성되었고, 2000년대 이후부터 관련 제도가 본격화되었다. 본 연구에서는 가족의 노인돌봄 부담을 구성원이 직접 노인을 돌보는 부분과 이로 인해 노동이나 가사, 여가 등의 다른 주요 생활에 제약을 받는 부분으로 구분하고, 노인 재가서비스의 확대로 이러한 부담이 감소하였는지를 확인하였다. 분석자료는 통계청의 생활시간자료를 이용하였으며, 제도 확대의 효과는 건강이 취약한 노인을 돌보는 중하위 소득수준의 가구를 처치집단으로 삼아서 비교적 건강한 노인을 돌보는 가구 및 고소득 가구와의 비교를 통해 제도 효과를 추정하는 삼중차이(DDD) 방법을 통해 확인하였다. 분석결과, 노인 재가서비스의 확대는 노인을 돌보는 가족 구성원의 노인돌봄 시간을 감소시켰다. 이는 제도 확대의 목적과 부합하는 결과이지만, 돌봄 시간의 감소 정도가 크지 않았고, 여성 가구원에게만 그러한 효과가 관측되었다는 점에서 한계도 드러났다. 또한 노인돌봄 시간이 감소한 여성 가구원의 경우에도, 가사, 노동, 여가, 비노인돌봄 및 개인유지 등의 다른 생활시간 범주에서는 유의미한 변화를 보이지 않았다. 가족의 노인돌봄 부담을 실질적으로 줄이기 위해서는 공적돌봄의 대체효과를 높이기 위한 노력이 더 필요해 보인다.