• 제목/요약/키워드: care-giving

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간호간병통합서비스 운영병동 간호사의 간호업무성과, 직무 만족 및 환자안전사고 (Effects of Nursing and Care=giving Integrated Service on nursing work performance, nurses' job satisfaction and patient safety)

  • 박정희;이미향
    • 가정간호학회지
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    • 제24권1호
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    • pp.14-22
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    • 2017
  • Purpose: To study aimed to examine the impact of the Nursing and Care=giving Integrated Service on nursing work performance, nurse' job satisfaction, and patient safety. Methods: A total of 66 nurses were selected as participants, comprising 30 nurses working in Nursing and Care=giving Integrated Service hospital ward, and 33 nurses working in a general hospital ward with a similar patient and disease group and distributed moderately. For data analysis, t-tests, ANOVA, and $X^2$ tests were conducted. Results: Nursing work performance in the Nursing and Care=giving Integrated Service ward was higher than that in the general hospital ward, but this difference was not statistically significant. Conversely, job satisfaction was lower among nurses in the Nursing and Care=giving Integrated Service ward, although again the difference was not significant. However, the Nursing and Care=giving Integrated Service ward had a significantly lower rate of safety-related accidents in patients compared to the general hospital ward. Conclusion: In order to expand and improve patient safety and other aspects of the Nursing and Care=giving Integrated Service, there is a need to establish a mediation strategy for increasing nurses' work performance and job satisfaction.

SERVQUAL을 이용한 간병서비스 질에 대한 탐색적 연구 - 대전지역 요양병원 입원환자를 대상으로 - (An Exploratory Study on Quality of Care-Giving Service with Use of SERVQUAL -Targeting Inpatients of Long-Term Care Hospitals in Daejeon Region-)

  • 김창석
    • 보건의료산업학회지
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    • 제5권1호
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    • pp.45-60
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    • 2011
  • The purpose of this study is ultimately to contribute to enhancing quality of patients' life, by grasping quality level of care-giving service that is recognized by inpatients of long-term care hospital, and by pursuing a plan for improving quality of care-giving service based on this. For this, targeting 500 patients who entered 40 long-term care hospitals in Daejeon Metropolitan City, the quality of service was multi-dimensionally grasped by using SERVQUAL scale. As a result of research, the quality of care-giving service, which is recognized by patients as survey subjects, tended to be relatively high with about 4 points as a whole out of 5-point perfection. By item, reliability was indicated to be the highest with 4.56 points. The next was surveyed to be in order of tangibility, empathy, responsiveness, and assurance.

노년기 부부친밀감이 배우자 부양의식에 미치는 영향 -농촌지역의 노인부부를 중심으로- (An Influence of Elderly Marital Intimacy that Effect on Their Consciousness of Caregiving for Partner)

  • 조성희;김윤정
    • 농촌지도와개발
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    • 제18권4호
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    • pp.765-791
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    • 2011
  • This study researched 199 elderly couples (389 people) who live in sixteen districts and cities of Chungcheong nam-do. Purpose of this study; First, observing difference of elderly husbands and wives' intimacy and care giving consciousness. Second, understanding how couples' marital intimacy affects on partner care giving consciousness. Research result; First, sexual intimacy of husbands was higher than wives' and economical care giving consciousness of husbands was higher than wives'. Second, elderly husbands and wives' intimacy was a meaningful factor on care giving consciousness, especially effect from cognitive intimacy was the most influential factor. Third, husbands' care giving consciousness was only affected by their own intimacy. But in case of wives, not only their intimacy but also husbands' intimacy affected on their care giving consciousness.

중년남성들의 노부모와의 친밀성과 수발효능감이 노부모 수발헌신에 미치는 영향: 부모건강집단과 부모병약집단 간의 다집단분석을 중심으로 (A Study on the Effects of Middle Aged Male's Intimacy toward Parents and Self-Efficacy of Care-Giving on Their Care-Giving Commitments for Aged Parents: Focused on the Multiple Group Analysis between Subjects with Healthy Parents and Subjects with Unhealthy Parents)

  • 이원준;신성자
    • 대한가정학회지
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    • 제49권10호
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    • pp.15-27
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    • 2011
  • The predominant concern of the study consists in:(1)the positive direct effects of both individual's intimacy toward parents and individual's self-efficacy of care-giving roles on individual's care-giving commitment; (2)the positive mediating effect of individual's self-efficacy of care-giving on individual's care-giving commitment; (3)the moderating effect of the degree of unhealthy condition of individual's elderly parents on each causal relationship. For conducting this study, a survey method was used on 318 males with parents at the aged of 45-60, residing in Daegu and KyungPook. In order for subjects to verify research questions, structural equation models were explored. The findings of the study supported the direct, indirect effect and moderating effects, which suggested in research questions. Participants with unhealthy parents showed greater tendency in terms of influencing their intimacy toward parents on care giving commitment than participants with healthy parents did. The above findings claimed our attention in that provided a range of practical implication.

영유아권리존중 보육의 실행내용 항목 : 보육교사가 인식한 영유아권리존중 보육의 실행내용을 중심으로 (Care-giving Activities to Enhance Infants and Children's Rights Respect : Based on Care-giving Teachers' Recongnition of Their Activities to Increase Infants and Children's Rights Respect)

  • 김진숙;서영숙
    • 한국보육지원학회지
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    • 제8권3호
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    • pp.133-162
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    • 2012
  • 이 연구는 보육교사가 인식한 영유아권리존중 보육의 실행내용을 조사하고, 이 조사한 내용을 분석으로 실행내용의 항목을 추출하고자 한 것이다. 이를 위해 보육교사 각 6명씩 두 그룹으로 구성하여 포커스 그룹 인터뷰 방법으로 실시하였다. 보육현장의 하루 일과 속에서 영유아의 권리가 존중되거나 존중받지 못하는 사례를 중심으로 의미 있는 실행내용을 분석한 결과, 등원 시간, 정리 시간, 기본욕구, 소집단활동, 자유선택활동, 점심시간, 낮잠 시간, 특별활동, 자율성 존중, 의사 존중, 개별성 존중, 정보 제공으로 총 12개 하위영역과 40개 항목이 영유아권리존중 보육의 실행내용으로 추출되었다. 이러한 실행내용은 보육현장에서 일어나는 모든 활동이 영유아의 최선의 이익을 고려하고 진행되어져야 함을 의미한다.

노인 장기 요양 보험 등급자의 간호요구에 따른 주 수발자의 부양부담감 (The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade)

  • 김미경;박다혜;안옥희
    • 한국융합학회논문지
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    • 제5권3호
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    • pp.7-16
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    • 2014
  • 본 연구는 노인 장기 요양 보험 등급자의 간호요구도와 주 수발자의 부양부담에 영향을 미치는 요인들을 파악하여 노인 장기 요양 보험 등급자를 위한 효율적인 간호중재를 개발하고 주 수발자의 부양부담감을 경감시키는 데 목적이 있다. J시에 거주하고 있는 노인장기요양보험 등급판정 받은자와 함께 거주하며 돌봄을 제공하는 주 수발자 152명을 대상으로 수집된 자료는 SPSS 17.0로 기술통계, t-test, ANOVA, 상관관계분석, 다중회귀분석을 실시하였으며 연구의 결과는 다음과 같다. 노인 장기 요양 보험 등급자의 간호요구도 중 심리사회적요구도가 가장 높았으며, 노인 장기 요양 보험 등급자의 일반적 특성 중 장기요양보험 수급유형과 장기요양 등급에 따라서는 신체적 간호요구와 심리적 간호요구도가 유의하게 나타났다. 주 수발자의 부양부담감 중 신체적 부양부담감이 가장 높았고, 노인 장기 요양 보험 등급자과의 관계가 배우자인 경우와 수입이 적고, 여자인 경우 부양부담감이 높은 것으로 나타났다. 부양부담감에 영향을 미치는 요인 중에서는 1일 간병시간이 가장 큰 영향을 미치는 요인임을 알 수 있었고, 특히 보험급여유형이 일반에 비해 기초생활수급자가, 주 수발자의 성별이 남자에 비해 여자가 부양부담감이 높았으며, 돌봄 제공자의 수가 많을수록 부양부담감은 감소하는 것으로 나타났다.

재미한인노인의 생성감과 손자녀 양육경험 (Korean Immigrant Elderly's Generativity and Care-giving Experiences of Their Grandchildren)

  • 오경석
    • 한국보육지원학회지
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    • 제6권1호
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    • pp.1-21
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    • 2010
  • 본 연구는 재미한인노인의 생성감 수준에 따라 그들의 손자녀 양육경험이 어떠한 특정을 보이는가를 살펴보았다. 심층면접과 참여관찰법이 연구방법으로 이용되었다. 먼저 재미한인노인의 생성감 수준을 측정하였다. 생성감 수준이 낮은 노인과 높은 노인으로 각각 4명이 연구에 참여하였다. 생성감 수준이 낮은 조부모들은 비자발적 양육책임, 심한 양육스트레스, 가족에 대한 죄책감과 수치심, 불안한 미래, 자기 돌봄의 부재, 사회적 지지의 부재를 나타내었다. 생성감 수준이 높은 조부모들은 자발적 양육책임, 역전된 부모역할에 대한 긍정적 반응, 양육에 대한 보람, 미래에 대한 희망, 자기 돌봄의 존재, 사회적 지지의 존재를 특징으로 보여주었다. 마지막으로 연구결과에 대한 논의와 제안을 하였다.

입원환자가족의 가정문제에 관한 연구 (A Study on the Family Problem of the Hospitalized Patients)

  • 황영빈
    • 한국보건간호학회지
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    • 제4권2호
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    • pp.79-99
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    • 1990
  • This study was conducted to identify the family problems of the in-patients and to analize factors Influencing to the family problems. The subjects for this study were 277 family members those who were giving care for the adult patients during hospitalized in general wards at Seoul National University Hospital in Seoul. Data were collected through interviews with the questionnaire from September second to September twentieth in 1989. The instrument used for this study was the family problems scale which was developed by the researcher. Analysis of data was done by frequency, percent, mean, t-test, ANOVA, Pearson-Correlation Coefficients, and Stepwise Multiple Regression Analysis. The results of this study are summarized as follows: 1. General characteristics of the care-giver in family. The average age of care-givers was 37.9 years, and the $26.4\%$ of monthly Income of family was 310,000-500,000 won group. The $93.5\%$ of family had taken the responsibility of caring for the patients instead of hiring the care-givers, and the $12.3\%$of the care-givers complained weakning of health status during care giving for the patients. The spouse took the largest part of responsibility of the care-giving services to the patient among the family members. 2. General characteristics of the patients. The average age of patient was 47 years, and the $80.9\%$ of patient was married status. The $39\%$ of patient was father in the position of family, and the $41.5\%$ had the responsibility to support their family before hospitalization. The average hospitalization period of patient was 24.3 day and the $50.9\%$ had admission experience. 3. The factors of family problems which were faced by the family were classified into six problems. The factors of family problems were ranked as follows; the first rank problem was related to care-giving for the patients. the second problem was resulted from the patients diseases, the theirds problem was related with adaptation to the hospital enviroments, the fourth problem was related to the arisen conflicts with medical team. the fifth problem was related to the change of family function. and the sixth problem was the financial problem. 4. The relationship between the family problems and the general charateristics of the care-givers showed that the nuclear type family was higher the family problems, that the admission period of patients became longer, and that the family who had the worse condition of health status of the care givers during care giving for the patients. From the above results, it was confirmed that the family care giving for patients was faced with some problems resulted from patient's illness, relation to the medical team, adaptation to the hospital enviroment, financial problem. change of family function, and care-giving for patients.

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지역사회 경증치매노인의 행동심리증상과 가족의 부양스트레스 및 자기효능감 (Behavioral and Psychological Symptoms of the Elderly with Mild Dementia in Local Communities and Care-giving Stress and Self-efficacy of Family Members)

  • 임동영;장현정
    • 한국콘텐츠학회논문지
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    • 제19권4호
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    • pp.651-662
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    • 2019
  • 본 연구는 경증치매노인의 행동심리증상과 가족의 부양스트레스 및 자기효능감의 관계를 파악함으로써 치매노인 가족의 부양스트레스를 감소시키는데 기초자료를 제공하기 위함이다. 이에 따른 관계를 규명하기 위한 분석은 기술통계, t-test, ANOVA를 이용하였다. 경증치매노인의 행동심리증상에 대한 가족의 부양스트레스와 자기효능감에 대해 알아본 결과, 치매노인의 행동심리증상과 가족의 부양스트레스는 양의 상관관계 (r=.655, p<.001), 치매노인 가족의 부양스트레스와 자기효능감은 음의 상관관계(r=-.334, p<.001)가 있었다. 본 연구결과를 토대로 경증치매노인의 행동심리증상에 대한 적절한 대처법 개발을 통해 지역사회 경증치매노인 가족의 부양스트레스를 감소시키고 자기효능감을 향상시키기 위한 방안이 필요할 것으로 사료된다.

아버지의 영아 돌봄에 관한 문헌연구 (A Study of father's care giving in infancy)

  • 김영희
    • 부모자녀건강학회지
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    • 제1권
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    • pp.75-87
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    • 1998
  • These days social and economical changes have influence on the structure of family and the role of family members. Working mothers and widowers with children are increasing because of economical difficulties. Support from relatives are decreasing because of the conspicuous trend toward nuclear families. According to these reasons androgynous fathers are required. Today's fathers in Korea socially and culturally have learned about traditional parenting, but they are changing their fathering styles to meet the demands of the times. However they don't have their own fathering models. Therefore nurses who hold an advantageous position to teach and support from clinic have to encourage them to care their infants. The purposes of this study were to define father's care giving in infancy, understand influencing factors on fathering, and the differences between fathering and mothering, then contribute to nursing implementation for supporting fathers. This study was designed to review references about father's care giving. The results were follows: Six aspects of parent participation were direct care. indirect care, play, decision-making concerning the child, amount of time of sole responsibility for the child and overall availability to the child. Direct care involved feeding, bathing, going to child if child awakens. dressing, putting child to bed, taking child to doctor, nurse, or dentist, transporting child to and from sitter, day care, or school, washing child's hair. Indirect care involved cleaning up after child, preparing child's food, fixing child's broken playthings, washing child's clothes, arranging baby-sitting, shopping for child's toys and clothes, transporting baby-sitter to and from your home. Young fathers were gradually participating in direct care like feeding, taking child to doctor. Father's care giving stimulated mothering and promoted parent-infant relationship. Influencing factors of fathering would be divided into father characteristics, surrounding factors, infant attributes. Father characteristics were age, role perception, relationship with parent. Surrounding factors were the opportunity of early contact, support system, spouse's expectation, marital adjustment, feeding type, past experience of care giving. Infant attributes were temperament, behavior, age, sex. The differences between fathering and mothering were reviewed. Fathers were poor at care giving. but their caring was similar to mother's. This subtle difference positively worked upon infant's growth and development. On the basis of these theoretical data, nurses can empower fathers to cooperate with mothers in caring infants.

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