• 가정과삶의질연구
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• 제23권6호
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• pp.105-116
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• 2005

This study investigated various alternatives for childcare among dual-earner families and discussed implications for public policy development. Eight employed married women and two of their husbands were interviewed about work-family balance. All the interviewees complained that taking cue of the children in dual-earner families is a challenge. They resort to all available alternatives because public childcare support is insufficient and inadequate. There were five different types chilcare: extended family network, public and private institutions, paid help (nannies), rearranging work schedules, and training their children to take cue of themselves. However, all these alternatives entail various problems. More and better childcare facilities and programs should be built and after-school programs should be designed. On the other hand, parents should also make more effort to prioritize children's needs in finding a balance between work and family.

• 한국보육지원학회지
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• 제9권1호
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• pp.81-100
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• 2013

본 연구는 정부의 영아 무상보육 정책과 관련된 논란과 쟁점을 정리 분석하고 향후 우리나라 0~2세 영아보육 정책이 나아가야 할 발전방향을 제안하고자 하였다. 본 연구의 분석을 위해서 그동안 정부에 의해 발표된 영아 보육정책과 영아보육 통계 그리고 2012년 영아 무상보육과 관련된 일간지의 기사 등의 자료를 수집하였다. 본 연구의 분석결과 출산휴가와 육아휴직제도의 안정적인 실시, 맞벌이 부부에 대한 보육료 지원의 형펑성 확보, 양육보조금의 현실화, 부모의 어린이집 선택권 확대, 소규모 가정보육제도의 도입, 그리고 영아발달에 대한 지식과 육아정보의 제공 등을 영아보육정책의 발전방안으로 제안하였다. 본 연구의 제안은 영유아의 요구와 필요를 최우선적으로 고려하고 부모의 요구에 부합하는 실효성 있는 영아보육정책을 개발 실행하는데 도움이 될 것이다.

• 대한가정학회지
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• 제41권6호
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• pp.143-156
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• 2003

The present study was initially designed to figure out the general condition of care giving system for the elderly women who need long term care and the level of their depression according to the conditions of care. And This research is intented to present appropriate policy that could help the establishment of supporting system for the fragile elderly women.1 used the data from <2001 National Study on the Needs for the Long-Term Care Elderly> by Korea Health and Population Institute. The results are as follows: First, Two third of all the respondents had serious problems (2-9 activities limits) in Instrumental Daily Living Ability(DAL). Most respondents reported “low” in satisfaction level related to receiving care, meaning the elderly had negative perception for the care from the family. The elderly expected their children to be as the primary care giver and mostly wanted to live with them in the future. Second, The majority of the long term care elderly women haven't used community service facilities very often and said they are not likely going to use the facilities in the future. Third, The respondents reported high in depression level as to lower satisfaction with their children's support, poorer health condition, more reluctant to use service facilities due to the cost, and fewer friends and neighbors resources around them. Therefore I could say that negative factors for the elderly women's psychological health were having unsatisfactory relationship with intimate people, developing physical illness, being in economic difficulties. That is, receiving less help from close family members, shrinking social network, and experiencing economic hardship would have negative effects on elderly women's psychological health. In the basis of these results, I suggest that in the mean time we shouldn't overlook the importance of the private support when we develop the public elderly support system.

• 지역사회간호학회지
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• 제33권4호
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• pp.385-395
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• 2022

Purpose: To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose. Methods: This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis. Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language. Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.

• 한국의료질향상학회지
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• 제25권2호
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• pp.26-43
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• 2019

Purpose:The objective of this study was to identify the conceptual constructs of patient centeredness from the perspective of patients and family members in Korea, and to compare them with those included in the Picker Institute framework. Methods: Two focus group discussions were conducted. Each focus group consisted of six participants who had experienced being either a patient or a caregiver. We carried out a thematic analysis, and then compared the contents of our focus group discussions with the components of patient-centered care outlined by the Picker Institute. Results: Six conceptual constructs of patient centeredness emerged from the focus group discussions. Five of these overlapped with those outlined by the Picker Institute: 1)respect for patients' values, preferences, and needs, 2) coordination and integration of care, 3) information, communication, and education, 4) physical comfort, and 5) emotional support and alleviation for fear and anxiety. A new component that was not mentioned in the Picker Institute framework emerged from this study: "ease of making a complaint." Currently, "involvement of family and friends" and "continuity and transition" were not prominent components of patient centeredness according to our focus group discussions. Conclusions: This study presents the conceptual constructs of patient centeredness, five of which overlap with those outlined by the Picker Institute, and provides a qualitative basis of the patient experience survey currently being implemented by the Health Insurance Review & Assessment Service in Korea.

• 대한가정학회지
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• 제42권2호
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• pp.195-212
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• 2004

This research is based on the survey of welfare beneficiaries, aiming to set up the gender-equal welfare policies. Through the survey, this research examines status of women in the family and society and also examines, the degree of perception of women's welfare policies, needs, and satisfaction. According to the survey results, the current welfare policies that are limited to needy women should expand its range, enforcing the infra structure. That employment policy for women turned out to be very important in welfare policies. Demand for more enlarged welfare policies is quite high, especially in housing, employment and elderly care. On the contrary, the degree of satisfaction degree appears quite low because of unrealistic welfare program and benefits. In order to improve the welfare policies, more active and realistic employment policies should be emphasized with the proper support for family life. To raise the status of women, proper policies for women's economic independence should be set up. In addition, consciousness of gender equality should be encouraged in the whole society. Also, women's participation in politics and decision-making process is necessary.

• 한국학교보건학회지
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• 제30권3호
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• pp.211-223
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• 2017

Purpose: The purpose of this study is to clarify the social stigma phenomenon in teachers' perceptions and attitudes toward students who are classified as mental health support needs students in middle and high schools. Methods: Qualitative research was conducted through in-depth interviews and observations of 17 teachers and 2 consultants from 2 middle and high schools in Green City, which were evaluated as successful among the six pilot project schools designated by the Ministry of Education in 2013. The study's analysis is based on Hatch's hermeneutical method. Common categories were developed from the interviews and observations. Then, inferences were made per category and given importance to draw conclusions and lessons. Results: Teachers had a strong stigma in their perceptions of and attitudes to special needs students. Their perception was that those students are bound to go wrong due to family problems, even some having difficulty breathing, and that it's beyond their limit to help them. In addition, their attitudes included stereotypes, favoritism, punishment, and referral to experts. As a result, teachers did not expect those students would be cured or change and showed passive attitudes while shifting the responsibility to families and experts. Conclusion: This study is meaningful in that it showed the limitations of the role of teachers regarding mental health support needs students from the perspective of the teachers themselves. Today, when students' mental health problems are emerging as a serious issue, it is necessary to provide support to improve teacher's awareness and capabilities regarding adolescent mental health problems. In addition, we suggest the current selective policy that sorts out special needs students and provides care for them to evolve into a universal policy that improves public awareness and focus on prevention.

• 한국사회복지학
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• 제56권4호
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• pp.123-147
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• 2004

본 연구에서는 노인요양보험제도의 도입을 앞두고 재가 요보호 노인 가족의 재가복지 및 재가보건서비스의 이용의향을 유형별로 알아보고, 이에 관련된 요인을 행동주의모델을 이용하여 검토함과 동시에 서비스를 이용하지 않는 이유를 분석하는 것을 목표로 하였다. 각 서비스 이용의향에 관련된 요인을 로지스틱 회귀분석을 통해 분석한 결과, 선행요인으로는 재가복지와 재가보건 서비스 모두 연령이 낮은 사람이 이용의향이 높았다. 서비스 이용촉진 및 저해요인 중에는 경제적인 여유가 있거나 부부양자가 있는 사람, 혹은 부양과 관련된 정보를 제공해 줄 사람이 있어, 물적 자원이 있거나 비공식적 지원을 받고 있는 사람이 재가복지와 재가보건 서비스에 대한 이용의향이 모두 높게 나타났다. 욕구요인에서는 예상과는 달리, 노인의 증상이 심각하거나 거동불편 정도가 심한 사람, 혹은 요보호 노인 외에도 요보호 가족이 있어 서비스에 대한 이용 욕구가 높은 집단이 오히려 이용의향이 낮게 나타났는데, 서비스의 유료화를 위해서는 경제적 자원과 같은 촉진요인을 가지고 있지 않으면 서비스에 대한 욕구(필요도)가 높아도 서비스 이용으로 연결되지 못할 위험이 있는 것으로 해석된다. 한편 서비스를 이용하지 않는 이유로는 경제적인 부담 이외에 '가족이 돌봐야 한다'. '노인이 싫어한다'와 같은 전통적인 부양의식이 차지하는 비율이 높았다. 요보호 노인의 증가로 서비스에 대한 이용 의향이 이전에 비해 높아지고 있지만, 서비스에 대한 욕구가 높음에도 불구하고 서비스 이용의향이 없는 사람이 적지 않았다. 본 연구를 통해 재가복지 서비스에 대한 이용의향과 재가보건 서비스에 대한 이용의향을 나타낸 집단의 특성이 유사한 것이 확인되었고, 향후 클라이언트 위주의 서비스 제공을 위해서는 보건복지 서비스의 연계를 통한 서비스 제공의 필요성이 재확인되었다.

• 한국노년학
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• 제40권1호
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• pp.111-130
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• 2020

본 연구는 중·고령 초기 유방암 생존자를 위한 가족들의 돌봄 경험에 대해 이해하고자 한 질적 연구이다. 총 4명의 유방암 생존자 가족들을 대상으로 초점집단면접(FGI)을 실시하였고 추가로 1명의 가족에 대해 개별심층면접을 실시하였다. 초점집단면접과 개별심층면접 내용을 주제 분석한 결과, 다음 4가지 주제가 나타났다: 첫째, 살얼음 위를 걷는 듯한 일상의 감정들 (치료시기마다 서로 뒤얽히는 감정들, 생존자의 고통을 지켜볼 수밖에 없는 안타까움, 암 재발과 죽음에 대한 두려움, 관계 변화에 대한 걱정, 딸로서 겪는 다양한 감정), 둘째, 생활의 중심이 된 돌봄 (낯설고 서툴렀던 돌봄, 내 생활을 잃어감), 셋째, 회복의 시작, 생존자와 가족이 느끼는 온도 차이 (생존자가 느끼는 심연의 고통을 헤아리지 못함, 생존자가 아직 환자라는 사실을 잊고 소홀히 대함), 넷째, 앞으로 나아가기 (나아질 것이라는 희망, 지치지 않기 위한 나를 위한 돌봄). 본 연구 결과를 토대로 유방암 생존자 가족의 심리사회적 욕구를 반영하고 돌봄 과정에서 가족 지지를 지원하기 위한 사회복지서비스 및 정책 방안에 대해 제언하였다.

• 임상간호연구
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• 제21권1호
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• pp.53-66
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• 2015

Purpose: The purpose of this study was to investigate the status of organizational nursing service for foreign patients in tertiary hospitals in order to build up a database for nursing care policy development for foreign patients. Methods: The subjects of this study were nursing managers or department managers of international care center in 36 tertiary hospitals nationwide. Questionnaires were consisted of the items measuring the details of and evaluations for nursing care for foreign patients within the given organizations and any organizational support for culturally competent care. The data from 35 hospitals out of 36 were analyzed finally. Results: The organizational nursing service for foreign patients was rated 6.49 points out of 10. Organizational support for culturally competent care was 2.61 points out of 4. Challenges to improving nursing care for foreign patients were listed such as developing interpreter services and international care units without accompanying by a family member, improving nursing staffs' attitudes and behaviors for providing culturally competent care, and preparing various medical documents using multiple languages. Conclusion: In order to improve nursing care for foreign patients in tertiary hospitals, we need to be more aware of cultural knowledge and sensitivity toward the care needs of foreign patients.