• 제목/요약/키워드: quality of work-life

검색결과 720건 처리시간 0.031초

자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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호스피스의료와 간호윤리 (Hospice Medicine and Nursing Ethics)

  • 문성제
    • 의료법학
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    • 제9권1호
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    • pp.385-411
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    • 2008
  • 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.

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쪽방지역에 홀로 사는 남성 노인의 삶의 경험 (Study on the Lived Experience of Elderly Men Living Alone in a Single Room Occupancy(Chokbang))

  • 허소영
    • 한국노년학
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    • 제30권1호
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    • pp.241-260
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    • 2010
  • 이 연구의 목적은 쪽방지역에 홀로 사는 남성 노인의 삶의 경험이 갖는 의미와 본질을 밝힘으로서 이들의 경험에 대한 좀 더 풍부한 이해를 하는 것이다. 연구 참여자는 Y 쪽방지역에 거주하는 65세 이상 독거 남성 8명이다. 의도표집방법과 눈덩이 표집 방법을 사용하였으며, 포커스 집단 면담과 개별심층면담을 통해 자료를 수집하였다. 자료의 분석은 Giorgi의 4단계에 의거하였다. 연구결과 4개의 구성요소와 16개의 하위구성요소가 도출되었다. 쪽방에 홀로 사는 남성 노인들의 삶의 4가지 구성요소는 <마음 둘 곳 없어 외로운 신세: 아들, 남편, 아비구실 못해 가족을 지우고 살아옴, 몸은 머물지만 정들지 않는 쪽방 살이, 하루짜리 술친구에 머무는 사귐, 외로움을 안고가기>,<인색한 지원에 근근이 살아감: 쪽방처럼 사방이 막힌 인생살이에 우울함, 수급자라 휘둘리고 무시 받아 속상함>,<편견과 차별에 주눅 드는 삶: 아쉬워도 손 벌리지 못함, 가족을 꾸리지 못해 후회되고 냉대 받음, 다가가지 못하는 바깥세상 >,<사람노릇하며 살다가기: 홀로의 삶을 건사하여 독립을 유지하려함, 빚 갚는 마음으로 도움주기, 하릴없이 보내는 나날이 고역이라 일을 하고 싶음, 쪽방 사람들과 다르게 살아가기, 어른도리 하기, 마음을 다스려 현재의 삶을 수용함, 폐가 되지 않을 죽음을 준비하기>로 나타났다. 이러한 결과를 바탕으로 쪽방지역에 홀로 사는 남성 노인들의 삶의 경험에 대한 의미를 논의하고 사회복지적 함의와 후속 연구를 위한 제언을 제시하였다.

치매 치료용 한약 처방의 연구성과에 대한 정성평가 (Evaluation on the Quality of Research Field with Traditional Herbal Prescriptions for Dementia Therapy)

  • 허은정;강종석;강형원;전원경
    • 동의신경정신과학회지
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    • 제23권1호
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    • pp.93-114
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    • 2012
  • Objective : This study aimed to review the performance of traditional herbal prescriptions for treating dementia and present a strategy for research on dementia therapy utilizing herbal medicine. Methods : A definition was made to clarify the technology regarding the development of herbal prescriptions for treating dementia. The queries were compounded based on the initial keywords provided by experts in the field, then applied to the Web of Science database search engines from January 1986 to September 2011 to search related scientific articles. Before performing the analysis, papers were extracted from the initial search reviewed by experts and 80 articles were selected. Then, the selected papers were analyzed in terms of publish year, country, and type of herbal prescriptions. Furthermore, the research performance evaluation for treating dementia by herbal prescriptions was also created in terms of country and organization based on forward citation analysis. In addition to, for the evaluation regarding research quality, we classified and reviewed papers into two types: clinical studies and experimental studies. Results : According to the quantitative information analysis of 80 articles, the number of papers has increased by 21.9% per the yearly mean from 1995, and Japan had the largest portion within this research field. There were 34 kinds of traditional herbal prescriptions, among them Ukgansan had the highest number of studies followed by Jodeungsan, Dangkisoosan and so on. In addition, quality index as calculated by cites per paper is higher than average in Switzerland, Turkey and Japan. In the view of the evaluation on quality there were 12 clinical studies, 8 RCT reported that herbal prescriptions had efficacy at cognition, behavioral & psychological symptoms (BPSD) and activity of daily life (ADL) in various type of dementia. In experimental studies most of the studies were performed using animal models. The studies using Ukgansan were aimed at improving BPSD. The papers studied with Jodeungsan and Dangkisoosan targeted vascular dementia. Conclusions : In this study, research to develop traditional herbal prescriptions for treating dementia has the potential to improve symptoms since herbal medicines work as both multi-function and multi-target in dementia with multiple pathological or neurotoxic pathways. Therefore, the results of the research should be used in order to establish strategies to develop technology for treating dementia with traditional herbal prescriptions in the future.

Socioeconomic Impact of Cancer in Member Countries of the Association of Southeast Asian Nations (ASEAN): the ACTION Study Protocol

  • Kimman, Merel;Jan, Stephen;Kingston, David;Monaghan, Helen;Sokha, Eav;Thabrany, Hasbullah;Bounxouei, Bounthaphany;Bhoo-Pathy, Nirmala;Khin, Myo;Cristal-Luna, Gloria;Khuhaprema, Thiravud;Hung, Nguyen Chan;Woodward, Mark
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.421-425
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    • 2012
  • Cancer can be a major cause of poverty. This may be due either to the costs of treating and managing the illness as well as its impact upon people's ability to work. This is a concern that particularly affects countries that lack comprehensive social health insurance systems and other types of social safety nets. The ACTION study is a longitudinal cohort study of 10,000 hospital patients with a first time diagnosis of cancer. It aims to assess the impact of cancer on the economic circumstances of patients and their households, patients' quality of life, costs of treatment and survival. Patients will be followed throughout the first year after their cancer diagnosis, with interviews conducted at baseline (after diagnosis), three and 12 months. A cross-section of public and private hospitals as well as cancer centers across eight member countries of the Association of Southeast Asian Nations (ASEAN) will invite patients to participate. The primary outcome is incidence of financial catastrophe following treatment for cancer, defined as out-of-pocket health care expenditure at 12 months exceeding 30% of household income. Secondary outcomes include illness induced poverty, quality of life, psychological distress, economic hardship, survival and disease status. The findings can raise awareness of the extent of the cancer problem in South East Asia and its breadth in terms of its implications for households and the communities in which cancer patients live, identify priorities for further research and catalyze political action to put in place effective cancer control policies.

건어육저장중의 유효 Lysine 및 Ex분질소의 변화와 갈변 (Changes in Available Lysine and Extractable Nitrogen, and Extent of Browning during the Storage of Dried Fish Meat)

  • 이강호;송동숙;유병진;김무남
    • 한국수산과학회지
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    • 제15권4호
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    • pp.271-282
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    • 1982
  • The browning development, mainly through the Maillard reaction, occurring in the dried fish meat products during storage causes reduction of the nutritional value due to the loss of the essential amino acid such as available lysine as well as off -flavor resulting in the deterioration of the food quality thus shortening the shelflife. In the work, the changes in the amount of available lysine, extractable nitrogenous compounds (nonprotein-N, amino-N, trimethylamine oxide, trimethylamine, and free lysine) and development of browning were measured to assess the relationship between the shelflife and the quality loss in dried filefish under the steady state conditions (35,45, and $55^{\circ}C;a_{w}'s$ of 0.44 0.52, 0.65 and 0.75 at each temperature) and fluctuating temperature condition of $35/55^{\circ}C$ will. alternating 7 day periods at each water activity. The results indicated that the amount of available lysine and extractable nitrogenous compounds except TMA decreased rapidly with increasing temperatures and water activities while the rate of available lysine and extractable nitrogenous compounds must be involved in the initial stage of brown pigment formation. The available lysine loss of the dried filefish products stored under the fluctuating temperature conditions was greater than that stored under its fixed mean temperature, $45^{\circ}C$. The activation energies for lysine loss obtained from the Arrhenius plot ranged 6.9 to 4.4 Kcal/mol and $Q_{10}$ values at $40^{\circ}C$ were 1.4 to 1.2. The values for browning were 15.7 to 14.4 Kcal/mol and 2.2 to 2.0 respectively. Shelf-life, defined as the time to reach 0.15 O. D./g solid or the limit of off-color deterioration by browning reaction, was extented longer than the halflife of Iysine loss, actually corresponding $75\%$ loss of available lysine. This suggested that the halflife of lysine loss might not be adequate to assess the shelf-life of the food system with high potential of protein, nonproteinous nitrogen compounds, and lipids.

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Effects of Transcutaneous Electrical Stimulation on Physiological Symptoms and Psychological Satisfaction in Women With Stress Urinary Incontinence: A Preliminary Study

  • Kim, Ji-hyun;Kwon, Oh-yun;Jeon, Hye-seon;Hwang, Ui-jae;Gwak, Kyeong-tae;Yoon, Hyeo-bin;Park, Eun-young
    • 한국전문물리치료학회지
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    • 제26권3호
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    • pp.67-75
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    • 2019
  • Background: Stress urinary incontinence (SUI) is an involuntary leakage of urine from the urethra when intra-abdominal pressure increases, such as from sneezing, coughing, or physical exertion. It is caused by insufficient strength of the pelvic floor and sphincter muscles, resulting from vaginal delivery, obesity, hard physical work, or aging. The pelvic floor electrical stimulator is a conservative treatment generally used to relieve the symptoms of urinary incontinence. it recommended to applied before surgery is performed. Objects: The purpose of this study was to determine if the transcutaneous electrical stimulation (TCES) would be effective for the physiological symptoms and psychological satisfaction of women with SUI for an 8-weeks intervention. Methods: Easy-K is a specially designed user-friendly TCES. Five female who were diagnosed with SUI by a gynecologist but who did not require surgical intervention were included in this study. Intervention was implemented over an 8-week period. Outcome measures included vaginal ultrasonography, Levator ani muscle (LAM) contraction strength, incontinence quality of life (I-QOL), and female sexual function index (FSFI) questionnaires. Results: The bladder neck position significantly decreased across assessment time. Funneling index and urethral width significantly decreased after 8 weeks of intervention (p<.05). The bladder necksymphyseal distance and posterior rhabdosphincter thickness statistically increased and the anterior rhabdosphincter thickness showed a tendency to increase. All participants demonstrated a significant increase in the LAM contraction score across three assessment times (p<.05). Although the total score of the I-QOL did not show significant improvement, it steadily increased and among I-QOL subscales, only the "avoidance" subscale showed statistical improvements (p<.05). The total score of the FSFI statistically improved and the "desire" score significantly changed (p<.05). Conclusion: The TCES is recommended for women who want to apply conservative treatments before surgery and who have suffered from SUI in aspects of sexual function and quality of life.

SNS의 사용이 팀의 협력과 의사결정의 질 및 업무성과에 미치는 영향 (Impact of Social Networking Service on the Team Cooperation, Quality of Decision Making and Job Performance)

  • 김윤미;정동섭
    • 한국멀티미디어학회논문지
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    • 제17권2호
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    • pp.180-190
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    • 2014
  • 스마트폰의 등장으로 인해 언제 어디서나 정보를 누구라도 손쉽게 전달하고 볼 수 있는 시대가 되었다. 과거에는 개인적 홍보나 생각의 나눔을 위한 도구로서 SNS를 사용해 왔지만, 최근 SNS 사용자의 증가와 그 사용속도의 증가 추세에 따라 기업들이 팀의 협력이나 의사결정에 직접 스마트폰을 이용하여 의사결정의 질이나 업무성과를 제고하는 노력이 진행되고 있다. 이처럼 소셜 네트워크 사이트(SNS Social Networking Service)의 활성화는 이미 사람들이 인터넷 매체를 통해 즐거움과 같은 긍정적 경험을 많이 누리고 있음을 제시한다. 그러나 한국의 조직 구성원들을 대상으로 SNS가 구성원들의 업무성과에 미치는 긍정적인 기능에 대한 논의는 부족하였다. 이에 본 연구는 조직구성원들이 실제 SNS을 통한 참여를 통해 기업에서 SNS의 활용과 참여가 업무성과를 향상 시킬 수 있는지를 분석하고자 하였으며, 실제 이들의 영향관계에서 팀의 협력 및 의사결정의 질이 중요한 매개 역할을 하는지를 규명하고자 하였다. 연구의 결과는 SNS의 참여가 높을수록 업무성과에 긍정적인 영향을 미치고 있음을 알 수 있었고 이들의 인과관계에서 팀의 협력과 의사결정의 질이 중요한 매개작용을 하고 있음을 확인하였다. 본 연구의 결과들은 실제 구성원들의 업무성과 향상을 위해서는 직장인들의 사회적 네트워크의 활용도를 높여서 업무의 활용도를 높여야 한다는 시사점을 밝혀낼 수 있었다. 또한 SNS의 참여는 팀의 협력과 의사결정의 질도 높일 수 있는 요인임을 알 수 있었다.

독거노인의 자아통합감이 삶의 질에 미치는 영향: 주관적 건강요인별 조절효과를 중심으로 (Effects of Ego integrity on QoL of Elderly Living Alone: Focused on Moderating Role of SF36 Health Factors)

  • 신학진;전상남;유길준;이은용
    • 한국노년학
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    • 제30권4호
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    • pp.1179-1195
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    • 2010
  • 본 논문은 독거노인의 자아통합감이 삶의 질에 미치는 영향을 검증했다. 또한 주관적 건강의 다양한 영역별 차이에 따라서 자아통합감이 삶의 질에 미치는 영향이 다름을 검증했다. 설문조사를 위해서 전주시의 노인복지관 이용자 중에서 독거노인을 편의 추출하였고 265명이 분석대상이 되었다. 신뢰도와 타당도 분석을 위해 자아통합감, 삶의 질 그리고 SF36 주관적 건강을 확인요인분석 하였으며, 구조방정식 모델을 이용하여 인과분석과 주관적 건강요인별로 조절효과를 분석했다. 분석결과로 첫째, 독거노인의 자아통합감이 클수록 노인의 삶의 질은 높아지는 것을 확인할 수 있었다. 둘째, 신체기능이 저조할수록 자아통합감은 삶의 질에 더 큰 영향을 미치고 있음을 검증했다. 셋째, 신체로 인한 역할 제한이 많을수록 자아통합감은 삶의 질에 더 큰 영향을 미치는 것으로 확인되었다. 연구를 통해서 주관적 건강이 노년의 삶에 미치는 영향에 대한 상반된 견해가 발생하는 원인을 설명할 수 있었으며, 주관적 건강의 영역과 정도에 따라 개입 방향이나 효과가 다를 수 있음을 제시하였다.

국내 대학 경호비서학과의 교육과정 특성에 관한 연구 - 4년제 대학을 중심으로 - (A Study on the Curriculum of Department Security Secretarial Programs in Korea University)

  • 공배완
    • 시큐리티연구
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    • 제13호
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    • pp.1-21
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    • 2007
  • 경호학과 또는 경호비서학과로 명칭 되는 민간시큐리티의 학과설치는 시민의 안전의식 증대와 밀접한 연관성을 갖고 있으며, 사회치안활동에 대한 경찰력의 물리적 한계를 보완하기 위한 조치로서 안전 전문인력 양성에 그 목적을 두고 있다. 시민의 안전지킴이로서 시큐리티 전문요원을 양서하기 위한 관련학과의 설치는 1995년을 기점으로 하여 2006년 현재 전국적으로 63개 대학(2년제, 4년제 포함)에서 설치${\cdot}$운영되고 있다. 물론 학과의 명칭은 다소 차이가 있더라도 학과가 추구하는 공통목표는 민간인에 의한 대민안전서비스 활동이다. 민간인 또는 민간기관에 의한 사회범죄예방 및 생활안전서비스는 이미 선진국에서는 보편화되어 사회의 중추적인 안전역할을 담당하고 있고, 경찰력인 공경비와의 보완적인 관계에서 독자적인 영역을 형성하고 있다. 그러나 아직 대학교육체계의 확립이 미흡한 실정이며 이로 인한 전문교육의 정착도 민간경비산업의 발달에 부응하지 못하는 측면을 나타내고 있다. 따라서 본 논문에서는 특히 현실적인 문제점으로 부각되고 있는 전문교육기관인 대학에서 전문 인력의 양성을 위한 교육과정의 본질과 차이성에 대한 분석을 함으로서 전문인력의 양성체계와 사회적 수요문제의 적합성을 논하려 한다.

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