• 한국간호교육학회지
• /
• 제11권2호
• /
• pp.240-251
• /
• 2005

Purpose: The purpose of this study was to develop a curriculum for care manager based on the results of professional workshops and through the analysis of the roles and curriculums of care managers in other countries. Method: The process of this study included a review of literature, getting advice from various experts, a review of the present state of education programs at abroad. Result: This study revealed the basic content of care manager education which includes understanding health care and welfare delivery system. process of care manager, resource management, legal and ethical issues, management of health and a life style of elderly, communication, stress management. The major roles of care manager was revealed as the one who assess the needs of elders, making a care plan, evaluator, supporter, coordinator and a risk manager who coordinates, validates and reassesses various services needed by elderly. Conclusion: These results can be utilized in care manager educational program for raising the quality of care manager and care management services.

• 부모자녀건강학회지
• /
• 제7권1호
• /
• pp.73-88
• /
• 2004

Purpose: The Purpose of this study was to analyze the trend of research related with unmarried mother. Method: 81 theses about unmarried mother from 1972 to 2003 were analyzed according to the theses' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and theme of qualitative research. Results: 1. The number of studies related with unmarried mother has progressively increased by year from 1972, and that of theses was highest during the period between 2000 to 2003. 2 As for study design, the number of quantitative studies were 73 and that of qualitative studies were 8. The majority of research design were survey and correlational studies. 3. Nursing intervention used in the experimental design were stress management program, eco-system support group, group art treatment, career education program, musical activities, prenatal education. All of experimental design were used in the after 2000. 4. The themes of qualitative studies were childbirth experience, a participatory on the life, mother's keeping a child, experience of pregnancy and delivery, the self-group program, the process and experience of becoming unmarried adolescent mother, needs of single mothers with child and policy of social welfare service, lived experience of hope. All of these were used in the after 1999. Conclusions: The summary of the above results shows a tendency that the study has increased by year. Especially, experimental study proved affirmative effect. However, for the unmarried mother, more experimental and qualitative studies are to be required.

• Journal of Korean Biological Nursing Science
• /
• 제16권3호
• /
• pp.201-210
• /
• 2014

Purpose: To provide an in-depth analysis of the physical changes in and marital experiences of immigrant women in Korea, considering the differences in their cultural backgrounds. Methods: A qualitative research methodology with a phenomenology perspective was used. Data were collected through interviews from four focus groups and through in-depth interviews from five individuals. Data analysis was carried out using Colaizzi's phenomenological analysis method. Results: Twenty-four participants from nine different nations were interviewed. Three phenomenological theme clusters were identified and six sub-themes were derived. These comprise: "emergence of physical changes", "experienced symptom with negative result", and "coping with my body". The derived themes comprise: "struggling for my body to survive", "changed body after pregnancy and delivery", "diagnosed as normal but", "neglected my health", "using familiar care", and "unfamiliar health service system". Conclusion: Immigrant women by marriage in Korea are new subjects of nursing care. Their physical changes and experiences in coping with marriage at an early stage of immigration as described by themselves provide valuable information for nursing professionals. Cultural differences, problems specific to women, and our social conditions regarding minorities and our patriarchal tradition that discriminates against women affect their health problems. We strongly recommend that nurses should actively determine and engage in the health problems of immigrant women.

• 가족자원경영과 정책
• /
• 제18권4호
• /
• pp.53-68
• /
• 2014

Increasing interest in family problems caused by social environment changes has elevated the importance of strong family policy. That is why Framework Act on Healthy Families has enacted in 2004 in Korea and it marked the 10th anniversary of establishing the law. This study finds out the meaning of enacting the law and an academic field of Family Resource Management through reviewing and analyzing the studies on the healthy families from 2000 to 2013 year in Journal of Korean Family Resource Management Association. The major findings of this study are as follows. First, we divide research themes into three parts: policy, practice(I)(center management), practice(II)(program development & efficiency), specialist area. The research trends have most focused on the issue of practice(II), that is, program analysis and development, contents review, because of the settlement of delivery system after the early of law establishment. But it is needed to rethink research themes because it has been dealt with not academical researches on theoretical basis but practical ones, for example, program development on Healthy Families Center and the tendency still lasts until now. Second, more than half of research methods have been concentrated on contents analysis and about 70% of research objects are focused on the center program. It needs to adopt various research methods and research objects. Lastly, it is necessary to make an academic identity clear that can be faithful to Family Resource Management Studies.

• 대한통합의학회지
• /
• 제10권2호
• /
• pp.49-59
• /
• 2022

Purpose : The purpose of this study is to directly understand the health condition of residents of mental health sanatoriums nationwide, which has been difficult to ascertain in surveys conducted to date. The study presents specific measures for improving the health of these residents. Methods : A "physical examination questionnaire for residents of mental health sanatoriums" was developed to check the basic physical condition of residents, and 20 out of 59 mental health sanatoriums nationwide were randomly selected. Medical personnel visited the sanatoriums, interviewing and examining the residents in person. A total of 396 health surveys were completed. Results : Many of the residents were underweight but had abdominal obesity. It was confirmed that chronic diseases among the residents were not diagnosed early or were not properly managed. Among the subjective symptoms complained of by the residents, musculoskeletal symptoms were the most common. Oral examinations revealed a serious level of oral health problems among the residents, including dental caries and missing teeth. Basic physical examinations found health problems that required additional examination or medical treatment. Blood pressure abnormalities made up the highest percentage of the health problems. Conclusion : Regular health surveys are needed to determine the health condition of residents of mental health sanatoriums. Access to and quality of primary medical services within the sanatoriums need to be dramatically improved. A delivery system for severe diseases and emergency medical care in the sanatoriums should also be specifically presented. The residents should be notified upon admission and during their stay that they have the right to the enjoyment of the highest attainable standard of mental and physical health. The issue of health rights should be addressed within a larger framework of reorganizing management plans for people in the community - not only residents - with chronic mental illness.

• Safety and Health at Work
• /
• 제14권2호
• /
• pp.229-236
• /
• 2023

Background: In workers with moderate to severe work-related traumatic brain injury (wrTBI), this study aimed to investigate the effect of the timing of rehabilitation therapy initiation on the length of hospital stay and the factors that can influence this timing. Methods: We used data obtained from the Republic of Korea's nationwide Workers' Compensation Insurance. In the Republic of Korea, between the years 2010 and 2019, a total of 26,324 workers filed a claim for compensation for moderate to severe wrTBI. Multiple regression modeling was performed to compare the length of hospital stay according to the timing of rehabilitation therapy initiation following wrTBI. According to the timing of the initiation of rehabilitation therapy following TBI, the proportions of healthcare institutions that provided medical care during each admission step were compared. Results: The length of hospital stay for workers who started rehabilitation therapy within 90 days was significantly shorter than that for workers who started rehabilitationment were first admitted to tertiary hospitals. Approximately 39% of patients who received delayed rehabilitation treatment were first admitted to general hospitals, and 28.5% were first admitted to primary hospitals. Conclusions: Our findings demonstrate the importance of early rehabilitation initiation and that the type of healthcare institution that the patient is first admitted to after wrTBI may influence the timing of rehabilitation initiation. The results of this study also emphasize the need to establish a Worker's Compensation Insuranceespecialized rehabilitation healthcare delivery system.

• 문화기술의 융합
• /
• 제9권6호
• /
• pp.947-955
• /
• 2023

본 연구의 목적은 Fisher(1995, 2003)의 다차원적 정책평가방법 중 상황적 타당성 평가를 활용하여 우리나라의 장애인 고용·일자리 정책을 평가하고 그에 따른 정책적 함의를 도출하는 것이다. 우리나라에서 진행된 다수의 장애인 고용·일자리 정책평가 연구들이 계량적인 연구방법에 치우쳐 균형 있고 종합적인 평가에는 소홀한 측면이 있었다. 본 연구에서는 기존의 실증주의적 방법론의 한계를 보완하는 질적 또는 현상학적 접근을 통해 균형 있는 정책평가를 시도하였다. 연구결과, 장애인 고용서비스·일자리의 개선을 위해 기관 간 연계·협력 강화, 고용서비스 사각지대 해소, 질적 개선, 맞춤형 고용서비스 확대, 프로그램 내실화, 정책·제도적 환경개선, 개인 심리정서적 지원강화가 향후 우리나라 장애인고용정책에서 중요한 것으로 나타났다.

• 한국사회복지학
• /
• 제67권4호
• /
• pp.127-152
• /
• 2015

본 연구의 목적은 지역아동센터 종사자의 아동 대상 실천역량 향상 프로그램을 실행하고 그 영향을 평가하는 것이다. 이를 위하여 프로그램은 지역아동센터 종사자 10명을 대상으로 매 120분간 주1회로 5주간 실행되었다. 양적 평가를 위하여 유사실험설계의 비동일 비교집단 설계가 사용되었으며, 질적 평가를 위하여 프로그램관련 기록물 등을 통해 자료를 수집하고 분석하였다. 그 결과, 양적 평가에서는 본 프로그램에 참여한 지역아동센터 종사자의 사회복지실천기술 숙련도와 클라이언트관계변화 임파워먼트가 유의미하게 향상된 것으로 나타났다. 질적 평가에서는 종사자의 실천역량 향상, 아동의 변화에 대한 인식, 프로그램의 강점 및 보완점 인식이라는 주관적 경험이 나타났다. 본 연구결과는 아동을 대상으로 하는 대표적인 서비스전달체계인 지역아동센터의 종사자 실천역량을 향상시킴으로써, 지역아동센터 종사자의 실천에 있어 전문성과 효과성을 제고하고 궁극적으로 아동의 건강한 발달 및 정신건강 증진에 기여할 수 있을 것으로 기대된다.

• 사회복지연구
• /
• 제49권4호
• /
• pp.159-193
• /
• 2018

본 연구는 한부모 가족 발생 유형, 즉 사별, 이혼, 미혼 한부모의 삶의 어려움과 이를 극복하고 자립하는 과정, 자립의 과정에서 작용하는 강점을 비교 탐색하는 데 목적이 있다. 강점은 강점관점의 틀을 중심으로 개인, 환경적, 삶의 요소 차원으로 분석하였다. 세 유형의 한부모 가족의 자립 경험, 강점 자원의 공통점과 차이점을 살펴봄으로써, 자립에 도움이 될 수 있는 보편적 제반 조건들을 파악함과 동시에 각 유형의 독특성을 확인하는데 의의가 있다. 이를 위해 사별 4사례, 이혼 8사례, 미혼모 8사례로 총 20사례를 심층 면접하였다. 연구 결과, 세 유형 모두에게 자립은 하나의 완결된 사건이 아니며, 엄마로서 주어진 책임을 다하기 위하여 그 힘을 갖추어나가는 과정으로서의 자립을 의미하였다. 힘을 갖추는 것은 경제적 자립을 위한 힘을 갖는 것뿐 아니라 자신의 삶에 대한 수용, 통제감 갖기, 자기 개발을 통해 역량강화되며 심리사회적 힘을 갖는 것을 의미하였다. 이들의 자립 경험과 강점 분석을 통해 자립 과정에 중요한 공통 자원과 경험의 독특성, 차이점 등을 확인 할 수 있었다. 연구결과를 토대로 한부모 가족을 위한 서비스 전달체계의 기능과 제도적 지원에 대한 실천적 정책적 함의를 제시하였다.

• 재활복지
• /
• 제21권2호
• /
• pp.63-88
• /
• 2017

본 연구는 재난취약계층인 청각장애인의 재난관리 및 지원체계에 관한 연구가 상당부문 공백으로 남아있다는 문제의식 하에, 청각장애인을 대상으로 재난대응 욕구 전반에 대한 실태를 조사해 양적으로 분석하고, 재난 구조과정 최일선에 있는 소방공무원들과의 심층인터뷰를 통한 질적 분석을 함께 제시함으로써 청각장애인의 재난대응 욕구에 대한 이해를 높이고 정책방안을 모색해 보고자 했다. 분석결과, 위험상황에서의 도움을 요청하는 수단 확보 및 구조 과정에서의 정보전달과 관련된 의사소통 욕구, 재난 발생 시 효과적인 대피능력 및 훈련정도를 의미하는 이동(이송) 욕구, 신체적 정신적 응급조치에 대한 사전준비 정도 및 구조 구급과정에서의 건강정보의 전달과 관련된 의료적 돌봄 욕구, 재난 발생 시 발생되는 피해를 스스로 최소화하기 위해 준비된 정도를 의미하는 자립성 유지 욕구, 재난취약계층에게 제공되는 공식화된 맞춤형 지원체계에 해당하는 슈퍼비전 욕구 등 5대 재난대응욕구 전반에서 청각장애인의 재난대응 욕구충족 수준은 상당히 미흡한 것으로 분석되었다. 청각장애인의 재난관리 보장을 강화하기 위해 시각경보장치의 확대설치 지원 확충 및 화상수화통역서비스 활용 강화, 재난대응 교육 훈련 프로그램의 내실화, 건강정보카드 보유 장려 및 장애인지정병원제도 신설, 맞춤형 재난지원체계와 재난관리 거버넌스 활성화를 위한 예산 및 정책 확대 등을 제안했다.