• 디지털융복합연구
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• 제17권6호
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• pp.307-314
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• 2019

본 연구는 요양보호사의 직무스트레스와 정신건강과의 관계에서 정서조절곤란의 매개효과를 검증하였다. 노인요양기관에서 근무하는 요양보호사 154명을 대상으로 요양보호사 직무스트레스척도, 한국판 정서조절곤란 질문지, 간이정신진단검사를 시행하였다. 위계적 회귀분석을 통해 직무스트레스, 정서조절곤란, 정신건강 간의 직접 효과를 검증하고, 부트스트랩 검증을 통해 직무스트레스와 정신건강에 대한 정서조절곤란의 매개효과 유의성을 검증하였다. 분석결과, 직무스트레스와 정신건강과의 관계에서 정서조절곤란의 하위요인 중 전략적 접근 제한과 명료성의 부족은 완전매개역할을 하는 것으로 나타났다. 이는 요양보호사의 정신건강을 위해서는 직무스트레스를 경감시키는 것만으로는 부족하고, 요양보호사들이 자신의 부정적인 정서를 다룰 수 있는 조절능력을 기를 수 있는 방안이 필요함을 시사한다.

• 한국의료질향상학회지
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• 제10권1호
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• pp.8-19
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• 2003

Background : There have been many studies and efforts about quality management in health services, but there were not founded quality assessment on social services. This study was designed for understood level of quality on social service, identified for correlation factors of quality assessment on social services in general and teaching hospitals in Korea. Methods : The subjects of this survey were 80 leaders of social service units. The survey data from each subjects were measured to evaluate level of quality that service provider perceived of sample hospitals. Social worker's attitude of quality assurance activities, perception of quality assurance system in that hospitals were measured. Under the method of one-way ANOVA, t-test and correlation, associated factors of quality assessment in social work service was analyzed. Results : The major findings were as following ; First, the level of quality perceived showed less score, especially the lowest was the score of quality of outcome. Second, social worker's attitude of quality assurance activities showed high score, but quality assurance system of hospitals showed less score. Third, the level of quality assurance system of hospitals, social worker's attitudes of quality assurance activities. Conclusion : The quality of social work service correlated positive hospitals's quality assurance system, social worker's attitudes of quality assurance activities. Therefore, to assure the proper level of quality, qualified for hospitals system of quality assurance, and needed to a educational program for enhanced social workers's attitudes in quality assurance activities.

• 농촌의학ㆍ지역보건
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• 제16권1호
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• pp.3-9
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• 1991

In order to find out status of health care for community residents with special reference to organization and man power in a rural health subcenter, a study was carried out, through analyzing the data, operated by health subcenter during 1973~1990 in a rural area, Su Dong-Myun, Nam Yang Ju-Gun, Kyung Gi-Do, Korea. The following results were obtained : l) The Number of Population in Su Dong-Myun is decreasing and household is increasing chronologically. 2) In 1989, the characteristics of population composition rate in Su Dong-Myun were shown : the groups of Age, 65 and over was high rate(9.8%) and 0~4 was low rate(5.3%) decreasing chronologically. 3) Since 1972, services of Su Dong-Myun health subcenter have been carried in the 3 functions(medical treatment, health care management and clerical work) with supports of Ewha Woman's University through the participation of community residents organization. 4) The Number of Su Dong-Myun health subcenter personnel in 1990 was 5 persons(public health doctor l, public health dentist l, health worker l, dental technician l and assistant nurse l) and of these, health worker who must have the huge charge of health care management, has been worked at Myun-office as a public official, in condition, decreased from 3 in 1980 to 2 in 1981 and from 2 to 1 in 1985. 5) Health service Activities of Su Dong Myun health subcenter obtained good results in it's achievement during 1975-1985, but since 1986, it has been in condition of lower stepping. 6) Since 1977, annual medical utilization rate showed decreasing tendency such as 900 per l,000 population in 1977, 846 in 1979, 723 in 1981, 343 in 1973 and 34l in 1987. 7) A proposal : (l) Organization of health subcenter must be unified and systematized by government, so that health subcenter can carry out primary health care for community residents through responsibilities and authorities. (2) Teaching programs in educational process must be reorganized, according to periodical request. considering relative importance to primary health care in health care needs of community residents.

• 가정간호학회지
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• 제23권2호
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• pp.224-232
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• 2016

Purpose: This study set out to use a one-group pretest-posttest experimental design to develop a highly motivating CPR program for help care workers who lack CPR education, and to evaluate its effects on their knowledge about program application, attitude, and self-efficacy. Methods: For this purpose, 140 questionnaires were administered to subjects who underwent training at an educational institution for care workers in S city and G province. The program was developed from April, 25 to May, 15 in 2016, and the evaluation period was from May to July, 15. The collected data were analyzed through SPSS version 23, and a paired t-test was conducted. Results: The program spanned 240 minutes, including 80 minutes on theoretical education and 160 minutes on practical education. Knowledge of CPR in the post-test proved to be higher than that in the pre-test, from 6.4 to 9.2 (t=-15.72, p<.001),; the score on attitude increased from 38.4 to 41.7 (t=-5.89, p<.001),; and self-efficacy increased from 41.0 to 66.7 (t=-21.83, p<.001). Conclusion: The basic CPR education program emphasizing motivation was effective for the care worker trainees and could be used for other curriculum by expanding the scope of the subject.

• 한국산학기술학회논문지
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• 제13권2호
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• pp.642-647
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• 2012

본 연구는 요양보호사 교육생을 대상으로 호스피스교육 프로그램 전과 후에 요양보호사의 노인에 대한 태도, 호스피스의 인식도 변화의 차이를 검정하여 교육 효과를 확인하는 유사실험설계 중 단일군 전 후설계이다. 연구기간은 2011년 5월9일부터 6월20일까지이며, 연구 대상자는 요양보호사 교육원의 교육생 총 53명으로 본 프로그램의 목적을 이해하고 참여를 희망하는 자로 호스피스 교육 15시간을 이수한 자이다. 자료분석은 SPSS/WIN 17.0 프로그램을 이용하였고 t-test, 평균, 표준편차를 통계적으로 진술하였다. 결과적으로 호스피스 교육프로그램의 효과는 교육을 실시하기 전 보다 실시한 후가 호스피스 인식도와 삶의 의미에 유의한 차이를 보였지만, 노인에 대한 태도는 유의하지 않은 것으로 나타났다. 본 연구의 시사점으로는 질적으로 향상된 노인요양보호의 전문 인력이 되기위해서 노인들에게 필요한 교육 등을 통해 체계적이고 지속적인 관리가 이루어져야 할 것으로 사료된다.

• 가정간호학회지
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• 제19권1호
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• pp.55-62
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• 2012

Purpose: This study was conducted to investigate the worker's service quality of the elders at a nursing home. Methods: A total of 371 workers, who were engaged in caring for the elders at a nursing home in B-Metropolitan city and Kyungnam, answered the questionnaires regarding the knowledge & skills of service, information cognition and service quality for the elders related to their clients. Results: Service quality for the elders was significantly correlated to the level of knowledge and skills, as well as the information cognition for the elders, and frequency of educational participation. Service quality for the elders was statistically significant predictors of knowledge and skills, and information cognition for the elders. These two variables accounted for 37% of the variance in service quality for the elders. Conclusion: In order to improve the worker's care level, the workers engaged in caring for the elders should make the efforts to be given a nursing education related to the knowledge & skills, as well as the information for the elders.

• 가정과삶의질연구
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• 제28권1호
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• pp.25-36
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• 2010

The purpose of this study is to understand a ChoSun-jok female domesic worker's experience in a Korean home. This study adopted hermeneutic phenomenological method which was developed by van Manen. The participant for this study was a ChoSun-jok woman who had worked as a care-giver and housekeeper in Korean home for more than 2 years. She missed the time when she was raising her own daughter and son and expected the time that her family would be together. So, her present time wears away for her stable future in Korea which give an opportunity to make a good money. Also, she realized that she was a marginal existence : it meant she was neither a family member nor truly worker. She nursed the Korean children and did for the Korean family for money but wanted to be treated as a family member like a grandmother who could be honored about what she had done for the family. She felt that she was disregarded from the family when she miscommunicated with them because of the difference between cultures. She anticipated that she was appreciated for being here in the Korean home.

• 한국보육지원학회지
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• 제8권1호
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• pp.109-124
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• 2012

본 연구는 보육교사들이 교직원들과의 갈등상황에서 어떤 갈등관리전략을 사용하는지를 알아보기 위해 시작되었다. 이를 위해 연구자는 C직장어린이집 0세반에서 참여관찰 하여 교사들의 대화에서 드러난 갈등의 원인별로 보육교사들이 사용한 갈등관리전략을 분석하였다. 첫째, 보육교사들은 적합한 간식제공 방법을 건의했으나 조리사들이 개선해주지 않는 상황과 교사용 간식이 정당하게 제공되지 않는다고 느끼는 상황에서 지배적인 갈등관리전략을 사용하였다. 둘째, 보육교사들은 보육시간 중에 환경미화원이 도움을 요청한 상황과 주임교사에게 갑작스런 업무를 부여받을 수도 있음을 알게 된 상황에서 회피적인 갈등관리전략을 사용하였다. 셋째, 보육교사들은 대체교사를 구하지 못해 휴가를 가기 어려워진 상황에서 통합적인 갈등관리전략을 사용하였다. 넷째, 보육교사들은 휴가기간 동안 교사근무배치를 원장이 제안한 상황에서 배려적인 갈등 관리전략을 사용하였다. 다섯째, 보육교사들은 공동으로 관리하는 유희실을 특정 교사들만 청소하게 되어 불합리하다고 느끼는 상황에서 타협적인 갈등관리전략을 사용하였다.

• Communications for Statistical Applications and Methods
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• 제17권3호
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• pp.423-440
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• 2010

본 연구의 목적은 2008년 7월에 실시된 노인 장기요양 보험제도 실시에 따라서 보건 복지 전문직 종사자의 수요모형을 구축하고 수요를 예측함으로써 인프라구축이 필요한 교육기관의 학과개설과 증원에 대비하고자 함이다. 2009년 5월 현재 노인 장기요양 보험 시행 1주년 주요 통계 현황을 바탕으로 2010부터 2030년까지 장래 노인인구의 노인 장기요양 인정자 추계와 이에 따른 시설 요양기관, 재가 서비스기관, 가족급여등의 요양보험 이용자로 인한 보건 복지 전문직 종사자의 수요를 측정하였다. 사회복지사는 2020년 16,624명 2030년 24,688명으로 전망되었다. 간호사는 2020년 11,287명, 2030년에는 16,764명으로 수요증가가 가속화될 전망이다. 요양보호사의 경우 2009년에 필요한 인원은 44,824명이며 8월 31일 현재 1,078개의 교육기관에서 1년간 약 50만명 이상을 양성함으로써 소요인원의 10배 이상으로 과다 양성되었다.

• 한국컴퓨터정보학회논문지
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• 제22권11호
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• pp.105-110
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• 2017

This paper is to research the difference of care workers' role in Sanatorium between urban and rural areas. Interviews have been conducted with 100 care managers with structured questionnaires in community care settings. The findings of the study are as follows. In the analysis of working with carers a care manager acting as a counsellor in rural was required rather more than any other role in working with clients' carers. In working with formal and informal networks, an administrative specialist role was also important in both areas. With resource management, there were some regional variances between rural and urban. In the urban area, a care managers as a coordinator was more required than as a broker. In the rural area, a care manager as a broker, selecting service resources for elderly clients was the most suitable role. In conclusion, in general rural care managers' roles were similar to those of many core managers in urban area. Among the many possible roles of care managers that effective continuity of care is to be provided for elderly clients in community care, two have been specified as essential roles. The first is the role of care managers that provides coordination and integration of services at the clients' levels as a care manager as an implementer, a linkman, counsellor. The second is at the system level which is possible role for coordination and linkage of programs as a characteristics of care managers, task with formal & informal network, community resources, available residential & NHS resourcesw.