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Experience of Alternative Practice Education for Trainees in Nursing Care Training Course : Exploration Using Q methodology 护理培训课程学员替代实践教育的体会:运用Q方法的探索
Pub Date : 2023-06-30 DOI: 10.22589/kaocm.2023.47.121
Yu-Jin Lee, Mi-Kung Hwang
The purpose of this study was to improve the educational process to strengthen the professionalism of caregivers known to play a key role in the long-term care service system for the elderly. Therefore, in the process of fostering nursing care workers, characteristics of perceptions of those who experienced alternative practice were identified, typified, and explored through the Q methodology to confirm the meaning. In order to form the Q population, four study participants were interviewed in advance. Q samples on a total of 34 trainees' alternative practice education experiences were extracted through interview content and literature analysis. Q classification was conducted for 22 study participants. P samples were male and female trainees educated at the caregiver training center, 22 caregiver trainees with nursing assistant and social worker licenses corresponding to long-term care workers, and caregiver trainees corresponding to the general new class. Three recognition factors extracted by analyzing the data collected in Q sorting with the PC QUANL program explained 40.6% of the total variance. They were ‘rational inquiry’, ‘critical analysis’, and ‘realistic satisfaction’. According to implications of research results, this study proposes that it is important to improve the curriculum that can strengthen the professional competency of caregivers who respond to the era of integrated care in the community.
本研究的目的是改善教育过程,以加强在长者长期照护服务体系中扮演关键角色的照护者的专业素养。因此,在培养护理员的过程中,通过Q方法识别、类型化和探索那些经历过替代实践的人的感知特征,以确认其意义。为了形成Q人群,我们提前对四名研究参与者进行了访谈。通过访谈内容和文献分析,抽取了34名学员替代实践教育经历的Q个样本。对22名研究参与者进行Q分类。P个样本分别为在护理人员培训中心接受教育的男女培训生,22个样本为持有护理员和社工执照的护理人员培训生,对应于长期护理工作者,和一般新班级的护理人员培训生。利用PC QUANL程序对Q排序中收集的数据进行分析提取的三个识别因子解释了总方差的40.6%。它们是“理性探究”、“批判性分析”和“现实满足”。根据研究结果的启示,本研究建议改善课程,以加强社区护理人员应对整合护理时代的专业能力。
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引用次数: 0
A Study on the Availability of Halfway House for Community Care in the Era of One-Person Households : Through Care Assurance Housing in Saha-gu, Busan 以釜山沙下区照顾保障房为例,分析一人家庭时代社区照顾中途之家的可得性
Pub Date : 2023-06-30 DOI: 10.22589/kaocm.2023.47.65
Ji-Hyeon Son, Il-Ho Kim, Choeng-Seok Kim
This study presupposes the importance of community care in an era when one-person households are increasing. The purpose of this study was to clarify the direction and possibility of the Care Assurance Housing project through the case of ‘Halfway House in Saha-gu, Busan’. Through theoretical discussion, characteristics of single-person households were summarized as ‘relationship vulnerability’. The place where they lived was ‘a space where self-direction rather than isolation’ and the local community was a ‘connection with informal support’. Results of analyzing the case of middle houses in Saha-gu by dividing them into service entry, service progress, and service result are as follows. In service entry, it was confirmed that flexible standards were applied to users with possible connection with relatively diverse excavation. In service progress, characteristics of services were centered on relationships. Relationships with various local residents were secured in service results. The possibility of independence and various resident relations was revealed. How to apply these research results to other regions is discussed. Lastly, the direction of the community care project and the need for support for various forms of community care are suggested.
本研究预设了在一个单人家庭增加的时代,社区照顾的重要性。本研究的目的是透过“釜山沙下区中途之家”的案例,来厘清照顾保障住房项目的方向与可能性。通过理论探讨,将单身家庭的特征归纳为“关系脆弱性”。他们居住的地方是“一个自我引导而不是孤立的空间”,当地社区是“非正式支持的联系”。对沙河区中间住宅的案例进行分析,将其分为服务进入、服务进度、服务结果三个部分,结果如下:在服务入口,确认了灵活的标准适用于可能与相对多样化的挖掘联系的用户。在服务过程中,服务的特征以关系为中心。与当地居民的关系在服务结果中得到了保障。揭示了独立的可能性和各种居民关系。讨论了如何将这些研究成果应用到其他地区。最后,提出了社区关怀项目的发展方向和各种形式的社区关怀需要支持的问题。
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引用次数: 0
A Study on Caregivers’ Care Experience Who Underwent Death of Elderly with Dementia in Nursing Facilities 护理机构中失智长者死亡的照护者照护经验研究
Pub Date : 2023-06-30 DOI: 10.22589/kaocm.2023.47.95
Y. Kang
This study aimed to explore the essential meaning of caregivers’ care experience who underwent death of elderly with dementia in nursing facilities. A phenomenological study was carried out with Colaizzi's analytical method. Participants were selected by using reputational case selection, and the study was carried out by supplementing the snowball sampling method of five caregivers who had experience of caring for elderly with dementia in a nursing home. As a result of this study, there were four categories with a group of 30 themes and 10 groups derived from common statements of participants. They felt sorry for the death and painful time of elderly with dementia in ‘unfamiliar institutional life’. On the other hand, when they encountered sudden symptoms of dementia, they suffered double pain as ‘victims and sometimes secret abusers’. However, they did not stop at the perception of ‘perpetrator and victim’ in the crisis of care and discovered that the frail and fragile elderly with dementia were ‘dignified beings who stayed there’.
本研究旨在探讨护理机构中失智长者死亡时,照顾者护理经验的实质意义。采用Colaizzi的分析方法进行现象学研究。本研究采用声誉案例选择的方法,辅以滚雪球抽样的方法,对5名具有护理老年痴呆经验的护理人员进行研究。研究的结果是,有四个类别,每组有30个主题,10组来自参与者的共同陈述。他们对老年痴呆症患者在“不熟悉的机构生活”中的死亡和痛苦感到遗憾。另一方面,当他们突然出现痴呆症状时,他们作为“受害者有时是秘密施虐者”承受着双重痛苦。然而,他们并没有停留在护理危机中的“肇事者和受害者”的观念上,并发现那些体弱多病的老年痴呆症患者是“呆在那里的有尊严的人”。
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引用次数: 0
Caregivers’ Experiences of Dignified Death in Nursing Care Home Residents 护理院居民的照顾者对有尊严死亡的体验
Pub Date : 2023-06-30 DOI: 10.22589/kaocm.2023.47.5
Young-Ran Jang, Jonghwa Jeong
This study aimed to analyze and interpret the meaning of dignified death for the elderly in nursing homes using phenomenological techniques for caregivers' experiences of caring practices. Two in-depth interviews were conducted with five caregivers who had worked in nursing homes for more than five years. Data were analyzed with the four stages of Giorgi's phenomenological qualitative research method. After analyzing the data, 25 meaning units, 6 sub-components, and 3 components were derived: 1) embracing death with love, with sub-components of ‘staring at death that was turned away’ and ‘facing the death of the elderly’; 2) finding meaning in the void, with sub-components of ‘experiencing the infinite in finite existence’ and ‘finding meaning that endures meaninglessness’; and 3) writing my history book in the present, with sub-components of ‘summoning the past buried in small talk’ and ‘performing a ritual of self-renewal’. This study concludes that the meaning and essence of the experience of dignified death for the elderly by caregivers who perform care work for the elderly in nursing homes are to provide opportunities for enjoyment and communication in the midst of daily life in nursing homes, to relieve the loneliness of the elderly, and to help the elderly feel satisfied with their lives in the closest place.
本研究旨在运用现象学方法,分析和解释养老院中老年人有尊严死亡的意义。研究人员对五名在养老院工作超过五年的护理人员进行了两次深度访谈。采用乔尔吉现象学定性研究方法的四个阶段对数据进行分析。通过对数据的分析,得出25个意义单元、6个子成分、3个子成分:1)以爱拥抱死亡,包含“凝视被拒之外的死亡”和“面对老人的死亡”两个子成分;2)在虚空中寻找意义,其中包含“在有限的存在中体验无限”和“在无意义中寻找意义”的子成分;3)在现在写我的历史书,其中包含“在闲聊中召唤过去”和“进行自我更新的仪式”的子组件。本研究认为,从事养老院养老工作的护理员体验老年人尊严死亡的意义和本质是在养老院的日常生活中提供享受和交流的机会,缓解老年人的孤独感,让老年人在最接近的地方感受到生活的满足。
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引用次数: 0
Experiences of Caring for Others and Self-Care Among Care Workers Serving the Vulnerable Population 弱势群体护工关爱他人与自我照顾的经验
Pub Date : 2023-06-30 DOI: 10.22589/kaocm.2023.47.37
Mijeong Seon
As the demand for social care increases, the topic of good care continues to be discussed. The purpose of this study was to provide a contextual direction for good care by exploring in-depth experiences of caring for others and self-care among care workers serving the vulnerable population. To achieve this, five carers from a vulnerable class were recruited through intentional and snowball sampling. Qualitative research was conducted through in-depth interviews. Within case and between case analysis methods were used. As a result of this study, experiences of caring for others and self-care among vulnerable care workers resembled a symphony of fate, including major and minor keys and repetition. Care for others and self-care revealed six sub-elements (expectations of caregiving, satisfaction of caregiving, limitations of caregiving, vulnerability in self-care, burnout in self-care, and realignment of self-care) and a total of 26 units of meaning. The central theme was ‘transition and repetition toward the balance of good care (harmony).’ Finally, based on findings in this study, social welfare practices and policies are suggested.
随着社会护理需求的增加,良好护理的话题继续被讨论。摘要本研究旨在探讨弱势族群照护员对他人照护与自我照护的经验,提供良好照护的情境导向。为了实现这一目标,我们从一个弱势群体中招募了5名护工,采用了有意的滚雪球式抽样方法。质性研究通过深度访谈进行。采用病例内和病例间分析方法。这项研究的结果是,弱势护工照顾他人和自我照顾的经历类似于一部命运交响曲,包括大调和小调以及重复。关怀他人与自我关怀共包含6个子要素(关怀期望、关怀满意度、关怀局限性、自我关怀脆弱性、自我关怀倦怠、自我关怀再调整)和26个意义单位。中心主题是“过渡和重复走向良好护理的平衡(和谐)”。最后,根据研究结果,提出社会福利实践和政策建议。
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引用次数: 0
The Process of Adapting In The Community After Voluntary Suspension Of Studies By Out-Of-School Youth: Focusing On The Need For Social Resources And Case Management 失学青年自愿休学后的社区适应过程:以社会资源需求与个案管理为中心
Pub Date : 2023-03-30 DOI: 10.22589/kaocm.2023.46.5
N. Kim, K. Kim
This study evaluated the process of suspension of studies by out-of-school youth and the process of adapting to the community after the suspension. An interview was conducted with 7 out-of-school youths in the form of a qualitative case study. The method of analysis was first based on the description of the participants’ personal context and history, and derived 4 categories and 14 sub-topics in search of common topics that go beyond each case. The results showed that after the suspension of the studies, the participants were experiencing various difficulties outside the school, but finding their own career paths and adapting within the community through various social resources and support. This emphasizes the need for customized case management for out-of-school youth in various situations and the role of out-of-school support centers. In addition, the findings highlighted the need for expanding social resources. Consequently, social support for out-of-school youths, and the cooperation of each institution and organization related to out-of-school youth was proposed.
本研究评估校外青少年的休学过程及休学后的社区适应过程。以定性个案研究的形式对7名失学青少年进行访谈。分析方法首先基于参与者个人背景和历史的描述,衍生出4个类别和14个子主题,以寻找超越每个案例的共同主题。结果显示,学员在休学后,虽然在校外遇到了种种困难,但透过各种社会资源和支持,他们都找到了自己的职业道路,并融入社区。这强调了在各种情况下需要对失学青年进行定制化的个案管理以及失学支助中心的作用。此外,调查结果强调了扩大社会资源的必要性。因此,提出了对失学青年的社会支持,以及与失学青年有关的各机构和组织的合作。
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引用次数: 0
The Influence of Interpersonal Relationships and Disability Acceptance on Self-Esteem of Unemployed Disabled People and The Mediating Effect of Self-Efficacy: Multiple Group Comparison Analysis of Disability Degree 人际关系、残疾接受对失业残疾人自尊的影响及自我效能感的中介作用:残疾程度的多组比较分析
Pub Date : 2023-03-30 DOI: 10.22589/kaocm.2023.46.39
S. Heo, Y. Lee
This study aimed to identify important factors affecting employment and willingness to work for the unemployed disabled people. The effect of interpersonal relationships and disability acceptance of employed disabled people on self-esteem and the mediating effect of self-efficacy were verified. A multi-group comparison was conducted to analyze the difference according to the degree of disability (severe and mild). For the data analysis, the 2nd wave 6th data of the employment, a panel survey for the disabled was used. Among the economically inactive population, 1,579 panelists who responded to the main variables of this study were analyzed. The results of this study were as follows. First, the self-esteem of unemployed disabled people was directly affected by their interpersonal relationships and disability acceptance and indirectly affected by self-efficacy. Second, the effect of interpersonal relationships on self-efficacy was greater in people with severe disabilities than in people with mild disabilities. Based on the research results, programs and policies on disability acceptance, interpersonal relationships, and self-efficacy improvement were proposed to improve self-esteem.
本研究旨在找出影响失业残障人士就业及工作意愿的重要因素。研究了在职残疾人人际关系和残疾接受度对自尊的影响以及自我效能感的中介作用。采用多组比较,根据残疾程度(重度和轻度)分析差异。数据分析采用第二波第六次就业数据,对残疾人进行小组调查。在非经济活动人口中,对1579名回应本研究主要变量的小组成员进行了分析。本研究结果如下:第一,失业残疾人的自尊直接受到人际关系和残疾接受程度的影响,间接受到自我效能感的影响。第二,人际关系对自我效能感的影响在重度残障者中大于轻度残障者。在此基础上,提出了残障接受、人际关系、自我效能感改善的方案和政策。
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引用次数: 0
Effects of Virtual Reality Simulation of Core Fundamental Nursing Skills for Intravenous Fluid Infusion on Nursing Students 虚拟现实模拟护生静脉输液核心护理基础技能的效果
Pub Date : 2023-03-30 DOI: 10.22589/kaocm.2023.46.95
The purpose of this study was to evaluate effects of virtual reality simulation of core fundamental nursing skills for intravenous fluid infusion on nursing students. The research design consisted of a pretest-posttest quasi-experimental design through a nonequivalent control group. Participants in this study were 45 nursing students. They were assigned into two groups: 1) a control group (n = 21), trained using a high-fidelity simulator; and 2) an experimental group (n = 24), trained using virtual reality simulator. Participants were recruited from July 14, 2021 to August 31, 2021. Collected data were analyzed using descriptive statistics, Fisher's exact test, Mann-Whitney U test, and Wilcoxon signed rank test with SPSS/WIN 21.0. There was no significant difference in problem solving ability score (Z = -0.85, p = 0.393) or clinical competence score (Z = -1.11, p = 0.263) between the two groups. However, the experimental group showed a significantly higher self-confidence score (Z = -5.04, p ≤ .001) than the control group. Thus, VR simulation of core fundamental nursing skills for IV can enhance confidence of nursing students.
本研究的目的是评估虚拟现实模拟护生静脉输液核心护理基础技能的效果。研究设计采用前测后测准实验设计,通过非等效对照组。研究对象为45名护生。他们被分为两组:1)对照组(n = 21),使用高保真模拟器进行训练;2)实验组(n = 24),使用虚拟现实模拟器进行训练。参与者于2021年7月14日至2021年8月31日招募。使用SPSS/WIN 21.0对收集到的数据进行描述性统计、Fisher确切检验、Mann-Whitney U检验和Wilcoxon符号秩检验。两组在解决问题能力得分(Z = -0.85, p = 0.393)和临床能力得分(Z = -1.11, p = 0.263)上差异均无统计学意义。而实验组的自信心得分显著高于对照组(Z = -5.04, p≤0.001)。因此,通过对静脉注射核心护理基础技能的VR模拟,可以增强护生的自信心。
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引用次数: 0
The effect of role conflict and role ambiguity on turnover intention among work supporters with severe disabilities:mediating effects of job burnout 角色冲突和角色模糊对重度残疾工作支持人员离职倾向的影响:工作倦怠的中介作用
Pub Date : 2023-03-30 DOI: 10.22589/kaocm.2023.46.153
Jeong-Jin Kang, H. Kim
This study examined the prevalence of role conflict and role ambiguity among labor support workers with severe disabilities in the labor support service system, and their influence on burnout that leads to turnover intention. A survey was conducted on labor support personnel in 15 labor support service organizations in Busan, Ulsan, and Gyeongnam, and a total of 232 copies were collected and analyzed. The collected data was subjected to frequency analysis, descriptive statistical analysis, and correlation analysis using SPSS 26.0, and statistical significance was verified using Process Macro 4. The results of the study were as follows: First, the higher the perception of role conflict among labor support workers, the more the positive (+) effects on job burnout and turnover intention. Role conflict was found to have a positive (+) effect on burnout, but it did not have a significant effect on turnover intention. Second, job burnout partially mediated the relationship between role conflict and turnover intention, and completely mediated the relationship between role ambiguity and turnover intention. Based on these results, policy and practical measures were proposed to resolve the role conflict and role ambiguity experienced by labor support workers during services delivery in the future and to ensure a continuous and stable professional life for disabled workers.
本研究旨在探讨劳动支援服务系统中重度残障劳工角色冲突和角色模糊的发生率,以及它们对倦怠导致离职倾向的影响。对釜山、蔚山、庆南等地15个劳动支援服务机构的劳动支援人员进行了问卷调查,收集并分析了232份问卷。使用SPSS 26.0对收集的数据进行频率分析、描述性统计分析和相关性分析,并使用Process Macro 4进行统计学显著性验证。研究结果表明:第一,劳动支持工作者角色冲突感知越高,对工作倦怠和离职倾向的正向(+)影响越大;角色冲突对职业倦怠有正向(+)影响,对离职倾向无显著影响。第二,工作倦怠部分中介角色冲突与离职倾向的关系,完全中介角色模糊与离职倾向的关系。在此基础上,提出了解决未来劳动支持工作者在服务提供过程中遇到的角色冲突和角色模糊的政策和实际措施,以确保残疾工作者的职业生活持续稳定。
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引用次数: 0
A Study on Double Mediating Effect of Organizational Culture & Empowerment on the Relationship between Transformational Leadership and Organizational Effectiveness perceived by Social Workers 组织文化与授权在变革型领导与社工组织效能感知关系中的双重中介作用研究
Pub Date : 2023-03-30 DOI: 10.22589/kaocm.2023.46.63
Tae-ryang Kim, Gyeong-hwa Kim
The purpose of this study was to evaluate the double mediating effect of organizational culture and empowerment on the relationship between transformational leadership and organizational effectiveness perceived by social workers. A questionnaire survey was conducted from Aug. 1st to 30th, 2019 for 358 social workers working at social welfare centers located in Daegu City or Gyeongsangbuk-do. The data were analyzed using SPSS and AMOS. The results were as follows: First, the transformational leadership perceived by social workers was shown to have a positive (+) effect on organizational effectiveness. Second, organizational culture and empowerment were shown to have a double mediating effect on the relationship between transformational leadership and organizational effectiveness perceived by social workers. These results suggested that the establishment of philosophy and vision reflecting transformational leadership that pursues organizational change and innovation, and the creation of a flexible culture that allows the development of the social workers’ abilities and competencies are included in the methods to enhance the organizational effectiveness of social welfare centers. In addition, action plans are presented to delegate decision-making authority to social workers through decentralization of the organization and to guarantee their autonomy. Further studies investigating the organizational effectiveness under the classification of social welfare facilities according to the service delivery method and the presence of residential service provision are needed.
本研究旨在探讨组织文化和授权在变革型领导与社会工作者组织效能感知关系中的双重中介作用。2019年8月1日至30日,对大邱市和庆尚北道社会福利中心的358名社工进行了问卷调查。采用SPSS和AMOS软件对数据进行分析。结果表明:第一,社会工作者感知的变革型领导对组织效能具有正(+)效应。第二,组织文化和授权对变革型领导与社会工作者感知的组织有效性之间的关系具有双重中介作用。这些研究结果表明,建立体现变革型领导的理念和愿景,追求组织变革和创新,创造灵活的文化,让社会工作者的能力和胜任力得到发展,是提高社会福利中心组织效能的方法。此外,还提出了行动计划,通过组织的分散化,将决策权下放给社会工作者,保证他们的自主权。在社会福利设施分类下,根据服务提供方式和居住服务提供的存在,需要进一步的研究来调查组织有效性。
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引用次数: 0
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Korea Academy of Care Management
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