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      • KCI등재

        식대 급여화에 따른 입원 환자 병원 급식 실태 조사

        황라일,이호용,권진희,정현진,김정희 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.2

        The purpose of this study is to investigate the overall operations of National Hospital Food service after it was benefited by National Health Insurance (NHI). The survey was conducted between July and August, 2007. Among questionnaires mailed to 2,558 medical care institutions, 2,090 returned (81%) questionnaires were analyzed by descriptive statistics, χ2 -test and ANOVA using the SPSS 13.0. The general foodservice characteristic of medical care institutions were as follows. The type of foodservice operations were ‘self-operated’ (86.9%), ‘contracted’ (10.5%) and ‘Both’ (2.6%). Only 6.4% of medical care institutions provided ‘hospital food menu not benefited by NHI’. The number of dietitians and cook for medical care institutions were 1.1 and 1.0, respectively. The cost of a general diet meal was 4,205 won and therapeutic diet meal was 4,434 won. The overall operations of hospital foodservice were different depending on the types of medical care institution. After hospital foodservice was benefited by NHI, the overall quality of hospital foodservice including manpower, facilities, and environment was improved. The future direction of hospital foodservice should 1) differentiate the cost of hospital foodservice by the types of medical care institution, 2) increase in co-payment, and 3) provide same service with equal expenses in each party as medical aid or NHS beneficiary. (Korean J Community Nutrition 13(2) : 244~252, 2008)

      • KCI등재

        35세 이상 고령 임산부 진료실적 추이에 관한 연구

        황라일,김경하,윤지원,이정석 한국보건행정학회 2011 보건행정학회지 Vol.21 No.4

        This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade. A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, 10threvision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure. According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women.

      • KCI등재

        졸업 학년 간호대학생의 노인장기요양 분야 취업의도 영향요인

        황라일,김인아 한국융합학회 2019 한국융합학회논문지 Vol.10 No.6

        The purpose of this study is to investigate factors affecting the long - term care - related employment intention of nursing students in graduation grade. The study design was a descriptive study. As a result, the average intention of employment at the long - term care institution for the elderly was 2.8. It differed according to the experience of living with the elderly, the degree of interest in the elderly problem, long-term care benefits for the elderly in the family, and the concern of the long - term care insurance system. Therefore, in order to induce nursing college students to work in the long-term care field of elderly people, it is necessary to operate various curriculum and comparative programs that can get interested in the elderly problem. and long-term care insurance. 본 연구는 졸업 학년 간호대학생의 노인장기요양 분야 취업의도에 영향을 미치는 요인을 조사하기 위하여 시도하였다. 연구분석은 SPSS program을 이용하여 t-test, ANOVA, 다중회귀분석을 실시하였다. 연구결과 졸업 학년 간호대학생의 노인장기요양기관 취업의도는 평균 2.8점이었고, 간호대학생의 노인장기요양 분야 취업의도는 노인과 살았던 경험유무, 노인문제에 대한 관심의 정도, 가족 중에 노인장기요양보험 혜택을 받은 경우, 장기요양보험제도의 관심의 정도에 따라 차이가 있었다. 노인장기요양기관 취업의도에 영향을 미치는 요인은 평소 노인문제에 대한 관심과 가족 중 노인장기요양보험 수혜 여부로 분석되었다. 따라서 향후 간호대학생의 노인장기요양 분야 취업을 유도하기 위해서는 노인과의 상호작용 및 접촉을 통해 노인문제에 대한 관심을 증대시키는 한편 노인장기요양제도에 대한 관심을 높일 수 있는 다양한 교과 및 비교과 융합 프로그램의 운영이 요구된다.

      • KCI등재

        쉼터 노숙자의 분노표현에 영향을 미치는 요인

        황라일,윤지원 지역사회간호학회 2011 지역사회간호학회지 Vol.22 No.1

        Purpose: The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents. Methods: This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instruments. Results: The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high‐level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. R2=.065), and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. R2=.113). Conclusion: This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

      • KCI등재

        장기요양 입소시설 간호사 배치 현황 비교 고찰: - 한국, 미국, 일본, 캐나다 중심 -

        황라일,박소영,정성원 한국장기요양학회 2023 장기요양연구 Vol.11 No.3

        The purpose of this study is to draw policy implications for securing nurses in long-term care facilities in Korea by comparing and examining the current status of nurses in long-term care facilities in the United States, Japan, and Canada and policy trends on how to attract them. Using databases such as DBpia, RISS, KISS, and Google scholar, data such as posts and reports on the websites of related organizations such as nursing associations, health departments, and statistics offices in each country were collected. The literature review period was from November 25, 2022 to October 10, 2023. As a result of the study, the U.S. and Canada set the minimum time to provide services from residents' daily nurses and nursing assistants, and Japan set the criteria for placement as nurses or nursing assistant but more nurses were assigned than nursing assistants. In all three countries, the ratio of nurses engaged in long-term care to all nurses and their wage levels were low, but they were higher than in Korea. In all three countries, specialized curriculum systems are being overhauled to prepare national budgets and strengthen capabilities to improve wages and working conditions to secure nurses in long-term care facilities and reduce the burden of work through the use of computer and advanced equipment. In the future, Korea also needs to seek administrative and financial support measures to reduce the burden of work and strengthen capabilities by re-establishing standards for nurse placement and utilizing information technology to provide integrated medical care services in long-term care facilities.

      • KCI등재

        보건복지계열 예비졸업생의 노인장기요양보험에 대한 인식 조사

        황라일 한국융합학회 2017 한국융합학회논문지 Vol.8 No.11

        본 연구는 보건복지계열 예비졸업생들의 노인장기요양보험에 대한 전반적 인식도를 파악하기 위해 시도하였다. 일개 4년제 대학의 보건복지계열 예비졸업생 총 207명의 설문조사에 대해 SPSS ver. 22.0을 이용하여 분석하였다. 연구결과 보건복지계열 예비졸업생의 노인장기요양보험에 대한 관심도와 지식 수준은 낮았으나, 태도는 긍정적인 것으로 나타났다. 또한, 노인장기요양보험에 대한 지식과 태도는 대상자의 노인시설 봉사 경험에 따라 차이가 있는 것으로 나타났다. 향후 보건복지계열 대학생의 노인장기요양보험에 대한 인식과 관심도를 증진시킬 수 있는 교육과정 개선과 함께 능동적 봉사활동 프로그램 개발이 필요할 것이다. The purpose of this study was to be identified the perception toward long-term care insurance system among seniors in health and welfare colleges. The questionnaire was distributed to 207 students in a local area. Data were analyzed by SPSS 22.0ver. The subjects' interest and knowledge level on long-term care insurance system was low, but the attitude was positive. Knowledge levels and attitudes related to long - term care insurance system were found to differ according to elderly institutional service experience. In conclusion, it will be necessary to develop curriculum and active program of volunteer activities to improve the awareness and interest of long-term care insurance system in health and welfare colleges.

      • KCI등재

        간호대학생의 졸업 후 재택간호 취업의도 및 관련 요인에 관한 연구

        황라일 한국직업건강간호학회 2023 한국직업건강간호학회지 Vol.32 No.4

        Purpose: The purpose of this study was to identify the present situation and related factors among 3rd and, 4th-grade nursing students on the intention to work as home visit nurse after graduation. Methods: A descriptive quantitative study was conducted using a structured online questionnaire survey from May 26 to July 10, 2023. The data were analyzed using descriptive statistics, t-test, and x 2 test analysis. Results: Nursing students who intended to be employed as home visit nurse were 26.8%, and working as a home visit nurse right after graduation and 10 years after graduation showed 0.0%, and 41.9% respectively. Factors influencing the intention of nursing students to work in home visit nursing were high awareness of home visit nursing (x 2 =10.75, p=.005), interest in home-visit nursing (x 2 =70.56, p=.000), and positive image about home-visit nursing (x 2 =12.04, p=.002). Conclusion: It would be necessary to strengthen theoretical courses and practicum of home visit nursing care. Also, it would be necessary to develop an extra curriculum to provide various opportunities to encounter the characteristics of home visit nursing work.

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