장기요양시설 거주노인의 삶을 ‘활동적(Active)’ 으로 만들어주는 조건들: 장기요양시설 종사자들의 참여적 실행연구 (Conditions of Active Aging for the Elderly Living in Long-term Care Facilities: Focusing on Participatory Action Research of Long-term Care Facility Workers)

서지정보

· 발행기관 : 한국사회복지연구회
· 수록지 정보 : 사회복지연구 / 53권 / 2호 / 139 ~ 176페이지
· 저자명 : 김현정, 오혜인, 신유미

초록

요양시설 거주노인의 삶을 ‘활동적(Active) 노화’의 모습으로 만들어주는 실천조건과 방안들은 무엇인가? 본 연구는활동적 노화의 관점을 요양시설에 적용하였을 때, 도출될 수 있는 구체적인 실천기술들을 명세화하기 위해 수행된 참여적실행연구이며, 프레임워크 분석법(framework analysis)을 활용하여 건강, 참여, 안전과 관련한 구체적인 실천방안들을도출하였다. 건강은 ‘잔존능력의 활용’과 ‘섬세한 관찰 ‘이라는 범주로 구분되어 총 7개의 실천조건이 제시되었고, 참여의경우 ‘노인의 욕구와 능력에 맞는 역할 부여’ 그리고 ‘가족으로부터의 소외 방지’의 범주로 나타났으며 총 7개의실천조건을 도출하였다. 마지막으로, 안전의 경우는 ‘사회보장제도를 통한 필요 충족’, ‘내 집 같은 편안함’, ‘낙상사고대응 프로토콜 마련’으로 범주화되었으며 총 7개의 실천조건을 도출하였다. 본 연구결과를 토대로 장기요양시설에서의활동적 노화의 적용을 위한 돌봄환경 변화에 관한 사회복지적 함의를 제안하였다.

영어초록

What are the practice conditions and tools that make the life of the elderly living in nursing homes an "active aging"? This study is a participatory Action Research of three experts in the field of elderly welfare and eight nursing facility workers(such as nurse, social worker, physical therapist, care worker etc) to specify practical ways or skills that can be derived when applying the perspective of active aging to nursing facilities. Participants in the study prepared a diary and collected non-face-to-face FGD data (8 times) through the process of practical application and ruminating with the elderly living in the facility for 8 weeks. For data analysis, we used “framework analysis”. We derived specific action plans related to health, participation, and safety. Health was divided into categories of ‘use of residual ability’ and ‘detailed observation’, and a total of 7 practice conditions were presented. In the case of participation, it appeared in the categories of ‘giving roles suitable for the needs and abilities of the elderly’ and ‘prevention of alienation from family’, and a total of 7 practice conditions were derived. Finally, for safety, it was categorized into ‘meeting the needs through the social security system’, ‘comfort like my home’, and ‘preparing a fall accident response protocol’, and a total of 7 practice conditions were derived. Based on the results of this study, social welfare implications for how the care environment should be specifically changed for the application of active aging in long-term care facilities were proposed.

참고자료

· 없음