[논문]한국 노인장기요양시설 및 재가 요양보호사들의 노동환경과 노동조건 개선방안

손미아; 김태운; 예상은; 황은아; 최민서; 윤재원

doi:10.4332/kjhpa.2022.32.4.368

한국 노인장기요양시설 및 재가 요양보호사들의 노동환경과 노동조건 개선방안
The Strategy for Improving Work Environment and Working Conditions among Long-term Health Care Workers in Korea 원문보기

Health policy and management = 보건행정학회지, v.32 no.4, 2022년, pp.368 - 379

손미아 (강원대학교 의과대학.의학전문대학원 예방의학교실) , 김태운 (강원대학교 의과대학.의학전문대학원 예방의학교실) , 예상은 (강원대학교 의과대학.의학전문대학원 예방의학교실) , 황은아 (강원대학교 의과대학.의학전문대학원 예방의학교실) , 최민서 (강원대학교 의과대학.의학전문대학원 예방의학교실) , 윤재원 (서울대학교병원)

Abstract ▼ AI-Helper

Background: This study aimed to establish a strategy to improve the poor working environment and working conditions among long-term healthcare workers in Korea. Methods: A total of 600 questionnaires with which long-term health care workers participated in the targeted base areas of each city and province nationwide were distributed directly and 525 responses were collected and 506 responses were analyzed. Surveys, on-site field visits, and in-depth interviews were also conducted to understand the working environment as well as conditions and establish a strategy for improving the working environment among long-term healthcare workers to understand the demands of working conditions and working conditions. Results: Korean long-term care workers firstly and mostly enumerated their risk factors for ill-health when lifting or moving elderly recipients directly by hand (69.9%), followed by increased physical workload with old beds, tools, and facilities (42.3%) in the workplaces, shortage of manpower (32%), and source of infection (30%). To improve the working environment as well as conditions, Korean long-term care workers considered improving low-wage structures, ergonomic improvements to solve excessive physical loads, and increasing various bonus payments as well as implementing the salary system, positive social awareness, and increasing resting time. Of 506 responses, 92.3% replied that the long-term care insurance system for the elderly should be developed to expand publicization at the national level. Conclusion: This study proposes to improve the low-wage structure of Korean long-term care workers, automation and improvement of facilities, equipment, and tools to eliminate excessive physical loads (beneficiary elderly lifting), and reduction of night labor.

주제어

표/그림 (6)

표 Table 1. General characteristics of long-term care workers in the survey
표 Table 2. Characteristics and working conditions of long-term care facilities (facilities/home) where care workers work
표 Table 3. Risk factors that may arise in the workplace (facilities/home) of caregivers
표 Table 4. The tools and facilities needed in the elderly long-term care facilities (facilities or homes) that care workers’ needs
표 Table 5. In the eyes of long-term care workers, priority improvements, which should be made in the workplace
표 Table 6. A study on the development of long-term care insurance system for the elderly by nursing care workers

참고문헌 (35)

Kim MS, Kim YJ, A study on the effects of emotional labor and job stress among geriatric care helpers on the elderly orientation. J Gov Stud 2016;11(2):171-189. DOI: https://doi.org/10.16973/jgs.2016.11.2.007

상세보기
An ES, Chae JE. The effects of job characteristics of elderly caregivers on their job satisfaction and burnouts: mediating effects of emotional labor. J Digit Converg 2018;16(1):21-33. DOi: https://doi.org/10.14400/JDC.2018.16.1.021

원문보기 상세보기
Kim JO, Moon H, Park OI. Moderating effects of self efficacy on the relationship between emotional labor and burnout of care helper. Health Soc Welf Rev 2018;38(1):302-334. DOI: https://doi.org/10.15709/hswr.2018.38.1.302

상세보기
Moon YM, Shin SY. Effects of emotional labor on burnout in long-term care hospital care workers. J Korean Gerontol Nurs 2018; 20(2):67-75. DOI: https://doi.org/10.17079/jkgn.2018.20.2.67

상세보기
Seo BJ. Double mediating effects of job burnout and job satisfaction in the influence of care givers emotional labor on service quality. Korea Acad Care Manag 2019;(31):53-81. DOI: https://doi.org/10.22589/kaocm.2019.31.53

상세보기
Kang CB. A study on burnout and job satisfaction of care workers. Korean J Gerontol Soc Welf 2011;(54):193-209. DOI: https://doi.org/10.21194/kjgsw..54.201112.193
Shin MJ, Song IJ. A convergence study on factors influencing burnout in caregivers. J Korea Converg Soc 2019;10(9):311-321. DOI: https://doi.org/10.15207/JKCS.2019.10.9.311

원문보기 상세보기
Kim YC. Effect on the burnout of nursing care workers. J Korea Contents Assoc 2020;20(11):590-602. DOI: https://doi.org/10.5392/JKCA.2020.20.11.590

원문보기 상세보기
Lee SY, Lee YK, Joo YS, Kim MH, Choi KS. A study on the status of musculoskeletal diseases in nursing care workers and development of prevention manual [Internet]. Ulsan: Korea Occupational Safety & Health Agency, Occupational Safety and Health Research Institute; 2011 [cited 2022 Dec 10]. Available from: https://www.kosha.or.kr/oshri/publication/researchReportSearch.do?modedownload&articleNo63170&attachNo56903.
Son M, Son B, Bae DC, Park JK, Lss SY, Yun JW, et al. The prevention strategy for occupational injury among long-term health care workers in Korea. Ulsan: Korea Occupational Safety and Health Agency; 2017.
Lin SM, Yin TJ, Li IC. An exploration of work stressors and correlators for nurse's aides in long-term care facilities. J Nurs Res 2002;10(3):177-186. DOI: https://doi.org/10.1097/01.jnr.0000347597.74262.c3

상세보기
Woodhead EL, Northrop L, Edelstein B. Stress, social support, and burnout among long-term care nursing staff. J Appl Gerontol 2016;35(1):84-105. DOI: https://doi.org/10.1177/0733464814542465

상세보기
Aloisio LD, Gifford WA, McGilton KS, Lalonde M, Estabrooks CA, Squires JE. Factors associated with nurses' job satisfaction in residential long-term care: the importance of organizational context. J Am Med Dir Assoc 2019;20(12):1611-1616. DOI: https://doi.org/10.1016/j.jamda.2019.06.020

상세보기
Yeatts DE, Seckin G, Shen Y, Thompson M, Auden D, Cready CM. Burnout among direct-care workers in nursing homes: influences of organisational, workplace, interpersonal and personal characteristics. J Clin Nurs 2018;27(19-20):3652-3665. DOI: https://doi.org/10.1111/jocn.14267

상세보기
Sakurai R, Watanabe S, Mori H, Sagara T, Murayama H, Watanabe S, et al. Older assistant workers in intermediate care facilities, and their influence on the physical and mental burden of elderly care staff. BMC Health Serv Res 2021;21(1):1285. DOI: https://doi.org/10.1186/s12913-021-07302-6

상세보기
Tak S, Sweeney MH, Alterman T, Baron S, Calvert GM. Workplace assaults on nursing assistants in US nursing homes: a multilevel analysis. Am J Public Health 2010;100(10):1938-1945. DOI: https://doi.org/10.2105/AJPH.2009.185421

상세보기
Jegal H. Distorted marketization of long-term care service for the elderly. New Radic Rev 2009;(41):211-233.
Oh SG. A study on the current state of long-term caregivers' caring activities and policy recommendations for the improvement of long-term caregivers' working condition: a focus on the discourse of 'decent work'. Korean J Soc Issues 2010;11(2):101-136.
Health and Safety Executive. Making the best use of lifting and handling aids: a brief guide [Internet]. Bootle: Health and Safety Executive; 2013 [cited 2022 Dec 10]. Available from: http://www.hse.gov.uk/pubns/indg398.htm.
Health and Safety Executive. Manual handling. Bootle: Health and Safety Executive; 2016.
Health and Social Care Information Centre. Healthcare workforce statistics: England September 2015: hospital and community health services and independent sector healthcare services [Internet]. Leeds: NHS Digital; 2016 [cited 2022 Dec 10]. Available from: https://digital.nhs.uk/catalogue/PUB20337.
European Union. Safety at work: manual handling of loads: EU Council Directive 90/269/EEC [Internet]. Luxembourg: EUR-Lex; 2015 [cited 2022 Dec 10]. Available from: http://eur-lex.europa.eu/legal-content/EN/LSU/?uriCELEX:31990L0269.
European Agency for Safety and Health at Work. Use of personal protective equipment: EU Council Directive 89/656/EEC [Internet]. Bilbao: EU-OSHA; 2021 [cited 2022 Dec 10]. Available from: https://osha.europa.eu/en/legislation/directives/4.
European Commission. Occupational health and safety risks in the healthcare sector: guide to prevention and good practice. Brussels: Directorate-General for Employment, Social Affairs and Inclusion; 2014.
European Commission. Health and safety at work is everybody's business: practical guidance for employers [Internet]. Brussels: European Commission; 2017 [cited 2022 Dec 10]. Available from: https://publications.europa.eu/en/publication-detail/-/publication/cbe4dbb7-ffdc-11e6-8a35-01aa75ed71a1.
National Careers Service. Healthcare assistant: support worker, nursing assistant, nursing auxiliary [Internet]. Coventry: National Careers Service; [date unknown] [cited 2022 Dec 10]. Available from: https://nationalcareersservice.direct.gov.uk/job-profiles/healthcare-assistant#.
Occupational Safety and Health Administration. Guidelines for nursing homes: ergonomics for the prevention of musculoskeletal disorders [Internet]. Washington (DC): Occupational Safety and Health Administration; 2009 [cited 2022 Dec 10]. Available from: https://www.osha.gov/sites/default/files/publications/final_nh_guidelines.pdf.
Son CW, Yoon MK, Kim SA, Cho YJ. COVID-19 infection status in elderly care facilities in Seoul. Seoul: The Seoul Institute; 2021.
Kim JH, Han SJ. A phenomenological study on the experiences of long term care facility workers during the COVID-19 pandemic. J Korean Public Health Nurs 2021;35(1):33-46. DOI: https://doi.org/10.5932/JKPHN.2021.35.1.33

원문보기 상세보기
Japan Industrial Safety and Health Association. A manual for safety and hygiene education when employing nursing facilities for the elderly: a study on the actual conditions of safety and hygiene management of enterprises [Internet]. Tokyo: Japan Industrial Safety and Health Association; 2017 [cited 2022 Dec 10]. Available from: http://www.jisha.or.jp/research/report/index.html.
Ministry of Health, Labour and Welfare. Guidelines for prevention of back pain at work [Internet]. Tokyo: Ministry of Health, Labour and Welfare [date unknown] [cited 2022 Dec 10]. Available from: http://www.mhlw.go.jp/stf/houdou/2r98520000034et4-att/2r98520000034mtc_1.pdf.
Japan Federation of Medical Workers' Unions. The results of the 2016 survey on night work at nursing homes. Tokyo: Japan Federation of Medical Workers' Unions; 2017.
Gill V, Lepps H, McManus S. Healthcare assistants and compassionate care: perceptions of 12-hour shifts. London: NatCen Social Research, NHS England; 2015.
Gov.UK. The Cavendish review: an independent review into healthcare assistants and support workers in the NHS and social care settings [Internet]. Londn: Gov.UK; 2013 [cited 2022 Dec 10]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/236212/Cavendish_Review.pdf.
Cambridgeshire and Peterborough NHS Foundation Trust. Job description & person specification band 2: healthcare assistant [Internet]. Cambridge: Cambridgeshire and Peterborough NHS Foundation Trust; 2022 [cited 2022 Dec 10]. Available from: https://www.nhsjobs.com/job/UK/Cambridgeshire/Cambridge/Cambridgeshire_Peterborough_NHS_Foundation_Trust/Childrens_ Mental_Health/Childrens_Mental_Health-v4881436.

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