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장윤경 ( Jang Youn-Kyung ) - 연세대학교 보건대학원 지역사회간호학과
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Abstract
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우리나라 사회복지관 추진 배경은 제5차 경제사회발전 5개년 계획기간 중 종합적인 사회복지서비스 기관을 각 시‧도 별로 영세민 밀집지역이나 사회문제 다 발생 지역에 설치하고 사회복지 전문요원 및 자원봉사자의 활동을 통하여 포괄적인 사회복지서비스를 제공함으로써, 저소득 취약 계층의 사회‧가족 문제 발생을 사전에 예방한다는 방침 아래 1982년부터 각 시‧도 단위로 1개소씩 종합사회복지관을 시범적으로 설치 운영하기 시작 했다(이계탁, 1994). 이후 사회복지관 사업은 사회 환경 변화 속에서 그동안 대학 및 민간사업기관에서 추진하여 오다가 1987년 정부의 ‘저소득층에 대한 복지증진대책’의 일환으로 사회복지관의 확충을 본격적으로 추진한 결과 1997년에는 전국적으로 329개소의 사회복지관이 설치‧운영되었으며, 2001년 현재는 전국적으로 363개소의 사회복지관이 설치‧운영되기에 이르렀다(보건복지부, 2002).
사회복지서비스 전달체계 구축의 기본 원칙에 의하면 서비스는 가능하면 포괄적으로 그리고 통합적으로 제공되어야 한다(이용표, 1999). 보건서비스와 사회복지 서비스가 같은 장소에서 상호 연계되고 통합되게 주어진다면 서비스의 포괄성과 통합성을 보다 향상시킬 수 있을 것이다.
특히 사회복지적 서비스를 더욱 필요로 하는 저소득층의 경우 경제적 문제뿐만 아니라 많은 경우 신체적 및 정신적 장애나 질병이 많고 이와 관련하여 사회적 및 심리적 문제들도 많다(이용표, 1996). 따라서 이들에게는 사회복지적 서비스뿐만 아니라 보건 의료적 서비스가 동시에 필요하며 통합적으로 제공되는 것이 바람직하다 할 수 있다.
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As this study is the descriptive research study that tries to present the basic data aiming to establish a role of nurses for the Community Welfare Center, by surveying the role expectation and the degree of role performance towards nurses for the Community Welfare Center that nurses for the Community Welfare Center and social workers recognize, it carried out the Questionnaire research targeting nurses who are working for the Community Welfare Center located in Seoul and social workers of institutions where nurses are working, and then analyzed the results, and the study results are as follows. Both the group of nurses and the group of social workers were highly recognizing the necessity and the importance of nurses for the Community Welfare Center, and expected that more effective services will be possible to be offered by means of that nurses do work for the Community Welfare Center. However, compared to the degree that social workers recognize a nurses specialty, the nurses thought that their specialty is not acknowledged in the Community Welfare Center, and even in case of duty friction between groups being felt while social workers and nurses are working together, nurses were experiencing further friction of duties. While nurses are well recognizing their roles, they are statistically and significantly recognizing the degree of role performance lower than expected, thus the difference between the role expectation and the role performance could be seen. Also, the group of nurses showed the higher role expectation towards nurses than the group of social workers, and in relation to roles of a counselor, referral resource, an advocator, an educator, a case manager, a and a coordinator, the degree of role expectation by the group of nurses is statistically and significantly higher than the group of social workers, thus it could be seen that there is difference in the expectation degree between both groups, as to a role of nurses for the Community Welfare Center. In particular, as to a role of universally medical services, the expectations between nurses and social workers showed mutual agreement, but in relation to a role of nurses for community in the more expanded sphere, social workers did not show a receptive attitude, thus it was indicating that there exists an element of role conflict. In relation to the role performance of nurses for the Community Welfare Center, nurses were feeling the disorder degree more than social workers, in all items of disorder factors, and there was difference in recognition between nurses and social workers, as to the priority of disorder factors. Because of, through this study, having been found the difference in recognition of role expectation, the degree of role performance, and a disorder factor between nurses and social workers, as to the nurses for the Community Welfare Center, it is required a study with a more diversified method on a role of nurses for the Community Welfare Center.
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KeyWords
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역사회간호사, 사회복지관 간호사, 사회복지사, 역할기대, 역할수행
community health nurse, Nurses for Community Welfare Center, Social worker, Role expectation, Role performance
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원문 및 링크아웃 정보
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등재저널 정보
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