Earticle

Purpose: This study aimed to identify risk factors of unplanned extubation in intensive care unit (ICU) patients with mechanical ventilation using a patient safety model. Methods: This study was designed to be a case-control study. Data collection sheets, including 29 risk factors of unplanned extubation in mechanically ventilation patients were retrospectively collected based on a patient safety model over 3 years. From 41,207 mechanically ventilated patients, 230 patients were identified to have unplanned extubation during their ICU stay. Based on the characteristics of the cohort of 230 patients who had unplanned extubation, 460 case control comparison groups with planned extubation were selected by matching age, gender and diagnosis. Results: Risk factors of unplanned extubation were categorized as people, technologies, tasks, environmental factors and organizational factors, by five components of the patient safety model. The results showed the risk factors of unplanned extubation as admission route [odds ratio (OR) = 1.8], GlasgowComa Scaleemotor (OR = 1.3), Acute Physiology and Chronic Health Evaluation score (OR = 1.06), agitation (OR = 9.0), delirium(OR = 11.6), mode of mechanical ventilation (OR = 3.0-4.1) and night shifts (OR = 6.0). The significant differences were found between the unplanned and the planned extubation groups on the number of reintubation (4.3% vs. 79.6%, p < .001), ICU outcome at the time of discharge (X2 = 50.7, p < .001), and length of stay in the ICU (27.0 ± 33.0 vs. 43.8 ± 43.5) after unplanned extubation. Conclusion: ICU nurses should be able to recognize the risk factors of unplanned extubation related with the components of the safety model so as to improve patient safety by minimizing the risk for unplanned extubation.

Pindang is a popular traditional fsh product in Indonesia that has been produced for decades. Scombroid fsh such as tuna, mackerel, and scad, which have a naturally high level of histidine, are commonly used to make pindang. Hence, improper handling and processing can lead to the accumulation of histamine, potentially causing health issues. Due to uncertainty or limited availability of fresh fsh, many pindang producers use frozen fsh as an alternative raw material. Reports implicate pindang as a major causative agent of HFP outbreaks in Indonesia. However, detailed investigation on how histamine is formed during pindang processing needs to be updated based on current processing conditions. This study investigated the existing practices of pindang production in Palabuhanratu, Sukabumi District, West Java Province, Indonesia; evaluated potential critical control points (CCPs) of histamine production; and identifed strategies to improve the safety of pindang. Fresh Skipjack tuna (Katsuwonus pelamis) and frozen Eastern Little tuna (Euthynnus sp.) were used as raw materials for pindang processing. Results showed that pindang made from fresh fsh generally had lower histamine levels compared to those made from frozen fsh. Improper handling, especially abusive temperatures and time delays during fsh thawing, was identifed as the main causes of histamine formation during pindang processing. Therefore, to reduce the risk of histamine formation, a temperature-controlled circulated thawing system could be used. This fnding can help pindang producers improve the safety of their products and ensure compliance with national and international food safety standards.

본 연구의 목적은 미국의 주요 재난안전 모범사례 관리체계 구축과 활용의 전반적인 과정을 분석하여 한국의 상황에 맞는 부합하는 사례 중심의 지식정보 플랫폼 구축 방향을 제시하는 것이다. 이에 미국의 연방 재난관리청(FEMA)과 연방총무청(GSA) 등에서 운영하는 재난안전 사례관리 시스템을 중심으로 재난 발생 현황, 복구 과정, 성공사례를 공유하는 관리체계를 중점적으로 살펴보았다. 이를 통해 데이터 베이스 구축과정과 정보수집, 활용 및 확산 방법을 파악하고, 한국의 스토리 중심의 재난안전 우수사례 발굴 및 관리, 활용 플랫폼에 적용할 수 있는 시사점을 도출하였다. 연구 결과, 한국에서는 재난안전 분야에서 우수사례 발굴, 관리, 홍보 및 활용에 있어 실효성 있는 변화가 필요함을 확인하였다. 본 연구는 미국의 성공적인 재난안전 모범사례 관리 시스템을 한국에 적용할 수 있는 방안을 선험적으로 제시함으 로써, 재난안전 정책의 실효성을 높이고 체계적인 정보 및 지식 관리 플랫폼 구축에 기여하고자 한다.

The aim of this study is to examine the development and use of key disaster safety case management systems in the United States and propose a model for creating a case-based knowledge platform suited to South Korea. The analysis focuses on U.S. systems operated by agencies like FEMA and the GSA, which are designed to share data on disaster occurrences, recovery efforts, and success stories. By reviewing the processes of database development, information gathering, and methods for utilizing and disseminating this data, the study draws insights that can be applied to South Korea’s platform for identifying, managing, and promoting exemplary disaster safety cases. The findings suggest that Korea needs more effective strategies for discovering, managing, and leveraging best practices in disaster safety. This study aims to offer a forward-looking strategy for adapting the successful U.S. disaster safety case management systems to the Korean context, thereby enhancing the effectiveness of disaster safety policies and supporting the creation of a structured knowledge and information management platform.

본 연구는 프랑스의 안전교육 전문교사 연수과정과 일본의 재난대응 학생 훈련과정을 심층 분석하 여 우리에게 주는 시사점을 논구하고 있다. 프랑스는 학교에서 안전교육 담당자를 교사의 자발적 참여와 학교 외 유관기관의 협력을 얻어 양성하고 있다. 모든 교사를 안전교육 전문가로 연수하기보 다는 희망자를 대상으로 심층 연수하여 안전교육 담당자로 배치하고 있다. 연수프로그램은 이론과 경험, 일반론과 특수론의 균형을 중요시한다. 한국의 ‘학교안전관리사’ 국가자격증 도입에 앞서 프 랑스처럼 희망교사를 대상으로 연수를 통한 안전교육 전문교사를 양성하는 것을 검토할 필요가 있 다. 일본의 학생대상 재난대응 훈련은 조직적이고 체계적이며, 재난유형별 교육훈련 매뉴얼은 완성 도가 높으면서 학교별 위험 특성을 반영하여 작성된다. 우리도 지역과 학교의 재난특성에 맞춰 재난 메뉴얼을 작성하고 이에 따라 재난대응훈련이 필요하다. 또한, 일본처럼 학교에서 재난대응 계획수 립과 훈련에서 지역사회 및 가정과의 연계를 강화해야할 것이다.

The article examines school safety practices in France and Japan in order to seek insightful information for school safety policy in Korea. School safety training in France characterizes: 1) participation in professional development of school safety program is open to teachers, and 2) community safety agencies such as fire stations help school to operate the program. School safety education for students in Japan is featured as follows: 1) schools train students to prepare natural disasters regularly and tightly, 2) school safety manuals are well prepared and tailored to unique risks in each school. The controversial issues around the adoption of the practices in France and Japan to the Korean educational context include the scope of professional development programs about school safety and the revision of safety manuals according to disaster characteristics.

Accidents caused by human negligence and negligence can be reduced by improving awareness through safety education and cultural diffusion, but it is difficult to prevent them completely due to the limitations of human mental and physical abilities. In other words, elevator safety measures that can compensate for human error are required, and this study intends to seek a elevator safety management system improvements to reduce elevator safety accidents. In order to achieve the purpose of the study, this study reviewed the legal system related to elevator safety management and analyzed the elevator accident cases. This study suggested the following measures for strengthening elevator safety management. First, to reinforce safety education related to elevator use and spread safety culture should be secured. Second, Establishment of a smart safety management system for elevators is required. Third, Development and introduction of elevator safety index is required.

본 연구는 청소년이 안전한 지역사회 조성을 위한 실천과제를 제시하는 데 목적이 있다. 이를 위해 S군에 거주하는 성인과 청소년을 대상으로 2019년 10월에 지역사회 안전에 대한 인식과 안전의식을 확인하였다. 분석에 활용한 자료는 청소년이 2,544명이었고 성인은 364명이었다. 본 연구의 결과는 다음과 같다. 첫째, 성인은 청소년보다 지역사회가 청소년이 거주하기에 안전하지 않다고 인식하였 다. 또한 여자청소년이 남자청소년보다 지역사회가 안전하지 않다고 인식하였다. 둘째, 청소년과 성인은 모두 가정환경이 가장 안전하다고 인식하였고, 교통안전이 가장 안전하지 않다고 생각하였 다. 셋째, 청소년과 성인은 학교폭력의 안전망을 가장 잘 인지하고 있었다. 넷째, 청소년의 안전의식 이 성인에 비해 높았다. 지역사회 안전을 위한 제언은 다음과 같다. 첫째, 지역사회 환경을 개선한다. 둘째, 여자청소년에 대한 지원을 확대한다. 셋째, 교통영역에 대한 안전을 보강한다. 넷째, 지역사회 안전망을 홍보한다. 다섯째, 안전의식 향상을 위한 안전교육을 진행한다.

This study aims to present practical tasks which young people can perform to create a safe community. To this end, it conducted a survey on recognition and awareness on community safety among adults and youths residing in a district in South Korea during October 2019. The data collected from 2,544 adolescents and 364 adults were used for the analysis. The results of this study are as follows. First, the adults recognized that the community was not safe for the youths, more seriously than did the youths themselves. Female youths were more concerned about the issue of security in a community than male youths. Second, both adults and youths recognized home as the most secure but traffic safety as the most vulnerable. Third, both adults and youths were most aware of a safety net for helping them to cope with school violence. Fourth, the level of safety awareness among youths was higher than that in adults. Some suggestions for community safety in this study include enhancing community environment., expanding support for female youths, reinforcing transportation safety, promoting a community safety net, and offering safety education to improve safety awareness.

지역의 원자력 사고 위험을 통제하기 위한 유럽연합의 협력 제도를 보기 위하여, 우리는 초국경 원자력 피해를 설명하는 간단한 불법공동행위 모형을 구축하였다. 이를 이용하여 유럽 연합의 다양한 원전 안전 제도 가운데, 특히 두 가지, 즉 사전적 안전 규제와 사후적 배상책임 규제에 초점을 맞추어 설명하였다. 이른바 코즈 정리(Coase Theorem)의 틀과 거래비용적 설명을 통하여 초국경 원자력 위험(외부효과)을 줄이기 위한 회원국들의 노력이 불완전할 수밖에 없는 원인과 유럽연합이 국가간 협력을 통하여 현재의“불완전하지만 고유한”안전규제 제도를 만들게 된 과정을 설명하고자 하였다. 사후적 조치로서“엄격책임”과“제한책임”제도는 원자력 사고에 따른 제3자 배상 제도에서는 규범적으로 적용되고 있었으며, 사전적 규제로서 각국은 유럽연합 차원의 통일된 제도를 갖추기 위하여“느슨하지만 법적구속력이 있는”안전협력 제도를 만들어 왔음을 알 수 있다.

To see the EU’s cooperation or harmonization to curb the nuclear danger in the region, we constructed a simple tort model to explain the transboundary nuclear damage. Using the bench mark model, we tried to explain some nuclear safety regime at the EU level. Among complex features of nuclear energy safety, we focused upon two key instruments: the ex ante regulatory safety standard and the ex post nuclear liability rule. Using a Coase framework, we attempted to explain why the EU region’s nuclear safety negotiation is incomplete in correcting transboundary harms and how EU countries have developed incomplete but unique safety cooperation. Strict and limited liability rule has been the norm in the third party liability of nuclear accidents. Also in case of safety standard regulation, the countries have committed to a loose but legally binding regional agreement to harmonize regulatory regime at the EU level.

최근 재난 및 안전사고 발생 빈도가 급격히 증가하고 있으며, 이에 대한 국민들의 관심과 요구가 높아지고 있다. 국민안전처에서는 매년 각 지역의 교통, 범죄, 자살, 감염병, 화재, 안전사고, 자연재해 분야에 대한 안전을 진단하고 평가한 내용을 반영하는 지역별 안전지수를 공표하고 있다. 본 연구에서는 7개 분야 중 울주군의 범죄분야 안전지수를 개선하기 위한 현황분석 및 개선대책을 제시하였다. 현황분석의 경우 통계데이터를 기반으로 핵심지표 및 공간정보분석을 실시하였으며, 범죄분석⋅예측지도인 GeoPros 자료 및 유관기관 면담을 통해 범죄 취약지점(공원)을 선정하였다. 취약성 평가를 위해 현장실사를 진행하였으며, 공원의 취약성을 조경, 표지판, 조명, 용도, 배치, 외관으로 분류하여 평가하였다. 평가결과 밀폐된 공원 내부 및 공원 내부 활용시설에 대한 전반적 개선이 필요한 것으로 나타났으며 이를 개선하기 위한 인프라 개선사업 및 안전문화활동을 제시하였다.

Recently, the frequency of disaster and accidents has been rapidly rising and the public awareness and needs have also been increasing. The Ministry of Public Safety and Security in Korea publishes the regional safety index every year, reporting the evaluation results of traffic, crime, suicide, infectious disease, fire, safety accidents, and natural disasters. This research analyzes the current safety index of the Ulju region in those categories and suggests the strategies for improvement. We first analyzed core indicators and spatial information based on statistical data, and then selected vulnerable crime locations (Onsan-Eup, Duk-Shin Park) through both interviews with related organizations and GeoPros, the map of crime analysis and prediction. We also conducted the field inspection that evaluates vulnerability of the park areas with regards to lighting, usage, layout and appearance. The evaluation suggests the needs of infrastructure projects improving overall indoor facilities of the park, along with safety culture activities.

Recently, Living Labs that are environments for involving users in innovation and development have been introduced and operated in various fields. This study conducted a case analysis of Police Lab and Firefighting Living Lab, representative Living Labs of disaster safety sector. This study examined the stages of Living Labs, such as preparation and exploration of alternatives, implementation, co-creation, evaluation, and dissemination of achievements, establishing an analytic framework centered on the major issues of each stage, including vision, conditions, participants, governors, experiments, management of performance, and sustainability. Thus, this study compared and analyzed Police Lab and Firefighting Living Lab and derived their characteristics and problems to find implications and improvement plans. According to the results of this study, several factors need to be actively considered for the effective operation of Living Labs in the future, including clarifying the roles of participants, enhancing participants' understanding of the Living Labs, reinforcing the role and function of mediators to mediate conflicts between participants such as users and researchers, improving performance indicators and gender management system, and building and operating the Living Lab platform.

We are trying to apply surface stress improvement process (SSIP) to the repair and maintenance of nuclear power components, mainly in the United States and Japan. A representative example is applying water jet peening (WJP) and laser peening (LP) technology to parts to extend their lifespan. The biggest problem with the lifespan of nuclear power equipment is the occurrence of stress corrosion cracking (SCC), which is directly related to safety. The SSIP is one of the good ways to mitigate SCC. The Code Case N-931 “Performance and Qualification Criteria for Mitigation of Stress Corrosion Cracking by Surface Stress Improvement: Section III, Division 1 and 3’ was developed since 2017 by the task group “Advanced Surface Stress Improvement Technology” in Korea International Working Group (KIWG) of the American Society of Mechanical Engineers (ASME). This case provides performance and qualification criteria for the pre-service application of a SSIP to items potentially susceptible to SCC, as a means to prevent crack initiation. Mitigation of items to the requirements of this case does not modify or change the in-service inspection (ISI) requirements for those items. This Code Case is to be used for SSIP such as ultrasonic nanocrystal surface modification (UNSM), WJP, LP that satisfy the performance criteria and qualification criteria defined in this case. Two major technical bases for this Code Case are “PVP2022-85151” and “EPRI Report 3002018458”. Brief summary of UNSM technology and two technical bases is introduced.

본 논문은 한국에서 도로교통사고를 감소하기 위한 윤리적 접근방안을 다루고 있다. 논문의 목적은 교통사고의 발생원인과 실태를 분석하고, 교통사고를 감소시키기 위한 운전자윤리의 향상방안을 교육 및 단속의 측면에서 강구하는 것이다. 논문의 중요한 내용들은 서론, 도로교통사고와 윤리의 개요, 도로교통사고의 실태와 문제점, 도로교통사고 감소를 위한 운전자 윤리의 개선방향, 및 결론으로 구성되고 있다. 논문은 기존연구의 문헌적 고찰, 행정 및 통계자료의 분석과 시사점 도출 등의 방법으로 수행되었다. 논문은 도로교통사고를 줄이기 위한 운전자의 생활윤리와 도덕책임, 운전자 윤리생활의 실천 및 운전자의 사회적인 운전윤리 형성에 기여할 것이다. 한국에서 차량은 시민의 일상활동에 필요한 기본적인 통행수단이며, 이에 따라 차량교통량도 크게 늘어났다. 이에 비해 운전자의 교통법규 준수의식, 교통질서 및 안전운전행태는 약화되어 도로교통 사고는 증가했고, 교통사고로 인한 인적․물적인 피해규모도 실제로 막대하다. 도로교통사고 원인의 99% 이상이 인적 요인이며, 교통법규를 잘 준수하지 않는 운전자의 행태도 사회적인 문제가 되어 있다. 운전자가 행하는 교통법규 위반이나 안전운전 불이행이 교통사고의 주된 원인이다. 운전자가 안전운전 의무를 지키지 못하면 교통사고를 유발하며, 이것은 운전자의 윤리의식 및 운전행태와 직결되어 있다. 한국사회는 심각한 도로교통사고를 감소하기 위하여 윤리적 입장에서 그 해결방안을 강구해야 하는 절실한 실정에 놓여있다. 도로 교통사고의 주된 문제점들은 교통법규에 대한 낮은 의식수준, 교통법규 준수의식의 약화, 교통법규 단속처벌율의 저하, 무분별한 난폭운전의 형태, 교통정체와 사회적 비용의 유발, 상습적․이기적 운전형태의 만연, 사회적인 교통질서확립의 미비 등으로 확인되었다. 이러한 교통사고 문제를 개선하기 위해서는 교육 및 단속측면에서 측면에서 운전자의 윤리운전을 향상 시키는 다양한 실천방안을 강구해야 한다. 우선 교육측면의 운전자윤리 개선방안들은 운전자의 운전윤리생활 실천, 운전자의 교통문화정착 운동, 운전자의 교통질서활동, 대중교통이용의 홍보, 안전운전 중심의 교육홍보체계의 준비와 안전운전윤리 교재와 실천모델 개발 등으로 제시할 수 있다. 단속측면에서 운전자 윤리는 운전자의 교통법규 준수행동, 사회적 고발정신의 강화, 첨단기술 활용 상시단속체계의 확대 및 불법운전에 대한 시민의식 전환 등으로 향상될 수 있다. 본 연구를 통하여 향후 교통안전윤리에 대한 학문적 토대구축, 교통윤리 실천전략 모델개발 등에 대한 연구가 요망되어진다.

This paper focuses on the behavioral traffic safety policy in GMC, Korea. The purpose of this study is to analyze the causes and actual conditions of RTA and to suggest important traffic safety policy directions by means of changes in driver behaviors in GMC. This study consists of the introduction, basic theory of RTA and driver behavior, condition and problems of RTA in GMC, and behavioral traffic safety policy in GMC. This paper was mainly conducted by a literature review of existing research and an analysis of statistical data. In GMC, the total number of vehicle registrations has rapidly increased as a result of increases in personal income and socioeconomic activities, increased leisure activities, and motorization. Above 95% of the causes of RTA are related to human factors, and a social climate that does not obey the traffic regulations has become a serious social problem in GMC. Traffic offenses by drivers or risky driving behavior is a significant cause of RTA. The main problems of RTA are identified as risky driving, unsafe following distance, traffic signal violation, and traffic offence at crossing. The problems are also associated with bad driving behaviors, including not stopping at a pedestrian crossing, using a cell-phone while driving, ignoring a traffic signal, drunken driving, and not using turn signals. The important traffic safety policy directions consist of sustainable publicity programme, driving test and training requirements, and strengthened enforcement. This study serves as a basis for future research on the theoretical foundation of driver behavior and the development of behavioral traffic safety policy.

최근 이상기후에 의한 돌발홍수의 크기와 발생빈도가 증가하는 추세이다. 도심지 침수의 피해는 근본적 으로 도시화로 인한 불투수 지표면의 증가로 유출량의 크기가 증가하고, 하수관로의 문제 등의 다양한 이유로 인해 도심지 내수침수 피해를 빈번하게 발생시키고 있다. 본 연구에서는 대전광역시를 대상으로 도심지 침수위험 지역에 침수예측 시뮬레이션 기술을 개발 및 적용을 통하여 과학적인 침수예측·예방 체계를 구축하였다. 또한 지역의 교통상황과 연계한 대피·우회 경로를 판단할 수 있는 정보제공 시스템 및 신속한 실시간 상황전파 시스템을 개발하였고, 이러한 침수 대응 시민안전 지원시스템 일체를 실증 구축·운영하여 침수 발생 시 시민의 피해를 최소화하는 실증연구이다. 대전시 도심지 침수상황 분석 시뮬레이터 개발 및 지능형 영상기반 침수 모니터링 기술개발과 교통상황 등을 고려한 도심지 침수 대피 및 우회경로 판단 정보제공 화면 개발, 도심지 침수 시민안전지원 서비스 플랫폼을 개발하였다. 또한 도심지 침수시 시민안전을 위해서 리빙랩을 통해 전문가와 공무원 등이 협력해서 문제해결을 위한 새로운 기술과 서비스를 만들었다.

Recently, the frequency of flooding caused by abnormal weather has been increasing. Basically, the damage of flooding in urban areas is because the size of the outflow increases due to the increase in the impermeable surface due to urbanization. In addition, due to reasons such as problems with sewage pipes, there is a lot of damage from flooding in urban areas. This study developed a simulation technology for flood prediction in Daejeon Metropolitan City in areas at risk of flooding in urban areas. A system of flood prediction was established by applying the developed simulation. In addition, an information provision system was developed to determine evacuation and bypass routes linked to local traffic conditions. Also, it is an empirical study that minimizes damage to citizens in the event of flooding by developing a rapid real-time situation transmission system. This study created new technologies and services to solve problems in cooperation with experts and public officials through Living Lab for citizens' safety in case of flooding.

This study aims to analyze the current state of safety management of public sculptures installed by local governments in Jeollanam-do, identify the main causes of accidents through case analysis, and propose effective safety management strategies. The analysis revealed that the primary causes of accidents include natural disasters, structural and material vulnerabilities, insufficient maintenance, budget allocation and execution issues, as well as limitations in safety standards and institutional frameworks. In particular, climate factors such as typhoons, strong winds, and heavy rainfall directly affected the structural stability and material durability of the sculptures. Furthermore, weaknesses in the design and construction stages, along with the absence of systematic maintenance, were found to significantly increase the likelihood of accidents. For sustainable management of public sculptures and the assurance of public safety, it is essential to establish an integrated safety management system that encompasses design and construction, operation and maintenance, and institutional aspects. Such a system will enable the long-term preservation of the social and economic value of public sculptures as regional cultural assets.

In recent years, the requirement for pre-inspection of ventilation hole has been recognized as one of the important subject. Therefore, the objective of this study is to propose the methodology to prevent safety accident by systematically organizing problems of precision diagnosis of maintenance phase and considering the condition for disasters that occur at construction site. This study aims to show the diverse characteristics of safety accidents based on KOSHA's annual cases on disasters(electric shock, collapse, fail, suffocation, fall, breakdown) from 1993 to 2010. To achieve these objectives, we first examined the relationship between safety risk factors and root cause materials. We then systematically suggested the methodology for the priority management through the analysis of the primary problems of safety management and organized the safety inspection measures of ventilation hole in maintenance phase.

본 연구의 목적은 치매안심센터에서 사례관리를 실천해 온 간호사와 사회복지사의 사례관리 실천 경험에 대 한 질적 분석을 통해 치매환자 및 가족을 위한 표준화된 사례관리 실천 방향을 모색함에 있다. 연구대상은 6개 치매안심센터 근무자 중 연구 참여를 수락한 1년 이상 맞춤형사례관리를 수행한 간호사 및 사회복지사 11명으 로 하였다. 연구자는 대면 및 유선전화 심층면접을 통해 사례관리 경험을 표현하도록 하였고, 인터뷰 자료는 개 인적 속성보다는 전체 연구 참여자의 공통적인 속성을 도출해 내는데 초점을 맞추는 Colazzi 분석방법을 적용하 였다. 자료의 분석결과 연구 참여자들의 경험의 구조는 44개의 구성된 의미에서 17개의 주제모음을 확인하여 4개로 범주화하였다. 4개의 범주화는 조직 환경, 스트레스, 대처, 성장으로 나타났다. 이러한 연구결과로 치매 안심센터와 사례관리자의 맞춤형사례관리 수행에 긍정적인 변화를 도모하기 위하여 평가체계 재설정 및 표준업무 매뉴얼 등 조직의 재정비가 필요함을 확인하였다. 여기에 치매 공공부문 사례관리 연계 및 협력 모형개발을 제안하였으며, 또한 사례관리 실천과정에서 업무지도, 심리 및 교육적 지지와 치매안심센터 사례관리의 실천과 정을 지속적으로 모니터링하여 개선할 수 있도록 슈퍼비전 체계 수립마련 등을 위한 후속 연구를 제언한다.

This study aims to find the direction of case management practice for dementia clients and their families by analysing case management experiences of case managers in dementia safety centers. Eleven case managers (nurses and social workers) from six dementia safety centers who had performed customized case management for more than one year and agreed to participate in this study were selected as study subjects. The researcher guided subjects to describe their experiences through face-to-face and online in-depth interviews. The Colazzi method was used for qualitative analysis of interview data as this method focused on deriving common attributes of all study participants rather than individual ones. Results revealed that the structure of experiences of study participants could be categorized into four groups by identifying 17 topic collections among 44 constructed meanings. These four categorized groups were: organizational environment, stress, coping, and growth. As a result of this study, it was confirmed that organizational reorganization, such as resetting the evaluation system and standard work manual, was necessary in order to promote positive changes of the customized case management performance in a dementia safety center. This study also suggests that a public case management referring system and a cooperation model for dementia should be developed. In addition, follow-up studies are needed to establish a supervision system that can continuously monitor and improve work guidance, psychological and educational support for the case management practice process in dementia safety centers.