Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Roles of Visiting Nurses Defined Based on Long-Term Care Insurance Regulation for the Elderly

노인장기요양보험제도에 의한 방문간호사의 역할.업무분석

  • Published : 2009.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was designed to define the roles, tasks, and activities of home visiting nurses aimed at enhancing the quality of nursing care under the long-term care insurance regulation for the elderly introduced on July 1, 2008 in Korea. Methods: A review of domestic and foreign literature was used to formulate the proposed roles, tasks, and activities of visiting nurses, which were subsequently modified and complemented by the agreement of home visiting nurse experts and acceptance of 127 nurses. Data was collected from 04 June - 17 September 2008 and analyzed concerning frequency and percentile using SPSS ver. 15.0. Results: The established functions of home visiting nurses were direct nursing service provider, case manager, patient educator, decision maker, care coordinator, and research worker. These functions involved 27 different tasks and 167 activities. Conclusion: The roles, tasks, and activities of visiting nurses, established based upon the guidelines of the Long-term Care Insurance Act for the elderly, were verified for their applicability by nurses involved in home care delivery. These parameters will provide a useful tool in developing an assessment to enhance the quality of home-based care for the elderly in Korea.

Keywords

References

  1. American Nurses Association. (1998). Nursing: scope and standards of practice, Standards of Clinical Nursing Practice, (2th ed.). 93-118.
  2. American Nurses Association (1999). Standard of community health nursing pracitce 4th edition. Washington, DC.
  3. American Nurses Credentialing Center: ANCC. (1995). American nurses association. implementation of nursing practice standards and guidelines. Washington. D.C. : Nurses Publishing.
  4. Hasson, F., Keeney, S., & McKenna, H. (2000). Research guideline for the Delphi survey technique. J Adv Nurs, 32(4), 1008-1015.
  5. Japan Nurses Association. (2008a). Job standard of visiting care service in Japan, Retrieved July 11, 2008. from Web site http://www. nurse.or.jp/tools/support/guide/pdf/houmon kijyun.pdf
  6. Japan Nurses Association. (2008b). Post-discharge and home care, the role of visiting care service supporting home treatment for 24 hours, Retrieved July 11, 2008. from Web site: http://www.nurse.or.jp/home/opinion/ teigen/2006pdf/20061016sanko.pdf
  7. Jaung, A. H. (2006). Development evaluation of home visiting nursing intervention protocol for elder living alone. Unpublished doctoral dissertation, Keimyung University, Seoul.
  8. Kim, H. Y. (2005). Development of home health care standards. Unpublished doctoral dissertation, Ewha Woman's University, Seoul.
  9. Kim, S. S. (2004). Job analysis of the CHP program in the Kangwon area. J Korean Acad Community Health Nurs, 15(3), 375-383.
  10. Kim. W. J., & Youn. S. Y. (2008). Community health nursing(8th ed.). Seoul : Sumunsa.
  11. Korea Ministry of Government Legislation. (2007). Korea current statute-book: Longterm care insurance regulation for the elderly program. Seoul; Korea Legislation Research Institute.
  12. Korea Ministry of Government Legislation. (2008). Korea current statute-book; Welfare of the Aged Act, Enforcement Decree of Welfare of the Aged Act, Enforcement Rule of Welfare of the Aged Act, Enforcement Decree of the Aged Long-term Care Insurance Act, Enforcement Rule of the Aged Long-term Care Insurance Act, Medical Services Act, Enforcement Decree of Medical Services Act, Enforcement Rule of Medical Services Act, Regional Public Health Act, Seoul; Korea Legislation Research Institute.
  13. Korean Nurses Association. (2001). Institutionalization of nurse specialist. Unpublished manuscript. Seoul : Author.
  14. Korean Nurses Association. (2003). A report on the development of Korean nursing standards(Description of Nursing Activities). unpublished manuscript. Seoul : Author.
  15. Korean Nurses Association. (2004a). Job description of nursing specialist in gerontology. Seoul : Author.
  16. Korean Nurses Association. (2004b). Job description of nursing specialist in health care. Seoul : Author.
  17. Korean Nurses Association. (2007). Korean nurses' code of ethics, Seoul : Author.
  18. Lee Y. W (2006). The role and future prospect of nurse specialists in elderly care. The Korean Academy of Family Medicine, 7(4), 171-175
  19. Lynn, M. R. (1986). Determination and quantification of content validity. Nurs Res, 35(6), 382-385.
  20. Ministry of Health & Welfare. (2001). Job manual for hospital-based home care service. Seoul : Author.
  21. Ministry of Health & Welfare. (2006). Evaluation study on a business model of long-term care insurance for the elderly (1st). Seoul : Korea institute for Health and Social Affairs.
  22. Ministry of Health & Welfare, Korea institute for Health and Social Affairs. (2007a). Evaluation study on a business model of long-term care insurance for the elderly (2nd). -A survey on the demand of long-term care, authorized system of long-term care and the backup system for long-term care- Seoul : Author.
  23. Ministry of Health & Welfare, Korea institute for Health and Social Affairs (2007b). Evaluation study on a business model of long-term care insurance for the elderly (2nd) - cost, standard module for facility, standard care service, the part of quality management. Seoul : Author.
  24. Ministry of Health. & Welfare, Korean Nurses Association. (2007). Development of quality evaluation metrics for nursing care service (Development of quality evaluation metrics for visiting nursing services based on long-term insurance for the elderly). Seoul : Author.
  25. Ministry of Health & Welfare Promotion Team for Long-Term Care Insurance for the Elderly. (2007). Public notification of the curriculum for home care nurses' aides. Seoul : Author.
  26. Ryu, H., Park, J., & Kim, E. (2005). A review on home health care in Korea -Hospital, community, and public health center based home health care nursing, J Korean Acad Home Health Care Nurs, 14(2), 65-75.
  27. Ryu, H., Yun, Y., Song, N., Cha, K., Soo, Y., & Park, H. (2005). Community health nursing I, Korea University, Seoul.
  28. Stanhope, M., & Lancaster, J. (1996). Community health nursing, Washington: C. V. Mosby Co.
  29. Seo, Y. J., Nam, M., & Ahn, O. (2005). A study on the type of role awareness for medical institutions home health care specialist: A Q-methodological approach. J Korean Acad Community Health Nurs, 16(3), 320-328
  30. Yoo, I. Y. (2001). A study on the management of visiting nursing as a comprehensive service of health and welfare. Unpublished doctoral dissertation, Hanyang University, Seoul.