Journal of Korean Public Health Nursing (한국보건간호학회지)

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

DOI QR Code

Evaluation of Service Quality in Aged Care Facilities : A Focus Group Study

노인장기요양시설 서비스의 질 평가 탐색 : 포커스 그룹 연구

  • Lee, JungSuk (Institute for National Health Insurance Policy Research, National Health Insurance) ;
  • Lee, Yong-Mi (Department of Nursing, Kangwon National University) ;
  • Hwang, RahIl (College of Nursing, Shinhan University)
  • 이정석 (국민건강보험공단 건강보험정책연구원) ;
  • 이용미 (강원대학교 간호학과) ;
  • 황라일 (신한대학교 간호대학)
  • Received : 2016.10.18
  • Accepted : 2017.04.13
  • Published : 2017.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to explore the meaning and contents of high-quality aged care facilities and provide basic data for evaluation of service quality in such facilities. Methods: The focus group interviews and participants consisted of two user groups, for a total of 16 family caregivers of the elderly living in facilities and four service provider groups, for a total of 26 chief managers and caregivers working in aged care facilities. All interviews were recorded and transcribed as they occurred. Content analysis was used and debriefing notes were referred to in order to analyze the data. Results: Four themes of a high-quality aged care facility emerged from the analysis; 1) a place to rest for comfortable later years; 2) systematic value-based management; 3) providing professional care; 4) comprehensive service provision in response to diverse needs. Conclusion: The findings of the study showed the importance of client centered care and ethical mindset of providers, which had not been included in the existing quality evaluation programs. Based on these results, medical treatments, end-of-life care and more comprehensive and extended services including family care need to be provided in facilities to ensure good quality aged care.

Keywords

References

  1. Bang, S. H., & Jang, H. J. (2007). Activities of daily living of the elderly with a chronic disease and burden on family care-givers. Journal of Korean Academy of Nursing, 3(1), 135-144.
  2. Beak, J. J. (2014). A study on facility adaptation of elderly women in a long-term care facility: Using ethnography methodology. Korean Journal of Care Management, 12, 79-101.
  3. Byeon, D. H. (2015). Plan for invigoration of visiting nursing center in long-term care insurance for the elderly - through swot analysis -. Journal of Korean Public Health Nursing, 29(2), 203-218. http://dx.doi.org/10.5932/JKPHN.2015.29.2.203
  4. Chang, S. J. (2011). Phenomenological study regarding the experiences of life among nursing home residents. Unpublished doctoral dissertation, Yonsei University, Seoul.
  5. Choe, E. (2010). A study on strategic proposal for improving of service quality management system of Long-term Care (LTC). Journal of the Korea Gerontological Society, 30(2), 401-419.
  6. Choi, I. D., & Lee, E. M. (2010). Study on the efficient integration of long-term care facilities and geriatric hospitals by using NHIC survey data. Journal of the Korean Gerontological Society, 30(3), 855-869.
  7. Han, S. (2015). A study of social workers' understanding of elderly patients' and family caregivers' rights to end-of-life care decisions and of their own roles in the process. Korean Journal of Hospice and Palliative Care, 18(1), 42-50. http://dx.doi.org/10.14475/kjhpc.2015.18.1.42
  8. Hefele, J. G., Acevedo, A., Nsiah-Jefferson, L., Bishop, C., Abbas, Y., Damien, E., & Ramos, C. (2016). Choosing a nursing home: What do consumers want to know, and do preferences vary across race/ethnicity? Health Services Research, 51, 1167-1187. http://dx.doi.org/10.1111/1475-6773.12457
  9. Hong, S., & Son, H. (2007). Family caregivers' experiences utilizing a nursing home for their elderly family members. Journal of Korean Academic Nursing, 37(5), 724-735. https://doi.org/10.4040/jkan.2007.37.5.724
  10. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177/1049732305276687
  11. Hwang, E. H., Jung, D. Y., Kim, M. J., Kim, K. H., & Shin, S. J. (2012). Comparison of frequency and difficulty of care helper jobs in long term care facilities and client homes. Journal of Korean Public Health Nursing, 26(1), 101-112. http://dx.doi.org/10.5932/JKPHN.2012.26.1.101
  12. Kim, H. J., & Kim, J. N. (2001). Review of literatures on focus group method in qualitative study. Keimyung Journal of Nursing Science, 5(1), 1-21.
  13. Kim, I., & Shin, H. (2009). Effects of service quality to service satisfaction and decision making in elderly care facility. Journal of the Korea Gerontological Society, 29(2), 579-591.
  14. Kim, M. S., & Lee, S. H. (2008). Development and application of service quality indicators in nursing homes: Structure-Process Evaluation. Journal of Korean Academy of Nursing Administration, 14(2), 131-143.
  15. Kuk, N. O, Rixt Zijlstra, G. A., Bours, G. J. J. W., Hamers, J. P. H., & Kempen, G. I. J. M. (2016). Development and usability of the MAINtAIN, an inventory assessing nursing staff behavior to optimize and maintain functional activity among nursing home residents: A mixed-methods approach. BMC Health Services Research, 16(38), 1-10. http://dx.doi.org/10.1186/s12913-016-1288-7
  16. Kwon, J. H., Han, E. J., & Lee, J. S. (2009). Factors related to family caregiver satisfaction with the institutional care services under the public long-term care insurance system. Health Policy and Management, 19(4), 78-97. https://doi.org/10.4332/KJHPA.2009.19.4.078
  17. Kwon, J. H., Park, J. D., Gam, S., Lee, J. S., & Kang, I. O. (2007). A study on strategic proposal for improving of service quality management system of long-term care. Seoul: National Health Insurance Service.
  18. Kwon, S. M. (2013). Performance and challenges in long-term care. International Symposium on 5th Long Term Care Insurance (pp 42-59). Seoul: National Health Insurance Service.
  19. Kwon, S., & Tae, Y. (2014). The experience of adult Korean children caring for parents institutionalized with dementia. Journal of Korean Academic Nursing, 44(1), 41-54. http://dx.doi.org/10.4040/jkan.2014.44.1.41
  20. Lee, J. (2008). Validity and reliability of the Korean version of the observable indicators of nursing home care quality evaluation instrument. Journal of Korean Academy of Nursing, 38(3), 474-482. https://doi.org/10.4040/jkan.2008.38.3.474
  21. Lee, J. N. (2012). Analysis on service management of in-home care service agency for the elderly: Focus on structure-process-outcome model. Journal of Korean Social Welfare Administration, 14(4), 41-164. https://www.dbpia.co.kr/Journal/PDFView?id=NODE02189241
  22. Lee, M. J. (2011). A study on measurement issues of the quality of long-term care services for older adults. Social Welfare Policy, 38(1), 141-165. https://doi.org/10.15855/swp.2011.38.1.141
  23. Lee, Y. K., & Kim, S. J. (2012) A study on the systematization of service quality management system of long-term care. Health and Social Welfare Review, 32(4), 66-93. https://doi.org/10.15709/hswr.2012.32.4.66
  24. OECD. (2013). A good life in old age? Monitoring and improving quality in long-term care. Paris: OECD Publishing. http://dx.doi.org/10.1787/9789264194564-en
  25. Oh, Y. H. (2015). The health status of older Koreans and policy considerations. Health and Welfare Policy Forum, 223, 29-39. https://www.dbpia.co.kr/Journal/PDFView?id=NODE06357447
  26. Park, S. H. (2016). A multi-level analysis on the user's perceived service quality of the long-term care facilities. Unpublished doctoral dissertation, Chung-Ang University, Seoul.
  27. Shim, S. K. (2015). A study on the influence of care worker's perception of publicness on service quality in nursing facility for the elderly. The Journal of the Korea Contents Association, 15(4), 220-233. http://dx.doi.org/10.5392/JKCA.2015.15.04.220
  28. Song, M. S., & Lim, K. S. (2016). The barriers and solution of providing long-term care services at home for the beneficiaries with mild dementia: A focus group interview. Journal of Korean Public Health Nursing, 30(2), 259-273. http://dx.doi.org/10.5932/JKPHN.2016.30.2.259
  29. Statistics Korea. (2015). Elderly Statistics 2015. Retrieved June 21, 2016, from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=348565