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노인장기요양인력 확보 방안: 간호사와 간호조무사 중심으로

Manpower Acquisition Strategies of Long-term Care: Focused on Nurses and Nurse Aides

  • 투고 : 2020.03.12
  • 심사 : 2020.04.03
  • 발행 : 2020.04.30

초록

Purpose: The purpose of this study was to identify manpower acquisition strategies of nurse and nurse aide in long-term care Method: The study was proceed using following three stages: to explore workforce status and labor environment with database analysis, literature reviews, to explore the best practices, practical experiences with expert interviews, with focus group interview, to identify problems and present acquisition strategies Results: Acquisition strategies were increasing of pay, improvement of working condition, development of practical educational program, diversification of entry paths, establishing clear roles for nursing staffs, diversification of training program. Conclusion: We found that the acquisition strategies of nurse and nurse aide can be as an useful methods to increase manpower in long-term care for higher quality of services and care.

키워드

참고문헌

  1. Lee JS, Han EJ, Kang IO. The characteristics and service utilization of home nursing care beneficiaries under the Korean long term care insurance. Journal of Korean Academy of Community Health Nursing. 2011;22(1):33-44. https://doi.org/10.12799/jkachn.2011.22.1.33
  2. Cho C. Geriatric long-term care practice in Korea. Korean Journal of Clinical Geriatric. 2018;19(2):63-71. https://doi.org/10.15656/kjcg.2018.19.2.63
  3. Lee YK. Second long-term health care basic plan report. Korea Institute for Health and Affairs Report. Sejong: Korea Institute for Health and Affairs, 2017 November. Report No.: 2017-27.
  4. McGilton K, McGillis L, Wodchis W, Petroz U. Supervisory support, job stress, and job satisfaction among long-term care nursing staff. The Journal of Nursing Administration. 2007;37(7):366-372. https://doi.org/10.1097/01.NNA.0000285115.60689.4b.
  5. Kwon MY, Lim JY, Lee YW, Kim HS. A study of nurses' perception of the visiting nursing services of long-term care insurance. Journal of Korean Academy of Public Health Nursing. 2010;24(1):5-18. https://doi.org/10.5932/JKPHN.2010.24.1.005
  6. Lankshear AJ, Sheldon TA, Maynard, A. Nurse staffing and healthcare outcomes: A systematic review of the international research evidence. Advances in Nursing Science. 2005;28(2):163-174. https://doi.org/10.1097/00012272-200504000-00008
  7. Lim JY, Kim EJ, Choi KW, Lee JS, Noh WJ. Analysis of barriers and activating factors of visiting nursing in long-term care insurance. The Journal of the Korea Contents Association. 2012;12(8):283-299. https://doi.org/10.5392/JKCA.2012.12.08.283
  8. Lim J, Lee Y, Kang E, Lim J, Kim J, Park Y, et al. A Mid-to long-term plans for the supply of long-term care workers in a changing population structure. Korea Institute for Health and Affairs Report. Sejong: Korea Institute for Health and Affairs, 2020 April. Report No.: 2019-24.
  9. Park MJ, Suh EE, Lee JM. Nursing staffs' experiences of managing medical needs of the elderly in Korean long-term care facilities. Korean Journal of Adult Nursing. 2013;25(4):409-421. http://doi.org/10.7475/kjan.2013.25.4.409
  10. Kim J, Lee I. The effects of visiting nursing services in long-term care insurance: A difference-in-difference analysis. Journal of Korean Academy of Community Health Nursing. 2015;26(2):89-99. https://doi.org/10.12799/jkachn.2015.26.2.89
  11. Lee JW, Seomun JH. A study on problems and improvement of home-help services of long-term care insurance. Journal of the Korean Gerontological Society. 2009;29(1):149-175.
  12. Byeon DH, Hyun HJ. Importance and performances of visiting nurse services provided under the long term care insurance system for the elderly. Journal of Korean Academy of Community Health Nursing. 2013;24(3):332. https://doi.org/10.12799/jkachn.2013.24.3.332
  13. Yang KS, Cho SJ. A study on job satisfaction and stress in relation to job features of nursing assistants. Journal of the Korea Academia-Industrial Cooperation Society. 2014;15(5):2859-2869. https://doi.org/10.5762/KAIS.2014.15.5.2859
  14. Rochefort A, Cobb R. The politics of problem definition: shaping the policy agenda. Lawrence: University Press of Kansas; 1994. p. 9-27.
  15. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa
  16. Lee JS, Hwang RI, Han EJ. Trends in home-visit nursing care by agencies' characteristics under the national long-term care insurance system. Journal of Korean Academy of Community Health Nursing. 2014;24(3):33-44. https://doi.org/10.12799/jkachn.2013.24.3.332
  17. Lee S, Kwak C. Effects of visiting nursing services in long-term care insurance on utilization of health care. Journal of Korean Academy of Community Health Nursing. 2016;27(3):272-283. http://doi.org/10.12799/jkachn.2016.27.3.272
  18. Kim Y, Lee JY, Kang H. Impact of nurse, nurses' aid staffing and turnover rate on inpatient health outcomes in long term care hospitals. Journal of Korean Academy of Nursing. 2014;44(1):21-30. http://doi.org/10.4040/jkan.2014.44.1.21
  19. Kim S, Lee K. Predictors of turnover among new nurses using multilevel survival analysis. Journal of Korean Academy Nursing. 2016;46(5):733-743. http://doi.org/10.4040/jkan.2016.46.5.733
  20. Youn KI. The Effects of nurse staffing and skill mix on in-hospital mortality in the hospitals with different characteristic. Journal of Health Informatics and Statistics. 2017;42(1):27-35. https://doi.org/10.21032/jhis.2017.42.1.27
  21. National Law Center. Medical law article 80 [Internet]. Sejong: National Law Center; 1997 [cited 2020 March 1]. Available from; http://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95/%EC%A0%9C80%EC%A1%B0
  22. National Law Center. Local health law enforcement rules article 4-2 [Internet]. Sejong: National Law Center; 1997 [cited 2020 March 1]. Available from: http://www.law.go.kr/lsSc.do?tabMenuId=tab18§ion=&eventGubun=060101&query=+Local+Health+Law+Enforcement+Rules+Article+4-2#liBgcolor0
  23. Kim M, Kim I, Lee Y. A study on legal coherence of legislations related to nursing services: Focusing on registered nurse, midwife, advanced practice nurse and nurse assistant. Health and Social Welfare Review. 2018;38(3):420-457. https://doi.org/10.15709/hswr.2018.38.3.420
  24. Lee CY, Beanland C, Goeman D, Johnson A, Thorn J, Koch S, et al. Evaluation of a support worker role, within a nurse delegation and supervision model, for provision of medicines support for older people living at home: the workforce innovation for safe and effective (WISE) medicines care study. BMC Health Services Research. 2015;15:460-470. https://doi.org/10.1186/s12913-015-1120-9
  25. Lee Y, Choi S, Kim I, Kang S. A study on reorganization of service and qualification management between nurse and nurse assistant: Focusing on policy stream model by Kingdon. Health and Social Welfare Review. 2018;38(1):489-519. https://doi.org/10.15709/hswr.2018.38.1.489
  26. Kim NJ, Lee EH, Jeon JH, Kim EJ. Effects of role conflict, job satisfaction and professional pride on retention intention of nurses working at long-term care hospital. Journal of muscle and Joint Health. 2019;26(2):81-89. https://doi.org/10.5953/JMJH.2019.26.2.81
  27. Human Resource Development Service of Korea. National competency standards [Internet]. Ulsan: National Competency Standards; 1999 [cited 2019 August 3]. Available from https://www.ncs.go.kr/th01/TH-102-001-01.scdo
  28. New York State Department of Health. Home care health related tasks curriculum [Internet]. Newyork: Division of Home and Community Based Services; 2006 [cited 2019 June 6]. Available from: https://www.health.ny.gov/facilities/home_care/professional.htm
  29. New York State Department of Health. Home health aide matrix of permissible and non-permissible activities [Internet]. Newyork: Division of Home and Community Based Services; 2006 [cited 2019 June 6]. Available from https://www.health.ny.gov/facilities/home_care/professional.htm/
  30. Hendrix TJ, Foreman SE. Optimal long-term care nurse-staffing levels. Nursing Economics. 2001;19(4):164-175.

피인용 문헌

  1. 노인장기요양보험 재가방문간호 서비스 개발과 확대 방안 vol.27, pp.3, 2020, https://doi.org/10.22705/jkashcn.2020.27.3.241
  2. Characteristics of Elderly Care Work That Influence Care Workers’ Turnover Intentions vol.9, pp.3, 2021, https://doi.org/10.3390/healthcare9030259
  3. 우리나라 노인장기요양 방문간호 현황분석: 2020년 방문간호 근로실태 조사를 기반으로 vol.28, pp.1, 2021, https://doi.org/10.22705/jkashcn.2021.28.1.59
  4. 균형성과표를 이용한 노인장기요양 방문간호센터의 핵심성과지표 개발 vol.28, pp.2, 2021, https://doi.org/10.22705/jkashcn.2021.28.2.164
  5. Effects of registered nurse staffing levels, work environment, and education levels on adverse events in nursing homes vol.11, pp.1, 2021, https://doi.org/10.1038/s41598-021-00946-8