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Expanding the Supply of Home Health Nurses : Post-Master's Program and Certification Examination

가정전문간호사 공급 확대를 위한 방안: 석사후과정과 자격시험

  • Received : 2024.04.09
  • Accepted : 2024.04.29
  • Published : 2024.04.30

Abstract

Purpose: The study aim was to examine the home healthcare system and relevant education, as well as the special certification examination, and propose a plan to increase the supply of home health nurses. Methods: A narrative literature review was conducted using data from research articles, Korean and U.S. educational institutes and organizations, Korean national statistical data, government press releases, and related medical legislation. Results: Between 2005 and 2006, 763 home health nurses were certified through the special qualification examination; however, in the 16 years from 2007 to 2023 (after the graduate-level program was established), a total of 555 home health nurses were certified, with an average of approximately 35 per year. Currently, 790 home health nurses are working at 194 medical institutions nationwide. Relatively few institutions exist in rural areas, and the supply of home health nurses is low. Only seven educational institutions offer home health nurse certification programs, with a total of 77 designated students. In contrast to Korea, post-master's certification courses are offered in the U.S.. Conclusion: To expand the supply of home health nurses, we recommend revising the rules for the special qualification examination and introducing a post-master's certification program for home health nurses. Future studies should provide additional education for applicants from other specialties in post-master's certification programs.

Keywords

Acknowledgement

This work was supported by Korean Academic Society of Home Health Care Nursing Research Grant in 2023.

References

  1. Korean Accreditation Board of Nursing Education. 2016 Korean Advanced Practice Nurse Annual Report. Seoul: Korean Accreditation Board of Nursing Education, 2016 December. Report No.: 2016-12-08. 
  2. Baek HC. Home Health Nurses and the Adequacy of their Supplies. Journal of Korean Academic Society of Home Health Care Nursing. 2020;27(2):137-145. https://doi.org/10.22705/jkashcn.2020.27.2.137 
  3. Korean Accreditation Board of Nursing Education. 2020 Korean Advanced Practice Nurse Annual Report. Seoul: Korean Accreditation Board of Nursing Education, 2021 March. Report No.: 2021-03-02. 
  4. American Association of Nurse Practitioners. All about NPs. [internet]. Austin, TX: AANP; 2023 [cited 2023 November 15]. Available from: https://www.aanp.org/about/all-about-nps 
  5. American Nurses Association. Advanced Practice Registered Nurses (APRN). [internet]. Silverspring, MD: American Nurses Association; 2023 [cited 2024 January 14]. Available from: https://www.nursingworld.org/practice-policy/aprn/ 
  6. American Nurses Credentialing Center. Our certifications. [internet]. Silverspring, MD: American Nurses Credentialing Center; 2023 [cited 2023 January 14]. Available from: https://www.nursingworld.org/our-certifications/ 
  7. Ministry of Government Legislation. Partial Amendment Bill for the Enforcement Rules of the Medical Act under Legislative Notice. [internet]. Sejong: Korea Ministry of Government Legislation; 2023 [cited 2023 November 16]. Available from: https://www.moleg.go.kr/lawinfo/makingInfo.mo?mid=a10104010000&lawSeq=74598&lawCd=0&lawType=TYPE5&currentPage=1&keyField=lmNm&keyWord=%EC%9D%98%EB%A3%8C%EB%B2%95%20%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99&stYdFmt=&edYdFmt=&lsClsCd=&cptOfiOrgCd=
  8. Home Health Nursing History Compilation Committee. 20-Year history and perspectives on Home Health Care. Seoul: HN Science; 2014. 
  9. Korean Law Information Center. Regulation on Recognition of Advanced Nurse Practitioner. [internet]. Sejong: Korea Ministry of Government Legislation; 2023 [cited 2023 November 16]. Available from: https://www.law.go.kr/법령/전문간호사 자격인정 등에 관한 규칙/(00881,20220419) 
  10. Korean Accreditation Board of Nursing Education. 2006 Korean Advanced Practice Nurse Annual Report. [internet]. Seoul: Korean Accreditation Board of Nursing Education; 2008 [cited 2023 November 16]. Available from: http://www.kabone.or.kr/reference/refRoom.do 
  11. Korean Accreditation Board of Nursing Education. 2024 Annual Quality management reports of advanced nurse practitioner education institutions. Seoul: Korean Accreditation Board of Nursing Education, 2024 January. Report No.: 2024-01-04. 
  12. Health Insurance Review & Assessment Service. Information on special operating institutions-home healthcare institution-. [internet]. Wonju: Health Insurance Review & Assessment Service; 2024 [cited 2024 March 12]. Available from: https://www.hira.or.kr/ra/spclMgtAdmInfm/spclMgtAdmInfm.do?pgmid=HIRAA030003000000&WT.gnb=%ED%8A%B9%EC%88%98%EC%9A%B4%EC%98%81%EA%B8%B0%EA%B4%80+%EC%A0%95%EB%B3%B4 
  13. Baek HC, Lim JY, Cho YI, Kim IA, Jun EY, Noh JH, et al. Current Status of Home Health in Korea: A Study Based on the 2020 Home Health Nurses' Working Conditions Survey. Journal of Korean Academic Society of Home Health Care Nursing. 2020;27(3):356-371. https://doi.org/10.22705/jkashcn.2020.27.3.356 
  14. Health Insurance Review & Assessment Service. Regional Distribution of Medical Personnel by Type II (Nurses, etc.). [internet]. Wonju: Health Insurance Review & Assessment Service [cited 2024 March 12]. Available from: https://opendata.hira.or.kr/op/opc/olapHumanResourceStatInfoTab2.do 
  15. National Insurance Service. & Health Insurance Review & Assessment Service. Medical Care Institutions by Province 2023 4/4. [internet]. Daejeon: Korean Statistical Information Service; 2024 [cited 2024 March 12]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_MIRE01&conn_path=I2 
  16. Korean Accreditation Board of Nursing Education. Guideline for Operating Advanced Practice Nurse Education Program. 2023 October. 
  17. Korean Accreditation Board of Nursing Education. Standard Curriculum for Home Health Advanced Practice Nursing Course. 2006. 
  18. Advanced Practice Registered Nurse (APRN) Joint Dialogue Group. Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. 2008. 
  19. American Academy of Nurse Practitioners National Certification Board. FNP, AGNP & PMHNP Certification Handbook. Austin: AANPCB; 2024. 
  20. U.S.News & World Report. 2022-2024 Best Nursing Schools: Master's (Ranked in 2023). [internet]. NY: U.S. News & World Report; 2024 [cited 2024 March 12]. Available from: https://www.usnews.com/best-graduate-schools/top-nursing-schools/nur-rankings 
  21. Johns Hopkins University School of Nursing Post-Degree Options. [internet]. MD: Johns Hopkins University; 2024 [cited 2024 March 19]. Available from: https://nursing.jhu.edu/programs/post-degree/ 
  22. University of Pennsylvania School of Nursing Post-Graduate APRN Certificates. [internet] PA: University of Pennsylvania; 2024 [cited 2024 March 19]. Available from: https://www.nursing.upenn.edu/academics/certificate-programs/ 
  23. National Organization of Nurse Practitioner Faculties (NONPF). Reaffirming the Doctor of Nursing Practice Degree: Entry to Nurse Practitioner Practice by 2025. Available from: https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/dnp/04_12_23_reaffirming_the_dnp.pdf 
  24. Savin MK, Newberry DM. Education standards, accreditation, certification, and regulation of nurse practitioner practice. Journal of the American Association of Nurse Practitioners. 2023;35(11):725-30. https://doi.org/10.1097/JXX.0000000000000873 
  25. Korean Law Information Center. Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life. Sejong: Korea Ministry of Government Legislation; 2023 [cited 2023 November 16]. Available from: https://www.law.go.kr/engLsSc.do?menuId=1&subMenuId=21&tabMenuId=117&query=%ED%98%B8%EC%8A%A4%ED%94%BC%EC%8A%A4# 
  26. Health Insurance Review and Review & Assessment Service. Details on the criteria and methodology for medical care expenses. Ministry of Health and Welfare; 2023 June. Notice No. : 2023-109. [internet]. Wonju: Health Insurance Review & Assessment Service; 2023 [cited 2024 March 12] Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020002000100&brdScnBltNo=4&brdBltNo=10295&pageIndex=1&pageIndex2=1 
  27. Shin YS, Lee SH, Lee YH, Cho BH, Park JH, Kim EA, et al. Healthcare Workforce Survey. Sejong: Ministry of Health and Welfare, Korean Institute for Health and Social Affairs, 2022 July. Report No. Policy Report 2021-00. p1181-1187. 
  28. Ministry of Health and Welfare. Legislative/Administrative Public Hearing via Electronic Participation No.: 617. Partial Amendment Proposal to the Medical Law Enforcement Regulations. [internet] Sejong: Anti-Coruption & Civil Rights Commission; 2023 [cited 2023 November 26]. Available from: https://www.epeople.go.kr/cmmn/idea/redirect.do?ideaRegNo=1AE-2309-0000482 
  29. National Hospice Center. Types of Hospice and Palliative Care Services. [internet] Goyang: National Hospice Center; 2024 [cited 2024 February 20]. Available from: https://hospice.go.kr:8444/?menuno=47