• 가정∙방문간호학회지
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• 제6권
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• pp.19-32
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• 1999

The purpose of this study was to develop of home nursing care classification and home health care costs of the free-standing home nursing care agency. This study was done through 3 steps The First stage, home nursing care classification was identified and classified by literature, review-committee and expert meeting. The second stage, cost elements for home nursing care visit were identified and accounted. That were divided into direct nursing care cost, indirect nursing care cost, management cost and transportation cost. Third stage, total cost of per visit was produced. Data were collected from 810 visits of 120 patients received home dare and from January. 1999 to November, 1999, and analysed with EXCEL program. The obtained results are as follows : 1. Home nursing care classification was consisted of 6 high level classification domain and 10 low level classification domain and 163 home nursing care behavior. 2. The cost of home nursing care per visit was 30,638 won which were direct and indirect nursing care cost(16.305won), management cost(5,255won) and transportation cost (9,098won). In conclusion. Home nursing behavior care classification developed in this study would be used as home health care standard. And the home nursing care costs can be used as a fundamental data for the further development of home health care costs in Korea.

• 지역사회간호학회지
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• 제12권1호
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• pp.3-21
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• 2001

Nursing diagnosis classification is needed to define nursing phenomena and set up nursing plans. The purpose of this study is to develope common nursing diagnosis by comparing and analysing nursing diagnosis classification systems and assessment tools in home care. The target home care nursing diagnosis classifications and tools are HHCC. NANDA. OMAHA. MDS_HC 2.0. OASIS-Bl. Results of this study are as follows: - The number of components of nursing diagnosis classifications and tools is HHCC 4. NANDA 9. OMAHA 4. MDS_HC2.0 6. OASIS-B1 10. - The number of common nursing diagnosis in home care is summed up 51 which are physical heal th 17. social health 5. psychological health 11. health related behavior 13. environment 3.

• 가정∙방문간호학회지
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• 제24권2호
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• pp.181-188
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• 2017

Purpose: The aim of this study was to compare between performance and requirements of visiting nursing care in long-term care insurance using the OMAHA system. Methods: The subjects were 72 nurses who had worked in a visiting nursing care center in long-term care insurance. Data were collected from December 5, 2016 to January 31, 2017 using self-recorded questionnaires. The collected data were analyzed using descriptive statistics and paired t-tests. Results: Four dimensions of the OMAHA system showed statistically significant differences between performance and requirements of visiting nursing care in long-term care insurance. The requirements of visiting nursing care were higher than was performance on all 40 items of the OMAHA system. The greatest difference was in environmental domain and then the psychosocial domain. Conclusion: Based on the results, we found that the environmental and psychosocial domains were the largest gap areas. Therefore, with the reality of elderly people living alone and the increase in elderly couples, active intervention connected with the community is needed in residential areas. Further, we suggest that the OMAHA system can be utilized as an integrated conceptual framework for developing and enhancing visiting nursing care in long-term care insurance.

• 대한가정학회지
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• 제27권3호
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• pp.173-182
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• 1989

이 연구의 목적은 전통적으로 남성 주도적인 전문직 진출을 희망하는 여대생(이 연구에서는 법률가 및 의사직, 이하 비 전통적인 여성이라 부름)과 전통적으로 여성 주도적인 전문직 진출을 준비중인 여대생 (이 연구에서는 교사 및 간호사직, 이하 전통적으로 여성 이라 부름)을 구분 할수 있는 개인의 성격 및 가족환경의 특성을 검토하는 것이었다. 남성 주도적인 전문직에 진출을 준비하거나 그 분야에 종사하는 여성들의 특성에 대한 연구가 많이 발표되었으나 그 특징들의 중요성이 상대적으로 얼마나 비중이 있는지는 연구되어 있지 않다. 발단론적 환경이론(Developmental-Contextualism)과 직업 발달에 대한 역동적 상호관계 모델(Dynamic Interaction Model)이 본 연구의 이론적 체계를 이루고 있다. 이 연구에 포함성의 위치, 심리적 남성특성, 출신가정의 사회경제수준, 그리고 부모의 뒷받침과 이해였다. ANOVA 결과에 의하면 비전통적인 여성들이 자아존중감, 학교성적 성취도, 내적 통제성, 심리적 남성특성, 그리고 출신가정의 사회경제수준 면에서 전통적인 여성에 비해 훨씬 높은 수준을 나타내었다. 단계적 분별 분석 (Stepwise Discriminant Analysis) 결과에 따르면, 심리적 남성 특성, 내적 통제성, 학교성적 성취도, 그리고 출신가정의 사회경제수준이 위 두집단의 여성들을 분별하는 가장 뛰어난 특성들이었으며 전체 표본의 76.99%가 이 요인들에 의해 정확하게 분류되었다. 이 연구의 결과를 토대로 볼 때, 역동적 상호관계모델은 여성의 직업발달을 연구하는데 있어서 이론정립과 검사에 유효한 도구로 보이며, 이 연구에 포함한 변수들은 비 전통적인 여성들의 특성을 정확하게 묘사하는데 상당한 공헌을 하고 있었다. 마지막으로, 비전통적인 여성들의 직업발달을 연구하는데 있어서 "능력특성군(Competency-related traits)"의 변수들을 좀 더 정확하게 분류할 필요가 있으며, 이 변수들과 여성의 직업발달의 관계를 자세히 연구할 필요가 있다고 본다.요가 있다고 본다.

• 성인간호학회지
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• 제12권4호
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• pp.606-618
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• 2000

The purpose of the study was to investigate the characteristics of the clients registered in the department of home health care nursing in a hospital and to analyze nursing intervention activities recorded in charts by application of Nursing Intervention Classification (NIC) system. For the descriptive survey study, data were collected by reviewing charts of 572 home health care clients between May, 1997 and July, 2000 at K hospital in Seoul. The average age of the clients was 66 years and the number of clients in their 70s ranked first with 28.2 percent(158 people). The mean length of home care service was 47 days with the highest frequency of less than four weeks (56 %). With regard to medical diagnosis, cancer showed the highest frequency (48%, 271 people), followed by cerebrovascular disease (19%), and pulmonary disease (6.9%). According to analysis of nursing interventions by the NIC system, the most frequently used nursing interventions in level 1 were interventions in the Physiological: Complex domain which were used 3,663 times (33%) among 11,107 total interventions. The Safety domain was the second most frequently used intervention, followed by the Physiological: Basic, and the Behavioral domains. In level 2, the Risk Management class was the most frequently used interventions with 3,108 interventions (27.9%), followed by Drug Management, and Tissue Perfusion Management classes. In level 3 interventions, Vital Sign Monitoring was the most frequently used intervention, 569 times (5.1%), followed by Health Screening, and Neurological Monitoring interventions. In sum, half of the clients in the study had cancer and were in their 70s. The most frequent reason for ending home care was death (40%), followed by readmission (28%). These findings represent clients with severe conditions referred to the home care nursing department as it was a University teaching hospital. Further research on analyzing nursing interventions performed in each institution needs to be conducted to develop a standardized list of nursing interventions to use in home health care settings.