• Title/Summary/Keyword: 간호요양원

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Efficiency evaluation of nursing homes in China's eastern areas Based on DEA-Malmquist Model (DEA-Malmquist를 활용한 중국 동부지역 요양원의 효율성 평가에 관한 연구)

  • Chu, Ting;Sim, Jae-yeon
    • Journal of the Korea Convergence Society
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    • v.12 no.7
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    • pp.273-282
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    • 2021
  • Nursing home plays a role in providing elderly care in the context of China's rapid population aging, but little understanding of the efficiency of the nursing homes. In this paper, we investigated the efficiency in nursing homes using Data Envelopment Analysis (DEA) and Malmquist index (MPI) for the modeling of the number of nursing home beds, fixed assets, and medical personnel as input variables, and the number of elderly people of self-care, the number of elderly people of partial self-care, the number of bed-ridden elderly people and the income of nursing homes as output variables. Stratification analysis showed that the top two provinces in the DEA-CCR yield were Beijing and Shanghai in the five-year survey period. Four provinces (Beijing, Jiangsu, Shandong, and Shanghai) scored 1.00 in terms of DEA-BCC yield. The MPI analysis showed that Hainan ranked the highest five-year average in the included provinces. In terms of resource utilization, internal management, operation scale, and other aspects, the nursing homes in the provinces with high-efficiency evaluation results show high efficiency and technological progress, whereas the areas with low-efficiency evaluation showed a feature of the improving technical efficiency.

End-of-life Care Experiences of Long-Term Care Hospital Nurses (요양병원 간호사의 임종간호경험)

  • Yeong-Nam, Yeo
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.185-192
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    • 2023
  • Currently, the number of Long-Term Care Hospital in Korea is continuously increasing with the increase in the elderly population. Patients admitted to Long-Term Care Hospital are mainly elderly with chronic diseases, and because they are for long-term care, they often die in Long-Term Care Hospital, and the importance of end-of-life care is gradually increasing. In spite of these characteristics Studies on end-of-life care for nurses in Long-Term Care Hospital are mainly quantitative studies, and there is a limit to in-depth understanding of end-of-life care experiences. Therefore, The purpose of this study is to understand the meaning of Long-Term Care Hospital nurses' nursing experienceof end-of-life patients through a phenomenological method, and to describe and understand the meaning of the phenomenon in depth. The subjects of this study were 7 nurses who had worked for more than 6 months at a nursing hospital located in C city. The research method was in-depth interviews, and data were collected from December 2021 to March 2022. The interview date were analyzed by Giorgi's phenomenological method. As a result of the study, 'nurses' attitude toward end-of-life care', 'ambivalence toward life prolongation', 'reality of end-of-life care in Long-Term Care Hospital', and 'reflection on life and death' were found. Therefore, it is thought that End-of-life nursing Continuing educationand interventional education programs should be developed to change Long-Term Care Hospital nurses' end-of-life care attitudes and improve coping skills.

Factors Influencing Nursing Service Quality of Nurses in Long Term Care Hospitals (요양병원 간호사의 간호 서비스 질 영향요인)

  • Park, Ju Hee;Park, Eun Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.409-415
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    • 2022
  • The purpose of this study is to identify factors affecting nursing service quality for nursing hospital nurses and An attempt was made to confirm the correlation between nursing work environment, human-centered care, and work stress on nurses in nursing hospital. The data was collected using questionnaire filled out by 129 nurses at nursing hospitals in G city area from August 20 to September 10, 2019. As a result of the study, factors influencing the quality of nursing services among nursing hospital nurses were married, Practice Environment of Nursing Work, and human-centered care. Based on these results, hospital management will need to make efforts to improve the organizational system to create a desirable nursing working environment in nursing hospital.

Client Violence and Job Stress in the Nursing Homes (서비스 대상에 의한 폭력과 직무 스트레스: 요양원 및 전문요양원 종사자의 경험)

  • Yoon, Kyeong-A;Jin, Ki-Nam
    • 한국노년학
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    • v.27 no.2
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    • pp.285-298
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    • 2007
  • The study examined the extent of violence and the relationship between violence and job stress experienced by 182 direct care workers and nurses in Daejeon nursing facilities. The CTS2 was used to interview each helping professions in order to examine the extent of client-perpetrated psychological aggression and physical assault. Major findings are as follows: (1) For the preceding 12-month period, 79.2% of workers reported at least one incidents of violence. But their job stress was low. (2) To the extent that psychological aggression and physical assault are related. 43.4% of participants reported both psychological and physical violence, 35.8% reported psychological violence, 0.6% reported physical violence only, and 20.2% reported neither psychological nor physical violence. (3) Stress from care/nursing task was significantly associated with violence, especially both psychological and physical violence. Greater, targeted efforts are needed to reduce the prevalence and consequences of workplace violence.

Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home (요양병원 입원환자의 요양시설 이동의사에 영향을 미치는 요인)

  • Lee, Ji-Yun;Park, Eun-Gyung
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.196-204
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    • 2008
  • Purpose: To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. Method: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. Result: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home. Conclusion; For appropriate service utilization. a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

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Changes on Hospital-based Home Care Services Utilization After Long-term Care Insurance Launch (노인장기요양보험제도 도입 후 의료기관 가정간호 이용실태 변화)

  • Chin, Young Ran;Hong, Worl Lan
    • 한국노년학
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    • v.31 no.2
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    • pp.371-380
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    • 2011
  • This study was to address changes on hospital-based home care utilization after long-term care insurance(LTCI) was launched. National electronic data information(EDI) on hospital-based home care from Health Insurance Review Agency in 2007.7~2008.6(prior to LTCI) and in 2009(posterior to LTCI) was analyzed. After the launch of long-term care insurance, 40 hospital-based home health care agencies(HHCA) were diminished and regions not having any HHCA were increased from 53% to 59%. Hospital-based home care utilization was decreased in the elderly(clients 13.4%, visits 20.9%) as well as non-elderly(clients 3.5%, visits 3.9%). It is presumed that diminished HHCAs result in decreased accessibility to hospital-based home health care for non-elderly. The clients, visits, and reimbursed cost per agency were not changed. It is presumed that small agencies were closed already. The total reimbursed cost per agency in 2009 was 121,850,000 won. Results suggest that the government has to give support to open more HHCA to increase the accessibility for non-elderly. Also, hospital-based home care services utilization has to be monitoring regularly.

The Effects of Dementia Attitude, Burden of Behavioral and Psychological Symptom in Dementia(BPSD), and Nursing Professionalism on Dementia Nursing Performance among Long-term Care Hospitals Nurses (요양병원 간호사의 치매태도, 치매행동심리증상 부담감, 간호전문직관이 치매간호수행에 미치는 영향)

  • Kang, Da-Hai-Som
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.301-309
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    • 2020
  • The purpose of this study was identify factors influencing dementia nursing performance among long-term hospitals nurses. Participants were 161 long-term hospitals nurses. Data were collected with structured qustionnaires from November 4 from December 13, 2019. Data were analyzed SPSS/WIN 21 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. The significant factors of the dementia nursing performance among long-term hospitals nurses were dementia attitude (β=.280, p=.001), nursing professionalism(β=.237, p=.006), burden form BPSD(β=-.174, p=.012), and dementia education experience(β=.166, p=.014). Therefore, in order to improve dementia nursing performance among long-term care hospital nurses, it is necessary to develop program and apply dementia education to establish a positive dementia attitude and nursing professionalism, and to reduce the burden of dementia behavioral and psychological symptoms.

Review of Nurse Staffing and Residents Quality of Care and Quality of Life in Nursing Homes : Applying Castle & Engberg's Conceptual Framework (노인요양시설 간호인력이 입소노인 케어의 질 및 삶의 질에 미치는 영향에 대한 문헌고찰 : Castle과 Engberg의 개념적 기틀 활용)

  • Shin, Juh Hyun;Lee, Ji Yeon;Lee, Yae Na
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.2
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    • pp.247-259
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    • 2021
  • Purpose: The purpose of this study was to figure out the effect of nurse staffing in nursing home on the quality of care and quality of life of the residents, using Castle & Engberg's conceptual framework. Methods: A total of 31 studies published between 1996 and 2021 were selected from 6 databases, searched for keyword such as "Nurse staffing", "Nursing staff", "Outcome", "Quality of care", "Quality of life", "residents outcomes", "nursing home", "long-term care". By using Castle & Engberg's conceptual framework, systematic review was conducted. Results: More time provided by nursing staff, high level of licensed nurse staffing, good relationship between nursing staff and residents, and generous supervision system have a positive effect on resident outcomes. Conclusion: Establishing regulatory strategies of having mandatory Registered Nurse is needed because nurse staffing in nursing homes was related to resident outcomes. In addition, it is necessary to conduct further research about quality of life beyond quality of care for residents.