• Title/Summary/Keyword: 방문간호 활동

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Visiting Nursing Activities Provided by Public Health Nurses in a Health Center (서울시 일부 보건소 방문간호 활동내용)

  • Kim, Soon-Lae;Lee, Kyeong-Yeao
    • Journal of Home Health Care Nursing
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    • v.6
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    • pp.59-65
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    • 1999
  • In oder to investigate the basic data for the standard of visiting nursing activities and educational program for Public Health Nurses in Health Center in Korea. the health record review carried out regard to visiting nursing services of 131 subjects with visiting nursing care. The results were as follows: 1. Rates of visiting nursing services offered by Public Health Nurse of Health Center(in decreasing order)were health education and disease management(98.5%), activity assess-ment(94.7%), counseling(90.8%), dietary care (61.1%), exercise treatment(60.3%), examination(58.8%), medication(48.9%), referral to hospital(32.8%, vaccination against flu and hepatitis(29.8%), support for welfare and administration(24.4%), position change(9.9%), connection to voluntary services(9.9%), wound dressing(7.6%) and referral for home health care nursing(3.1%). 2. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job.

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Design of Activity Based Costing Management System in Home Care (가정간호사업의 활동기준원가관리시스템 설계)

  • 이수정;임정은
    • Proceedings of the Korean Information Science Society Conference
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    • 2004.10b
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    • pp.427-429
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    • 2004
  • 진료 및 간호서비스는 다른 제조업과는 달리 무형의 서비스에 대한 간접비의 비율이 두드러지는 특성을 지니며, 이러한 특성으로 인해 의료기관의 전략적 계획수립, 수익성 분석, 경제성 분석, 의료서비스 제공의 질 관리 등의 의사결정에 적극 활용되어야 하는 원가 분석에 어려움을 겪어왔다. 전문 간호 분야인 가정간호는 1회 방문 시에 다양한 활동들이 모여서 가정간호서비스가 수행되므로 가정간호의 원가분석에는 각 행위들이 모인 활동에 대한 분석에 근거한 정확한 원가 정보가 요구되고 있다. 활동기준원가의 기본 요소는 자원, 활동, 자원 동인, 활동 동인, 원가 대상이며 이에 따라 가정간호사업에서 활동기준원가의 각 요소를 정의하고 전통적 원가 계산이 아닌 활동을 중심으로 가정간호사업의 업무 알고리즘을 분석하여 활동기준원가관리시스템을 설계한다. 가정간호사업의 활동기준원가관리시스템은 가정간호의 효율적 운영과 의료기관의 경영 개선과 항께 실질적 원가계산을 통해 정부가 건강 보험 수가를 결정하고, 보험 수가의 적절성을 평가하는데 중요한 기초 자료를 제공하게 될 것으로 기대한다.

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Nursing Performance and Requirements of Visiting Nurses at Public Health Centers according to Omaha system (오마하체계에 따른 보건소 방문간호사의 간호업무 수행도와 필요도)

  • Choi, In-Hee
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.143-154
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    • 2020
  • The aim of this study was to identify the performance and requirements of the visiting nursing care using Omaha system in public health center. The highest performance were 'personal hygiene', 'pain', 'medication regimen', 'nutrition', 'physical activity', 'sanitation', 'sleep and rest patterns', 'oral hygiene', 'mental health' in order. The lowest performance were 'sexuality', 'postpartum', 'income', 'family planning', 'pregnancy', 'spirituality', 'abuse', 'reproductive function', 'neglect' in order. Problems such as 'postpartum', 'pregnancy' and 'family planning' need to strengthen the role of visiting nurses according to the region. this result will be the basis for visitung nursing care.

Analysis of Time Taken for Visiting Nursing Activities by Visiting Nurses (방문 간호사의 방문 보건 활동 소요시간 분석)

  • Yang, Sook-Ja;Shim, Kyung-Rim;Kim, Ok-Soo;Kim, Hye-Young;Kim, Kyung-Hee;Kim, Eun-Ha
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.177-186
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    • 2004
  • Purpose: The purpose of this study is to analyse time taken for visiting nursing activities by visiting nurses in health centers. Method: A questionnaire was developed by a research team for the technological support of visiting nursing activities and visiting nurses. A total of 481 questionnaires were recovered by five visiting nurses from May to October 2003. Result: A visiting nurse's total length of time for visiting activities was 532.2 minutes per day and the number of households a visiting nurse visits a day was 4.5. A visiting nurse spent 133.3 minutes for actual nursing services and 119.1 minutes for travelling. Time for actual nursing activities was more than half of the total working hours. Time for travelling was 42.9 minutes on the average when using public transportation means and 25.6 minutes when using a car. Conclusion: The results of this study is expected to be used as basic data in establishing plans for the adequate supply of visiting nurses based on demands for visiting nursing services.

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Estimation of Home-visiting Care Costs for Low-income Elderly with Chronic Disease in a Metropolitan City Using the Severity Classification and ABC(active-based costing) (대도시 저소득층 만성질환 노인을 위한 가정.방문간호 원가산정 - 환자 중증도 및 활동기준원가계산법(ABC) 적용 -)

  • Kang, Sung-Ye
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.118-130
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    • 2008
  • Purpose: The purpose of this study was to estimate of home-visiting nursing costs for low-income elderly with chronic disease in a metropolitan city using the severity classification and ABC(active-based costing). Methods: First, the HHC activity pool was established. The performance time of each nursing activity were estimated. Second, nursing resources(labor costs, operating costs, and traffic expenses) were analyzed and nursing cost per minute was calculated. And then the cost of each activity was estimated. Third, 202 visiting cases were classified into three group by their severity. And then nursing cost per visit according to their severity was estimated. Results: 59 nursing activities were included in HHC activity pool. The average working time of 59 nursing activity was 6.7minutes and nursing cost per minute was 489 won. According severity, nursing cost per visit were in class I, 54,296 (won), class II 83,124(won), and class III 93,455(won).

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Improvement of customer satisfaction with "Explanation Nurse Unit" (설명간호사실 운영 활성화를 통한 외래 환자 만족도 증진)

  • Yoo, Hye Hyun;Kim, Hyun Mi;Bae, Mi Hyoung;Kim, Min Jung;Woo, Jung In;Lee, Eun Young
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.79-87
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    • 2009
  • 문제: 본원의 외래 상황은 진료의가 짧은 시간 내에 많은 환자를 진료해야 하고, 진료 환자 모두에게 충분히 만족하도록 설명해주는 것은 매우 어려운 실정이었다. 2007년의 의료기관 본 평가에 앞서 병원 자체 평가 결과 외래환자의 설명 만족도는 57점으로 저조하였다. 목적: "이해하기 쉽게 설명하는 서울대학교 병원" 이라는 슬로건 하에 설명간호사 제도를 운영하기 시작하여, 설명간호사실 운영 활성화를 통한 외래 환자 만족도를 향상시키고자 한다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 설명간호사실 방문율 증가 및 one-stop service care을 실현할 수 있는 방안을 모색하였고, 검사 시행 이유, 귀가 후 주의사항 검사 결과, 검사일정 외래 진료 안내 브로셔 및 표준화된 교육 자료를 개발하였다. 또한 설명간호사의 역할 및 업무의 확립을 위한 업무기술서를 개발 및 설명간호사실 환경을 개선하였다. 개선효과: 설명간호사실의 방문율이 내과는 2배, 신경과는 3배 정도 증가하였다. 표준화된 교육 자료 개발로 설명 요구도를 충족시켰고, '환자의 알 권리'와 '설명을 들을 권리'를 보장하였다. 업무기술서 개발로 설명간호사의 업무 및 역할을 확립하였으며 설명간호사실의 환경 개선으로 개인 신상 비밀을 보호받을 권리를 보장하였다. 외래 설명만족도가 2007년 57점에서 2008년 74점으로 향상되었다. 설명간호사실 자체 설문조사에서도 97%가 만족한다고 답하였고, 100% 모두 재방문 의사를 보였다. one-stop service care를 제공함으로써 외래가 복잡하다는 부정적인 이미지를 긍정적인 이미지로 변화시켰다.

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A Pioneer of Korean nursing, Elizabeth J. Shepping's Nursing Missionary Work (한국간호의 선구자 엘리자베스 쉐핑 (Elizabeth J. Shepping, R. N.)의 간호선교)

  • Yoon, Me Ok
    • The Journal of the Convergence on Culture Technology
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    • v.3 no.4
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    • pp.107-115
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    • 2017
  • This study was to summarize in Nursing perspective nursing missionary activities of Elizabeth J. Shepping, R, N(1880~1934), a Southern Presbyterian nursing missionary and explore Korean women's lives and Korean nursing history during the Japanese Colonial Period. Shepping committed herself to nursing activities, providing care to the lepers and patients mainly in Gwangju Jejung Hospital, Gunsan Guam Jesus Hospital, and Severnce Hospital, as well as engaging in nursing activities for disease prevention in local communities. She put much effort in educating women and nurses to help recover women's human rights, simultaneously spreading gospel for salvation. She founded the Chosun Nursing Association to help Korean community oppressed under Japanese colonial. Shepping's life based on her motto,"Not success, but service,"was holistic nursing missionary work.

Development and Effectiveness of Counseling Manual for Community-based Visiting Nursing (맞춤형 방문건강관리사업 상담매뉴얼 개발과 효과)

  • Choi, Kyung-Won;Lim, Ji-Young;Kim, Eun-Joo
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.226-233
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    • 2012
  • Purpose: The purpose of this study was to develop and analyze the effectiveness of an education program counseling manual (EPCM) for community-based visiting nurses. Methods: Seventy-eight of community-based visiting nurses was enrolled in this study. Data were collected using structured questionnaires and analyzed using descriptive statistics, the ${\chi}^2$-test, and the paired t-test in SPSS version 18.0. Results: Nurses had higher mean scores for counselor activity self-efficacy: skill self-efficacy, session management self-efficacy and counseling challenges self-efficacy, after EPCM than before EPCM. Significant differences were found after applying the EPCM. Conclusion: The results of this study indicate that the EPCM is effective at improving counselor self-efficacy of community-based visiting nurses.