• Title/Summary/Keyword: Convergent Health Care

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Development of the Self-Care Non-adherence Risk Assessment Scale for Patients with Chronic Illness (만성질환자의 자가간호 불이행 위험 사정도구 개발)

  • Jo, Mirae;Oh, Heeyoung
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.415-429
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    • 2021
  • Purpose: The purpose of this study was to develop the Self-Care Non-adherence Risk Assessment Scale (SCNRAS) for patients with chronic illness in South Korea. Methods: This study was conducted from April to July, 2020 and utilized a convenience sampling method to recruit 336 patients with chronic illness from three hospitals located in South Korea. The content, factorial structure, item-convergent/discriminant validity, convergent validity, internal consistency reliability, and test-retest reliability of the scale were evaluated. The data were analyzed using exploratory and confirmatory factor analyses, Pearson's correlation coefficient, Cronbach's α, and intra-class correlation coefficient. Results: The exploratory and confirmatory factor analyses yielded six-factors. Convergent validity was demonstrated using measures of defining issues. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach's α of .65~.81 and an intra-class correlation coefficient of .93~.98. The Self-Care Non-adherence Risk Assessment Scale for patients with chronic illness is a new instrument that comprehensively measures the knowledge, skill, physical function status, access to health care, social support, motivation, and confidence. It comprises 18 items scored on a 5-point Likert scale. The validity and reliability of the scale were verified. Conclusion: The scale developed through this study is expected to screen those who need nursing intervention early by predicting the self-care non-adherence risk group.

Testing Reliability and Validity of the Person-centered Climate Questionnaire-staff version in Korean for Long-term Care Facilities

  • Hae, Sagong;Kim, Da Eun;Bae, Soyoung;Lee, Ga Eon;Edvardsson, David;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.29 no.1
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    • pp.11-20
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    • 2018
  • Purpose: To test the reliability and validity of the Korean version of the Person-centered Climate Questionnaire-staff version (KPCQ-S) in long-term care institutions. Methods: A total of 297 staff in long-term care institutions including nine nursing homes (NHs) and 4 long-term care hospitals (LTCHs) were included. The KPCQ-S was developed following the WHO guidelines of the process of translation and adaptation of instruments. An internal consistency using Cronbach's ${\alpha}$ was tested for reliability. Exploratory factor analysis (EFA) was used to examine the construct validity. Convergent and discriminant validity were examined using Pearson correlation. Results: EFA demonstrated the construct validity of the 14-item KPCQ-S with three-factor solutions, specifically three factors (safety, everydayness, and community) in NHs and four factors (safety, everydayness, community, and comprehensibility) in LTCHs. Convergent validity was found in the correlation with the work satisfaction (r=.55). The KPCQ-S showed satisfactory internal consistency reliability (Cronbach's ${\alpha}=.91$). Conclusion: The KPCQ-S is found to be a reliable and valid tool for measuring staff perceptions of the person centeredness of long-term care environments.

Validity and Reliability of a Service Orientation Scale for Health Care Organization (의료기관의 서비스지향성 측정도구의 신뢰도와 타당도 평가)

  • Lee, Myung Ha;Park, Sook Kyoung;Lee, Ok Joo
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.4
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    • pp.362-372
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    • 2014
  • Purpose: The purpose of this research was to develop and test the validity and reliability of the Service Orientation Scale for Health Care Organization. Methods: The Service Orientation Scale for Health Care Organization, $SERV^*OR$, was developed through forward-backward translation methods. Internal consistency and reliability, construct and criterion validity were calculated using SPSS Statistics WIN 17.0. Survey data were collected from 283 clinical nurses in a general hospital in J province. Results: The Service Orientation Scale for Health Care Organization showed reliable internal consistency with Cronbach's ${\alpha}$'s for the total scale ranging from .85~.91. Factor loading of the 30 items on four sub-scales ranged from .67~.83. The sub scales were named service leadership, service system, customer focus, and service control. Item convergent and discriminant validity were also established for the Service Orientation Scale for Health Care Organization. Criterion validity showed a significant correlation with customer orientation. Conclusion: The findings of the study demonstrate that the Service Orientation Scale for Health Care Organization has satisfactory construct and criterion validity, and reliability and can be used to measure service orientation.

Domestic and Foreign Case Studies on ICT Convergence for Mental Heath Improvement and Suicide Prevention (정신건강 증진과 자살예방을 위한 ICT 융합 국내외 사례 연구)

  • Kim, Ho-Kyung;Shin, Dong-Hee
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.592-606
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    • 2015
  • Depression and mental illness across all age groups, and steady increasing in suicide rate are our major social problems which cause dramatically decreasing government competitiveness. While Korean government has implemented various policies to improve mental health and prevent suicide, it faces revealing issues in progress on implementation and referral management systems. The current research examined domestic and foreign cases to understand the actual status and directivity of ICT convergence plan in terms of mental health. The United States and the United Kingdom have provided convergent ICT service, telepsychiatric care to senior citizens in rural areas, children and adolescents, socially disadvantaged class, etc. In Korea, emergency-notice devices are installed to prevent suicide for single elderly people, and diverse mobile health devices are developing to cure depression and Alzheimer's disease. ICT convergent mental health care service is needed to save socioeconomic costs and realize universal welfare for an aging society. Social consensus on sharply conflict issues, medical law and medical devices about telepsychiatry service, effectiveness studies on users' unique psychiatric characteristics by life cycle, and region-specialized strategies for the least densely populated rural regions with lower access to medical care should be considered.

Convergent Factors Related to TOEIC Learning Flow of Some College Students in Health Care (보건계열 일부 대학생의 토익 학습몰입과 관련된 융복합적 요인)

  • Hong, Soomi;Bae, Sang-Yun
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.383-392
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    • 2018
  • This study investigates convergent factors to TOEIC learning flow among some health college students in TOEIC class. The questionnaire was performed on 255 health college students in TOEIC class from college located in J area from May 1st, 2018 to May. 25th, 2018 by using an unregistered self-administered questionnaire. The hierarchical multiple regression analysis shows the following results. The TOEIC learning flow of respondents turned out to be significantly higher in following groups: a group in which self efficacy is higher, a group in which academic control is higher, a group in which school resilience is higher. The results show explanatory power of 43.4%. As the results of the study, it is necessary to make an effort to increase self efficacy, academic control and school resilience to improve the TOEIC learning flow among health college students. These results can be used in development and operation of TOEIC learning program to higher TOEIC learning flow in health college students. Further studies need the analysis of structural equation model effecting TOEIC learning flow of health college students.

Convergent effects of oral health behaviors on number of remaining teeth of the elderly welfare recipients (기초 수급 노인들의 구강건강 행태가 잔존 치아 수에 미치는 융복합적 영향)

  • Cho, Min-Jeong;Park, Eui-Jung;Shin, Hae-Eun
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.537-544
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    • 2016
  • This study was to investigate their relevance between oral health behaviors and number of remaining teeth of the elderly welfare recipients through the fluoride and scaling of the business. Researcher collected 660 subjects over 60 elderly welfare recipients investigated self-administered survey and use denture and number of remaining teeth though oral examination. Increasingly age number of teeth remaining reduced, there is a difference on the number of remaining teeth according to gender, age, the use of oral hygiene products, self diagnosis oral condition, brushing after lunch and showed significant difference(p<0.05). The remaining number of teeth can be prevented by attention and efforts of subjects. Therefore, we investigated convergent effects of oral health behaviors on number of remaining teeth of the elderly, I hope that oral health care program continually provides expansion of preventive treatment and to maintain the provision of health care about vulnerable group.

The Convergence Study about Use Satisfaction of Public Health Center in Urban Areas and Rural Areas (도심지역과 농촌지역의 보건소 이용 만족도에 관한 융합연구)

  • Lee, Bo-Woo;Lee, Young-Ju;Jang, Seon-Ju;Kim, Chang-Gyu
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.123-128
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    • 2019
  • This study divided 409 local residents in G city of Gyeongsangbuk-do into urban area and rural area, and analyzed the satisfaction with using public health center. The subjects of this study were 284 people who had experience using public health centers among 409 people. In rural areas, satisfaction with general care, oriental care, dental care, physical therapy, examination, and vaccination was low. To improve this, it is necessary to expand and improve facilities so that smooth public health services can be provided to local residents. It is necessary to implement health care policies to resolve medical inequality between urban areas and rural areas.

Psychometric Properties of the Persian Version of Satisfaction with Care EORTC-in-patsat32 Questionnaire among Iranian Cancer Patients

  • Pishkuhi, Mahin Ahmadi;Salmaniyan, Soraya;Nedjat, Saharnaz;Zendedel, Kazem;Lari, Mohsen Asadi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10121-10128
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    • 2015
  • Background: Cancers impose an increasing burden on health of the populations and individuals, but little is known about cancer patient satisfaction with care. The aim of this study was to assess the psychometric properties of the Persian version of European Organisation for Research and Treatment of Cancer (EORTC) In-Patsat32, as a recently developed questionnaire to assess cancer patient satisfaction with care and information provided during hospital admission. Materials and Methods: Complying with EORTC protocols, the Persian version of Inpatsat32 was translated and piloted in a small group of patients, then applied to 380 cancer patients admitted to different oncology wards in Tehran. Validity (convergent, discriminant, and divergent) and reliability of the tool was assessed through using multitrait analysis, factor analysis, intraclass correlations, Chronbach's alpha and test-retest (on a sample of 70 patients). Results: Good acceptance and high sensitivity of the questionnaire with low floor and ceiling effects were recognized, indicating power of the instrument to detect differences between groups with heterogeneous levels of satisfaction. Multitrait scaling analyses supported the convergent validity of the majority of scales (correlation coefficient >0.4) and favorable discriminant validity (item own scale correlation >0.8). There was no correlation between In-patsat32 scales and the EORTC-C30, which measures different concepts, confirming divergent validity of the tool. Internal consistency for all domains was high (${\alpha}$ >0.70) except for the hospital access score and the test-retest reliability was excellent (r=0.86-0.96). There was a weak responsiveness to change except for nurses technical skills. Principle component analysis confirmed five domains with much improved internal consistency (${\alpha}$ >0.9). Conclusions: The Persian version of the EORTC-in-patsat32 module is a reliable and valid instrument to measure cancer patient satisfaction with care received during their hospitalization period and can be utilized in clinical cancer research.

A Convergent Study of the Physical Related Quality of Life Using SF-8 of Stroke Patient's Caregiver (뇌졸중 환자 보호자의 SF-8을 이용한 신체건강관련 삶의 질 융복합적 연구)

  • Kim, Young-Ran;Kim, Young-il;Kim, Min-jeong
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.119-127
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    • 2017
  • This paper convergent examined caregiver burden, depressive symptoms and health related quality of life of 226 caregivers of stroke patients, who had been hospitalized in 7 general hospitals located in Cheongju and Daejeon Metropolitan city. The quality of life was measured using SF-8, which is a short version of HRQoL. According to Multiple regression Analysis, dependence of a patient were important factors in the physical related quality of life. These results suggest that in order to improve the quality of life related to the physical health of the stroke patient's caregiver, the elderly long-term care insurance system and the caregiver system and the ward of the Ministry of Health and Welfare are expanded ward without a caregiver. There is a need to raise expectations for recovery through education and family support groups.

The Effects of Information Literacy of Social Service Users' on Service Quality and Satisfaction: Based on Elderly Home Care Services (사회서비스 이용자 정보가용성이 서비스 품질 및 만족에 미치는 영향: 재가노인복지서비스를 대상으로)

  • Cho, Han-Ra;Yeo, Yeong Hun
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.11
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    • pp.717-725
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    • 2017
  • The purposes of this study are to find the difference in information literacy among the elderly home care service users and to identify the impact of information literacy on service quality and satisfaction among service users. To achieve the goals, this study used 466 responses from the elderly home care service recipients in Jeollabukdo providence, and conducted t-tests, ANOVA and a series of regression analyses. The results showed that there were significant differences in information literacy by gender, household type, residence area, education level and subjective health status among service users. The study also found that service users information literacy had a significant impact on service quality and satisfaction, and it confirms the importance of customized service. This study suggests that information literacy inequality exists among the elderly home care service users, therefore, the way to improve information delivery strategy should be developed for the information-poor elderly.