• Title/Summary/Keyword: Health care nursing policy

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Needs of Day-care Staff for a Center-based Child Care Health Program II (보육시설 영유아의 건강관리를 위한 특수보육 요구조사 II - 보육교사의 요구를 중심으로 -)

  • Han, Kyung-Ja;Choi, Mi-Young;Kim, Ji-Soo
    • Child Health Nursing Research
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    • v.13 no.2
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    • pp.128-135
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    • 2007
  • Purpose: To investigate health problems in child day care centers, needs for Child Care Health Programs, and management of sick children by day-care staff. Methods: A cross-sectional descriptive study. Day-care staff (N=206) from 33 day care centers in Seoul, completed a structured questionnaire. Results: Almost half of the day-care staff (53.4%) experienced sick events in their child at least once a month. The most frequently reported difficulty in having a sick child was in not having a health professional to consult, and almost all day-care staff (99.5%) had asked parents not to bring a sick child to the day care center. The biggest reason of exclusion was due to infectious disease including measles, chicken pox, mumps, diarrhea·vomiting, and pink eye. The majority of day-care staff (97.6%) agreed that there is a need for Center-based Child Care Health Program (CCCHP), and expected general health & illness management, and special care for chronic disease from CCCHP. Conclusion: These results showed a high incidence of sickness in children in day care centers, and there were great demands for a Center-based Child Care Health Program for day-care staff. Also the results of this study can be utilized as a basis for the establishment of child care policy in Korea.

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Home Care Nursing: An Economic Analysis (가정간호의 경제성 평가에 관한 문헌분석)

  • Lim, Ji Young;Kim, Ji Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.20 no.2
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    • pp.141-151
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    • 2013
  • Purpose: The purpose of this study was to examine the economic effectiveness of by conducting a literature review of published articles, masters theses, and doctoral dissertations. Method: Prior to the literature review, inclusion-exclusion criteria were established. We then reviewed 1,029 CINAHL, MEDLINE, and Cochrane DB papers, and 153 RISS papers collected between Results: A total of 12 studies met the inclusion-exclusion criteria.-effectiveness: 6 cost-effectiveness studies, 1 cost-utility studies, and 5 cost-benefit studies. Each of the 12 reviewed studies concluded that home care nursing had greater economic benefits than other compared healthcare services. Conclusion: Home care nursing has significant economic benefits in multi health care service settings and for various patient groups. Therefore these results will be used a critical evidence for the development of economically effective home based health care systems for future policy making.

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Status and Trend of Home Health Nursing for Long-Term Care Insurance Beneficiaries (노인장기요양 방문간호 현황 및 추이)

  • Hwang, Rah Il;Pak, So Young
    • Journal of East-West Nursing Research
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    • v.25 no.2
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    • pp.157-165
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    • 2019
  • Purpose: This study aims to provide basic data for the development of measures and promoting home health nursing by examining the current status and trends in home health nursing for long-term care (LTC) insurance beneficiaries. Methods: Secondary data, including annual LTC insurance statistics reports for 2010-2017 and LTC manpower data, were used to compute current status and trends in the provision of home health nursing. Results: Beneficiaries of home health nursing under LTC insurance, insurance-covered costs for home health nursing, home health nursing provider, and home health nursing providing institution only accounted for 3% of all insurance-covered home care services, and were on a consistent decline since 2010. In particular, vulnerable rural regions with high proportion of individuals had poor infrastructure in terms of home health nursing institutions and manpower, but had a higher home health nursing utilization rate compared to urban regions. Conclusion: In addition to measures to support home health nursing service beneficiaries, policy measures are needed to support home health nursing service personnel and institutions. Furthermore, programs to cultivate the expertise of home health nurses and improve quality of home health nursing services should be developed in order to promote home health nursing utilization in vulnerable rural regions.

Health Education and Health Care in Daycare Centers for Preschoolers (어린이집 보건교육과 건강관리 현황 분석)

  • Kim Hee-Soon;Lee Chung-Yul;Lee Tae-Hwa;Ham Ok-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.23 no.1
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    • pp.109-123
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    • 2006
  • Objective: The purpose of this study was to understand the needs of teachers in daycare centers for preschoolers in providing health education and health care services and to identify competencies and barriers to health education among the teachers. Method: A total of 410 teachers from 496 public daycare centers were recruited. Participating daycare centers were selected using a stratified sampling method. Data were collected from June to August 2002 using mailed questionnaires. Result: About 37% of the daycare centers provided health education more than 6 times during the past year and 92% provided annual health screenings. Traffic safety, personal hygiene, and sexuality education were most frequently provided. Regarding in-service education for daycare teachers, 62.7% had obtained health related education. Sexuality education, traffic accident, and injury prevention were the main topics for the in-service education. The teachers had relatively higher competencies and lower barriers to health education, while they also had proper knowledge related to health of children. Conclusion: Based on the study results, health professionals could plan and develop health promotion programs to meet the needs of teachers and children in daycare centers.

A Model for Community Based Mother Infant Care Center - TMIC(transitional mother infant care center) using a Sanhujoriwon - (산후조리원의 모자건강관리 현황과 제도화방안 - 지역사회중심의 모자건강관리센터(TMIC) 개발을 위한 전략 -)

  • 유은광;안영미
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.932-947
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    • 2001
  • The purpose of this study was 1) analyze the current state of Sanhojoriwon; and 2) to suggest the new model for the community based mother infants health care delivery system: strategies of TMIC are related to Public Health policy, cost-effectiveness, mother infant care provision of medical professionalism, and so on. Method: Forty-seven workers from seventeen Sanhojoriwon participated to analyze several aspects of Sanhojoriwon. Using a questionnaire developed at Korean Sanhojori Research Forum (KSARF), such as the traditional and medical concept of the Sanhojori, postpartum care, Korean traditional postpartum care, job description on women and infant care at Sanhojoriwon, professional management, health care policy and the educational need. Results: Based on the descriptive study results, the TMIC, the community based transitional mother infants care center was suggested as a new model for the cyclic public health care system related on the reproductive health, using an already existing related center, Sanhojoriwon. Also, several strategies were presented on the TMIC.

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Current Situation and Reform Scheme for Personal Care Attendants(PCAs) in Workers' Accident Medical Corporation (산재의료원 간병인 관리현황 및 개선방안)

  • Oh, Jin Joo;Lee, Hyun Joo;Choi, Jeong Myung;Kim, Chun Mi
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.2
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    • pp.222-231
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    • 2007
  • Purpose: This study aims to suggest political alternatives for nursing care costs for PCAs to provide qualitative medical benefit for patients with occupational disease by investigating present situation and problems of the nursing care cost system of Korea's Industrial Accident Compensation Insurance. Methods: Data was collected from 6 workers' accident medical corporation and 275 nurses affiliated with Korea labor welfare corporation using self reported questionnaire. Result: Research results were as follows; Character of nursing care cost of the Korea's Industrial accident Compensation Insurance changed as if it aims to support for living expenses for the family; As possible problems which could be caused under current system, administrative problems, decrease of service quality were made as objects of criticism. Some patients did not make every effort in rehabilitation to be beneficiaries continuously. Some patients were supplied with whole one PCA or all-night PCA even though they did not need as much caring as such. Conclusion: The research suggested that PCAs payment system improvement is necessary, and the presented nurses' opinion for the improvement method could be applied for policy making.

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Worker's Health Management and Health Promotion of General Hospitals in Korea (우리나라 종합병원 사업장의 근로자 건강관리 현황 분석)

  • Kim, Gwang Suk;Lee, Chung Yul;Kang, Hee Cheol;Won, Jong Uk;Kim, Bong Jeong;Cho, Yoon Hee
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.2
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    • pp.166-179
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    • 2008
  • Purpose: This study was conducted to understand the situation of general hospital worker's health management and health promotion. Methods: To investigate the current situation of health management in the hospital, structured questionnaires were sent to 122 occupational health providers by post. About 79% hospitals returned questionnaires. The data were analyzed using descriptive analysis, ${\chi}^2$-test by SPSS 12.0 program. Results: A quarter hospitals responded set up separated health care office for workers, 87.5% provided health educations, and 56.5% operated health promotion projects. In the contents of health promotion program embraced both health behavior practice and disease prevention, musculoskeletal disease control, infection control, smoking cessation, and exercise program were most commonly provided to the workers in order. Occupational health care provider chose the item such as budget limitation, manager's apathy, lack of employee's participation, cooperation provider, and so on as the reason of difficulty to run health promotion program in the hospital setting. Conclusion: Hospital managers need to construct infra to manage and promote worker's health. For example, establishing Industrial safety and health committee in hospital and arranging nurses who being fully responsible to worker's health. And occupational health care provider should advertise health promotion projects both managers and workers actively.

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An Analysis of the Work of Visiting Health Care Providers In Public Health Centers (보건소 방문보건인력의 방문보건 업무수행 실태 조사)

  • Kim Cho Ja;Lee Won Hee;Lee Chung Yul;Kweon Bo Eun;Kim Chung Soon;Moon Seong Mi;Kang Kyeong Hwa
    • Journal of Korean Public Health Nursing
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    • v.18 no.1
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    • pp.178-186
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    • 2004
  • The purpose of this study was to analyze the work of visiting health care providers in public health centers. A descriptive analysis of self-records for work data from 875 visiting health care providers working in 242 public health centers in South Korea was done. The results of the study are as follows: 1. The number of households for each visiting health care provider ranged from under 100 households to over 500 households. 2. Low performance was found for several items on the work list for visiting health care providers. 3. There were significant differences in the work performance of visiting health care providers between nurses and nursing assistants. 4. There were significant differences in the work performance of visiting health care providers according to region. In conclusion. work performance of visiting health care providers was low and differed according to type of occupation and region. This study suggest the need for further studies which analyse the quality of visiting health care providers and services, and the visiting health care system.

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Community Care and Nurse Care Coordinator (지역사회 통합 돌봄과 간호사 케어 코디네이터)

  • Han, Young Ran
    • Journal of Korean Public Health Nursing
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    • v.33 no.3
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    • pp.311-325
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    • 2019
  • Purpose: This study examined the definition of care coordination, and the activities and roles of nurse care coordinators. The study also proposed suggestions for establishing and expanding the role of nurse care coordinators in community health practice. Methods: This study derived its conclusions by conducting a literature review. Results: The definition of care coordination is a comprehensive concept that includes case management and transitional care, and can be summarized as organizer and integrator of care. According to the literature review, 12 activities and 6 roles of nurse care coordinator were identified such as a collaborator, an individualized care planer, an educator/counselor, a direct nursing care providers, a population care coordinator, and a program evaluator. Training for nurse care coordinators is currently addressed in the Primary Medical Chronic Disease Management Program. Visiting nurses working at the Eupyeong-dong visiting health and welfare service are expected to act as nurse care coordinators, and the role of nurse care coordinators will, in the future, gradually increase in various nursing facilities. Conclusion: In addition to developing competencies to act as a nurse care coordinator, there is need for approaches to health policy that develop both independent role and population focused role as care coordinators.

Development of a Sexual Health Care Scale-Practice (SHCS-P) for Oncology Nursing Care (암 환자를 돌보는 간호사의 성건강 간호수행 측정도구개발)

  • Kim, Jung-Hee;Kim, Sue;Kang, Hee-Sun
    • Women's Health Nursing
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    • v.16 no.4
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    • pp.360-369
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    • 2010
  • Purpose: The purpose of this study was to develop and validate the Sexual Health Care Scale-Practice (SHCS-P) for oncology nurses to use in nursing care. Methods: Apreliminary version of the SHCS-P of 32 items was developed based on the literature and opinion of experts. A panel of eight experts reviewed the preliminary questionnaire for content validity and consolidated the instrument, which was, then, tested with data from 342 oncology nurses in Korea. Results: Exploratory factor analysis showed that the SHCS-P explained 70.49% of the total variance. The instrument revealed four factors that were named: (1) Practice for sexual function (8 items), (2) Practice for psychological factors (6 items), (3) Practice for social problems and records (4 items), and (4) Practice for reproductive care (3 items). Internal consistency was good, asassessed by the KR 20 value of 0.91. The coefficients for the sub-factors were between 0.81 and 0.93. Conclusion: This scale shows validity and reliability in evaluating the practice of oncology nurses in providing sexual health care and can be used to evaluate the level of practice well as test effects of educational interventions to improve sexual health care competency.