• 제목/요약/키워드: Home care clients

검색결과 87건 처리시간 0.03초

방문간호사의 건강증진행위에 영향을 미치는 요인 - 서울시 방문건강관리사업을 중심으로 - (Factors influencing Health Promoting Behaviors of Visiting Nurses in Seoul)

  • 김윤수;백희정
    • 가정간호학회지
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    • 제25권2호
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    • pp.209-218
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    • 2018
  • Purpose: This study is to identify the health promoting behaviors, health belief, and self-efficacy of visiting nurses working for the Health Visiting Project in Seoul and to determine the predictors of influencing health promoting behaviors. Methods: Data were collected from an online survey of 496 visiting nurses form 25 districts in Seoul. Using SPSS ver. 24, the study performed descriptive statistics, t-test, one-way ANOVA, correlations, and stepwise multiple regression. Results: The mean scores for health promoting behaviors and self-efficacy were slightly higher than that of the median, whereas health belief showed in the median. The factors influencing health promoting behavior were perceived barriers, perceived sensitivity, self-efficacy, and age. These variables explained 36.0% of health promoting behaviors(F=60.62, p<.05). Conclusion: To prevent illness and to promote the health of the population, the visiting nurse mainly performs health screening, health education and counseling. To fulfill these responsibilities, the visiting nurse should be healthy and perform health promoting behaviors well, effectively serving as a model for their clients. Most of the visiting nurses were middle-aged, thus, it is necessary to strengthen health promotion activities that manage physical and psychological health at the individual level.

우리나라에서의 간호연구 우선순위 (Priorities of Nursing Research Areas in Korea)

  • 오의금;김조자;유지수;고일선;김미자
    • 대한간호학회지
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    • 제32권6호
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    • pp.803-811
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    • 2002
  • This study was to identify priority areas of nursing research in Korea. Method: A data analysis was done for the PhD subjects (n=133) who responded at the national level two-rounds delphi survey. Subjects were asked to assign a score from 1 to 7 for 29 nursing research areas regarding 3 aspects: the degree of nurses research leadership; the degree of contribution to nursing professions; and the degree of contribution to health and welfare of patients/clients. Result: For the overall three aspects, research area on clinical nursing practice was identified as the first priority, followed by nursing education, home health nursing, nursing research, and chronic disease. For nursing research leadership, research area on clinical nursing practice, nursing education, home health nursing, nursing research, and nursing diagnosis were identified. Concerning contribution to the nursing profession, the first priority was nursing education, followed by clinical nursing practice, nursing research, nursing policy, and home health nursing. Concerning contribution to the health/welfare of patients, clinical nursing practice, home health care, geriatric nursing, chronic disease, and symptom management were ranked as top 5 research priorities. Conclusion: The findings of this national survey will assist in building insights into the research needs of nurses practicing in Korea.

영유아 가정방문간호를 위한 간호사의 역량 (Competencies of Nurses in a Maternal Early Childhood Sustained Home-Visiting Program)

  • 이지윤;전경자;조성현
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.397-409
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    • 2017
  • Purpose: Competency is a key foundation of the nursing education curriculum and a baseline element of nursing practice. The purpose of this study was to explore the competencies of community health nurses in a maternal early childhood sustained home-visiting program based on nurses' field experiences. Methods: The participants were 21 nurses who had more than 1 year of experience in this program. Reflective interviews were performed; lasting 1 hour per nurse, on August 18, 2016, and the collected data were analyzed using qualitative directed content analysis. Results: Twenty-four themes were extracted for 9 competencies. The major themes included implementing a long-term relationship-based approach, providing client-led service rather than expert-led service, helping mothers with psychosocial difficulties, and applying skills in a practical manner in the home environment. Conclusion: In order to develop a home-visiting program as part of maternal-early childhood nursing practice, nurses should develop competencies that help them make significant and positive interventions. Results indicate that the curriculum for community health nurses should be changed to improve competencies in building relationships with clients and to focus on the application of skills in specific cases and in clinical practice.

노인요양시설 물리치료사의 클라이언트 관계경험을 통한 정체성 탐색 (Finding Identity through Client Relationship Experience of Physical Therapists in Elderly Care Facilities)

  • 김홍대;오세영
    • 대한물리의학회지
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    • 제14권2호
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    • pp.79-88
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    • 2019
  • Purpose: This study was conducted to understand the client relationship experience of the physical therapists working at elderly care facilities and to lay the foundation for finding the identity of physical therapists. Methods: In-depth interviews were conducted on eight incumbent physical therapists who had experienced working in elderly care facilities for at least one year. Data collection was conducted between June and September 2017, and the interview took an hour to an hour and a half to complete. After an in-depth interview, it was arranged as a file and analyzed according to the four steps of the phenomenological research method of the Giorgi. Results: Data were collected and analyzed; 19 categories, 6 themes and 5 domains were derived. Six themes were presented according to the 5 domains; the subject of relationships included 'diversity elderly'; context of relationships included 'the world of elderly nursing homes I did not know'; influence of relationships included 'the physical therapist is heartbroken because of the tormenting elderly'; condition of relationships included 'a reality that is tied to work'; aspects of relationships included 'how to reestablishing relationships with the elderly' and 'recognized and identified as a physical therapist'. Conclusion: This study shows that physical therapists working in elderly care facilities generally tend to fulfill their responsibilities and interact with clients; we found that identity of physical therapists was primarily defined by relationship experiences with patients.

사회서비스 품질 요소로서 제공인력의 근무특성 : 노인돌보미 바우처 사업을 중심으로 (Job Characteristics of Care Workers in Elderly Care Voucher Service as a Quality Element)

  • 최은영
    • 한국인구학
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    • 제33권3호
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    • pp.101-121
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    • 2010
  • 이 논문은 최근 사회서비스 영역에서 강조되고 있는 사회서비스 품질관리 접근과 관련하여 노인돌보미 바우처사업 종사자의 근무특성을 살펴보았다. 한국에서 그 동안 수행된 대부분의 사회서비스 품질관리 연구들이 이용자 측 요소에 집중되었던 반면, 본 연구는 2007년부터 시행된 4대 전자바우처 서비스의 하나로서 재가 환경에서 이루어지는 "노인돌보미 바우처 사업"에 종사하는 일선 돌봄노동자의 특성을 살펴봄으로써, 서비스 공급인력 측 요소의 중요성을 부각시켰다. 특히 재가서비스 환경에서 발생하는 서비스 이용자-종사자 간 관계적 특성을 조명하고자 하였다. 돌봄 제공자 요소를 서비스 품질요소의 하나로 주목하고 이용자의 주거지에서 서비스를 수행하는 돌보미의 근무특성을 살펴본 최초의 실증적 연구로서, 서비스 수행인력 그 중에서도 일선 돌봄노동자에게 적절한 근무여건과 분명한 업무영역을 설정해 주는 것이 서비스 품질향상에서 간과할 수 없는 매우 중요한 과제라는 것을 강조하였다. 사회서비스관리센터(2008)가 실시한 223개 서비스 제공기관 현황조사 데이터를 이용하여, 재가 돌봄서비스 품질 구성요인 중 과정과 구조 요소를 독립변수로 하고 돌보미의 인권침해 경험여부를 종속변수로 하여 로지스틱 회귀분석을 실시한 결과, 표준계약서를 비롯하여 각종 문서를 철저히 기록 및 관리하는 행정역량을 갖추고, 월 1회이상 수퍼비젼을 주는 기관에 소속한 도우미는 인권침해 경험 확율이 낮은 것으로 나타났다. 이러한 결과는 향후 서비스 품질관리에서 이용자권리와 더불어 종사자 안전과 권리보호가 균형있게 이루어져야 함을 시사한다.

간호개념에 대한 기초조사 (The Empirical Exploration of the Conception on Nursing)

  • 백혜자
    • 대한간호학회지
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    • 제11권1호
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    • pp.65-87
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    • 1981
  • The study is aimed at exploring concept held by clinical nurses of nursing. The data were collected from 225 nurses conviniently selected from the population of nurses working in Kang Won province. Findings include. 1) Nurse's Qualification. The respondents view that specialized knowledge is more important qualification of the nurse. Than warm personality. Specifically, 92.9% of the respondents indicated specialized knowledge as the most important qualification while only 43.1% indicated warm personality. 2) On Nursing Profession. The respondents view that nursing profession as health service oriented rather than independent profession specifically. This suggests that nursing profession is not consistentic present health care delivery system nor support nurses working independently. 3) On Clients of Nursing Care The respondents include patients, family and the community residents in the category of nursing care. Specifically, 92.0% of the respondents view that patient is the client, while only 67.1% of nursing student and 74.7% of herself. This indicates the lack of the nurse's recognition toward their clients. 4) On the Priority of Nursing care. Most of the respondents view the clients physical psychological respects as important component of nursing care but not the spiritual ones. Specially, 96.0% of the respondents indicated the physical respects, 93% psychological ones, while 64.1% indicated the spiritual ones. This means the lack of comprehensive conception on nursing aimension. 5) On Nursing Care. 91.6% of the respondents indicated that nursing care is the activity decreasing pain or helping to recover illness, while only 66.2% indicated earring out the physicians medical orders. 6) On Purpose of Nursing Care. 89.8% of the respondents indicated preventing illness and than 76.6% of them decreasing 1;ai of clients. On the other hand, maintaining health has the lowest selection at the degree of 13.8%. This means the lack of nurses' recognition for maintaining health as the most important point. 7) On Knowledge Needed in Nursing Care. Most of the respondents view that the knowledge faced with the spot of nursing care is needed. Specially, 81.3% of the respondents indicated simple curing method and 75.1%, 73.3%, 71.6% each indicated child nursing, maternal nursing and controlling for the communicable disease. On the other hand, knowledge w hick has been neglected in the specialized courses of nursing education, that is, thinking line among com-w unity members, overcoming style against between stress and personal relation in each home, and administration, management have a low selection at the depree of 48.9%,41.875 and 41.3%. 8) On Nursing Idea. The highest degree of selection is that they know themselves rightly, (The mean score measuring distribution was 4.205/5) In the lowest degree,3.016/5 is that devotion is the essential element of nursing, 2.860/5 the religious problems that human beings can not settle, such as a fatal ones, 2,810/5 the nursing profession is worth trying in one's life. This means that the peculiarly essential ideas on the professional sense of value. 9) On Nursing Services. The mean score measuring distribution for the nursing services showed that the inserting of machine air way is 2.132/5, the technique and knowledge for surviving heart-lung resuscitating is 2.892/s, and the preventing air pollution 3.021/5. Specially, 41.1% of the respondents indicated the lack of the replied ratio. 10) On Nurses' Qualifications. The respondents were selected five items as the most important qualifications. Specially, 17.4% of the respondents indicated specialized knowledge, 15.3% the nurses' health, 10.6% satisfaction for nursing profession, 9.8% the experience need, 9.2% comprehension and cooperation, while warm personality as nursing qualifications have a tendency of being lighted. 11) On the Priority of Nursing Care The respondents were selected three items as the most important component. Most of the respondents view the client's physical, spiritual: economic points as important components of nursing care. They showed each 36.8%, 27.6%, 13.8% while educational ones showed 1.8%. 12) On Purpose of Nursing Care. The respondents were selected four items as the most important purpose. Specially,29.3% of the respondents indicated curing illness for clients, 21.3% preventing illness for client 17.4% decreasing pain, 15.3% surviving. 13) On the Analysis of Important Nursing Care Ranging from 5 point to 25 point, the nurses' qualification are concentrated at the degree of 95.1%. Ranging from 3 point to 25, the priorities of nursing care are concentrated at the degree of 96.4%. Ranging from 4 point to 16, the purpose of nursing care is concentrated at the degree of 84.0%. 14) The Analysis, of General Characteristics and Facts of Nursing Concept. The correlation between the educational high level and nursing care showed significance. (P < 0.0262). The correction between the educational low level and purpose of nursing care showed significance. (P < 0.002) The correlation between nurses' working yeras and the degree of importance for the purpose of nursing care showed significance (P < 0.0155) Specially, the most affirmative answers were showed from two years to four ones. 15) On Nunes' qualification and its Degree of Importance The correlation between nurses' qualification and its degree of importance showed significance. (r = 0.2172, p< 0.001) 0.005) B. General characteristics of the subjects The mean age of the subject was 39 ; with 38.6% with in the age range of 20-29 ; 52.6% were male; 57.9% were Schizophrenia; 35.1% were graduated from high school or high school dropouts; 56.l% were not have any religion; 52.6% were unmarried; 47.4% were first admission; 91.2% were involuntary admission patients. C. Measurement of anxiety variables. 1. Measurement tools of affective anxiety in this study demonstrated high reliability (.854). 2. Measurement tools of somatic anxiety in this study demonstrated high reliability (.920). D. Relationship between the anxiety variables and the general characteristics. 1. Relationship between affective anxiety and general characteristics. 1) The level of female patients were higher than that of the male patient (t = 5.41, p < 0.05). 2) Frequencies of admission were related to affective anxiety, so in the first admission the anxiety level was the highest. (F = 5.50, p < 0.005). 2, Relationship between somatic anxiety and general characteristics. 1) The age range of 30-39 was found to have the highest level of the somatic anxiety. (F = 3.95, p < 0.005). 2) Frequencies of admission were related to the somatic anxiety, so .in first admission the anxiety level was the highest. (F = 9.12, p < 0.005) 0. Analysis of significant anxiety symptoms for nursing intervention. 1. Seven items such as dizziness, mental integration, sweating, restlessness, anxiousness, urinary frequency and insomnia, init. accounted for 96% of the variation within the first 24 hours after admission. 2. Seven items such as fear, paresthesias, restlessness, sweating insomnia, init., tremors and body aches and pains accounted for 84% of the variation on the 10th day after admission.

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한국 교인들의 목회간호 역할기대 (Parishioner's role Expectations of Parish Nursing)

  • 김정남;권영숙
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.231-244
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    • 2000
  • Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

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농촌지역 노년인구를 위한 방문 의료서비스 구역 설정 모델 및 알고리즘 (A Location Model and Algorithm for Visiting Health-care Districting for the Rural Elderly)

  • 김감영;신정엽;이건학;조대헌
    • 대한지리학회지
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    • 제44권6호
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    • pp.813-832
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    • 2009
  • 농촌지역의 과소화에 따라 의료서비스에 대한 공간적 접근성이 제한되고, 노령화에 따른 의료서비스의 수요가 급격히 증가함에 따라, 최근 방문보건서비스와 같은 서비스 제공자가 수요자에게 직접 이동하는 새로운 형태의 의료서비스가 많은 주목을 받고 있다. 이러한 의료환경의 변화는 공공 의료기관의 한정된 의료자원을 효율적으로 배분하고 운영하기 위한 혁신적이고 과학적인 접근법개발에 대한 요구를 증대시키고 있다. 이러한 배경하에서 본 연구의 목적은 방문 의료서비스 제공을 위한 구역 설정 모델을 수립하고, GIS 환경에서 구역 설정 모델을 구현하는 자동구획절차(AZP) 알고리즘을 개발하는 것이다. 구역 설정 모델은 구역 내 이동성, 구역간 업무량 균형, 연속성 등의 조건을 고려한다. 이동성에 대한 세 개의 서로 다른 목적함수를 평가한다; 1) 구역 내 단위 지역간 네트워크 거리의 합 최소화, 2) 구역 내 단위 지역간 공간상호작용 최대화, 3) 구역 내 단위 지역을 순회하는 경로의 길이 최소화. 모델을 위한 AZP는 GIS 환경에서 개발되었고, 농촌의 방문보건 사례에 적용되었다. 결과는 개발된 AZP를 업무량 균형과 연속성 제약조건하에서 각 목적함수에 대하여 상이한 구획체계를 산출할 수 있음을 보여준다.

뇌졸중 환자의 자가간호 수행과 가족 부담감 및 교육적 요구에 관한 연구 (A Study on the Degree of Self-care Activities of Stroke Patients, the Family Burden, and the Educational Needs of Primary Caregivers)

  • 조복희;김미향;서남숙;소향숙
    • 재활간호학회지
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    • 제2권2호
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    • pp.243-256
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    • 1999
  • The purpose of this study was to identify the degree of self-care activities of stroke patients, the family burden, and the educational needs of primary caregivers. A descriptive survey research was conducted in 97 stroke patients and their respective primary caregivers. Data were collected by the interviews using a structured questionnare from July 26th to August 5th, 1999. NIH stroke status was $12.15{\pm}8.40$, the degree of self-care activities of stroke patients was $26.85{\pm}9.39$. The score of objective burden of primary caregivers was $31.24{\pm}4.81$ and subjective burden was $24.30{\pm}6.99$. The score of the educational needs was $89.78{\pm}9.99$. We present several imformations about clients from these scores as follows: The patients were convalescent and their depentant level of self- care was middle range; The objective burden was higher than the subjective burden; And the educational needs of family caregivers were very high. The Elain Mattis Educational Wants of Family Caregivers of Disabled Adults Questionnaire was used to assess the educational needs of primary caregivers of stroke patients. The results of this research are offered to help nurses understand the feelings of uncertainty about the new and unexpected role that family caregivers face and to help nurses meet the needs of families preparing to care stroke survivors at home.

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보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여- (Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'-)

  • 김혜숙;박영희
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.