• Title/Summary/Keyword: Nursing Services

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Literature review on the domestic studies of the Outcomes of Home Care Service for 1981-1996 (국내 가정간호 사업의 성과 측정 연구의 고찰)

  • Yun, Soon-Nyoung;Cho, Myoung-Sook;Kim, Hong-Soo
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.4
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    • pp.41-52
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    • 1997
  • The purpose of this study is to identify the domestic research results related to the outcomes of home care services for 1981-1996. 12 studies were analized by the characteristics of the subjects, home care services provided, and outcome variables and tools during the period of Apirl-June, 1997. The results were as follows: the subjects of 8 studies conducted before 1993 were discharged patients comparing to early discharged patients of 2 studies conducted after 1994. The main home care service delivered to the clients and their families were education before 1993. The outcome variables were used the level of sat. isfaction of home care services, quality of care, cost-effectveness, health status, quality of life, and self -care ability. A variable, health status, were mainly measured by the global outcome measures such as quality of life, health hehelief, health perception, activity of daily living, health management pattern but also foused outcome measures that could be specified by the medical diagnoses.

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Effects of Health Literacy and Unmet Health care Needs on Health Promotion Behavior among Elderly in the Community (지역사회 노인의 건강정보이해능력과 미충족 의료가 건강증진행위에 미치는 영향)

  • Lee, Seung Ju;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.238-250
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    • 2020
  • Purpose: The purpose of this study was to investigate the effect of health literacy and unmet health care needs on health promotion behaviors among elderly people receiving visiting health care services at community health centers. Methods: The subjects of this study were 180 elderly people over 65 years old who were receiving health care services at public health center The subjects fully understood the purpose of this study and voluntarily agreed to participate. The collected data were analyzed by frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Scheffé test and Hierarchical Regression Analysis using the SPSS 23.0 program. Results: Hierarchical regression analysis was used to identify factors influencing health promotion behaviors of the subjects. The results were as follows: presence of occupation (β=.26, p<.001), social activity status (β=.26, p=.001), and health literacy (β=.16, p=.023). Conclusion: Therefore, in order to improve health promotion behaviors, it is necessary for visiting nurses to administer health education and programs by considering the level of health care understanding.

Content Analysis with Counseling Cancer Patients and Their Relatives in Outpatient Hospice Office (일 호스피스실 이용 환자와 가족의 상담내용 분석)

  • Choi, Eun-Sook;Kim, Keum-Soon
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.1
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    • pp.50-58
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    • 2005
  • Purpose: The purpose of this study was to increase our understanding of the terminal cancer patients and their families concerns. I analyzed the counseling contents of terminal cancer patients and their relatives who referred to hospice office. Method: Data was collected from January 2004 to November 2004. During the counseling, I took notes the key points and contents. 109 patients and/or their families's counseling records were analyzed with the descriptive statistics and content analysis. Result: 73.4% of patients knew their current terminally ill status. The mobility of 86.2% of the patients was worse than ECOG 3 level. Patients have uncontrolled pain(28.4%), emotional distress(55.0%), and physical distress(49.5%). Caregivers of the patients were spouse(46.8%), sons and daughters(24.8%). Family members had problems to tell the bad news to their family cancer patient. 95.4% of the patient and family members was informed about the hospice and palliative care services, and 35.8% of them was referred to the hospice and palliative organizations. Frequently asked questions were 'what is hospice?', 'how much is the cost of hospice services?' etc. Conclusion: Care planning for terminal cancer patients must include patient. Also, professionals should consider and offer accessible, effective and empathetic counseling services to patients and families.

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Parents' Knowledge and Attitudes Regarding a Screening Test for and Subsequent Management of Students' Emotional and Behavioral Problems (학생 정서·행동특성 검사 및 관리에 대한 학부모의 지식과 태도)

  • Kim, Myung-Hee;Seo, Ji-Min
    • Child Health Nursing Research
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    • v.23 no.2
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    • pp.207-218
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    • 2017
  • Purpose: The purpose of this study was to investigate parents' perceptions and attitudes regarding a screening test for and subsequent management of students' emotional and behavioral problems. Methods: A descriptive research design was used, and included disproportional stratified and cluster random sampling. The sample comprised 223 parents of elementary, middle, and high school students. Data were analyzed using descriptive statistics, Chi-squared test, and ANOVA with SPSS/WIN 21.0. Results: Overall, parents responded that they knew of the goals, types, and tools of screening tests for students' emotional and behavioral problems. In total, 64.6% of parents reported having information for the screening test in advance. Only 13.5%(n=30) of students had emotional and behavioral problems in the last year. Among these students, 56.7%(n=17) were referred to mental health facilities but only 29.4%(n=5) of them received ongoing management from these facilities. Conclusion: These findings suggest that parents should receive information about the screening test for and subsequent management of students' emotional and behavioral problems. Health professionals need to build strategies to provide ongoing management for students who have emotional and behavioral problems.

Health Service Delivery and Attitudes toward Multi-cultural Clients of Community Health Practitioners (보건진료 전담공무원의 다문화대상 보건의료서비스 제공실태와 다문화 인식 조사)

  • Kim, Jin Hak;Song, Min Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.23 no.1
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    • pp.5-15
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    • 2016
  • Purpose: This study was conducted to evaluate health service delivery and attitudes, toward multi-cultural clients amongst community health practitioners (CHPs). Methods: A survey was conducted among 242 CHPs from December 10-22, 2015. The collected data were analyzed using chi-square test, t-test, and ANOVA using SPSS 18.0. Results: General awareness of multi-culturalism varied significantly by CHPs age and language ability. Additionally, utilization of services in accordance with the location of community health centers (CHCs) was significantly higher in rural areas than urban areas CHCs in post-partum maternal & neonate care giver service (in maternal child health), management of health educational programs and management of physical exercise (in implementing healthy life style) and networking resources in & outside of CHCs (in management of chronic disease). Conclusion: CHPs deliver health-care services to multi-cultural clients, but have not received sufficient training or education to serve these clients effectively. CHPs who received multi-cultural and foreign language training had more positive experiences with multi-cultural clients. This supports the needs for developing educational programs to enhance multi-cultural understanding amongst CHPs.

The Relationships Between Patient's Perceived Quality of Healthcare Service and Intention to Re-visit (대상자가 인지한 의료서비스 질과 재이용 의도와의 관계)

  • Rho, Eun-Kyung;Oh, Suk-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.176-181
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    • 2008
  • Purpose: This study was performed to identify the relationship between patient's perceived quality of healthcare services and intention to re-visit. Method: The study subjects were 242 patients from three local clinics. The data were analyzed using SPSS PC+ 12.0 program for descriptive, Pearson's correlation coefficient, and multiple regression analysis. Result: Patients' perceived quality of healthcare services was measured 5.73$\pm$0.71 using the 7-point scale. The patients' perceived quality was moderately correlated with patient satisfaction (r=0.647, p<0.001) and intention to re-visit (r=0.604, p<0.001). Also, patient satisfaction was highly correlated with intention to re-visit (r=0.788, p<0.001). 3) the reliability factor of patients' perceived quality of healthcare services and patient satisfaction were found significant predictors of intention to re-visit. Conclusion: In conclusion, service quality evaluated by patients influenced on their intention of re-visit and especially, reliability was the most significantly influential variable.

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Conversation Analysis for Improving Nursing Communication (간호 커뮤니케이션 향상을 위한 대화 분석적 접근)

  • Yi, Myung-Sun
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.772-780
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    • 2007
  • Purpose: Nursing communication has become more important than ever before because quality of nursing services largely depends on the quality of communication in a very competitive health care environment. This article was to introduce ways to improve nursing communication using conversation analysis. Methods: This was a review study on conversation analysis, critically examining previous studies in nursing communication and interpersonal relationships. Results: This study provided theoretical backgrounds and basic assumptions of conversation analysis which was influenced by ethnomethodology, phenomenology, and sociolinguistic. In addition, the characteristics and analysis methods of conversation analysis were illustrated in detail. Lastly, how conversation analysis could help improve communication was shown, by examining researches using conversation analysis not only for ordinary conversations but also for extraordinary or difficult conversations such as conversations between patients with dementia and their professional nurses. Conclusion: Conversation analysis can help in improving nursing communication by providing various structures and patterns as well as prototypes of conversation, and by suggesting specific problems and problem-solving strategies in communication.

The Evaluation of the Community based Opthalmologic Health Services for Elderly in Chuncheon City, Kangwon Province (지역사회 중심의 노인 안보건사업 평가 - 강원도 춘천시를 중심으로 -)

  • Rhee Seonja;Jang Soongnang
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.114-121
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    • 2000
  • This study is designed to evaluation of the Community based Opthalmologic Health Services(CBOHS) for elderly carried out for last three years from 1994. The subjects were total 236 aged over 57 in Chuncheon city. Kangwon province. and the period of data collection was from Feb. 24th. 1996 to Feb. 27th. 1996. For evaluation of CBOHS. the questionnaire was consisted of participation rate. and perception about the service. the level of satisfaction and things to improve. Result were obtained as follows: 1. The number of participants was $95(40.3\%)$ among total subjects. The places provided services were the health service center of Seoul National University in Chuncheon city and community health center. The participants were known from announcements of community staff$(66.3\%)$. 2. Non participants were $59.7\%$ among total subjects. mam causes of missing wasn't known'. 3. The services that participants screening test$(41.2\%)$. provided provided operation$(45.5\%)$. 4. The question about things to improve were continuous follow up and more many glasses provision These fingings may indicate that the CBOHS need more announcement. continuous follow up and provide more many glasses. As proved the satisfaction of CBOHS for elderly. the next study can be performed about the relevant factor of the services.

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Research into Satisfaction Level by Recipients of Welfare Service for Elderly People Living in a Mixed Urban and Rural Areas (도농복합지역 재가노인복지대상자의 서비스만족도 - 가정봉사원파견사업을 중심으로 -)

  • Mun, Mi-Seung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.3 no.1
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    • pp.44-52
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    • 2008
  • Purpose: This research was done to analyze factors influencing satisfaction level with welfare services by elderly people living in a mixed urban and rural area and to identify directions for improvement of service by examining characteristics of the recipients, type and content of services and the correlation between the level of satisfaction and related factors. Method: The 102 elderly people receiving services from 4 institutions in a mixed urban and rural area were selected. The results of the research include the following. Results: First general characteristics of the service-recipients, and the actual condition of the service; Second, correlation between satisfaction level of the recipients and their economic condition, health condition and activities of daily living; Third, analysis of level of satisfaction related to type of services, frequency, time required, desire of the recipients and their attitudes; Fourth, satisfaction and related factors were identified and used to identify possible problems and directions to improve service. Conclusion: The results suggest the following as ways to improve service and to increase the level of satisfaction 1) Individualization of services 2) Improvement in the way of selecting recipients 3) Reinforcement of special training courses for service providers.

Factors Influencing Chinese Customers' Loyalty to Korean Medical and Tourism Services (중국인의 한국 의료관광 서비스에 대한 질과 만족도가 충성도에 미치는 영향)

  • Yom, Young-Hee;Kim, Myoung Ae;Han, Jung Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.317-326
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    • 2015
  • Purpose: The purpose of this study was to identify factors related to the loyalty of Chinese customers who use Korean medical and tourism services. Methods: Participants were 158 Chinese who visited plastic surgery clinics in Korea. Data were analyzed using descriptive statistics, One-way ANOVA, $Scheff{{\acute{e}}$ test, Pearson Correlation and Hierachical Multiple Regression. Results: Medical service quality, tourism service quality and medical and service satisfaction were positively correlated with customer loyalty. Medical service quality and medical and tourism service satisfaction had significant influence on customer loyalty. The explained variance for customer loyalty was 84.9%. Conclusion: These results suggest the need to improve the tourism service and medical and tourism service satisfaction to retain loyal customers.