• Title/Summary/Keyword: Nursing Services

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Perceptions of Medical Personnel toward Burnout using Q Methodology (의료인의 소진에 대한 지각: Q 방법론 적용)

  • Yeun, Eun Ja;Kwon, Young Mi;Lee, Young Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.1
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    • pp.57-66
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    • 2016
  • Purpose: This exploratory study was done to categorize medical personnel's perceptions of burnout and analyzed the characteristics. Methods: Q methodology was applied using a 45 Q-sample categorized on an 11-point scale which was completed by nurses and doctors working at a university hospital in Seoul, Korea. Collected data were analyzed using the PC-QUANL program. Results: Medical personnel's perceptions of burnout were categorized into three types; 33.83% of the total variance was explained. The first type was 'functionally deteriorating pressure' the second type was 'daily powerlessness' and the third was 'achievement-oriented re-energization'. Conclusion: There is a need to establish and apply intervention strategies for each type to alleviate medical personnel burnout and increase work efficiency to qualitatively improve medical services.

The Effect of Case Management for Clients with Hypertension in Home Visiting Health Services (일 보건소 방문건강관리사업 고혈압대상자의 사례관리 효과)

  • Jang, Hyo Soon
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.258-269
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    • 2014
  • Purpose: This study was conducted in order to present the effects of case management of a home visiting health service for clients with hypertension. Method: One-group pretest-posttest design was used. The subjects were 280 clients who received case management among the first and second registered group. The data were eight-week-case management results from January to December, 2010. In order to evaluate the effect of the visiting nursing service, biological indexes(blood pressure, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, BMI) and self-care abilities(knowledge/attitude of hypertension, management of medication, nutritional care, confidence of self care) were measured. Result: Biological indexes and self-care abilities were improved, except total cholesterol, low density lipoprotein. Conclusion: The case management of home visiting health service by public health centers is considered to be an effective nursing service. Therefore, greater effort is needed for better maintenance of case management, and more research is needed in order to examine a variety of biological indexes.

A Historical Review on Disaster Nursing Activities in Korea (1945-2005) (재해간호 활동에 대한 역사적 고찰)

  • Lee, Ogcheol;Cho, Kapchul;Shin, Gisoo;Baek, Hee-Chong
    • Journal of the Society of Disaster Information
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    • v.4 no.2
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    • pp.106-121
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    • 2008
  • Purpose: This historical research was done to identify disaster nursing activities during the last 60 years through the most serious disasters during the last 60years(1945-2005) in Korea. Method: Fot the data collection, three of main daily newspaper and The Korean Nurses Association News were reviewed and nurses who were called out to the most serious disaster onsite were interviewed. Results: The nurses were positively involved for setup onsite clinic, mobile medical services, triage, CPR, and psychological support during response and recovery phase, while hardly involved during preparedness phase. Conclusion: The clarification of job description for disaster nursing and developing systematic training program should be followed.

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Telemedicine Cooperation Experience of Nurses Working in Remote Areas (의료취약지 근무 간호인력의 원격협진 수행 경험)

  • Chin, Young Ran;Kim, Hyun
    • Journal of Korean Academy of Rural Health Nursing
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    • v.17 no.2
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    • pp.43-49
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    • 2022
  • Purpose: This study was conducted to explore the telemedicine cooperation experience of nurses working in remote areas. Methods: A focus group interviews were used to collect data. All interviews were recorded and transcribed. Content analysis was used to analyze the data. Results: The three main categories and seven sub-categories of telemedicine cooperation experience that emerged are 1) requirement of education on remote support service, 2) consideration of the recipients of medical support services and the characteristics of the area, and 3) difficulties in conducting telemedicine cooperation. Conclusion: As a result of the study, legal protection should be given priority, and it is necessary to select an area where remote cooperation is essential, to discover subjects, and to reduce the burden of work and division of manpower and duties.

Experience of Obstetrics and Neonatal Nurses Who Provided Nursing Care during Pregnancy and Childbirth of Unmarried Mothers (미혼모의 임신과 출산 과정에서 간호를 제공한 산과와 신생아 파트 간호사의 경험)

  • Jo, Myoung-Ju;Do, Ji-Young
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.168-178
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    • 2023
  • Purpose: This study explored obstetric and neonatal nurses' nursing experience of pregnancy and childbirth in unmarried mothers. Methods: In-depth interviews were conducted with 12 nurses working in obstetrics, gynecology, and neonatal departments in Seoul and Busan. The collected data were examined using qualitative content analysis. Results: A total of four categories and ten themes were derived. The four categories were "Feelings toward unmarried mothers," "Difficulties faced when caring for unmarried mothers", "Nursing moving forward together", and "Strategies to improve care for unmarried mothers". Conclusion: To ensure that nurses can provide sufficient positive support and care when caring for unmarried mothers, healthcare workers must be provided with adequate education to improve their awareness and the services for unmarried mothers; in addition, interventions are needed to alleviate negative experiences and emotions when dealing with unmarried mothers.

Searching for Ways to Improve Visiting Oral Health Care Services in Korea through Comparison with Japanese System in Long-Term Care Insurance

  • Sang-Hwan Oh;Rumi Nishimura;Soo-Jeong Hwang
    • Journal of dental hygiene science
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    • v.23 no.2
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    • pp.154-168
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    • 2023
  • Background: Legal regulations and fees have been established in Korea to provide visiting oral health care services to individuals with long-term care insurance (LTCI). However, beneficiaries of this service are very limited. Therefore, to improve the Korean system we propose a comparative analysis with the Japanese system. Methods: This study is a descriptive analysis based on secondary data, such as statistics, laws, and service record forms from Korea and Japan. The most recent institutional documents were obtained through a Google search. The variables investigated were financial resources of LTCI, co-payment structure, monthly limit of LTCI benefits, care levels of LTCI, service providers, service costs, contents of service, and the number of cases of service. Results: In both Korea and Japan, LTCI is financed through a combination of taxes and insurance premiums. However, the monthly limit for receiving LTCI services in Japan is about 2.4 times higher than in Korea. Visiting medical and dental treatment is also possible in Japan. Furthermore, nursing staff can provide daily oral health care services according to dental hygienists' instruction unlike Korea. Oral health care services in Korea are focused on oral hygiene and prevention of oral diseases, while Japan additionally provides oral function screening, patient education for oral health management, and training for nursing staff to enhance oral function, eating, and swallowing of the patients. Conclusion: We concluded that the possibility of visiting dental treatment, differences in monthly limit of LTCI benefits, oral function assessment and guidance, as well as collaboration with other healthcare professionals contributed to the difference in the frequency of utilization of visiting oral health care services between Korea and Japan.

Development of ND (Doctor of Nursing) Program: Focused on the RN-BSN Students and Professors (간호학 전문대학원(ND: Doctor of Nursing) 프로그램 개발에 관한 연구 : RN-BSN과정의 학생과 교수를 중심으로)

  • Lee, Won-Hee;Kim, Cho-Ja;Cho, Won-Jung;Yoo, Ji-Soo;Lee, Eun-Hyun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.1
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    • pp.77-91
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    • 2000
  • Recent changes in health problems as well as the health delivery system demand expanding nursing roles to improve quality care and at the same time provide cost-effective health services. Nursing leaders of the future will be expected to be excellent care givers who are well prepared as researchers and managers and administrators. The purpose of developing an ND program is to train nursing leaders for the future. The program objective are to demonstrate the role as 1) an advanced practitioner who will provide theory based practice 2) a researcher and manager The target population of the ND program is as follows : 1) Nurses with a BSN degree who are seeking to advance on the career ladder 2) Non-nursing BS, BA graduates who are seeking nursing as a second career 3) Transfer students who are mature and motived to be nursing leaders It is believed that the ND program would meet the diverse needs for potential students, for their role in nursing and the health delivery system and create a meaning and challenging position in the profession of nursing. A task force team was organized to develop the ND program and its activities are as follows; 1) Information on ND programs were collected from 3 universities and reviewed 2)An advanced education needs assessment was completed and it was found that 87.6% of the subjects responded positively about advanced degree work. 3) A tentative curriculum for an ND program was developed. It is a great challenge to develop a new program for nursing however, it is also our task and responsibility to further the development of nursing.

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A Convergence Study on Influencing Factors of Paid Care Service: Andersen's Behavioral Model (유급 간병서비스 이용 영향요인에 관한 융복합적 연구: Andersen's Behavioral Model)

  • KIM, Han-Kyoul;Kim, Sung Kuk;Shim, Hyun-Jin;Lee, Hee Myung;Rhee, Hyunsill
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.327-337
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    • 2017
  • The purpose of this study is to identify the current state of paid care services and to identify the factors that affect the utilization of private nursing services. This study constructed and utilized the Korean Health Panel data (2011-2014) in the form of panel data, and selected 5,110 patients who had experience using one or more hospitalization services per year. STATA 12.0 SE was used for data processing and analysis of this study. Frequency analysis was performed to confirm basic characteristics of hospitalized patients. Cross-analysis and t-test were conducted to confirm the status of paid care services according to characteristics. Respectively. Finally, panel logistic regression was performed by applying a hierarchical method to stepwise modeling the three categories of Andersen's Behavioral Model to identify factors affecting the use of paid care services for inpatients. The results showed that the use of paid nursing services was higher in women, elderly, long - term hospitalized and disabled. On the other hand, significant household income variables in private employment did not show significant results. The results of this study are expected to be used as basic data for the selection of the nursing care integrated services under discussion. In addition, detailed discussions on the selection of subjects should be made in the future.

The Effect of integrated health and welfare services on the control of medical use and medical expenses in Korean Veteran's Hospitals (보훈병원 통합의료복지서비스가 의료이용과 의료비 절감에 미치는 효과 분석)

  • Koo, Gilhwan;Dong, Jaeyong;Lee, Kyeonghwa;Seo, Youngjoon
    • Korea Journal of Hospital Management
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    • v.26 no.2
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    • pp.1-16
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    • 2021
  • This study aims to examine the effect of integrated health and welfare(IHW) services on medical use and medical expenses in Korean Veteran Hospitals. Data on the volume of medical use and medical expenses were collected from two patient groups of 5 Veterans' Hospitals: the beneficiary group who has received IHW services and the non-beneficiary group who has not. Each group was composed of 265 patients respectively. The results of the study revealed that the volume of home nursing services, home rehabilitation services, ambulatory services have increased significantly, whereas the average length of stay, number of using emergency services, and average medical expenses have decreased after receiving integrated health services in the beneficiary group. In contrast, the non-beneficiary group showed much more increase both in the volume of inpatient and outpatient services, as well as the average medical expenses, compared to those of the beneficiary group. This results imply that the provision of IHW services have positive impacts on the enhancing the effectiveness of the medical resources utilization for the veteran patients.

A Study on The Nursing Needs of Users and their Service Status at Short-Stay Centers for The Elderly (단기노인보호소 이용자의 간호요구도 및 서비스 실태연구)

  • Shin Kyoung Hi;Rhee Seon Ja
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.354-377
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    • 2002
  • Aging population is a global trend and Korea is no exception. Due to the progress of the medical and scientific sectors, increase in the average lifetime incurred increase in the number of elderly people. Meanwhile, the family function of supporting the elderly has become a major issue in a society due to the changes in the society's structure and increased entry of the women into the workforce. As a means to substitute the protection of the elderly who are not protected at their respective homes and to replace the tending needs, weekly protection centers and short-stay centers for the elderly were established and operated in Seoul since 1992. However, structured and satisfactory services are not yet to be provided, thus this research intends to understand the current situation at the short-stay centers for the elderly, to identify users' characteristics and to conduct study on nursing need for the health reasons so that the results of the research can be utilized as basic data for the development of nursing care program. Towards this end, this research targeted 142 elderly people who were undergoing treatment at the 11 short-stay centers for the elderly out of total of 13 located in Seoul that were willing to cooperate. The research was conducted from April to May 2002, with the measurement tool developed by Rhee, Seon-ja (2001) to measure the level of nursing need. Then data was collected and analyzed using SPSS program. The results are as follows. The general characteristics of users of the short-stay centers for the elderly were: 123 females $(86.6\%)$, 19 males $(13.4\%)$ and 72 elderly were over the age of 80 $(50.7\%)$. Among these, 24$(16.9\%)$ were living by themselves. Among the illnesses that the subjects were inflicted with were: dementia $(54.2\%)$, stroke $(54.1\%)$ and high blood pressure $(50.7\%)$, in the respective order. Despite the fact that they were diagnosed with illnesses, $47.2\%$ responded that they do not undergo special treatment due to financial reasons. When the level of needs for nursing care among the elderly who use the short-stay centers is divided into informational. physical. and emotional need levels and scored between zero to two, the level of emotional need is the highest with 1.80, followed by physical (1.45) and informational (1.44) need levels. As for the realities of services at the centers and improvement areas, restriction on term was cited as the greatest inconvenience with $38.7\%$, followed by lack of budget (24 respondents, $16.9\%$). Wishful services were financial assistance $(46.5\%)$, medical and nursing services $(40.1\%)$, meal provision service $(8.5\%)$ and counseling service $(4.9\%)$, in the respective order. Based on the above mentioned results, the research identified the need to develop nursing program for the patients of dementia that can be applied onto the short-stay centers and the need to develop volunteer service, backed by societal support. Also, placement of specialized cadre of professionals is needed so that medical and nursing service functions can be provided in a complementary manner.

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