• 제목/요약/키워드: Nursing Services

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맞춤형 방문건강관리사업 내 방문간호사의 직무분석 (Job Analysis of the Nurses Who Work in Customized Visiting Health Care Services using DACUM Technique)

  • 남혜경;조경숙
    • 근관절건강학회지
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    • 제22권3호
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    • pp.205-218
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    • 2015
  • Purpose: This study was performed to analyze the visiting nurses' job using Developing a curriculum (DACUM). Methods: The DACUM committee with 6 visiting nurses participated in the workshop. In this workshop, the visiting nurses role was defined and their duties and tasks were identified. After content validation via the experts, the pilot test was conducted to 78 nurses. Results: A total of 13 duties and 82 tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks with alphabet A, B, and C as its higher degree. Regarding duties, 'visiting nursing for high risk group' is the highest, while the lowest was 'public welfare events'. Regarding to tasks, 'discovering a new patient' was the highest, while 'selecting patients and offering medical supplies (nutritional supplement, patch)' was the lowest one. Conclusion: The results showed that visiting nurses working in the visiting health care service center were doing more various duties and tasks than those working according to 'Act on Long-term Care Insurance for the Aged'. The results can be used to develop training programs for visiting nurses and evaluation-scale of their job performance.

A Study on the Long-term Senior Recuperation Insurance System which Recognizes the Elderly

  • Lee, Kyung-Soo;Jung, Yun-Kyung
    • 한국임상보건과학회지
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    • 제3권4호
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    • pp.444-455
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    • 2015
  • Purpose. This study was to suggest an appropriate understanding and attitude toward the long-term senior recuperation insurance through examining the perception of the aforementioned system from the viewpoint of the elderly population. Methods. This study was conducted on 150 participants who were aged 65 years and over in a nursing hospital, a senior citizen center and participating social welfare programs in Gyeong Gi area. Researchers visited a nursing hospital, a senior citizen center, and a senior welfare center to organize times before conducting questionnaires after interviewing individual elderly participants. Results. The results are as follows: The probability of the long-term senior recuperation insurance implementation is higher amongst the younger participants, those with average health status and where the system is recognized by neighbors, relatives and/or family. The largest group of participants show only a moderate interest in the long-term senior recuperation insurance. The attitude toward using the long-term senior recuperation insurance system in the future is undetermined due to lack of awareness. Conclusions. Although the long-term senior recuperation insurance system is for all citizens, it is important to provide the correct information to the target audience, the elderly, and raise the awareness of the system so that they have access to the necessary services.

Hopelessness, Depression and Social Support with End of Life Turkish Cancer Patients

  • Sahin, Zumrut Akgun;Tan, Mehtap;Polat, Hatice
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.2823-2828
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    • 2013
  • Background: This study was performed to evaluate relationships between different demographic variables and hopelessness and depression in end of life Turkish cancer patients. This study was a descriptive survey with repeated measures conducted a university hospital in the city of Erzurum, in the eastern part of Turkey. The study enrolled 216 patients undergoing palliative treatment at the hospital. Materials and Methods: Data were collected using questionnaires (demographic questionnaire, Beck Hopelessness Scale (BHS), Beck Depression Scale (BDS) and analyzed for demographic and disease-related variable effects on hopelessness and depression. Results: Th hopelessness score was significantly high in female, illiterate, married, and living in rural areas cancer patients. Both hopelessness and depression scores were significantly higher with longer disease duration, receiving radiotherapy treatment, and having metastatic disease. Conclusions: These findings demonstrate the coexistence of the physical, psychological, and cognitive problems faced by patients with cancer. Nurses can conduct brief screening assessments to identify patients with probable distress and and psychosocial support, as well as referrals to support services.

Evaluation of Quality of Life of Breast Cancer Patient Next-of-kin in Turkey

  • Ogce, Filiz;Ozkan, Sevgi;Okcin, Figen;Yaren, Arzu;Demiray, Gokcen
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.2771-2776
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    • 2013
  • Introduction: Quality of life (QoL) issues are of importance in relatives of women with breast cancer (BC)as caregivers in neglecting their own needs due to care of a patient and also as women regarding the potential risk of themselves developing BC. The objectives in the present study were to compare the QoL of female relatives of women in treatment for breast cancer. To date, no study had examined multi-dimensional QoL in accompanying people as compared them into two groups of female relatives whose first degree and second degree. Methods: QoL of female relatives was assessed using the Quality of Life-Family Version (QOL-FV) scale. Relationships between socio-demographic characteristics and QoL scores were analyzed using the Mann-Whitney U, Kruskal Wallis and Crosstabs tests. Results: The mean age of the female relatives was 37.6 years, and nearly 48% had a university education. It was found that first degree relatives had worse QoL in all domains except physical wellbeing than second degree relatives. Conclusion: This study showed that being female relatives of BC, especially first-degree, affect QoL negatively. Health care providers are of an important role in the stage of information related to genetic influence of BC.

환자안전 관리를 위한 위험요인 분석 (Analysis of Risk Factors for Patient Safety Management)

  • 안성희
    • 간호행정학회지
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    • 제12권3호
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    • pp.373-384
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    • 2006
  • Purpose: This is a pilot study to identify patient safety risk factors and strategies for patient safety management perceived by nurses. Methods: Data were collected and analyzed with an open questionnaire from April to May 2005, targeted on 100 nurses working in two hospitals. The issues were 'what are risk factors for patients, nurses, and other medical practitioners? How do they prevent with the aftermath of risk factors, causes of incidents?' For data analysis, types and frequency of risk factors were worked out, using the Australian Incident Monitoring System Taxonomy. Results: The types of patient safety risk factor perceived by nurses were as follows ; therapeutic devices or equipment, infrastructure and services (29.5%), nosocomial infections (16.3%), clinical processes or procedures (15.4%), behavior, human performance, violence, aggression, security and safety (12.2%), therapeutic agents (9.7%), injuries and pressure ulcers (8.7%), logistics, organization, documentation, and infrastructure technology (5.6%). Strategies for patient safety included training of prevention of infection, education about safety management for patients and medical professionals, establishment of reporting system, culture of care, pre-elimination of risk factors, cooperative system among employees, and sharing information. Conclusion: These results will be used to provide evidences for patient safety management and educational program.

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성별에 따른 근로자의 업무상 근골격계질환 산재 승인 영향요인 (Gender Differences in Factors Affecting Musculoskeletal Diseases among the Korean Workers)

  • 황라일;김경하;석민현;정성원
    • 근관절건강학회지
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    • 제21권1호
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    • pp.65-74
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    • 2014
  • Purpose: This study examined gender differences on Musculoskeletal disease (MSD) medical status, the characteristics of the approved patients in workers, and the factors affected approval. Methods: Claim data for the MSD to the Korea Worker's Compensation & Welfare Services (2011) were employed. The medical status by gender was analyzed using t-test, chi square-test and multivariate logistic regression models. Results: The number of claims for MSD has continuously increased in females but not in males since 2006. The severity measured by the care duration, surgery experience and disability grade has been substantially higher in males than in females. Age, size of company, types of occupation, work duration and the weight of materials handled daily were associated with the approval. When males were considered, the work duration, the weight of materials handled daily and parts of the body were statistically significant predictors of approval in males. In case of female, there were meaningful predictors in types of industry and parts of the body. Conclusion: These findings suggest that gender-specific risk factors of MSD should be measured and the management program for MSD should be developed.

가정간호 가족 돌봄 제공자의 요구도 (Identifying the Needs of Home Care Patient's Family Caregivers)

  • 백희정;최윤정
    • 가정∙방문간호학회지
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    • 제15권2호
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    • pp.115-121
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    • 2008
  • Purpose: The purpose of this study was to identify the needs of family caregivers of home care patients. Methods: A total of 40 caregivers had been selected from a hospital-based home care agency in Gyunggi province. The instrument developed by Hileman, Lackey, & Hassanein(1992) was modified to 55 items and used in this study. The instrument consists of 6 categories: informational, household, patient care, personal, spiritual, and psychological needs. Out of 29 analysed with descriptive statistics, Mann-Whitney U test, and Spearman correlation test using SPSS 14.0. Results: Most caregivers were females, with a mean age of $60.0{\pm}15.5$, 32.1% were spouses, and 92.9% were living with patients. Patient's activities of daily living score was very low, and 44% of patients had cerebrovascular disease. Caregiver's needs were moderate, and the greatest being personal need. There was a significant difference between caregiver's monthly income and needs. Conclusion: Home care nurses need to teach and support family caregivers with specific programs and services to meet the identified and unmet needs of caregivers of home care patients. In-home respite and institutional respite are recommended for family caregivers taking care of patients with chronic disease.

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통합건강관리간호사 역할규명을 위한 직무분석: 연 회원제 건강관리 서비스 중심 (Job Analysis of Health Guide Nurse for Role Identification: Focusing on Annual Health Guidance Membership Service)

  • 심원희;이주연
    • 간호행정학회지
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    • 제22권2호
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    • pp.129-136
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    • 2016
  • Purpose: The aim of this study was to identify nurses' role in the delivery of health guidance service within the annual health guidance membership service. Methods: Dynamic job analysis process was applied with vertical job analysis and horizontal job analysis through a focus group workshop and expert survey. Results: As a result of this study, job description was established with 4 duties, 11 tasks, 60 task elements. Major duties consisted of 'professional nurse practice', 'coordination and cooperation', 'education and consultation', and 'administrative work and improvement'. A job process map was also framed. Conclusion: The results can be used to establish nurses' role in providing health care service. Ongoing research on nurse's role as a health guider will be a fundamental base for health care service development and will contribute to expansion of common health management services.

자폐성 장애 자녀를 양육하는 부모의 삶의 전환과정의 차이: 인구사회학적 특성을 중심으로 (Differences in Life Transition Process of Parents Caring for Children with Autism: Based on the Socio-Demographic Characteristics)

  • 이애란;홍선우
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.331-338
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    • 2015
  • Purpose: This study was done to identify differences in the life transition process of parents caring for children with autism according to parents' socio-demographic characteristics. Methods: Participants were 194 parents caring for children with autism. Data were collected from December 2013 to February 2014 through self-report questionnaires, and analyzed using descriptive statistics, t-test, ANOVA with SPSS/WIN 20.0. Results: Mean scores for despairing or accepting phases were higher than those for denying or wandering phases in the life transition process. According to parents' gender, educational level, and job, there were some significant differences in the denying and wandering phases. Differences in denying phase by education (p=.033), job (p=.004) were significant. Respondents with higher educational level, and having a job showed a lower level of denying than other respondents. Wandering phase differed significantly by gender (p=.009) and job (p=.001). Mothers and those who did not have a job showed a higher level of wandering than fathers and those who had a job. However, there was no difference in the despairing or accepting phases. Conclusion: The life transition phase of parents with autistic children needs to be assessed to provide differentiated and intensive support program and help them move to the accepting phase.

저소득 재가노인의 주관적 건강인식이 자살생각에 미치는 영향 : 우울과 자아존중감 매개효과를 중심으로 (A Study on the Influence of Perceived Health Status on Suicide Ideation of the Low-income Elderly: Considering Mediating Effects of Self-esteem and Depression)

  • 한숙정
    • 가정∙방문간호학회지
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    • 제23권1호
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    • pp.16-24
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    • 2016
  • Purpose: This study aimed to identify the mediating effect of self-esteem and depression in the relationship between perceived health status of the low-income elderly and their suicide ideation. Methods: Participants were 201 elderly people living at home in two cities who were receiving home health services from public health centers. Face-to-face interviews were conducted from October in 2013 to April in 2014. Data were analyzed using SPSS 21.0 and AMOS 21.0. Results: Subjects' perceived health status had a direct effect on increasing self-esteem and reducing depression. Subjects' self-esteem and depression had a direct effect on suicide ideation. Perceived health status had an indirect effect on suicide ideation that was mediated by self-esteem and depression. Conclusion: Results of this study indicate that to prevent suicide of the elderly, it is critical to increase their health status. Additionally, there is a need to construct and implement strategies to strengthen self-esteem of low-income elderly in order to decrease depression.