• Child Health Nursing Research
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• 제25권4호
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• pp.528-540
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• 2019

Purpose: This study was conducted to design services for improving the quality of care of hospitalized children with acute diseases. Methods: The service design process had four phases: discovery, definition, development, and delivery. The participants were 23 mothers of hospitalized children with an acute disease, and seven nurses and three doctors working at a pediatric hospital. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results: The participants reported needs for explanations about the treatment, skillful nursing, and environmental improvements. The concept of the services was familiarity and enjoyment, aimed at solving the problems of unfamiliarity and boredom. A six-guideline was presented for improving the quality of care of hospitalized children with acute diseases: improvement of awareness, development of educational materials, improvement of skills, environmental improvements, play activities, and evaluations of user satisfaction. Conclusion: These findings indicate that nursing services should deliver familiarity and enjoyment to hospitalized children and their families. The findings of this study emphasize that the service design methodology can be used to improve the quality of care of hospitalized children with acute diseases.

• 한국간호교육학회지
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• 제11권1호
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• pp.16-29
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• 2005

Purpose: The purpose of this study is to find a linkage between mobile bathing services and service learning, and a method to activate mobile bathing services. Method: As a descriptive research, it selected evaluation factors from the aspects of structure, process, and result and analyzed 25-month activities. The data analysis was done with descriptive statistics, t-test, ANOVA, and contents analysis. Result: The mobile bathing services were performed for 67 days during the evaluation period and it was 88.2% of the number of expected activity days. The volunteers participated in the activities were 293 and they provided the service for 124 people. The expense per service provision was 97,771 won. Both recipients and volunteers were highly satisfied with this service. Also, the broadcasting on the activities and awards enhanced volunteers' pride. Conclusion: The mobile bathing services linked with the service program as a part of major course. In particular, the service strengthens problem-solving abilities of nursing students, so it is necessary to develop the mobile bathing services into the service program in pursuit of learning by action.

• 한국간호교육학회지
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• 제27권2호
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• pp.95-106
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• 2021

Purpose: The purpose of this study was to examine the effects of a smart-care services program for breast cancer survivors on cognitive function and physical health. Methods: A quasi-experimental control group pretest posttest design was used. Subjects were recruited in D city, and data were collected from July 2017 to February 2018. The experimental group (n=24) participated in the smart-care services program, whereas the control group (n=26) received conventional management. The smart-care services program consisted of addressing cognitive function problems arising from chemotherapy, diet, exercise, head/neck massage and self-monitoring using smartphone applications and smart bands. All participants underwent assessments at baseline, at 6 weeks, and at 12 weeks. Data were analyzed using descriptive statistics (frequency, percentage, mean and standard deviation), a chi-squared test, t-test, and repeated measures ANOVA. Results: After the smart-care services program, significant differences were found between the groups in cognitive function (F=18.91, p<.001) and sleep time (F=9.25, p<.001). No significant differences were found between the groups in caloric consumption after the program. Conclusion: The smart-care services program significantly improved the level of cognitive function and sleep time for breast cancer survivors. The use of this smart-care services program for breast cancer survivors might be an effective nursing intervention tool for improving cognitive function and health behaviors.

• 지역사회간호학회지
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• 제30권2호
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• pp.234-242
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• 2019

Purpose: This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives. Methods: 166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses. Results: emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services. Conclusion: Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.

• 대한간호학회지
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• 제32권2호
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• pp.165-175
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• 2002

The purpose of this descriptive study was to identify the nursing needs of patients with chronic illness. Method: The subjects of this study were 636 patients with chronic illness, 323 general nurses, and 106 public health nurses. The instruments used for this study were questionnaires including perceived functions of nursing from the center for chronic illness, preference to placement, intention to use, needs to receive services from the center for chronic illness, strategies management for nursing, and nursing needs of chronically ill patients. Results: The mean of perceived functions for nursing from the center were 3.1(0.5) in public health nurses, 2.9 (0.59) in general nurses, and 2.4(1.33) in chronically ill patients. Regards of needs to receive on services of the nursing centers were, the regularly physical examination, for health educational services which was perceived highest request amongst chronically ill patients. We found the means of each specific need as 2.2(0.6), for physical health, 2.1(0.7), for psychosocial health, and 1.8(0.6) for spiritual health. Conclusion: From the results of this study, it is suggested that establishing a nursing center for chronically ill patients consider physical, psychosocial, for spiritual health needs of chronically ill patients. It is also a consideration that direct care for symptom management and health education in the nursing center be implemented.

• 간호행정학회지
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• 제4권2호
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• pp.405-418
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• 1998

The purpose of this study was to describe patients satisfaction with nursing care in the emergency department and factors influencing satisfaction rates. 1. The mean score of patient satisfaction with nursing care in the emergency departments was 2.70. The mean scores of patient satisfaction with different aspects of nursing care services were 3.05 for nursing services for psychological safety: 2.67 for technical competence: 2.49 for information giving: and 1.35 for discharge teaching. 2. Patient satisfaction with nursing care services provided. according to the general characteristics of the patients. was revealed as being significantly high for the groups of patients made up of those who were male. those over 51years of age. married subjects. those with an education level of high school or below level. housewives. Buddhists. and those in the middle economic level. Patient satisfaction with nursing care according to their service utilization in the emergency departments revealed that satisfaction was significantly high for patients who were in internal medicine. neurology or psychiatry. those admitted for the first time. those for whom the distance from the department to home was less than 30 minutes. patients who visited between monday and Friday and between 8AM and 4PM. patients who did not have to wait to be seen and those who stayed in the department less than 24 hours. 3. The correlation between the patients' general characteristics. nursing service utilization of the patients in the department and their satisfaction with nursing care showed that patients with longer waiting time had lower satisfactory scores for nursing service. 4. The registered nurses working in the emergency department reported that the main reasons for low satisfaction rates included 'over worked nurses' and 'too many patients' in the emergency department. In conclusion. the results of this study suggest the necessity of developing relevant nursing interventions for discharge teaching to increase patient satisfaction with nursing care services in emergency departments: and the need for adequate support from hospital administrators to improve patients' service utilization.

• 보건행정학회지
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• 제24권3호
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• pp.283-290
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• 2014

Background: This study aimed to examine the relationship between home-visit nursing services and health care utilization under the public long-term care insurance program in Korea. Methods: We analyzed the long-term care need assessment database and the long-term care and the health insurance claim databases of National Health Insurance Service between July 2011 and June 2012. The sample includes a total of 20,065 home-visit nursing recommended-older beneficiaries who use home-visit nursing and/or home-visit care, based on a standard benefit model developed by the Health Insurance Policy Institute of National Health Insurance Service. The beneficiaries were categorized into home-visit nursing use and non-use groups, and the home-visit nursing use group was again divided into high-use and low-use groups home-visit nursing, based on their total annual home-visit nursing expenditure. Two-part models and negative-binomial regression models were used for the statistical analysis. Results: The home-visit nursing use was negatively associated with the number of outpatient visit and cost, while adjusting for all covariates. The home-visit nursing use was also negatively associated with the inpatient cost among the high home-visit nursing use group. Conclusion: The findings implies home-visit nursing use prevents health care utilization. Further studies and policy strategies that can promote and strengthen home-visit nursing services under the public long-term care insurance are necessary in Korea.

• 한국보육지원학회지
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• 제2권1호
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• pp.17-40
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• 2006

정부는 보육시설과 지역사회와의 연계방안을 보육지침에 넣고 지역사회와 연계한 프로그램들을 몇 가지 내놓았지만 현재 이를 제대로 활용하고 있는 보육시설은 거의 없다. 이에 본 연구에서는 보육시설의 지역사회서비스 내용에 대한 부모들의 전반적이고 포괄적인 보육욕구를 조사하고자 하였으며, 본 연구를 통해 보육시설에 유아를 보내고 있는 학부모, 지역사회의 각각의 욕구를 해결하는 성공적인 보육서비스의 발판을 마련하고, 이를 통해 보육서비스는 개별아동권을 보장하는 보육서비스로, 사회적 필요성을 충족하는 보육서비스로 발전할 수 있도록 하고 궁극적으로는 지역사회복지에 기여하고자 하였다. 이러한 연구목적을 위해 자녀를 보육시설에 보내고 있는 학부모를 대상으로 학부모들의 생활실태 및 지역사회서비스에 대한 전체적인 견해를 살펴보았다. 또한 보육시설 지역사회서비스를 지역사회봉사, 지역사회홍보, 지역사회참여, 지역사회자원동원의 네 가지 영역으로 나누고 이에 대하여 부모의 요구수준의 정도와 부모의 인구통계학적 특성에 따라서 지역사회서비스 프로그램에 차이가 있는지를 분석하였으며, 보육시설 지역사회서비스 프로그램이 전체적인 지역사회 서비스 요구수준에 미치는 영향을 파악 하였다.

• 간호행정학회지
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• 제1권2호
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• pp.223-245
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• 1995

The study was performed to develop standards for nursing practice. The quality and quantity of medical services, including nursing services, has been determined to date by the availability of providers rather than by the actual needs of the patients. In fact, there has been a serious gap between expected and actual servces. In order to provide high quality nursing services and to enhance professional status, the nursing profession should define their practice in a measurable way and identify the client outcomes to which they contribute. Therefore, this research was conducted through the three phases as follows : (1) Evaluation of current nursing practices and environment, and analysis of actual patient needs, by means of questionnaires. (2) Literature review to define the nature, purpose, and standards of professional nursing practice. (3) Expert group's modification of existing standards by integrating the results of first two phases. As a result, standards for each area of nursing practice were developed, such as shown in Table 3 and Table 4. However, these standards must receive ongoing attention by the profession to assure that they remain current and reflect advances in nursing knowledge and clinical technology.

• 임상간호연구
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• 제25권2호
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• pp.120-132
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• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.