• Title/Summary/Keyword: Visiting caregivers

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The Influence of Working Environment on Person-centered Care in Home Care Visiting Dementia Caregivers (재가방문 치매 요양보호사의 근무환경이 인간중심돌봄에 미치는 영향)

  • Jang, Doo-Nam; Yu, Jungok
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.4
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    • pp.174-184
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    • 2023
  • Purpose: The purpose of this study was to examine the impact of the working environment on person-centered care for home visiting dementia caregivers. Methods: Participants in this study were 146 caregivers, with the least 6 months of experience working at visiting care centers in Busan, and used a total of 133 questionnaires suitable for analysis. Data were collected from June 9 to July 20, 2023, and were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficients, and multiple linear regression using IBM/SPSS 27.0. Results: As a result of multiple linear regression analysis, organizational factors (β=-.37, p<.001), job-related factors (β=-.27, p=.001), and religion (β=.18, p<.013) were factors affecting person-centered care of home visiting dementia caregivers, and working environment explained 37% (F=10.63, p<.001) of person-centered care. Conclusion: Based on the results of this study, the exploration of strategies to improve the working environment will be necessary in order to increase person-centered care for home visiting dementia caregivers.

Necessity and Features of Service Required for Home Visiting Physical Therapy (가정방문 물리치료의 필요성 및 요구하는 서비스의 특성)

  • Lee In-Hak;Kwon Chun-Suk;Han Dong-Uck;Kim Yong-Gun
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.61-73
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    • 1999
  • This study was performed to investigate the degree of demand and general features of services required of home visiting physical therapy for chronic ill patients. The study subjects were ambulatory and admitted patients treated with physical therapy at six general and one oriental hospitals, one welfare center, four health centers located in Taejon from March 2, 1999 to March 16. Authors developed structured questionnaire, and distributed it to each physical therapist of study organizations. Total number of distributed questionnaire was 500, and 405 questionnaire were collected and analysed finally. 1. $82.4\%$ of patients and $90.0\%$ of caregivers are showed that home visiting physical therapy was needed(p<0.05) 2. The rate of necessity for home visiting physical therapy by kinds of disease was $949\%$ in cerebral palsy, $95.0\%$ in upper spinal cord injury, $83.3\%$ in lower spinal cord injury, $84.5\%$ in cerebral vascular accident, $89.6\%$ in traumatic brain injury, $83.5\%$ in other diseases. 3. In the general features of required service for home visiting physical therapy, $33.7\%$ of patients and $34.4\%$ of caregivers want special isolated physical therapy center, $33.1\%$ of patients and $43.3\%$ of caregivers want 3 times per week in frequency, $46.7\%$ of patients and $45.0\%$ of caregivers want 30-60minutes in treatment duration, and $48.0\%$ of patients and $46.7\%$ of caregivers want more intensive care than general hospitals. 4. In the working place of home visiting physical therapy, $36.1\%$ of patients and $36.2\%$ of caregivers wants physical therapist worked in general hospital. Also, $53.3\%$ of patients and $52.2\%$ of caregivers answered no interested in physical therapist's gender. The most preferential age of home visiting physical therapist is thirties in $43.2\%$ of patients and $63.4\%$ in caregivers

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Patient Safety Awareness and Emergency Response Ability Perceived by Nursing Homes and Home Visiting Caregivers (요양시설과 재가방문 요양보호사가 인식하는 환자안전관리의식과 응급상황대처능력)

  • Kim, Su Youn;Kim, Soon Ock
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.4
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    • pp.347-357
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    • 2018
  • Purpose: The purpose of this study was to identify patient safety awareness and emergency response ability and affecting factors perceived by nursing homes and home visiting caregivers. Methods: This study was a descriptive study that conveniently extracts nursing caregivers who care for elderly patients in S and G provinces, Korea. Data collection was done by structural questionnaires from April to May 2018. A total of 204 responses consisting of 103 nursing homes and 101 home visiting caregivers were used for data analysis in SPSS Win 22.0. Results: Patient safety awareness and emergency response ability of nursing homes caregivers with each $4.24{\pm}0.50$, $74.26{\pm}09.57$ was each higher than that of the home visiting caregivers with $3.68{\pm}0.49$, $68.02{\pm}12.12$ (p<.001). The affecting factors of the patient safety awareness were working place, safety education, and daily average working hours with 12 or more (F = 27.30, p<.001) and that of emergency response ability were number of patients per personnel with 9 or more and emergency situation experience (F=14.00, p<.001). Conclusion: These results suggest that it is necessary to develop a safety education program that can share indirectly experience emergency situations that occur on the job site.

A Study on Visiting Caregiver's Perception of Elder Abuse (방문요양보호사의 노인학대에 대한 인식)

  • Oh, Chung-uk;Kang, Hye-kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.638-645
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    • 2016
  • This study describes visiting caregivers' perceptions and reporting of elder abuse. From January 13 to February 10, 2014, data were collected from 249 visiting caregivers working at homes by using a structured questionnaire. The caregivers' perceptions of abuse were high overall. Physical abuse was the most common type, followed by financial, verbal, negligence, and emotional abuse. Most visitors recognized that it is important to require reporting for the prevention of elder abuse, but most of them had no experience with reporting abuse, and the agencies that they knew were mostly the police. A majority of the visiting caregivers had attended an elder abuse program and recognized the importance of such programs. The caregivers hoped that the programs would have specific examples of how to deal with elder abuse and family counseling methods, and other practical content for their work. Programs should focus on coping with individual cases, proper counseling methods, and awareness of elder abuse.

A Research on the Health Care and the Demand for Visiting Health Care Services for Vulnerable Children in Comparison with Non-vulnerable Children in a Region (취약계층과 일반군 영유아의 건강관리 현황 및 방문건강관리사업 요구도 비교조사)

  • Nam, Hye Kyung
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.556-569
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    • 2016
  • Purpose: This study aimed to provide baseline data on the health care of children and the demand for visiting health care services in one region in efforts to support the implementation of visiting health care services for vulnerable children. Methods: Seventy-three children and their caregivers from the vulnerable social group and 82 children and their caregivers from the general group were selected as research participants. The data were collected through home visiting survey by professional nurses. Results: Children from the vulnerable social group were at higher risk of poor health care than the general group. Regarding home safety, vulnerable children were more likely to be exposed to unsafe conditions. With respect to nutrition, developmental play, developmental screening test, and home safety, visiting health care services were in demand for caretakers. Conclusion: These results indicate that to promote health care and safety conditions for vulnerable children, it is necessary to implement visiting health care programs that include the management of vaccination, medical check-up, growth and development, home safety, and nutrition. These findings can be used as the baseline data for the development of visiting health care programs for vulnerable children.

A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province (사회계층에 따른 영유아 맞춤형 방문건강관리사업 요구도)

  • Kim, Hee-Ja;Bang, Kyung-Sook;Yoo, Jae-Soon;Kim, Hyun-Sook;Tak, Yang-Ju;Huh, Bo-Yun
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.212-222
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    • 2011
  • Purpose: This study was conducted to survey children's health status and need of customized visiting health care services in one province. Methods: The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center. Results: Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care. Conclusion: These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

Survey on Health Care and Household Safety Management for Vulnerable Children (취약계층 영유아의 건강과 안전관리 실태조사)

  • Nam, Hye Kyung
    • Journal of muscle and joint health
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    • v.21 no.3
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    • pp.246-254
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    • 2014
  • Purpose: This study aims to provide baseline data on children's health care and household safety management in one region and to support implementation of customized visiting health care services for children. Methods: 51 children and their caregivers from socially vulnerable group and 69 children and their caregivers from general group are selected as research participants. Data were collected through home visiting survey by 10 professional nurses. Results: Children from socially vulnerable group are at higher risks of poor health care and safety accidents in households than general group. Rates of taking developmental screening tests, medical check-up remain considerably low in vulnerable social group. Regarding home safety, vulnerable children are more likely to be exposed to unsafe conditions. Conclusion: These results indicate that in order to promote health care and safety conditions for vulnerable children, it is necessary to implement customized visiting health care programs which actually can reach vulnerable households and meet their demands. These findings can be used as baseline data to develop customized visiting health care programs for children.

The Moderating Effects of Social Support and Self-Efficacy on the Relationship between Resilience and Burnout of Visiting Caregivers in Seoul (서울지역 방문요양보호사의 회복탄력성과 직무소진의 관계에서 사회적 지지와 자기효능감의 조절효과에 관한 연구)

  • Nam, Kyung-Ok;Chae, Jae-Eun
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.59-66
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    • 2021
  • As the demand for elderly care service has been on rise due to the increasing of the aging population, the role of visiting caregivers becomes increasingly important. In this context, this study aims to examine whether there are moderating effects of social support and self-efficacy on the relationship between resilience of visiting caregivers and their burnouts. The hierarchical regression analysis was used for statistical analysis. The findings from the study are as follow. First, resilience has a negative effect on burnout. As the resilience increases, the burnout decreases. Second, social support has moderating effects on the relationship between a resilience sub-variable(positivity) and burnout. Third, self-efficacy has a moderating effect on the relationship between a resilience sub-variable(self-regulation) and burnout. The findings of the study suggest that nursing facilities pay attention to psychological characteristics of visiting caregivers as well as their job characteristics in designing burnout prevention programs for them.

Influencing Factors on the Need of Community Care Services in the Family Caregivers of Hospital?based Home Care Patients (의료기관 가정간호 환자의 주 간호자가 인식한 재가복지서비스 요구 및 영향요인)

  • Jang, Mee-Young;Lee, Ga-Eon
    • Research in Community and Public Health Nursing
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    • v.20 no.4
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    • pp.443-452
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    • 2009
  • Purpose: The purpose of this study were to examine the need of community care services and the influencing factors of the need in the family care givers of hospital-based home care patients. Methods: Data were collected from 256 family caregivers, who were recruited from 10 hospitals in a metropolitan city. A structured questionnaire on the characteristics of caregivers, resources, and patients was administered. Also, questions on the need of community care services were added. Logistic regression analysis was used to identify the influencing factors of the need for community care services. Results: The participant needed more transportation service, lease of health care devices, visiting bath, caring, visiting hair dressing than that of housekeeping, short-term care, and day care service. Various variables from the three factors were found to be influenced on the need of community care services. Conclusion: The accessibility of the higher need of community care services should be increased for hospital-based home care users. Also, the factors of Family care giver, Resource, and Patient might be considered to provide community care services of hospital-based home care users.

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Experience of Visiting Nurse's End-of-life Care: A Qualitative Contents Analysis (방문간호사의 생애말기 간호에 대한 경험: 질적 내용분석)

  • Bang, Misung;Lee, Insook;Yang, Juhyeon;Kim, Sohee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.2
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    • pp.143-152
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    • 2022
  • Purpose: This study aims to describe and explore the experiences of visiting nurses so as to providing high-quality end-of-life care at home. Methods: Data was collected and recorded through in-depth interviews with 11 visiting nurses and transcribed verbatim. The data were analyzed with qualitative contents analysis. Data were collected from April 8 to July 30, 2021. Results: The results revealed the following four themes and ten sub-themes: The main themes were 'Dignified end-of-life caring practice at home', 'Providing integrated support of end-of-life family caregivers', 'Confronting the limits of visiting nursing at the end of life' and 'Reflection on life and feeling rewarded'. Visiting nurses have performed dignified end-of-life care at home and integrated support for family caregivers. Although the visiting nurse sometimes faced the limits of visiting nursing during end-of-life care, it was surveyed that they rewarded on their lives and felt rewarding through the end-of-life nursing experience. Conclusion: Practical and systematic training is needed to positively change the end-of-life care of visiting nurses. We propose programs, such as expert counseling, to improve coping skills in end-of-life care practice at home. Additionally, we propose various institutional supports which can support the limitations of end-of-life care provision.