• Journal of Korean Academy of Nursing Administration
• /
• v.11 no.1
• /
• pp.67-77
• /
• 2005

Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

• Journal of the Korean Institute of Rural Architecture
• /
• v.17 no.1
• /
• pp.65-72
• /
• 2015

Recently the concerns of aging & care according to the aged Society were on the increase about Home for the elderly facility. In order to moment, the purpose of this study is to analyze planning direction and Architectural Environments in medium and small scale Elderly Care Facilities. This survey are used to investigate with latest building data, which is Long-term Care Insurance Code for the Elderly was started on July 2008 in Korea. The results of this paper are as follows. First, various type of home for the elderly and the elderly group homes are spread out, attached to day care center type, nursing home type, city region type, countryside rural type, near the university and remodeling type. Secondly, per capita room area-$6.32m^2$ are sufficient in regal comparison with $6.6m^2$. Thirdly, Sunlight environments is inappropriate condition as south direction proportion-41.95%. According to the present situation various facility type and model for our baby boomers generation should be more developed with preemptive systems of senior welfare concept.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.18 no.3
• /
• pp.522-532
• /
• 2012

Purpose: The purposes of this study were to develop an elderly care nursing education program and evaluate its effect on knowledge, attitudes and nursing performance of nurses toward older adults. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. The sample consisted of an intervention group (n=29) that participated in the educational program and a control group (n=30). The data were collected prior to and 6 weeks after the intervention using self-administered questionnaires. Data analyses utilized $x^2$-test, Fisher's exact probability test, and t-test. Results: After the intervention, knowledge and nursing performance about the elderly care increased significantly in the experimental group compared to the control group. However, there was no statistically significant difference between the groups in their attitudes toward the elderly. Conclusion: Findings indicate that to provide better nursing care to the elderly, nurses need to be able to practically apply the knowledge they have acquired from the elder-care nursing education programs in hands-on situations. To achieve this, nurses should work to change their personal attitudes about the elderly. Also, evidence-based guidelines for elderly nursing care, administrative support of institutions, and multidisciplinary approaches are required.

• Journal of Korean Academy of Nursing
• /
• v.34 no.1
• /
• pp.191-201
• /
• 2004

Purpose: This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs. Method: The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care. Result: The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home. Conclusion: Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.19 no.4
• /
• pp.19-28
• /
• 2013

Purpose: The purpose of this study to assess long-term care facilities in Seoul and certificate Seoul-type elderly care facilities. After certification, Seoul city can provide certificated facilities with budget and support to improve service quality. Methods: Questionnaires to elderly care facilities experts and field surveys to facilities in Seoul have been conducted for the data collection. Results: The result of this study can be summarized into three points. The first one is that a direction of operation for Seoul-type elderly care facilities is to improve manpower and provide special program for enforcing quality assurance. The second one is that this study provide index of evaluation for Seoul-type elderly care facilities. The indexes include management, facility environment and safety, service delivery process, and service results. The third one is that management plan for this policy should be carried out. The management plan include demonstration project, opinion research. Implications: Seoul-type elderly care facilities can have positive effects on quality of service. For the introduction of this policy, Seoul city and autonomous Gu have to make careful preparations for this policy.

• Journal of Families and Better Life
• /
• v.23 no.4 s.76
• /
• pp.1-15
• /
• 2005

Korean society is experiencing rapid changes which are certain to shape the lives of the older people and their families. So, the purpose of this study was to improve the quality of the elderly welfare service in Korea. Even though the interest about the elderly welfare in Korea is rapidly on the increase, the reality of Korean Society still leaves much to be desired, quantitatively as well as qualitatively. Pay attent to this point, now going to grasp the situation of not the handicapped elder people but the general elder people actual life condition and demand for welfare. So this study focused on the demand of not out-of home service but in-home care service. It was based on the data from by Korea National Statistical Office, having observed 6,139 elderly people. The results were as follows. They hope to get the elderly welfare services about health examination service, nursing survice, supporting service for household. That was, the most of them wanted in-home care service than out-of home care service. To ensure effective care to the elderly, it needed development and settlement of welfare service in face of their daily living. And, even though they recognized that they should cover the elderly life expenses themselves, the rate was hit that indicated their adult children as a parents supporter. This means that we should consider not only to the elder people but also to the family which contained the old people as the elderly welfare service. As a remedy, we can find the cooperation between elder welfare service at the social welfare organization and counsel, education at the family strengthen center. To improve the quality of the elderly welfare service in Korea, the elderly welfare service should focus not only on the physical and spiritual health maintenance but also active understanding living environment and growing ability to arbitrate between individual and living.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.15 no.3
• /
• pp.61-69
• /
• 2009

This study has been started in order to provide basic information for the planning of Korean elderly care facilities by analysing For-profit elderly homes of Japan. Japan is famous for her high elderly proportion and also her fast aging speed. Therefore, Japanese experiences of trials and errors related to the supply of elderly homes will be a good guideline for Korea which is undergoing the sharp increase in elderly population. Data have been mainly collected from the official statistics of Japan and Korea. The outcomes of this study are as follows. At first, the definition of For-profit elderly homes of Japan has been proposed clearly. Secondly, the trends of them related to supply and operational characteristics have been analysed. Thirdly, the size and utilization rate of them have been analysed. And finally, the physical characteristics of elderly residences in For-profit elderly homes of Japan have been discussed.

• Journal of Families and Better Life
• /
• v.20 no.5
• /
• pp.137-147
• /
• 2002

Purpose of this study is to find the research direction to solve the housing problems for the elderly which based on approaches and issues in related studies. Research method was interpretative analysis of the articles issued from 1976 to 2002. Each approach (rationalistic approach, ecological approach, micro-sociological approach, typological approach, environment-psychological approach, welfare approach) produced helpful information and had relative merits. But the researchers must regard housing for the elderly as a social problem in macroscopic view to solve the housing problems for older people with welfare approach. As a result, to solve the housing problems with welfare approach for the elderly who live in their own place with community care, studies about lifetime home, care and repair, and management of housing for the elderly might be needed. And research about existing services, transfer system of services, financial problems, man power to manage the system might be needed to spread out the services to the middle class elderly.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.20 no.2
• /
• pp.17-26
• /
• 2014

Purpose: This study tries to explore and analyse Service Attached Elderly Housing of Japan in order to prepare new elderly housing type effectively for aged society of Korea. Service Attached Elderly Housing was introduced in 2011 and it includes existing elderly housing of Japan such as Designated Elderly Housing, Elderly Friendly Housing and Superior Elderly Housing. Methods: Historical transition of Japanese elderly housing and background of the introduction of Service Attached Elderly Housing have been reviewed first. Thereafter research team visited to 3 elderly housings of Japan providing elderly services such as elderly care, meal, cleaning, washing, safety check, entertainment, etc. Based on the literature survey and field trip, the characteristics of Service Attached Elderly Housing have been drew out. Results: As the characteristics of Service Attached Elderly Housing of Japan, mixed use facility, community based housing, generation mix, barrier free design, and provision of daily life service for the elderly have been identified. Implications: Not only physical consideration including Universal Design but also elderly services such as elderly care, meal, housework, safety check, entertainment and so on are necessary for the supply of elderly housing.

• Research in Community and Public Health Nursing
• /
• v.10 no.1
• /
• pp.5-18
• /
• 1999

The aim of this study is the development of a fee - based model day care center for the elderly by inquiring into the current condition of facilities in America and in Korea, and in surveying the opinion of domestic elderly about day care facilities. A field trip to U.S. day care services was held between July 5 and July 15 in 1997, and an on-the-spot study for domestic facilities took place during March in 1998. Our research reveals that the overall supply of day care facilities can not meet future demand in terms of quality and quantity. Therefore a model must be created for day care centers of a that consists of a director from a professional group. an adequate environment, and a standardized in order to offer a qualified public health service linked to the home and community in Korea. The director of a day care center is a critical variable in determining the quality of service. Professional skills related to the needs of the elderly and the person's quality of service should be considered in appointing director for the center. This study belleves that a professional nurse should be the director of a day care center. The operating environment of a day care facility should be made up of considerable space comparable to the number of residents, should be in a comfortable and safe location, and should have equipment that provides a qualified, safe service to the elderly. Our model is designed for 20 persons and allocates 4 Peng per person. This model is comprised of a reading room. a craft room, a health room, a room for physical therapy, a dining room, a staff office, and a multi -purpose room connected to other rooms. Day care service should be a comprehensive service program meeting the multidimensional needs of the elderly. A comprehensive service program needs a team of various professionals made up of the elderly family, participants, nurses, social workers, physical therapists, nutritionists, and medical doctors. The program will also include health care service, physical therapy, speech therapy. diet, occupational therapy, transportation service, health and an education program, etc. In conclusion, a model of a day care center is developed with the following components: a professional director and an environment and program, that considers the physical, mental, and social characteristics of the elderly. A model should also motivate self-reliance self-fulfillment in the elderly in order to fulfill their health needs and to prevent isolation from society and mental depression. Furthermore, This facility will be a beneficial factor in reducing a family's burden on caring for the elderly that includes unnecessary hospital expenses. The following is a suggestion based on results this study: A service program should be developed to fit the conditions of the elderly in Korea by specifically analyzing the needs of the elderly.