• Title/Summary/Keyword: group home services

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Demand on Nursing Services in 7 Korean Diagnostic-Related Group (7개 포괄수가 질환군 대상 간호요구도 분석)

  • Choi, Youn Jeong;Lee, Youngjin;Seo, Young Min;Lim, Ji Young
    • Journal of Home Health Care Nursing
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    • v.24 no.2
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    • pp.151-159
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    • 2017
  • Purpose: The purpose of this study was to identify nursing demands according to general characteristics and diseases of inpatients to whom comprehensive payment systems apply. Methods: This study was designed as a retrospective research study using the electronic medical records of Hospital Information Systems (HIS). Participants were 836 subjects who received seven Diagnostic-Related Group diagnoses among inpatients of one tertiary hospital from January 1, 2015 to June 30, 2015. Data were analyzed using SPSS 23.0. Results: Nursing demand among inpatients'seven Diagnostic-Related Group diagnoses was relatively higher for appendectomy, cataract surgery, and hysterectomy, while there was a significant difference depending on the age, duration of admission, admission path, hospital entry method and Diagnostic-Related Group. Conclusion: The results can be utilized as basic data on accurate nursing demands that reflect various features of patients.

A Basic Study on Public Nanny Service Characteristics and Improvement Strategies (이용자관점에서 본 아이돌보미지원사업의 특성과 개선방안에 관한 기초연구)

  • Lee, Seung-Mie;Kim, Seon-Mi
    • Journal of the Korean Home Economics Association
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    • v.49 no.4
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    • pp.51-65
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    • 2011
  • In order to find out better policy strategies for public nanny service, this study tried to find out the characteristics and the major problems of this service based on 24 in-depth interviews and 7 focus group interviews with nannies, beneficiaries, managers, and public agents. Research findings showed that public nanny service was effectively filling the gap between nursery care services and parent's care services(especially who are both working). Also, this service provided tailored support to parents who have urgent or unexpected problems which prohibit them from properly caring their children. Especially this service effectively worked for temporary needs of caring young children. This study proposes these two strategies as follows: First, the beneficiary selection criteria should be updated. Second, the level and types of available time should be raised to fit the diverse needs of parents.

A study on smart home service plan for ingle-households -Focusing on the 20s and 30s- (1인 가구를 위한 스마트 홈서비스 방안 연구 -20·30세대를 중심으로-)

  • Lee, Ui-Jin;Kim, Seung-In
    • Journal of the Korea Convergence Society
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    • v.9 no.5
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    • pp.129-135
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    • 2018
  • This study analyzed the domestic and foreign cases of the existing smart home service and grasped the needs of the future smart home service in the future of the Internet of Things. As with all smart homes, the effectiveness of future use is important when comparing needs and random services according to user usability and destination patterns. In order to improve the reliability and to promote the development direction, we conducted a questionnaire survey of 110 people in 20 ~ 30 age group. The survey shows that the reliability of the smart home service is low. The low trust factors include: 1. lack of usability; 2. lack of device recognition; 3. lack of specialization services. Since the smart home service is still in the early stage, various smart home services and ecosystem should be constructed according to user's needs.

Evaluation of Shortening the Stay Time of Patients in an Emergency Medical Center (EMC) (응급실 환자의 응급의료센터 체류시간 단축프로그램 개발 및 효과)

  • Kim, Eun-Joo;Lim, Ji-Young
    • Journal of Home Health Care Nursing
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    • v.17 no.1
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    • pp.21-27
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    • 2010
  • Purpose: The study evaluated a program to shorten EMC stay time. Methods: The subjects were EMC patients, and comprised a control group of 8,477 and an experimental group of 8,378. Data were collected from June 2006 to August 2007, and analyzed concerning stay time for doctor visit, decision making, and discharge. The data were analyzed by $X^2$-test and ANCOVA using SPSS14.0. Result: The stay time of doctor visit, decision making and discharge of the experimental group was significantly less compared to the control group. Using second and third grade triage criteria, the stay time of experimental group was statistically reduced from the control. Conclusion: The implemented shortening program was effective in reducing EMC stay time and increasing EMC effectiveness.

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Reliable Group Handover Scheme based on IEEE802.11 (신뢰성을 보장하는 IEEE802.11 기반의 그룹핸드오버 기법)

  • Kim, Ki Young;Ko, Hoon
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.5 no.1
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    • pp.33-41
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    • 2009
  • Network industry is complex combined with various fields of industry, such as communication, broadcast, construction, and home appliances. Moreover, it's fairly lucrative since the growth industry makes lots of added values, interacting with the others.The network industry, usually called 'Ubiquitous', connects some home appliances and makes an integrated system that you can use them with whenever and wherever. A demand for network security, however, has skyrocketed due to the relatively low safety. It's been expected that the market of home security is going to be grown up nearly 30 percent every year. Recently, analog surveilance cameras have been replaced with digital ones, and they will be providing stronger security services taking advantage of mutual interaction with related industies. In this paper, a mobile monitoring system for home security is proposed, which makes it possible to supervise all home appliances wherever you're, using the conventional wired/wireless network infra.

Wound Care Needs of Hospital-based Home Care Nursing at Elderly Care Facilities (노인요양시설의 간호인력과 비간호인력간 상처관리에 대한 병원중심 가정간호 요구도 비교)

  • Kim, Duck-Hee;Lee, Joo-Young;Hwang, Moon-Sook
    • Journal of Home Health Care Nursing
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    • v.19 no.1
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    • pp.5-10
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    • 2012
  • Background: The purpose of this study is to investigate the needs for wound care services in the elderly care institutions by analyzing hospital-based home care nursing in select facilities in Korea. Methods: A total of 92 staffs at the elderly care institutions, located throughout the country, completed self-report questionnaires between February 1 and November 31, 2009. SPSS ver. 17.0 was used for data analysis, regarding frequency and chi square. The 5% level of significance was the critical level for acceptance of the study's hypotheses. Results: Results were as follows; group A and group B were rated as 'high' and 'very high', respectively, in care of simple pressure ulcer, care of complicated pressure ulcer, stitch out, care of simple surgical wound, ostomy care, complicated ostomy care, simple dressing and complicated dressing. Conclusion: Political decisions intended to promote visits by hospital- based home care nurses to the elderly care institutions would be a prudent course.

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Development of the Model for Community-based Health Care Program for Premature Infants and Family (미숙아를 위한 지역중심 건강관리사업의 모델개발)

  • Ahn Young-Mee
    • Child Health Nursing Research
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    • v.8 no.2
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    • pp.129-140
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    • 2002
  • The article reports the process, contents and strategies in the development of community based-heath care management program for high-risk infants and family, which was based on literature review, empirical needs assessment from pilot study. The program was divided into two emphasis areas: (1) identification and home visiting nursing care program, and (2) the construction of self-supporting group. The contents of home visiting nursing care were developed from the pilot study of the direct home visiting to premature infants after discharge. The documentation form for home care was standardized, including the demographic data, birth history, home care services, education and counsels, and visiting schedules. The integrated education protocol was elaborated to enhance the body of knowledge as well as clinical competency in caring high-risk infants and family by the supports of neonatologists, nursing scholar, and clinical specialists. In addition, the process and strategies in developing self-supporting group, consisting the high-risk infants and family, and any significant others were addressed. Emphases were given to the role of public health center and the recycling health care referral system to maximize the growth and development of high-risk infants on the community-base, which in turn, contributing to decrease the postneonatal mortality rate.

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The Effects on Home Visiting Nursing Service for Community Based Disabled Persons (지역사회 지체장애인을 위한 방문간호사업 효과 평가 - 재가 뇌병변장애인을 중심으로 -)

  • 유호신
    • Journal of Korean Academy of Nursing
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    • v.31 no.6
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    • pp.1098-1108
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    • 2001
  • To evaluate the effects of planned visiting nursing services for homebound disabled persons in the community who have had a cerebrovascular accident Methods: One group pre-test and post-test research deign was applied to 61 disabled persons who were undergoing rehabilitation with visiting nursing services to evaluate the effects on the health status (SF-36) and activity daily living (ADL/IADL) from March to August, 2001. Results: The health status score by SF-36 of homebound disabled people was significantly improved; the average score was 28.56$\pm$21.24 before service, 34.29$\pm$22.30 at 3 months after, and 40.84$\pm$=27.41 at 6 months after. The activity daily living score by OASIS II was also significantly increased (z= -6.09, p=.000; z= -6.04, p= .000) at 3 months and 6 months after home visiting nursing services. Conclusion: The strategy plan for developing a visiting nursing service in health centers should be prepared to develop community based rehabilitation (CBR) programs as well as to improve the level of health status and ADL/IADL for homebound disabled people in the community.

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Outcome Assessment of a Demonstration Project on Integration of Home Visiting Health Care and Social Welfare Services (보건소 중심의 방문보건.재가복지 통합시범사업 성과)

  • Ahn Yang-Heui;Jang Sei-Jin;Choi Gyun
    • Journal of Korean Public Health Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 2006
  • Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

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Role-Identity of Home Care Nurse Practitioners (가정전문간호사의 정체선-포커스 그룹 연구방법의 적용)

  • Kim, Sung-Jae;Yi, Myung-Sun;Eun, Young;Ko, Moon-Hee;Kim, Joo-Hyun;Kim, Dong-Ok;Son, Haeng-Mi;Choi, Kyung-Soak
    • Journal of Korean Academy of Nursing
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    • v.36 no.1
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    • pp.103-113
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    • 2006
  • Introduction: It is important to understand the nature of the identity through the live experiences of Home Care Nurse Practitioner(HCNP) because the role identity of a professional is constructed by continuous social interactions, This study aims to understand the construction of the role identity of HCNP. Method: Data was collected from 12 hospital based HCNPs. This study involved two focus group discussion sand four in-depth individual interviews. The main question was 'what is the role of HCNP?' The debriefing notes and field notes were analyzed using consistent comparative data analysis method. Result: First, Home care (He) is a small clinic. HCNP brings it to home to provide various services. Second, HC is the real nursing and HCNP is the 'genuine' nurse who actualizes the essence of nursing in practice. Third, HC is empowering activity to promote self-care ability of the patients and their caregivers. Forth, HC is like the dish-spinning required high-level mastery and HCNP is an expert who provides the most appropriate services to the patients. Conclusion: HCNPs have the role identity as a highly qualified professional who delivers services from hospital to home, actualizes the essence of nursing in practice, empowers the patients and their caregivers to have self-efficacy to recover, and offers the most appropriate nursing care.