• Title/Summary/Keyword: home health management

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Education Needs for Home Care Nurse (가정간호 교육요구도 조사 연구)

  • Kim Cho-Ja;Kang Kyu-Sook;Baek Hee-Chon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.2
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    • pp.228-239
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    • 1999
  • In 1990 Home Care Education Programs started when legislation established certification for Home Care Nurses. The Ministry of Health and Welfare proposed a home care education curriculum which has 352 class hours and 248 hours of 'family nursing and practice'. Though Home Care Education Programs have been offered in 11 home care educational institutes, there has been no formal revision for the home care education programs. Also a first and second home care demonstration projects have been carried out, but there has been no research on outcomes for home care education as applied in home care practice. The purposes of this study were to identify the important content areas for home care nursing as perceived by home care nurses, and to identify their clinical competence in each of these areas, and from these to identify the education needs. The sample was 107 home care nurses who were working in home care demonstration hospitals and community-based institutions which have been offering home care services. Responses were received from 88 nurses, comprising a 82.2% return rate, and 86 were included in the final analysis. The instrument used was a modification of the instrument developed by Caie-Lawrence et(1995) and Moon's(1991) instrument on home care knowledge. The instrument's Cronbach's coefficient was 0.982. Among the respondents, 64% were working at home care demonstration hospitals and 36% were working at community-based institutions. Their home care experiences were from one month to six years, with a mean of 20.6 months. The importance rating for home care education content was 3.42 0.325, which means importance was rated relatively high. Technical aspects of home care were identified the most important. Five items 'education skill', 'counseling skill', 'interview skill', 'wound care skill', 'bed sore care skill' received 100% importance ratings. The competency rating was 2.87 0.367 and 'technical aspects of home care' was the highest, and 'application to home care skill' was the lowest. Home care nurses' education needs were identified and compared to the importance ratings and competency ratings. Eleven items were identified as the highest in the importance areas and eleven items were in the lowest competency areas. High importance ratings matched with low competency ratings determined training needs, but there was no matching items in this study. In the lowest competency areas four items were excluded, because of not being applicable in current home care practice. Therefore total eighteen items were identified as home care education needs. These items are 'bed sore care skill', 'malpractice', 'wound care skill', 'general infection control', 'change and management of tracheostomy tubes', 'CVA patient care', 'Hospice care', 'pain management', 'urinary catheterization and management', 'L-tube insertion and managements', 'Respirator use and management skill', 'infant care', 'prevention to burnout', 'child assessment', 'CAPD', 'infant assessment', 'computer literacy', and 'psychiatry patient care'.

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Core Concepts of Home Economics: Management and Planning of Life-cycle (가정과교육과정에서의 핵심개념: 관리 및 생애설계)

  • Nam, Su-Jung
    • Journal of Korean Home Economics Education Association
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    • v.28 no.2
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    • pp.51-59
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    • 2016
  • In this study, we identified the theoretical basis of management and planning of life-cycle, the core concept of resource "Administration and Independence," of Home Economics curriculum according to "Notification of Education Ministry #2015-74." First in relation to "management", we identified the systematic theory, the theoretical basis of traditional home management, and diagnosed how this systematic theory is reflected on 2015' curriculum. As a result, the contents of actual curriculum's middle school contents does not include integrally the life related problems that middle students are facing in real life, and it is hard to be convinced what priority the element of selected contents have of several problems. Next, in case of planning of life-cycle that accentuates the importance of life plan corresponding to career orientation it mentions the contents including very comprehensive area such as value, profession, health as well as developmental task, but the fact leaves to be desired that 2015 curriculum is overlooking the importance of financial planning, the international trend.

A qualitative study of home-visiting oral health care experience in vulnerable populations (취약계층의 재가 거주자를 대상으로 수행한 방문구강건강교육 경험에 관한 질적연구)

  • Sang-Eun Moon;Bo-Ram Lee;Min-Sook Jeong;Jae-Ra Lee;Seon-Yeong Kim;Myung-Ok Ha;Il-Shin Kim;HyeongSeok Lim;Mi-Ra Lee;Young-Ae Yun;Sun-Hwa Hong
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.3
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    • pp.229-242
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    • 2024
  • Objectives: The purpose of this study was to explore and analyze experiences with home-visiting oral health education in vulnerable populations and to provide foundational data necessary for the development of preventive strategies for oral health promotion among these patients. Methods: Using a phenomenological research, in-depth interviews were conducted between August 29 and October 31, 2023 with 20 vulnerable individuals participating in the Home Visit Oral Health Education Program under the Gwangju+ Gwangsan Integrated Care Service project spearheaded by the Gwangju Medical Welfare Cooperative. Results: After analyzing the contents of the participants' experiences, 130 meaningful words and 14 subcategories were identified and categorized into five major themes. Participants expressed discomfort when chewing or swallowing food and felt burdened by visits to the dentist. Although they experienced considerable loneliness because they spent a significant amount of time alone, they enjoyed communicating through visitation care and expressed gratitude for receiving oral health education. Conclusions: Oral health education through home visits cam increase awareness of oral health management among vulnerable populations and serve as an important means of improving their quality of life.

Is the amount of the medical care utilization affected by the cash benefits for patients in the geriatric hospital? (요양병원 간병비 지급이 건강보험 진료이용량에 미치는 영향)

  • Kang, Im-Ok;Han, Eun-Jeong;Lee, Jung-Suk
    • Health Policy and Management
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    • v.19 no.2
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    • pp.36-50
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    • 2009
  • Korean Government had performed three pilot programs to introduce the long term care insurance system. Persons aged 65 or older who are dependent on others for daily living could use long term care services in the pilot program. The long-term care insurance covered nursing home services, home care services and cash benefits. The cash benefits are included that for elderly at home and for patients in geriatric hospital. This study investigated whether there had been any change in the medical care utilization according to cash benefits for geriatric hospitalization. This study used National Health Insurance claims and Long term Care Insurance claims 2003 through 2006. Data were composed of subjects who undertook both insurance coverage. The subjects was divided into two groups. Case group included participants with the cash benefits of geriatric hospitalization. Control group included persons without the cash benefits selected by random sampling according to the distribution of case group. This study showed that the amount of medical care utilization of the case group is more significantly increased than the control group after adjusted their health condition and functional condition. This result will be helpful for making decisions on whether the cash benefit of geriatric hospitalization can be introduced into long term care insurance system.

Stressors of Students in High School (우리나라 고등학생들의 스트레스원)

  • Kang, Young-Ja;Choi, Yong-Joo
    • Korean Journal of Human Ecology
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    • v.5 no.2
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    • pp.73-86
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    • 1996
  • The purpose of this study was to examine the stressors of students in high school. Demographic data such as educational level of parents, mother's employment, family type, level of living, and students' growing place and their sex. The data were analyzed by t-test, one-way ANOVA, and Ducan Multiple Range Test. Students' stressors showed partial sex differences in each sub-category. Females feel more stress greater physical and mental health, sibiling relationship, whereas males feel more stress greater girl and boy friends. Students' stressors showed partially significant differences in only home environment and family stressors according to demographic variables. That is, home environment stressors differed in educational level of parents, mother's employment, family type, level of living, and students' growing place except mother's employment. Family stressors showed partially significant differnces in only family type and level of living.

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The Effects of a Mobile Computerized System for Individual Tailored Home Care Services in a City (일 지역 이동형 방문보건 전산시스템의 재구축과 활용의 효과)

  • Park, Nam-Hee;Jang, Rang;Kim, Jung-Young;Kim, Myoung-Soo
    • Research in Community and Public Health Nursing
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    • v.23 no.1
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    • pp.71-81
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    • 2012
  • Purpose: The aim of this study was to evaluate the process and outcome of a mobile computerized system for individual home visiting healthcare. Methods: A nonequivalent control group non-synchronized design was employed for this study. The newly constructed system was administered to 80 healthcare providers in the experimental group for 8 weeks. Data were analyzed using descriptive analysis, t-test, and ANCOVA with the SPSS 18.0 program. Results: In the process stage, the difference in the frequency of computerized information usage between the experimental and control groups was significant as $8.88{\pm}3.20$ and $7.08{\pm}2.92$, respectively (t=3.90, p<.001). In the outcome evaluation stage, all kinds of healthy lifestyle such as alcohol use, nutrition, weight management and mental health were not improved. Conclusion: The findings of this study showed that the revised mobile computerized system was an effective device for individual visiting healthcare providers. Further advanced strategies for using this system should be developed and applied in a broad range of community healthcare.

The Stress of Homemakers Resulted from Home Management Process and its Related Variables (가정관리행동시 주부의 스트레스와 관련변인 연구)

  • 이정우
    • Journal of Families and Better Life
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    • v.11 no.2
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    • pp.96-110
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    • 1993
  • The purpose of this study also suggests the direction for the improvement of the quality of family life because the homemaker's health sate affects a successful home management and a satisfactory family life. This study is based on a review of relevent lifevatures by using a research model consits of the independent variables the mediating variables and the dependent variables. The samples were selected by cluster in Seoul Korea. The 700 questionaries were distributed to homemakers who have at least one child with their spouses. Finally the 520 data were analyzed by cronbach's coefficient factory analysis frequency percentage oneway ANOVA correlation regression analysis and path analysis. Consequentyly the findings of this study were accepted hypothesis I. II. III. IV.

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Relations of Job Satisfaction with Emotional Labor, Job Stress, and Personal Resources in Home Healthcare Nurses (가정전문간호사의 감정노동, 직무 스트레스, 개인적 자원의 직무만족도와의 관련성)

  • Park, Mi Mi;Han, Suk Jung
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.51-61
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    • 2013
  • Purpose: The aim of this study is to identify effects of emotional labor, job stress and personal resources on job satisfaction in home healthcare nurses. Methods: The subjects were 149 home healthcare nurses working for home healthcare centers at 61 hospitals. Data were collected using a structured questionnaire from November 22, 2010 to February 28, 2011 and analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation, Hierarchical multiple linear regression analysis. Results: The mean score of emotional labor level was $4.23{\pm}0.95$, that of job stress level $3.39{\pm}0.57$, that of personal resources $3.38{\pm}0.36$, and that of job satisfaction $3.31{\pm}0.40$. There were positive correlations among emotional labor, job stress, personal resources and job satisfaction. After age, educational level, job position, and work period in home health care, and traffic accident were controlled, the variables, emotional labor (${\beta}$=-.198, p = .034) and personal resources (${\beta}$=.236, p = .005) turned out to account for 13.3% of the job satisfaction. But job stress was not a statistically significant predictor. Conclusion: Home healthcare nurses were needed to minimize emotional labor and revitalize personal resources in order to maintain a comparatively high level of job satisfaction. Furthermore, it is necessary to carry out systematic education and an organizational management scheme into practice.

Causal Relationships among Working Wives' Work-Family Conflict, Socialization of Housework, and Home Management Satisfaction (취업주부의 직업-가정 갈등, 가사노동사회화, 그리고 가정관리만족간의 인과관계)

  • 임혜경
    • Journal of the Korean Home Economics Association
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    • v.33 no.3
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    • pp.85-99
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    • 1995
  • The major purpose of this research was to investigate the causal relationships among working wives' work-family conflict, socialization of housework, and home management satisfaction. the double ABCX model of family stress and adaptation provided the theoretical framework for this study. the data were recruited from working wives who had more than one pre-school child. The respondents were asked to complete the self-administered questionnaires, and the responses of 536 working wives were used for the final analysis. basically Cronbach's α to the reliability of major variables, frequencies, percentages, means, standard deviation, pearson's correlation coefficients, and LISREL 7 program were performed to test the research model. The results of this study can be summarized as follows : 1. The frequency of work-family conflict was affected by the flexibility of work time and wives' income. 2. The severity of wok-family conflict was directly influenced by the frequency of the conflict, the flexibility of work-time, and wives' education level. 3. The variables influencing the degree of socialization of housework were found to be the frequency and the severity of work-family conflict, wives' education, and the degree of husband's participation in housework. 4. The higher degree of home management satisfaction was associated with the higher level of family member's health status, the greater degree of the flexibility of work-time, and the greater degree of husband's participation in household labor.

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Strategies to Activate Primary Health Care for Low-income Population in Urban Area (도시 저소득층주민을 위한 일차보건의료 활성화 방안)

  • Han Myung Hwa
    • Journal of Korean Public Health Nursing
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    • v.13 no.1
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    • pp.77-87
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    • 1999
  • Poverty directly affects health and well-being, The poor population has a higher rate of chronics illness. higher infant morbidity and motality rates. shorter life expectancy. more complex health problems. and greater physical limitations resulting from chronic disease. In order to activate primary health care for the poverty in urban area the following measures should be taken : 1. Health center must be expended or establish subhealth center. 2. Health center must monitor neighbour's workplace's health management for their working population. 3. Health centers must do active home visiting nursing care for the urban-poor. 4. Health center must carry out flexible problem-centered practice according to the area. 5. For the urban-poor's health care must have organization of the health center & practice according to community's characteristics. 6. Public health care must be closely connected with welfare. 7. For the health care of the urban-poor must demand active community participation. 8. Health center is closely connected with Community hospital. 9. Active management of public health resource system is demanded.

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