• Title/Summary/Keyword: home health management

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Development of Educational Components of Managerial Cost Accounting for Nurses

  • Lim, Ji Young;Noh, Wonjung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.1
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    • pp.81-90
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    • 2019
  • Purpose: In accordance with changes in the healthcare environment, it is necessary to understand managerial cost accounting for nurses. This study aimed to develop educational components of managerial cost accounting for nurses. Methods: This study is comprised of a comprehensive literature review, nominal group technique using focus group interview, audit by an expert group, and priority analysis. Results: The comprehensive literature review identified 15 educational components of managerial cost accounting. In the nominal group technique, the participants finally agreed on eight educational components of managerial cost accounting for nurses. The average content validity index of these components was 0.99. "Activity-based costing" scored the highest for relative importance (15.7%). Conclusions: These results can be used to develop an education program to strengthen nurses' managerial cost accounting competencies. Furthermore, it will be helpful to use a basis for the development of cost management curricula for nursing students and on-the-job training courses of nurse managers and executives.

Development of the Key Performance Indicators of Long-term Care Visiting Nursing Centers Using Balanced Score Cards (균형성과표를 이용한 노인장기요양 방문간호센터의 핵심성과지표 개발)

  • Kim, Seonhee;Lim, Ji Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.28 no.2
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    • pp.164-177
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    • 2021
  • Purpose: The purpose of this study was to develop effective management indicators for improving efficiencies of visiting nursing centers. Method: This was a methodological research study to develop the key performance indicators based on balanced score cards for long-term care visiting nursing centers. The main methods used in this study were literature review, focus group interview, and content validity index. The data analysis was used frequency, percentage, mean, and standard deviation. Results: The common vision of the long-term care visiting nursing centers was identified as "The healthy visiting nursing center to serve high quality cares." Eight action strategies and 15 key performance indicators to achieve this vision were developed. Conclusion: Based on the results of this study, we suggest that the developed balanced score cards will be used as an effective managerial guideline to improve performances of long-term care visiting nursing centers.

Providing End-of-Life Care in the Community: What Are the Challenges in Malaysia?

  • Leong, Yoke Yeng;Hamzah, Ednin;McCarthy, Sylvia;Lim, Zee Nee
    • Journal of Hospice and Palliative Care
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    • v.25 no.3
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    • pp.133-137
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    • 2022
  • A 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-of-care discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to give subcutaneous injections. We illustrate a case showing the importance of community health services with palliative care support in providing symptom management and support to patient and family caregivers throughout the course of a life-limiting illness. It also highlights family caregivers' potential psychological distress in delivering subcutaneous injections in terminal care for a patient at home.

Social Network, Self-Care Agency and Quality of Life of High-risk Beneficiaries in Case Management of Medicaid (의료급여 사례관리 고위험군의 사회적 관계망, 자가간호역량과 삶의 질)

  • Park, Ju Young;Son, Jung Tae
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.421-430
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    • 2017
  • Purpose: This study investigates the social network, self-care agency, and quality of life of high-risk beneficiaries in case management of Medicaid and the correlations between these variables. It also identifies influencing factors on their quality of life. Methods: The subjects included 187 individuals chosen from the high-risk beneficiaries in case management of Medicaid in D Metropolitan City. Data was collected through direct interviews based on a structured questionnaire on home visits. Results: The perceived health status was the most influential factor in their quality of life, followed by self-care agency, mutual support network, and natural support network in order. These factors explained 40.6% of their quality of life. Conclusion: These findings raise a need to develop a nursing intervention program to increase the self-care agency of the high-risk beneficiaries in case management of Medicaid.

A Study on Development of the Perceived Adequacy of Resorces Scale (자원적정지각 척도 개발에 관한 연구)

  • 조영희
    • Journal of Families and Better Life
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    • v.9 no.2
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    • pp.241-251
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    • 1991
  • The Purpose of this study was the development of scale to measure the Perceived Adequacy of Resources(PAR). A 38-item instrument was analysed with responses form 300 wives dwelling in Seoul. PAR was categorized housing, health, time money, interpersonal, knowledge/skills, community resources, Data were analysed by the method of Pearson's Correlation, Factor Analysis and Multiple Regression. Items were loaded eight resource categories such as time housing, money , health, knowledge, social support, community, psychological relationship. Internal consistency of the scale was high(Cronbach's α=.85) The result proposed PAR constructed 28 items.

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A Study of Variations in Cost-of-Living Index (도시가계 생계비 산정기준의 다양화를 위한 연구)

    • Journal of Families and Better Life
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    • v.15 no.4
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    • pp.137-148
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    • 1997
  • The purpose of this study is to set the various cost-of-living standards utilizing a published national data. 1995 annual data, The Family Income and Expenditure Survey, were used to set the standards of living. Four index reflecting health and decency level, normal level, minimum of health and decency level, and pauper level were suggested and the cost-of-living of each level were estimated. Results showed that cost-of-living estimated in this study were not quite different from those of former studies, but the name of the standard-of-living need to be changed.

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Self-efficacy and Body Satisfaction according to College Students' Appearance Management Attitudes Typology (대학생의 외모관리태도 유형에 따른 자기효능감과 신체만족)

  • Park, Eun-Hee;Cho, Hyun-Ju
    • The Research Journal of the Costume Culture
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    • v.20 no.4
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    • pp.515-528
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    • 2012
  • The purpose of this study was to classify appearance management attitudes into groups and analyze the difference of self-efficacy and body satisfaction by the groups. Questionnaires were administered to 255 college students living in Deagu Metropolitan City and Kyungbook province. The data collected were analyzed by using frequency, factor analysis, cluster analysis, correlation analysis, ANOVA, Duncan-test, t-test, and ${\chi}^2$-test. The findings were as follows. Appearance management attitudes of college students were classified into three groups such as group health body, low body interest group, emphasizes collective body. The appearance management attitudes showed significant correlation with the sub-variables of self-efficacy and body satisfaction. Male students showed no significant difference in self-efficacy by the groups while female students showed a significant one in task performance which was a sub-variable of self-efficacy. Both of the male and female students showed a significance of difference in the gap between actual and ideal weight which was a sub-variable of body satisfaction by the groups. Gender of college students showed distinction between the sub-variables of self-efficacy factors such as task performance, and anxiety and body satisfaction such as BMI, the difference between current height and ideal height, the difference between current weight and ideal weight.

Improved Nutritional Status of Children by Nutritional Management Programs at Child Care Centers in Korea (영유아 보육시설의 영양관리 시범 사업(II) : 영양상태 개선 효과)

  • 정효지;이난희;최영선;조성희
    • Journal of Nutrition and Health
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    • v.33 no.8
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    • pp.901-908
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    • 2000
  • The study was carried out to assess whether the nutritional management program by dietician at child center can affect nutritional status of children at child care center. The diet intakes were measured by mother\`s record at home and by direct weighing at child care centers, and the hight and weight of children were measured before and after nutritional management program for 3months to see the effects. The energy intakes were significantly increased 56.29 Kcal after program, and protein 3.61g, lipid 3.12 g, calcium 49.71mg, iron 0.39 mg, vitamin B$_1$ 0.084 mg, vitamin B$_2$ 0.116 mg, and vitamin C 10.10 mg, respectively, except vitamin A and niacin. the significant changes of nutrient intakes were more at higher age group compared to at the lower age group, and more at girls compared to boys, Although the significant increase fo nutrient intakes at child care center, most nutrient intakes at home were not significantly changed, except energy, lipid, iron, vitamin A. The changes at changes of fat and calcium intakes for 3 months were positively correlated to the change of Z-score for weight, and the change of A-score for weight was positively correlated to changes of Z-score for height. The results showed that the nutritional management program for 3 month at child care center can increase nutrient intakes significantly and the incresed nutrient intakes can enhance children\`s growth. (Korean J Nutrition 33(8) : 901-908, 2000)

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The Study for the Foundation Build up of the Elderly Welfare Service in Korea. - Focused on the Degree of Life Planning of Aged and Needs of Elderly Welfare Service (우리나라 노인복지서비스 기반 구축을 위한 기초연구 - 노후생활준비와 노인복지서비스 요구도를 중심으로)

  • Park Mee-Sok
    • Journal of Families and Better Life
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    • v.23 no.4 s.76
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    • pp.1-15
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    • 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.