• 제목/요약/키워드: home health management

검색결과 999건 처리시간 0.031초

A Preliminary Study of Financial Management Assistance Use by the Elderly in the U.S.

  • Kim Eun-Jin;Geistfeld Loren V.
    • International Journal of Human Ecology
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    • 제6권1호
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    • pp.1-16
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    • 2005
  • Due to increasing life expectancy, Americans live nearly 20 years after retirement. During this period, elderly persons have to stretch finances to manage the level of living without earnings. However, decision making ability decreases with age. One coping strategy for this problem would be seeking help from others. We examine factors affecting elderly persons' assistance use with respect to financial management using the 2000 Health and Retirement Study (N=3,823). It was found that age, education, health status, and ethnicity significantly affect elderly persons' financial management assistance use. The older-olds, those with lower educational attainment and poorer health status were more likely to use financial management assistance. However, Hispanic elderly were less likely to use financial management assistance.

가정관리체계모형의 실증적 검증 -서울시내 주부의 가사활동을 중심으로- (The Empirical Test of System Model for Family Resource Management -Based on the Managerial Behaviors of Wives Living in Seoul-)

  • 이연숙
    • 대한가정학회지
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    • 제30권1호
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    • pp.163-178
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    • 1992
  • The purpose of this study was to test system model for family resources management developed by Deacon and Firebaugh. The data were collected by means of a questionnaire destributed to a stratified sample of 600 housewives living in Seoul. The questionnaires specially developed by the researchers contained of 118 items. the coefficient alpha reliability estimate for this instrument was conducted using Cronbach' procedures. The data were analyzed using frequency, percentile, mean, step wise multiple regression and path analysis. The results of path analysis showed that the level of the elements of satisfaction with the management was correlated with demands(the household size, the age of the last child, employment status of respondents), resources(marital satisfaction, health of respondents), and throughput(standard setting, reality in planning, the existence of facilitating conditions). A system model for family resource management received considerabel empirical support. This presumed that the components of demands lead to the lower satisfaction with management. The throughput components were also important in explaining satisfaction with management some of research and methodology issues for the advanced study were suggested.

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방문교육지도사가 인지하는 여성 결혼이민자의 교육요구 (A Study on Educational Needs in Married Immigrant Women Perceived by Their Home Visiting Educator)

  • 김미종;김태임;권윤정
    • 부모자녀건강학회지
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    • 제13권1호
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    • pp.44-53
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    • 2010
  • Purpose: This study was conducted to identify the educational needs of married immigrant women perceived by their home visiting educator. Methods: Data were collected using in-depth interviews and structured questionnaires during July 1st to 28th, 2009. 5 HVEs participated in focus group interview, and 27 HVEs in the questionnaire survey. Data were analyzed by content analysis and descriptive statistics using SPSS/WIN program. Results: Educational needs of Married Immigrant Women were conjugal and family relationship, child rearing and child health care, health management, sex education, and self-identification. There is no proper teaching materials about child rearing for HVEs. The educational needs of HVEs were physical and cognitive characteristics of child development, developmental screening skill and play according to the each developmental stages of the multi-cultural families. Conclusion: Family relationship, child rearing and child health care, must be stressed in educational program for Married Immigrant Women. To maximize the effectiveness of support for multi-cultural families, it must be developed a systematic educational program and teaching materials according to family developmental stages.

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간호사의 직무스트레스, 환자안전문화와 환자안전관리 활동 -간호·간병통합서비스병동과 일반병동 비교- (Nurses' Job Stress, Patient Safety Culture, and Patient Safety Management Activities -Comparing Comprehensive Nursing Care Service Wards with General Wards-)

  • 임연재;백희정
    • 가정간호학회지
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    • 제28권3호
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    • pp.295-306
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    • 2021
  • Purpose: This study aims to compare and analysis job stress, patient safety culture, and patient safety management activities of nurses in comprehensive nursing care service wards and general wards. Methods: Through an online survey conducted on nurses with more than three months of working experience at five general hospitals in the metropolitan area, 156 participants's data were used for 𝜒2-test, t-test, ANOVA using SPSS ver. 26.0. Result: There were no significant differences in the nurses' job stress and patient safety management activities between the comprehensive nursing care service wards and general wards. However, the patient safety culture of nurses in the comprehensive nursing care service ward was significantly lower than that of general ward. Conclusion: Patient safety culture should be promoted through continuous regular patient safety education, training, and organizational support to increase patient safety management activities. Additionally, institutional programs should be prepared to reduce job stress of nurses at the frontline of patient safety.

간호관리자의 갈등관리유형이 간호사의 리더신뢰와 조직몰입에 미치는 영향 (Effects of Nurse Managers' Conflict Management Styles on Nurses' Leader Trust and Organizational Commitment)

  • 최영애;임지영;이은혜
    • 가정간호학회지
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    • 제25권3호
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    • pp.215-223
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    • 2018
  • Purpose: The purpose of this study was to investigate effects of nurse managers' conflict management styles on nurses' levels of leader trust and organizational commitment. Methods: For this study, a descriptive survey design was used. The participants were 165 nurses who had worked more than 1 year in a university hospital. Data were collected from September 1 to September 10, 2016, using a self-report questionnaire. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Scheffe's tests, Pearson's correlation coefficients, and multiple regression analysis. Results: Among the nurse managers' conflict management styles, the problem-solving style was positively correlated with both leader trust and organizational commitment. Concession-avoiding and control-leading styles were negatively correlated with both variables. Furthermore, the problem-solving style was found to have significant influence on both leader trust and organizational commitment. Conclusion: In order to more actively cope with conflict situations occurring in the nursing work environment, nursing managers need to exhibit more effective attitudes of conflict management. This study suggests that the problem-solving style is a desirable conflict management style in terms of increasing leader trust and organizational commitment.

노인가계의 보건의료비 지출에 영향을 미치는 요인의 분석 : 노인독신가게와 노인부부가게를 중심으로 (A Study on the Factors Influencing Health Care Expenditure of Elderly Households : Focused on the Elderly Single and Elderly Couple Households)

  • 오지연;성영애
    • 가정과삶의질연구
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    • 제28권1호
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    • pp.159-174
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    • 2010
  • The purpose of this study was to examine the health care expenditure of elderly single and elderly couple households whose head is more than 60 years old. The data analyzed for the study were Korean Retirement and Income Study(KRelS) conducted in 2007 by National Pension Corporation. The major finding of this study were as follows: First, the amount of health care expenditure of elderly single households was lower than that of elderly couple households. However, ratio of health care expenditure to total consumption expenditure of elderly single households was larger than that of elderly couple households. Second, the ratio of health care expenditure in consumption expenditure in this study was larger than the ratios in past analyse showed in the previous studies. Third, common factor affecting on health care expenditure of elderly single and elderly couple households was the existence of the family member with chronic disease or handicap. The health care expenditure of elderly singer households was influenced by income, gender and the ownership of national health insurance. The influence of income for elderly singer households seemed to be greater than for elderly couple households. The variables which affected health care expenditure of elderly couple households were age and housing tenure status. The amount and ratio health care expenditure were increased as the age increases. These results show that the health care expenditures for each groups varied according to socio-demographic variables and health-related behavior variables. It is suggested that there should be a discriminative health care policy for each elderly single and elderly couple households. In addition, the health care policy for the elderly households of which member has a chronic disease is certainly necessary. Especially a health care plan for the elderly single households with lower income is in need. For the elderly couple households, the priority group of health care policy would be the high age group.

비효율적인 대처기능의 장애가 있는 가족

  • 김재남;배정희;서혜옥
    • 가정간호학회지
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    • 제1권
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    • pp.71-76
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    • 1993
  • This study was carried out to investigate agreement, content and demand for home nursing care of hospital inpatients in brain, spain and musculoskeletal diseases. The data was collected by interviewing with 242 patients who were hospitalized in university hospital on Taegu, from September 6,60 October 9, 1993. Of 242 patients, 66.1% agreed to home nursing care system and rate of agreement was highest between 30 years to 49 years of age as 40.4% in general characteristics. The rate of agreement according to type of diagnosis was highest inpatients with spinal diseases as 75.6% according to functional status was the highest in patients who had daily living activity freely as 69.4% according to prognosis in patients at terminal stage as 80.0% and the rate of agreement to home nursing care of patients who wanted early discharge was 73.9% The first-ranking reasons of agreement to home nursing care was asking for continuous relationship with doctor as 37.3% and there was statistically significant difference in reasons of agreement to home nursing care according to functional status of patients. The first-ranking reason of early discharge among patients who wanted early discharge(74.8%) was because of long time stay in hospital. Among 23 items of nursing activity that patient wanted, the first-ranking item was recovery promotion, prevention of complication, education and counseling for health as 76.4%, drug management was 2nd-ranking item as 62.1% and the third was regular checking of vital signs as 55.9%, The lowest item of demand for home nursing care was hospice care(3.9%) and airway keep(9.1%).

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보건소 맞춤형 방문건강관리사업 전문인력의 직무분석 (Task Analysis of Managers in the Customized Visiting Health Services)

  • 한영란;박영례;김영희;최희정;정미자
    • 지역사회간호학회지
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    • 제23권2호
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    • pp.165-178
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    • 2012
  • Purpose: The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty. Methods: Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task. Results: The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance. Conclusion: Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

국내 노인간호 연구동향 분석 - 지역사회 간호관련 학회지 중심으로 - (Analysis of Trend in Gerontological Nursing Researches in Korea -Focused on community nursing journals)

  • 왕명자;이명희;장경화;이경재;전상희;이종율;유경희;정태옥;박영미
    • 지역사회간호학회지
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    • 제15권2호
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    • pp.228-236
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    • 2004
  • Purpose: This study attempted to see the trend of researches in nursing old people. Method: We analyzed a total of 105 articles that were published in The Journal of Korean Community Nursing, J. Korean Community Health Nursing Academic Society. The J. of Korea Acad. Soc. of Home Care Nursing from 1987 to June 2003. Result: 1. It was found that researches on old people nursing had increased every year since 1995 and most largely in 1995$\sim$1999. 2. It was known that the majority of researches were designed to be non-experimental and their subjects were old people over 65 living at home. 3. Nursing interventions used in experimental studies were music therapy and various health promotion programs. 4. Major research concepts are physical activities, mental health, physical health, medical management, social health, quality of life and family health. Conclusion: The number of studies has increased in community nursing journals, but there have been not many studies about polices and management for old people living in community society and suggestions of practical alternatives. Thus it is necessary to carry out more community nursing studies about management and education for old people.

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재가뇌졸중 환자를 위한 자조관리 프로그램의 효과 연구 (The Effects of Self-help Management Program for Post Stroke Patients at Home)

  • 문영희
    • 지역사회간호학회지
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    • 제15권2호
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    • pp.218-227
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    • 2004
  • Purpose: The purpose of this study was to determine the effects of 5 weeks self-help management program developed by Kim et al. (2000-b) and reinforced with music therapy for post stroke patients. Method: This was pre-experimental study and the subjects were 14 post stroke hemiplegic patients at home who were registered at the Gunsan Health Center. The program was applied for five weeks and two hours for each session composed of the preparation step, the main step and the finishing step. The contents of the program were ROM exercise, daily activity training, risk factors and aftereffects, nutrition management and stress management. To collect data, all subjects were questioned before and after the application of the program. Collected data were analyzed through frequencies, percentages, Wilcoxen signed rank test and Cronbach's alpha using SPSS-WIN program. Result: After the application of the self-help management program, a statistically significant increase was observed in the subjects' ability to perform activities of daily living (p=.039), ability to perform instrumental activities of daily living (p=.005), self-efficacy (p=.001), self-care behavior (p=.001) and quality of life (p=.001), and a statistically significant decrease was observed in depression (p=.012). Conclusion: The present self-help management program was found to be helpful in improving the subjects' physical and psychological functions after they were attacked by stroke, so to be an effective nursing intervention strategy for post stoke patients. Future researches need to reinforce and materialize music therapy and to develop and apply a self-help management program that includes not only post stroke patients but also their families. In addition, it is necessary to expand the scope of subjects and apply follow-up management in order to continue self-help meetings.

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