• 제목/요약/키워드: home health management

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노인요양시설 간호사의 실무 경험 (Nurses' Experience of Practice in Nursing Homes)

  • 정승은;이순희
    • 간호행정학회지
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    • 제15권1호
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    • pp.116-127
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    • 2009
  • Purpose: This article aimed to identify nurses' experience of practice in nursing homes. Method: Using phenomenological approach for qualitative research, the participants were 8 nurses who were working at nursing homse in C city. The data was analyzed by using phenomenological methodology by Colaizzi. Results: Five theme clusters were derived from the data. They were: burden (independent decision making in clinical situations, tension of as a multifunctional member); lowered self-esteem (exhaustion, relative self-evaluation is low, comparing with others); conflict (negative image of elderly, communication break with elderly family, monitoring of nursing home staff); worth (slight improvement of elderly health state, trust and recognition, intimacy); and self-reflection (need for knowledge extension, effort towards enhancing virtue, perception of importance in their health management). Conclusion: The results showed that nursing home nurses experienced negative aspects of various nursing practice, suggesting the ways to solve their negative experience.

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한국부인의 산욕기 실태에 관한 연구 (I) (A Study on Realities of Puerperal Period of Korean Women)

  • 이정덕
    • 대한가정학회지
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    • 제12권34호
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    • pp.711-735
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    • 1974
  • This paper aims at investigating the realities of puerperal period of Korean women, chiefly in the city of Seoul, on the basis of their living standard, schooling caree by age groups, to contribute to the improvement in health of mother and child. In this paper in which the writer, aming 492 women in Seoul a subject of this investigation and giving them 34 items of questionnaires, has studied their concern and practices to recover their health during a lying-in period, and drawn a conclusion as follows : Though their place of childbirth and food they take during the period are varied according to their standard of living, their practices and managements after parturition are true to the conventional usage which is far from modern scientific methods. Problems for the better management during puerperal period are : 1. to have expactent and nursing mothers better educated in their antenatal care ; 2. to let the family planners have more understanding about the problems of puerperal period ; 3. to make those who are concerned study on the problems interdependent between puerperal period and pregnancy and child birth.

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Development of Educational Components of Managerial Cost Accounting for Nurses

  • Lim, Ji Young;Noh, Wonjung
    • 가정간호학회지
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    • 제26권1호
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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.

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

  • 김선희;임지영
    • 가정간호학회지
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    • 제28권2호
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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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    • 제25권3호
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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.

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

  • 박주영;손정태
    • 지역사회간호학회지
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    • 제28권4호
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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.

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

  • 조영희
    • 가정과삶의질연구
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    • 제9권2호
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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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도시가계 생계비 산정기준의 다양화를 위한 연구 (A Study of Variations in Cost-of-Living Index)

    • 가정과삶의질연구
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    • 제15권4호
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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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대학생의 외모관리태도 유형에 따른 자기효능감과 신체만족 (Self-efficacy and Body Satisfaction according to College Students' Appearance Management Attitudes Typology)

  • 박은희;조현주
    • 복식문화연구
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    • 제20권4호
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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.