• Title/Summary/Keyword: institutional care

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Education and Counseling of Pregnant Patients with Chronic Hepatitis B: Perspectives from Obstetricians and Perinatal Nurses in Santa Clara County, California

  • Yang, Elizabeth J.;Cheung, Chrissy M.;So, Samuel K.S.;Chang, Ellen T.;Chao, Stephanie D.
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1707-1713
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    • 2013
  • Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen-positive pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods: Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.

A Study on Childcare Teacher's Career Happiness according to Personal and Organizational Variables (어린이집 교사의 개인변인과 기관변인에 따른 직업행복감 연구)

  • Kang, Eun Jin;Kim, Jeong Sook
    • Korean Journal of Childcare and Education
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    • v.14 no.1
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    • pp.21-39
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    • 2018
  • Objective: The purpose of this study was to investigate the condition of career happiness according to personal and organizational variables of childcare teachers. Methods: For this purpose, a total of 1,035 teachers were surveyed. The validity of the career happiness survey tool was examined through previous research, expert review, and factor analysis. Results: The results of the study are as follows. The individual variables influencing career happiness of childcare teachers were mainly age, and there was a difference in the career happiness of teachers over 40 years old and teachers under 29 years old. Second, the teachers at home daycare centers showed a high level of interpersonal relationships and working hours. The teachers at workplace daycare centers have a good balance between work and life, and teachers at corporate group daycare centers have a high sense of happiness about income. The childcare teacher's career happiness was generally higher than infant teachers, and the support of the assistant teacher had an effect on the career Happiness of the teachers. Conclusion/Implications: The results suggest that separate teacher support is needed to increase the career happiness of teachers according to their age and institutional variables.

Review of Planning on the Congregate Nursing Homes Based on the Case Study for the Local Friendly Elderly Welfare Facilities in Japan (일본의 지역친화형 노인복지시설 사례를 통해서 본 노인요양공동생활가정의 계획 방향)

  • Park, Jung-a;Kim, Sun-Tae
    • Journal of the Korean Institute of Rural Architecture
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    • v.18 no.1
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    • pp.1-9
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    • 2016
  • The purpose of this research is to explore the best examples from Japan to derive spatial and institutional characteristics. This study used the field survey method for 6 elderly welfare facilities in Japan. The characteristics of local friendly facility are as follows; First of all, since elderly care facilities in South Korea are separated from local community and facility plans are large-scaled and unified which are disconnected from local area, this research set aging in community, multi-function, diversity, and intergeneration into the concept that is necessary for local friendly facilities. Secondly, residential environment plan's basic directions are 1) plan that minimizes facilities-like atmosphere, 2) spatial plan that focuses on the elderly dignity and privacy, 3) comfortable and enjoyable communal living space plan, 4) local friendly and communicating plan, 5)plan that minimizes staff's care giving burden. Thirdly, the rooms necessary for local friendly facility model are composed of bedroom, dining room, kitchen, living room, garden, toilet, laundry room, bathroom, corridor, and office based on the legal installation standards.

Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field (가정전문간호사가 실무에서 경험한 어려움과 대처)

  • Hwang, Moon-Sook;Park, Hak Young;Chang, Soo Jung
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.143-155
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    • 2020
  • Purpose: This study aimed to explore the difficulties and coping that advanced practice nurses (APNs) experience in home health nursing field. Methods: The participants were 12 APNs who had experience in home health nursing for over 5 years. Data were collected through two focus group interviews between August and September, 2017. The results were analyzed using a qualitative content analysis. Results: Out of 10 sub-categories and 29 codes, 4 categories emerged: "crushed by the responsibilities as the only healthcare professional", "worn out by family who interfere with work", "anxiety about my safety being threatened" and "using self-learned know-hows". Conclusion: APNs face difficulties due to the environmental characteristics of the homes, the characteristics of chronically critically ill (CCI) patients and their families, and legal or systematical limitations when dealing with problems based on their personal competence. In order to ensure that professional nursing care is more readily provided to CCI patients through home health nursing services in local communities, it is imperative that support systems at the organizational and institutional levels be established in a systematic way to resolve the issues faced by APNs.

The Determinants of Nursing Home Quality Indicators;A Multilevel Analysis (노인요양시설의 질 지표 결정요인에 관한 연구;다수준 분석)

  • Lee, Seung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.473-481
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    • 2006
  • Purpose: The Purpose of this study was to examine the factors on the nursing home quality indicators. Methods: The subjects of this study were 377 residents living in the nursing home more than 30 bed. The subject's minimum length of residence is 3 months and age of the subject is year of 65 over. The data were analyzed using descriptive statistics, Pearson correlation and multilevel analysis. Results: The main result of the study were in following. First, the quality gap among nursing homes resulted from both institutional and person level factors. Second, the person level factors affecting the quality of nursing home included ALD. However institution level factors had no direct effect on dependent valuable. Third, the interaction effect between the institution and person level factors was found. The ADL have less effect on the quality of nursing homes doing more quality management than of nursing homes doing less. Forth, The effect of ADL was different according to the level of care planing and satisfaction survey. Conclusion: These results suggest that the determinants of nursing home quality indicators were ADL & quality management. This study will contribute to apply nusing home quality indicators in Korea.

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Nurses' Safety in the Hospital Environment: Evolutionary Concept Analysis

  • Park, Jin Hee;Lee, Eun Nam
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.4
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    • pp.406-414
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    • 2016
  • Purpose: The purpose of this study was to analyze the concept of nurses' safety within the context of the hospital environment. Methods: We used Rodgers' method of evolutionary concept analysis and reviewed the relevant literature and noted and categorized characteristics that appeared frequently. Results: Nurses' safety was defined as safe status and safe activity among nurses. Three key defining attributes were identified as: (a) the minimization of actual or perceived risk, (b) personal duties and rights, and (c) ensuring within a safe working environment. Antecedents of nurses' safety were categorized into three dimensions: (a) individual, including vigilance and knowledge gained through education and training; (b) institutional, including safety provision in the organizations; and (c) national, including legislation. The outcomes of nurses' safety included the following: (a) continued competence in nurses' work; (b) enhancement of the quality of patient care; and (c) reductions in nurses' turnover rates. Conclusion: Nurses' safety ensures that qualified nurses are able to continue to perform their duties and provide good patient care. The findings of this study could contribute to future research examining nurses' safety. In addition, appropriate tools must be developed to measure the concept.

Violence Victimization of Visiting Nurses and Prevention Strategies Adopted by Public Institutions in Korea (방문간호사가 경험하는 폭력의 특성과 예방대책)

  • Kim, Hee Gerl;Nam, Hye Kyung
    • Journal of Home Health Care Nursing
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    • v.24 no.3
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    • pp.243-254
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    • 2017
  • Purpose: This study aims to reveal violence victimization of visiting nurses and investigate the coping and prevention strategies adopted by public institutions. Method: The data were collected over three weeks in 2017 using self-report questionnaires from 237 visiting nurses. Data were collected between August 23 and September 15, 2017. Result: Among the respondents, 74.7% had experienced some types of work-related violence during the past year. Verbal abuse (65.4%) was most common, followed by physical threat (46.8%), sexual abuse (43.9%), and physical violence (5.5%). The nurses perceived the most common cause of violation as socio-economic frustration of the offenders vented out on the nurses. Besides, most reported offenders had mental health problems. The two most effective measures to prevent violence faced by the nurses are terminating visiting services for the offenders and implementing the buddy system, which has rarely been used in practice. Conclusion: These findings show that visiting nurses are exposed to a risk of serious abuse in everyday work life, and the nurses themselves or institutions have failed to handle the violence, showing shaky responses at best. Therefore, it is necessary to establish internal regulations and systems at the institutional level that can help prevent violence against visiting nurses.

The Preliminary Study on the Association between Health State and Practice of Health Behavior according to Sasang Constitution (사상체질에 따른 건강상태(THI)와 건강 행위 실천의 연관성 예비 연구 - 한의과 대학생들을 중심으로 -)

  • Jang, Eun-Su;Baek, Young-Hwa;Lee, Hae-Jung;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.15 no.2
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    • pp.111-117
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    • 2009
  • We intended to identify the health state of Oriental medical students and also to know how many things of health practice are in healthy group and non-healthy group classified by the THI average score, according to sasang constitution. We collected data with self-administered health questionnaires from 297 men and women, in 9 Korea oriental medical colleges. We diagnosed Sasang constitution using QSCC II and also estimated health degree using THI. Non-healthy group practiced much more health behaviors than healthy one, and there were significant difference in Taeeumin and Soeumin. Non-healthy group of Taeeumin, Soeumin and Soyangin all practiced much more constitutional health behaviors than healthy one, and Soeumin non-healthy and healthy one all practiced much less health behaviors than Taeeumin and Soyangin group. Non-healthy group practiced health behavior for health care and maintenance more than healthy-one, and health state was related with sasang constitution health care. Therefore, institutional and systematic environmental condition would be needed in practicing healthy behaviors for improving the quality of health, and especially developed health promotion programs according to Sasang constitution too.

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Recognition of Multi-Cultural Families in Certain Areas (일 지역 다문화 가족에 대한 인식도 조사 연구)

  • Kim, Jong-Sun;Park, Kyung-Soon;Kim, Tae-Yong
    • Journal of Home Health Care Nursing
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    • v.16 no.1
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    • pp.59-66
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    • 2009
  • Purpose & Method: Based on a large amount of research concerning the recognition of local residents in an era of an increasing number of multi-cultural families, this study aimed to provide fundamental data for program development and policies. As well, the data was stratified based on understanding of multi-cultural society, recognition of multi-cultural families, and social and economic adaptability of multi-cultural families. Result: The available literature supports the view that an understanding of a multi-cultural society and recognition of multi-cultural families encourages an emphasis on maintaining ethnicity and respect for diverse cultures. Parental approval for friendships with members of multi-cultural families tends to be encouraged, although there is still resistance to marital ties with such families. The literature indicates that immigrant women participate in economic activities of their adopted locale and adapt to the new societal structure. A positive correlation between recognition and interests in social and economic adaptiveness was apparent. Conclusion: Findings of the study suggest that complement, development, and application of realistic programs and institutional policies are required to understand multi-cultural families and establish a multi-cultural society. Ongoing research will be valuable in resolving outstanding questions and clarifying political alternatives.

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Meaning of Marriage & Childbirth among Korean Female University Students Living in the United States: A Phenomenological Approach (미주 한인 여대생이 생각하는 결혼과 출산의 의미: 현상학적 접근)

  • Lee, Sun-Kyoung;Song, Ju-Eun;Kim, Tiffany
    • Journal of Home Health Care Nursing
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    • v.27 no.3
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    • pp.330-343
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    • 2020
  • Purpose: This study aimed to describe the meaning of marriage and childbirth among Korean female university students living in the United States, who are influenced both by Korean culture at home and American culture in social contexts. Methods: This qualitative study used phenomenological approaches. Data were collected through individual in-depth interviews with five Korean female university students living in the United States. Data were analyzed using Colaizzi's method to derive the meaning of marriage and childbirth. Results: From the data, 239 meaningful statements, 49 meaning formations, 22 themes, and 12 theme clusters were extracted. Additionally, five major categories emerged. These categories were 1) marriage as an opportunity for self-growth, 2) the mirror of life: parents, 3) oneself who cannot give up, 4) a desire to live a stable life, and 5) ambivalence on the culture of two countries. Conclusion: To improve the positive meaning of marriage and childbirth, a positive role model such as a happy married life of parents at home must be ensured. Finally, institutional strategies should be established to support the balance between home and work, as well as various policies which support women's pregnancy and childbirth.