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Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field
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Moon Sook Hwang, Hak Young Park, Soo Jung Chang
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J Korean Acad Community Health Nurs. 2020;31(2):143-155. Published online June 30, 2020
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DOI: https://doi.org/10.12799/jkachn.2020.31.2.143
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 Abstract
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- 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.
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Citations
Citations to this article as recorded by  - Needs assessment of a home-visit safety management training program for visiting nurses
Eunjoo Kim, Hyori Kim
The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 138. CrossRef - Development of Items for Transitional Care Service and Outcome Indicators of Discharged Patients for Improvement in Quality of Care
Su Kyoung Kim, Yu Seong Hwang, Minsu Ock, Heui Sug Jo
Journal of Korean Medical Science.2023;[Epub] CrossRef - Identifying the Knowledge Structure and Trends of Outreach in Public Health Care: A Text Network Analysis and Topic Modeling
Sooyeon Park, Jinkyung Park
International Journal of Environmental Research and Public Health.2021; 18(17): 9309. CrossRef
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Experience of a Special Rating Dementia Service for Family Caregivers of Elderly People with Dementia
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Hee Kyung Cho, Soo Jung Chang
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J Korean Acad Community Health Nurs. 2018;29(2):231-243. Published online June 30, 2018
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DOI: https://doi.org/10.12799/jkachn.2018.29.2.231
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Abstract
PDF
- PURPOSE
This study tries to explore experiences with a special rating dementia service among family caregivers of elderly people with dementia.
METHODS
The participants were 11 family caregivers of elderly people with dementia and had used a day-care service from the special rating dementia service for more than 3 months. Data were collected through individual in-depth interviews and analyzed using content analysis.
RESULTS
Three categories emerged: “reminiscence of an entangled lifeâ€, “feeling relieved from a stifled lifeâ€, and “hope for a better life through help and support†with 8 sub-categories and 23 codes. By using the special rating dementia service, the participants experienced relief from the burden of caring for their elderly family member with dementia and restored their social relations or family relationships. They experienced a positive transition in which their caring for elderly family members with dementia was integrated into their daily lives, and they expressed their desires for better policies.
CONCLUSION
These findings imply the importance and necessity of the special rating dementia service. Practical and systematic family support programs are necessary and proactive publicity activities by the government and public agencies are suggested to ensure that family caregivers can easily use the special rating dementia system.
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