Research in Community and Public Health Nursing

Original Articles

Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System: Jung Suk Lee, Rah Il Hwang, Eun Jeong Han; J Korean Acad Community Health Nurs. 2012;23(4):415-426. Published online December 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.4.415

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PURPOSE
This study aimed to investigate trends in home-visit nursing care by agencies' characteristics under the national long-term care insurance system.
METHODS
Cochran-Mantel-Haenzel tests were conducted, using data drawn from the nationwide long-term care insurance claim database of the Korean National Health Insurance Corporation from 2009 to 2011.
RESULTS
The number of home-visit nursing care agencies has decreased continuously since 2009. There were also similar trends in the total amount of service provided by home-visit nursing care agencies, the number of recipients, the number of employees, and payments. This study showed that there were statistically significant differences in the trends in home-visit nursing care by agencies' characteristics. Despite the overall downward trend, there were some increases in the percentage of home-visit nursing care provided by agencies which were established by individuals, located in large cities, and which combined home-visit care with home-visit bathing.
CONCLUSION
Home-visit nursing care agencies are responsible for providing community-based healthcare services. For past three years, however, they have not been utilized to their full potential. Understanding the trends in home-visit nursing care by agencies' characteristics is important to develop utilization strategies for home-visit nursing care.

Citations

Citations to this article as recorded by

Powerlessness, Family Support and Health Promoting Behavior in Elders Using Home Service under Korean Long-term Care Insurance
Yanghee Pang, Oksoo Kim
Journal of Korean Gerontological Nursing.2017; 19(3): 184. CrossRef
Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance
Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(2): 114. CrossRef
Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
Eunhee Lee, Jinhyun Kim
Journal of Korean Academy of Nursing.2016; 46(4): 562. CrossRef
Effects of Home Care Services Use by Older Adults on Family Caregiver Distress
Jiyeon Kim, Hongsoo Kim
Journal of Korean Academy of Nursing.2016; 46(6): 836. CrossRef
Policy Implications for Home-Visit Nursing(HVN) of the Korean Long Term Care Insurance through the implications of the Japanese HVN
Hosihn Ryu, Kumi Arita
Journal of Korean Public Health Nursing.2015; 29(3): 403. CrossRef

The Predictors of Anger Expression of the Homeless in the Shelters: Rah Il Hwang, Ji Won Yoon; J Korean Acad Community Health Nurs. 2011;22(1):22-32. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.22

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Abstract PDF

PURPOSE
The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents.
METHODS
This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instruments.
RESULTS
The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. R2=.065), and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. R2=.113).
CONCLUSION
This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

Citations

Citations to this article as recorded by

Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men
Su In Park, Sunah Kim
Journal of Korean Academy of Nursing.2014; 44(4): 361. CrossRef

A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center: Ho Shin Ryu, Min Hyun Suk, Rah Il Hwang, Dal Lae Chin; J Korean Acad Community Health Nurs. 2005;16(4):381-391. Published online December 31, 2005

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Abstract PDF: PURPOSE
The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways.
METHOD
This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003.
RESULT
First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion.
CONCLUSION
The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

A Study on Evaluation of District Visiting Nursing Services of Urban Health Center: Ho Shin Ryu, Rah Il Hwang, Min Hyun Suk, Dal Lae Chin; J Korean Acad Community Health Nurs. 2005;16(2):127-136. Published online June 30, 2005

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Abstract PDF: PURPOSE
The purpose of this study was to present the outcomes of the district visiting nursing services.
METHOD
We analyzed nursing records and inspected public health center data for evaluating nursing tasks. and conducted a telephone survey of 651 district inhabitants.
RESULTS
According to the result, the coverage of the district population, the rate of new registration and overall program activities increased. Meanwhile, accessibility of visiting health care, the level of health problem management, personal cognition and satisfaction concerning visiting nursing care increased, but there was little change in personal perception of health improvement. Furthermore, the status of client management was improved. In the analysis of participation in national cancer screening program, we found that there was twice higher participation in the district than others.
CONCLUSION
We suggest that this district visiting nursing system takes responsibility for district inhabitant health management. Based on the study, we also suggest that the government and local autonomous entities should increase administrative and financial supports to execute the district-based visiting nursing system in wider areas.

An Evaluation of the Visiting Nursing Service Model Based on the District Management System: focused on stroke patients: Ho Shin Ryu, Min Hyun Suk, Rah Il Hwang, Dal Rae Jin; J Korean Acad Community Health Nurs. 2005;16(1):5-12. Published online March 31, 2005

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Abstract PDF: No abstract available.

A study on the Status and Policy Issues of Visiting Nursing Programs at Public Health Centers in Urban Areas: Ho Shin Ryu, Rah Il Hwang; J Korean Acad Community Health Nurs. 2004;15(1):67-75. Published online March 31, 2004

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Abstract PDF: PURPOSE
The purpose of this study was to identify the current management status and the policy issues of visiting nursing programs at public health center in urban area.
METHOD
A questionnaire surveys was conducted on all public health nurses in 25 health centers in Seoul.
RESULT
The major results were as follows: The characteristics of the visiting nurse showed that the average age was 41.1 years, and total nursing experience was 122 months. Their visiting nursing experience was only 30 months. The recipients of visiting nursing services consisted of 60.1% females, and 32.5% of the recipients were over 65 years. The major health problems of the recipients were hypertension, diabetes mellitus, arthritis and psychiatric problems. The visiting frequency was an average of 5.4 times per day, and 357 families were managed per visiting nurse. The major problems of visiting nursing programs were the shortages of visiting nurse manpower. The most important related policy issue was being in charge of a workload, which was not related to the visiting nursing services.
CONCLUSION
By analyzing work for visiting nurses and identifying weak points, this research can present recommendations to be practically used as baseline data for establishing policy in relation to vitalizing visiting nursing programs.

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