Research in Community and Public Health Nursing

Original Articles

A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si: Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi; Res Community Public Health Nurs. 2023;34(2):127-134. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00045

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Abstract PDF: Purpose
The government has implemented a pilot project for community care for older adults and the integrated visiting nursing center in Bucheon-si operated by public fund of government to provide visiting nursing service for older adults. This study aimed to analyze the outcomes of the utilization of visiting nursing service at the integrated visiting nursing center in Bucheon-si.
Methods
This study linked the personal data from the pilot project for community care with the National Health Insurance data. The final subjects comprised 30 participants and 110 of the matched control group. The length of home stay, hospitalization, and the admission for long-term care facilities or convalescent hospitals were measured. Statistical analysis was performed through difference-in-differences analysis using generalized estimating equation and Cox proportional hazards model.
Results
The results indicated an increase of 28.2 days for length of home stay and a reduction of 69% in hospitalization from medical institutions and 81% in admission of long-term care facilities or convalescent hospitals among participants compared to the control group.
Conclusion
The visiting nursing service of the integrated visiting nursing center was effective in extending length of home stay and lowering the hospitalization of medical institutions and admission of long-term care facilities or convalescent hospitals.

The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults: Keun Joo Yoo, Jin Hee Shin, Eun Hee Cho, Seok Won Hong; J Korean Acad Community Health Nurs. 2022;33(1):1-12. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.1

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Purpose
This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults.
Methods
This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program.
Results
After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life.
Conclusion
The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

Citations

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Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef

Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field: Moon Sook Hwang, Hak Young Park, Soo Jung Chang; J Korean Acad Community Health Nurs. 2020;31(2):143-155. Published online June 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.2.143

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Abstract PDF

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.

Citations

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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

Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients: Ju Ok Yang, Hye Kyung Lee; J Korean Acad Community Health Nurs. 2018;29(1):54-64. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.54

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Abstract PDF

PURPOSE
The purpose of this study is to identify factors influencing burnout in primary family caregivers of Home Health Care Patients.
METHODS
Data were collected from 121 primary family caregivers of home health care patients in three different hospitals in â€˜Dâ€™ metropolitan city and the study was conducted from August 10, 2016 to January 17, 2017. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficient, Stepwise Multiple Linear Regression.
RESULTS
Mean scores for the nursing needs of the participants were 3.54Â±0.79, the family functions were 1.24Â±0.58, the burnouts were 2.74Â±0.49. The burnouts were positively correlated with the nursing needs but inversely correlated with the family function. The factor that had the greatest influence on the burnouts of primary family caregivers of Home Health Care was family function (Î²=âˆ’.245, p=.001), followed by patients' daily activity (Î²=âˆ’.213, p=.014), age (Î²=.208, p=.032), monthly nursing services cost (Î²=âˆ’.196, p=.044) and nursing needs (Î²=.129, p=.014). The Explanatory Power of Models was 23%.
CONCLUSION
Individually customized home care nursing intervention programs are required to be provided in accordance with patient's family function and daily activity, monthly home care nursing service cost, nursing needs and general characteristics of primary caregivers of Home Health Care Patients such as their age, the number of family members living together, sex and the name of disease.

Citations

Citations to this article as recorded by

Roles and Problems of Stroke Caregivers: A Qualitative Study in Yogyakarta, Indonesia
Paryono Muhrodji, Hendrawan Dian Agung Wicaksono, Sekar Satiti, Laksono Trisnantoro, Ismail Setyopranoto, Amelia Nur Vidyanti
F1000Research.2022; 10: 380. CrossRef
Roles and Problems of Stroke Caregivers: A Qualitative Study in Yogyakarta, Indonesia
Paryono Muhrodji, Hendrawan Dian Agung Wicaksono, Sekar Satiti, Laksono Trisnantoro, Ismail Setyopranoto, Amelia Nur Vidyanti
F1000Research.2021; 10: 380. CrossRef
Influence of Self-care on Burnout in Primary Family Caregiver of Person with Dementia
Jeong Hwa Kwon, Gwi-Ryung Son Hong
Journal of Korean Academy of Nursing.2021; 51(2): 217. CrossRef

Evaluation and Application Effect of a Home Nasogastric Tube Feeding Simulation Module for Nursing Students: An Application of the NLN Jeffries Simulation Theory: Hee Chong Baek, Young Ran Lee, Jong Eun Lee, Jin Hwa Lee, Hyung Seon Kim; J Korean Acad Community Health Nurs. 2017;28(3):324-333. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.324

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Abstract PDF

PURPOSE
The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training.
METHODS
The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training.
RESULTS
The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education.
CONCLUSION
We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.

Citations

Citations to this article as recorded by

Development and evaluation of a problem‐based learning simulation module for home‐visit nursing
Eunjoo Kim, Ju Young Yoon, Kyungmi Woo, Aeri Kim, Hyori Kim, Juna Lee
Public Health Nursing.2023;[Epub] CrossRef

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