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

Medication Status and Adherence of the Elderly under Home Care Nursing: Young Hee Kim, Mi Kyoung Lee, Sung Ja Lee, Myung Sook Cho, Moon Sook Hwang; J Korean Acad Community Health Nurs. 2011;22(3):290-301. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.290

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11 Citations

Abstract PDF

PURPOSE
This study is a descriptive research intended to clarify the medication status of community-dwelling elders and to identify factors affecting their medication adherence.
METHODS
Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul.
RESULTS
According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self-reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=-.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035).
CONCLUSION
The presence of depression affected the elderly subjects' the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long-lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.

Citations

Citations to this article as recorded by

Analysis of the prescription trends of potentially inappropriate medications in Korean older outpatients by sex: A retrospective study using data from the health insurance review and assessment service
Jae-Yong Dong, Jin-Han Ju, Young-Mo Yang
Medicine.2023; 102(34): e34818. CrossRef
Perceived New Normal and Inner Strength on Quality of Life in Breast Cancer Patients Receiving Adjuvant Endocrine Therapy
Sujin Ha, Eunjung Ryu
Asia-Pacific Journal of Oncology Nursing.2021; 8(4): 377. CrossRef
Factors Associated with Medication Adherence among the Elderly with Chronic Diseases
Sook Hee Kang, Eun Ko
Korean Journal of Adult Nursing.2021; 33(2): 189. CrossRef
Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef
Correlation of physical, psychological, and functional factors with independent medication adherence in Korean older adults with chronic illness: Using the 2017 national survey of older Koreans
Hae Ok Jeon
Archives of Gerontology and Geriatrics.2020; 90: 104130. CrossRef
Adjusting Process of Nurses to an Oriental Medical Unit
Mee-Hun Lee, Hyoung-Sook Park, Jae-Hyun Ha
Korean Journal of Adult Nursing.2017; 29(6): 615. CrossRef
Analysis of the Job of Nurses Working on Oriental Medicine Wards
Myung Ja Kim, Mi Hwan Kim, Hee Sug Jeong, Yun Seo Kim
Journal of Korean Academy of Nursing Administration.2015; 21(4): 341. CrossRef
Predictors of Asthma Control by Stepwise Treatment in Elderly Asthmatic Patients
Ga-Young Ban, Young-Min Ye, Yunhwan Lee, Jeong-Eun Kim, Young-Hee Nam, Soo-Keol Lee, Joo-Hee Kim, Ki-Suck Jung, Sang-Ha Kim, Hae-Sim Park
Journal of Korean Medical Science.2015; 30(8): 1042. CrossRef
Factors Influencing Medication Adherence in Hemodialysis Patients: Focusing on Primary and Secondary Medical Care
Yon Hee Seo, Sun Og Lim, Eun Hee Hyeon, Hae Won Kim, Mi Ran Eom
Perspectives in Nursing Science.2015; 12(1): 60. CrossRef
Medication Status and the Effects of a Medication Management Education Program for the Elderly in a Community
Young-Im Park, Kang-Yi Lee, Dong-Oak Kim, Dong Choon Uhm, Ji-Hyun Kim
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 170. CrossRef
Health Literacy: An Evolutionary Concept Analysis
Sungeun Kim, Jina Oh, Yunmi Lee
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 558. CrossRef

The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance: Jung Suk Lee, Eun Jeong Han, Im Ok Kang; J Korean Acad Community Health Nurs. 2011;22(1):33-44. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.33

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15 Citations

Abstract PDF

PURPOSE
This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI).
METHODS
We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care.
RESULTS
A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits.
CONCLUSION
Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.

Citations

Citations to this article as recorded by

Willingness to Use and Appropriate Payable Cost for Visiting Nurse Service for the Elderly in the Community
Soyoung Seo, Soong-nang Jang
Journal of Korean Academy of Nursing.2022; 52(1): 105. CrossRef
Emergencies in Long-Term Care Services for the Elderly in Korea: A Mixed-Methods Study
Soon Ok Kim, Sun Hee Bae
International Journal of Environmental Research and Public Health.2019; 17(1): 66. CrossRef
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
Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries: A retrospective cohort study
Yeong Jun Ju, Hyo Jung Lee, Woorim Kim, Sang Ah Lee, Kyu-Tae Han, Eun-Cheol Park
International Journal of Nursing Studies.2017; 75: 93. CrossRef
Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care
Sangjin Lee, Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(3): 272. 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
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
The Barriers and Solution of Providing Long-term Care Services at Home for the Beneficiaries with Mild Dementia: A Focus Group Interview
Mi Sook Song, Kyung Sook Lim
Journal of Korean Public Health Nursing.2016; 30(2): 259. 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
Plan for Invigoration of Visiting Nursing Center in Long-Term Care Insurance for the Elderly - Through SWOT Analysis -
Do Hwa Byeon
Journal of Korean Public Health Nursing.2015; 29(2): 203. CrossRef
The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis
Jieun Kim, Insook Lee
Journal of Korean Academy of Community Health Nursing.2015; 26(2): 89. CrossRef
The Relationship between Home-Visit Nursing Services and Health Care Utilization among Nursing Service Recommended Beneficiaries of the Public Long-Term Care Insurance
Sae Bom Kang, Hongsoo Kim
Health Policy and Management.2014; 24(3): 283. CrossRef
Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
Do Hwa Byeon, Hye Jin Hyun
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332. CrossRef
The Experiences of Family Caregivers under the Long-term Care Insurance
Eun-Young Kim, Ga Eon Lee, Sam-Sook Kim, Chun Yee Lee
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 347. CrossRef
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
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 415. CrossRef

Identifying Minimum Datasets for Pressure Ulcer Assessment and Analysis of Nursing Records in Home Nursing: Hyun Young Kim, Hyeon Ae Park; J Korean Acad Community Health Nurs. 2009;20(1):105-111. Published online March 31, 2009

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Abstract PDF: PURPOSE
The purpose of this study was to identify minimum datasets for ulcer assessment and to map the minimum datasets to paper-based nursing records for pressure ulcer care in homecare setting.
METHODS
To identify minimum datasets for pressure ulcer assessment, the authors reviewed four guidelines for pressure ulcer care. The content validity of the minimum datasets was assessed by three homecare nurse specialists. To map the minimum datasets to nursing records, the authors examined 107 pressure ulcer events derived from 45 pressure ulcer patients who received home nursing from two hospitals in Gyeonggi Province.
RESULTS
The minimum datasets for initial assessment were anatomical location, stage, size, tissue, exudate, condition of periwound skin, undermining, odor, and pain. 'Location' was recorded best, accounting for a complete recording rate of 98.1%. 'Exudate' and 'pain' showed the poorest record, accounting for 2.8% and 0%,respectively. The minimum datasets for progress assessment were wound size, tissue, and exudate, each accounted for 31.8%, 2.8%, and 4.7%, respectively.
CONCLUSION
This study concluded that data on pressure ulcer assessment was not sufficient homecare and it can be improved by adopting minimum datasets as identified in this study.

Use of Home Nursing Therapy and Need of Home Care Equipments: Ho Sihn Ryu, Chai Soon Park, In A Kim, Young Dae Kwon, Sung Wook Kang; J Korean Acad Community Health Nurs. 2008;19(2):157-166. Published online June 30, 2008

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Abstract PDF: This study was conducted with whole home care nurses nationwide to provide secondary analyzed data to understand on their usage of medical equipments and their need of them for a month. This study found that treatments given by home care nurses were nelaton catheterization, bladder washing/urethral washing, newborn care, exchange and care for nasogastric tube and suction in that order of frequency. Second, instruments and equipments used for home care were reported to be stethoscope, patient monitor, blood pressure measuring equipment, air flotation mattresses, beds for patients, mattresses, suctioning device sets, enteral feeding equipment and dressing set in that oder of frequency. Moreover, need assessment of medical instruments and equipments showed renal dialysis was most needed and patient monitor, blood pressure measuring equipment, enteral feeding equipment, solution and other supplies for renal dialysis and beds for patient were necessary in that order. In conclusion, the results of this study investigating special treatments and medical instruments and equipments used for home care patients and analyzing patients' need, were expected to be useful for expansion of application of long-term care insurance for the elderly and health insurance as well as for quality control of home care and development of medial instruments and equipments used at home.

Experiences on Home Visiting Nursing Service among the Elderly in Community: So Young Min, Sook Kyoung Park, Jeong Mo Park, Suk Jeong Lee; J Korean Acad Community Health Nurs. 2005;16(4):437-445. Published online December 31, 2005

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Abstract PDF: PURPOSE
The purpose of this study was to understand the meaning of experiences in home visiting nursing service among the elderly in community provided by nursing students.
METHOD
This is a phenomenological study to investigate the experience of community-based patients. Data were collected through in-depth interviews from the 4th of March to the 15th of December 2003. Individual interviews were conducted with 8 patients on subjective experiences. Data were analyzed through Colaizzi's method, in which meaningful statements were extracted.
RESULT
Four categories were identified from nine theme clusters. The four categories were 'thankfulness', 'dependence', 'sorrowfulness' and 'the sense of being'.
CONCLUSION
These results show the importance of visiting nursing service for the elderly in community.

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