Customized Home Visiting Nurses' Experiences in Telephone Visiting

Article information

Res Community Public Health Nurs. 2011;22(3):223-233
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2011.22.3.223
1Professor, College of Nursing, Institute of Health Sciences, Gerontological Health Research Center, Gyeongsang National University, Korea.
2Full-time Lecturer, College of Nursing, Institute of Health Sciences, Gerontological Health Research Center, Gyeongsang National University, Korea.
Address reprint requests to: Eun, Young, College of Nursing, Gyeongsang National University, 816 Bun-gil, 15 Jinju-daero, Jinju 660-987, Korea. Tel: 82-55-772-8233, yyoeun@gnu.ac.kr
Received 2011 May 02; Revised 2011 August 25; Accepted 2011 September 06.

Abstract

Purpose

The purpose of this study was to explore and understand customized home visiting nurses' experiences in telephone visiting.

Methods

Qualitative data were collected from several discussions of 4 focus groups consisting of 20 customized home visiting nurses. All interviews were recorded and transcribed according to thematic content analysis processes.

Results

The five main themes on customized home visiting nurses' experiences of telephone visiting were 'greeting', 'counseling', 'using strategies', 'maintaining attitude for enhancing relations' and 'enduring difficulties'. The category of 'counseling' was composed of confirming, educating, supporting, adjusting, and indicating. And, the category of 'using strategies' included complimenting, scolding, persuading, compensating, and ignoring.

Conclusion

Developing a standardized manual on telephone visiting is needed to guide an effective counseling. In order for a customized home visiting nurse to be a good telephone counselor, training of motivational interviewing is recommended.

References

1. Bandura A. The anatomy of stage of change. Am J Health Promot 1997;12(1):8–10.
2. Gyeongsang National University. Management of program development with customized home visiting health service 2010-2012 Jinju: Author; 2010.
3. Han HR, Kim JY, Kim KB, Jeong SH, Levine D, Li CY, et al. Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure. Patient Educ Couns 2010;80(1):130–134.
4. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15(9):1277–1288.
5. Jang HS, Hyoung HK, Kim KH. Comparison of health related characteristics and self-care behavior between a hypertension controlled group and a non controlled group of hypertension patients in a customized home visiting health service. J Korean Acad Community Health Nurs 2009;20(4):483–492.
6. Kahneman D, Tversky A. Prospect theory: An analysis of decision under risk. Econometrica 1979;47(2):263–292.
7. Kim CG, Chung CH. Effects of telephone consulting program on self-efficacy and self-care in NIDDM patients. J Korean Acad Adult Nurs 2002;14(2):306–314.
8. Kim JE, Park HA. Demonstration project on utilization of telephone consulting and telemedicine system for home health care of the elderly. J Nurs Acad Soc 1996;26(3):576–590.
9. Kim SY, Cho BH, Nam HS. Effect of case management program on self-efficacy, self-care behaviors and glycometabolic control in patient with diabetes. J Agric Med Community Health 2008;33(2):232–242.
10. Kolt GS, Schofield GM, Kerse N, Garrett N, Oliver M. Effect of telephone counseling on physical activity for low-active older people in primary care: A randomized, controlled trial. J Am Geriatr Soc 2007;55(7):986–992.
11. Korea Institute for Health and Social Affairs. Reevaluation of case management of customized home visiting health service (2009-04-01, 02, 03, 04, 05, 06) Seoul: Korea Institute for Health and Social Affairs Management Center for Health Promotion; 2009.
12. Lee BC. The effect of message frame in self care education of patients with DM Jinju: Gyeongsang National University; 2006. Unpublished master's thesis.
13. Lee HJ, Kim KR, Kim JS, Shin JS. Effects of the problem-solving telephone counseling on caregiving appraisal and coping in family caregivers of the older adults with dementia. J Korea Gerontol Soc 2004;24(1):21–36.
14. Lee JR. The effects of telephone counseling on patient management: A literature review. Korean Clin Diabetes 2010;11:297–302.
15. Long AF, Gambling T, Young RJ, Taylor J, Mason JM. Acceptability and satisfaction with a telecarer approach to the management of type 2 diabetes. Diabetes Care 2005;28(2):283–289.
16. Lorig K, Ritter PL, Villa F, Piette JD. Spanish diabetes self-management with and without automated telephone reinforcement: Two randomized trials. Diabetes Care 2008;31(3):408–414.
17. Miller WR, Rollnick S. Motivational interviewing: Preparing people for change New York: Guilford; 2002.
18. Ministry of Health & Welfare. The guidance of tailored home visiting health service Seoul: Author; 2009a.
19. Ministry of Health & Welfare. The result of 2008 tailored home visiting health service Seoul: Author; 2009b.
20. Ministry of Health & Welfare. The standard mannual for focused health management Seoul: Author; 2010.
21. Morgan DL. Focus groups as qualitative research 2nd edth ed. Thousand Oaks, CA: Sage; 1997.
22. Newman VA, Flatt SW, Pierce JP. Telephone counseling promotes dietary change in healthy adults: Results of a pilot trial. J Am Diet Assoc 2008;108(8):1350–1354.
23. Park JS, Oh YJ. The effect of case management for clients with hypertension, DM registered in customized home visiting health care services. J Korean Acad Public Health Nurs 2010;24(1):135–150.
24. Park YS, Han KJ, Hah YS, Song MS, Kim SJ, Chung CW, et al. Effects of telephone counseling on health service satisfaction after discharge in gynecologic cancer women. J Korean Acad Soc Nurs Educ 2008;14(2):294–304.
25. Reese RJ, Conoly CW, Brossart DF. The attractiveness of telephone counseling: An empirical investigation of client perceptions. J Couns Dev 2006;84(1):54–60.
26. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci 1986;8(3):27–37.
27. Song MS, Kim HS. Effects of the diabetes outpatient intensive management program on glycemic control for type2 diabetic patients. J Clin Nurs 2007;16(7):1367–1373.
28. Yang SO, Ahn SY, Yim ES, Kwon MS. The effects of customized home visiting-health service in Gangwon-do. J Korean Acad Community Health Nurs 2008;19(1):88–100.
29. Williams ME. Geriatric medicine on the information superhighway: Opportunity or road kill? J Am Geriatr Soc 1995;43(2):184–186.

Article information Continued

Table 1

General Characteristics of Customized Home Visiting Nurses (N=20)

Table 1

Table 2

Experiences of Customized Home Visiting Nurses on Telephone Counseling

Table 2