Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services

재가간호서비스 제공자의 업무 수행 현황과 장애요인

  • Oh, Eui Geum (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Lee, Hyun Joo (College of Nursing, Graduate School, Yonsei University) ;
  • Kim, Yukyung (Korea Armed Forces Nursing Academy) ;
  • Sung, Ji Hyun (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Park, Young-Su (College of Nursing, Graduate School, Yonsei University) ;
  • Yoo, Jae Yong (The Institute for Comparative Effectiveness Research in Nursing.College of Nursing, Konyang University) ;
  • Woo, Soohee (Department of Nursing, Kyung-In Women's University)
  • 오의금 (연세대학교 간호대학.김모임간호학연구소) ;
  • 이현주 (연세대학교 대학원 간호학과) ;
  • 김유경 (국군간호사관학교 간호학) ;
  • 성지현 (연세대학교 간호대학.김모임간호학연구소) ;
  • 박영수 (연세대학교 대학원 간호학과) ;
  • 유재용 (건양대학교 간호대학.간호비교효과성연구소) ;
  • 우수희 (경인여자대학교 간호학과)
  • Received : 2015.04.06
  • Accepted : 2015.07.06
  • Published : 2015.10.31
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Abstract

Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

Keywords

References

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