• Title, Summary, Keyword: 요양병원

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Convergence Comparative Study of Presenteeism by Long-term Care Hospital Nurses Versus General Hospital Nurses (요양병원과 종합병원 간호사의 프리젠티즘의 융합적 비교연구)

  • Lee, So-Young;Hyeon, Il-Seon
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.36-41
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    • 2020
  • This study is a descriptive study to investigate the presenteeism of nursing in long-term care hospital and general hospital. Data collection was conducted from October 01, 2019 to December 30, 2019. 74 nursing in long-term care hospital and 75 nursing in general hospital in this study. The collected data were analyzed using SPSS Win 21.0 program. Long-term care hospital nurses perceived higher health problems, job loss and perceiver productivity than general hospital nurses. This shows that there is no difference in work intensity according to the classification of patients in long-term care hospitals and general hospital nurses. In order to improve the quality of nursing care services in long-term care hospitals, it is necessary to manage the organizational aspects of long-term care hospital nurses' presenteeism.

A Study on Medical Fee System of the convalescent hospital -Focused on the case of patient group adjustment - (요양병원 수가제도에 대한 소고 -환자군 조정 판결을 중심으로 -)

  • Kwon, Hye Ok
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.195-218
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    • 2017
  • The increase in medical expenses for convalescent hospitals is increasing abnormally, which puts enormous burden on the National health insurance finances. This is a phenomenon that has been associated with the social phenomenon of rapid aging. The fact that the convalescent hospitals are paid the fixed amount per day for hospitalization became the incentive for some hospitals to use the patients as means of making money. And these hospitals intend to get regular care or take medicines at other hospitals in order to reduce medical expenses, even when the medical fee is paid. In order to prevent such financial leaks, the Health Insurance Review and Assessment Service adjusted the patient group for inpatients in a hospital with the above behavior, and then cut the cost of medical care benefits. However, Above decision was canceled by the court on the grounds that there was no basis rule. However, based on the above case, I think that it can be an opportunity to draw up the problem and to improve of the Medical Fee System of hospital. The modified medical fee system can strengthen the medical function of the convalescent hospital. In addition, it seems reasonable to exclude admission for "physically disabled group". Even if admission is allowed for the physically disabled group due to social needs, it should be excluded from the National health insurance for the fianacial soundness and the sustainability of the system.

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Nurses' Recognition about Successful Aging of Hospitalized Elderly in long-Term care Hospital: A Focus Group Study (요양병원 입원노인의 성공적 노화에 대한 간호사의 인식: 포커스 그룹 연구)

  • Kang, Moon-Hee;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.458-470
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    • 2016
  • The purpose of this study was to understand and describe nurses' recognition regarding successful aging of hospitalized elderly in long-term care hospitals. Data were collected using focus group interviews in 2016. Three focus group interviews were held in three long-term care hospitals, and a total of 14 nurses participated. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. A total of 25 concepts were identified, 15 subcategories, and five major categories emerged from the analysis. The five categories of the nurses' recognition about successful aging of hospitalized elderly in long-term care hospitals were "adjusting themselves to a lifestyle of long-term care hospital," "living positively in each situation," "communicating with each other and making a relationship," "obtaining interest and support of their families," and "maintaining economic independence". Therefore, further qualitative study will be performed and compared with this study results on successful aging of hospitalized elderly in long-term care hospitals. Moreover, based on these study results, it is necessary to develop and apply programs for successful aging of hospitalized elderly in long-term care hospitals.

The Effect of Organizational Citizenship Behavior Of Long-term Care Hospital Nurses (요양병원 간호사의 조직시민행동에 미치는 융복합적 영향요인)

  • Hyeon, Il-Seon;Lee, So-Young
    • Journal of Convergence for Information Technology
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    • v.10 no.2
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    • pp.63-69
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    • 2020
  • The purpose of this study examine to identify the mediating Organizational citizenship behavior in the relation Authentic leadership and Organizational support. Data were collected by self-report questionnaires targeting 229 caregiver in Daegu city and Gyeongsangbuk-do city. Data were analyzed with SPSS/PC ver. 21.0 programs. There were significantly positive correlations between toward the Organizational citizenship behavior, Authentic leadership and Organizational. As a result of analyzing the main factors the level of care performance for authentic leadership and Organizational support to be significant explanatory variables and this model's explanatory power was 50.0%. Therefore, it is necessary required to improve the Organizational support and leader's authentic leadership for the nursing work performance.

Nursing Practice Environment, Job Stress and Person-centered Care in Geriatric Hospital Nurses (요양병원 간호사의 간호 근무환경, 직무 스트레스와 인간중심 돌봄)

  • Lee, Young Mi
    • Journal of the Korean Data Analysis Society
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    • v.20 no.5
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    • pp.2635-2647
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    • 2018
  • This study was to investigate the factors of influencing person-centered care of nurses in geriatric hospitals and contribute of providing nursing service that respect the human values of patients. Data was collected from 185 nurses in geriatric hospital, and SPSS Statistics version 22 was used to analyze descriptive statistics, t-test, ANOVA, Pearson's correlation and multiple regression. Person-centered care in geriatric hospital nurses showed statistical differences according to age and number of patients. Person-centered care was correlated with nursing practice environments (r=.550, p<.001) and job stress (r=-.244, p=.001). The factors which impacted person-centered care were significantly nursing practice environments (${\beta}=.475$, p<.001) and job stress (${\beta}=-.164$, p=.026). In order to provide quality nursing services to geriatric hospitals, improvement of working conditions and strategies to relieve job stress are needed for nurses. Through these efforts, we can expect to provide active person-centered care by nurses in geriatric hospital.

Change of Life of the Older due to Social Admission in Long-Term Care Hospital (노인의 사회적 입원으로 인한 요양병원에서의 삶의 변화)

  • Kang, Gun Saeng;Kim, Jeong Sun
    • 한국노년학
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    • v.37 no.1
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    • pp.103-123
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    • 2017
  • The purpose of this study is to explore the phenomenon in-depth with its context that what are changes of life in the older patients with social admission by applying the phenomenological research method, and to understand the essential meanings and structure of change experiences of life in elderly patients with social admission. The participants were 15 patients with chronic disease over 65 ages who were selected by convenience sampling. Data were collected through individual in-depth interviews from April to July 2016, and were analyzed using Colaizzi (1978)'s phenomenological analysis method. The essential meanings and structure of change experiences of life in the older patients with social admission were derived into six clusters of themes as follows: 'A lot of concerns are solved', 'New relationship', 'Life as a ordinary person that it looks nothing like a patient', 'The body and mind are comfortable', 'Fear of discharge','Social isolation'. The results of this study contributed to promoting a deeper understanding of change of life in older patients with social admission, and provided for the basic data of strategic approach in solving the social admission problem in long-term hospital.

Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals (요양병원 간호인력 확보수준에 따른 입원환자의 간호결과)

  • Kim, Eun Hee;Lee, Eunjoo
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.3
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    • pp.715-727
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    • 2015
  • This study was conducted to explore the impact of nursing staffing on inpatient nursing outcomes in long term care hospitals. A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals. Patients per RN was a significant indicator of foley catheter ratio in high risk group and low risk group. Patients per RN&NA was a significant indicator of decline in ADL for patients with dementia, non dementia, urinary incontinence and new pressure ulcer development in the high risk group. The average nursing outcome of inpatient in high grade was higher than that low grade in long care hospital. This higher level of nursing staffing and the higher the grade shown a positive effect on the nursing outcomes of the inpatient. We therefore recommend modifying the above nurse staffing policy so as to make it more effective in improving nursing outcomes.

A Study on the Shape and Color Analysis of the Symbols of Nursing Hospitals in Korea (국내 요양병원 심벌마크의 형태 및 색채 분석 연구)

  • Son, Jeong-Eun;Jung, Eui-Tay;Lee, Hana;Paik, Jin-Kyung
    • The Journal of the Korea Contents Association
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    • v.19 no.12
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    • pp.113-120
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    • 2019
  • South Korea is an aging society with 10.9 percent of its population over 65 years of age, and the aging population naturally leads to a surge in elderly care costs. Compared to general hospitals and other hospitals that have systematic management strategies in an environment of intensifying hospital competition, the design and management strategies of nursing hospitals are insufficient due to the hospital's characteristics of long-term hospital admission and treatment. In this study, We conducted a symbol mark color and form analysis of nursing hospitals to establish a design strategy to meet the increasing demand on nursing hospitals. The subjects of the study were 131 hospitals that received the first grade of nursing hospitals in Korea, and each symbol mark was collected to analyze its form and color. Analysis of the form of symbol revealed that the most anthropogenic symbols were made with artificial objects, and among them, the number of symbols with crosses, hearts and human forms were higher. The color analysis showed that more than 50% of symbols consisted of two colors and the main colors were blue and green. It is expected that this research data will be used as a reference in the design of the symbolism of nursing hospitals, which will help consumers choose and develop strategies for hospital management in order to compete with the ever-increasing demand of nursing hospitals and hospital competition.

Status of Infectious Disease Inpatients at Long-Term Care Hospitals in Korea (국내 요양병원의 감염병 입원환자 실태 분석)

  • Bang, Ji Ya;Lee, Hanju;Son, Yedong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.134-143
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    • 2020
  • This study investigated the status of infectious disease inpatients at long-term care hospitals in Korea. A descriptive study was conducted on patients with 14 infectious diseases at 798 long-term care hospitals during 2016-2017. The number of infected patients, total admission days, and total medical expenses were higher in 2017 than in 2016. The most common infectious diseases were enterocolitis due to Clostridium difficile, influenza, and scabies. The number of hospitals with patients who had enterocolitis due to C. difficile and resistance to carbapenem was higher in 2017 than in 2016. Hospitals with 150-299 beds had higher numbers of infectious disease patients than those with under 150 or over 300 beds. Therefore, intensive efforts are needed to control the most common diseases at long-term care hospitals, such as enterocolitis due to C. difficile, influenza, and scabies. It is recommended to apply relevant guidelines related to infection control management as well as implement educational programs. It will also be necessary to develop applicable infection monitoring standards and support the facilities and health workforce of long-term care hospitals under 300 beds through an effective infection surveillance system.