• Title/Summary/Keyword: Care needs

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Educational needs for the development of a simulation module of home visiting care for the frail elderly (시뮬레이션 기반 허약노인 방문간호 교육 요구도)

  • Ahn, Junhee;Yang, Youngran
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.1
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    • pp.68-79
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    • 2021
  • Purpose: This study aimed to identify the educational needs of nurses and nursing students for the development of a simulation module of home visiting care for frail, elderly people. Methods: Focus group interviews were conducted with 15 home visiting nurses working in public health centers and 14 nursing students who experienced home visiting from September 10 to October 10, 2018. Results: Bloom's taxonomy of learning objectives, namely, cognitive, affective, and psychomotor domains was used as a framework for data analysis. The defined educational needs for each domain were as follows: "understanding frail, elderly people" for the cognitive domain; "intervention for mental health" and "building a therapeutic relationship" for the affective domain; and "nursing skills", "health education for healthy lifestyles", "referral to the community resource connection", "protection for visiting nurses" for the psychomotor domain. Conclusion: Based on the findings of this study, a simulation module of home visiting care for frail, elderly people can be developed and used for nursing students and nurses to strengthen the capacity for home visiting care.

Development of a Comprehensive and Integrated Child-Care Services Model (포괄적인 장애아 통합보육 서비스 모형 개발)

  • Choi Bo Ga;Jeon Gwee Yeon;Chung Chung Hee;Kim Soo Young
    • Journal of the Korean Home Economics Association
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    • v.43 no.4 s.206
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    • pp.79-95
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    • 2005
  • The Purpose of this study was to develop a comprehensive and integrated child-care services model for children both with and without disabilities. The comprehensive perspective included several dimensions such as education, child welfare, family welfare, and community welfare. Survey research based on theories and models regarding the integrated child-care services was carried out to determine the overall needs of child-care institutions, parents, and community members. The results revealed the need for development in the following three areas: (1) edu-care curriculums for integrated programs, (2) programs for supporting family members who have disabilities children, and (3) improved community members' perception about integrated child-care services. A model was developed for fulfil these identified needs.

Needs and Perceptions with Smart Technology Usage in the Elderly Care Facilities

  • Lee, Sun-Hyung;Lim, Choon-Hee;Lee, Seunghae
    • International Journal of Contents
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    • v.11 no.4
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    • pp.25-30
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    • 2015
  • The objective of this study is to identify the current state of usage and needs for Smart Technology (ST) in the elderly care facilities based on the point of view of staff members. Using survey via mails, data were analyzed with responses from top- or middle-level staff members working in 171 elderly care facilities located in Seoul, Gyeonggi-do, and Chungcheongnam-do. Results indicated that the most needed smart technology was home automation, followed by nurse call system and health monitoring. The technology with the highest feasibility was health monitoring, followed by nurse call system and video phone. Staff members in higher positions working in the elderly care facilities had the highest expectation in improving the image of their facilities by using ST, while they had low expectation for the fact that ST may increase the locus of control of the elderly. This study implies that ST implementations may vary depending on the level of responsibility of staff members and ST how people responsible for the elderly care facilities subjectively perceive the ST.

Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study (중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법)

  • Kim, Hyun Sook;Choi, Eun Kyoung;Kim, Tae Hee;Yun, Hye Young;Kim, Eun Ji;Hong, Jin Ju;Hong, Jeong A;Kim, Geon Ah;Kim, Sung Ha
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.87-99
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    • 2019
  • Purpose: This study aimed to identify the difficulties with end-of-life care (EOLC) experienced by intensive care unit (ICU) nurses and to investigate their educational needs for EOLC. Methods: Mixed methods were used to survey ICU nurses at a university hospital. Quantitative data (N=106) were collected through a questionnaire and analyzed using an independent samples t-test, ANOVA, Mann-Whitney U test and $Scheff{\acute{e}}$ test. Qualitative data (N=19) were collected through focus group interviews and analyzed through qualitative content analysis. Results: The mean score on the difficulty of EOLC was 3.41 out of 5. The education needs derived from the qualitative analysis was categorized into four themes: 1) guidelines on professional EOLC, 2) spiritual care, 3) a program to take care of feelings of patients, families and nurses, and 4) activities to think about death. Conclusion: This study confirmed that ICU nurses were experiencing an extreme difficulty in providing EOLC. In addition, a qualitative analysis confirmed that they needed an EOL nursing program. To mitigate the difficulties experienced by nurses involved in EOLC, there is an urgent need to develop an education program for EOLC tailored to nurses' needs.

Married Immigrant Women's Utilization of Health Care and Needs of Health Services (여성결혼이민자의 보건의료이용실태와 보건의료요구도 조사)

  • Kim, Chun-Mi;Park, Myung-Sook;Kim, Eun-Man
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.333-341
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    • 2011
  • Purpose: The purpose of this study was to analyze married immigrant women's utilization of health care and their demand for public health care services. Methods: This study was conducted through descriptive survey with 102 married immigrant women in 2 cities, and survey was done from November, 2010 to May, 2011. Results: The results were as follows. Of respondents, 70% were using medical services in Korea and only 38.2% of them were satisfied with services. Major difficulties in using health care services were 'access problem' (35.7%), 'communication problem' (27.7%), and 'medical cost' (19.8%). The respondents' main sources of health information were family (56%), health care center (15%). The types of health information and education demanded by respondents were children's health care (22.1%), pregnancy and delivery (21.1%), and common disease care (20.0%). The most wanted services from public health care institutions were vaccination (24.5%), health promotion (21.5%), and leisure activity programs (20.6%). There was a statistically significant difference in period of immigration and public health care demands. Conclusion: For married female immigrants, it is recommended to provide tailored public health care services such as outreach service and visiting nursing care service, and to set up different language signs for common disease patients.

Developing standardized Clinical Dietetic Staffing Indices in Hospital Foodservice (업무분석을 통한 임상 영양사 적정인원 산출 사례연구(II))

  • 양일선
    • Journal of Nutrition and Health
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    • v.28 no.7
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    • pp.675-687
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    • 1995
  • The purpose of this study were to analyze work patterns of clinical dietitians by time study, to investigate labor time used in each clinical dietetic activity, and to develop standardized indices of clinical dietetic staffing needs. Two general hospitals(A & B) in Seoul were selected for study. The results of this study can be summarized as follows. 1) For the A hospital, the percentage of clinical dietetic activities such as attending meeting, professional research, foodservicemanagement, clerical activity for the foodservice, administrative activity and delay were 17.5%, 1.3%, 14.5%, 23.4%, 21.3%, 4.6%, and 17.3% respectively, while 22.4% 3.5%, 23.7%, 10.9%, 15.8%, 4.2%, and 19.5% respectively for the B hospital. 2) For the A hospital, the percentage of direct patient care like outpatient nutrition education, group nutrition education, and patient meal planning were 69.5%, 10.5%, 7.6%, and 12.4% respectively while 78.9%, 7.3%, 8.9%, and 5.1% respectively for the B hospital. 3) Time spent for performing direct patient care such as basic care, intermediate care, and indepth care per patient were 28.0min, 73.1min, and 53.0 min respectively for the A hospital, while 45.3 min, 76.2 min, and 52.6 min respectively for the B hospital. 4) Full time clinical dietitian staffing needs were calculated for the three parts ; basic care, intermediate care, and in-depth care. For A hspital, the appropriate numbers of full time clinical dietitian were 3.5 persons in basic care, 3.6 persons in intermediate care, and 1.3 persons in in-depth care, while 6.1 persons, 6.3 persons, 3.2 persons respectively for B hospital.

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Facts and Needs of Comprehensive Child Edu-care Services in Daejeon (대전지역 보육서비스의 실태와 요구 분석 - 어린이집 교사를 대상으로)

  • Choi, Mock-Wha
    • Korean Journal of Human Ecology
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    • v.13 no.3
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    • pp.393-405
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    • 2004
  • The purpose of this study was to provide the basic data needed for developing comprehensive child edu-care programs that fits the regional needs. Subjects of the survey were the teachers of child edu-care centers in Daejeon. 95 teachers were selected from 20 child edu-care centers, using stratified random sampling method, from all of five municipal districts of the city. Gathered data were analyzed using SPSS 10.0 for reliability, factor analysis, frequency and percentile, mean, standard deviation, paired samples t-test and F-test. The summary of the findings were as follows: First, the result of survey on the child edu-care facts showed that the most child edu-care centers had the focus on caring and education programs of children, while emotional supports for family services and community social services were rather secondary importance. Therefore, to achieve the comprehensive service programs, child edu-care services should be harmonized by the education and welfare approaches. Second, centered around teacher's request, comprehensive child edu-care program that fits the regional characteristics focuses on family service; thus the program requires family group consulting, parents education etc., as well as focusing on community service to utilize local community's human, physical resources and to strengthen the tie between local community and child care services.

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Analysis of Functional Independence Status and Home Care Needs among Stroke Patients (뇌졸중 환자의 기능적 독립 상태(FIM) 및 가정간호 요구도 분석)

  • Jeon, Eun-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.149-156
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    • 2005
  • Purpose: The purpose of this study was to analyze functional independence and need for home nursing care in stroke patients. Method: This was a descriptive study. The subjects comprised 117 stroke patients who were supposed to discharge in less than a week. The instruments used for this study were the functional independence measure(FIM) and the need assessment for home nursing care of stroke patients. The data were analyzed using frequency, mean, t-test, ANOVA, and Pearson correlation coefficient. Results: Pearson correlation analysis revealed that there were negative correlations between subcategories of the FIM and the need for home nursing care in stroke patients. Especially, in case of the subjects who recorded lower scores at self-care they showed higher needs for home nursing care in the domain of physical problem and rehabilitation. Conclusion: For the operation of the home nursing care, the protocol for home nursing care is needed to the stroke patients living at home. The FIM instrument is recommended as a useful scale in order to assess the disability for the stroke patients and the need for home nursing care because this one has correlation with the scale of need for home nursing care.

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A Study on the Care Needs and Well-being of the Elderly Using Elderly Care Service : Focus on the Social Value Orientation (노인돌봄서비스 이용 노인의 돌봄 욕구와 안녕감에 관한 연구 : 사회적가치지향성의 효과를 중심으로)

  • Kim, Ka-Won;Choi, Sung-hun
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.555-564
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    • 2021
  • This study evaluates the social value orientation, well-being of the elderly and care needs of elderly that elderly care services are identified and seeks future service development directions through a desire survey. As of October 2019, 1,501 elderly living alone who used basic care services for the single elderly households for more than 3 months were sampled, and frequency analysis, technical statistical analysis, t-test, and variance analysis were conducted. The survey found that social value orientation averages 90.93, and the sense of well-being of the elderly is 71.29 points. As a result of the analysis of variance and post-hoc analysis, the well-being of the elderly was statistically significant in groups well aware of their social value orientation. In addition, key words such as "loneliness", "lonely Death", and "safety" were derived for concerns that may arise when the service is discontinued. Based on the results of this study, it could be used as basic data to explore the development direction of the new "elderly care services" and to establish a care system for senior citizens in preparation.

Knowledge and Learning Needs Related to Cancer Treatment in Gynecological Cancer Patients (부인암환자의 항암치료에 대한 지식정도 및 교육요구도)

  • Seo, Mi-Sook;Choi, Euy-Soon
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.942-949
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    • 2006
  • Purpose: This study was to investigate the knowledge and learning needs of chemotherapy in gynecological cancer patients. Method: The subjects consisted of 103 gynecological cancer patients receiving chemotherapy from April 2005 to August 2005. Data was collected using a questionnaire about knowledge and learning needs of chemotherapy. The data was analyzed by t-test, ANOVA, Scheffe test, and Pearson's correlation coefficient using SAS. Result: Average scores of knowledge and learning needs of general treatment and care were 2.74, and 3.30 respectively. Average score of knowledge and learning needs of chemotherapy were 2.54 and 3.23 respectively. Learning needs of general treatment and care and of chemotherapy were significantly different in relation to marital status, educational level, family support, the operation, and the amount of chemotherapy received. Items with the highest level of learning needs were the symptoms of recurring illness of general treatment, and minimizing side effects of chemotherapy. There were a negative correlation between knowledge and learning needs on general treatment and a positive correlation between knowledge and learning needs on chemothearpy but there were not significant statistically. Conclusion: The level of learning needs related to cancer treatment was high, whereas, that of knowledge was low. Therefore, when designing an educational program for gynecological cancer patients, understanding of learning needs is necessary. Also, consideration of a patient's characteristics, and a systematic and detailed educational program should be provided.