• Title/Summary/Keyword: Home training

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Education Needs for Home Care Nurse (가정간호 교육요구도 조사 연구)

  • Kim Cho-Ja;Kang Kyu-Sook;Baek Hee-Chon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.2
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    • pp.228-239
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    • 1999
  • In 1990 Home Care Education Programs started when legislation established certification for Home Care Nurses. The Ministry of Health and Welfare proposed a home care education curriculum which has 352 class hours and 248 hours of 'family nursing and practice'. Though Home Care Education Programs have been offered in 11 home care educational institutes, there has been no formal revision for the home care education programs. Also a first and second home care demonstration projects have been carried out, but there has been no research on outcomes for home care education as applied in home care practice. The purposes of this study were to identify the important content areas for home care nursing as perceived by home care nurses, and to identify their clinical competence in each of these areas, and from these to identify the education needs. The sample was 107 home care nurses who were working in home care demonstration hospitals and community-based institutions which have been offering home care services. Responses were received from 88 nurses, comprising a 82.2% return rate, and 86 were included in the final analysis. The instrument used was a modification of the instrument developed by Caie-Lawrence et(1995) and Moon's(1991) instrument on home care knowledge. The instrument's Cronbach's coefficient was 0.982. Among the respondents, 64% were working at home care demonstration hospitals and 36% were working at community-based institutions. Their home care experiences were from one month to six years, with a mean of 20.6 months. The importance rating for home care education content was 3.42 0.325, which means importance was rated relatively high. Technical aspects of home care were identified the most important. Five items 'education skill', 'counseling skill', 'interview skill', 'wound care skill', 'bed sore care skill' received 100% importance ratings. The competency rating was 2.87 0.367 and 'technical aspects of home care' was the highest, and 'application to home care skill' was the lowest. Home care nurses' education needs were identified and compared to the importance ratings and competency ratings. Eleven items were identified as the highest in the importance areas and eleven items were in the lowest competency areas. High importance ratings matched with low competency ratings determined training needs, but there was no matching items in this study. In the lowest competency areas four items were excluded, because of not being applicable in current home care practice. Therefore total eighteen items were identified as home care education needs. These items are 'bed sore care skill', 'malpractice', 'wound care skill', 'general infection control', 'change and management of tracheostomy tubes', 'CVA patient care', 'Hospice care', 'pain management', 'urinary catheterization and management', 'L-tube insertion and managements', 'Respirator use and management skill', 'infant care', 'prevention to burnout', 'child assessment', 'CAPD', 'infant assessment', 'computer literacy', and 'psychiatry patient care'.

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Customized Home Visiting Nurses' Experiences in Telephone Visiting (맞춤형방문간호사의 전화 방문 경험)

  • Kang, Young-Sil;Ha, Yeong-Mi;Eun, Young
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.223-233
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    • 2011
  • 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.

Development and Clinical Use of Assessment Indicators for Improving Medication Adherence of Elderly Residents in Nursing Home (노인요양원 입소자의 복약순응도 향상을 위한 평가지표의 개발 및 임상활용)

  • Park, Duck-Soon;Kang, Minku;Bang, Joon Seok
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.1
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    • pp.13-23
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    • 2016
  • Background: South Korea is rapidly being an aging-society and the demand of long-term care insurance services for elderly patients is rising. In addition, because the elderly taking multiple medicines, the adherence is lowered and the adverse events are easily occurred. Therefore, many are interested in introducing the geriatric pharmacy specialist to manage this situation. Purpose: By applying a similar program such as the geriatric pharmacy specialist working in nursing home, we conducted this study to evaluate the potential contribution to both the health insurance services and financial savings for the elderly patients. Methods: We conducted a trial in an elderly nursing home to collaborate between doctor and pharmacist making a checklist for improving medication adherence and establish a consultation system. Also we applied a smart phone application in the pharmaceutical care processes. Results: Thereby completing the drug therapy related checklist apply to nursing facilities in South Korea. And we got a performance that improves medication adherence when used in the clinical practice settings. Conclusion: By introducing a training program of pharmacy care managers and geriatric professionals such as the United States and Japan, we revealed the elderly nursing home residents and vulnerable elderly people living alone were improved the medication adherence and it will contributed to the health and quality of life of the patients.

The Effect of Video Game-Based Home Exercise on Balance and Muscle Strength in the Elderly in the COVID-19 Era

  • Myung Joon Kim
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.509-516
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    • 2022
  • Objective: This study investigated the effect of a video game-based home exercise program on the improvement of balance and muscle strength in the elderly. Design: Randomized controlled trial Methods: Participants were randomly assigned to two groups: a video game-based home exercise training group (experimental group, n=16) and a control group (n=17). The experimental group trained three times a week for 50 minutes per session for six weeks, and the control group did not perform any exercise. To evaluate postural balance, one leg standing test, Berg balance scale, functional reach test, and timed up and go test were performed, and five times sit-to-stand was performed to evaluate lower extremity muscle strength. Results: In the experimental group, there were statistically significant improvements (p<0.05) in one leg standing test, Berg balance scale, functional reach test, and timed up and go test, and five times sit-to-stand after the intervention, but in the control group, the difference before and after the intervention was not significant. The difference between the groups according to the experimental method showed a significant increase in the experimental group (p<0.05). Conclusions: These results suggest that a video game-based home exercise program effectively improves balance and muscle strength in the elderly. A video game-based exercise program can contribute to the rehabilitation of the elderly as a method of home remote rehabilitation.

Oral health care intervention protocol for older adults at home in dental hygienists: a narrative literature review (치과위생사의 재가방문 구강건강관리 중재 활동을 위한 프로토콜 고찰 )

  • Jong-Hwa Jang
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.5
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    • pp.333-341
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    • 2023
  • Objectives: This study aims to propose a standard protocol for oral health care intervention activities by dental hygienists. Methods: A narrative literature review of home visit oral health care intervention activities reported in Cheonan, South Korea was conducted to enable the proposal of a standard home visit protocol for dental hygienists in the context of community care. Results: Oral health management intervention activities contributed to improving the quality of life, as well as the oral health, of older adults living at home. This was a result of applying a protocol consisting of oral observation, oral massage, expert oral hygiene management, oral muscle function training, and final stages. Conclusions: The visiting oral health intervention protocol was effective in resolving oral health problems of older adults. In the future, customized programs and reimbursement systems should be developed to promote oral health care for older adults that can be provided at home.

Characteristics and development plan of Home Economics teachers' culture (가정과교사 문화의 특징과 발전 방안)

  • Kim, Seung-Hee;Chae, Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.30 no.2
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    • pp.77-102
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    • 2018
  • The purpose of this study was to contribute to Home Economics(HE) teachers' culture by figuring out acknowledging characteristics of cultures of HE teachers and impeding factors on development of HE education. For this intensive interview were used. Intensive interviews were made with 14 HE teachers who completed coursework for master's or doctor's program of graduate school and belong to HE Teachers' Study Associations of each region or Korean Home Economics Education Association and analyzed by subject analysis method. The results of the study are as follows. First, HE teachers establish the philosophy of HE education, and practice education to provide profit to adolescents, their families, as well as society through HE class with their belief that HE is a practical and critical subject to benefit individual adolescents, families, and society. Second, HE teachers form culture to make an effort to continue to improve their expertises by attending graduate school, joining HE teachers' associations to enhance teaching methods, evaluation methods, and work ability or disclosing their own class. Third, HE teachers settle culture to conduct classes focusing on practical issues by converting the paradigm of HE education to that of practical critique. They also see that the system of three actions(technical action, communicative action, and emancipative action) should be applied in circulating ways to improve quality and value of life. Forth, for impeding factors of development of HE education, there are educational system and social recognition. However, with HE teachers' efforts, HE education settles well, as it reflects demands from students and society, finds students' talents, and actualizes its own goals. HE teachers believe that student will recognize that HE education is necessary for happiness of individuals and families. As a way to develop Home Economics teacher culture, Home Economics teachers should have the opportunity to develop more Home Economics teachers by participating in and working in research sessions in each area. It also called for a control tower to enable and lead collaborative networks between local Home Economics curriculum research committees. The Korean Home Economics Education Association should play a central role in the academic research community of each region and be able to help Home Economics teachers by moving more quickly and systematically to cope with the upcoming changes in education. Finally, participants said that in order to prepare a basic framework for the change in Home Economics education, practical critical Home Economics teacher training are needed. To this end, students can understand the essence of Home Economics education and establish their identity by taking a deeper Home Economics education curriculum philosophy for Home Economics teacher training.

A Study the Computer Use of Rural Change Agents (농촌지도사의 컴퓨터 사용에 관한 조사연구)

  • Kim, Soo-Wook;Park, Sung-Youl;Kang, Jeong-Ok
    • Journal of Agricultural Extension & Community Development
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    • v.1 no.1
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    • pp.67-74
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    • 1994
  • The objectives of this study were to review the present situations of computer use, computer education and training, and attitude to computer of agricultural extension agents. The research subjects were 279 agricultural extension agents in 15 City and Gun Rural Extension Offices Which were sampled by random sampling method among 182 City and Gun Rural Extension Offices. The major findings of the study were as follows; 1. Only 28% of the agricultural extension agents had personal computer in their home. 2. Agricultural extension agents mainly used word processor program, but hardly used data base, spreadsheet, and computer language. 3. About 40% of the respondents had not chance to be participated in computer education/training program yet. 4. Generally, rural change agents agreed that computer is very valuable for their job and that they should learn high computer technology. 5. Concludly, various contents of computer education/training program should be prepared for rural change agents and they should take full advantage of computer facilities.

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Analysis of Current Status of Kigong Training Organizations focusing on Korean Traditional Ideologies (한국 전통사상을 중심으로 한 기공수련 단체의 현황 분석)

  • Cho, Jung-Hyun;Han, Chang-Hyun;Park, Soo-Jin;Kwon, Young-Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.5
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    • pp.1356-1363
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    • 2007
  • The purpose of the study was to identify the general status of Kigong organizations introduced on Internet. We have used www.naver.com, the biggest portal site in Korea and www.nice114.co.kr, which has the longest list of the telephone numbers to look up the organizations with the index of "Kigong and Danhak" and "Mediation". Among them we screened the organizations to have the list of organizations which have been established for more than 5 years, with more than 100 trainees and whether they published books or booklets regarding Kigong by the means of telephone conversation or home page access. The number of organizations identified by telephone and Internet with the indexes of Kigongdanhak and mediation was 852. The number of organizations that passed the primary criterion was 22, and that passed the secondary criterion was 8. Among the primarily screened organization, there are 5 focusing on mediation, 5 focusing on breathing, 3 focusing on Haenggong, 4 focusing on mediation and Haenggong, 4 focusing on breathing and Haenggong and 1 focusing on mediation and breathing. In secondarily screened organizations, they called their training method as Seondo, Shinseondo or Seonhak and origin of the training method as Dangun and Hwangwung. As Sambeop training of Jigam, Josik and Geumchok provide training methods which are a little different each other, the utilization rate was low although there are some organizations that have special training using Three Bibles. It was identified that there were many texts and writings that they took as training methods other than Three Bibles. Kigong training organizations based on Korean traditional ideologies are grounded on the Three Textbooks such as , , and and the concept of Hongikingan. This ideological ground is the study of Completion of Human Beings through physical and mental training and goes with Seondo, Pungryudo and Hyunmyojido.

Development of Home Visiting Nursing Standards Base on a Long-Term Care Insurance for the Elderly Program (노인장기요양보험제도에 의한 방문간호 표준개발)

  • Kim, Myung-Hee
    • Journal of Korean Public Health Nursing
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    • v.24 no.2
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    • pp.285-301
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    • 2010
  • Purpose: The study was aimed at qualitatively enhancing and promoting a home visiting nursing program established in Korea on July 1, 2008, as part of the Long-Term Care Insurance for the Elderly program. Methods: Structural, procedural and consequential aspects of home visiting nursing care wereclassified on the horizontal axis by applying the standard notions for the evaluation of medical care (Donabedian, 1998). At the same time, the home visiting nursing care service support system and the service provision system weredivided on the vertical axis with reference to the accreditation standards for home visiting nursing care organizations suggested by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO, 2008). The data were collected from June 4, 2008 to October 27, 2008, and were analyzed using SPSS ver. 15.0. Results: Twenty-two (proposed) standards, centered on the standard elements under the conceptual framework of the study, were developed, and comprised structural aspects (n=10), procedural aspects (n=6) and consequential aspects (n=6). Those criteria and indicators underwent two content validity surveys among groups of home visiting nursing care research and training experts. The research produced 22 proposed standards, 50 proposed criteria and 166 proposed indicators. Conclusion: The home visiting nursing care standards developed pursuant to the Long-Term Care Insurance for the Elderly Act and the applicability of these standards need to be verified by home visiting nurses. These proposed standards should prove useful in developing an assessment tool to encourage the qualitative enhancement of visiting nursing care in Korea.

The Effects on Clothing Weight in the Health State of the Kindergartners (착의량이 유아건강에 미치는 영향)

  • Lee Won-Ja;Choi Jeong-wha
    • Journal of the Korean Society of Clothing and Textiles
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    • v.13 no.1 s.29
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    • pp.13-33
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    • 1989
  • The purpose of this study is to obtain the effects on clothing weight in the health state of the kindergartners. So 1 divided 140 kindergartners into 3 groups. A not trained of light wearing in the control group, B the semi-experimetnal group, C the experimental group. In the field surveys conducted their monthly clothing weight and anthropometric measurements, physique index (obesity index) and motor-ability and rate of cold contraction and of absence, Cornell Medical index from Jun, 1986 to Feb, 1987 in Seoul. 1) The experimental group was even less clothing than the control group in clothing weight during the training period. 2) All the experimental group droped conspicuosly the rate of cold contraction and absence during this period. 3) After this training, the experimental group was better than semi-experimental group and control group in motor-ability especially in standing broad jump, flexibility and tennis ball throw, 25 meter dash. 4) But, 1 could not find the different of anthropometric-measurements, physique-index about this train.

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