• 부모자녀건강학회지
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• 제13권2호
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• pp.63-77
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• 2010

Purpose: The purpose of this study was to develop child's health assessment tools and tailored home visiting nursing service model in a community. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors and visiting nurses in public health centers from May to December 2009, the standards of child health assessment tools, service model and education materials for visiting nurses were developed. Results: Some record forms were newly developed, including neonatal assessment, breast feeding, mother-infant interaction, oral care, vaccination and safety, and appropriate developmental screening tests in the community were selected. For systematic health care management in the community, problem list, problem criteria, health care plan, outcome criteria were also developed. Conclusion: On the demand of growing need for health promotion and early intervention for children and their association with parenting and socioeconomic status, assessment and control measures are indispensable to the promotion of child health for vulnerable population. Children's health and developmental problems, and safe circumstances can be assessed using this assessment tools, and can be used for tailored home visiting nursing care for children.

• 가정간호학회지
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• 제24권3호
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• pp.243-254
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• 2017

Purpose: This study aims to reveal violence victimization of visiting nurses and investigate the coping and prevention strategies adopted by public institutions. Method: The data were collected over three weeks in 2017 using self-report questionnaires from 237 visiting nurses. Data were collected between August 23 and September 15, 2017. Result: Among the respondents, 74.7% had experienced some types of work-related violence during the past year. Verbal abuse (65.4%) was most common, followed by physical threat (46.8%), sexual abuse (43.9%), and physical violence (5.5%). The nurses perceived the most common cause of violation as socio-economic frustration of the offenders vented out on the nurses. Besides, most reported offenders had mental health problems. The two most effective measures to prevent violence faced by the nurses are terminating visiting services for the offenders and implementing the buddy system, which has rarely been used in practice. Conclusion: These findings show that visiting nurses are exposed to a risk of serious abuse in everyday work life, and the nurses themselves or institutions have failed to handle the violence, showing shaky responses at best. Therefore, it is necessary to establish internal regulations and systems at the institutional level that can help prevent violence against visiting nurses.

• 한국농촌간호학회지
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• 제16권2호
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• pp.60-68
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• 2021

Purpose: This case report was attempted to present the process of the end of life nursing care provided by the visiting nurse. Methods: The subject was a person who was decided the long-term care Grade 1 and received a visiting nursing service, and the service was terminated on the death, and then was selected as a case with the consent of his family. The data were collected through long-term care benefit provision records and interviews with the visiting nurse. The nursing process was presented by applying the Omaha System. Results: The subject had digestion-hydration problems and respiration problems in the physiological domain, and the problems of role change, caretaking/parenting, spirituality, and grief in the psychosocial domain were identified. Depending on the problem, the end of life nursing care was provided to the subject and family members through activities on physical symptoms/signs, dietary management, end-life care, and coping skills. Conclusion: We expect that if the visiting nurse provides anticipatory guidance on the death process, the subject will be able to prepare for death comfortably with the family at home instead of vague fear of death.

• 한국콘텐츠학회논문지
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• 제15권4호
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• pp.234-245
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• 2015

본 연구는 방문 요양보호사의 대인관계가 직무만족에 미치는 영향을 알아보기 위한 것으로, 방문 요양보호사들의 대인관계는 대인서비스적 업무 특성을 고려하여 수급자, 보호자, 동료, 기관장과의 관계로 구분하였다. 대전광역시의 방문요양서비스 제공기관에 근무하는 요양보호사 336명을 연구대상으로 하였으며, 수집된 자료는 SPSS 22.0프로그램을 이용하여 신뢰도분석, 빈도분석, 상관관계분석, 위계적 회귀분석을 실시하였다. 최종 분석 결과, 인구사회학적 특성의 영향력은 유의미하지 않았으나, 업무수행관련 특성 중 업무비중 우선순위, 이직경험, 직업선택이유는 직무만족에 유의미한 영향을 주는 것으로 나타났다. 특히 보호자와의 관계를 제외한 대인관계 요인은 영향력이 가장 큰 변수로서 직무만족에 유의미한 영향을 미치는 것으로 나타났다. 영향력은 기관장과의 관계, 수급자와의 관계, 동료와의 관계 순으로 컸으며, 관계가 좋을수록 직무만족도가 높았다. 본 연구결과는 방문 요양보호사의 직무만족을 향상시키기 위해, 기관 내외적으로 원만한 대인관계를 형성 할 수 있는 환경을 조성할 필요가 있음을 보여주고 있다.

• 가정간호학회지
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• 제10권2호
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• pp.148-157
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• 2003

The purpose of this study was to provide the basic data for developing a program for effective intervention for home health care need of postpartum mothers and newborn babies. The subjects were 104 women. The data were collected from march, 2003 to June, using a 81 item questionnaire and analyzed by SPSS program for frequency, Mean, ANOVA. The results were as follow. 1. The mean of care needs of newborn babies was higher than that of physical demand of Postpartum mothers. The mean of physical demand of Postpartum mothers was $3.99\pm.42$. The mean of care needs of newborn babies was $4.11\pm.50$. 2. The most highest mean of physical demand of Postpartum mothers was wound care for caesarean section and episiotomy($4.53\pm.66$), and then breast engorgement care($4.38\pm.71$). The most highest mean of care needs of newborn babies was emergency care methods($4.58\pm.52$), and then infection control $4.51\pm.56$). 3. 66.3% of postpartum mothers positively desired consultation hospitals centered home care need during postpartial periods. 4. Influential variables of home health care need was postpartial periods. they wanted the first week after delivery, more freqently visiting of home care nurse. 37.5% of postpatial mothers wanted visiting within 1 weeks after delivery. 31.7% wanted 2 times/week. In conclusion, it is necessary to study to make a program in nursing of home health care for postpartum mothers, and to keep on studying repeatedly in order to raise the number of objects and to find related variables.

• 한국노년학
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• 제41권2호
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• pp.271-284
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• 2021

이 연구는 한국형 커뮤니티 케어의 기초가 되는 서울시 찾아가는 동주민센터 방문건강관리 사업을 중심으로, 만성질환 유병상태에 따른 노인 방문건강관리 서비스 만족도 영향요인을 도출하고, 향후 효과적인 커뮤니티 케어 모형 개발을 위한 기초자료로 활용되고자 수행되었다. 이 연구는 찾아가는 동주민센터 3단계('17년 7월 ~ '18년 6월) 및 4단계('18년 7월 ~ '19년 6월)에 참여한 만 65세, 만 70세 노인을 모집단으로 하여, 자치구별 비례할당 방식으로 추출한 2,200명(3단계 24개구 1,100명, 4단계 25개구 1,100명)을 대상으로 가구방문 면접 조사를 실시하였다. 이후 불성실 응답 180건을 제외한 2,020명을 최종 분석대상에 포함하였다. 만성질환 유병상태를 기준으로 하위집단을 나누었고, 방문건강관리 서비스 만족도 영향요인을 도출하기 위하여 로지스틱 회귀분석을 실시하였다. 연구결과, 만성질환이 없는 노인들은 건강교육 및 상담 서비스를, 만성질환을 1개 가지고 있는 단일 만성질환 노인은 지역사회자원 연계서비스를, 만성질환을 2개 이상 가지고 있는 복합 만성질환 노인은 자신의 건강상태평가 및 지역사회자원 연계서비스를 제공받은 경우 서비스 만족도가 통계적으로 유의하게 높아지는 것을 확인하였다. 한편, 만성질환 유병상태와 상관없이 노인이 인식하고 있는 서비스 제공시간은 방문건강관리 서비스 만족도를 높이는 요인이었으며, 설명 이해도는 단일, 복합 만성질환자 모두에게 만족도를 높이는 요인이었다. 지역사회를 중심으로 한 방문건강관리 서비스는 현재 추진되고 있는 커뮤니티 케어의 핵심 요소이므로 향후 커뮤니티 케어의 지속성과 효과성을 증대하기 위하여, 노인의 만성질환 유병상태에 따른 지역사회 중심의 맞춤형 건강관리서비스가 제공되어야 하겠다. 다만, 보다 효과적인 서비스 제공을 위하여, 첫째, 국민건강보험공단이 보유하고 있는 대상자의 건강정보를 지자체로 공유하는 연계시스템 구축과 둘째, 방문건강관리 서비스의 질향상을 위한 방문간호사 역량강화 교육이 병행될 필요가 있다. 이 연구의 결과와 제언이 향후 커뮤니티케어의 성공적 정착을 위한 기초자료로 활용되기를 기대한다.

• 한국콘텐츠학회논문지
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• 제12권12호
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• pp.282-290
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• 2012

현재 우리나라의 재가간호서비스는 보건소의 맞춤형 방문건강관리사업과 의료기관 가정간호사업, 그리고 노인장기요양보험의 방문간호서비스의 독립성과 전문성을 인정하면서, 각 영역간의 연계를 통해 사업의 중복성을 최소화하는 연계방안이 필요한 상황이다. 이에 본 연구는 재가간호서비스의 연계방안을 도출하기 위해 전문가들의 의견을 바탕으로 합의를 이끌어내는 델파이 기법을 활용하였다. 그 결과 제도적 차원의 연계와 의료적 차원의 연계라는 두 영역 안의 총 24개 항목이 연계방안으로 도출되었다. 재가간호서비스의 연계방안으로 도출된 24개의 항목은 재가간호사업 체계의 개선과 제공되는 서비스 질의 향상, 대상자의 만족도 증대 효과를 가져 올 수 있을 것으로 기대되며, 서비스의 중복을 최소화할 수 있는 방안을 모색함으로서 국가적 차원에서 복지 및 국민 건강관리의 효율성을 증대할 것으로 보인다. 이를 통해 궁극적으로 국민의료비의 절감과 더불어 재가간호서비스 증진에 기여할 것으로 여겨진다.

• 문화기술의 융합
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• 제7권4호
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• pp.227-236
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• 2021

본 연구는 찾아가는 동 주민센터 방문간호사의 사업에 대한 인식 및 참여경험을 파악하여 방문간호사업의 효율적 운영 및 사업의 발전 방향을 마련하고자 방법론적 트라이앵귤레이션 연구방법을 적용하여 시도하였다. 방문건강 관리사업의 전달체계, 간호사의 인식 및 참여경험을 파악한 결과, 방문의 효율성을 위해 방문현장 상황을 고려한 방문간호 관리인원, 건강평가, 정보시스템 등 사업기준의 보완이 필요한 것으로 나타났다. 본 연구에서 제기된 주요 이슈를 공유함으로써 정책적 대안이 개발되어야 함을 제언한다.

• 가정간호학회지
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• 제10권1호
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• pp.5-14
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• 2003

Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.

• 가정간호학회지
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• 제15권1호
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• pp.14-21
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• 2008

Purpose: The aim of this study was to analyze the effects of job characteristics on emotional empowerment in visiting health personnel. Methods: Subjects were recruited in ten community health care centers in one directorial area. Data collection was done using a self-report questionnaire. Job characteristics of visiting healthcare personnel were measured using the questionnaire developed by Kang (2006), based on Hackman & Oldham (1975). Emotional empowerment was measured using the questionnaire developed by Kang (2006), based on Spreitzer (1995). Results: First, the score of job characteristics was revealed to be 3.51 points the task significance was high, and the feedback was low. Second, the level of emotional empowerment was revealed to be 3.78 points the meaning was high, and the impact was low. Third, the prediction power of job characteristics on emotional empowerment was 34% autonomy, task identity, and task significance were identified as statistically significant predictive factors. Conclusion: The job characteristics of visiting healthcare personnel are highly correlated with emotional empowerment. Autonomy, task identity, and task significance are predictive factors of emotional empowerment. These results can be used to develop more effective job planning for increasing organizational effectiveness in visiting healthcare personnel.