Objectives : The study examined mothers' oral health knowledge and oral health management behavior to their children that affect directly children's oral health to prepare basic aiming at children. Methods : Therefore, a survey of 235 mothers in 10 kindergartens located in Seoul was conducted by self-administered questionnaires. Results : As to mothers' oral health knowledge, the correct-answer rate for questions about tooth-decay was highest, and the level of 'middle (5-7 points)' was the most common with 50.0%. Regarding oral health knowledge according to mothers' general characteristics, the higher academic background and family's monthly earnings were, the higher oral health knowledge was. It showed a statistically significant difference(p<.01). In terms of mothers' oral health management behavior to their children, 79.1% of mothers who had the visiting experience in the dentist's for caries prevention was highest. As to the number of brushing, the twice was highest with 51.2%, and regarding brushing time 2min was highest52.6%. Also, the rate of using the fluoride toothpaste was 68.4%, and the rate of mothers who helped their children's brushing was 83.3%. As to the oral health management behavior to their children by mothers' oral health knowledge, mothers with higher oral health knowledge used the fluoride toothpaste showing that there was a significant difference(p<.01). Also, mothers with higher oral health knowledge helped more children's brushing, so that there was a significant difference(p<.05). Regarding the oral health management behavior to their children according to mothers' visiting experience in the dentist's, mothers who visited the dentist's during the recent one year had higher visiting experience of dentist's for children's caries prevention(p<.01) and longer time of brushing by 3min(p<.05), and helped their children's brushing a lot. The findings showed a significant difference(p<.001). Conclusions : As the results above, as mothers' oral health knowledge and oral health management behaviors to their children affect closely children's oral health, more systematic, specific and active oral health programs should be provided to mothers.
Purpose: This study attempted to identify differences in elders' health status, quality of life, and satisfaction with customized home visiting health service depending on connection to volunteerism. Methods: A total of 400 subjects participated in this research. Data were collected from May to August of 2009 and the measurement tool used for this study was the house visiting health service recording sheet recommended by the Ministry of Health. Results: According to the results of this research on elders' health status in customized home visiting health service depending on connection to volunteerism, elders' connected to volunteerism positively showed a high level in functional health status areas such as daily life performance ability, instrumental daily life performance ability and Joint exercise capacity, and in the quality of life area. Conclusion: The results of this study can be utilized as complementary information when resources and networks are used for the effective management of house visiting health service subjects.
Purpose: This study aimed to present Blue Ocean strategies by deriving the strategic elements of a visiting nursing center and conducting a survey on the importance and satisfaction of care clients. Methods: First, a FGI was conducted targeting the head of the visiting nursing center to derive its strategic elements. Subsequently, importance and satisfaction surveys on the derived strategy elements were analyzed, an IPA matrix was derived, and an as-is ERRC Blue Ocean strategy was established. Kano's Three-Factor Theory was used to derive a competitive position matrix and establish a to-be ERRC Blue Ocean strategy. The Blue Ocean Strategy for Visiting Nursing Center Management is presented in this study. Results: Four as raise factors were derived from combining the results of the as-is, to-be ERRC strategy element analysis: retention of competent nurses, education in medication management, maintenance of high customer satisfaction, and prompt handling of customer complaints. Additionally, the customer's health condition evaluation was derived. Conclusion: Blue Ocean Strategies can be used to analyze, derive, and establish management strategies in various nursing-related entrepreneurship fields.
The purpose of this study was to examine the state of visiting oral health programs and the opinions of dental hygienists on the programs in a bid to help boost the efficiency of visiting oral health programs, To meet the goals, 341 dental hygienists in public dental clinics across the nation were asked to join a questionaire survey via e-mail in September 2007, After their views were investigated, the following findings were given: 1. In regard to the management of visiting oral health programs, 44,3 percent of the respondents carried out visiting oral health programs, and 48,3 percent of that group did that in association with visiting health care programs, There were differences among the public dental clinics in beneficiaries of visiting oral health programs, beneficiary selection criteria and the details of oral health programs, which indicated the necessity of the development of standardized models. 2. As to difficulties in fulfilling visiting health care programs, a shortage of professional knowledge was viewed as the greatest hurdle, All their scores were above average, which implied that they were not able to perform the programs successfully. 3. As for the necessity and additional expected effects of visiting oral health programs, the largest number of the dental hygienists who carried them out expected that the programs would serve to change the mind-set of locals about themselves, And the others who didn't placed the most emphasis on cooperation from other departments, and the two groups had a statistically significantly different opinion. 4. Concerning the details of visiting health care programs, the dental hygienists who performed the programs found it most necessary to provide oral health education to employees and families to be visited, The others who didn't considered it most necessary to offer oral health education to people to be visited, The necessity of denture and prosthesis was least stressed by both groups, and they took a significantly different view of treatment for dental diseases, denture and prosthesis. 5. Regarding how to bolster visiting health care programs, the dental hygienist group that carried them out put more emphasis on everything suggested in the survey, Specifically, they attached greater importance to securing sufficient budget, establishing legal foundation, setting up an administration system and determining the directions for the programs in a realistic manner, which signified the desperate need for administrative and institutional backing.
Purpose: The purpose of this study is to understand nurses' perception of visiting nursing services of long-term care insurance. Method: The descriptive survey study involved 188 nurses selected by the convenient sampling of visiting nurses who participated in professional education sessions. Results: Of the 188 participants, 149 (79.3%) were aware of long-term care insurance. Awareness of aspects of long-term care services was 78.7% for facility service, 77.7% for ordinary visiting care service, 85.1% for visiting nursing service and 77.7% for visiting bathing service. Concerning visiting nursing service provision, the majority of the study subjects considered nurse-aid not to be the appropriate route for delivery of services including nasogastric tube exchange, tracheostomy tube management and stitch removal. Conclusion: Continuous evaluation and research on the standards and requirements of the nursing workforce is needed to secure and maintain the high quality of visiting nursing services. Exhaustive studies concerning task division and workforce separation according to nursing services type and level of difficulty should be done to develop the appropriate job description for visiting nursing service staff.
Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.
The work of visiting nursing personnel consists mostly of direct nursing and it is absolutely necessary that training of the nursing personnel for infection control be emphasized because most of patients are composed of elderly people with chronic diseases and malnutrition who are highly susceptible to infection. Accordingly. this study was designed to provide basic data for the development of an infection control program in public health centers as well as the promotion of perception and performance of infection control by analysing the perception of importance and performance in the infection control of visiting nursing personnel who carry out visiting nursing services. The subjects of this study consisted of a number of visiting nursing personnel working for 15 public health centers. 15 health-center branches. and 16 health clinics. The collection of data was grounded on a questionnaire method. The questionnaire breaks down to 8 questions about general characteristics and 108 questions in connection with the perception and performance of infection control. The results of this study are as follows: 1. 82 subjects (78.1%) responded that it is necessary to control infection. 79 subjects(75.3%) responded that education is necessary for infection control. 50 respondents (47.6%) answered in the affirmative in regard to the role of infection carriers. 2. The mean score for the perception of importance in infection control was 4.55 and that performance accounts for 4.03. this turns out to be very high. 3. In terms of the perception of importance per each field of infection control. medication. the management of contamination and sterilization, the control of environments and instruments. washing hands and individual hygiene as well as the prevention of cross-infection and the supervision of infection stand at 4.72. 4.64. 4.60. 4.58. 4.52 and 4.21 respectively. In terms of performance. the supervision of infection. the control of environments and instruments, individual hygiene and the prevention of cross infection. medication. washing hands, and the management of contamination and sterilization was 4.21. 4.12. 4.10. 4.03. 3.91 and 3.81 respectively. 4. In terms of the correlation between the perception of importance and the performance of infection control. the score stands high in all fields: this means the high perception of importance leads to high performance statistically (P< .05). 5. In terms of the perception of importance in general characteristics. there is no significant difference while the form of working places. working career and the career as visiting nursing personnel show a significant difference in terms of performance(P< .05). From the results. it is suggested that the visiting nursing personnel should be constantly educated with the aid of the development of infection control programs and that instructions and instruments for the management of infection should be worked out so as to enhance the performance of infection control on the part of nurses in applicable communities.
Journal of the Korea Academia-Industrial cooperation Society
/
v.12
no.11
/
pp.5071-5078
/
2011
This study attempted to identify the relationship of functional health status, satisfaction of customized home visiting health service, and quality of life in vulnerable elderly. This research people 399 total in the object. Data gathering period was from June to September of 2010 and measurement tool used for this study was the house visiting health service recording sheet, recommended by the Ministry of Health and Welfare. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients with SPSS/WIN 17.0 version. Functional health status and satisfaction of customized home visiting health service positively correlated with quality of life. Functional health status not correlated with satisfaction of customized home visiting health service. Results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects.
The purpose of this research was to analyze the work performance and the general characteristics influencing work performance of customized home health care nurse. Research participants were 204 nurses who worked in the customized home health care of 33 public health centers in Daegu city and Gyeong-Buk Province. The data were collected by self report questionnaires from July, 1 to August, 30, 2011. The highest degree of work performance was the diabetes mellitus service, while the lowest degree was pregnant women services. Age, marital status, education level, religion, career at public health center, visiting nurses career and work area were the significant factors related to work performance in these subjects. Customized home health care nurses management policy which includes assignment tasks and employment security considering general characteristics of visiting nurses should be established to enhance of activation and stable settlement of customized home health care service.
Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.
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