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Factors Relating to the Quality of Care for Nursing Home Residents in Korea: Using the Delphi Method
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Juh Hyun Shin, Eun Mee Kim, Ji Yeon Lee
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J Korean Acad Nurs 2019;49(6):783-794. Published online December 30, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.6.783
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 Abstract
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Purpose
This study identified factors related to the quality of care in nursing homes, and elicited consensus opinions from experts on nursing homes.
Methods
A Delphi questionnaire was developed based on a review of the literature using the keywords “nursing homes,” “workforce,” and “quality of care.” A total of two Delphi surveys were conducted with 14 experts. The important and urgent factors related to the quality of care for nursing home residents emerged.
Results
A consensus was achieved on the important and urgent factors relating to the quality of care. The related factors were grouped into four sections: Organizational Characteristics, Staffing Characteristics, the Long-Term Care Market and Legal and Policy Issues, and Nursing Processes. In total, 23 items were important factors and 26 items were urgent factors relating to the quality of care. In addition, the unanimous advocacy by the experts for increased hours per resident day for registered nurses (RNs, 41 minutes 59 seconds) was much higher than the current hours per resident day of RNs in Korea.
Conclusion
To provide optimal care for residents in nursing homes in Korea, the mandatory and essential placement of RNs with professional knowledge and skills is paramount.
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Citations
Citations to this article as recorded by  - The effects of special nursing units in nursing homes on healthcare utilization and cost: A case-control study using propensity score matching
Eunhee Cho, Eun-Young Kim, Kyung Hee Lee, Hye-Ryoung Kim, Seonhwa Choi, Yea Seul Yoon, EunKyo Kim, Seok-Jae Heo, Se Young Jung, Jiyoon Jang
International Journal of Nursing Studies.2023; 147: 104587. CrossRef - Effects of registered nurse staffing levels, work environment, and education levels on adverse events in nursing homes
Seonhwa Choi, Eunhee Cho, Eunkyo Kim, Kyongeun Lee, Soo Jung Chang
Scientific Reports.2021;[Epub] CrossRef - Cost of Care and Pattern of Medical Care Use in the Last Year of Life among Long-Term Care Insurance Beneficiaries in South Korea: Using National Claims Data
Sunjoo Boo, Jungah Lee, Hyunjin Oh
International Journal of Environmental Research and Public Health.2020; 17(23): 9078. CrossRef - Impact of Nurse Staffing, Skill Mix and Stability on Resident Health Outcomes in Korean Nursing Homes
Juh Hyun Shin, Gui Yun Choi, Jiyeon Lee
Journal of Korean Gerontological Nursing.2020; 22(4): 291. CrossRef - The Effects of Long-term Care Hospitals' Nurse Staffing Level on Patient Outcomes: Differences according to Region
Kyung Jin Hong
Journal of Korean Academy of Nursing Administration.2020; 26(4): 354. CrossRef
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