Journal of Korean Academy of Nursing

Volume 40(6); December 2010

Original Articles

Quality of Pediatric Nursing Care: Concept Analysis: Miyoung Choi, Kyungsook Bang; J Korean Acad Nurs 2010;40(6):757-764. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.757

Purpose

This paper is a report of a concept analysis of 'quality of pediatric nursing care'.

Methods

Rodgers's evolutionary method of concept analysis was used. Data were collected from published literature related to quality of pediatric nursing care.

Results

Quality of pediatric nursing care was identified with three dimensions and seven attributes: 1) nurse's character: technical competence, interpersonal competence, 2) nurse's activities: developmentally appropriate care, attentiveness, entertainment, 3) nurse-parent interaction: nurse-parent partnership, emotional support. Antecedents of quality of pediatric nursing care were 'child and parent's expectation about pediatric nursing care', 'previous caring experience of pediatric nurses'. Consequences of quality of pediatric nursing care were 'meet child and parent's needs' and 'better health outcomes.'

Conclusion

'Quality of pediatric nursing care' is a core concept in pediatric nursing practice. Appropriate instruments to operationalize the concept need to be developed.

Citations

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Effects of Anxiety, Parenting Efficacy, and Partnership With Nurses on the Caring Behaviors of Mothers of Hospitalized Children
Yu Jin Hong, Hyeon Ok Kim
Journal of Korean Maternal and Child Health.2024; 28(3): 111. CrossRef
Impact of Pediatric Nurses’ Nursing Professionalism on Quality of Nursing Care: Double Mediating Effect of Clinical Decision Making and Pediatric Nurse-Parent Partnership
Jung-Eun Lee, Mi-Young Choi
Journal of Korean Academy of Nursing Administration.2024; 30(1): 55. CrossRef
Effects of Emotional Intelligence on Job Satisfaction of Pediatric Nurses: The Mediating Effect of Communication Skills and Pediatric Nurse-Parent Partnership
Da Gyeon Lee, Mi-Young Choi
Journal of Korean Academy of Nursing.2023; 53(5): 514. CrossRef
Influence of Communication Competence and Communication Style on the Nurse-Parent Partnership in Pediatric Nurses
Hyun Jin Cho, Hyoung Sook Park
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 170. CrossRef
A Clinical Nursing Care Study on the Prevalence of Rotavirus Infection and Acute Diarrhea in Vaccinated Chinese Pediatric Population from 2019–2022
Qiuhua Fan
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Ina Jin, Hun Ha Cho
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The Relationships of End-of-life Care Stress with Compassionate Competence and Attitudes toward End-of-life Care among Pediatric Nurses
Ki Young Park, Jeong Hee Jeong
The Korean Journal of Hospice and Palliative Care.2021; 24(4): 235. CrossRef
Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses
So Yeon Yoo, Haeryun Cho, Yae Young Kim, Ji Hyeon Park
Child Health Nursing Research.2020; 26(1): 64. CrossRef
Comparison of the Quality of Nursing Care as Perceived by Pediatric Nurses and Mothers of Hospitalized Children
So Yeon Yoo, Yae Young Kim, Haeryun Cho
Child Health Nursing Research.2018; 24(4): 373. CrossRef
Validity and Reliability of the Korean Version of the Families’ Importance in Nursing Care-Pediatric Nurses’ Attitudes Instrument
Jina Oh, Yae Young Kim, So Yeon Yoo, Haeryun Cho
Child Health Nursing Research.2018; 24(3): 274. CrossRef
The association between nurse staffing levels and paediatric nursing-sensitive outcomes in tertiary hospitals
Chul-Gyu Kim, Ji-Soo Kim
Journal of Nursing Management.2018; 26(8): 1002. CrossRef
Relationships Between Clinical Decision-Making Patterns and Self-Efficacy and Nursing Professionalism in Korean Pediatric Nurses
Miyoung Choi, Jisoo Kim
Journal of Pediatric Nursing.2015; 30(6): e81. CrossRef
Parent Participation in care of Hospitalized Children: Concept Analysis.
Mi Young Choi
Child Health Nursing Research.2014; 20(2): 105. CrossRef
Development and Testing of a Pediatric Nurse Parent Partnership Scale
Mi Young Choi, Kyung-Sook Bang
Journal of Korean Academy of Nursing.2013; 43(2): 194. CrossRef
Sexual maturation, Body image, and Self-esteem among Girls of Lower Grades in Elementary School
So Young Roh, Kyeha Kim
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 405. CrossRef

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Correlation between Subjective and Objective Measurement of Climacteric Women's Hot Flashes: Hyung-Jun Kim, Kang-Hyun Leem, Myoung-Hee Kim; J Korean Acad Nurs 2010;40(6):765-774. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.765

Abstract PDF

Purpose

The purposes of this study were to explain the phenomena of hot flashes in climacteric women by using Mexameter, Skin Thermometer, Corneometer, and Laser Doppler Perfusion Imager (LDPI) objectively and to identify the interrelation between the subjective and objective measurements of hot flashes by comparing the two as reported in retrospective questionnaires.

Methods

The participants were one hundred women (45-60 yr) who were not currently on hormone therapy, and had reached hot flash scores of 10 or higher. Hot flashes were measured in a temperature and humidity controlled room for 7 hr from 10 am to 5 pm. Hot flashes were measured subjectively and recorded via the Hot Flash Diary Report. When participants felt the hot flashes, they were measured objectively by Mexameter, Skin Thermometer, Corneometer, and LDPI.

Results

The frequency of hot flashes in participants ranged from 1 to 7 times. When hot flashes occurred in participants, the erythema, skin temperature, skin hydration, and blood perfusion showed statistically significant changes in all measurements. But, the subjective and objective measurements of hot flashes showed only weak correlations.

Conclusion

Results indicate a need for future research with subjective and objective measuring instruments chosen depending variations identified for the study.

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Acupuncture for the Treatment of Hot Flashes in Patients with Breast Cancer Receiving Antiestrogen Therapy: A Pilot Study in Korean Women
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Comparison in Weight, Height, Degree of Obesity and Body Mass Index Among Different Methods for Body Shape Classification in School-Age Children: Young-mee Ahn, Min Sohn, Sun-Ha Choi; J Korean Acad Nurs 2010;40(6):775-784. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.775

Abstract PDF

Purpose

The study was conducted to describe body shapes of school age children using the degree of obesity index (DOI) and body mass index obesity index classified by the Ministry of Education, Science and Technology (M-BOI) and Seoul Metropolitan Office of Education (S-BOI).

Methods

In this cross sectional descriptive study health screening data for school children collected in 2007 was used.

Results

Data were analyzed for 2,193 4th-6th grade boys (52%) and girls who attended 4 schools in rural areas. DOI determined that only 44.3% of students had average weight. This proportion was much lower than the results of other methods (74.3-77.6%). All three methods defined girls (51.3-61.8%) as skinnier than boys. Skinny and average body shaped children classified by DOI and obese children classified by S-BOI were heavier and taller and presented higher degrees of obesity (DO) and BMI scores than by other methods. M-BOI and S-BOI presented statistically significant positive correlations with weight, height, DO and BMI, while DOI was not correlated with height.

Conclusion

BMI based body shape classifications provide a more rigorous classification of body shape which are favorable for school health professionals with limited resources and policy makers for internationally comparable references.

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Automatic recognition of the neck–shoulder shape based on 2D photos
Jian Zhang, Kaiyi Xu, Songling Zhao, Ruoweng Wang, Bingfei Gu
Textile Research Journal.2022; 92(23-24): 5095. CrossRef
Upper Body Type Classification of Elementary School Boys Using 3D Data
Hyun Wook Kim, Yun Ja Nam
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Associations among the Degree of Nonalcoholic Fatty Liver Disease, Metabolic Syndrome, Degree of Obesity in Children, and Parental Obesity
Min-Su Oh, Sorina Kim, Joon-Hyuck Jang, Jong Yoon Park, Hyun-Sik Kang, Mu Sook Lee, Ki Soo Kang
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Association between Axial Length and Anthropometric Value in Korean Children
Hyojin Kim, Jungmook Lyu
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The Role Adaptation Process of The Executive Director of Nursing Department: Sung-Ye Kang, Kwang-Ok Park, Jong-Kyung Kim; J Korean Acad Nurs 2010;40(6):785-798. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.785

Abstract PDF

Purpose

The purpose of this study was to identify the role adaptation process experienced by executive directors of nursing department of general hospitals.

Methods

Data were collected from 9 executive nursing directors though in-depth interviews about their experiences. The main question was "How do you describe your experience of the process of role adaptation as an executive nursing director?" Qualitative data from field and transcribed notes were analyzed using Strauss & Corbin's grounded theory methodology.

Results

The core category of experience of the process of role adaptation as an executive nursing director was identified as "entering the center with pushing and pulling". The participants used five interactional strategies; 'maintaining modest attitudes', 'inquiring about trends of popular feeling', 'making each person a faithful follower', 'collecting & displaying power', 'leading with initiative'. The consequences of role adaptation in executive nursing directors were 'coexisting with others', 'immersing in one's new role with dedication', and 'having capacity for high tolerance'. The types of role adaptations of executive directors in nursing department were friendly type, propulsive type, accommodating type.

Conclusion

The results of this study produced useful information for executive nursing directors on designing a self-managerial program to enhance role adaptation based on interactional strategies.

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Experience of Hospital Administrative Nurses' Work Adjustment
Hyun-Ju Lee, Jae-Hyun Ha, Yun-Seo Jung, Jungmi Yun
Journal of Korean Academy of Nursing Administration.2019; 25(5): 424. CrossRef
Turnover Experience of Male Nurses
Hyunsu Kim, Jeongseop Lee
Journal of Korean Academy of Nursing.2017; 47(1): 25. CrossRef
Experience of Role Adaptation from Nurse to Member of the Nursing Faculty
Kwang-Ok Park, Jong Kyung Kim, Mi Yu
Journal of Korean Academy of Nursing.2016; 46(2): 168. CrossRef
Relationship among Nurses' Attitude on Job Rotation, Job Stress and Organizational Commitment
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Ventilator-associated Pneumonia with Circuit Changes Every 7 Days versus Every 14 Days: Jeong-Sil Choi, Jeong-haw Yeon; J Korean Acad Nurs 2010;40(6):799-807. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.799

Abstract PDF

Purpose

To determine whether the practice of not routinely changing ventilator circuits in patients who require prolonged mechanical ventilation is associated with ventilator-associated pneumonia (VAP).

Methods

Patients were divided into two groups, ventilator circuits were routinely changed every 7 days for the control group (39) and every 14 days for the experimental group (40) over a period of 1 yr (April 1, 2009-March 31, 2010). Pediatric patients (age 17 yr or less) were not included. VAP was diagnosed by the criteria of the Centers of Disease Control and Prevention (CDC). Incidence of VAP and characteristics of infection were evaluated.

Results

In the experimental group, 2 episodes of pneumonia were observed in 40 patients and 1,322 ventilator days. The rate of VAP was 1.5 per 1,000 ventilator days. There was 1 episode of pneumonia in 39 patients and 481 ventilator days for the control group. The rate of VAP was 2.1 per 1,000 ventilator days. The difference between both groups was not significant (p=.695).

Conclusion

Extending ventilator circuit change interval from 7 days to 14 days does not increase the risk for VAP.

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Moon Sook Hwang, Mi Kyung Lee, Jong Rye Song
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Life Transition of Mothers of Children with Autism: Ae Ran Lee, Sun Woo Hong, Ji Soo Kim, Se Jin Ju; J Korean Acad Nurs 2010;40(6):808-819. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.808

Abstract PDF

Purpose

While there are a number of studies on children with disabilities, there have been few studies on mothers of children with autism. The purpose of this study was to explore the process of life transition of mothers who have children with autism.

Methods

From June 2007 to May 2009, the researcher interviewed 15 mothers of children with autism living in Seoul City, Gyeonggi or Chonbuk Provinces, and then analyzed the data gathered using the constant comparative method of grounded theory.

Results

"Living together holding a string of fate" was a core category showing along the continuum of life. The basic social process of life transition encompassed 5 stages: stages of denying, wandering, devoting, mind controlling, and finally accepting. These five stages proceeded in phases, though returned back to the wandering stage occasionally.

Conclusion

This study has opened the door to understanding how mothers of children with autism experienced life transition. The findings suggest that differentiated support and care at each stage should be given and there is the need to develop transition assessment tools for mothers of children with autism.

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Yuqing Zhang, Jingyi Liu, Maoxin Jiang, Fengqin Jia, Meixin Fang, Dianzhi Liu
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Ae Ran Lee, Sun Woo Hong, Se Jin Ju
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Grounded Theoretical Approach to the Life of Mothers as a Caretaker of Children with a Severe Disability
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Development of a Scale to Measure Life Transition Process in Parents of Children with Autism
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Journal of Korean Academy of Nursing.2012; 42(6): 861. CrossRef

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Development and Psychometric Evaluation of a Scale to Measure Health Behaviors of Adolescents: Yun Hee Shin; J Korean Acad Nurs 2010;40(6):820-830. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.820

Abstract PDF

Purpose

The purpose was to develop a preliminary scale to measure Korean adolescents' health behaviors through a qualitative approach, to evaluate the scale psychometrically, and to develop a final scale.

Methods

Participants were 61 adolescents for qualitative interviews and 1,687 adolescents for the psychometric evaluation. Procedure included content analysis of interviews to identify health behavior categories for Korean adolescents, pre-test to confirm that preliminary scale items were understandable, content validity by an expert panel, development of the web-based computer-assisted survey (CAS), and psychometric analysis to determine reliability and validity of the final scale.

Results

A final scale was developed for both paper-and-pencil and CAS. It consisted of 14 health behaviors (72 items), including stress and mental health (10), sleep habits (5), dietary habits (12), weight control (4), physical activity (4), hygiene habits (5), tobacco use (5), substance use (2), alcohol consumption (4), safety (4), sexual behavior (9), computer use (3), health screening (4), and posture (1).

Conclusion

The scale's strong points are: 1) Two thirds of the final scale items are Likert scale items, enabling calculation of a health behavior score. 2) The scale is appropriate to Korean culture. 3) The scale focuses on concrete health behaviors, not abstract concepts.

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Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income: Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee; J Korean Acad Nurs 2010;40(6):831-843. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.831

Abstract PDF

Purpose

In this study cardiovascular health status and health behavior of Korean women based on their household income were explored.

Methods

For this cross-sectional study, 91 women residing in the community were recruited to complete survey questionnaires and biophysical tests including blood pressure (BP), body mass index (BMI), body fat rate, waist circumference (WC), and blood chemistry tests.

Results

Compared to non-low income women (NLIW), low income women (LIW) were more likely to be older, less educated, and jobless, and further more LIW were postmenopause and reported having been diagnosed with hypertension or hypercholesterolemia. Significant differences were found in systolic BP, triglyceride level, BMI, body fat rate, and WC between the groups. Two fifths of the LIW had indications for metabolic syndrome. Their 10-yr risk estimate of myocardioal infarction or coronary death demonstrated a higher probability than that of NLIW. Although these significant differences were due to age gap between the groups, advanced age is known to be one of the key characteristics of LIW as well as a non-modifiable risk factor.

Conclusion

Effective community programs for vulnerable women at risk of cardiovascular disease should be based on strategies targeting unhealthy behaviors and modifiable risk factors.

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Prediction of Optimal Gluteal Intramuscular Needle Length by Skinfold Thickness Measurements in Korean Adults: Dong-Won Choi, Kyeong-Yae Sohng, Bum-Soo Kim; J Korean Acad Nurs 2010;40(6):844-851. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.844

Abstract PDF

Purpose

This study was conducted to assess optimal needle length for gluteal intramuscular injections (IM) via simple skinfold thickness (SFT).

Methods

For this study, 190 healthy adults were recruited and grouped into eight groups according to gender and body mass index (BMI) (kg/m²). The Korean Society for the Study of Obesity criteria defines a BMI under 20 as underweight, 20.1-22.9 as normal, 23-24.9 as overweight and over 25 as obese. For each participant, the SFT of dorsoguteal (DG) and ventrogluteal (VG) sites were measured using a caliper. Subcutaneous tissue thickness was acquired through ultrasonic images.

Results

For men in the overweight and obese groups at the DG site, for the obese group at the VG site, and for women in the normal weight, overweight and obese groups at both sites, the mean subcutaneous tissue thickness exceeded 1.84 cm, the minimal length for a 1 inch needle used for IM. At the DG site, optimal intramuscular needle length (OINL) was 1.4 times in women and 1.0 times in men compared to SFT. At the VG site, OINL was 1.3 times in women and 0.9 times in men compared to SFT.

Conclusion

The results of this study suggest that SFT is a reliable index to determine optimal needle length with minimal effort prior to IM.

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Health Behaviors by Job Stress Level in Large-Sized Company with Male and Female Workers: Hyunju Park, Hye-Sun Jung; J Korean Acad Nurs 2010;40(6):852-862. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.852

Abstract PDF

Purpose

This study was done to investigate differences in health behaviors by job stress level in male and female workers in a large-sized company.

Methods

Participants were 576 male and 228 female workers who completed questionnaires. Job stress was measured using the 'Short Form Korean Occupational Stress Scale (SF-KOSS)'. Health behaviors included smoking, alcohol consumption, regular exercise, and diet. Frequency, mean, SD, chi-square test, and multivariate logistic regression using SAS version 9.1 were used to analyze data.

Results

Smoking, drinking and regular exercise rates were not different by job stress level in male or female workers. Only regular diet was significantly different by job stress level in male and female workers. From multivariate analysis, the alcohol consumption rates for female workers differed by marital status. Regular exercise rate was significantly related to age for male workers and type of employment for female workers. After adjusting for demographic and work-related characteristics, regular diet significantly differed by shift work for male workers and marital status and shift work for female workers.

Conclusion

The findings of the study indicate that nursing interventions should be developed to manage job stress to improve diet habits for male and female workers in large-sized companies.

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Korean Journal of Adult Nursing.2013; 25(4): 432. CrossRef
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Jeong-Dan Cha, Kyeung-Ae Jang
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The Effects of Case-Based Learning Using Video on Clinical Decision Making and Learning Motivation in Undergraduate Nursing Students: Moon-Sook Yoo, Jin-Hee Park, Si-Ra Lee; J Korean Acad Nurs 2010;40(6):863-871. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.863

Abstract PDF

Purpose

The purpose of this study was to examine the effects of case-base learning (CBL) using video on clinical decision-making and learning motivation.

Methods

This research was conducted between June 2009 and April 2010 as a nonequivalent control group non-synchronized design. The study population was 44 third year nursing students who enrolled in a college of nursing, A University in Korea. The nursing students were divided into the CBL and the control group. The intervention was the CBL with three cases using video. The controls attended a traditional live lecture on the same topics. With questionnaires objective clinical decision-making, subjective clinical decision-making, and learning motivation were measured before the intervention, and 10 weeks after the intervention.

Results

Significant group differences were observed in clinical decision-making and learning motivation. The post-test scores of clinical decision-making in the CBL group were statistically higher than the control group. Learning motivation was also significantly higher in the CBL group than in the control group.

Conclusion

These results indicate that CBL using video is effective in enhancing clinical decision-making and motivating students to learn by encouraging self-directed learning and creating more interest and curiosity in learning.

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Evaluation of the Korean Formal Educational Program for Training Care Workers for Frail Elderly: Yeo-Jin Yi, Hyun-Sook Kang, Sung-Bok Kwon, Joo-Hyun Kim, Young-Sook Park, Haeng-Mi Son, Eun-Hee Lee, Nan-Young Lim, Kyung-Sook Cho, Hye-Ja Han; J Korean Acad Nurs 2010;40(6):872-881. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.872

Abstract PDF

Purpose

This study was done to evaluate the formal education program provided by the Korean government for care workers for frail elderly people.

Methods

This study was a cross-sectional survey in which 438 certified care workers who had completed the education program participated. Data were collected from June to October 2009, using a self-report questionnaire consisting of satisfaction with, and understanding of the education program.

Results

The participants had a mean age of 46.7 yr, 87.9% were female and 58.2% were high school graduates. For the theory part of the education, the highest score for understanding was for 'supporting household & activities of daily living' while the lowest score for understanding was for 'care for death and dying'. For the practical education, the highest score for understanding was for 'talking with the client' and the lowest score was for 'first aid & basic life support'. There was a significant difference in satisfaction and understanding of the theoretical and practical parts according to educational level.

Conclusion

Continuing education programs are needed for care workers for elders, both in the theoretical and practical areas. Also the content of programs should address the weak points of this formal education program.

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Contingent Nurses' Burnout and Influencing Factors: Won Ock Kim, Sook Ja Moon, Sang Sook Han; J Korean Acad Nurs 2010;40(6):882-891. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.882

Abstract PDF

Purpose

This study was designed to identify burnout and factors influencing burnout in contingent nurses.

Methods

A cross-sectional design was conducted with a sample of 228 contingent nurses randomly selected from 25 general hospitals in Korea. The tools used for this study were scales measuring burnout (8 items), job stress (8 items), job satisfaction (9 items), self efficacy (9 items), organizational commitment (9 items), empowerment (9 items), autonomy (7 items) and social support (8 items). The data were analyzed using SPSS 15.0 employing Pearson correlation coefficients and multiple regression analysis.

Results

The mean score for burnout in contingent nurses was 3.05 points. Factors influencing burnout in contingent nurses were identified as job stress (β=.40), satisfaction level with current ward (β=-.25), organizational commitment (β=-.21), job satisfaction (β=-.19) and empowerment (β=-.16). These factors explained 65.0% of burnout reported by contingent nurses.

Conclusion

The results indicate which factors are major factors influencing burnout in contingent nurses in general hospitals. Therefore, these factors may serve as predictors of burnout in contingent nurses.

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A Study on Participation in Clinical Decision Making by Home Healthcare Nurses: Se Young Kim; J Korean Acad Nurs 2010;40(6):892-902. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.892

Abstract PDF

Purpose

This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making.

Methods

A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.

Results

Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses.

Conclusion

In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses' participation in clinical decision making in cases where they can identify and solve the patient health problems.

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Relationship between Resource Utilization and Long-term Care Classification Level for Residents in Nursing Homes: Min Kyung Lee, Eun-Kyung Kim; J Korean Acad Nurs 2010;40(6):903-912. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.903

Abstract PDF

Purpose

This study was conducted to examine whether the level of classification for long-term care service under long-term care insurance reflects resource utilization level for residents in nursing homes.

Methods

From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period.

Results

Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance.

Conclusion

The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

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