Journal of Korean Academy of Nursing

Original Articles

Working Conditions in Home Health Care Nursing: A Survey of Home Care Nurses in Hospitals in Korea: Hosihn Ryu, Heasook Jo, Yoonok Kim, Youngmi Yoon, Jongrae Song, Ji Young Lim, Soonyong Khim, In A Kim; Journal of Korean Academy of Nursing 2005;35(7):1229-1237. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1229

Purpose

The purpose of this research was to address the working conditions of home health nurses through a nationwide home health agency survey conducted at hospitals.

Methods

The mail surveys were sent to 303 home health nurses nation wide and returned with a response rate of 71.8%.

Results

(a) Seventy-five percent of home health agencies were established within the past5 years and half of home health nurses are over 40 years old. (b) Working conditions were considered as follows: Seventy-one percent of respondents were full-time employees, sixty-sixpercent of home health nurses had unscheduled visits on a regular day of duty and forty-eight percent were on vacation. Fifty-one percent of home health nurses have experienced traffic accidents and paid penalties (65.9%). Self-reported monthly income level per year was an average of 28,364,000 won. (c) Rates were significantly higher for shoulder pain (61.5%), lower back pain (54.1%), knee pain (39.4%), and gastrointestinal problems (33.0%).

Conclusion

These baseline results show the importance of improving home health nursing working conditions, a comprehensive prevention system and safeguards from physical discomfort.

Citations

Citations to this article as recorded by

Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field
Moon-Sook Hwang, Hak Young Park, Soo Jung Chang
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 143. CrossRef
Comparison of Job Tasks and Task Elements of Korean Nurse Anesthetists by Type of Medical Institution: Hospital, General Hospital and Higher General Hospital
Chungsim Bai, Haesang Yoon
Journal of Korean Academy of Nursing Administration.2013; 19(2): 239. CrossRef
Awareness and Demand for Pediatric Home-Based Physical Therapy in Korea
Sun-Young Choi, Jang-Whon Yoon
Physical Therapy Korea.2013; 20(3): 62. CrossRef
A Study on the Operating Status of Community-based Home Health Care Centers
Eunhee Lee, Sungae Park
Journal of Korean Academy of Nursing Administration.2011; 17(2): 180. CrossRef
Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
CIN: Computers, Informatics, Nursing.2009; 27(4): 234. CrossRef

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The Predictors of Postpartum Depression: Young Joo Park, Hyun Jeong Shin, HoSihn Ryu, Suk Hee Cheon, So Hyun Moon; Journal of Korean Academy of Nursing 2004;34(5):722-728. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.722

Abstract PDF

Purpose

This study was designed to determine the predictors of postpartum depression.

Method

One hundred- sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression.

Result

The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress.

Conclusion

Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

Citations

Citations to this article as recorded by

The Effects of Neuroticism on Postpartum Depression: A Dual Mediating Effect of Gratitude and Parenting Stress
Yuji Lee, Myoung-Ho Hyun
Stress.2019; 27(2): 191. CrossRef
Development of a Prediction Model for Postpartum Depression: Based on the Mediation Effect of Antepartum Depression
Eun Joo Lee, Jeong Sook Park
Journal of Korean Academy of Nursing.2015; 45(2): 211. CrossRef
Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers
Ji-Won Lee, Yong-Sook Eo, Eun-Hye Moon
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(6): 4011. CrossRef
Latent Growth Model of Maternal Depressive Symptoms: Predictors and Effects on Infant's Developmental Outcomes
He Sook Kim, Kyung Ja Park
Child Studies in Asia-Pacific Contexts.2014; 4(1): 27. CrossRef
Factors associated with Postpartum Depression and Its Influence on Maternal Identity
Yoen Yi Jung, Hae Won Kim
Korean Journal of Women Health Nursing.2014; 20(1): 29. CrossRef
Influence of Childbirth Experience and Postpartum Depression on Quality of Life in Women after Birth
Jung Hee Yeo, Nami Chun
Journal of Korean Academy of Nursing.2013; 43(1): 11. CrossRef
Infants' Temperament and Health Problems according to Maternal Postpartum Depression
Kyung-Sook Bang
Journal of Korean Academy of Nursing.2011; 41(4): 444. CrossRef
Effects of Postpartum Depression and Temperament of Infant on Child-care Stress among Mothers of Newborn Infants
Hye-Jin Kwon, Kyung-Hee Kim, Mi-Hye Choi, Ju-Yeon Cho, Young-Mi Ahn, Ki-Sook Kim
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 69. CrossRef
A Comparative Study on the Postpartum Depression of Vietnamese Marriage Immigrant Women and Korean Women
Eun Young Choi, Eun Hee Lee, Jung Sook Choi, Sun Ha Choi
Korean Journal of Women Health Nursing.2011; 17(1): 39. CrossRef
Postpartum Depressive Score and Related Factors Pre- and Post-delivery
Sun Ok Lee, Jung Hee Yeo, Suk Hee Ahn, Hyeon Sook Lee, Hyun Joo Yang, Mi Jung Han
Korean Journal of Women Health Nursing.2010; 16(1): 29. CrossRef
Empirical test of an explanatory theory of postpartum fatigue in Korea
Ju‐Eun Song, Soon‐Bok Chang, So‐Mi Park, Sue Kim, Chung‐Mo Nam
Journal of Advanced Nursing.2010; 66(12): 2627. CrossRef
Subjective Sleep Quality in Depressed and Non-Depressed Mothers During the Late Postpartum Period
Eun-Jung Cho
Korean Journal of Women Health Nursing.2009; 15(2): 108. CrossRef
Influencing Factors of Postpartum Depression between 4 to 6 Weeks after Childbirth in the Postpartum Women
Ju-Eun Song
Korean Journal of Women Health Nursing.2009; 15(3): 216. CrossRef

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Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea: Hosihn Ryu; Journal of Korean Academy of Nursing 2006;36(7):1193-1203. Published online December 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.7.1193

Abstract PDF

Purpose

The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea.

Method

A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total.

Result

The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequela of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (≒48 $, 1 $=960 Won). The costs ranged from 74,523 Won (≒78 $, loss of chronic kidney function, N18) to 32,270 Won (≒34 $, other cerebrovascular diseases, I67).

Conclusion

Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

Citations

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Urinary tract infections in patients with urinary catheterization receiving home health service: A prevalence study
Mert Köse, Bahar Çiftçi
International Journal of Urological Nursing.2024;[Epub] CrossRef
Enhancing readmission prediction models by integrating insights from home healthcare notes: Retrospective cohort study
Sujin Gan, Chungsoo Kim, Junhyuck Chang, Dong Yun Lee, Rae Woong Park
International Journal of Nursing Studies.2024; 158: 104850. CrossRef
Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital
Hana Lee, Aeri Kim, Hyunsook Heo, Jisoo Lee, Kyungmi Woo
Home Health Care Management & Practice.2023; 35(1): 21. CrossRef
Analysis of flow rate and pressure in syringe-based wound irrigation using Bernoulli's equation
Hanna Lee, Ye-kyung Lee, Ji-Yun Park, Jeong-won Han
Scientific Reports.2022;[Epub] CrossRef
Evaluation and Application Effect of a Home Nasogastric Tube Feeding Simulation Module for Nursing Students: An Application of the NLN Jeffries Simulation Theory
Hee Chong Baek, Young Ran Lee, Jong Eun Lee, Jin Hwa Lee, Hyung Seon Kim
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 324. CrossRef
Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
Eunhee Lee, Jinhyun Kim
Journal of Korean Academy of Nursing.2016; 46(4): 562. CrossRef
Needs for end‐of‐life care by home care nurses among non‐cancer patients in Korea and Japan
Soon‐Lae Kim, Jong‐Eun Lee, Setsu Shimanouchi
International Journal of Nursing Practice.2014; 20(4): 339. CrossRef
A Study on the Operating Status of Community-based Home Health Care Centers
Eunhee Lee, Sungae Park
Journal of Korean Academy of Nursing Administration.2011; 17(2): 180. CrossRef
Estimation of Nursing Costs Based on Nurse Visit Time for Long-Term Care Services
Eun-Kyung Kim, Yun Mi Kim, Myung Ae Kim
Journal of Korean Academy of Nursing.2010; 40(3): 349. CrossRef
Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
CIN: Computers, Informatics, Nursing.2009; 27(4): 234. CrossRef

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Test on the Cost and Development on the Payment System of Home Health Care Nursing: Hosihn Ryu, Keysun Jung, Jiyoung Lim; Journal of Korean Academy of Nursing 2006;36(3):503-513. Published online June 30, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.3.503

Abstract PDF

Purpose

This study focused on analysing costs per home health care nursing visit based on home health care nursing activities in medical institutes.

Method

The data was collected in three stages. First, the cost elements of home health care nursing services were collected and 31 home care nurses participated. Second, the workload and caseload of home care nursing activities were measured by the Easley-Storfjell Instrument(1997). Third, the opinions on improving the home health care nursing reimbursement system were collected by a nation-wide mailing survey from a total of 125 home care agencies.

Result

The cost of home health care nursing per visit was calculated as 50,626 won. This was composed of a basic visiting fee of 35,090₩(≒35$) and travel fee of 15,536₩(≒15$). The major problems of the home care nursing payment system were the low level of the cost per visit, no distinction between first visit and revisits, and the limitations in health insurance coverage for home health care nursing services.

Conclusion

This study's results will contribute as a baseline for establishing policies for improvement of the home health care nursing cost and for applying a community-based visiting nursing service cost.

Citations

Citations to this article as recorded by

An Empirical Analysis of Costs related to Nursing Practice
Yu Kyung Ko, Bo-Hyun Park
Journal of Korean Academy of Nursing Administration.2017; 23(2): 139. CrossRef
Development and Application of a Performance Prediction Model for Home Care Nursing Based on a Balanced Scorecard using the Bayesian Belief Network
Wonjung Noh, GyeongAe Seomun
Journal of Korean Academy of Nursing.2015; 45(3): 429. CrossRef
Activity-Based Costing Analysis of Nursing Activities in General Hospital Wards
Ho-Soon Yoon, Jinhyun Kim
Journal of Korean Academy of Nursing Administration.2013; 19(4): 449. CrossRef
A Proposal to Improve Nursing Fee Differentiation Policy for General Hospitals Using Profitability-Analysis in the National Health Insurance
Sungjae Kim, Jinhyun Kim
Journal of Korean Academy of Nursing.2012; 42(3): 351. CrossRef
Estimation of Nursing Costs Based on Nurse Visit Time for Long-Term Care Services
Eun-Kyung Kim, Yun Mi Kim, Myung Ae Kim
Journal of Korean Academy of Nursing.2010; 40(3): 349. CrossRef
An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital
Jinhyun Kim, In Sook Lee, Mee Kyoung Joo
Journal of Korean Academy of Nursing Administration.2010; 16(4): 409. CrossRef
Methods and Applications to estimate the Conversion Factor of Resource-based Relative Value Scale for Nurse-Midwife's Delivery Service in the National Health Insurance
Jinhyun Kim, Yoomi Jung
Journal of Korean Academy of Nursing.2009; 39(4): 574. CrossRef

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