Eui Geum Oh; Hyun Joo Lee; Yukyung Kim; Ji Hyun Sung; Young-Su Park; Jae Yong Yoo; Soohee Woo

doi:10.4040/jkan.2015.45.5.742

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Original Article
Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services: Eui Geum Oh, Hyun Joo Lee, Yukyung Kim, Ji Hyun Sung, Young-Su Park, Jae Yong Yoo, Soohee Woo; Journal of Korean Academy of Nursing 2015;45(5):742-751.
DOI: https://doi.org/10.4040/jkan.2015.45.5.742
Published online: October 30, 2015

¹College of Nursing·Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.

²College of Nursing, Graduate School, Yonsei University, Seoul, Korea.

³Korea Armed Forces Nursing Academy, Daejeon, Korea.

⁴The Institute for Comparative Effectiveness Research in Nursing·College of Nursing, Konyang University, Daejeon, Korea.

⁵Department of Nursing, Kyung-In Women's University, Incheon, Korea.

Address reprint requests to: Oh, Eui Geum. College of Nursing·Mo-Im Kim Nursing Research Institute, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea. Tel: +82-2-2228-3256, Fax: +82-2-392-5440, euigeum@yuhs.ac

• Received: April 6, 2015 • Revised: April 22, 2015 • Accepted: July 6, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services.
Methods
A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program.
Results
Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling.
Conclusion
The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.
Keywords: Community health nurses; Home care services; Task performance

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI13C0775).

REFERENCES

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Table 1

Characteristics of Participants (N=257)

^*Nonresponses were excluded; H-HN=Hospital based home care nurse; C-VN=Community based visiting nurse; LC-VN=Long-term care insurance based visiting nurse.

Table 2

Status of Home Care Nursing Service (N=257)

^*Fisher's exact test; ^†Scheffé test; H-HN=Hospital based home care nurse; C-VN=Community based visiting nurse; LC-VN=Long-term care insurance based visiting nurse; TPN=Total parenteral nutrition.

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Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services

J Korean Acad Nurs. 2015;45(5):742-751. Published online October 30, 2015

DOI: https://doi.org/10.4040/jkan.2015.45.5.742

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Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services

Table 1

Characteristics of Participants (N=257)

^*Nonresponses were excluded; H-HN=Hospital based home care nurse; C-VN=Community based visiting nurse; LC-VN=Long-term care insurance based visiting nurse.

Table 2

Status of Home Care Nursing Service (N=257)

Table 1 Characteristics of Participants (N=257)

^*Nonresponses were excluded; H-HN=Hospital based home care nurse; C-VN=Community based visiting nurse; LC-VN=Long-term care insurance based visiting nurse.

Table 2 Status of Home Care Nursing Service (N=257)