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Oh, Lee, Kim, Sung, Park, Yoo, and Woo: Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services
Original Article

Journal of Korean Academy of Nursing 2015; 45(5): 742-751.

Published online: 30 October 2015

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

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

Eui Geum Oh1, Hyun Joo Lee2, Yukyung Kim3, Ji Hyun Sung1, Young-Su Park2, Jae Yong Yoo4, Soohee Woo5

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 6 April 2015       Revised 22 April 2015       Accepted 6 July 2015

© 2015 Korean Society of Nursing Science

(open-access):

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.

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

Figures and Tables

Table 1

Characteristics of Participants (N=257)

jkan-45-742-i001

*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)

jkan-45-742-i002

*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.

Notes

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).

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