Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field

황, 문숙; 박, 학영; 장, 수정

doi:10.12799/jkachn.2020.31.2.143

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Since nursing care is provided in a special situation—the home of a patient—and treatments are provided in the absence of fellow medical staff to resolve a patient’s health problem, nurses need to be equipped with various skills to handle these special situations. 30 31 In order to develop the clinical decision-making ability of nurses of home-based/home-visit nursing care services, it is necessary to provide continuing education considering their clinical background and a range of educational programs focusing on real-life cases. The connection to community services/resources with these methods is expected to improve the patient’s quality of life and social support systems and reduce the caregivers’ burden of care.…”

Section: Discussionmentioning

confidence: 99%

Development of Items for Transitional Care Service and Outcome Indicators of Discharged Patients for Improvement in Quality of Care

et al. 2023

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Background In this study, with the aim of improving the quality of transitional care service for discharged patients, the Health Care Quality and Outcomes Indicators of the Organization for Economic Co-operation and Development and National Health Service Outcomes Framework of the UK were applied to derive service items for provision and develop evaluation indicators under categories of effectiveness, safety, and patient-centeredness. Method A scoping review was conducted to derive core concepts and evidence materials/data for transitional care service. For the derived items of transitional care service and evaluation indicators, a three-round Delphi study was conducted with experts in the fields of healthcare/medicine/nursing/social welfare. Results First, as a result of the scoping review, components of transitional care service (assessment of need by period of transitional care service, multi-professional team, connection to community resources, etc.) and themes for outcome indicators (effectiveness, patient safety, patient-centeredness) were derived. Second, by classifying the items for assessment according to the hospitalization and transition period and conducting a Delphi study to derive service items for transitional care service, during the hospitalization period, presence/absence of a caregiver and need for a caregiver, activities of daily living, and necessity for home-based care services were identified as items of high priority. Regarding patient safety, risk of falls and fractures during hospitalization, and necessity for medication reconciliation were identified as the items of high importance. For the transition period, provision of education regarding adequate responses and handling of emergencies, provision of information and guidance on application of services for basic livelihood security program beneficiaries, and education for patient skills in self-management of health were derived as items of high priority. Third, for the derivation of outcome indicators for transitional care service, in the “effectiveness” category, the experts rated a reduction in the 30-day readmission rate as an item of high importance along with a decrease in emergency department visits, reduction in preventable admissions as indicators of high relevance. In terms of “patient safety,” a decrease in drug adverse reactions, and reduction in the incidence of falls and pressure ulcers were identified as indicators of high priority. Finally, for the category of “patient-centeredness,” patient experience assessment, level of service satisfaction reported by patients and their caregivers, and reducing burden on caregivers were identified as indicators of high priority. Conclusion This study suggest practical implications for the service with high relevance and necessity for transitional period. It also presented outcome indicators of transitional care service to contribute toward an improvement in the quality of care. ...

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Section: Discussionmentioning

confidence: 99%

Development of Items for Transitional Care Service and Outcome Indicators of Discharged Patients for Improvement in Quality of Care

et al. 2023

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“…In Korea, community nursing services consisted of hospital-centered home health nursing and community-based visiting nurse services. Nurses delivered case management programs for patients suffering from chronic diseases [58] and these programs suggest that case management can improve patients' outcomes [59]. In Japan, community outreach is a crucial component of the mental health-care model, which has been widely implemented and researched through assertive outreach [60].…”

Section: Discussionmentioning

confidence: 99%

Identifying the Knowledge Structure and Trends of Outreach in Public Health Care: A Text Network Analysis and Topic Modeling

Park

2021

IJERPH

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Outreach programs are considered a key strategy for providing services to underserved populations and play a central role in delivering health-care services. To address this challenge, knowledge relevant to global health outreach programs has recently been expanded. The aims of this study were to analyze the knowledge structure and understand the trends in aspects over time and across regions using text network analysis with NetMiner 4.0. Data analysis by frequency, time and region showed that the central keywords such as patient, care, service and community were found to be highly related to the area, target population, purpose and type of services within the knowledge structure of outreach. As a result of performing topic modeling, knowledge structure in this area consisted of five topics: patient-centered care, HIV care continuum, services related to a specific disease, community-based health-care services and research and education on health programs. Our results newly identified that patient-centered care, specific disease and population have been growing more crucial for all times and countries by the examination of major trends in health-care related outreach research. These findings help health professionals, researchers and policymakers in nursing and public health fields in understanding and developing health-care-related outreach practices and suggest future research direction.

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Needs assessment of a home-visit safety management training program for visiting nurses

Kim¹,

Kim²

2023

J Korean Acad Soc Nurs Educ

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Purpose: This study aimed to identify the concrete educational needs of visiting nurses working in a community health setting in Korea.Methods: We conducted four focus group interviews from October 7 to October 18, 2021. Twenty-five visiting nurses who worked in public health centers were recruited through purposive sampling. A qualitative content analysis was used to analyze the interview data.Results: The demands of educational contents for visiting nurse safety management practical training were: (1) coping with physical and verbal violence, (2) coping with sexual violence, (3) infection control for infectious diseases with a high prevalence in the community, and (4) preventing and coping with animal bites during home visits. In addition, visiting nurses suggested training programs that comprised: (1) case-based learning, (2) short video clips, and (3) recurrent integrated education.Conclusion: Safety management training programs for visiting nurses should be implemented to the extent that they add no burden on their workload and are easily accessible at any time. In addition, training programs should be based on actual cases and be focused on contents that can be applied in home visit situations. A practical safety management training program should be developed based on the educational needs of visiting nurses, as identified through this study.

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Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field

Cited by 3 publications

References 14 publications

Development of Items for Transitional Care Service and Outcome Indicators of Discharged Patients for Improvement in Quality of Care

Development of Items for Transitional Care Service and Outcome Indicators of Discharged Patients for Improvement in Quality of Care

Identifying the Knowledge Structure and Trends of Outreach in Public Health Care: A Text Network Analysis and Topic Modeling

Needs assessment of a home-visit safety management training program for visiting nurses

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