The Related Factors with Improvement of Long-term Care Need of Residents and Quality of Service in Long-term Care Facility

Chin, Young Ran; Choi, Kyoung-Won

doi:10.12811/kshsm.2014.8.1.051

Cited by 6 publications

(5 citation statements)

References 5 publications

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“…This study also reported that the high turnover in RN staffing results in fewer hospitalizations. However, considering the specific staffing conditions in Korea-that CNAs can replace RNs, and visiting doctors only visit NHs once per month-having well-timed medical and nursing care in hospitals is very important to avoid prompt deterioration of health-related problems like pneumonia or infections of NH residents [17]. The interpretation should be performed cautiously for hospitalization.…”

Section: Discussionmentioning

confidence: 99%

“…Most NHs are located in specific administrative districts, whereas some districts have a very limited number of NHs [4]. Most NHs (77.4%) are located in metropolitan and medium-sized cities, with the remainder in rural and fishing villages in Korea [17]. Consequently, competition among NHs varies widely by location.…”

Section: Introductionmentioning

confidence: 99%

“…Location of NHs was an important factor influencing quality of care [18]. In Korea, NHs in metropolitan areas had greater improvement in quality ratings than those in rural areas [17].…”

Section: Introductionmentioning

confidence: 99%

“…In Korea, even potentially avoidable hospitalizations have not yet been identified, including a lack of discussion on the benefits and drawbacks of hospitalization in Korea. RNs are more likely than other care workers to be involved in decision making on appropriate hospitalization [17]. Because the provided services for NH residents are quite heterogeneous compared with other health care settings, professional nurses usually decide the quality of care [18].…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Nursing Home Accreditation-Quality Ratings in Korea

Shin

Lee

2020

J Korean Gerontol Nurs

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The purpose of this study is to examine the relationship between the level of competition among nursing homes (NHs) and their geographical locations with government NH accreditation-quality ratings in Korea. We also examined the possible mediating effects of nurse turnover and NH residents' hospitalization on the relationship. Methods: We used a cross-sectional design in this study. Data accrued using a disproportionately stratified cluster-sampling method in Korea. Independent variables included location and competition among NHs, as measured by the Herfindahl-Hirschman Index. The mediating variables included registered nurse (RN) turnover and hospital admissions from NHs. The dependent variable was the NH accreditation grade, openly published by the Korean National Health Insurance Service. Results: The high turnover of professional RNs results in deteriorated government nursing-home-quality ratings and increased hospital admissions relating to better nursing-home-quality ratings. RN turnover was statistically significant with evaluation grade and admission. Conclusion: This study identified challenges in Korea's system of public reporting on NH quality. The accreditation system must reflect appropriate, concrete information on RN turnover and hospital admissions so NH residents are managed in a timely manner, avoiding inappropriate hospitalization.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Location of NHs was an important factor influencing quality of care [18]. In Korea, NHs in metropolitan areas had greater improvement in quality ratings than those in rural areas [17].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Nursing Home Accreditation-Quality Ratings in Korea

Shin

Lee

2020

J Korean Gerontol Nurs

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“…이에 따라 요양시설에서 입소 노인에게 제공하는 양질의 서비스 제공에 대한 요구와 관심이 늘어나고 있다 4,5) . 더불어 노인요양시설의 입소 노인 의 구강건강과 관련된 서비스 제공의 필요성을 주장하는 연 구가 많아지고 있다 6,7) .…”

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Content analysis of daily tooth cleaning service records by caregivers in a long-term care facility

Baek¹,

Lee²,

Choi³

et al. 2014

J Korean Soc Dent Hyg

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The purpose of the study was to investigate the content analysis of daily tooth cleaning service records by caregivers in a long-term care facility. Methods: The data were analyzed by qualitative research based on content analysis of the daily records of the processes and results of daily tooth cleaning service. Twenty caregivers provided tooth, gum and denture cleaning service after breakfast, lunch, and dinner to 48 elderly residents. The study lasted about two weeks(from August 4 to August 20, 2014). The researcher reconstructed the language by repeatedly reviewing the caregivers statements in the records. The content categories were derived from the records through a reiterative manual comparative analysis. Using constant comparison method, reconstructed meanings were incorporated into various meanings and reanalyzed by final categories called as analytic coding. In order to validate the reliability, 6 times of discussion made the common meanings through a master's degree student and a dental hygiene professor. Results:The caregivers identified lack of understanding and ability to recognize the functional physical and mental changes in the elderly. The elderly had difficulty in recognizing silent communication and daily tooth cleaning. The caregivers were so strenuous in taking care of the daily tooth cleaning service for the elderly. At last, they gave up the daily tooth cleaning service and took on it to the guardians. They found that there was no social supporting network for oral health of the elderly residents. Conclusions: Caregivers had insufficient understanding of the functional physical and mental changes in the elderly residents, and they had difficulty providing daily tooth cleaning service to the elderly due to poor skill and abilities.

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The effect of registered nurses on nursing home residents’ outcomes, controlling for organizational and health care market factors

Shin

2019

Geriatric Nursing

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The Related Factors with Improvement of Long-term Care Need of Residents and Quality of Service in Long-term Care Facility

Abstract: The purpose of this study was to investigate the relationship among staffing, occupancy rate, upward level change of long-term care need, and evaluation grade of facility. Data were obtained from National

Cited by 6 publications

References 5 publications

Factors Influencing Nursing Home Accreditation-Quality Ratings in Korea

Factors Influencing Nursing Home Accreditation-Quality Ratings in Korea

Content analysis of daily tooth cleaning service records by caregivers in a long-term care facility

The effect of registered nurses on nursing home residents’ outcomes, controlling for organizational and health care market factors

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