PURPOSE: The purpose of this study was to develop a suicide prevention nursing competency program for visiting nurses, and to examine the effect of this program on suicide prevention-related knowledge, attitudes, and behaviors.METHODS: A total of 66 visiting nurses were recruited from 10 public health centers and divided equally into the experimental and control group. For the experimental group, the suicide prevention nursing competency program was provided twice a week for 120 minutes across 3 weeks. Participants were asked questions related to suicide prevention knowledge, attitudes, and behaviors at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, a t-test, repeated measure ANOVA, and Friedman test.RESULTS: There were significant differences in knowledge and behaviors at the measured time periods, and significant differences in attitudes and behaviors between the two groups. There were also significant interactions between groups and times in attitudes and behaviors. These results suggest that the effects of the program were persistent until the 1-month follow-up.CONCLUSION: The developed suicide prevention nursing competency program is effective in evidence-based education for visiting nurses to increase suicide prevention-related knowledge, attitudes, and behaviors.
Education ; Follow-Up Studies ; Home Health Nursing ; Nurses, Community Health ; Nursing ; Public Health ; Suicide

This study was to develop the home care nursing network system for low income and vulnerable health people by utilizing wire- wireless network and mobile computing in order to record and send patients' data in real time, and connect the headquarter office and four local community health centers. The methods were the Method/1 and Prototyping were adopted to develop the main network system. Results were: 1) home care nursing standard guidelines for Diabetes, cancer and peritoneal-dialysis, dementia/mental disorder, and chronic arthritis were added in 12 domains of nursing problem field with nursing assessment/intervention algorithms. 2) upgrading PDA system by utilizing the machinery and tools where the PDA and the data transmission modem are integrated, CDMX - 1X base construction in order to reduce a transmission hour and the transmission failure.
Arthritis ; Community Health Centers ; Home Care Services* ; Modems ; Nursing*

PURPOSE: This study was done to identify and prioritize educational needs for suicide prevention competencies among 212 visiting nurses from 33 public health centers. METHODS: Data were collected from August to October 2017 through self-administered questionnaires consisting of measures of suicide prevention competencies. Data were analyzed using descriptive statistics, paired t-test, and Borich's needs assessment model to determine the priority of educational needs. RESULTS: Visiting nurses reported that enhancing skills in suicide prevention were more significant than improving knowledge. The highest priority need was “utilizing counseling skills.” In addition, other educational needs were prioritized as followed by; “a strategic planning approach to suicide prevention”, “applying therapeutic communication”, “showing empathy”, and “using resources in the community.” CONCLUSION: The findings suggest that developing intervention programs to enhance counseling and strategic planning skills are needed to improve suicide prevention competencies among visiting nurses.
Counseling ; Educational Measurement ; Home Health Nursing ; Needs Assessment ; Nurses, Community Health ; Primary Prevention ; Public Health ; Suicide

Since patients who have suffered from strokes have chronic health problems, the development of a protocol for home care nursing is required. Therefore, this study was done to test the effects of such a protocol on stroke patients. This study was conducted by using a single group pre-post design. The subjects for the study were 13 home care nurses and 30 home care patients who had a stroke. Data collection was done from October 1997 to February 1998. The collected data was analyzed using the Wilcoxon signed rank test and paired t-test and the results were as follows : 1. The first hypothesis that "working satisfaction of home nurses would be higher after using the home care protocol" was supported. 2. The second hypothesis that "patients" satisfaction would be higher after using the home care protocol" was rejected. 3. The third hypothesis that "the level of ADL of patients would be higher after using the home care protocol" was supported. In conclusion, by using a home care protocol, the satisfaction of nurses' work and the ADL of patients increased, and the patients' satisfaction also increased without statistical significance. The above results confirm that the application of a home care protocol is very effective. Thus, this protocol can be helpful in the quality care of stroke patients. Therefore, developing and organizing protocols, according to health problem, can be useful for beginner nurses who interact with high risk patients.
Activities of Daily Living ; Data Collection ; Home Care Services* ; Humans ; Nurses, Community Health ; Nursing Care* ; Nursing* ; Stroke*

PURPOSE: The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training. METHODS: The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training. RESULTS: The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education. CONCLUSION: We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.
Caregivers ; Community Health Nursing ; Delivery of Health Care ; Education ; Enteral Nutrition* ; Home Health Nursing ; Humans ; Judgment ; Learning ; Nursing* ; Parkinson Disease ; Problem Solving ; Problem-Based Learning ; Simulation Training ; Students, Nursing*

PURPOSE: This study was aimed to evaluate the performance of a community-based home care services model. METHOD: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. RESULT: A significant number of patients were bed ridden(63.8%) and unconscious(27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists. CONCLUSION: Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.
Ambulatory Care ; Chronic Disease ; Home Care Services* ; Hospitalization ; Humans ; National Health Programs ; Nurses, Community Health ; Nursing ; Nursing Assessment ; Nursing Records ; Nursing Services ; Pressure Ulcer ; Self Report ; Specialization

The purpose of this study is to provide the directions for the further development of the home care services in Korea, through comparison of the home care system and visiting nursing activities for the elderly in Japan and with those of Korea. The results of this study were summarised as follows: The major difference between the two countries was that Japan emphasised the development of home services by visiting nurse service stations (VNSS), especially in the community. In contrast, Korea has emphasised providing hospital based home care services and assuring the quality of services through the preparation of home care nurses before beginning services. And many elderly in Korea have used a public health center when they have health problems. According to the result, the establishment of a VNSS system and activation of a public health center in the community must be considered as the direction to advance home care systems for the elderly.
Aged* ; Home Care Services* ; Home Care Services, Hospital-Based ; Humans ; Japan* ; Korea* ; Nurses, Community Health ; Nursing ; Public Health

PURPOSE: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. METHODS: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. RESULTS: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. CONCLUSION: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses' participation in clinical decision making in cases where they can identify and solve the patient health problems.
Adult ; Caregivers/psychology ; Community Health Nursing ; Home Care Services ; *Home Nursing ; Humans ; Logistic Models ; Middle Aged ; *Nursing Diagnosis ; Odds Ratio ; Questionnaires

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. METHOD: The mail surveys were sent to 303 home health nurses nation wide and returned with a response rate of 71.8%. RESULT: (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.
Middle Aged ; Korea ; Humans ; Home Care Services, Hospital-Based ; *Home Care Services ; Home Care Agencies ; Female ; Data Collection ; *Community Health Nursing ; Adult

PURPOSE: The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. SAMPLE AND METHOD: The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. RESULTS: The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. CONCLUSION: Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.
Aged ; *Community Health Nursing ; Family/psychology ; Female ; *Health Services for the Aged ; Health Status ; *Home Care Services ; Humans ; Korea ; Male ; Middle Aged ; *Needs Assessment ; *Vulnerable Populations