1.Multi-level Analysis of Factors related to Quality of Service in Long-term Care Hospitals.
Journal of Korean Academy of Nursing 2009;39(3):409-421
PURPOSE: In this research multi-level analysis was done to identify factors related to quality of services. Patient characteristics and organizational factors were considered. METHODS: The data were collected from the Health Insurance Review and Assessment Service (HIRA) data base. The sample was selected from 17,234 patients who had been admitted between January 2007 and May 2008 to one of 253 long-term care hospitals located in Seoul, six other metropolitan cities or nine provinces The data were analyzed with SAS 9.1 using multi-level analysis. RESULTS: The results indicated that individual level variables related to quality of service were age, cognitive ability, patient classification, and initial quality scores. The organizational level variables related to quality of service were ownership, number of beds, and turnover rate. The explanatory power of variables related to organizational level variances in quality of service was 23.72%. CONCLUSION: The results of this study indicate that differences in the quality of services were related to organizational factors. It is necessary to consider not only individual factors but also higher-level organizational factors such as nurse' welfare and facility standards if quality of service in long term care hospitals is to be improved.
Activities of Daily Living
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Aged
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Aged, 80 and over
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Databases, Factual
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Female
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Hospitals/*standards
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Humans
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Korea
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Long-Term Care/*organization & administration/*standards
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Male
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Multivariate Analysis
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*Quality of Health Care
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Risk Factors
2.Hand Hygiene Compliance among Visitors at a Long-term Care Hospital in Korea: A Covert Observation Study
Journal of Korean Academy of Community Health Nursing 2019;30(1):99-107
PURPOSE: This study aimed to assess hand hygiene (HH) compliance among visitors at a long-term care hospital in South Korea. METHODS: The study was conducted at a 502-bed long-term care hospital located in Gyeonggi-do Province. From July 1 to August 15, 2017, including more than 6 weekends and one holiday, a trained observer covertly assessed visitors' HH at all five units (360 beds in total) of the study hospital building until the completion of 1,000 HH opportunities (i.e., 200 opportunities per unit). The modified World Health Organization (WHO) HH observation form was used. Instead of professional categories and the “before clean/aseptic procedure” moment, the estimated age range for each visitor were recorded in four categories: children (<14 years old), adolescents (14~18), adults (19~64), and the elderly (≥65). The collected data were analyzed using SPSS 22.0. RESULTS: A total of 1,000 HH opportunities were observed from 766 visitors (an average of 1.31 per visitor) and the overall HH compliance rate was 20.3%. Overall, 53.7% of the HH cases were performed with soap and water. Among the 4 HH moments, the “after body fluid exposure risk” moment showed the highest compliance rate (83.5%); 93.9% used soap and water. The most commonly exposed potential body fluid among visitors was saliva (48.1%). CONCLUSION: For hospital visitors in long-term care hospitals, HH education programs including HH moments need to be developed and implemented. Further studies are necessary to evaluate visitors' HH compliance in various hospital settings and find the related variables influencing visitors' HH.
Adolescent
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Adult
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Aged
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Body Fluids
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Child
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Compliance
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Education
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Gyeonggi-do
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Hand Hygiene
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Hand
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Holidays
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Humans
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Korea
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Long-Term Care
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Observational Study
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Saliva
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Soaps
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Visitors to Patients
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Water
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World Health Organization