J Korean Acad Nurs.  2015 Oct;45(5):742-751. 10.4040/jkan.2015.45.5.742.

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

Affiliations
  • 1College of Nursing, Yonsei University, Seoul, Korea. euigeum@yuhs.ac
  • 2Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
  • 3College of Nursing, Graduate School, Yonsei University, Seoul, Korea.
  • 4Korea Armed Forces Nursing Academy, Daejeon, Korea.
  • 5The Institute for Comparative Effectiveness Research in Nursing, Konyang University, Daejeon, Korea.
  • 6College of Nursing, Konyang University, Daejeon, Korea.
  • 7Department of Nursing, Kyung-In Women's University, Incheon, Korea.

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.

Keyword

Community health nurses; Home care services; Task performance
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