Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2015 Oct;45(5):742-751. Korean.
    Published online Oct 30, 2015.
    https://doi.org/10.4040/jkan.2015.45.5.742
    © 2015 Korean Society of Nursing Science
    Original Article

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

    Eui Geum Oh,1 Hyun Joo Lee,2 Yukyung Kim,3 Ji Hyun Sung,1 Young-Su Park,2 Jae Yong Yoo,4 and Soohee Woo5
      • 1College of Nursing·Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
      • 2College of Nursing, Graduate School, Yonsei University, Seoul, Korea.
      • 3Korea Armed Forces Nursing Academy, Daejeon, Korea.
      • 4The Institute for Comparative Effectiveness Research in Nursing·College of Nursing, Konyang University, Daejeon, Korea.
      • 5Department of Nursing, Kyung-In Women's University, Incheon, Korea.
    • Address reprint requests to: Oh, Eui Geum. College of Nursing·Mo-Im Kim Nursing Research Institute, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea. Tel: +82-2-2228-3256, Fax: +82-2-392-5440, Email: euigeum@yuhs.ac
    Received April 06, 2015; Revised April 22, 2015; Accepted July 06, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    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.

    Keywords
    Community health nurses; Home care services; Task performance

    Tables

    Table 1
    Characteristics of Participants (N=257)

    Table 2
    Status of Home Care Nursing Service (N=257)

    Notes

    This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI13C0775).

    References

      1. Korea Institute for Health and Social Affairs. 2013 patient survey [Internet]. Seoul: Ministry of Health & Welfare, Korea Institute for Health and Social Affairs; 2013 [cited 2014 April 22].
        Available from: http://stat.mw.go.kr/front/statData/publicationView.jsp?bbsSeq=11&nttSeq=21200&menuId=45.
      1. Holland DE, Mistiaen P, Bowles KH. Problems and unmet needs of patients discharged "home to self-care". Prof Case Manag 2011;16(5):240–250.
      1. Holland DE, Knafl GJ, Bowles KH. Targeting hospitalised patients for early discharge planning intervention. J Clin Nurs 2013;22(19-20):2696–2703. [doi: 10.1111/j.1365-2702.2012.04221.x]
      1. Moon OR, Kang SH, Lee EP, Jwa YK, Lee HS. An analysis on the characteristics of high cost patients in the regional medical insurance program. Korean J Health Policy Adm 1983;3(1):53–83.
      1. Kim KA, Shine EK, Baek SJ, Choi YS, Jung KT. A study on catastrophic user-paid expenditure attributes for patient in national health insurance. Korean J Health Econ Policy 2011;17(3):75–99.
      1. Askren-Gonzalez A, Frater J. Case management programs for hospital readmission prevention. Prof Case Manag 2012;17(5):219–226. [doi: 10.1097/NCM.0b013e318257347d]
      1. Lee E, Yu SH, Lee HJ, Kim S. Factors associated with unplanned hospital readmission. Korean J Hosp Manage 2010;15(4):125–142.
      1. Lee JH, Kim YM, Kang SH. A study patient management for both planned and unplanned readmission in a medium-size hospital. Health Serv Manag Rev 2008;2(1):11–17.
      1. Oh HJ, Yu SH. A case-control study of unexpected readmission in a university hospital. Korean J Prev Med 1999;32(3):289–296.
      1. Kassin MT, Owen RM, Perez SD, Leeds I, Cox JC, Schnier K, et al. Risk factors for 30-day hospital readmission among general surgery patients. J Am Coll Surg 2012;215(3):322–330. [doi: 10.1016/j.jamcollsurg.2012.05.024]
      1. Toronto Central Community Care Access Centre. 50 Years of caring for Toronto [Internet]. Toronto, CA: Author; 2014 [cited 2014 September 22].
        Available from: http://healthcareathome.ca/torontocentral/en/performance/Documents/TOCCAC-AnnualReport-FullProof-12-HighRes.pdf#sthash.0gUhWxEh.dpuf.
      1. Australian Government, Department of Health and Ageing. Transition care program 2011 [Internet]. Canberra, AU: Commonwealth of Australia Year; 2011 [cited 2014 August 7].
        Available from: https://bendigohealth.mhr.com.au/Upload%5CPDs%5C51495-TransCareProgGuidelines2011.pdf.
      1. Balaban RB, Weissman JS, Samuel PA, Woolhandler S. Redefining and redesigning hospital discharge to enhance patient care: A randomized controlled study. J Gen Intern Med 2008;23(8):1228–1233. [doi: 10.1007/s11606-008-0618-9]
      1. Jack BW, Chetty VK, Anthony D, Greenwald JL, Sanchez GM, Johnson AE, et al. A reengineered hospital discharge program to decrease rehospitalization: A randomized trial. Ann Intern Med 2009;150(3):178–187.
      1. Tsuchihashi-Makaya M, Matsuo H, Kakinoki S, Takechi S, Kinugawa S, Tsutsui H. Home-based disease management program to improve psychological status in patients with heart failure in Japan. Circ J 2013;77(4):926–933.
      1. Shin HS, Oh JJ. Case management for medical aid beneficiaries in Korea: Findings from case-control study. Asian Nurs Res 2014;8(4):274–281. [doi: 10.1016/j.anr.2014.10.001]
      1. Ministry of Health & Welfare. Hospital based home care nursing program guidelines. Seoul: Author; 2010 [cited 2014 December 10].
        Available from: http://www.mw.go.kr/front_new/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040101&CONT_SEQ= 237214&page=1.
      1. Ministry of Health & Welfare, Korea Health Promotion Foundation. 2013 Integrated community health promotion program [Internet]. Seoul: Author; 2013 [cited 2013 December 10].
        Available from: http://www.mw.go.kr/front_new/jb/sjb0601vw.jsp?PAR_MENU_ID=03&MENU_ID=03160501&CONT_SEQ=286506&page=1.
      1. Ministry of Health & Welfare. Main contents of the act of long-term care insurance for the elderly [Internet]. Seoul: Author; 2013 [cited 2013 August 6].
        Available from: http://www.mw.go.kr/front_new/jb/sjb0403vw.jsp.
      1. Lee SH, Lim JY. Strategies of home health care services linkages in Korea based on Delphi technique. J Korea Contents Assoc 2012;12(12):282–290.
      1. Lim JY, Kim EJ, Choi KW, Lee JS, Noh WJ. Analysis of barriers and activating factors of visiting nursing in long-term care insurance. J Korea Contents Assoc 2012;12(8):283–299. [doi: 10.5392/JKCA.2012.12.08.283]
      1. Chin YR, Lee I, Chang HS. Analysis of the effects and nursing intervention of home health care in public health centers. J Korean Community Nurs 2004;15(3):353–364.
      1. Korea Health Industry Development Institute, Korean Health Promotion Foundation. The role and function of home healthcare based on the public health centers, hospitals and long-term care insurance [Internet]. Seoul: Ministry of Health & Welfare; 2007 [cited 2014 July 14].
        Available from: http://www.khidi.or.kr/fileDownload?titleId=118694&fileId=1.
      1. Boter H. Multicenter randomized controlled trial of an outreach nursing support program for recently discharged stroke patients. Stroke 2004;35(12):2867–2872. [doi: 10.1161/01.STR.0000147717.57531.e5]
      1. Harrison JD, Young JM, Solomon MJ, Butow PN, Secomb R, Masya L. Randomized pilot evaluation of the supportive care intervention "CONNECT" for people following surgery for colorectal cancer. Dis Colon Rectum 2011;54(5):622–631. [doi: 10.1007/DCR.0b013e31820bc152]
      1. Lindpaintner LS, Gasser JT, Schramm MS, Cina-Tschumi B, Müller B, Beer JH. Discharge intervention pilot improves satisfaction for patients and professionals. Eur J Intern Med 2013;24(8):756–762. [doi: 10.1016/j.ejim.2013.08.703]
    Cited by
    Crossref 9
    Google Scholar 
    PubMed Central 4
    Scopus 7
    Web of Science 5
    MeSH Terms
    Home Care Services*
    Task Performance and Analysis*
    Adult
    Community Health Nursing
    Cross-Sectional Studies
    Female
    Humans
    Long-Term Care
    Male
    Middle Aged
    Nurses/psychology*
    Surveys and Questionnaires
    Metrics
    Share
    Links to
    Tables
    slide
    slide

    1 / 2

    Funding Information
    PERMALINK