-
Development & Evaluation of Community-Based Home Care Nursing Service Program
-
Won Jung Cho, Cho Ja Kim, Won Hee Lee, Kyu Sook Kang, Eui Geum Oh, Hee Ok Park
-
J Korean Acad Community Health Nurs. 2004;15(2):209-217. Published online June 30, 2004
-
-
-
 Abstract
 PDF
- PURPOSE
The purpose of this study was to construct the structure, process and outcome of community-based home care nursing service and to examine their validity.
METHOD
There were two steps. The first step was developing the structure and process of community-based home care and the second was evaluating the outcome of community-based home care. Home care services were provided to 25 clients who had health problems. Data on these clients were analyzed.
RESULT
According to Albrecht Model, in the developed structure and process of community-based home care, structure contained facility's philosophy, organization, delivery system, steering committee, office, equipments, medical instruments, the home care nurse and client of home care nursing. Process contained classification of client, nursing diagnosis and nursing intervention. The majority of clients were men (56%). The service was used mostly by people aged over 50 (82%). The most frequent nursing diagnoses were altered urinary elimination (23.2%), impaired skin integrity (21.8%) and risk for infection (17.6%). Nursing interventions included wound care (16.7%), tube care (15.1%) and catheter care (14.5%).
CONCLUSION
Several strategies are suggested from this study: first, activate a referral system within the national health care system; second, increase public information on home care nursing; third, develop home care nursing services for elderly people; and fourth, construct a cooperation system between home care services and social welfare services.
|
KACHN
