Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes

Yeon-Hwan Park; Hwal Lan Bang; Ga Hye Kim; Seieun Oh; Young-Il Jung; Hongsoo Kim

doi:10.7475/kjan.2015.27.4.418

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Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes

Yeon-Hwan Park¹, Hwal Lan Bang², Ga Hye Kim¹, Seieun Oh³, Young-Il Jung⁴, Hongsoo Kim⁴

Korean Journal of Adult Nursing 2015;27(4):418-427.
Published online: August 31, 2015

DOI: https://doi.org/10.7475/kjan.2015.27.4.418

¹College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul

²Department of Nursing, College of Industry, Sangmyung University, Cheonan

³Department of Nursing, College of Health Sciences, Dankook University, Cheonan

⁴Graduate School of Public Health and Institute of Health and Environment, Seoul National University, Seoul, Korea

Corresponding author: Kim, Hongsoo Graduate School of Public Health, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 151-752, Korea. Tel: +82-2-880-2723, Fax: +82-2-762-9105, E-mail: hk65@snu.ac.kr

• Received: May 11, 2015 • Accepted: July 14, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

Abstract

Purpose
Focus group interviews were conducted to explore the current status and barriers of health care services in nursing home from the viewpoint of staffs taking care of nursing home residents.
Methods
A qualitative thematic analysis using the focus group interview method was used. A total of 32 health care professionals (19 nurses and 13 social workers) from thirteen nursing homes in South Korea attended (5 focus groups) in 2014.
Results
The two main themes were identified: 'minimal health care services that left personal care needs unmet' which has three subthemes of 'stereotyped and fragmented care by types of care providers', 'medically-oriented health care services' and 'health care services mixed with social or recreational programs'; and 'barriers to proper and timely care in nursing homes' with four subthemes including 'unmet care needs due to cognitive dysfunction or lack of expression', 'care guides or tools not suitable for long-term care facilities', 'health care needs that are beyond the facility's care boundary', and 'care delay due to lack of understanding on the older adult's status'.
Conclusion
The findings from this study should help health care policy makers to recognize the factors that influence health care services and provide direction for nurses and other staffs involved in supporting health care services for nursing home residents.
Key Words: Aged; Nursing homes; Health; Health services

Table 1.

Identified Themes by the Focus Group Interviews

Theme	Sub theme
Minimal health care services that left personal care needs unmet	- Stereotyped and fragmented care by types of care providers
	- Medically-oriented health care services
	- Health care services mixed with social or recreational programs
Barriers to proper and timely care in nursing homes	- Unmet care needs due to cognitive dysfunction or lack of expression
	- Care guides or tools not suitable for long-term care facilities
	- Health care needs that are beyond the facility's care boundary
	- Care delay due to lack of understanding on the older adult's status

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Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes

Korean J Adult Nurs. 2015;27(4):418-427. Published online August 31, 2015

DOI: https://doi.org/10.7475/kjan.2015.27.4.418

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Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes

Korean J Adult Nurs. 2015;27(4):418-427. Published online August 31, 2015

DOI: https://doi.org/10.7475/kjan.2015.27.4.418

Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes

Table 1.

Identified Themes by the Focus Group Interviews

Theme	Sub theme
Minimal health care services that left personal care needs unmet	- Stereotyped and fragmented care by types of care providers
	- Medically-oriented health care services
	- Health care services mixed with social or recreational programs
Barriers to proper and timely care in nursing homes	- Unmet care needs due to cognitive dysfunction or lack of expression
	- Care guides or tools not suitable for long-term care facilities
	- Health care needs that are beyond the facility's care boundary
	- Care delay due to lack of understanding on the older adult's status

Table 1. Identified Themes by the Focus Group Interviews

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