1National Health Insurance Service, Seoul
2Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea
Copyright © 2014 Korean Society of Adult Nursing
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| Nr. | Indicator | M±SD | %† |
|---|---|---|---|
| Category I: Managing institution | |||
| 1 | The institution prepares and equips guidelines to service offer. | 3.87±0.49 | 91.8 |
| 2 | The institution prepares and equips a manual of service criteria. | 3.64±0.69 | 74.5 |
| 3 | Employees of the institution have certificates needed for job performance. | 3.90±0.53 | 97.3 |
| 4 | There is more proportion of service-providing employees who have worked one year or more in relevant institutions. | 3.65±0.86 | 75.9 |
| 5 | The institution conducts a medical check-up for employees every year and runs reward or welfare system. | 2.83±1.19 | 46.6 |
| 6 | The institution signs labor contracts with its employees and pay wages to them accordingly and gets them insured for five major insurances. | 3.86±0.46 | 89.0 |
| 7 | The institution conducts training for new comers in the institution according to staff training program. | 3.14±1.21 | 65.1 |
| 8 | According to its annual training program, the institution conducts supplementary training needed for service offer, among service-providing staff. | 3.12±1.25 | 65.8 |
| 9 | The institution gets prior consent for collection and use of personal information, and protects personal information. | 3.24±1.17 | 69.1 |
| 10 | The institution establishes and carries out a quality improvement plan according to the result of self-appraisal. | 2.73±1.28 | 43.8 |
| 11 | The institution conducts satisfaction survey among subjects (protected persons) at least once a year and reflects its results. | 2.96±1.34 | 61.0 |
| 12 | The institution identifies job satisfaction level of service-providing staff as well as the problems. | 3.10±1.26 | 65.1 |
| Category II: Environment & safety | |||
| 13 | The institution is equipped with facilities and furnishings needed for bathing and nursing. | 3.51±0.91 | 74.5 |
| 14 | The institution provides service in a hygienic way. | 2.78±1.08 | 38.6 |
| 15 | The institution safely deals with an emergency and the circumstance in which subjects are not able to open the door (entrance or room). | 2.35±1.14 | 26.2 |
| Category III: Right & responsibility | |||
| 16 | Super indent of the institution (administrator) periodically visits subjects for consultation in connection with their conditions and service content. | 2.93±1.12 | 45.2 |
| 17 | The institution is insured for business liability insurance and professional liability insurance. | 3.36±1.23 | 73.3 |
| 18 | The institution prepares lists of current work state of service-providing staff. | 3.59±1.04 | 86.9 |
| 19 | The institution provides subjects/family with the duplicate of service offer contract and a bill of costs for LTC service. | 3.73±0.78 | 89.0 |
| 20 | The institution receives subjects' sharing as stipulated in the contract. | 3.38±1.22 | 79.5 |
| 21 | The institution posts the current state of workforce and facilities at homepage of the public corporation and modifies immediately if any change occurs. | 3.45±1.10 | 79.5 |
| 22 | The institution has a flak-catcher, who records details from receipt of grievances to their settlement. | 2.34±1.50 | 44.5 |
| Category IV : Process of care | |||
| 23 | Employees conduct assessment of subject's desires prior to beginning of service. | 3.51±1.04 | 78.6 |
| 24 | The institution reflects standard long-term care utilization plan at the time of signing service contracts. | 3.29±1.16 | 71.9 |
| 25 | Employees provide service by explaining service content to subjects at the same time. | 3.86±0.58 | 95.1 |
| 26 | Employees provide service to maintain and enhance physical function of subjects. | 3.72±0.73 | 84.9 |
| 27 | Employees make service offer records immediately after service has been done. | 3.59±0.86 | 73.3 |
| 28 | Employees regularly assess the effects of provided services. | 2.90±1.23 | 45.2 |
| 29 | Employees guide family members of subjects so that they can take care of subjects safely. | 3.12±1.17 | 61.8 |
| 30 | Employees observe subjects' conditions before and after bathing. | 3.36±1.43 | 68.1 |
| 31 | Employees check individual ability and problems in regard to fluid intake. | 3.02±1.31 | 61.0 |
| 32 | Employees check individual ability and problems in regard to caloric intake. | 3.64±0.69 | 74.5 |
| 33 | Employees check individual ability and problems in regard to incontinence/ constipation. | 3.25±1.24 | 70.5 |
| 34 | Employees periodically assess risk factors of bedsores. | 2.96±1.21 | 54.8 |
| 35 | Employees work so that they can ascertain dehydration prevention service. | 2.84±1.37 | 54.8 |
| 36 | Employees work so that they can ascertain caloric intake assistance service. | 3.18±1.25 | 67.1 |
| 37 | Employees work so that they can ascertain defecation assistance service. | 3.12±1.28 | 64.8 |
| 38 | Employees help subjects change their posture or move so that their skin may not be peeled (to prevent bedsores) | 3.23±1.20 | 67.1 |
| 39 | Employees explain risk of dehydration to subjects (family) and provide data to them. | 3.14±1.19 | 62.3 |
| 40 | Employees explain risk of malnutrition to subjects (family) and provide data to them. | 2.84±1.37 | 55.5 |
| 41 | Employees explain risk of bedsores to subjects (family) and provide data to them. | 3.35±1.08 | 70.3 |
| 42 | Employees explain fall prevention to subjects (family) and provide data to them. | 3.35±1.07 | 70.5 |
| 43 | Employees explain to families, prevention of elder abuse and agencies to report for protection of the old, and provide data to them. | 3.28±1.14 | 68.5 |
| 44 | Employees explain to families, dementia prevention and methods responding with subjects with dementia, and provide data to them. | 3.19±1.18 | 65.1 |
| 45 | Employees offer service in consideration of individual special circumstances of subjects with dementia. | 3.32±0.95 | 65.8 |
| 46 | When employees impose restrictions to protect subjects, they record the causes and explain those to guardians to get consent. | 2.60±1.40 | 43.6 |
| 47 | Employees perform and record nursing treatment according to visiting nursing directions. | 3.86±0.57 | 94.7 |
| 48 | Bedsores nursing treatment of employees complies with latest level of nursing. | 3.65±0.91 | 87.1 |
| 49 | Employees, fully aware of information related with administration of subjects, manage administration. | 3.35±1.04 | 65.9 |
| 50 | Employees take necessary steps according to the measuring results of blood pressure, blood sugar. | 3.80±0.64 | 89.5 |
| 51 | For subjects essentially requiring oxygen therapy, employees take right measures to prevent contamination of Tunica mucosa oris, parotid and pneumonia. | 2.90±1.34 | 59.0 |
| 52 | Employees communicate with doctors as for the results of nursing treatment and subjects' conditions. | 2.99±1.41 | 61.9 |
| 53 | Employees check subjects' conditions using appropriate tools. Category V : Results of care | 3.51±0.93 | 75.9 |
| 54 | By linking with social resources of the local community, the institution has offered necessary service to subjects or families. | 3.42±0.85 | 62.2 |
| 55 | Employees, reflecting individual desires, have maintained clean physical conditions of subjects. | 2.72±1.35 | 49.3 |
| 56 | The ratio of subjects suffering bedsores has dropped. | 3.24±1.41 | 73.4 |
| 57 | The ratio of subjects inserted with indwelling catheter has dropped. | 2.57±1.60 | 57.7 |
| Evaluation's categories | Participants (n=98) | Not Participants (n=46) | x2 | p |
|---|---|---|---|---|
| M±SD† | M±SD† | |||
| Managing institution | 85.32±4.74 | 45.20±6.30 | 29.08 | ＜.001 |
| Environment & safety | 79.35±2.31 | 57.90±1.79 | 8.46 | .004 |
| Right & responsibility | 77.97±3.73 | 60.85±3.83 | 5.33 | .021 |
| Process of care | 80.10±16.13 | 56.30±23.28 | 10.20 | .001 |
| Results of care | 78.60±3.32 | 59.51±3.53 | 6.70 | .010 |
| Evaluation's categories | Result 2010 | Study | Z | p |
|---|---|---|---|---|
| M±SD | M±SD | |||
| Home-visit nursing | 1.79±0.83 | 1.84±0.87 | -0.441 | .659 |
| Home-visit care† | 1.95±0.92 | 1.82±0.88 | -1.169 | .242 |
Evaluation Indicators for Integrated Home Care
| Nr. | Indicator | M±SD | % |
|---|---|---|---|
| Category I: Managing institution | |||
| 1 | The institution prepares and equips guidelines to service offer. | 3.87±0.49 | 91.8 |
| 2 | The institution prepares and equips a manual of service criteria. | 3.64±0.69 | 74.5 |
| 3 | Employees of the institution have certificates needed for job performance. | 3.90±0.53 | 97.3 |
| 4 | There is more proportion of service-providing employees who have worked one year or more in relevant institutions. | 3.65±0.86 | 75.9 |
| 5 | The institution conducts a medical check-up for employees every year and runs reward or welfare system. | 2.83±1.19 | 46.6 |
| 6 | The institution signs labor contracts with its employees and pay wages to them accordingly and gets them insured for five major insurances. | 3.86±0.46 | 89.0 |
| 7 | The institution conducts training for new comers in the institution according to staff training program. | 3.14±1.21 | 65.1 |
| 8 | According to its annual training program, the institution conducts supplementary training needed for service offer, among service-providing staff. | 3.12±1.25 | 65.8 |
| 9 | The institution gets prior consent for collection and use of personal information, and protects personal information. | 3.24±1.17 | 69.1 |
| 10 | The institution establishes and carries out a quality improvement plan according to the result of self-appraisal. | 2.73±1.28 | 43.8 |
| 11 | The institution conducts satisfaction survey among subjects (protected persons) at least once a year and reflects its results. | 2.96±1.34 | 61.0 |
| 12 | The institution identifies job satisfaction level of service-providing staff as well as the problems. | 3.10±1.26 | 65.1 |
| Category II: Environment & safety | |||
| 13 | The institution is equipped with facilities and furnishings needed for bathing and nursing. | 3.51±0.91 | 74.5 |
| 14 | The institution provides service in a hygienic way. | 2.78±1.08 | 38.6 |
| 15 | The institution safely deals with an emergency and the circumstance in which subjects are not able to open the door (entrance or room). | 2.35±1.14 | 26.2 |
| Category III: Right & responsibility | |||
| 16 | Super indent of the institution (administrator) periodically visits subjects for consultation in connection with their conditions and service content. | 2.93±1.12 | 45.2 |
| 17 | The institution is insured for business liability insurance and professional liability insurance. | 3.36±1.23 | 73.3 |
| 18 | The institution prepares lists of current work state of service-providing staff. | 3.59±1.04 | 86.9 |
| 19 | The institution provides subjects/family with the duplicate of service offer contract and a bill of costs for LTC service. | 3.73±0.78 | 89.0 |
| 20 | The institution receives subjects' sharing as stipulated in the contract. | 3.38±1.22 | 79.5 |
| 21 | The institution posts the current state of workforce and facilities at homepage of the public corporation and modifies immediately if any change occurs. | 3.45±1.10 | 79.5 |
| 22 | The institution has a flak-catcher, who records details from receipt of grievances to their settlement. | 2.34±1.50 | 44.5 |
| Category IV : Process of care | |||
| 23 | Employees conduct assessment of subject's desires prior to beginning of service. | 3.51±1.04 | 78.6 |
| 24 | The institution reflects standard long-term care utilization plan at the time of signing service contracts. | 3.29±1.16 | 71.9 |
| 25 | Employees provide service by explaining service content to subjects at the same time. | 3.86±0.58 | 95.1 |
| 26 | Employees provide service to maintain and enhance physical function of subjects. | 3.72±0.73 | 84.9 |
| 27 | Employees make service offer records immediately after service has been done. | 3.59±0.86 | 73.3 |
| 28 | Employees regularly assess the effects of provided services. | 2.90±1.23 | 45.2 |
| 29 | Employees guide family members of subjects so that they can take care of subjects safely. | 3.12±1.17 | 61.8 |
| 30 | Employees observe subjects' conditions before and after bathing. | 3.36±1.43 | 68.1 |
| 31 | Employees check individual ability and problems in regard to fluid intake. | 3.02±1.31 | 61.0 |
| 32 | Employees check individual ability and problems in regard to caloric intake. | 3.64±0.69 | 74.5 |
| 33 | Employees check individual ability and problems in regard to incontinence/ constipation. | 3.25±1.24 | 70.5 |
| 34 | Employees periodically assess risk factors of bedsores. | 2.96±1.21 | 54.8 |
| 35 | Employees work so that they can ascertain dehydration prevention service. | 2.84±1.37 | 54.8 |
| 36 | Employees work so that they can ascertain caloric intake assistance service. | 3.18±1.25 | 67.1 |
| 37 | Employees work so that they can ascertain defecation assistance service. | 3.12±1.28 | 64.8 |
| 38 | Employees help subjects change their posture or move so that their skin may not be peeled (to prevent bedsores) | 3.23±1.20 | 67.1 |
| 39 | Employees explain risk of dehydration to subjects (family) and provide data to them. | 3.14±1.19 | 62.3 |
| 40 | Employees explain risk of malnutrition to subjects (family) and provide data to them. | 2.84±1.37 | 55.5 |
| 41 | Employees explain risk of bedsores to subjects (family) and provide data to them. | 3.35±1.08 | 70.3 |
| 42 | Employees explain fall prevention to subjects (family) and provide data to them. | 3.35±1.07 | 70.5 |
| 43 | Employees explain to families, prevention of elder abuse and agencies to report for protection of the old, and provide data to them. | 3.28±1.14 | 68.5 |
| 44 | Employees explain to families, dementia prevention and methods responding with subjects with dementia, and provide data to them. | 3.19±1.18 | 65.1 |
| 45 | Employees offer service in consideration of individual special circumstances of subjects with dementia. | 3.32±0.95 | 65.8 |
| 46 | When employees impose restrictions to protect subjects, they record the causes and explain those to guardians to get consent. | 2.60±1.40 | 43.6 |
| 47 | Employees perform and record nursing treatment according to visiting nursing directions. | 3.86±0.57 | 94.7 |
| 48 | Bedsores nursing treatment of employees complies with latest level of nursing. | 3.65±0.91 | 87.1 |
| 49 | Employees, fully aware of information related with administration of subjects, manage administration. | 3.35±1.04 | 65.9 |
| 50 | Employees take necessary steps according to the measuring results of blood pressure, blood sugar. | 3.80±0.64 | 89.5 |
| 51 | For subjects essentially requiring oxygen therapy, employees take right measures to prevent contamination of Tunica mucosa oris, parotid and pneumonia. | 2.90±1.34 | 59.0 |
| 52 | Employees communicate with doctors as for the results of nursing treatment and subjects' conditions. | 2.99±1.41 | 61.9 |
| 53 | Employees check subjects' conditions using appropriate tools. Category V : Results of care | 3.51±0.93 | 75.9 |
| 54 | By linking with social resources of the local community, the institution has offered necessary service to subjects or families. | 3.42±0.85 | 62.2 |
| 55 | Employees, reflecting individual desires, have maintained clean physical conditions of subjects. | 2.72±1.35 | 49.3 |
| 56 | The ratio of subjects suffering bedsores has dropped. | 3.24±1.41 | 73.4 |
| 57 | The ratio of subjects inserted with indwelling catheter has dropped. | 2.57±1.60 | 57.7 |
†Performs rate.
Difference of Mean between Categories according to the Participation 2010 (N=144)
| Evaluation's categories | Participants (n=98) | Not Participants (n=46) | x2 | p |
|---|---|---|---|---|
| M±SD |
M±SD |
|||
| Managing institution | 85.32±4.74 | 45.20±6.30 | 29.08 | ＜.001 |
| Environment & safety | 79.35±2.31 | 57.90±1.79 | 8.46 | .004 |
| Right & responsibility | 77.97±3.73 | 60.85±3.83 | 5.33 | .021 |
| Process of care | 80.10±16.13 | 56.30±23.28 | 10.20 | .001 |
| Results of care | 78.60±3.32 | 59.51±3.53 | 6.70 | .010 |
†Kruskal-wallis test.
Grade Changes between the Evaluations Results 2010 and the Results of the Study (N=56)
| Evaluation's categories | Result 2010 | Study | Z | p |
|---|---|---|---|---|
| M±SD | M±SD | |||
| Home-visit nursing | 1.79±0.83 | 1.84±0.87 | -0.441 | .659 |
| Home-visit care |
1.95±0.92 | 1.82±0.88 | -1.169 | .242 |
Note. 3=A Class, 2=B Class, 1=C Class.
†Support for activity of daily life.
Performs rate.
Kruskal-wallis test.
Note. 3=A Class, 2=B Class, 1=C Class. Support for activity of daily life.
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