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Work system analysis of health management for individuals with disabilities in supportive housing: a focus group study using the SEIPS framework
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Haesun Lee, Hye Jin Nam, Bohye Kim, Ju Young Yoon
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J Korean Acad Nurs 2025;55(3):454-467. Published online August 4, 2025
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DOI: https://doi.org/10.4040/jkan.25018
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 Abstract
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- Purpose
This study conducted a work-system analysis using the Systems Engineering Initiative for Patient Safety (SEIPS) framework to assess the flow of health-related information, and the current status of health management tasks for individuals with disabilities (IWD) in supportive housing.
Methods
This qualitative study utilized focus groups. Participants included a head of supportive housing, a team leader, a care coordinator and three personal support workers for IWD. Semi-structured interviews were guided by the SEIPS framework to explore the components of persons, tasks, tools and technology, organization, and environments.
Results
This study identified five key themes within the five SEIPS components: (1) disparities in role identity and health literacy among staff, (2) challenges in health care support reflecting a person-centered approach, (3) barriers in health-related information exchange and communication tools, (4) needs for organizational strategies or information communication, and (5) needs for integrating health-related information across external healthcare institutions. Additionally, 10 sub-themes were identified.
Conclusions
These findings provide a comprehensive system-wide perspective and offer insights into the systematic approaches needed to improve healthcare processes and structures within disability supportive housing. Specifically, healthcare providers and effective tools for integrating health-related information are identified as critical components.
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Support Needs for Health Promotion of Community-Dwelling People with Disabilities: Perspectives of Operators Managing Disability Supportive Housing
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Hye Jin Nam, Haesun Lee, Han Nah Park, Sujin Lee, Bohye Kim, Ju Young Yoon
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J Korean Acad Nurs 2024;54(2):211-223. Published online May 31, 2024
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DOI: https://doi.org/10.4040/jkan.23143
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Abstract
PDF
- Purpose
Recent studies have focused on policies aimed at supporting the independence of individuals with disabilities in communities. As part of this initiative, supportive housing, integrated care, and residential spaces offer tailored services based on individual needs and autonomy. The attitudes and knowledge of the administrators supporting supportive housing residents regarding health management can influence the well-being of individuals with disabilities. Therefore, this study aimed to explore the challenges faced by supporting housing workers in enhancing the self-management skills of individuals with disabilities.
Methods
In this qualitative study, focus group interviews were conducted in August 2023 with nine administrators working to support housing in Seoul. Qualitative content analysis was used to analyze the interview data.
Results
The needs and challenges in enhancing the self-management skills of individuals with disabilities were as follows: (1) the complexity of health management challenges, (2) bidirectional strategies for strengthening health management capabilities, and (3) support for systematic health management. Additionally, eight subthemes were derived.
Conclusion
By investigating the difficulties experienced and identifying the necessary support requirements for supportive housing workers, this study seeks to uncover insights and identifies areas for improvement and strategies for health management. This study acknowledges the educational and institutional support necessary to improve the health and quality of life of individuals with disabilities residing in supportive housing.
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Citations to this article as recorded by  - Work system analysis of health management for individuals with disabilities in supportive housing: a focus group study using the SEIPS framework
Haesun Lee, Hye Jin Nam, Bohye Kim, Ju Young Yoon
Journal of Korean Academy of Nursing.2025; 55(3): 454. CrossRef
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