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Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing
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Juhang Kim, Ji Young Lim
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J Korean Acad Nurs 2019;49(5):586-600. Published online October 30, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.5.586
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Purpose
This study aimed to develop a web-based cost management program for visiting nursing centers (CMP-VNC), using time-driven activity-based costing (TD-ABC), and to analyze effects of the program.
Methods
The CMP-VNC was developed using the combined prototyping approach and system developing life cycle method following four stages: need analysis with comprehensive literature reviews and focus group interviews, design and development of program algorithm, evaluation of the developed program validity using experts and users group, and application and effects analysis. The non-equivalent control group pretest-posttest design was used to analyze the effects of the program. The program demonstration was conducted for four weeks with 60 visiting nurses in 35 visiting centers.
Results
The web-based program was developed. It has five interfaces with basic and special functions using TD-ABC, namely, input, visiting nursing activity, visiting nursing activity cost, cost efficiency, and cost calculation report. The experimental group showed significantly higher cost perception and cost confidence than control group.
Conclusion
We found that the CMP-VNC can be an effective tool to increase visiting nurses’ competency of costing and enhance efficiencies of visiting nursing centers.
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Effects of Korean Proficiency and Parent-child Cohesion on Self-esteem and Acculturation among Children from Multicultural Families
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Mi Ye Kim, Ji Young Lim, Grace H. Chung
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J Korean Acad Nurs 2012;42(6):879-888. Published online December 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.6.879
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Abstract
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Purpose
There is evidence that parent-child cohesion is a potentially influential factor in children's self-esteem and acculturation. However, no research to date has examined cohesion with parents as a potential pathway between Korean proficiency and self-esteem or acculturation among children from multicultural families. This study was done to address these limitations by examining whether and to what extent cohesion with parents mediated the effect of Korean proficiency on self-esteem and acculturation among children from multicultural families.
Methods
Data were collected from a sample of 138 mothers and their children living in Seoul, Daegu, Kyungi province, and Kyungpook province. Multiple regression analysis was used to examine the relationships between the variables of interest. Mediation effects of cohesion with parents were tested by following the procedure recommended by Baron and Kenny (1986).
Results
Cohesion with parents partially mediated the relationship between Korean proficiency and self-esteem. For children's acculturation, the effect of Korean proficiency was partially mediated through father-child cohesion. Mother-child cohesion completely mediated the relationship between Korean proficiency and acculturation.
Conclusion
These findings suggest that to help children from multicultural families experiencing difficulties with self-esteem or acculturation, it might be useful to develop programs that are aimed at strengthen cohesion with parents.
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Citations
Citations to this article as recorded by  - Developmental trajectories of Korean and heritage language proficiencies and their association with maladjustment among Korean multicultural adolescents
Jisu Park, Yoonsun Han
Child Development.2023; 94(3): 617. CrossRef - Mother-Child Social Cognition Among Multicultural Families in South Korea
Joohee Lee, Kee-Hong Choi
Frontiers in Psychiatry.2022;[Epub] CrossRef - The Mental Health of Ethnic Minority Youths in South Korea and Its Related Environmental Factors: A Literature Review
Yeeun Lee, Minji Lee, Subin Park
Journal of the Korean Academy of Child and Adolescent Psychiatry.2019; 30(3): 88. CrossRef - Factors Affecting the Internet Game Addiction Risk of Elementary School Students in Multicultural Families
On Choi, Keum Seong Jang, Nam Young Kim
Journal of Health Informatics and Statistics.2019; 44(1): 64. CrossRef - Taekwondo Training Improves Mood and Sociability in Children from Multicultural Families in South Korea: A Randomized Controlled Pilot Study
Hee-Tae Roh, Su-Youn Cho, Wi-Young So
International Journal of Environmental Research and Public Health.2018; 15(4): 757. CrossRef - Effects of regular Taekwondo exercise on mood changes in children from multicultural families in South Korea: a pilot study
Jung Su Yang, Jae Myun Ko, Hee Tae Roh
Journal of Physical Therapy Science.2018; 30(4): 496. CrossRef - Understanding the perspectives on forests among migrants in Korea: Immigrants from China, Vietnam, and Mongolia
Ju-Hyoung Lee, Bum Soo Kim
Forest Science and Technology.2014; 10(1): 9. CrossRef - Physical Changes in and Coping with Marriage by Immigrant Women at an Early Stage of Immigration
Hee-Ja Kim, Hyun-Sook Kim, Mi-Yang Jeon, Hyo-Jeong Lee, Eun Young Park
Journal of Korean Biological Nursing Science.2014; 16(3): 201. CrossRef
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Statistical Methods to Control Response Bias in Nursing Activity Surveys
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Ji Young Lim, Chang Gi Park
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J Korean Acad Nurs 2012;42(1):48-55. Published online February 29, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.1.48
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Abstract
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Purpose
The aim of this study was to compare statistical methods to control response bias in nursing activity surveys.
Methods
Data were collected at a medical unit of a general hospital. The number of nursing activities and consumed activity time were measured using self-report questionnaires. Descriptive statistics were used to identify general characteristics of the units. Average, Z-standardization, gamma regression, finite mixture model, and stochastic frontier model were adopted to estimate true activity time controlling for response bias.
Results
The nursing activity time data were highly skewed and had non-normal distributions. Among the 4 different methods, only gamma regression and stochastic frontier model controlled response bias effectively and the estimated total nursing activity time did not exceeded total work time. However, in gamma regression, estimated total nursing activity time was too small to use in real clinical settings. Thus stochastic frontier model was the most appropriate method to control response bias when compared with the other methods.
Conclusion
According to these results, we recommend the use of a stochastic frontier model to estimate true nursing activity time when using self-report surveys.
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Citations
Citations to this article as recorded by - Daily Time Use by Activity of Community-Dwelling Older Koreans: Focus on Health Management
Hana Ko
International Journal of Environmental Research and Public Health.2021; 18(4): 1688. CrossRef
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589
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Comparison of Benefit Estimation Models in Cost-Benefit Analysis: A Case of Chronic Hypertension Management Programs
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Ji Young Lim, Mi Ja Kim, Chang Gi Park, Jung Yun Kim
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J Korean Acad Nurs 2011;41(6):750-757. Published online December 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.6.750
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Abstract
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Purpose
Cost-benefit analysis is one of the most commonly used economic evaluation methods, which helps to inform the economic value of a program to decision makers. However, the selection of a correct benefit estimation method remains critical for accurate cost-benefit analysis. This paper compared benefit estimations among three different benefit estimation models.
Methods
Data from community-based chronic hypertension management programs in a city in South Korea were used. Three different benefit estimation methods were compared. The first was a standard deterministic estimation model; second, a repeated-measures deterministic estimation model; and third, a transitional probability estimation model.
Results
The estimated net benefit of the three different methods were $1,273.01, $-3,749.42, and $-5,122.55 respectively.
Conclusion
The transitional probability estimation model showed the most correct and realistic benefit estimation, as it traced possible paths of changing status between time points and it accounted for both positive and negative benefits.
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Citations
Citations to this article as recorded by - Systematic Review of the Effectiveness of Community Intervention and Health Promotion Programs for the Prevention of Non-Communicable Diseases in Japan and Other East and Southeast Asian Countries
Akihiro Hirashiki, Atsuya Shimizu, Kenichiro Nomoto, Manabu Kokubo, Noriyuki Suzuki, Hidenori Arai
Circulation Reports.2022; 4(4): 149. CrossRef - A Systematic Review of Economic Evidence on Community Hypertension Interventions
Donglan Zhang, Guijing Wang, Heesoo Joo
American Journal of Preventive Medicine.2017; 53(6): S121. CrossRef
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717
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Analysis of Cost and Efficiency of a Medical Nursing Unit Using Time-Driven Activity-Based Costing
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Ji Young Lim, Mi Ja Kim, Chang Gi Park
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J Korean Acad Nurs 2011;41(4):500-509. Published online August 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.4.500
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Abstract
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Purpose
Time-driven activity-based costing was applied to analyze the nursing activity cost and efficiency of a medical unit.
Methods
Data were collected at a medical unit of a general hospital. Nursing activities were measured using a nursing activities inventory and classified as 6 domains using Easley-Storfjell Instrument. Descriptive statistics were used to identify general characteristics of the unit, nursing activities and activity time, and stochastic frontier model was adopted to estimate true activity time.
Results
The average efficiency of the medical unit using theoretical resource capacity was 77%, however the efficiency using practical resource capacity was 96%. According to these results, the portion of non-added value time was estimated 23% and 4% each. The sums of total nursing activity costs were estimated 109,860,977 won in traditional activity-based costing and 84,427,126 won in time-driven activity-based costing. The difference in the two cost calculating methods was 25,433,851 won.
Conclusion
These results indicate that the time-driven activity-based costing provides useful and more realistic information about the efficiency of unit operation compared to traditional activity-based costing. So time-driven activity-based costing is recommended as a performance evaluation framework for nursing departments based on cost management.
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Citations
Citations to this article as recorded by - Cost estimation of preventive dental hygiene care using Time-Driven Activity-Based Costing (TDABC)
Yun-Sook Jung, Bo-Kyoung Oh, Yun-Jung Jang, Sun-Hee Hwang, Seo-Young Yoon, Seong-Eun Baek, Min-Young Kim
Journal of Korean Society of Dental Hygiene.2024; 24(5): 489. CrossRef - Estimated Time to Complete Direct Nursing Interventions Using the Nursing Interventions Classification (NIC) at Eight Hospitals in South Korea
Eunjoo Lee, Hyejin Park
International Journal of Nursing Knowledge.2018; 29(2): 104. CrossRef - Economic Analysis of USN-Based Data Acquisition Systems in Tall Building Construction
Hyunsu Lim, Jin Lee, Taehoon Kim, Kyuman Cho, Hunhee Cho
Sustainability.2017; 9(8): 1360. CrossRef - A Methodological Quality Evaluation of Nursing Cost Analysis Research based on Activity-based Costing in Korea
Ji-Young Lim, Wonjung Noh, Jin-A Mo
The Journal of the Korea Contents Association.2016; 16(7): 279. CrossRef - Financial Ratio Analysis for Developing Nursing Management Strategies in University Hospitals
Ji Young Lim, Wonjung Noh, Seung Eun Oh, Ok Gum Kim
Journal of Korean Academy of Nursing Administration.2013; 19(1): 7. CrossRef - Activity-Based Costing Analysis of Nursing Activities in General Hospital Wards
Ho-Soon Yoon, Jinhyun Kim
Journal of Korean Academy of Nursing Administration.2013; 19(4): 449. CrossRef
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662
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The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
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Young Ran Han, Mi Sook Song, Ji Young Lim
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J Korean Acad Nurs 2010;40(5):724-735. Published online October 31, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.5.724
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Abstract
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Purpose
In this study a cognitive enhancement group training program of 10 sessions was provided for community-dwelling elders and the effects on cognitive function, depression and quality of life were tested.
Methods
A quasi-experimental study using a nonequivalent control group, pre-post design was used. The participants were 87 elders whose cognitive function was within the normal range. Of these elders, 45 were assigned to the experimental group and 42 to the control group. The intervention was conducted once a week for 10 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data.
Results
After the program, the cognitive function (t=-2.85, p=.006), depression (z=2.82, p=.005) and quality of life (t=2.79, p=.007) of the experimental group was significantly better than those of the control group. Especially, immediate recall (z=2.45, p=.014) and concentration (z=2.58, p=.010) in the subcategory of cognitive function were significantly better than that of the control group.
Conclusion
The findings indicate that the cognitive enhancement group training program was effective in enhancing the cognitive function, depression and quality of life for elders and could therefore be considered as a positive program for emotional and cognitive support for community-dwelling elders.
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Citations
Citations to this article as recorded by - The Mediating Effect of Depressive Symptoms on the Relationship between Activity Engagement and Cognitive Function among Older Adults
Da Eun Kim, Bokyoung Kim
Research in Community and Public Health Nursing.2025; 36: 328. CrossRef - Development and effectiveness of a cognitive enhancement program based on a mobile application for preventing dementia: a study focusing on older adults who use senior citizen centers
Mi-Ra Jung, Eun Jeong, Chang-Gyeong Lee
Journal of Korean Biological Nursing Science.2023; 25(2): 113. CrossRef - The Effect of Cognitive Rehabilitation Program Combined with Physical Exercise on Cognitive Function, Depression, and Sleep in Chronic Stroke Patients
SoHyun Kim, SungHyoun Cho
Physical Therapy Rehabilitation Science.2022; 11(1): 32. CrossRef - The Effects of a Recollection-Based Occupational Therapy Program of Alzheimer’s Disease: A Randomized Controlled Trial
DeokJu Kim
Occupational Therapy International.2020; 2020: 1. CrossRef - Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
Hae In Ahn, Min Kyung Hyun
Integrative Medicine Research.2019; 8(2): 133. CrossRef - Development and validation of exercise rehabilitation program for cognitive function and activity of daily living improvement in mild dementia elderly
Mi-Ri Choi, Ji-Youn Kim, Eun-Surk Yi
Journal of Exercise Rehabilitation.2018; 14(2): 207. CrossRef - Effects of a Memory and Visual-Motor Integration Program for Older Adults Based on Self-Efficacy Theory
Eun-Hwi Kim, Soon-Rim Suh
Journal of Korean Academy of Nursing.2017; 47(3): 431. CrossRef - The Effect of a Dementia Preventive Intervention based on Motivational Interviewing among the Elderly over 75 Years of Age in Nursing Homes
Hyun Mi Jo, Suk-Sun Kim
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 260. CrossRef - Effects of Social Support and Psychological Well-being on Intention to Exercise Maintenance of Elderly Pilates Participants
Seok-Il Kim, Hyun-Ok Oh
The Korean Journal of Physical Education.2017; 56(1): 167. CrossRef - Depression and Cognitive Function of the Community-dwelling Elderly
Seong Ok Seo, Ae Young So
Journal of Korean Academy of Community Health Nursing.2016; 27(1): 1. CrossRef - Experiences of Participation in Dementia Prevention Program for Older Adults in Nursing Homes
Sun Ok Lim, Hyun Mi Jo
The Korean Journal of Rehabilitation Nursing.2016; 19(2): 128. CrossRef - The systemic contemplation of sadness mediation program applied to internal senior citizens
Kyung-Mi Kim, Hyun-Young Kim
Journal of Digital Convergence.2015; 13(12): 391. CrossRef - The Effects of a Positive Psychology Improvement Program on Elders' Depression and Death Anxiety
Seung Joo Lim, Hung Sa Lee, Chunmi Kim, Young Go
Journal of Korean Academy of Community Health Nursing.2015; 26(3): 238. CrossRef - Developing a Community Capacity Builded Exercise Maintenance Program for Frail Elderly Women
Yeon Hee Choi, Sun Yi Hong
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 153. CrossRef - Factors associated with Cognitive Decline in the Elderly in Community
Young-Sook Kwon, Kyung-Shin Paek
Journal of Digital Convergence.2014; 12(2): 587. CrossRef - The Effects of Community-Based Visiting Care on the Quality of Life
Ji Young Lim, Geun Myun Kim, Eun-Joo Kim, Kyung Won Choi, Sang Suk Kim
Western Journal of Nursing Research.2013; 35(10): 1280. CrossRef - The Effects of an Exercise Program using a Resident Volunteer as a Lay Health Leader for Elders' Physical Fitness, Cognitive Function, Depression, and Quality of Life
Yeon-Hee Choi, Na-Young Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 346. CrossRef - The Effects of the Activity Program for Preventing Dementia Against Depression, Cognitive Function, and Quality of Life for the Elderly
Kum-Sook Park, Heon-Young Jeong, Sun-Yoe So, Young-Hee Park, Hee-Jung Yang, Kyoung-Ran Jung, Soon-Joo Moon, Hae-Kyoung Kim, Jung-Hee Cho, Kyung-Hee Yang
Journal of Oriental Neuropsychiatry.2013; 24(4): 353. CrossRef - Effects of Art Therapy on Cognition, Depression, and Quality of Life in Elderly
Yeon Hee Choi, En Young Jeon
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 323. CrossRef - Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries
Nadja van Ginneken, Prathap Tharyan, Simon Lewin, Girish N Rao, SM Meera, Jessica Pian, Sudha Chandrashekar, Vikram Patel
Cochrane Database of Systematic Reviews.2013;[Epub] CrossRef - Effects of a Recreational Combination Gymnastics Program for Old-old Women
Yeon Hee Choi, Choon Ji Lee
Journal of Korean Academy of Nursing.2012; 42(6): 843. CrossRef - Nutritional Risk, Perceived Health Status, and Depression of the Young-Old and the Old-Old in Low-Income Elderly Women
Myung-Suk Lee
Journal of agricultural medicine and community health.2012; 37(1): 12. CrossRef - Effects on Salivation, Xerostomia and Halitosis in Elders after Oral Function Improvement Exercises
Young Jin Kim, Kyung Min Park
Journal of Korean Academy of Nursing.2012; 42(6): 898. CrossRef
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A Comparison of the Factors Influencing the Life Satisfaction of the Elderly According to their Cognitive Impairment Level
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Rah Il Hwang, Ji Young Lim, Young Whee Lee
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J Korean Acad Nurs 2009;39(5):622-631. Published online October 31, 2009
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DOI: https://doi.org/10.4040/jkan.2009.39.5.622
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Abstract
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Purpose
This study was conducted to analyze the factors that influence the life satisfaction of the elderly according to their cognitive impairment level.
Methods
This study was conducted by dividing 3,012 elderly residents of a regional community into three groups based on the scores of the Korean version of the Mini-Mental State Examination: a normal group without any cognitive impairment, a suspicious group with a mild level of cognitive impairment, and a high risk group with a high level of cognitive impairment. Researchers made phone calls, house calls, and personal visits to health centers and shelters for the elderly to gather the information required for this study.
Results
The results of this study revealed that social relationships, depression, and activities of daily living had a significant impact on life satisfaction for the normal group, while social relationships and depression had a high impact on life satisfaction for the suspicious group, and social relationships had high impact on the life satisfaction of the high risk group.
Conclusion
Based on the results of this study, we suggest that programs that promote development of the social relationship networks of the elderly should be established to promote their life satisfaction.
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Citations
Citations to this article as recorded by - The Influence of Social Dynamics on Biological Aging and the Health of Historically Marginalized Populations: A Biopsychosocial Model for Health Disparities
Lok Ming Tam, Kristin Hocker, Tamala David, Edith Marie Williams
International Journal of Environmental Research and Public Health.2024; 21(5): 554. CrossRef - The Actor-Partner Effects of Marital Satisfaction on Life Satisfaction in Middle-Aged and Older Couples: Focusing on the Mediating Effects of Health Behavior and Health
Eun Jee Lee, Ju Hee Park
Human Ecology Research.2023; 61(4): 615. CrossRef - Factors Affecting Life Satisfaction of Older Adults in Asia: A Systematic Review
Sonia Khodabakhsh
Journal of Happiness Studies.2022; 23(3): 1289. CrossRef - Mediating Effect of Cognitive Function on the Relationship Between Geriatric Oral Health and Quality of Life Among Korean Seniors
Eun Jee Chang, Hyun-Jae Woo, Kyu-Hyoung Jeong
Journal of Preventive Medicine and Public Health.2022; 55(1): 106. CrossRef - The impact of computer-based cognitive training intervention on the quality of life among elderly people: a randomized clinical trial
Leila kazazi, Mohsen Shati, Seyede Salehe Mortazavi, Vahid Nejati, Mahshid Foroughan
Trials.2021;[Epub] CrossRef - Social Support, Activities of Daily Living, and Depression among Older Japanese and Koreans Immigrants in the U.S
Bumjung Kim, Hyeyoun Jun, Jisun Lee, Yun Min Kim
Social Work in Public Health.2020; 35(4): 163. CrossRef - Evaluating the Efficacy of Therapeutic Programs on Improving Cognitive Function and Depression among Older Adults Living with Dementia in Korea
Jaeeon Yoo, Sunhee Lee
International Journal of Environmental Research and Public Health.2020; 17(9): 3218. CrossRef - Risk Factors to Cognitive Function and Life Satisfaction in Elderly Living Alone
Jee Young Lee
Stress.2018; 26(4): 259. CrossRef - Relationship of health, sociodemographic, and economic factors and life satisfaction in young-old and old-old elderly: a cross-sectional analysis of data from the Korean Longitudinal Study of Aging
Jin-Won Noh, Kyoung-Beom Kim, Ju Hyun Lee, Min Hee Kim, Young Dae Kwon
Journal of Physical Therapy Science.2017; 29(9): 1483. CrossRef - Correlation between physical function, cognitive function, and health-related quality of life in elderly persons
DeokJu Kim
Journal of Physical Therapy Science.2016; 28(6): 1844. CrossRef - Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia
Chan Mi Kang, Jung Soon Kim, Jeong Hee Jeong
Journal of Korean Academy of Community Health Nursing.2016; 27(3): 193. CrossRef - Effect of Hoelen Cum Radix on learning and memory enhancement via stimulation of neuronal differentiation in the hippocampus of the mouse brain
Jin Gyu Choi, Yeomoon Sim, Wonnam Kim, Sun Yeou Kim, Myung Sook Oh
The Korea Journal of Herbology.2015; 30(2): 43. CrossRef - The Relationship Between Activities of Daily Living (ADL), Chronic Diseases, and Depression Among Older Korean Immigrants
Bum Jung Kim, Young Choi
Educational Gerontology.2015; 41(6): 417. CrossRef - The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments
Inhyae Park, In-Hee Choi, Seo Young Kang, Younkyoung Kim, Chong Mi Lee
Journal of Korean Academy of Community Health Nursing.2015; 26(1): 1. CrossRef - Factors Affecting Activities of Daily Living, Depression and Life Satisfaction among Aged Women
Journal of East-West Nursing Research.2015; 21(2): 119. CrossRef - Family Caregivers’ Coping Resources and Life Satisfaction
Ji Seon Hwang, Hey Jung Jun, Eun Jee Lee
Family and Environment Research.2015; 53(5): 519. CrossRef - Impact of Cognitive Function and Self-efficacy on Medication Adherence of Elderly Patients with Chronic Disease
Kyung-Hee Ryu, Youn-Jung Son
Journal of Korean Biological Nursing Science.2013; 15(3): 107. CrossRef - Effects of Art Therapy on Cognition, Depression, and Quality of Life in Elderly
Yeon Hee Choi, En Young Jeon
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 323. CrossRef - The relationship between social support and functional capacity in elderly persons with cognitive alterations
Tábatta Renata Pereira de Brito, Sofia Cristina Iost Pavarini
Revista Latino-Americana de Enfermagem.2012; 20(4): 677. CrossRef - Factors Influencing Depression of Elderly Women in a Metropolitan City
Seung-Ae Yang
Journal of Korean Public Health Nursing.2012; 26(1): 158. CrossRef - The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
Young Ran Han, Mi Sook Song, Ji Young Lim
Journal of Korean Academy of Nursing.2010; 40(5): 724. CrossRef
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Development of Nursing Key Performance Indicators for an Intensive Care Unit by using a Balanced Scorecard
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Yun Jeong Choi, Ji Young Lim, Young Whee Lee, Hwa Soon Kim
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J Korean Acad Nurs 2008;38(5):656-666. Published online October 12, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.5.656
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Abstract
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Purpose
The purpose of this study was to develop visions of nursing service, nursing strategies and key performance indicators (KPIs) for an intensive care unit (ICU) based on a Balanced Scorecard (BSC).
Methods
This study was undertaken by using methodological research. The development process consisted of four phases; the first phase was to develop the vision of nursing in ICUs. The second phase was to develop strategies according to 4 perspectives of a BSC. The third phase was to develop KPIs according to the 4 perspectives of BSC and the final phase was to combine the nursing visions, strategies and KPIs of ICUs.
Results
Two main visions of nursing service for ICUs were established. These were ‘realization of harmonized professional nursing with human respect’ and ‘recovery of health through specialized nursing’ respectively. In order to reach the aim of developing nursing visions, thirteen practical strategies and nineteen KPIs were developed by four perspectives of the BSC.
Conclusion
The results will be used as objective fundamental data to attain business outcomes for the achievement of nursing visions and strategies of ICUs.
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Citations
Citations to this article as recorded by - Development of Performance Indicators for Clinical Research Coordinators Using the Balanced Scorecard in South Korea
Youn Sun Hwang, Tae Wha Lee
Therapeutic Innovation & Regulatory Science.2019; : 216847901987075. CrossRef - Augmenting Walkability, Visibility and Arrangement for Korean ICU
Javaria Manzoor Shaikh
Sir Syed University Research Journal of Engineering & Technology.2015; 5(1): 20. CrossRef - Development and Application of a Performance Prediction Model for Home Care Nursing Based on a Balanced Scorecard using the Bayesian Belief Network
Wonjung Noh, GyeongAe Seomun
Journal of Korean Academy of Nursing.2015; 45(3): 429. CrossRef - Testing The Healing Environment Conditions for Nurses with two Independent Variables: Visibility Enhancement along with Shortening the Walking Distance of the Nurses to Patient - Focused on LogWare stop sequence and space syntax for U-Shape, L- Shape and
Javaria Manzoor Shaikh, Jae Seung Park
KIEAE Journal.2015; 15(2): 19. CrossRef - Barrier free visibility for staff in ICU Focused on space syntax for circulation in Asian ICU
Javaria Manzoor Shaikh
Sir Syed University Research Journal of Engineering & Technology.2014; 4(1): 9. CrossRef
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Economic Evaluation of Gemcitabine-cisplatin Chemotherapy for Non Small-Cell Lung Cancer Patient in an Outpatient Setting
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Su Hyun Min, Su-kyoung Ko, Ji Young Lim
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J Korean Acad Nurs 2008;38(3):363-371. Published online June 30, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.3.363
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Abstract
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Purpose
This analysis was conducted to evaluate the cost-effectiveness of gemcitabine-cisplatin chemotherapy for non small-cell lung cancer patients in an outpatient setting compared with the traditional inpatient setting.
Methods
A cost-effective analysis was conducted from a societal perspective. The effects of treatment, which was measured as an adverse event rate, were abstracted from a published literature search and empirical data from one university hospital. The costs included both direct and indirect costs. Direct costs included hospitalizations, outpatient visits, and lab tests. Pharmaceutical costs were excluded in analysis because they were same for both options. Indirect costs included productivity loss of patients as well as care-givers. In order to determine the robustness of the results, sensitivity analysis on treatment protocol was conducted.
Results
Literature search showed no difference in adverse effect rates between inpatient treatment protocol and outpatient treatment protocol. Therefore, this analysis is a cost-minimization analysis. Cost-savings in the outpatient setting was 555,936 won for one treatment cycle. Our sensitivity analysis indicated that the outpatient chemotherapy still showed cost-savings, regardless of changes in treatment protocol.
Conclusion
The outpatient gemcitabine-cisplatin chemotherapy for non small-cell lung cancer resulted in cost savings compared to inpatient chemotherapy. More importantly, outpatient chemotherapy could improve the utilization of health service resources in terms of available beds.
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Citations
Citations to this article as recorded by - An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
Ji Young Lim, Jung Nam Im, In A Kim, Su Kyoung Ko
Journal of Korean Academy of Nursing Administration.2010; 16(3): 295. CrossRef
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An Analysis of Cost and Profit of a Nursing Unit using Performance-Based Costing: Case of a General Surgical Ward in a General Hospital
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Ji Young Lim
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Journal of Korean Academy of Nursing 2008;38(1):161-171. Published online February 29, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.1.161
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Abstract
PDF
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Purpose
The aim of this study was to analysize net income of a surgical nursing ward in a general hospital.
Methods
Data collection and analysis was conducted using a performance-based costing and activity-based costing method.
Results
Direct nursing activities in the surgical ward were 68, indirect nursing activities were 10. The total cost volume of the surgical ward was calculated at ₩119,913,334.5. The cost volume of the allocated medical department was ₩91,588,200.3, and the ward consumed cost was ₩28,325,134.2. The revenue of the surgical nursing ward was ₩33,269,925.0. The expense of a surgical nursing ward was ₩28,325,134.2. Therefore, the net income of a surgical nursing ward was ₩4,944,790.8.
Conclusion
We suggest that to develop a more refined nursing cost calculation model, a standard nursing cost calculation system needs to be developed.
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Citations
Citations to this article as recorded by - A Methodological Quality Evaluation of Nursing Cost Analysis Research based on Activity-based Costing in Korea
Ji-Young Lim, Wonjung Noh, Jin-A Mo
The Journal of the Korea Contents Association.2016; 16(7): 279. CrossRef - Economic Length of Stay and Opportunity Income of Appendectomy and Pneumonia Using Activity-based Costing
Sang Mi Kim, Hae Jong Lee, Dong Gyo Shin
Health Policy and Management.2013; 23(2): 124. CrossRef - Activity-Based Costing Analysis of Nursing Activities in General Hospital Wards
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Development of a Performance Measurement Scale for Hospital Nurses
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Yu Kyung Ko, Tae Wha Lee, Ji Young Lim
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Journal of Korean Academy of Nursing 2007;37(3):286-294. Published online April 30, 2007
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DOI: https://doi.org/10.4040/jkan.2007.37.3.286
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Abstract
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Purpose
The aim of this study was to develop a performance measurement scale for nurses in the hospital setting and to test the reliability and validity of the scale.
Methods
This study was conducted in three phases including an application of conceptual framework, development of scale items, and test of validity and reliability of the scale. In order to test validity and reliability, data was collected from 1,966 nurses who work in twenty eight hospitals nation-wide. The data was analyzed by the SAS 8.0 program using descriptive statistics, factor analysis, and reliability coefficients.
Results
The Performance measurement scale consisted of 4 factors which included competency, attitude, willingness to improve, and application of nursing process, and a total of 17 items. The Four factors explained 63.45% of the total variance, and Cronbach's alpha of the scale was .92.
Conclusion
The performance measurement scale developed by this study is a reliable and valid instrument that is utilized effectively to evaluate the performance of hospital nurses. Furthermore, it could be used as a steping stone to assess educational needs of nurses, develop professionalism among nurses, and improve quality of nursing care in the hospital setting.
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Citations
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Mi-Kyoung Cho, Chul-Gyu Kim, Hyeong-Jung Mo
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Myoung-Soo Kim, Yun-Hee Kim
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Sun Im Im, Jong Park, Hye Sook Kim
Korean Journal of Occupational Health Nursing.2012; 21(3): 274. CrossRef - Influencing Factors on Task Performance of Wound Ostomy Continence Nurses in Korea
Sun Hee Lee, Jae Soon Yoo
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Tae Wha Lee, Yu Kyung Ko
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Na Sun Ha, Jung Choi
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166
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Working Conditions in Home Health Care Nursing: A Survey of Home Care Nurses in Hospitals in Korea
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Hosihn Ryu, Heasook Jo, Yoonok Kim, Youngmi Yoon, Jongrae Song, Ji Young Lim, Soonyong Khim, In A Kim
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Journal of Korean Academy of Nursing 2005;35(7):1229-1237. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.7.1229
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Abstract
PDF
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Purpose
The purpose of this research was to address the working conditions of home health nurses through a nationwide home health agency survey conducted at hospitals.
Methods
The mail surveys were sent to 303 home health nurses nation wide and returned with a response rate of 71.8%.
Results
(a) Seventy-five percent of home health agencies were established within the past5 years and half of home health nurses are over 40 years old. (b) Working conditions were considered as follows: Seventy-one percent of respondents were full-time employees, sixty-sixpercent of home health nurses had unscheduled visits on a regular day of duty and forty-eight percent were on vacation. Fifty-one percent of home health nurses have experienced traffic accidents and paid penalties (65.9%). Self-reported monthly income level per year was an average of 28,364,000 won. (c) Rates were significantly higher for shoulder pain (61.5%), lower back pain (54.1%), knee pain (39.4%), and gastrointestinal problems (33.0%).
Conclusion
These baseline results show the importance of improving home health nursing working conditions, a comprehensive prevention system and safeguards from physical discomfort.
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Citations
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Moon-Sook Hwang, Hak Young Park, Soo Jung Chang
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 143. CrossRef - Comparison of Job Tasks and Task Elements of Korean Nurse Anesthetists by Type of Medical Institution: Hospital, General Hospital and Higher General Hospital
Chungsim Bai, Haesang Yoon
Journal of Korean Academy of Nursing Administration.2013; 19(2): 239. CrossRef - Awareness and Demand for Pediatric Home-Based Physical Therapy in Korea
Sun-Young Choi, Jang-Whon Yoon
Physical Therapy Korea.2013; 20(3): 62. CrossRef - A Study on the Operating Status of Community-based Home Health Care Centers
Eunhee Lee, Sungae Park
Journal of Korean Academy of Nursing Administration.2011; 17(2): 180. CrossRef - Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
CIN: Computers, Informatics, Nursing.2009; 27(4): 234. CrossRef
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619
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A Cost-Utility Analysis of Home Care Services by using the QALY
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Ji Young Lim
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Journal of Korean Academy of Nursing 2004;34(3):449-457. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.3.449
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Abstract
PDF
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Purpose
The aim of this study was to analyze economical efficiency of home care service by comparing a cost-utility ratio(CUR) between home care and hospitalization.
Method
The analytic framework of this study was constructed in 5 stages: Identifying the analytic perspectives, measurement of costs, measurement of utility, analysis of CUR, and sensitivity test. Data was collected by reviewing medical records, home care service records, medical fee claims, and other related research.
Result
The mean of the annual total cost was 23,317,636 Won in home care and 73,739,352 Won in hospital care. QALY was 0.389 in home care and 0.474 in hospital care, so CUR was 299,712,545 QALY in home care and 777,841,266 QALY in hospital care.
Conclusion
The findings affirmed that home care had an economical efficiency in the aspect of utility compared to hospitalization. Therefore, the findings of this study can be used to develop a governmental health policy or to expand the home care system. In addition, the cost-utility analysis framework and process of this study will be an example model for cost-utility analysis in nursing research. Therefore, it will be used as a guideline for future research related to cost-utility analysis in nursing.
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Citations
Citations to this article as recorded by - An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
Ji Young Lim, Jung Nam Im, In A Kim, Su Kyoung Ko
Journal of Korean Academy of Nursing Administration.2010; 16(3): 295. CrossRef
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554
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The Relationship of Stress, Social Support and Depression in the Elderly
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Pyoung Sook Lee, Yong Mi Lee, Ji Young Lim, Ra IL Hwang, Eun Young Park
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Journal of Korean Academy of Nursing 2004;34(3):477-484. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.3.477
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Abstract
PDF
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Purpose
This study was to identify the relationship between stress, social support and depression in the elderly.
Method
The subjects were 283 elderly adults over 60 in Seoul. Data was collected by questionnaire surveys using convenience sampling. The instruments used in this study are the ELSI developed by Aldwin(1990), the Interpersonal Support Evaluation List developed by Cohen & Hoberman (1983), and the Geriatric Depression Scale by Yesavage & Brink(1982). Data was analyzed by the SAS program, using descriptive statistics, Pearson Correlation Coefficient, t-test, ANOVA and progressed Multiple Regression.
Result
The relationship between stress and depression had a positive correlation (r= 0.33), but the relationship between stress and social support had no significant correlations. The relationship between social support and depression had a negative correlation (r= -0.38). The most powerful predictor of depression was the economic status and then a combination of stress, and social support account for 39% of the variance in depression in the elderly.
Conclusion
These results suggested that stress and social support deficits can be potential risk factors in old age depression. Therefore, these findings give useful information for constructing an intervention program focused on depression in the elderly.
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Citations
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ИНСОМНИЯ КАК ТРАНСДИАГНОСТИЧЕСКИЙ ФЕНОМЕН У ПОЖИЛЫХ С ДЕПРЕССИВНЫМИ И ТРЕВОЖНЫМИ РАССТРОЙСТВАМИ
Е.Б. Мизинова, Т.А. Караваева, А.В. Васильева, Д.С. Радионов
Успехи геронтологии.2024; 37(5): 546. CrossRef - Social Support, Activities of Daily Living, and Depression among Older Japanese and Koreans Immigrants in the U.S
Bumjung Kim, Hyeyoun Jun, Jisun Lee, Yun Min Kim
Social Work in Public Health.2020; 35(4): 163. CrossRef - Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers
Gyong-Ae Choi, Hyun-Jung Choi, So-Young Park
Korean Journal of Health Promotion.2019; 19(1): 32. CrossRef - Factors Influencing Depression in Middle Aged Women: Focused on Quality of life on Menopause
Jung Nam Sohn
Journal of Health Informatics and Statistics.2018; 43(2): 148. CrossRef - Effects of Indirect Experience of Forest Healing Factors on Stress Reduction, Self-Esteem and Social Connectedness Improvements in the Elderly Participating in Horticultural Activities Program
Gue Hong Park, Chang Seob Shin, Yang Soon Hahn
Journal of People, Plants, and Environment.2018; 21(5): 411. CrossRef - Differences of Characteristics of Life and Psycho-social Factors in Elderly Women Participating in Leisure Activity
Kyung-Hee CHUN, Euna PARK
Journal of Fisheries and Marine Sciences Education.2016; 28(2): 428. CrossRef - The Relationships between Stress and ADL in Elderly Living Alone
Eun-Joo Seo, Nam-Hyun Cha
Journal of Digital Convergence.2016; 14(7): 251. CrossRef - Examination of the Adlerian constructs of activity and social interest with depression among recent Korean retirees: Meaning in life as a mediator
Eunha Kim, Hae-Jeong Park, Ingrid Hogge
Archives of Gerontology and Geriatrics.2015; 61(3): 378. CrossRef - The Effect of the Elderly's Stress on Depression -Focused on Mediating Effect of Resilience and Moderating Effect of Social Activity-
Young Ja Jeon
Korean Journal of Human Ecology.2015; 24(2): 219. CrossRef - Factors Affecting a Health Promoting Lifestyle in Middle-Aged Women
Yong-Mi Lee, Geun-Myun Kim, You-Hee Jung
The Journal of the Korea Contents Association.2014; 14(10): 570. CrossRef - Spiritual Well-Being, Social Support, Life Satisfaction and Depression in the Community Dwelling Elderly
So Nam Kim, Sang Bok Lee
journal of east-west nursing research.2013; 19(2): 186. CrossRef - Factors Influencing Depressive Symptoms in Community Dwelling Older People
Jung Nam Sohn
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2013; 22(2): 107. CrossRef - Gender Difference in Risk Factors for Depression in Community-dwelling Elders
Chul-Gyu Kim, Seungmi Park
Journal of Korean Academy of Nursing.2012; 42(1): 136. CrossRef - Prevalence and Correlates of Depression in Older Koreans: Comparison of Young-old and Old-old
Kyung-Choon Lim, Seonho Kim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(1): 1. CrossRef
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584
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A Workload Analysis of a Visiting Nursing Service based on a Health Center in Seoul
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Ho Sihn Ryu, Eun Sook Park, Young Joo Park, Kuem Sun Han, Ji Young Lim
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Journal of Korean Academy of Nursing 2003;33(7):1018-1027. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.7.1018
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Abstract
PDF
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Purpose
This study focused on analysing the workload of visiting nurses based on a health center.
Method
A Prospective descriptive analysis of self-records for workload data from 115 visiting nurses during 4 weeks was done. In addition, a cross-sectional analysis of linked data to grasp the priority of visiting nursing services from 155 visiting nurses at the 25 health centers in Seoul.
Result
Time allocation that was performed on all nursing workload of visiting nurses was identified as follows: First, the inside workload of the health center took up 60% of all visiting nurse activities. Second, providing direct nursing care(caseload) took up 25%. Third, outside nursing activities excluding the caseload provided in the health center took up 15% of all working time. Fourth, the core works to have a high priority among visiting nursing activities were family health assessment, planning and evaluation of a visiting nursing program, personal health assessment, and so forth.
Conclusion
The workload of a visiting nurse suggests that the caseload of visiting nurses in a health center needs to be increased. Also, our results will contribute to baseline data used to establish a proper visiting nurses infrastructure based on the demand of visiting nursing services.
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Citations
Citations to this article as recorded by - Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef - Job Performance and Self Confidence by Visiting Nurses who are engaged in the Consolidated Health Promotion Program in Gangwon-Province
Myung Soon Kwon, Soon Ok Yang, Sun Ok Eom
Journal of Korean Public Health Nursing.2015; 29(2): 190. CrossRef - The Effects of a Mobile Computerized System for Individual Tailored Home Care Services in a City
Nam Hee Park, Rang Jang, Jung Young Kim, Myoung Soo Kim
Journal of Korean Academy of Community Health Nursing.2012; 23(1): 71. CrossRef - Statistical Methods to Control Response Bias in Nursing Activity Surveys
Ji Young Lim, Chang Gi Park
Journal of Korean Academy of Nursing.2012; 42(1): 48. CrossRef - Task Analysis of Managers in the Customized Visiting Health Services
Young Ran Han, Young Rye Park, Young Hee Kim, Hee Chung Choi, Mi Ja Chung
Journal of Korean Academy of Community Health Nursing.2012; 23(2): 165. CrossRef - Relations among the Decision Making Style, Self Leadership and Communication Competence of Visiting Nurses
Eun-Joo Kim, Ji-Young Lim, Kyung-Won Choi
The Journal of the Korea Contents Association.2011; 11(10): 324. CrossRef - Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism
Ji Eun Park, Chungnam Kim, Yunhee Kwon
Journal of Korean Academy of Community Health Nursing.2010; 21(4): 448. CrossRef
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A Comparison of Cost between Home Care and Hospital Care: According to Subject's General Characteristics
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Ji Young Lim
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Journal of Korean Academy of Nursing 2003;33(2):246-255. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.2.246
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Abstract
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Purpose
This study was designed to compare direct cost and indirect cost between home care and hospital care according to subject's characteristics.
Method
The subjects of this study were patients with cerebrovascular disease. They were 50 patients in six university hospitals and 49 in four home care centers. Data were collected by using two type of questionnaires and reviewing medical records, home care service records and medical-fee claims from April 4th to September 13th, 2001.
Result
The results were as follows; First, there was a statistically significant difference of direct cost between home care and hospital care, however, there was not a statistically significant difference of indirect cost. Second, according to subject's characteristics, six variables had statistically significant differences; sex, age, marital status, economy, job and diagnosis.
Conclusion
It was found that cost-saving effect of home care was affected by subject's characteristic factors. More study needs to be done to develop a more detailed selection criteria for home care subjects.
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Citations
Citations to this article as recorded by - Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients
Jeong Yeon Ko, Ju Young Yoon
Journal of Korean Academy of Community Health Nursing.2021; 32(3): 356. CrossRef - Financial Ratio Analysis for Developing Nursing Management Strategies in University Hospitals
Ji Young Lim, Wonjung Noh, Seung Eun Oh, Ok Gum Kim
Journal of Korean Academy of Nursing Administration.2013; 19(1): 7. CrossRef - Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -
Youn-Jung Son, Sung-Kyung Hong, Eun Young Jun
Journal of Korean Academy of Nursing.2008; 38(3): 353. CrossRef
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424
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Relationship between Personality Type, SAT score and GPA of Student Nurses
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Ji Young Lim, Il Young Yoo, Soon Nahm Oh
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Journal of Korean Academy of Nursing 2001;31(5):835-845. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2001.31.5.835
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Abstract
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PURPOSE: This study was to identify the relationship between personality type, college admission SAT scores and GPA scores of student nurses.
METHOD
The data was collected from 270 student nurses enrolled in a baccaleaureate program in Seoul. MBTI was used to identify students' personality and SAT score and GPA score were collected over 4 years. The collected data was analyzed by using SPSS Win. package.
RESULT
1. There were slightly more extrovert (E) type (54.4%) students than the introvert (I) type; more sensing (S) type (71.1%) than the intuitive (N) type. 2. The introvert type students had significantly higher SAT scores than those of the extrovert type (p=.002). 3. The judging type students had significantly higher GPA scores throughout their college years than the perceiving type. 4. There was no statistically significant relationship between SAT and GPA scores. SAT scores did not accurately predict students' academic achievement in college in this sample.
CONCLUSION
The distribution of the personality types in the sample was different from the general population which may suggest that college admission criteria is biased toward certain personality type. Since different personality types process information and cope with the outside world differently, effective teaching strategies need to be considered for each class. -
Citations
Citations to this article as recorded by - Experience of Turnover in New Nurses
Sun Ae Kim, Hye Won Jeon
Journal of Korean Public Health Nursing.2014; 28(3): 644. CrossRef - Nursing Student Academic Achievement depending on College Entrance System-related Factors
Mi Won Kim, Han Ju Lee, Yoon Ju Lee
The Journal of Korean Academic Society of Nursing Education.2014; 20(4): 596. CrossRef - Difference Analysis of Study Achievement in Course Related to Anatomy by Personality Type
Hyo Hyun Yoo
Korean Journal of Physical Anthropology.2014; 27(3): 137. CrossRef - Differences in Non‐Cognitive Factors Influencing the Academic Achievement of Medical and Nursing Students: Focusing on Achievement Goal Orientation and Self‐Regulated Learning
Eun A Park, Kyung Hee Chun
Korean Medical Education Review.2014; 16(1): 32. CrossRef - The Influential Factors for the Attitude of Health-Care University Students on Cardiopulmonary Resuscitation
Geum-Sook Jung, Hyun-Mi Oh, Seon-Young Jeong
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(5): 2271. CrossRef
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A Preliminary Study for Evaluating on Demonstration Project of Community-based Home Health Care Nursing Services by the Seoul Nurses Association
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Ho Sihn Ryu, So Woo Lee, Hee Ja Moon, Na Mee Whang, Sung Ae Park, Jung Sook Park, Hang Jei Choi, Kee Soon Jung, Sang Ae Han, Ji Young Lim
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Journal of Korean Academy of Nursing 2000;30(6):1488-1502. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2000.30.6.1488
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Abstract
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This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services.
1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%).
2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%).
As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status.
Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers. -
Citations
Citations to this article as recorded by - Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital
Hana Lee, Aeri Kim, Hyunsook Heo, Jisoo Lee, Kyungmi Woo
Home Health Care Management & Practice.2023; 35(1): 21. CrossRef - A Study on the Operating Status of Community-based Home Health Care Centers
Eunhee Lee, Sungae Park
Journal of Korean Academy of Nursing Administration.2011; 17(2): 180. CrossRef - Estimation of Nursing Costs Based on Nurse Visit Time for Long-Term Care Services
Eun-Kyung Kim, Yun Mi Kim, Myung Ae Kim
Journal of Korean Academy of Nursing.2010; 40(3): 349. CrossRef - Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
CIN: Computers, Informatics, Nursing.2009; 27(4): 234. CrossRef - Home health nursing care agenda based on health policy in Korea
Hosihn Ryu, Jiyoung An, Mia Koabyashi
Nursing & Health Sciences.2005; 7(2): 92. CrossRef
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522
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A study of pain perception related to IV therapy in hospitalized preschool children and their mothers
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Ji Young Lim
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Journal of Nurses Academic Society 1992;22(1):49-67. Published online March 31, 2017
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DOI: https://doi.org/10.4040/jnas.1992.22.1.49
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Abstract
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Most hospitalized children will experience physical pain as well as psychological distress. Preschool children's pain perception related to painful procedures can increase due to elevated anxiety and fear because they do not have understanding logical of their disease and hospitalization. In particular they are distressed about needle-related procedures which are feared because they are seen to be a cause of bodily damage.
This descriptive study attempted to identify pain perception levels in preschool children and their mothers. A self-reporting measurement and behavioral observation were used to collect the data.
A total of 25 hospitalized preschool children and their mothers were investigated and data were collected about 60 painful procedures. Data collection was carried out by the researcher and two trained investigators from November first to December tenth.
Three instruments were used to collect the data : Faces Pain Rating Scale(FPRS) developed by Beyer was used to measure the degree of preschool children's pain perception about painful procedures. The Visual Analogue Scale(VAS) devised by Huskisson was used to assess the degree of mothers' pain perception about their children's painful procedures. A Pain Behavioral Checklist based on the Procedure Behavior Check List by LeBaron and Zelter and modified by the researcher was used to observe behaviors of preschool children, their mothers, and nurses when the painful procedures took place.
The data were analyzed by an SPSS program, and were tested using real numbers, percentages, Pearson correlation coefficient, t-test, and ANOVA.
The results of this study are as follows :
1. Of all the painful procedures, the mean score for the FPRS for the preschool children's pain perception was 4.02 points, and the mean score for the VAS of mothers' pain perception was 10.92 points.
2. A positive correlation which was statistically significant was found between the pain perception of preschool children and their mothers(r=.53, p<.01). that is, the higher the children's pain perception was, the higher their mothers' pain perception was.
3. The characteristics of the painful procedures related with children's pain perception as follows : The type of painful procedure was found to be statistically significant(F=23.44, p<.01). Among the three procedures IV starting was found to be perceived as the most painful procedures to the children. The greater the number of times that the procedure had been done, the higher the pain perception was(F=4.44, p<.01), and the longer the duration of the procedure, the higher the pain perception was(r=.30, p<.05). Pain perception in the treatment room was higher than in the children's room(t=6.30, P<.01), pain perception in the mother's presence was the higher than when the mother was not present(t=2.91, p<.01).
4. The characteristics of the painful procedures related with the mothers' pain perception as follows : The type of painful procedure was found to be statistically significant (F=6.01, p<.01). Among the three procedures IV sampling was found to be perceived as the most painful procedures to the mothers. The greater the number of times that the procedure had been done, the higher the pain perception was (F=5.95, P<.01), and the longer the duration of the procedure, the higher the pain perception was (r=.31, p<.05). Pain perception in the treatment room was higher than in the children's room (t=3.51, p<.01), but pain perception in the mother's presence showed statistically significant no difference.
5. Of all of the 19 children's behaviors during the painful procedures, the most frequent behaviors observed were as follows in order of frequency "crying", "screaming", "facial grimacing", "physical resistance", Of all of the nine mothers' behaviors, the most frequent by observed in "console children", "hold children", "applaud children", Of all of the ll nurses' behaviors during the painful procedures, the most behaviors during the painful procedures, the most frequent in order were "smiling", "physical restraint", "console children", "praise children".
6. A positive correlation between children's and mothers' pain perception and children's behaviors was found to be statistically significant(r=.65, p<.01, r=.67, p<.01). Also the relationship between children's and mother's pain perception, and mothers' behavior was found to be statistically significant(r=.57, p<.01, r=.60, p<.01). The relationship between children's pain perception and nurses' behaviors was also found to be statistically significant(r=.46, p<.01), but there was difference between mothers' pain perception and nurses' behaviors.
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Citations
Citations to this article as recorded by - Peripheral Intravenous Injection Pain in Hospitalized Children
Jun Hee Jeong, Hye Young Ahn
Perspectives in Nursing Science.2014; 11(2): 144. CrossRef
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