Components of nursing judgment on quality improvement of home health care in one unit of the community

本研究旨在探讨护理人员对社区居家照护品质改善之评价。本研究探讨护理累积活动与合作活动在大单位与小单位之差异。本研究共进行了五项调查：调查一、对某县卫生院辖区内公共卫生护士30年来累积活动的判断，采用访谈法和资料法进行调查。患者及其家属的需求、措施选择、评价、新需求的产生和方向等都存在重复判断过程。调查2.县级卫生院辖区内家庭护理服务质量及护理评价：对县级卫生院辖区内家庭护理服务质量及护理评价的分析 ...更多信息 通过对残疾儿童参与性活动的观察和访谈，了解残疾儿童参与性活动的情况。结果发现，与支持性护理环境相关的护理判断，以及家庭对独立儿童的日常护理和特殊护理的满意度，对提高家庭护理质量至关重要。调查三、市区家庭护理质量与护理判断：对C市17个地区开展的B类功能训练活动进行分析，并对参与活动的PHN进行参与观察和访谈。结果表明，与家庭护理的可及性、日常生活的连续性、精神的放松与舒适、医患关系的平等、对社区的兴趣的形成等有关的护理判断对提高家庭护理质量至关重要。近5年国内文献分析通过对51篇文献的分析，认为合作活动是填补和提高医疗质量和日常生活质量的有效途径。调查5：社区卫生护理实习的回顾：关注公共卫生护士在提高家庭护理服务质量中的作用本综述作为本研究的初步调查，旨在探讨涵盖护理基本概念的护理判断。分析护理本科生在提高家庭护理服务质量方面的实践经验。少

The purpose of this study was to identify the components of nursing judgement on quality improvement of home health care in one unit of the community. This study examined nursing accumulative and cooperative activities in both wide and small unit area. Five investigations were conducted as follow :Investigation 1; The nursing judgement with accumulative activities having done in one prefectural health center territory.The judgment of public health nurses' accumulative activities in 30 years were examined by interview and material. The repeated judgment process was found in relation with the needs of patients and their families, the measure selected, the evaluation, the getting new needs and the direction. It was suggested the nursing judgment related with the evaluation was important to quality improvement of home health care.Investigation 2 ; The quality of the home care in the prefectural health center territory and the nursing judgement : The analysis of the constructing home care s … More ystem activity for disabled childrenThe participation observation and the interview to PHNs were conducted. It was found that the nursing judgment related with the support care environment and the satisfying both of the daily and special care against the independent child care for families were essential to quality improvement of home health care.Investigation 3 ; The quality of the home care in the municipal area and the nursing judgement : The analysis of the B-type functional training activities in 17 area, C city.The participation observation and the interview to PHNs related to those activities were conducted. It was found that the nursing judgment related with the accessibility, continuity to daily life, relief and comfortable mind, equal relationship between patients and residents and formation interest to the own community were essential to the quality improvement of home health care.Investigation 4 ; The cooperative activities and the nursing judgement in home health care : Analysis of the domestic literature in past 5 yearsWith the examination of 51 literature, the cooperative activities were effective way with filling and improving both of quality of the medical and daily living each support and system.Investigation 5 : A review of community health nursing practicum: Focusing the roles of public health nurse on quality improvement of home care serviceThis review was done as the preliminary investigation of this study to explore the nursing judgment which covers the basic concept of nursing. Practicum experiences which concerned quality improvement of home care service of the nurse bachelor's degree course students were analyzed. Less