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Original Article

Development of the Quality Indicators in Long Term Care Service

Tae Wha Lee1, Eunhee Cho2, Yu Kyung Ko3, Yunsun Whang4, Bok Nam Kim5, Eun Shil Lim6, Hye Sun Lee7
Journal of Korean Academy of Nursing Administration 2012;18(1):106-117.
Published online: March 31, 2012

1Professor, Nursing Policy Research Institute, Yonsei University College of Nursing, Korea.

2Assistant Professor and Researcher, Nursing Policy Research Institute, Yonsei University College of Nursing, Korea.

3Assistant Professor, Department of Nursing Science, College of Medicine, Konyang University, Korea.

4Doctoral Candidate, Graduate School of Yonsei University, Seoul, Korea.

5Full-time Lecturer, Daegu Health College, Department of Nursing, Daegu, Korea.

6Full-time Lecturer, Daegu Health College, Department of Nursing, Daegu, Korea.

7Doctoral Candidate, Graduate School of Yonsei University, Seoul, Korea.

Correspondence: Ko, Yu Kyung. Department of Nursing Science, College of Medical Science, Konyang University, 685 Gasuwon-dong, Seo-Gu, Daejeon 302-718, Korea. Tel: 82-42-600-6436, Fax: 82-42-545-5326, yukyko@konyang.ac.kr
• Received: January 18, 2012   • Revised: February 22, 2012   • Accepted: March 19, 2012

Copyright © 2012 Korean Academy of Nursing Administration

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  • Purpose
    This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea.
  • Methods
    The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity.
  • Results
    The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators.
  • Conclusion
    This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.
  • Key Words: Long term care service; Quality indicators
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  • 4. Cho HS. Development of quality management index in Korean nursing homes. 2005;Seoul, Korea University. Unpublished doctoral dissertation.
  • 5. Chung J. Development of nursing service quality indicators in nursing homes. 2005;Seoul, Yonsei University. Unpublished master's thesis.
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Table 1
Content Validity of Preliminary Indicators (N=12)
jkana-18-106-i001.jpg
Table 2
Characteristics of Nursing Home and Home Care Clients
jkana-18-106-i002.jpg

*multiple responses, missing data excluded

Table 3
Prevalence Rate for Quality Indicators in Facility-level and Home Care-level
jkana-18-106-i003.jpg

PF: Physical Function, PS: Psycho-Social, HPM: Healthcare Problem Management, SM: Safety Management, N: Numerator

DN: Denominator, P: Prevalence, R: Ranking

Table 4
Description of Quality Indicators for Long-term Care Service
jkana-18-106-i004.jpg

*Bathing in home care is additional item. †except during sleep

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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      Juyeong Kim, Young Choi, Eun-Cheol Park
      BMC Geriatrics.2019;[Epub]     CrossRef
    • Longitudinal associations of nursing staff turnover with patient outcomes in long-term care hospitals in Korea
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      Journal of Nursing Management.2018; 26(5): 518.     CrossRef
    • Incidence of Pressure Ulcers During Home and Institutional Care Among Long-Term Care Insurance Beneficiaries With Dementia Using the Korean Elderly Cohort
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      Journal of the American Medical Directors Association.2017; 18(7): 638.e1.     CrossRef
    • Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes
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      Korean Journal of Adult Nursing.2015; 27(4): 418.     CrossRef
    • Fuzzy Analysis of Consciousness Structure of Administrator for Determinative of Care Service Quality
      Yun-Jeong Jang
      Journal of Korean Institute of Intelligent Systems.2013; 23(3): 232.     CrossRef

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    Development of the Quality Indicators in Long Term Care Service
    J Korean Acad Nurs Adm. 2012;18(1):106-117.   Published online March 31, 2012
    DOI: https://doi.org/10.11111/jkana.2012.18.1.106
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    Development of the Quality Indicators in Long Term Care Service
    J Korean Acad Nurs Adm. 2012;18(1):106-117.   Published online March 31, 2012
    DOI: https://doi.org/10.11111/jkana.2012.18.1.106
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    Related articles

    Development of the Quality Indicators in Long Term Care Service
    Development of the Quality Indicators in Long Term Care Service

    Content Validity of Preliminary Indicators (N=12)

    Characteristics of Nursing Home and Home Care Clients

    *multiple responses, missing data excluded

    Prevalence Rate for Quality Indicators in Facility-level and Home Care-level

    PF: Physical Function, PS: Psycho-Social, HPM: Healthcare Problem Management, SM: Safety Management, N: Numerator

    DN: Denominator, P: Prevalence, R: Ranking

    Description of Quality Indicators for Long-term Care Service

    *Bathing in home care is additional item. †except during sleep
    Table 1 Content Validity of Preliminary Indicators (N=12)

    Table 2 Characteristics of Nursing Home and Home Care Clients

    *multiple responses, missing data excluded

    Table 3 Prevalence Rate for Quality Indicators in Facility-level and Home Care-level

    PF: Physical Function, PS: Psycho-Social, HPM: Healthcare Problem Management, SM: Safety Management, N: Numerator

    DN: Denominator, P: Prevalence, R: Ranking

    Table 4 Description of Quality Indicators for Long-term Care Service

    *Bathing in home care is additional item. †except during sleep

    Table 1

    Table 2

    Table 3

    Table 4

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