J Korean Community Nurs.  2004 Mar;15(1):56-66.

Evaluation of Visiting Nursing Services for the Vulnerable Family in Urban Community

• Park KM

Abstract

OBJECTIVES
The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community.
METHODS
The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4-Likert scales) and home visiting services(3-Likert scales).
RESULTS
The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71, dressing 1.01, referral to social welfare institute 1.00, referral to medical service institute 0.21. In both, pre-home visiting and post-home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support', 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3.
CONCLUSION
Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

MeSH Terms

Bandages
Comprehensive Health Care
Counseling
Diagnosis
Disabled Persons
Education
Family Nursing
Financial Management
House Calls
Humans
Hypertension
Korea
Nursing Services*
Referral and Consultation
Social Welfare
Stroke