지역사회 거주 지원을 위한 간호사 주도형 지역통합방문간호센터 모형 개발 연구

초록

Purpose: The aim was to develop a model for a nurse-led, community-integrated nursing center to support home care for the elderly and individuals with mobility challenges. Methods: The model was developed through a literature review, expert advisory meetings, and workshops, focusing on the current status of visiting nursing (VNS) in the country. Results: The modeling process resulted in several key findings: First, the center could be established by individuals or corporations and would provide services throughout the lifespan to health insurance subscribers and long-term care recipients. Second, the center would offer specialized services such as oral care, rehabilitation, transitional care, 24-hour emergency response, and end-of-life care as well as nursing services. Third, in addition to nurses and nurse specialists, the center would utilize a multidisciplinary approach. The center would also collaborate with local hospitals, nursing facilities, and senior welfare centers. Fourth, a comprehensive support center for VNS would need to be established under the Korean Nursing Association to foster the activation of VNS and policy development. Conclusion: Administrative and financial support and policy development are necessary for the successful implementation of the integrated community nursing center concept. Additionally, measures for evaluating the performance and promoting its activities should be considered for ensuring long-term sustainability and a favorable impact on community health and well-being.

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