| Learning Objective #1: Identify nursing activities and nursing interventions in home care in Korea | |||
| Learning Objective #2: State reasons for using nursing interventions when recording nursing care |
Introduction: Although home nursing has become established practice in Korea, it is still in the developmental stage. Records of nursing care are not standardized and not readily adaptable to computerization. Recording of nursing activities rather than interventions means that recording is time consuming. There is a lack of clarity as to the meaning of certain interventions. This study identifies major nursing activities for nursing interventions could be used in home care in Korea.
Method: Checklists of nursing activities for nursing interventions were prepared using a Korean translation (Yom, et al., 1998) of Nursing Intervention Classification (McCloskey and Bulechek, 1996). Student nurses (46) in clinical practice in home care chose one intervention for each home visit and checked the activities which were done during the home visit (286 visits to 76 patients most receiving care for neurological impairments.
Findings: Three of the five most frequently used nursing interventions were in the domain "Physiological: Basic and two in "Physiological: Complex". The interventions with activities were "Exercise Therapy: Joint Mobility" (29.0%), determining limitations, assisting and protecting the patient, instructing the patient and explaining the purposes of the range-of-motion exercises, "Positioning" (14.0%) therapeutic position, body alignment, immobilizing, supporting, or elevating affected body parts, and use of mattress/bed, "Pressure Ulcer Care" (14.0%) describing and monitoring ulcers, applying appropriate treatment methods and avoiding pressure, "Skin Surveillance" (12.9%) monitoring skin condition and instructing the family in monitoring, and "Urinary Elimination Management" (11.2%) monitoring urine output and addressing signs and symptoms of urinary tract infection.
Conclusion: Major activities for nursing interventions used in home care were defined. With these definitions, intervention terminology is clearer, can be used to shorten recording time, increase understanding and open paths to computerization. Further study is needed to validate the activities used in this study.
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