노인요양시설의 서비스 질 평가 지표 개발 및 적용: 구조-과정 측면의 질 평가 = Development and Application of Service Quality Indicators in Nursing Homes: Structure-Process Evaluation

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study was to develop service quality indicators to evaluate structure and process of the nursing home service. Method: On the basis of literature review and analysis of existing quality indicators, the researcher made a preliminary service quality indicators and verified content validity twice. The final service quality indicators were applied in 30 nursing homes. Results: Preliminarily, 3 domains, 24 sub-domains, and 156 indicators were generated. Through two content validity testings, the indicators scoring over .80 CVI for each testing were adopted and modified by discussion with a panel of experts. The final indicators consisted of 3 domains, 15 sub-domains, and 128 indicators. These indicators were applied in 30 nursing homes. The result showed that they were easily applicable and suitable for a evaluation of service quality in nursing home. Conclusion: This 'service quality indicators in nursing home' was verified by the content validity. This tool will be able to be used for evaluation and improvement of nursing home service quality. However, repeated researches are needed for further validity and reliability.

참고문헌 (Reference)

1 김신영, "학대 경험이 노인 생활만족도에 미치는 영향 연구" 한국노인복지학회 29 (29): 175-202, 2005

2 김은경, "장기요양시설 노인에 대한 간호서비스 제공시간 분석" 9 (9): 353-366, 2003

3 김진선, "장기요양시설 간호제공자들의 신체적 억제대 사용에 대한 인식과 태도" 한국노년학회 26 (26): 347-360, 2006

4 박태영, "시설보호노인의 사정도구에 대한 비교연구" 대구대학교 사회복지연구소 26 : 101-124, 2004

5 이가언, "시설노인의 삶" 12 (12): 32-38, 2001

6 동경도 고령자 연구?복지진흥재단, "복지서비스 제3자 평가"

7 정제인, "노인요양시설의 간호서비스 질 평가 지표 개발 및 적용" 한국간호과학회 37 (37): 401-413, 2007

8 박현태, "노인요양시설에서 활용되는 간호중재의 중요도와 수행도 분석" 간호행정학회 12 (12): 189-195, 2006

9 법제처, "노인복지법"

10 정경희, "노인보호전문기관에서의 노인학대 판정지표 및 사정도구 개발" 한국보건사회연구원 2007

11 조혜숙, "노인간호요양시설의 QMI 개발과 현장 실태분석" 한국가정간호학회 12 (12): 117-135, 2005

12 권중돈, "노인 학대에 영향을 미치는 요인" 한국노년학회 24 (24): 1-19, 2004

13 개호서비스 평가 센터 후쿠오카, "개호서비스평가 시스템"

14 Donabedian A, "The quality of care. How can it be assessed? 1988" 121 (121): 1145-1150, 1997

15 Phillips, L., "The QUALCARE Scale: Testing of a measurement instrument for clinical practice" 27 (27): 77-91, 1990

16 Wagner, C., "Quality management systems and clinical outcomes in Dutch nursing homes" 75 (75): 230-240, 2005

17 Evans, D., "Patient injury and physical restraint devices: A systemic review" 41 (41): 274-282, 2003

18 Hawes, "OBRA 87 nursing home regulations and implementation of the resident assessment instrument: effects on process quality" 45 (45): 977-985, 1997

19 Centers for Medicare and Medicaid Services, "Minimum data set version 2.0. Retrieved January 7, 2006, from the Centers for Medicare and Medicaid Services Web site"

20 Rantz, M., "Initial field testing of an instrument to measure: observable indicators of nursing home care quality" 14 (14): 1-12, 2000

21 Zimmerman,D.R, "Improving nursing home quality of care through outcomes data: The MDS quality indicators" 18 (18): 250-7, 2003

22 Rantz, M., "Field testing, refinement, and psychometric evaluation of a new measure of nursing home care quality" 14 (14): 129-148, 2006

23 Schnelle, J., "Direct observations of nursing home care quality: dose care change when observed" 7 (7): 541-544, 2006

24 Mainz,J, "Defining and classifying clinical indicators for quality improvement" 15 (15): 523-530, 2003

25 Bravo, G, "Correlates of care quality in long-term care facilities: A multilevel analysis" 54B (54B): 180-188, 1999

26 Joint Commission on Accreditation of Healthcare Organization, "Comprehensive Accrediation Manual for Long Term Care 2005-2006. Chicago: JCAHO"

27 The Aged Care Standards and Accreditation Agency, "Accreditation standards for Home"

28 한국보건산업진흥원, "2007 의료기관평가 결과 설명회 자료"

29 보건복지부, "2006년 노인복지시설 현황"

30 김승권, "2003년 사회복지시설 평가 및 지표개발" 한국보건사회연구원 2004

31 변재관, "2000년 사회복지시설평가" 한국보건사회연구원 2000