College of Nursing, Seoul National University, Seoul, South Korea.
J Nurs Scholarsh. 2010 Sep 1;42(3):262-9. doi: 10.1111/j.1547-5069.2010.01359.x.
While adult daycare (ADC) is considered a culturally acceptable model of long-term care in countries with a tradition of family-oriented caregiving, Korea is struggling as soaring needs for ADC outpace qualified staff and regulatory systems. This study aimed to describe Korean daycare nurses' perceptions of key daycare services and their working experiences with stroke patients and their families.
A mixed-method design was used. First, we conducted a cross-sectional descriptive survey to assess Korean nurses' perceptions about the importance of daycare services. Then focus group interviews were performed to explore the nurses' experiences at ADC.
Seventy of a total of 96 nurses at ADC that specialized in the care of stroke patients responded to the survey (response rate 72.9%) and rated the importance of 11 key daycare service items on a visual analogue scale (0-10). Using a purposive sampling design, 16 eligible nurses were interviewed as a group. The qualitative data from focus group interviews were analyzed using thematic analysis to classify common themes into larger categories.
Survey data revealed that the nurses perceived "skilled nursing services,""functional recovery," and "general health counseling" as the most important daycare service areas. Focus group data resulted in five themes: "Providing the same, standard care,""Lack of partnership with family caregivers,""Conflict with other staff: ambiguity of the roles and tasks,""Lack of proper education and training," and "Need for quality control and monitoring."
Daycare nurses fully recognized the importance of direct nursing care services that are keys to adequate recovery and rehabilitation of older patients with stroke. However, they experienced substantial barriers to carrying out these services due to role confusion, insufficient number of qualified nursing staff, and lack of partnership with family caregivers.
The results provide insight into changing healthcare policy to support daycare nurses in a country with limited resources and regulations. Strategies such as better quality control and monitoring of daycare services, provision of continuing education, and prioritizing key services should be considered as a way to address challenges experienced by daycare nurses.
成人日托（ADC）被认为是一种在以家庭为导向的护理传统的国家中可以接受的长期护理模式，但由于对 ADC 的需求飙升，而合格的工作人员和监管系统却跟不上，韩国正面临困境。本研究旨在描述韩国日托护士对关键日托服务的看法，以及他们在日托中心与中风患者及其家属一起工作的经验。
采用混合方法设计。首先，我们进行了一项横断面描述性调查，以评估韩国护士对日托服务重要性的看法。然后进行焦点小组访谈，以探讨护士在 ADC 的工作经验。
在专门护理中风患者的 ADC 中，共有 96 名护士，其中 70 名（应答率 72.9%）对调查做出了回应，并在视觉模拟量表（0-10）上对 11 项关键日托服务项目的重要性进行了评分。采用目的抽样设计，16 名符合条件的护士作为一组进行了访谈。使用主题分析对焦点小组访谈的定性数据进行分析，将常见主题分类为更大的类别。
调查数据显示，护士认为“熟练的护理服务”、“功能恢复”和“一般健康咨询”是最重要的日托服务领域。焦点小组数据产生了五个主题：“提供相同的、标准的护理”、“与家庭照顾者缺乏合作”、“与其他工作人员的冲突：角色和任务的模糊性”、“缺乏适当的教育和培训”和“需要质量控制和监测”。
日托护士充分认识到直接护理服务的重要性，这是老年中风患者充分康复和康复的关键。然而，由于角色混淆、合格护理人员人数不足以及与家庭照顾者缺乏合作，他们在开展这些服务方面遇到了实质性障碍。
研究结果为资源有限和监管不完善的国家提供了改变医疗保健政策的思路，以支持日托护士。应考虑采取更好的日托服务质量控制和监测、提供继续教育以及优先考虑关键服务等策略，以解决日托护士所面临的挑战。
