- Title
- Development of care standards for South Korean residential aged care facilities
- Creator
- Cho, Gwilae
- Relation
- University of Newcastle Research Higher Degree Thesis
- Resource Type
- thesis
- Date
- 2014
- Description
- Research Doctorate - Doctor of Philosophy (PhD)
- Description
- The world’s ageing population means that many older people in developed countries now live out the latter parts of their lives in Long-Term Care (LTC) settings such as Residential Aged Care Facilities (RACFs). The majority of the older people in LTC settings have problems with cognition and a range of debilitating chronic conditions associated with frailty which means they are dependent on others for the needs of everyday living. South Korea has one of the world’s fastest growing ageing populations. The catalyst for this study was the instigation of a national government LTC insurance system in South Korea in 2008 and issues and concerns about the Quality of Care (QOC) in RACFs. The introduction of the LTC system highlighted the absence of care standards for care provision in RACFs in South Korea. The research study reported in this thesis used modified Delphi methodology for the development of care standards for RACFs in South Korea. Methods included; 1) Document analysis of international care standards from Australia, the United Kingdom and the United States, 2) qualitative descriptive analysis of the transcriptions of focus group meetings held with residents, their families and older people within the community, and 3) Analysis of the assessment data relating to the health and functional status of Korean residents. A pilot study was conducted of the Delphi method which was followed by three rounds of Delphi to complete the data collection, analysis and development of standards. Donabedian’s framework was used to inform the quality care elements of the care standards. A suite of standards for care in RACFs, underpinned by international principles of care for older people, comprising 15 statements of standards and 155 criteria, were developed. International, cultural, social and individual requirements for care are reflected in the standards. Of importance is that the care standards may assist the South Korean Government’s National Health Insurance Service (NHIS) policy makers to ensure the provision of culturally appropriate care in RACFs. In addition, they may guide Quality Assurance (QA) activities for private and public service providers. Finally, the findings from this research provide nurses with an opportunity to play a central role in the emergence of the gerontological nursing specialty in South Korea. It also serves as a reference point for nurses from other countries in the Asia Pacific that are also facing rapidly ageing populations.
- Subject
- quality of care; residential aged care facilities; care standards; long-term care; South Korea
- Identifier
- http://hdl.handle.net/1959.13/1057609
- Identifier
- uon:16220
- Rights
- Copyright 2014 Gwilae Cho
- Language
- eng
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Abstract | 138 KB | Adobe Acrobat PDF | View Details Download | ||
| View Details Download | ATTACHMENT02 | Thesis | 5 MB | Adobe Acrobat PDF | View Details Download |