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"Community health nursing"
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Evaluating the operational and financial performance of Community-Based visiting nursing center for elderly with the balanced scorecard model
Background
Aging populations have increased demand for long-term care, raising concerns about quality, efficiency, and sustainability. While the Balanced Scorecard (BSC) is widely used for performance evaluation, it is underutilized in Community-Based Elderly Visiting Nursing Centers (CB-EVNC). This study applies the BSC model to evaluate performance across four perspectives—learning and growth, internal processes, customer, and financial—to identify key performance indicators (KPIs) and enhance operational efficiency.
Methods
A secondary data analysis was conducted using simulation data from the 3 S Business Intelligence System (3 S-BIS) program, reflecting operational data from a home-based long-term care facility in Seoul (January–December 2021). Pearson correlation and path analysis were performed using IBM AMOS 25.0. Model fit was evaluated using chi-square tests, Goodness of Fit Index (GFI), Tucker-Lewis Index (TLI), Comparative Fit Index (CFI), and Root Mean Square Error of Approximation (RMSEA).
Results
Total pay correlated positively with visit frequency (
r
=.938,
p
<.001) and staff count (
r
=.931,
p
<.001), while visit frequency negatively correlated with beneficiary status (
r
=–.330,
p
<.001). Path analysis showed that visit frequency significantly increased with staff count (β = 0.917,
p
<.001), but total performance rate decreased with higher staff numbers (β = − 0.466,
p
<.001). Beneficiary status was positively influenced by visit frequency (β = 1.328,
p
<.001) and performance rate (β = 0.273,
p
<.001) but negatively affected by staff count (β = − 1.439,
p
<.001). Financial performance was primarily driven by visit frequency (β = 0.977,
p
<.001). The final path model demonstrated acceptable model fit, supporting the interconnected nature of operational efficiency and service quality.
Conclusions
The study confirms that staffing levels and process efficiency significantly influence financial sustainability and service quality in home-based long-term care facilities. While increased staffing improves service delivery, it may reduce efficiency, highlighting the need for strategic workforce management and continuous professional training. Future research should expand to multiple institutions and adopt longitudinal designs to assess long-term impacts. Standardized performance management systems using the BSC model could enhance service quality and support long-term care policy development.
Journal Article
Community as partner : theory and practice in nursing
\"Community As Partner: Theory and Practice in Nursing, 8th Edition offers a foundational overview of the concepts of epidemiology, environment, culture, ethics, empowerment, health policy, informatics, bioterrorism, and emerging infectious diseases as they relate to community health. Authors and theorists Dr. Anderson and Dr. McFarlane of the Community As Partner Model arm students with the \"how to\" knowledge they need to apply the nursing process to an entire community, and take readers through the entire nursing process with a real-life community as an example! Anderson offers a handbook with practical skills that ACHNE has outlined as essential for generalist nurses, including how to do a community assessment, how to analyze data, how to form a community nursing diagnosis, as well as how to plan, implement, and evaluate a community health program. Community As Partner analyzes the relationship between globalization and health, and inspires students to contribute to the reduction of global health challenges and promoting health for all, including marginalized populations and health promotion in school communities, rural communities, and faith communities. In this edition, instructors will receive PowerPoints enhanced with lecture notes and iclicker questions. These PowerPoints will be developed to serve a dual purpose. You can choose to share the decks with your students to use as self-paced Study Notes and knowledge check multiple choice questions. Our NCLEX style test bank has been revised and enhanced with more questions at the application level and higher\"-- Provided by publisher.
Experiences of Dutch general practitioners and district nurses with involving care services and facilities in palliative care: a mixed methods study
Background
Generals practitioners (GPs) and district nurses (DNs) play a leading role in providing palliative care at home. Many services and facilities are available to support them in providing this complex care. This study aimed to examine the extent to which GPs and DNs involve these services, what their experiences are, and how involvement of these services and facilities can be improved.
Methods
Sequential mixed methods consisting of an online questionnaire with structured and open questions completed by 108 GPs and 258 DNs, followed by three homogenous online focus groups with 8 GPs and 19 DNs, analyzed through open coding.
Results
Most GPs reported that they sometimes or often involved palliative home care teams (99%), hospices (94%), and palliative care consultation services (93%). Most DNs reported sometimes or often involving volunteers (90%), hospices (88%), and spiritual caregivers (80%). The least involved services and facilities were psychologists and psychiatrists (51% and 50%) and social welfare (44% and 57%). Main reason for not involving services and facilities was ‘not needing’ them. If they had used them, most GPs and DNs (68–93%) reported solely positive experiences. Hardly anyone (0–3%) reported solely negative experiences with any of the services and the facilities. GPs and DNs suggested improvements in three areas: (1) establishment of local centers giving information on available services and facilities, (2) presentation of services and facilities in local multidisciplinary meetings, and (3) support organizations to proactively offer their facilities and services.
Conclusion
Psychological, social, and spiritual services are involved less often, suggesting that the classic care model, which focuses strongly on somatic issues, is still well entrenched. More familiarity with services that can provide additional care in these areas, regarding their availability and their added value, could improve the quality of life for patients and relatives at the end of life.
Journal Article
An Innovative Partnership to Improve Student Health
This community nursing partnership for student health is a well-recognized innovation, regionally and statewide. The initiative exemplifies 1 department of nursing’s commitment to community involvement that originated from the forward thinking of nurse leaders. The journey to engaging intraprofessional partners and firmly establishing the partnership within the community is described.
Journal Article
A Slovenian Model of Comprehensive Care for Patients with Difficulties Accessing Healthcare: A Step Towards Health Equity
Patients that cannot come to their family medicine practice (i.e. who have difficulties with access) do not receive the same preventive screening activities and management of their chronic diseases as those who can. Community nurses who provide healthcare to patients in their homes were trained in additional competencies, including screening for risk factors for selected diseases and the management of patients with selected chronic diseases. The presented model enables equal management of all registered patients, regardless of accessibility. It also fosters exchange of information within the team members and thus improves the quality of the team management of patients.
Journal Article