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KMID : 0614820080140010013
Journal of Korean Academy of Nursing Administration
2008 Volume.14 No. 1 p.13 ~ p.25
Customized Nursing Care Types and Process: Focusing on Home Care Services*
Kang So-Young

Abstract
Purpose: The study aimed at providing better understanding of the way of carrying out nursing practice tailored to meet patient¡¯s individuality, and types of customized care in home care settings.

Method: This study was conducted with qualitative design, using a grounded theory method. The directors of the home care department at three general hospitals nominated 12 staff nurses who had the experience of customized care. The data were collected using interview and field observation, and analyzed line-by-line with steps of coding.

Result: The core category of customized care was ¡®caring in a precise manner suited to patient¡¯s individuality¡¯. The central phenomenon was ¡®desire to do more for patient¡¯. The action and interactions were: (a) knowing a patient all the more, (b) making a special relationship to a patient, (c) designing care alternatives reflecting individuality, and (d) performing the care alternatives reflecting individuality. Three types of customized care were the following: (a) completion of customized care, (b) an attempt to customized care, and (c) abandonment of working for customized care.

Conclusions: The knowledge of customized care would be based on development of nursing practice program focusing on patient¡¯ individuality, and instrument development necessary for further research on care customization.
KEYWORD
Individuality, Home care services, Qualitative research
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