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Purpose: The purpose of this study was to develop integrated evaluation indicators of home care services in the hope that the increasing group of long-term home care patients could receive quality care services. Methods: The development involves a methodological study on a development phase and a verification phase. The main survey at a verification stage was conducted by the staffs at 146 institutions who agreed to participate on this study. Results: The evaluation index for the integrated home visit care consisted of five categories and 57 indicators including Managing Institution (12), Environment and Safety (3), Right and Responsibility (7), Process of Care (31) and Results of Care (4). The criterion-related validity was verified in regard to the participation in the 2010 evaluation of long-term home-care institutions by the National Health Insurance Corporation. Conclusion: The evaluation index of the integrated home visiting care developed in this study is considered suitable to utilize as evaluating indicators in managing and evaluating the way of how institutions integrate and provide home visit care services as well as home nursing care services. [ABSTRACT FROM AUTHOR]

Purpose: The aim of the study was to identify dementia knowledge, attitude, and caregiving appraisal among caregivers of older adults with dementia using a dementia care center. Methods: The participants were 113 caregivers of older adults with dementia using a dementia care center. The data were collected using the questionnaires for dementia knowledge, attitude, and caregiving appraisal. Data were analyzed by descriptive statistics, Pearson's correlation, and multiple regression test using the SPSS/WIN 24.0. Results: Positive correlations were revealed between dementia knowledge and attitude (r=.36, p<.001). Dementia attitude positively correlated with caregiving satisfaction (r=.40, p<.001) and caregiving mastery (r=.31, p<.001). Dementia attitude negatively correlated with caregiving burden (r=-.47, p<.001), caregiving demand (r=-.35, p<.001), and caregiving impact (r=-.40, p<.001). The factors influencing caregiving appraisal were dementia attitude (negative component: β=-.48, p<.001, positive components: β=.41, p<.001, neutral components: β=-.42, p<.001) and caregiving duration (negative component: β=-.28, p=.004, positive components: β=.26, p=.010). These factors contributed negative components (25.2%), positive components (18.4%), and neutral components (25.5%) of the variance in caregiving appraisal. Conclusion: The results of this study suggest it is necessary to develop nursing interventions for caregivers of older adults with dementia to improve dementia attitude. [ABSTRACT FROM AUTHOR]