During clinical practice for one week at visiting nurse's stations, university nursing students visited client's homes an average of 2.8 times. Often they visited the elderly, or clients having circulatory diseases. More than 70% of students practiced nursing techniques concerned with recuperative care such as the observation of vital signs, changing diapers, the client's posture lying down, and bed baths, and nursing techniques concerned with assisting diagnosis and treatment in such areas as caring for bed sores and training clients in moving the joint regions. They underwent training in nursing techniques such as the management of bed sores, the management of gastric fistula and intestinal fistula, and disimpaction that they could not acquire from in-school education. Even when they acquired a nursing technique during in-school education, most students did not perform it alone at clinical practice. This may indicate that they cannot nurse a client on a visit just by remembering the procedure. It is necessary from now on to deepen instruction so that university nursing students will have a point of view that allows them to apply care that matches the individuality and needs of the client.

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Presented here are policy alternatives for understanding home health care for the long-term health care insurance system which is being developed for elderly people starting 2007. The summary of issues concerning home care nursing under the long-term care insurance system include; 1) absence of comprehensive and systematic policy in home health care delivery systems; 2) absence of community based home health agencies that are considered as the community residents in general. In order to overcome these problems and issues, policy alternatives of home health care should 1)establish a comprehensive home health care policy for homebound persons; 2) establish the foundations for home health care nurses and community based home health care systems; 3) establish home health care facilities and infrastructure; and 4) promote research and development concerning home health care. Conclusively, a home health care system should be built on a comprehensive policy vision based on health policy, especially long-term care insurance system in the near future. Every homebound resident's service has to be constructed systematically under suitable facilities considering the consumer characteristics and health conditions. By doing this, the consumer based comprehensive community home health care delivery system can be constructed in view of the long-term health care insurance system for elderly people.

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