Research in Community and Public Health Nursing

Volume 31 (4); December 2020

Original Articles

The Related Factors on Cervical Cancer Screening Intention among Married Immigrant Women based on the Health Belief Model: Sang Mee Koo, Moon Hee Kang; J Korean Acad Community Health Nurs. 2020;31(4):405-415. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.405

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Abstract PDF: Purpose
The purpose of this study is to identify the factors of health beliefs, cultural barriers, and intentions of cervical cancer screening behaviors in married immigrant women and provide information for the development of intervention programs.
Methods
The subjects were 207 married immigrant women living D and S cities, and G and Y counties. The data were collected from April to June 2019, using a self-report structured questionnaire that was translated into English, Chinese, Vietnamese, and Korean, and analyzed by the SPSS/WIN 24.0 program.
Results
As a result of this study, it was found that the intention of cervical cancer screening for married immigrant women were high when they had a job (β=-.17, p=.014), experience of Pap testing within the past year (β=-.28, p<.001), experience of cervical cancer prevention education (β=-.18, p=.008), and a higher perceived sensitivity (β=.18, p=.016). All of these variables together explained 22% of the intention of cervical cancer screening behaviors in immigrant women married to Korean men.
Conclusion
In order to increase the cervical cancer screening behaviors in married immigrant women, intervention strategies to increase perceived susceptibility and decrease cultural barriers for immigrant women should be developed.

Reliability and Validity of the Korean version of Short-Form Health Literacy Scale for Adults: Young Joo Seo, Eun Mi Kwak, Mi Rae Jo, A-Ra Ko, Soon Hwan Kim, Hee Young Oh; J Korean Acad Community Health Nurs. 2020;31(4):416-426. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.416

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Purpose
The aim of this study was to evaluate the validity and reliability of the Korean version of Short-form Health Literacy Scale (HLS-SF-K12) for Adults.
Methods
The English HLS-SF12 was translated into Korean with forward and backward translation. Survey data were collected from 204 adults who visited two hospitals in Korea. Content validity, construct validity, and known-groups validity were evaluated. Cronbach's ⍺ for internal consistency and test-retest were used to assess reliability. SPSS 21.0 and AMOS 21.0 software were used for data analysis.
Results
The HLS-SF-K12 was composed of 12 items, and three subscales (health care, disease prevention, and health promotion). The instrument explained reliable internal consistency with Cronbach’s ⍺ for the total scale of .89, and .74~.81 for subscales. The model of three subscales for the HLS-SF-K12 was validated by confirmatory factor analysis (Normed x 2 =2.14 (p<.001), GFI=.92, RMR=.04, RMSEA=.08, CFI=.94, TLI=.92, IFI=.94). The hypothesis testing which analyzed the differences in health literacy by age and education level was satisfied.
Conclusion
The HLS-SF-K12 is a valid and reliable instrument for measuring health information comprehension for adults in Korea.

Citations

Citations to this article as recorded by

Cultural and linguistic adaption and testing of the Health Literacy Questionnaire (HLQ) among healthy people in Korea
Jin-Hee Park, Richard H. Osborne, Hee-Jun Kim, Sun Hyoung Bae, Sonu Goel
PLOS ONE.2022; 17(8): e0271549. CrossRef
Health literacy measures in South Korea: A scoping review
Heeran Chun, Su Hyun Kim, Eunja Park
Korean Journal of Health Education and Promotion.2022; 39(4): 39. CrossRef

The Influence of Knowledge and Health Beliefs about Gestational Diabetes on Breastfeeding Intention of Women with Gestational Diabetes: Seung Mi Park, Deulle Min, Ji Yeon Park; J Korean Acad Community Health Nurs. 2020;31(4):427-435. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.427

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Abstract PDF

Purpose
The purpose of this study was to assess the knowledge and health beliefs about gestational diabetes and to identify the influence on breastfeeding intention of women those who have been diagnosed with gestational diabetes.
Methods
A cross-sectional descriptive study was designed. A questionnaire survey was conducted on 270 women who were pregnant and currently diagnosed with gestational diabetes. Data collection was conducted at Internet cafes and breastfeeding clinics where pregnant women were able to participate actively. The data collection period was from November 5 to November 27, 2019 and analyzed using descriptive statistics, independent t-test, x 2 test and multiple logistic regression.
Results
The average age of the participants was 34.21±3.73 years. There were 221 women who had breastfeeding intention, and 49 women who did not intend to breastfeed. The higher the perceived susceptibility (OR=2.49, p=.032), benefits (OR=2.62 p=.009), and the self-efficacy, the higher the intention to perform breastfeeding (OR=2.97, p=.004). On the other hand, the higher the perceived severity, the lower the intention to perform breastfeeding (OR=0.35, p=.007). Conclusion: Health beliefs such as perceived susceptibility, perceived benefits, self-efficacy and perceived severity have been shown to affect the breastfeeding intention. Based on these results, we suggest developing a breastfeeding promotion intervention program that improves self-efficacy in gestational diabetics.

Citations

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A study on research trends for gestational diabetes mellitus and breastfeeding: Focusing on text network analysis and topic modeling
Junglim Lee, Youngji Kim, Eunju Kwak, Seungmi Park
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 175. CrossRef
A comparative study of cumulative stress patterns within 14 days postpartum in healthy mothers and those with gestational diabetes
Seungmi Park, Soo-Young Yu, Eunju Kwak, Deulle Min
Medicine.2021; 100(41): e27472. CrossRef
Factors Associated with the Need for Breastfeeding Information Among Women with Gestational Diabetes Mellitus: A Cross-sectional Study
Seungmi Park, In Sun Jang, Deulle Min
Asian Nursing Research.2021; 15(3): 210. CrossRef

The Effect of Unemployment in Depression by Age Group: Using 12 States' Data from the Behavioral Risk Factor Surveillance System: Kyung Mi Woo, Zhi Sun Zhang; J Korean Acad Community Health Nurs. 2020;31(4):436-446. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.436

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Abstract PDF

Purpose
This study aims to explore the association between unemployment and depression in people from different age groups ranging from 18 to 65 years old.
Methods
This study used a cross-sectional design. We performed bivariate analysis and multivariable logistic regression on the 2010 Behavioral Risk Factor Surveillance System (BRFSS) data from 12 states in the United States.
Results
On a sample comprised of n=53,406 individuals, of whom 2,546 (7.8%) were identified as being depressed and 3,448 (10.6%) as unemployed, we found that individuals aged 61~65 years have a lower depression risk compared to those aged 18-25 after adjusting for other variables including employment status. However, people from 61~65 have higher increased risk of depression when unemployed compared to other age groups in all three models tested (3.95 times higher in unemployed people in model 1, and 2.81 times higher in model 2 and model 3).
Conclusion
Our findings indicate that there may need to be more focus on older adults who are unemployed, with associated support services for their mental health. The results of our study indicate that although older adults are less likely to be unemployed, there are more likely to experience depression if they are unemployed (once other confounding factors are taken into account) than younger adults. Policies and interventions can be developed to address not only the physical difficulties but also the mental challenges with which older adults can be at risk facing in case of unemployment.

Citations

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Work-family trajectories and health: A systematic review
Vendula Machů, Iris Arends, Karin Veldman, Ute Bültmann
Advances in Life Course Research.2022; 52: 100466. CrossRef
Self-Rated Health, Demographic Factors and Depressive Symptoms Among Malaysian Adults
Nur Syahirah Mohd Shah, Nik Nur Wahidah Nik Hashim, Nadzirah Ahmad Basri, Siti Fauziah Toha
INTERNATIONAL JOURNAL OF CARE SCHOLARS.2022; 5(1): 29. CrossRef

The Effects of Auricular Acupressure Therapy on Sleep Disorder and Fatigue in Menopausal Women: Eun Jin Ryu, So Eun Choi; J Korean Acad Community Health Nurs. 2020;31(4):447-458. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.447

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Abstract PDF

Purpose
The purpose of this study was to identify the effects of auricular acupressure therapy on sleep disorder and fatigue in menopausal women.
Methods
The study design was a non-equivalent control group pretest-posttest design. The participants were 40~60 years old women, assigned to the experimental group (n=25) or the control group (n=27). Auricular acupressure using vaccaria seeds was administered to the experimental group. The sessions continued for 6 weeks. Outcome measures included Pittsburgh sleep quality index, sleep meter, sleep diary, fatigue assessment instrument, serum cortisol, and serum serotonin.
Results
Menopausal women in the experimental group showed significant increases in deep sleep, light sleep, serotonin level and sleep duration compared with the control group. Also, the experimental group reported decreases in PSQI, sleep latency, awakening time, fatigue and cortisol level compared with the control group.
Conclusion
Results show that auricular acupressure using vaccaria seeds is considered as an effective treatment for sleep disorder and fatigue in menopausal women. We conclude that it can be used as a nursing intervention method proven to reduce sleep disorder and fatigue in menopausal women.

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The Effects of Auricular Acupressure on Menopausal Symptoms, Stress, and Sleep in Postmenopausal Middle‐Aged Women: A Randomized Single‐Blind Sham‐Controlled Trial
Bomi Kim, Hyojung Park
Journal of Midwifery & Women's Health.2024; 69(1): 41. CrossRef
The Effectiveness of Cognitive Behavioral Therapy on Depression and Sleep Problems for Climacteric Women: A Systematic Review and Meta-Analysis
Ji-Hyun Kim, Hea-Jin Yu
Journal of Clinical Medicine.2024; 13(2): 412. CrossRef

The Structural Equation Model for Posttraumatic Growth of Firefighter: Based on the Calhoun and Tedeschi's model of posttraumatic growth: Yeo Ju Jeong, Mi Yang Jeon; J Korean Acad Community Health Nurs. 2020;31(4):459-471. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.459

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Abstract PDF

Purpose
The purpose of this study is to construct and validate a posttraumatic growth structural model for firefighters based on Calhoun and Tedeschi’s model (2006).
Methods
The research data was collected from 200 firefighters working in Gyeongsang-do, Jeolla-do, and Gyeonggi-do. The participants completed an anonymous survey asking about ego-resilience, active coping, family support, organizational support, self-exposure, deliberate rumination, posstraumatic stress and posttraumatic growth.
Results
The model selected as a final model was the one that supports 10 hypotheses out of 13 hypotheses. In the final model, deliberate rumination (β=.59, p<.001) had a significant effect in the posttraumatic growth of firefighters. Active coping, organizational support, self-exposure, ego-resilience and posttraumatic stress had a significant indirect effect. The explanatory power of these variables was 36.0%.
Conclusion
The results of the survey show that it is important to develop a strategy to strengthen deliberate rumination. In addition, encouraging deliberate rumination through organizational support and self-exposure can promote posttraumatic growth of firefighters.

Citations

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A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
Soo Young An, Heejung Choi
Journal of Korean Academy of Nursing.2023; 53(3): 309. CrossRef
Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
Journal of Korean Critical Care Nursing.2022; 15(2): 50. CrossRef
Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth
Hee Yeon Park, Ja Yun Choi
Asian Oncology Nursing.2022; 22(2): 65. CrossRef

The Effects of Chronic Diseases, Sleep and Serotonin Concentration on Depression among Elderly People Living in the Community: Eun Jeong Nam, Jin Kyoung Park; J Korean Acad Community Health Nurs. 2020;31(4):472-480. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.472

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Abstract PDF

Purpose
This study identified the effects of chronic disease number, quality of sleep and, serum serotonin concentration on the elderly’s depression in order to provide basic data for the development of intervention program to effectively prevent and manage depression of the elderly living in the community.
Methods
The study surveyed 207 people aged 65 or older living in the community. The general characteristics of the subjects, the number of chronic diseases, the quality of sleep (PSQI-K), the hematological test (Serotonin) and the depression (K-GDS) were statistically analyzed using SPSS/WIN 23.0.
Results
It was shown that the elderly’s depression differed significantly depending on the number of chronic diseases, the quality of sleep, and serum serotonin concentration, and that the variable that most affected depression was the quality of sleep. Next, the number of chronic diseases and serum serotonin levels were the variables affecting the depression of the elderly. Conclusion: In order to prevent and manage the depression of the elderly in the future, treatment and education for diseases and depression should be provided to the subjects. In particular, nursing interventions are needed to improve the quality of sleep for the elderly. Health care programs should also be provided, such as providing nutritional supplements to provide serotonin and increasing daytime activities.

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Effects of Fatigue and Emotional Labor on Sleep Quality among Apartment Security Guards
Chul-Gyu Kim, Sujeong Jeong, Young Mi Ryu, Seungmi Park, Kyoungmi Moon, Yunjung Kwon, Sun-A Park, Hye Ok Park
Research in Community and Public Health Nursing.2023; 34: 205. CrossRef
Factors Related to Long-term Hospital Length of Stay and Opinions on Discharge-related Community-based Medical and Welfare Service on Elderly Patients with Chronic Diseases in Korean Veterans Hospitals
Young Mi Yoon, Jin Hee Park, Moon Sook Hwang
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 357. CrossRef

The Factors Influencing Intention of Dementia Prevention Behavior in Adults with Hypertension or Diabetes: Yeong Mi Seo, Nam Joo Je, Eun Sook Lee; J Korean Acad Community Health Nurs. 2020;31(4):481-490. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.481

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Abstract PDF

Purpose
The purpose of the present study is to examine the factors influencing intention of dementia prevention behavior in adults with hypertension or diabetes.
Methods
A total of 113 community-dwelling adults with hypertension or diabetes agreed to participate in this study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression.
Results
Self-efficacy and cues to action toward dementia prevention behavior were factors influencing intention of dementia prevention behavior of participations. Self-efficacy toward dementia prevention behavior was the most influential factor. These factors accounted for 22% of intention of dementia prevention behavior.
Conclusion
These results suggest a need for strengthening self-efficacy to increase intention of dementia preventive behaviors. And dementia prevention programs should be developed in consideration of strategies to reinforce cues to action.

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Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
So Hee Jung, Mee Ock Gu
Research in Community and Public Health Nursing.2024; 35: 22. CrossRef

The Effects of Disaster Training Education on the Attitudes, Preparedness, and Competencies in Disaster Nursing of Hospital Nurses: Ji Eun Lee, Eun Joo Lee; J Korean Acad Community Health Nurs. 2020;31(4):491-502. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.491

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Abstract PDF

Purpose
The purposes of this study were to determine the effects of a disaster training education for hospital nurses in terms of attitudes, preparedness, and competence of disaster nursing. Methods: One group pretest and posttest design was adopted. Data were collected from April 20th to May 20th, 2017 using 80 hospital nurses enrolled at a tertiary hospital located in D city. Results: The levels of attitudes (t=-2.31, p=.024), preparedness (t=-7.67, p<.001), and competencies (t=-16.82, p<.001) of disaster nursing at the posttest were significantly higher than those of the pretest. There were statistically significant relationships among nurses' attitudes, preparedness, and competencies of disaster nursing. The attitudes and preparedness of disaster nursing had significant effects on the competencies of disaster nursing. Conclusion: Disaster training education improved attitudes, preparedness, and competencies of disaster nursing in hospital nurses. Therefore, it is recommended to develop more practical disaster training education programs toward hospital nurses as well as nursing students as a way to enhance the competence of disaster nursing.

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Predictors of bioterrorism preparedness among clinical nurses: A cross-sectional study
Suhyun Lee, Yujeong Kim
Nurse Education Today.2023; 122: 105727. CrossRef
A Psychometric Validation of the Korean Version of Disaster Response Self-Efficacy Scale for Nursing Students
Sung Hae Kim
International Journal of Environmental Research and Public Health.2023; 20(4): 2804. CrossRef
Development and Evaluation of Virtual Reality-based Simulation Content for Nursing Students Regarding Emergency Triage
Sook Kyoung Park, Hyuk Joon Kim
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 292. CrossRef
Effect of a Tabletop Program for Training Emerging Infectious Disease Responses in Nurses at Small- to Medium-Sized Hospitals in Areas with Poor Healthcare Access
Kyung-Sook Cha, Keelyong Lee
Healthcare.2023; 11(17): 2370. CrossRef
Effectiveness of an online training program for improving nurses’ competencies in disaster risk management
Jamileh Farokhzadian, Hojjat Farahmandnia, Asghar Tavan, Gülcan Taskiran Eskici, Faezeh Soltani Goki
BMC Nursing.2023;[Epub] CrossRef
Factors Influencing on Core Competencies in Disaster Nursing by University Hospital Nurses’ Experiences of Caring for Patients with COVID-19
Bo Won Choi, Yeongmi Ha
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 247. CrossRef
The Influence of Infection Control Fatigue and Compassion Competence on Disaster Nursing Core Competencies of Nurses at COVID-19 Designated Hospitals
Jae-Hyun Ha, Hyun-Ju Lee, Ki-Ryeon Kim
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 461. CrossRef
A cross-sectional study on public health nurses' disaster competencies and influencing factors during the COVID-19 pandemic in Korea
Eunjoo Hong, Aeri Jung, Kyungmi Woo
BMC Public Health.2022;[Epub] CrossRef
Association of Disaster Perception, Disaster Attitudes, and Communication Skills with Disaster Nursing Competence among Nurse Officers at Armed Forces Hospitals
Jihye Nam, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 202. CrossRef
A Delphi Study for Development of Disaster Nursing Education Contents in Community Health Nursing
Chunmi Kim, Song Yi Han, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2021; 32(4): 555. CrossRef

Validity and Reliability of the Korean Version of the Ethical Sensitivity Questionnaire for Nursing Students: Hye Young Min, Yoon Jung Kim, Jung Min Lee; J Korean Acad Community Health Nurs. 2020;31(4):503-513. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.503

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Abstract PDF

Purpose
The purpose of this study was to evaluate the validity and reliability of the Korean version of the Ethical Sensitivity Questionnaire for Nursing Students (KESQ-NS).
Methods
The participants were 138 nursing students who have experience in clinical practice. The Korean version of ESQ-NS (KESQ-NS) was examined using content validity, construct validity, criterion-related validity, and testing of internal consistency reliability. Data were collected from November to December of 2019 through an online-survey.
Results
The KESQ-NS that was composed of 13 items was divided into three dimensions: Critical understanding of the patient, patient holistic care, patient privacy, and confidentiality. The instrument explained 67.9% of the total variance for ethical sensitivity. Cronbach’s ⍺ was .88. Conclusion: The KESQ-NS showed good validity and reliability. This instrument can be used to evaluate ethical sensitivity in nursing students in Korea.

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A Systematic Review and Meta-analysis of Nursing Ethics Education for Undergraduate Nursing Students and Nurses
Youngjin Lee, Soyoung Yu, Miyoung Kim, Wonjung Noh, Mi Yu, Yoomi Jung
Journal of Korean Academy of Nursing Administration.2022; 28(2): 164. CrossRef

Working Poverty and Health Disparities in Korean Workers: Jin Hwa Lee, Bok Im Lee; J Korean Acad Community Health Nurs. 2020;31(4):514-524. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.514

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Abstract PDF

Purpose
The purpose of this study was to examine the relationship between working poverty and health status among Korean workers.
Methods
This study is secondary analysis of data extracted from the 2018 Community Health Survey. For the present analysis, 23,575 of the working poor whose household disposable income is below 50.0% of the national median and 111,443 of the working nonpoor were selected. Based on existing literature, a set of variables were chosen from the Community Health Survey. Health status was measured using self-rated health status measure, Patient health Questionnire-9, and EuroQol-5dimension.
Results
The proportion of subjective unhealthy status, depressive symptoms, and poor quality of life were significantly higher among the working poor than among the working nonpoor. After adjusting for general characteristics and health behavior factors, the working poverty was a significant predictor of subjective unhealthy status (AOR=1.32, 95% CI=1.25~1.40), depressive symptoms (AOR=1.61, 95% CI=1.38~1.88]), and poor quality of life (β=-0.02, p<.001).
Conclusion
The current study confirmed the health disparities between the working poor and the working nonpoor. Therefore, health care programs and policies are required for reducing the health inequalities among the workers.

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The effect of precarious employment on suicidal ideation: A serial mediation model with contractual temporality and job insecurity
José Antonio Llosa, Enrique Iglesias-Martínez, Esteban Agulló-Tomás, Sara Menéndez-Espina, Beatriz Oliveros
Economic and Industrial Democracy.2024;[Epub] CrossRef
An in-depth analysis of the relation of health and poverty in Europe
Simona-Andreea Apostu, Gina-Cristina Dimian, Maria Vasilescu
Panoeconomicus.2024; 71(2): 215. CrossRef
How Working Conditions, Socioeconomic Insecurity, and Behavior-Related Factors Mediate the Association Between Working Poverty and Health in Germany
Timo-Kolja Pförtner, Ibrahim Demirer
International Journal of Public Health.2022;[Epub] CrossRef

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