Research in Community and Public Health Nursing

Hye Jin Hyun

15 Articles

Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly: Do Hwa Byeon, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2013;24(3):332-345. Published online September 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.3.332

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PURPOSE
This study was attempted to provide quality improvement and revitalization of visiting nurse services by Importance-Performance Analysis of persons being provided with the services.
METHODS
The subjects were 350 people being provided with visiting nurse services from a long term home care institution in the kangwon Province during the period of data collection between Aug. 16 and Sep. 15, 2011. Data analysis was conducted through t-test, ANOVA, and IPA by using the SPSS/WIN 12.0 program.
RESULTS
As a result of the Importance-Performance Analysis of visiting nurse services, it turned out that the strength on reliability, assurance, and empathy should be maintained with good work and the aspects of responsiveness appeared to be intensively improved, and the tangibility proved to be subject to improvement.
CONCLUSION
For the activation of visiting nurse services, methods for improving the performance in the intensive care area and management strategy establishment which highlights the advantages of strength maintenance area are needed.

Citations

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Research on Affective Interaction in Mini Public Transport Based on IPA-FMEA
Qizhao Peng, Weiwei Wang, Xiaoyan Yang, Yi Wang, Jian Chen
Sustainability.2023; 15(9): 7033. CrossRef
Development of Service Experience Evaluation Tool for Visiting Nurses of Public Health Center in Korea
Jiwon Kim
Journal of Health Informatics and Statistics.2023; 48(2): 121. CrossRef
The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults
Keunjoo Yoo, Jinhee Shin, Eunhee Cho, Seokwon Hong
Journal of Korean Academy of Community Health Nursing.2022; 33(1): 1. CrossRef
Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 204. CrossRef
The Development and Effect of Doctor-Visiting Nurses ICT Communication System for the Elderly: Focusing on Visiting Nursing Services for Long-term Care Patients
Sunmi Cha, Keunjoo Yoo, Solji Choi, Seokwon Hong
Journal of Korean Gerontological Nursing.2018; 20(Suppl 1): 137. CrossRef
The Prospect of the Fourth Industrial Revolution and Home Healthcare in Super-Aged Society
Jai-Yon Lee, Jae-Young Lim
Annals of Geriatric Medicine and Research.2017; 21(3): 95. CrossRef
Evaluation and Application Effect of a Home Nasogastric Tube Feeding Simulation Module for Nursing Students: An Application of the NLN Jeffries Simulation Theory
Hee Chong Baek, Young Ran Lee, Jong Eun Lee, Jin Hwa Lee, Hyung Seon Kim
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 324. CrossRef
Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care
Sangjin Lee, Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(3): 272. CrossRef
Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance
Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(2): 114. CrossRef
Importance-performance Analysis of Patients' and Nurses' perspectives on Rehabilitation Nursing Services
Kyoung Jin Kim, Eun Jeung Lee, Gyu Won Bang, Yoon Ju Lee
The Korean Journal of Rehabilitation Nursing.2016; 19(1): 43. CrossRef
A Study on Working Conditions and Factors Related to Job Satisfaction of Nurses in the Long-term Care facilities for the Elderly
JungSuk Lee, RahIl Hwang, MinKyung Lim
Journal of Korean Public Health Nursing.2015; 29(3): 551. CrossRef

The Effects of Senior Simulation Programs on Elderly Care Facilities Employees' Attitudes for Elderly Care, Understanding of the Aged, Job Satisfaction, and Job Performance: Hye young Joung, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2012;23(2):222-230. Published online June 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.2.222

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Abstract PDF: PURPOSE
This research is to understand the effects of senior simulation on employees of elderly care facilities and utilize it in their job training.
METHODS
This research is a nonequivalence control group pre-to-post quasiexperiment research. 18 employees who have experienced senior simulation are set as test group and 18 other employees who have not experienced senior simulation are set as control group.
RESULTS
The hypothesis that 'the test group which has experienced senior simulation will show a positive change in their attitude on elderly care, compared to the control group' and 'the test group which has experienced senior simulation will show a positive change in understanding of elders, compared to the control group' was supported. The hypothesis that 'the test group which has experienced senior simulation will show a positive change in job satisfaction and performance of duties, compared to the control group' was dismissed.
CONCLUSION
The senior simulation seems to contribute to elderly care facilities employees' change in their viewpoints of elders and broaden their understanding of them. The senior simulation was meaningful to provide basic help with implementing job training programs.

Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults: Hye Jin Hyun, Aekyung Chang, Su Jeong Yu, Yeon Hwan Park; J Korean Acad Community Health Nurs. 2012;23(1):40-50. Published online March 31, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.1.40

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Abstract PDF: PURPOSE
The aim of this study was to compare the factors of health-related quality of life in older adults according to the type of residency.
METHODS
A cross-sectional comparative study was conducted. The subjects were 114 institutionalized older adults and 99 community dwelling older adults. Data were collected through face-to-face interviews by nurses using structured questionnaires composed of SF-36 (ver.2) and CGA-SF.
RESULTS
The institutionalized older adults had more health problems and experienced lower quality of life compared to community dwelling older adults. Factors influencing health-related quality of life for institutionalized older adults were social support, educational level, and ADL, which explained about 25.7% of the total variance, while thoseof community dwelling older adults were IADL, experiencing fall, and weight loss, which had explanatory power of 31.8%.
CONCLUSION
These results indicate that differentiated nursing strategies according to the type of residency are required to promote health-related quality of life for older adults.

Factors related to Problem Behaviors in High School Girls: Yeon Hwan Park, Hye Jin Hyun, Su Jeong Yu, Do Hwa Byen; J Korean Acad Community Health Nurs. 2011;22(3):315-324. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.315

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Abstract PDF

PURPOSE
The purpose of this study was to investigate the relationships between problem behavior, school stressor and family strength in high-school girls.
METHODS
Data were collected from 200 high school girls in 2008. Data were analyzed with SPSS/WIN 18.0.
RESULTS
There was a positive correlation between problem behavior and school stressor. There was a negative correlation between problem behavior and family strength. The predictors of problem behavior were school stressor, family strength, and monthly family income and these factors explained 43.0% of problem behavior.
CONCLUSION
The findings of this study suggest the necessity of developing nursing intervention programs for enhancing high-school girls' skills in interpersonal relationship and communication to decrease school stressor and increase family strength.

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The Effects of Life Style Modification on Constipation of the Older Adults at a Geriatric Hospital
Ho-Suk Kang, Inja Kim
The Korean Journal of Rehabilitation Nursing.2017; 20(1): 52. CrossRef
Influencing Factors on Externalized and Internalized Problem Behaviors among Adolescents: Focused on First Grade High School Students
Mi-kyung Yun, Eunyoung Park, Jung-A Son, Myung Sun Hyun
The Journal of Korean Academic Society of Nursing Education.2016; 22(2): 152. CrossRef
Factors Influencing Suicidal Ideation in Girls' High School Students
Gab-Yeon Kim, Hee-Sook Kim
The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 366. CrossRef
The Effect of Self-esteem on Resilience and the Mediating Effect of School Satisfaction : A First Year Female Students in High School
Heewook Weon, Jiyoung Lim, Hae Kyoung Son
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(4): 2684. CrossRef
A Study of the Relationship between Anger Thought And Problem Behavior in Perfectionist High School Girls.
So Hyun Moon, Hun Ha Cho
Child Health Nursing Research.2014; 20(4): 332. CrossRef

Factors Influencing Elders' Preventive Behavior for Influenza A (H1N1): Young Ju Yoon, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2010;21(4):481-488. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.481

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Abstract PDF

PURPOSE
The purposes of this study were to examine the relations among anxiety, knowledge, health locus of control and preventive behavior, and to find factors related with preventive behavior.
METHODS
The subjects were 269 elderly people of over 65 living in C City. Data were collected through a structured questionnaire and analyzed by SPSS.
RESULTS
Health promoting behavior was significantly different according to chronic disease, contact with H1N1 patient and perceived health status. The variables that affected the level of preventive behavior were anxiety, knowledge, internal locus of control, external locus of control, chance locus of control and perceived health status.
CONCLUSION
According to this study, promoting preventive behavior for H1N1 on the elderly builds up anxiety, knowledge, and health locus of control.

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Factors Influencing Preventive Behavior against Coronavirus Disease 2019 (COVID-19) among Medically Inclined College Students
Hae Ran Kim, Eun Young Choi, Shin Young Park, Eun A Kim
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(4): 428. CrossRef
Knowledge, Anxiety, and Compliance with Preventive Behavior of Middle East Respiratory Syndrome (MERS) in Liver Transplant Patients
Ji Seon Yun, Jeong Hye Kim, Sae Rom Im
Korean Journal of Transplantation.2017; 31(3): 117. CrossRef
The Correlates of Influenza Vaccination among Korean Elderly Men and Women
Hee Sun Kang, Hanju Lee, Mi-Won Kim
Journal of Korean Academy of Community Health Nursing.2011; 22(1): 45. CrossRef

A Study on Knowledge of Oral Health, Behavior, Self-Efficacy, Belief, and the Number of Dental Caries of Elementary School Students: Ggod Me Yi, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2009;20(4):531-539. Published online December 31, 2009

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Abstract PDF: PURPOSE
To understand the differences and correlations of the knowledge of oral health, behavior, self-efficacy, belief, and the number of cavities in accordance with the general traits of elementary school students.
METHODS
The survey was conducted at 2 elementary schools in D city, which 740 respondents were analyzed.
RESULTS
A group of students who have received health education has plentiful knowledge of oral health and have more cavities. Also, a group of students who have been to dental clinics recently have more knowledge of oral health, follow guidance on oral health, and have high level of belief in health. The more knowledge of oral health the students have, the better they behave for oral health and the higher self-efficacy and belief in oral health become. Students with higher self-efficacy show more knowledge of oral health, more appropriate behavior, and stronger belief in oral health, while the number of cavities are much less.
CONCLUSION
Health education contributes to improving the level of knowledge of oral health. Comprehensive programs beyond simple introduction of knowledge will be needed to improve behavior, self-efficacy, and belief in oral health. It is recommended to include a health clinic within a program for improving oral health in school so that it can help more students get oral health.

An Analysis of the Research on Effect of Smoking Cessation Intervention: Hye Jin Hyun, Hye Young Ahn; J Korean Acad Community Health Nurs. 2008;19(3):469-479. Published online September 30, 2008

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Abstract PDF: PURPOSE
We reviewed all the articles on effect of smoking cessation intervention to find out the way of improvement of it.
METHOD
48 researches were published in Korean journals from 1980 to 2007. The research were analyzed according to: major of first author, subjects, application of theoretical framework, contents of intervention, a term of intervention, the time of evaluation on effect of interventions, research design, dependant variables, and effect of interventions.
RESULTS
Research on effect of smoking cessation intervention increased rapidly in the 2000's. At this time. 72.9% of research was published. Most of research subject were students. Theoretical framework were applied in 20.8% of articles. The most common intervention was education(39.4%). The effect of combined program on outcome variable was found to be stronger than only education program. Experimental design was used in 29.2% and quasi-experimental design was adapted in 43.8% of articles. 1-6 months intervention was in 35.4%. The long term intervention more than 1month was found to be effective. Health behavior related index was measured as a dependant variable in 62.3%.
CONCLUSION
Accordingly, long term program to apply to various subject is needed.

Premenstrual Discomforts and Coping in University Students: Hye Young Ahn, Hye Jin Hyun, Hae Won Kim; J Korean Acad Community Health Nurs. 2005;16(3):289-299. Published online September 30, 2005

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Abstract PDF: PURPOSE
This study was carried out to identify premenstrual discomforts and coping patterns and their effects.
METHOD
The participants of this study were 297 female university students in C area. The Menstrual Discomfort Questionaire (MDQ) and coping method lists were used as measurement tools.
RESULTS
There were significant differences premenstrual discomforts according to age (F=5.76, p=.003) and according to health condition (F=3.43, p=.034). The mean scores of the sub-categorical factors of premenstrual discomfort were 2.35 points for pain, 2.29 for instability and 2.25 for water retention. The worst symptoms among the subcategories of premenstrual discomfort were as follows: backache (M=2.68) in the pain subcategory, irritability (M=2.53) in the instability subcategory and swelling(M=2.40) in the water retention subcategory. Their common coping patterns were "coping according to menstrual period", "active behavioral coping" and "evasional coping". Frequently used coping methods were "taking a rest and sleep (99.3%)" and "taking a warm shower (86.2%)". Effective coping methods were "taking a rest and sleep (89.5%)" and "taking a warm shower (87.1%)".
CONCLUSION
Most participants have their own coping pattern. Some methods were very effective to PMS but some were not effective to PMS. To manage PMS, effective coping methods should be encouraged for female university students. To keep up with effective coping, education and counseling should be continued. It is considered necessary to make the same research with a larger number of samples and more specified assessment.

Family Functions Characterized by the Industrial Accident Disabled: Jeong Myung Choi, Jin Joo Oh, Hye Jin Hyun, Hyun Joo Lee, Soon Nyung Yoon; J Korean Acad Community Health Nurs. 2003;14(3):488-495. Published online September 30, 2003

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Abstract PDF: PURPOSE
This study was attempted to provide the basic data in order to develop a supportive system for the family by investigation of the general and disability-related features of the industrial accident disabled and their family function.
METHOD
Three hundred and forty six industrial accident disabled were randomly selected among those who resided in the Seoul, Incheon, and Gyeonggi areas, and who were confirmed as disabled according to its severity from the first to fourteenth grade from January, 1998 to December, 2000. The data were collected for one month from August 1 to August 31, 2001. Each study team consisted of two members out of 20 researchers and they interviewed the disabled individually by visiting their homes. Collected data were analyzed using frequency, percentages, t-test, ANOVA, and Correlation, etc.
RESULTS
The average score for family function was 102.60. The adaptability represented the highest score among the concepts dependent on the family function. The concepts were cohesion, adaptability and communication, which scored as 33.59, 35.38, 33.34, respectively. The family function was significantly different in education, marital status and subjective health status. In particular, the family function was excellent from the industrial accident disabled who had graduated from middle school, was married, and felt healthy. Depression and quality of life were other factors, which were also correlated significantly with the family function. The lower the degree of depression and the better the quality of life, the better the family function.
CONCLUSION
The industrial accident disabled who had been in poor health or faced with difficulties in daily activities even after the therapy for the disability was completed. In particular, their family always had a great burden to care for the disabled and to take financial responsibility. Therefore, the rehabilitation program for the disabled should be family oriented.

The Use and Needs on Community Rehabilitation Service of Industrial Accident Victims at Home: Jin Joo Oh, Hyun Joo Lee, Jeong Myung Choi, Hye Jin Hyun, Soon Nyung Yoon; J Korean Acad Community Health Nurs. 2003;14(2):179-189. Published online June 30, 2003

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Abstract PDF: OBJECTIVES
This study described the features of home-bound industrial accident victims and their needs for rehabilitation services. This study was also aimed to find a future direction of development of community rehabilitation programs that are suitable for their needs and demands.
METHODS
This study is a descriptive study. Data were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home visiting. Subjects in the first stage included 2203 industrial injured victims staying at home, of whom, 368 individuals complaining of post-traumatic complications became the subjects of the second stage.
RESULTS
This study showed that the home-bound industrial accident patients were complaining of complications from the injury even after receiving treatment by IACI. However, they were neglecting their health problems without any intervention. Even if they use health care services, the treatment is mainly focused on acute medical care, which may not effective for them. Furthermore, they had unstable employment status and suffered from financial burden for health care costs. The Labor Welfare Organization has established a plan to remove barriers of industrial accident victims in reinstatement, and has been preparing various programs in order to establish an all-embracing service system for industrial accident victims from accident occurrence to reinstatement. However, these rehabilitation services can be truly helpful only when the injured are able to obtain enough information about them. The current restrictive system is also not appropriate for solving health problems of the industrial accident victims. Therefore, it is necessary to develop a plan that can provide industrial accident victims high-quality rehabilitation services so that they can use those services in the community without being dependent on hospitals. This study proposes visit nursing services as a way to provide various health services within community for the industrial accident victims.

Development of School Health Nursing Phenomena in Korea by Retrospective Method of ICNP: Young Im Kim, Soon Ok Yang, Myoung Ja Wang, Chung Nam Kim, Hyeon Suk Kim, Tae Nam Park, Mi Ja Chung, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2002;13(4):595-607. Published online December 31, 2002

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Abstract PDF: The objectives of this study were to identify the phenomena of school health nursing at schools in Korea and to contribute to building a school health domain of international Classification for Nursing Practice. A retrospective method was used in this study to develop ICNP during the period from July to October 2001. The procedure of the study involved choosing nursing phenomena using preliminary terms from the reports on the field of school health nursing practice documented by nursing students in 10 different nursing colleages. The detail procedures of the study were as follows. 1) Choosing nursing phenomena by using preliminary terms 2) Choosing the characteristics of school health nursing practice from the selected nursing phenomena 3) In order to make a consensus regarding the appropriate characteristics of phenomena 15 study group members re-categorized the nursing phenomena through 5 times of cyber meetings and 3 times of formal meetings. 4) To verify each characteristic 5 community nursing faculties and 25 school health nurses participated in procedure to give scores on nursing characteristics. 5) classification of the definite nursing phenomena and characteristics. Following the 5 step procedures school health nursing phenomena were categorized into human and environmental domains Human domains were classified into human behavioral and functional domains Environmental domains were classified into physical and psychosocial domains. The essential characteristics of each phenomena were selected when it obtains the mean score of 3.0 or over at the related characteristics The human behavioral domain consisted of 7 phenomena including risk for spinal disorder inadequate dietary habit inadequate weight control smoking and substance abuse inadequate stress management inadequate sex related coping strategies and inadequate accident management. The human functional domain consisted of 6 phenomena including inadequate eye care and visual management risk for respiratory disorder inadequate dental health care inappropriate infectious disease control risk for gastrointestinal disorder and lack of sexual identify. The physical environmental domain consisted of 6 phenomena including risk for incident at inside classroom risk for incident at outside classroom risk for incident around school risk for exposure to hazardous facilities around school inadequate garbage and disposal management and inadequate physical environment for learning. The psychosocial domain included impaired social interaction at school. Each phenomenon was composed of 2 to 8 characteristics and all phenomena will include a total number of 85 characteristics. The phenomena of school health nursing in Korea partially confirmed school health architecture of ICNP further study on verification of school health nursing phenomena in Korea needs to be done to support the finding of this study through review of literature on nursing classifications or field studies.

Effects of Exercise Program for Workers in Small Enterprises: Hye Jin Hyun, Soon Nyoung Yoon, Eun Ok Choi; J Korean Acad Community Health Nurs. 2001;12(2):338-343. Published online September 30, 2001

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Abstract PDF: Physical activity is one of important factors of the chronic disease. It was reported that Most of Korean workers didn't take exercise regularly. The purpose of this study is testing effects of exercise program, based on the Theory of Planned Behavior. 30 subjects participating in this study are workers in small enterprises and have not taken exercise regularly. Exercise program, which includes education, support, monitoring, and counseling, was conducted for 6 weeks. Effects of this program was evaluated by the change of exercise, attitude, subjective norm, perceived control, intention of exercise, perceived health states, and fatigue. The results of this study can be summarized as follows: 1. There was the significant difference between pre and post-test in the subjective norm, perceived control, and intention of exercise, but not the significant difference in the attitude of exercise. 2. 53.3% of the subject of this study had taken exercise regulary in the post-test. 3. There was not the significant difference in the perceived health states and fatigue. From the results, it can be concluded that the exercise program is effective, leading to the change of intention and exercise rate. On the other hand, it was not effective in Physiological aspects. It seems that these result was due to short term program. Thus, it can be recommended that studies are needed with longer term program and larger sample.

The Relationship between Self Efficacy and a Health Locus of Control in University Student Smokers: Hye Jin Hyun; J Korean Acad Community Health Nurs. 1998;9(2):385-395. Published online December 31, 1998

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Abstract PDF: This study was conducted to investigate the relationship between self efficacy and a health locus of control. We conveniently sampled 204 university students who smoke. We invastigated by using questionaries and collected data that were analyzed using a t-test, an analysis of variance, a Pearson product-moment correlation. The results are as follows: 1. The average score of self efficacy was 66.16 (out of a total score of 100.00) in university students who smoke. In relation to the health locus of control, the internality score was highest at 25.22, the influence of others was 20.39, and the effect of chance was 15.86. 2. In a significant test of the general character other and aspect related to the smoking of the subjects and in the score of the health locus of control, the internality score of subjects who had been never been asked to quit smoking was higher than that of subjects who had been. There are significant differences in the scores concerning the influence of powerful others, especially religion. In chance occurrences, the score of subjects in medical school was higher than in other schools. The lower the age one beginns smoking, the higher the score of chance. 3. In a significant test of the general character and other aspects related to smoking and the score of self efficacy, there was no significant relationship. 4. Considering the relation of self efficacy to a health locus of control, a positive relationship between self efficacy and internality, and the influence of others, but not between self efficacy and the effect of chance. With these results, we can conclude that the higher the level of self efficacy, the higher the internality, the higher the influence of powerful others. Consequently, it is necessary to identify the relationships clearly among self efficacy the health locus of control by repeated research. It can be used to support, revise and develop health behavior theory.

Testing the Theory of Planned Behavior in the Prediction and Intention of Smoking Cessation Behavior: Hye Jin Hyun; J Korean Acad Community Health Nurs. 1998;9(1):117-127. Published online June 30, 1998

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Abstract PDF: The Theory of Planned Behavior has been shown to yield great explanatory power in health behavior as well as social behavior. This study was conducted to test the Theory of Planned Behavior in the prediction and intention of smoking cessation behavior in university student smokers. We conveniently sampled 204 university student smokers and investigated using questionaries, analyzing the data with the Pearson product-moment correlation, and multiple regression. The results are as follows : 1. There are significant correlations in direct and indirect measures of attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control. 2. Behavior belief is significant in predicting attitudes toward smoking cessation behavior. Normative belief is significant in predicting the subjective norm. Control belief is significant in predicting perceived behavioral control. 3. Attitude toward smoking cessation behavior, subjective norm are significant in predicting intention of smoking cessation behavior. In conclusion, this study demonstrated strong support for the Theory of the Planned Behavior and its use to predict smoking cessation behavior in university students smokers. But, as perceived behavioral control is not significant in predicting smoking cessation behavior, indepth research is needed to evaluate the usefullness of the Theory of Planned Behavior and Reasoned Action Theory.

A study for quality assurance of visiting nurses service of a public health center: Soon Nyoung Yun, In Sook Lee, Hye Jin Hyun, In Ja You, Jai Nam Kim, Jung Hee Bae; J Korean Acad Community Health Nurs. 1995;6(2):275-285. Published online December 31, 1995

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Abstract PDF: The purpose of the study is to evaluate the visiting nurses service of a public health center. Data were collectd from the 36 clients who received services from a public health center. In terms of the process evaluation, the tool is composed 4 parts, 27 items such as assessment planning, implementation, and evaluation. It was measured through the health records by 2 peer review. In terms of the outcome evaluation, the level of client satisfaction was measured by self report or interview by 2 supervisor. The result were as follows: 1. 30% of 36 health records showed narsing process was not and out of them, nursing care plann including spectific activities were rarely established or unclear. 2. The lack of systematic data collection showed and nursing diagnosis was not adressed in health records review. 3. Client satisfaction score was 32, 97, out of maximum score 36. 4. The lack of sufficent objective data, care plan, record of client's health status change, and evaluation was founded therefore quality assurance for visiting nurses service and in-service education are required and the development of standardized record system need.

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