Research in Community and Public Health Nursing

Volume 23 (2); June 2012

Original Articles

Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services: Eun Young Kim, Jung Hee Yeo; J Korean Acad Community Health Nurs. 2012;23(2):117-126. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.117

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PURPOSE
The purpose of this study was to identify the factors associated with the health-related quality of life of family caregivers.
METHODS
A cross-sectional study was conducted. This study included 191 primary family caregivers of elders who used home care services (home-visit nursing, home-visit care, daycare) covered by the public long-term care insurance. Data were collected using self-report questionnaires from December 2010 to June 2011. These data were analyzed by using hierarchical multiple regression.
RESULTS
The majority of the family caregivers were female (79.6%) and daughters-in-law (28.8%). The mean depression score was 6.33+/-6.49 and the mean health-related quality of life score was 0.69+/-0.39. It was found that the factors affecting the health-related quality of life of family caregivers included depression (beta=-.406, p<.001), home-visit nursing use (beta=.296, p<.001), and daycare use (beta=.178, p=.015), which accounted for 36.6% of their health-related quality of life.
CONCLUSION
Using home-visit nursing and daycare services has a positive effect on the health-related quality of life of family caregivers. To improve health-related quality of life of family caregivers, South Korea needs to fully activate the home-visit nursing and daycare services, and to strengthen family support programs.

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Predictors of Sleep Quality in Spouse Caregivers of Community-Dwelling People With Dementia Using Propensity Score Matching Analysis
Hyeon Sik CHU, Hye-Young JANG
Journal of Nursing Research.2023; 31(6): e299. CrossRef
Predictors of Health-related Quality of Life among Spouses of Older Adults with Dementia in the Community-dwelling
Hye-Young Jang, Song Yi Han
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 518. CrossRef
The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade
Mi-Kyoung Kim, Dahye Park, Okhee Ahn
Journal of the Korea Convergence Society.2014; 5(3): 7. CrossRef

Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need: Jong Eun Lee, Soon Lae Kim; J Korean Acad Community Health Nurs. 2012;23(2):127-133. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.127

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Abstract PDF

PURPOSE
This study was conducted to assess needs at each end-of-life care stage and to analyze importance and difficulty of care needs for home care nursing among non-cancer patients.
METHODS
We used a retrospective design. Total eligible patients were 117 at the ages of 40 and over, who continuously received home care nursing throughout beginning, stable, and near death stages, and finally died at home from January 1, 2006 to December 31, 2006. Descriptive statistics, Cochran's Q test, Friedman's test were used for data analysis.
RESULTS
In the area of physical care, the care need for 'assistance for activities in daily life' was significantly highest in the beginning stage. The care need for 'aggravation or adverse changes in physical symptoms' was significantly increased in the near death stage. In the area of psychospiritual care, 'family's psychological burden' was revealed as having the highest rate of care needs in the every stage.
CONCLUSION
Future intervention should consider assessing care needs in end-of-life care for non-cancer patients who are provided with home care nursing.

Citations

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End‐of‐life care needs for noncancer patients who want to die at home in South Korea
Jong‐Eun Lee, Jiwon Lee, Hanul Lee, Jin‐Kyoung Park, Younghye Park, Whan Seok Choi
International Journal of Nursing Practice.2020;[Epub] CrossRef
Changes of Nursing Activities on Patients with DNR Orders
Ji Yun Lee, Jae In Jang
The Korean Journal of Hospice and Palliative Care.2017; 20(1): 46. CrossRef
Home-Based Hospice Care Provided by a Free-Standing Hospice Center: Patients’ Characteristics and Service Conditions
Hyoung Suk Kim, Kyung Ja June, Young Sun Son
The Korean Journal of Hospice and Palliative Care.2016; 19(2): 145. CrossRef

Caregivers' Experience of Violence and Coping with It in Nursing Homes: Eun Young Lee, Hee Sun Kang, Kyung Hee Kim, Kyung Sook Park; J Korean Acad Community Health Nurs. 2012;23(2):134-143. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.134

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Abstract PDF

PURPOSE
The purpose of this study is to investigate verbal, physical and sexual violence to caregivers in nursing home workplaces.
METHODS
This cross-sectional study was done from October 17 to 31, 2011 at eight randomly selected nursing homes in Seoul and one nursing home in Gyeonggi, South Korea. This study explored their responses to violence and violent situations, and then investigated on how caregivers coped with workplace violence.
RESULTS
The results of this study show that most caregivers in nursing homes experience some form of violence. Verbal violence was more frequent than physical or sexual violence. Verbal and physical violence occurred most often while they were changing the clothes of patients and sexual violence occurred most often while they were showering patients. After experiencing violence, caregivers most often dealt with the situation by informing their colleagues of what was happened.
CONCLUSION
These results suggest that institutional and administrative measures must be implemented to increase the prevention of violence against caregivers and to improve effective measures to deal with violence once it has occurred. Violence in nursing homes can be reduced through the combination of appropriate responses by caregivers and proper education of both patients and caregivers.

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Relationship between Experience of Client Violence and Turnover Intention among Workers in Long-Term Care Facilities for Older Adults: Focusing on Nurses, Social Workers, and Care Workers
Seunghoon Choi, Hyeri Shin, Minah Lee, Kimyung Han
Nursing Reports.2023; 13(1): 549. CrossRef
The Experiences of Long Term Care Workers Who care for People with dementia at Home
Bongsook Yih
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 394. CrossRef
Influence of Job Stress, Coping Strategies on life satisfaction in long-term care workers -focused in Gyeonggi-do-
Hyemin Hwang, Juok Kim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(9): 6152. CrossRef

Problem behaviors, Cultural Identity and Acculturation of North Korean Refugee Youth: Young Suk Park; J Korean Acad Community Health Nurs. 2012;23(2):144-154. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.144

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the characteristics of problem behaviors, cultural identity and acculturation of North Korean (NK) refugee youth and to suggest an appropriate approach for helping them to adjust to our society based on these findings.
METHODS
The subjects were 117 NK adolescent refugees in Hanawon. Data were collected by a demographic questionnaire, Youth Self Report (YSR), the South-North Korean cultural identity.
RESULTS
Problem behaviors of NK refugee youth were the highest in anxiety/depression and withdrawal behavior and were followed by internalized behavior, aggressiveness, overall problem behavior, externalized behavior, delinquency and positive behavior in that order. Acculturation was the highest in 'separation' followed by 'integration', 'assimilation' and 'marginalization' in that order. No significant relationship was found between acculturation types and problem behaviors except positive behavior.
CONCLUSION
This study provides some important information that we have to develop specific strategies and interventions primarily focused on withdrawal, anxiety/depression, and internalization for the adjustment and mental health of NK refugee youth. It is necessary to explore further research related to cultural identity, acculturation processes, and the correlation between acculturation types and problem behaviors.

Seoul Teacher's Satisfaction with and Needs for Health Examination and Health Promotion Programs: Na Mi Chun, Jae Hee Yoon, Chae Yoon Kim, Na Mi Hwang, Young Sook Kim, Moon Sook Hwang, Hyun Ju Chae; J Korean Acad Community Health Nurs. 2012;23(2):155-164. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.155

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Abstract PDF: PURPOSE
The purpose of this study was to investigate Seoul teacher's satisfaction with and needs for health examination and health promotion programs.
METHODS
The participants were 3,186 teachers in Seoul. Data were collected through an on-line survey system from November 16 to December 7, 2008. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe's test using PASW 18.0 program.
RESULTS
Teacher's satisfaction with teacher health examination was low and needs for detailed tests of cancer and vocal cord disorders were high. Teacher's satisfaction with teacher health promotion programs was low and needs for stress management, exercise and vocal cord protection program were high.
CONCLUSION
Vocal cord disorders should be included in teacher health examination and vocal cord protection program should be provided for teacher's health promotion. Stress management and exercise program should also be provided for teacher's health promotion.

Task Analysis of Managers in the Customized Visiting Health Services: Young Ran Han, Young Rye Park, Young Hee Kim, Hee Chung Choi, Mi Ja Chung; J Korean Acad Community Health Nurs. 2012;23(2):165-178. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.165

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Abstract PDF

PURPOSE
The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty.
METHODS
Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task.
RESULTS
The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance.
CONCLUSION
Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

Citations

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Contract Employment Experiences of Visiting Nurses at Public Health Centers in the Metropolitan Area: Focused on Employment Type and Treatment
Hee-Gerl Kim, Soong-Nang Jang, Young Ran Chin, Jungyi Hur, Ryoun-Sook Lee
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 175. CrossRef
Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM
Jieun Kim, Insook Lee, Jina Choo, Songwhi Noh, Hannah Park, Sohyeon Gweon, kyunghee Lee, Kyoungok Kim
Journal of Korean Academy of Community Health Nursing.2022; 33(1): 13. CrossRef
Predictors of Chewing Discomfort among Community-dwelling Elderly
Seol Hwa Moon, Gwi-Ryung Son Hong
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 302. CrossRef
Oral Health-Related Quality of Life of the Elderly under Visiting Health Care
Keun-Yoo Lee, Young-Sik Cho, Soon-Ryun Lim
Journal of dental hygiene science.2015; 15(3): 325. CrossRef
An analysis on performance of visiting health care services by general characteristics of visiting nurse in public health center
Jeong Sook Park, Yun Jung Oh
Journal of Digital Convergence.2014; 12(12): 381. CrossRef

A Study on the Cultural Competence of Community Health Practitioners: Eun Jee Lee, Yune Kyong Kim, Hyeon Kyeong Lee; J Korean Acad Community Health Nurs. 2012;23(2):179-188. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.179

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Abstract PDF

PURPOSE
This study aimed to describe the cultural competence among community health practitioners (CHPs).
METHODS
A cross-sectional descriptive study design was used with a convenience sample of 257 CHPs. Data collection was conducted with a structured questionnaire, including Cultural Competence Assessment. Data were analyzed by t-test and ANOVA with the SPSS/WIN 17.0 program.
RESULTS
Most participants reported a moderate level of cultural competence (M=3.0, SD=0.41). Scores for culturally competent behaviors were high (M=3.4, SD=0.48) and cultural knowledge scores were low (M=2.6, SD=0.54). Those CHPs who were living with their family, were working in rural area, and had more opportunities to contact with multicultural patients and experience abroad showed significantly higher cultural competence.
CONCLUSION
The findings support the need for future education and training to enhance CHPs' cultural competence.

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Organisational cultural competence needed to care for foreign patients: A focus on nursing management
Duckhee Chae, Yunhee Park
Journal of Nursing Management.2019; 27(1): 197. CrossRef
Agreement on Core Components of an E-Learning Cultural Competence Program for Public Health Workers in South Korea: A Delphi Study
Duckhee Chae, Hyunlye Kim, Jae Yong Yoo, Jina Lee
Asian Nursing Research.2019; 13(3): 184. CrossRef
Experience of migrant care and needs for cultural competence training among public health workers in Korea
Duckhee Chae, Jina Lee, Keiko Asami, Hyunlye Kim
Public Health Nursing.2018; 35(3): 211. CrossRef
Factors influencing nursing students’ empathy
Jihyun Kim
Korean Journal of Medical Education.2018; 30(3): 229. CrossRef
Factors Affecting Transcultural Self-efficacy among Nursing Students
Kyu Eun Lee, Nam Sun Kim
Journal of Health Informatics and Statistics.2017; 42(1): 1. CrossRef
Caring Experiences of the Nurses Caring for Foreign Inpatients of non-English Speaking
Hye-Young Jang, Eun Lee
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 415. CrossRef
The Effectiveness of a Cultural Competence Training Program for Public Health Nurses using Intervention Mapping
Yune Kyong Kim, Hyeonkyeong Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 410. CrossRef
Development and Effect of a Global Health Capacity Building Program for Nursing Students
Seon Young Hwang, Jin Sun Kim, Hyunmi Ahn, Sun Joo Kang
Journal of Korean Academy of Community Health Nursing.2015; 26(3): 209. CrossRef
Development and Psychometric Evaluation of the Korean Version of the Cultural Competence Scale for Clinical Nurses
Duck-Hee Chae, Chung-Yul Lee
Asian Nursing Research.2014; 8(4): 305. CrossRef
Experiences of Nurses Who Provide Childbirth Care for Women with Multi-cultural Background
Sun Hee Kim, Kyung Won Kim, Kyung Eui Bae
Journal of Korean Public Health Nursing.2014; 28(1): 87. CrossRef
Factors Affecting the Social Distance between Minority Groups and Nursing Cadets
Kyeong Hwa Kang, Chung Hee Woo, Duckhee Chae
Journal of Korean Academy of Nursing Administration.2014; 20(5): 505. CrossRef
The Study on Relationship between Cultural Competency and Empathy of Nursing Students
Sun Yi Yang, Hyo Nam Lim, Ju Hee Lee
The Journal of Korean Academic Society of Nursing Education.2013; 19(2): 183. CrossRef
Cultural Competence and Factors Influencing Cultural Competence in Nursing Students
Duck Hee Kim, Seong Eun Kim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2013; 22(3): 159. CrossRef
A Study on Social Distance of Nursing Students toward Minority Groups in a Metropolitan City
Hae Young Kang, Seok Young Han
Journal of Korean Public Health Nursing.2013; 27(1): 166. CrossRef
Review of Self-Administered Instruments to Measure Cultural Competence of Nurses - Focused on IAPCC & CCA
Duck Hee Chae, Kyeong Hwa Kang
Journal of Korean Academy of Nursing Administration.2013; 19(1): 48. CrossRef

Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension: Young Soon Byeon, Soon Ock Kim, Jeong Hyun Cho; J Korean Acad Community Health Nurs. 2012;23(2):189-200. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.189

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Abstract PDF

PURPOSE
The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension.
METHODS
Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered.
RESULTS
Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence.
CONCLUSION
The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

Citations

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Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension
Yang Heui Ahn, Young Mi Lim, KiYon Kim, Ki-Kyoung Kim, Hee-Young Song
Journal of Korean Public Health Nursing.2016; 30(1): 105. CrossRef
Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419. CrossRef

Evaluation of the Effects of a Frailty Preventing Multi-factorial Program Concentrated on Local Communities for High-risk Younger and Older Elderly People: In Sook Lee, Young Ko, Kwang Ok Lee, Eun Shil Yim; J Korean Acad Community Health Nurs. 2012;23(2):201-211. Published online June 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.2.201

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Abstract PDF: PURPOSE
The purpose of this study is to evaluate the effects of a local community based multi-factorial program for high-risk younger and older elderly people.
METHODS
The quasi-experimental research design (pretest-post test) was employed. Participants were recruited in Seoul and a total of 98 elders completed an 8-week multi-factorial program for preventing frailty. Descriptive statistics, chi2-test and GLM were used in the data analysis with SPSS/WIN 15.0.
RESULTS
The high-risk elderly people in the younger and older stages showed differences in IADL, TUG and BMI, and after being provided with the multi-factorial program for preventing frailty, some effects were shown on improving the total score of frailty, a physical function, TUG, BMI, depression, subjective feeling of health, and social interaction.
CONCLUSION
The 8-week multi-factorial program for preventing frailty had positive effects on improving physical, emotional and social functions of the high-risk elderly people. It is necessary to evaluate the effects after individual intervention as well as group intervention and to evaluate the effects of the program by setting a control group in the future.

Conditions of Workplace Violence Experience among Workers in the Distribution Industry: Souk Young Kim, Soon Nyung Yun; J Korean Acad Community Health Nurs. 2012;23(2):212-221. Published online June 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.2.212

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Abstract PDF: PURPOSE
The purpose of this study is to explore violence experienced by workers in the distribution industry.
METHODS
The research subjects were 236 workers from 2 department stores and 1 large scale discount store located in Daejeon City, Korea. The collected data were analyzed through descriptive statistics, chi2-test, and logistic regression analysis.
RESULTS
72.9% of the research subjects experienced verbal violence, and 9.3% of the respondents experienced physical violence during last year. 17.8% of the respondents reported that they had experience of sexual harassment at their workplaces. The variables which affected verbal violence included working departments and stress level, whereas the variable that affected physical violence was educational level of workers. The variables that affected experience of sexual harassment turned out to be gender as well as the duration of work at the current workplaces.
CONCLUSION
The findings from this research revealed that many of the workers engaged in the distribution industry were exposed to workplace violence. For the reduction of risk of workplace violence for these workers, it is required to develop and execute programs including violence related policies and education about workplace violence.

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.

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