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Volume 28 (1); March 2017
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Original Articles
Predictors of Quality of Life among Grandparents Raising Their Grandchildren: An Ecological Approach
Deulle Min, Su Hee Kim
J Korean Acad Community Health Nurs. 2017;28(1):1-12.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.1
  • 1,237 View
  • 6 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to examine factors affecting quality of life among grandparents raising their grandchildren.
METHODS
This study carried out a secondary analysis of data from the 2014 Korean Longitudinal Study of Aging (KLoSA) and Statistics Korea. Data collected from 224 grandparents who reported raising their grandchildren were analyzed using descriptive statistics, independent t-test, ANOVA, pearson correlation coefficient, and multilevel regression analysis.
RESULTS
The mean score of the participants' quality of life was 62.63. Significant predictors of quality of life of the grandparents included subjective health status, last year's total house income, number of last year's travels, frequency of last year's movie seeing, and number of children's parks per 100,000 population.
CONCLUSION
These results suggest that public health nurses in improving quality of life of grandparents focus on children's parks and formal social supports as community factors as well as regular exercise as an individual factor in order to be more effective.

Citations

Citations to this article as recorded by  
  • Impact of Pain on Activities of Daily Living in Older Adults: A Cross-Sectional Analysis of Korean Longitudinal Study of Aging (KLoSA)
    Ambrish Singh, Sreelatha Akkala, Minakshi Nayak, Anirudh Kotlo, Naresh Poondla, Syed Raza, Jim Stankovich, Benny Antony
    Geriatrics.2024; 9(3): 65.     CrossRef
  • Intensity of Grandparent Caregiving, Health, and Well-Being in Cultural Context: A Systematic Review
    Athena C Y Chan, Sun-Kyung Lee, Jingchen Zhang, Jasmine Banegas, Scott Marsalis, Abigail H Gewirtz, Patricia C Heyn
    The Gerontologist.2023; 63(5): 851.     CrossRef
The Reciprocal Causal Relationship between Social Activities and Health with Reference to the Cognitive Function Level among Community-dwelling Older Adults: A Cross-Lagged Panel Analysis
Da Eun Kim, Ju Young Yoon
J Korean Acad Community Health Nurs. 2017;28(1):13-22.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.13
  • 1,754 View
  • 9 Download
  • 3 Citations
AbstractAbstract PDF
PURPOSE
The aim of this study is to examine the reciprocal causal relationship between social activities and health with reference to the cognitive function level among community-dwelling older adults.
METHODS
We conducted a longitudinal data analysis using the 4(th) (Time 1) and 5(th) (Time 2) waves from the Korean Longitudinal Study of Ageing adopting cross-lagged panel analysis (CLPA).
RESULTS
A total of 3,473 community-dwelling older adults were included in the analysis: 2,053 in the normal cognitive function group, 912 in the mild cognitive impairment group, and 508 in the moderate to severe cognitive impairment group. The CLPA revealed that higher levels of social activities at Time 1 significantly influenced better subjective health perception at Time 2 in all three groups. In addition, better subjective health perception at Time 1 significantly influenced higher levels of social activities at time 2 only in the normal cognitive function group.
CONCLUSION
This study demonstrates that participating in social activities has positive effects on health regardless of the cognitive function level in community-dwelling older adults. This finding suggests that there is a need to develop strategies that can be used to encourage older adults with cognitive decline to maintain participation in social activities.

Citations

Citations to this article as recorded by  
  • Exploring the Role of Social Factors in Cognitive Frailty among South Korean Older Adults
    Young Ko, Kyungwon Choi
    Healthcare.2024; 12(14): 1394.     CrossRef
  • Trajectory classes of social activity and their effects on longitudinal changes in cognitive function among older adults
    Da Eun Kim, Ju Young Yoon
    Archives of Gerontology and Geriatrics.2022; 98: 104532.     CrossRef
  • Continuous-time modeling in prevention research: An illustration
    Martin Hecht, Manuel C. Voelkle
    International Journal of Behavioral Development.2021; 45(1): 19.     CrossRef
Mediating Effects of Self-leadership in the Relationship between Public Health Nurses' Organizational Culture and Their Job Performance
Nam Hee Park, Kyung Jo Lee, Sang Ju Lee
J Korean Acad Community Health Nurs. 2017;28(1):23-33.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.23
  • 1,162 View
  • 20 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this research is to enhance organizational competitiveness of health centers as well as private medical institutions serving as public health and medical institutions. It tries to help them to cope with the requirements from health consumers, to enhance public health nurses' job performance.
METHODS
After verifying the reliability of the tool, confirmatory factor analysis was used to detect a model, in which valid path coefficients exist among variables. The detected model was then selected as the subject and its validity was verified. Finally, a structural equation model was applied to verify whether the estimate was suitable for the purpose of this research.
RESULTS
As for the nursing organizational culture, the public health nurses considered relation-oriented culture the most desirable. As for the self-leadership, they considered self-compensation the most desirable. It was found that mediating effects of self-leadership was partially significant.
CONCLUSION
To enhance job performance, it is necessary to make a transition from the organizational culture to the relation-oriented culture and it is also necessary to develop a program capable of reinforcing self-leadership. In addition, it is necessary to conduct a research to verify whether such a developed self-leadership program is influential on job performance enhancement.

Citations

Citations to this article as recorded by  
  • Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
    Saeryun Kim, Younkyoung Kim
    Research in Community and Public Health Nursing.2024; 35: 195.     CrossRef
  • Mediating Factors in Nursing Competency: A Structural Model Analysis for Nurses’ Communication, Self-Leadership, Self-Efficacy, and Nursing Performance
    Ae Young Kim, In Ok Sim
    International Journal of Environmental Research and Public Health.2020; 17(18): 6850.     CrossRef
Influential Factors for Happiness of Adolescents Who Use Community Child Centers
Young Mi Park, Jung Yee Kim, En Joo Jo, Ji Hyun Lee, Kyung Mi Woo
J Korean Acad Community Health Nurs. 2017;28(1):34-43.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.34
  • 1,004 View
  • 2 Download
AbstractAbstract PDF
PURPOSE
The purpose of this study is to determine factors affecting happiness of adolescents who attended community child centers.
METHODS
We surveyed 154 adolescents attending a community child center in P City with a structured self-report questionnaire from October 3 to October 15, 2016. Data was analyzed by SPSS 18.0 descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients and stepwise multiple regression.
RESULTS
The mean scores of family strength, friend support, teacher support, and happiness were 3.8±0.84, 3.8±0.98, 3.7±0.84 and 3.7±0.63. There were significant differences in happiness according to the subjects' number of close friends and duration of their stay at the community child center. There were a significant positive correlations among family strength, friend support, teacher support, and happiness. The most significant factors affecting happiness included friend support (β=.40) and peaceable family strength (β=.35). These variables explained 44% of the total variance in happiness.
CONCLUSION
It is desirable to prepare and support measures to increase friends' support and family strength in order to improve happiness of adolescents attending community child centers. The findings suggest that it is necessary to develop nursing intervention programs to promote friend support and family strength.
Women's Health Status Working at Traditional Marketplaces and Their Needs for Public Health Care Services
Won Ju Hwang, Jin Ah Kim, Hee Gerl Kim
J Korean Acad Community Health Nurs. 2017;28(1):44-54.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.44
  • 915 View
  • 8 Download
  • 4 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to analyze health status of women working in traditional marketplace and their needs for public healthcare services.
METHODS
A descriptive survey of 500 women working at three traditional marketplaces was conducted.
RESULTS
street vendors' health status were much poorer than store merchants'. Furthermore, psychosocial factors like job stress and depression were increased in street venders. Thus, the public healthcare programs required by them included exercise programs (28.2%) and health checkup (26.8%). In addition, 31.2% of the participants reported that they needed visiting nursing care services. The rate of occupational health and safety or employment insurances was as low as 10.8%.
CONCLUSION
Effective interventions including psychosocial factors for women workers at traditional marketplaces need to be developed based on these results. Also, it is recommended that public health care services such as outreach services and visiting nursing care services for women working at traditional marketplaces be provided. Furthermore, institutional provisions such as insurances for protecting these vulnerable groups' health are needed.

Citations

Citations to this article as recorded by  
  • Development and Effectiveness of a Community Capacity Building Program for the Wellness of Traditional Marketplace Merchants: A Pilot Study
    Yeojoo Chae, Yeongmi Ha
    International Journal of Environmental Research and Public Health.2021; 18(22): 12238.     CrossRef
  • Analysis of Levels of Health-related Quality of Life and Its Related Factors of Traditional Market Merchants
    Keung-Mi Shin, Young-Sil Bae
    Journal of Korean Academy of Community Health Nursing.2019; 30(4): 437.     CrossRef
  • Depressive Symptom and Related Factors: A Cross-Sectional Study of Korean Female Workers Working at Traditional Markets
    Won Ju Hwang, Jin Ah Kim, Sally H. Rankin
    International Journal of Environmental Research and Public Health.2017; 14(12): 1465.     CrossRef
  • Heavy Metal Distribution in Street Dust from Traditional Markets and the Human Health Implications
    Jin Kim, Jin Park, Won Hwang
    International Journal of Environmental Research and Public Health.2016; 13(8): 820.     CrossRef
Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model
Young il Kim, Jeong Sook Park
J Korean Acad Community Health Nurs. 2017;28(1):55-68.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.55
  • 1,328 View
  • 45 Download
  • 11 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities.
METHODS
This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education.
RESULTS
Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group.
CONCLUSION
The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

Citations

Citations to this article as recorded by  
  • A predictive model for medication adherence in older adults with heart failure
    Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
    European Journal of Cardiovascular Nursing.2024; 23(6): 635.     CrossRef
  • Investigating the effect of an Orem-based self-care educative supportive nursing system on the joint function of patients with knee osteoarthritis
    Elham Talebianpoor, Hamid Reza Mohammadi, Abolfazl Dehbanizadeh, Ardashir Afrasiabifar, Shahla Najafi Doulatabad
    Journal of Education and Health Promotion.2024;[Epub]     CrossRef
  • User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
    Ji-Su Kim, Minhae Kim, Yeji Seo
    European Journal of Oncology Nursing.2023; 63: 102276.     CrossRef
  • Home-Based Remote Rehabilitation Leads to Superior Outcomes for Older Women With Knee Osteoarthritis: A Randomized Controlled Trial
    Eun-Lee Lee, Myung Hun Jang, Byeong-Ju Lee, Sang Hun Han, Hoo Man Lee, Sang Ui Choi, Myung Jun Shin
    Journal of the American Medical Directors Association.2023; 24(10): 1555.     CrossRef
  • Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis
    Ju Young Park, Jung Tae Son
    Journal of Korean Academy of Community Health Nursing.2022; 33(1): 114.     CrossRef
  • Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model
    Jin Hee Jeong, Hye Kyung Lee
    The Korean Journal of Rehabilitation Nursing.2022; 25(2): 102.     CrossRef
  • A Structural Equation Model on Standard Precautions Compliance of Nursing Students
    Hey Jin Ha, Eun A Kim
    Journal of Korean Academy of Community Health Nursing.2022; 33(3): 321.     CrossRef
  • A preliminary study on the effects of an osteoporosis prevention program based on an Information-Motivation-Behavioral skill model in older adult women: A cluster randomized controlled trial
    Yeongsuk Lee, Dong-Hee Kim
    Geriatric Nursing.2022; 45: 55.     CrossRef
  • Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis
    Jung-Suk Kim, Chun-Ja Kim
    Journal of Korean Academy of Nursing.2020; 50(2): 271.     CrossRef
  • Development and evaluation of a self‐management application for patients with gout
    Seung Gum Kang, Eun Nam Lee
    Japan Journal of Nursing Science.2020;[Epub]     CrossRef
  • Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model
    Hooyun Lee, Eun Kyoung Choi, Heejung Kim, Ho-Seon Kim, Hee-Soon Kim
    Child Health Nursing Research.2019; 25(2): 234.     CrossRef
A Study on Adult Women's Cosmetic Tattoo Experiences and Comparison of Health Concern and Health Practice between the Cosmetic Tattooed and Non-cosmetic Tattooed Groups
Se Young Kim
J Korean Acad Community Health Nurs. 2017;28(1):69-77.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.69
  • 1,161 View
  • 3 Download
  • 6 Citations
AbstractAbstract PDF
PURPOSE
This study was conducted to compare the level of health concern and the health practice of adult women depending on their experiences with cosmetic tattooing.
METHODS
The participants were 396 adult women in Jeonnam and Jeonbuk Provinces and G City. Their levels of health concern were measured using the 5-point-5-item scale designed by Kim. For measuring their health practice, the 5-point-12-item scale designed by Kwak was used.
RESULTS
The percentage of cosmetic tattooed women was 58.8%. The average score of their health concern was 3.12 and that of their health practice 3.54. As for their levels of health concern, no differences were observed between those with cosmetic tattoo experience and those without. However, the group with cosmetic tattoo experience exhibited a higher level of health practice. Also, most members of the cosmetic tattooed group decided to visit their tattoo shops based on the availability of tattoo shapes or prices rather than considering infection risks.
CONCLUSION
Health education is necessary to increase people's sensitivity to infection. This study shows that urgent attention for the management and regulation of the relevant ministries is required. Also, this study provides foundational information that will serve health education.

Citations

Citations to this article as recorded by  
  • Removal of black tattoos by Picosecond Q-switched Nd-YAG laser in the middle eastern skin type IV: prospective study
    Mayada A. Ismail, Lamiaa H. Elgarhy, Ghada F. R. Hassan, Soha Abdallah Hawwam
    Lasers in Medical Science.2024;[Epub]     CrossRef
  • “For Asia Market Only”: A Green Tattoo Ink between Safety and Regulations
    Elvira M. Bauer, Daniele Cecchetti, Ettore Guerriero, Simone Quaranta, Francesca Ripanti, Paolo Postorino, Pietro Tagliatesta, Marilena Carbone
    Molecules.2022; 27(11): 3491.     CrossRef
  • The Utility of Picosecond Nd:YAG Laser for Tattoo Removal
    Kyong Chan Park, Eun Soo Park, Seung Min Nam, Jin Su Shin
    Medical Lasers.2021; 10(1): 31.     CrossRef
  • A medical perspective of the practice of semi-permanent makeup in South Korea
    Chang Won Koh, Kyoungjin
    Journal of Cosmetic Medicine.2021; 5(1): 16.     CrossRef
  • Laser vs. thermal treatments of green pigment PG36: coincidence and toxicity of processes
    Elvira Maria Bauer, Daniele Cecchetti, Ettore Guerriero, Steven Nisticò, Giulia Germinario, Simona Sennato, Lorenzo Gontrani, Pietro Tagliatesta, Marilena Carbone
    Archives of Toxicology.2021; 95(7): 2367.     CrossRef
  • Effects of picosecond laser on the multi-colored tattoo removal using Hartley guinea pig: A preliminary study
    Mi Soo Choi, Hee Seok Seo, Jong Gu Kim, Sung Jay Choe, Byung Cheol Park, Myung Hwa Kim, Seung Phil Hong, Antonio Riveiro Rodríguez
    PLOS ONE.2018; 13(9): e0203370.     CrossRef
Effects of the Health Status and Health Behavior on Health-related Quality of Life of the Elderly Living Alone and Living with Their Families: Using Data from the 2014 Community Health Survey
Kyung Sook Kim
J Korean Acad Community Health Nurs. 2017;28(1):78-87.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.78
  • 1,036 View
  • 17 Download
  • 9 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to identify factors influencing the quality of life of the elderly living alone and living with their families with regard to their health statuses and health behavior experiences.
METHODS
We used source data from the 2014 Community Health Survey. The subjects of this study included some elderly people aged 65 and over, and analyzed the data of 13,373 elders living alone and 13,322 elders living with family.
RESULTS
Factors influencing the quality of life of the elderly living alone and living with their families include gender, age, education, household income, current occupation, subjective stress level, depression, number of diagnosed diseases, walking exercise, the experience of health screening, and the experience of not having necessary medical services (p<.001). Region was a significant variable influencing the quality of life of the elderly living with their families (p<.001).
CONCLUSION
In order to improve the quality of life of the elderly, it is necessary to provide sound conditions for working, emotional support, walking exercise and promotion of health screening, and to supplement the environment and institution for them to receive necessary medical services.

Citations

Citations to this article as recorded by  
  • Gender-Specific Factors Associated with Health-Related Quality of Life in Obese Korean Older Adults: Evidence from the 2020 Korean National Health and Nutrition Examination Survey
    Hee-jeong Kim, Dahye Park
    International Journal of Environmental Research and Public Health.2022; 19(14): 8275.     CrossRef
  • Factors Contributing to Depression in Community-Dwelling Older Adult during COVID-19: Using Data from the 2020 Community Health Survey
    Hye Jung Jun, Yeon Jin Jeong
    Journal of Korean Gerontological Nursing.2022; 24(1): 55.     CrossRef
  • A comparison of health-related quality of life and personal, social, and environmental factors of older adults according to a residential area: a propensity score matching analysis
    Jungmi Yun, Yeongsuk Lee, Hyun-Ju Lee
    Quality of Life Research.2022; 31(9): 2631.     CrossRef
  • Comparative Analysis of Health Behaviors, Health Status, and Medical Needs among One-Person and Multi-Person Household Groups: Focused on the Ageing Population of 60 or More
    Su-Jung Lee, Sun-Hee Lee
    Korean Journal of Family Medicine.2021; 42(1): 73.     CrossRef
  • Factors Influencing Quality of Life among Cancer Survivors: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) for 2019
    Hee Jung Kim
    The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109.     CrossRef
  • Predictive Model for Quality of Life of the Older Men Living Alone
    Su Jin Kim, Gyeong-Suk Jeon
    Journal of Korean Academy of Nursing.2020; 50(6): 799.     CrossRef
  • Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis
    Sun-Hee Jang, Dong-Moon Yeum
    Journal of Korean Academy of Community Health Nursing.2020; 31(2): 212.     CrossRef
  • Social networks, health-promoting behaviors, and health-related quality of life in older adults with and without arthritis
    Minjoo Hong, Hyewon Shin, Jennie C. De Gagne, Kenzie Latham-Mintus
    PLOS ONE.2019; 14(7): e0220180.     CrossRef
  • Effects of the Elderly's Health Statuses, Health Behavior, and Social Relations on Their Health-related Quality of Life: Focusing on Family Types
    Young Bum Kim, Seung-Hee Lee
    Journal of Korean Academy of Community Health Nursing.2018; 29(3): 310.     CrossRef
Effects of a Physical Activity Program on Physical Fitness of Intellectually Disabled Persons
Mi Seo Park, Mi Whoa Kim, Jin Hee Jeong, Nam Hyun Cha
J Korean Acad Community Health Nurs. 2017;28(1):88-97.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.88
  • 1,353 View
  • 3 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to identify the effects of a physical activity program on the physical fitness in persons with intellectual disabilities.
METHODS
The study design was an equivalent control group pre-post test. The treatment group received ths physical activity program five times per week for 20 weeks. Data were collected from the treatment group at two time points: Week 1 and Week 20 following the initiation of the treatment protocol. Data were collected from the control group at the ends of week 1 and Week 20. Data analysis was performed using the IBM SPSS v.21.0 software program.
RESULTS
The experimental group showed a significant reduction of physical fitness: basic of physical fitness (t=-2.07, p=.041), flexibility (t=2.25, p=.027), muscular strength (t=2.70, p=.009), agility (t=-3.35, p=.001), except for sense of balance (t=-0.91, p=.368), while control group showed no change in these variables.
CONCLUSION
The findings of this study suggest that the physical activity program has proved to be a stable and physically active intervention program for physical activity in intellectually disabled persons.

Citations

Citations to this article as recorded by  
  • The Association Between Physical Activity and Health Care Risk Management in Individuals With Disabilities
    Ilsu Park, Eunshil Yim, Minsook Lim, Jinhyung Lee
    Asia Pacific Journal of Public Health.2024; 36(1): 59.     CrossRef
  • Effects of Tai Chi therapy on body mass index and physical index of intellectual disability
    Nam‐Hyun Cha, Ga‐Eul Jeon, Youngmi Cho, Sohyune R. Sok
    Japan Journal of Nursing Science.2020;[Epub]     CrossRef
A Phenomenological Study on the Lived Experience of Train Operators Exposed to Person under Train (PUT)
Young Joo Kim, Hee Seung Choi
J Korean Acad Community Health Nurs. 2017;28(1):98-106.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.98
  • 889 View
  • 1 Download
AbstractAbstract PDF
PURPOSE
To understand the meaning of the lived experience with Person under train (PUT) for train or subway operators.
METHODS
The study was built on hermeneutic phenomenological themes from individual interviews of present-day train or subway operators in South Korea. Eight participants were selected to participate in the study. All qualitative data were analyzed using the heuristic guides of Van Manen.
RESULTS
Four fundamental lifeworld themes and eight sub themes emerged in the findings. The first theme of spatiality had‘the place pressed by the darkness’ and ‘the train drags me there’. The second theme, corporeality had ‘a foreboding fear’, and ‘debris of death that gets stuck in the whole body’. The temporality theme had‘distorted time in chaos’, and ‘memory trapped in time’. Finally the last existential theme of relationality had ‘intrapersonal encounter’ and ‘resentment and guilt’.
CONCLUSION
The four existential lifeworld themes provided a framework for in-depth investigation of the operator's “lived experience.” This leads to clear understanding of effects of PUT experience on related individuals. The findings imply that specific active nursing intervention strategies are necessary in order to treat affected train operators, and to prevent further issues in their work and private life.

RCPHN : Research in Community and Public Health Nursing
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