Research in Community and Public Health Nursing

Original Articles

The Relation among Uncertainty, Social Support, Care Burden of Mothers having Children with Developmental Disabilities: Kyoung Eun Jeong, Min Hyun Suk; Res Community Public Health Nurs. 2023;34(2):117-126. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00346

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Purpose
This descriptive correlation study aimed to confirm the relation among uncertainty, social support, care burden of mothers having children with developmental disabilities.
Methods
The participants were 111 mothers having children with autistic spectrum disorder or intellectual disability. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient and multiple regression using IBM SPSS 23.0 in the study.
Results
Uncertainty and social support were significantly correlated to caregiver burden. As a result of multiple regression analysis, the factors affecting caregiver burden were children’s age, the expense for caring, the period suspected child disabilities, and uncertainty. These factors accounted for 40.8% of caregiver burden.
Conclusion
In order to reduce the burden of caring for mothers with children with developmental disabilities, it is necessary to establish a system that can detect children with developmental disabilities early and to develop and provide an integrated guide suitable for the growth and development stage of children with developmental disabilities.

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Spousal support, parent–nurse partnership and caregiver burden among parents of children with chronic diseases: A cross‐sectional study
Jihye Kim, Heemin Chae, Yoonjung Kim
Journal of Clinical Nursing.2024;[Epub] CrossRef

The Relationship between Health Belief and Exercise Compliance among Elderly Adults at Senior Centers: Kyung Im Lee, Young Eun; J Korean Acad Community Health Nurs. 2015;26(2):79-88. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.79

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Abstract PDF

PURPOSE
The purposes of this study were to examine the relationship between health belief and exercise compliance among elderly adults at senior centers and to identify factors influencing their exercise compliance.
METHODS
The subjects of this study were 100 elderly adults who were using senior centers in J City. Data were collected from the 5th of August to the 14th of September in 2014 using a questionnaire about general characteristics, health belief, and exercise compliance. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 18.0 program.
RESULTS
The mean score for exercise compliance was 3.85 (range 1~5), and for perceived health state 3.17 (range 1~5). The mean score for each of the sub-factors of health belief was 3.89 for benefit, 1.94 for barrier, 3.34 for severity, 2.43 for sensitivity, and 3.65 for exercise self-efficacy (range 1~5). There was a significant correlation between exercise compliance and exercise benefit, and 28% of variance in exercise compliance was explained by exercise benefit in health belief, family history of illnesses, and perceived sensitivity in health belief.
CONCLUSION
To promote exercise compliance among elderly adults at senior centers, exercise programs emphasizing exercise benefit should be developed.

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An Ethnography on the Healthy Life of the Aged Women Participating the Senior Centers
Eunha Kim, Jinhyang Yang
Journal of Korean Academy of Nursing.2018; 48(3): 349. CrossRef

Job Competencies and Educational Needs Perceived by New Community Health Practitioners: Hyun Kyung Kim, Young Eun, Kyung Ja June, Ae Young So, Hee Gerl Kim, Mi Ran Eom, Yeon Yi Song, Eun Suk Choi, Ji Yeon Park, Hyoung Suk Kim; J Korean Acad Community Health Nurs. 2014;25(2):85-96. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.85

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Abstract PDF

PURPOSE
This study was performed to identify job competencies and needs for job education perceived by new community health practitioners.
METHODS
This study used a qualitative research design. Eight new community health practitioners participated in this study. Data were collected through in-depth interviews and analyzed using content analysis.
RESULTS
Five job competencies were identified in this study, including primary care, public health management, interpersonal relationship, teaching and counseling, and leadership. The contents of job education that they needed were management of major symptoms and chronic diseases, understanding and prescription of medications, emergency responses and care, management of endemic diseases, planning and management of public health programs, writing official documentsand computer works, and leadership training. The learning methods they preferred were connecting theory and practice, situation- or case-based learning, skill- or practice-based learning, and increased opportunities of clinical practice.
CONCLUSION
The findings of this study provided the direction of job education for new community health practitioners. Job education for new community health practitioners needs to consider the job competencies and educational needs identified in this study.

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Needs assessment of community health practitioners for community care competency of older adults
Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park
Research in Community and Public Health Nursing.2023; 34: 32. CrossRef
Effects of Nursing Professionalism and Job Stress on the Problem Solving Ability of Community Health Practitioners
Min Sun Song, Nam Young Yang, Jin Hak Kim
Journal of Korean Academy of Nursing Administration.2020; 26(3): 274. CrossRef
A Design for and Evaluation of a Critical Thinking Class for New Community Health Practitioners
Ji Yeon Park, MinGyu Seo, Hyoung Suk Kim, Kyung Hee Yoo, Kyung Ja June
The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 141. CrossRef

Health Status and Health-Promoting Lifestyle Profile II of North Korean Immigrants: Young Sil Kang, Yeong Mi Ha, Young Eun; J Korean Acad Community Health Nurs. 2012;23(3):231-243. Published online September 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.3.231

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Abstract PDF

PURPOSE
The purpose of this study was to identify the relationships between health status including objective health status and subjective health perception and Health-Promoting Lifestyle Profile II in North Korean immigrants.
METHODS
During August 2011 to November 2011, a convenience sample of 96 subjects aged 19 to 65 years were recruited from two centers and one public health center in Gyeongnam. The subjects were interviewed face to face by trained people with a survey questionnaire.
RESULTS
Approximately 40% of North Korean immigrants rated their health status as 'poor', and the prevalence of health problems in them was 81.3%. The average level of health-promoting lifestyle profile II was 1.78+/-0.35. Females with normal weight or overweight, and have stayed for over 1 year in South Korea were related to the lower score of health-promoting lifestyle profile II.
CONCLUSION
Considering North Korean immigrants' health background and health behaviors, customized health care program focusing on musculoskeletal disorder and psychological problems are required, and at the same time health behavior change program to achieve lifetime wellness should be developed.

Citations

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Assessment of diet quality of adults from North Korea: using nutrition quotient (NQ) for Korean adults
SaeByeol Kwon, Kyoung-Nam Kim, Moon-Kyung Shin
Journal of Nutrition and Health.2023; 56(2): 217. CrossRef
The influence of North Korean defectors’ oral health service experience on oral health behavior
Siwoo Kim, Yuri Lee, Jae-Sung Kwon, Saran Kim, Jungtae Kim, Steacey Kim, Jae Hoon Lee
Journal of Korean Academy of Oral Health.2022; 46(3): 115. CrossRef
Influence of health promoting lifestyle on health management intentions and behaviors among Chinese residents under the integrated healthcare system
Chi Zhou, Weijun Zheng, Fang Tan, Sihong Lai, Qi Yuan, Enamul Kabir
PLOS ONE.2022; 17(1): e0263004. CrossRef
The Utilization of Dental Hygienists in Oral Healthcare Exchanges between the South and North Korea
Eunsuk Ahn, Ji-Hyoung Han, Kyung-Hee Kang, Young-Eun Jang, Ki-Ha Jeon, Jeong-Ran Park
Journal of Dental Hygiene Science.2021; 21(1): 63. CrossRef
Social networks and health-promoting behaviors among North Korean refugees in South Korea
Chung Hyeon Jeong, Mee Young Um, Joan P. Yoo, Lawrence A. Palinkas
Social Work in Health Care.2020; 59(9-10): 738. CrossRef
Influencing factors on purchase intention for smart healthcare clothing by gender and age
Heejung Han
The Research Journal of the Costume Culture.2019; 27(6): 615. CrossRef
Health-Promoting Behavior and Influencing Factors in Young North Korean Refugees (NKRs) Living in South Korea
Jumin Park, Young Dae Kwon, Hyunchun Park, Shi Eun Yu, Jin-Won Noh
Journal of Immigrant and Minority Health.2018; 20(6): 1355. CrossRef
Health‐seeking experience of North Korean women defectors in South Korea
Chong‐Hee Chung, Hee‐Young Kang, Pamela K. Lake
Public Health Nursing.2018; 35(3): 192. CrossRef
Health Literacy and Its Related Factors in North Korean Refugees
Youn Jung Son, Hyun Joon Kim, Hye Jin Jeong, In Young Hwang, Moo Young Kim, Soo Hyoung Lee, Ki Hyun Park, Kee Ho Park, Chae Bong Kim, Hyang Im, Ji Young Lee
Korean Journal of Health Promotion.2017; 17(2): 71. CrossRef
The Trends in Research on the Health of North Korean Refugees
Hyun-Ju Lim, Guna Lee, Sook-Ja Yang
Journal of Korean Academy of Community Health Nursing.2017; 28(2): 144. CrossRef
A Study of Predictive Factors Affecting Health: Promoting Behaviors of North Korean Adolescent Refugees
Jin-Won Noh, Hyo-Young Yun, Hyunchun Park, Shi-Eun Yu
Journal of Preventive Medicine and Public Health.2015; 48(5): 231. CrossRef
Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
Do Hwa Byeon, Hye Jin Hyun
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332. CrossRef
Influencing Factors on the Health Promotion Behaviors of North Korean Refugee Adolescent in a Specialization School
Eunkyoung Jun, Jinhwa Lee, Soon-Lae Kim, Min-Jeoung Kang, InSook Kwon
Korean Journal of Health Education and Promotion.2013; 30(3): 13. CrossRef

Customized Home Visiting Nurses' Experiences in Telephone Visiting: Young Sil Kang, Yeong Mi Ha, Young Eun; J Korean Acad Community Health Nurs. 2011;22(3):223-233. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.223

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Abstract PDF: PURPOSE
The purpose of this study was to explore and understand customized home visiting nurses' experiences in telephone visiting.
METHODS
Qualitative data were collected from several discussions of 4 focus groups consisting of 20 customized home visiting nurses. All interviews were recorded and transcribed according to thematic content analysis processes.
RESULTS
The five main themes on customized home visiting nurses' experiences of telephone visiting were 'greeting', 'counseling', 'using strategies', 'maintaining attitude for enhancing relations' and 'enduring difficulties'. The category of 'counseling' was composed of confirming, educating, supporting, adjusting, and indicating. And, the category of 'using strategies' included complimenting, scolding, persuading, compensating, and ignoring.
CONCLUSION
Developing a standardized manual on telephone visiting is needed to guide an effective counseling. In order for a customized home visiting nurse to be a good telephone counselor, training of motivational interviewing is recommended.

The Effects of a Calligraphy and Exercise Program on Korean Elders' Self-esteem, Stress, Quality of Life and Physical Health: Young Eun, Sun Hyae Woo, Eun Shim Kim, Hyang Sook Kim; J Korean Acad Community Health Nurs. 2008;19(1):76-87. Published online March 31, 2008

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Abstract PDF: PURPOSE
This study was conduct to develop a calligraphy and exercise program and examine its effects on the self-esteem, stress, quality of life and physical health of the elderly in a community health post in Korea.
METHOD
The subjects consisted of 43 elders (experimental group: 20, control group: 23) who were attending the program of a community health post. The experimental group participated in the calligraphy and exercise program for 12 weeks (3 times a week, 120 minutes a session). Data were collected before and after the program.
RESULTS
1) The experimental group showed significant improvement in self-esteem and quality of life and significant reduction in stress compared to the control group. 2) The experimental group and the control group were not significantly different in muscle strength and flexibility.
CONCLUSION
These results suggest that the calligraphy and exercise program for old adults can improve their psychological health and quality of life.

The Demands on Parish Nursing Services by Pastors in Busan: Sue Kyung Sohn, Kyung Ja Kang, Ji Hyun Lee, Young Eun Lee, Choon Hwa Park; J Korean Acad Community Health Nurs. 2002;13(1):182-196. Published online March 31, 2002

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Abstract PDF: The purpose of this study was to provide the basic resources for developing a parish nursing program. We did this by investigating what demands were made on the parish nursing service by the parishes or churches under review. The subjects of this study were 96 pastors located throughout the City of Busan. NP (New paragraph) >> We conducted our research by utilizing a modified version of the study created by Hwang (2000) and by using the help of prior research and professionals gathered from the parish nurse questionnaire by Djupe (1990). The data in this study were collected from July 1 to Oct. 31, 2001, using the questionnaire method. The Data were analyzed by: (a) frequency; (b) percentage; (c) mean; (d) standard deviation, and chi2-test with SPSS/PC program. The study has found the follows: 1. For subjects making demands on the parish nursing service, 95.8% were in need of using the services of parish nurses. On the demands of parish nursing service for the subjects, 95.8% the necessity of parish nursing services. And they answered by their intention of asking for parish nursing service practice. 2. Of the subjects under review, 71.9% were part-time workers and 28.1% were full-time employees 71.9% of part time and 28.1% of full times duty. In terms of the method of pay for work, 41.8% were pay free or freelance while 51.2% were on salary. And engagement intention of parish nurse as preacher was 88.5%. 3. The demand for nursing services in various categories were as follows. (a) hospice care : (4.02 1.11), (b) health screening : (3.98 1.09), (c) home visiting : (3.97 1.16), (d) group health education : (3.81 1.12), (e) organization of volunteer groups : (3.75 1.12), (f) individual health education : (3.75 1.14), (g) advice on choosing hospital or hospital consultation : (3.69 1.21) and (h) individual counseling : (3.51 1.31). 4. In terms of the specific services rendered by parish nurses, our study found that services were needed for the following: physical symptom management; preparation before death in spiritual preparation for death, blood pressure check in health examination, home visiting where the patient makes phone call, management of chronic disease in group health education, disease management in individual health education, advice on choosing hospital, or ,hospital consultation: and physical problems in individual counseling. 5. With respect to whether there was a correlation between what church a pastor came from and the types of demands made, there was NO significant difference found. 6. In relation to the characteristics of the subjects and their church and the hope demands (duty pattern and method of payment and engagement intention of parish nurse as preacher) for parish nurses, these had non significant differences. In conclusion, the perception of parish nursing service is very high. Moreover, we found that there is a great demand for well ordered parish nursing services to promote the health of each congregation. Before doing so, it would be better to make things known and to consider the relevant characteristics shown in the researched results.

The Effect of Self-Efficacy Promotion Smoking Cessation Program for Middle School Students: Ji Hyun Lee, Eun Sil Kang, Myung Hwa Lee, Young Eun Lee; J Korean Acad Community Health Nurs. 2001;12(3):716-731. Published online December 31, 2001

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Abstract PDF: The purpose of this study was to test the effect of a self-efficacy promotion smoking cessation program for middle school students. This program was redesigned on the basis of Shin Sung Rye(1997)'s Self-Efficacy Promoting Program for this study. The design of this paper was quasi-experimental, equivalent control group pre-post test, time series design. The subjects of this study were 53 smoker adolescents in D Middle School in the city of Busan. The results were summarized as follows: 1) The Hypothesis 1 was accepted : The self efficacy of the experimental group was higher than that of the control group after 1 week (expected efficacy t=2.20, P< .05, expected outcomes t=-2.58, p< .05) 4 weeks after education (expected efficacy t=- .19, P< .001, expected outcomes t=-2.586, p< .05). 2) The Hypothesis 2 was accepted : The amount of smoking of the experimental group was reduced more than that of the control group after 1 week (t=2.05, P< .05) and after 4 weeks (t=2.03, p< .05). 3) The Hypothesis 3 was accepted : The positive urine cotinine of the experimental group was less than that of the control group after 1 week after education(chi2=8.57, P< .01) after 4 weeks (chi2=22.49, P< .001). In conclusion, a self-efficacy promotion smoking cessation program for middle school students was an effective smoking cessation program and then it will be valuable for stopping the smoking among the adolescents.

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