Research in Community and Public Health Nursing

Original Articles

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, Jung Yi Hur, Ryoun-Sook Lee; J Korean Acad Community Health Nurs. 2022;33(2):175-187. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.175

721 View
19 Download
1 Citations

Purpose
This study was conducted with a focus group interview that drew out experiences, limitations, and difficulties in the workplace according to the employment conditions of visiting nurses in the public health centers. Methods A total of 12 visiting nurses are those working in the public sector in Seoul and Gyeonggi province who were willing to participate in the interview. Analysis categories and coding were divided into three categories: compensation system, occupational status, and opinions to improve their treatment. Using the content analysis method, the current working status and compensation system of visiting nurses were described. Results The main themes derived from the significant statements of visiting nurses were ‘Ten years of frozen salary system’, ‘Full-time workers of their own league’, ‘Excluded from performance benefits’, ‘Every visiting nurses are virtually precarious’, ‘Experience of exclusion and discrimination’, and ‘Reasons and barriers to be a full-time worker’. All of the visiting nurses working in the community insisted on having equal treatment for work of equal value. Visiting nurses in the public health sector wanted to be set to the same payment system and the fair allowance system as well. It is necessary to continuously seek solutions to the problems left in insisting on the civil service of visiting nurses. Conclusion Visiting nurses who were working in a precarious job position felt job insecurity, and experienced discrimination, alienation, and exclusion. Legal and institutional reform is needed to improve the treatment of visiting nurses.

Citations

Citations to this article as recorded by

Welfare Program Recommendation by Conditional Variational Autoencoder and Collaborative Filtering
Sungeun Kim, Mingi Ji, Il-Chul Moon, Weonyoung Joo
Journal of the Korean Institute of Industrial Engineers.2023; 49(1): 28. CrossRef

A Delphi Study for Development of Disaster Nursing Education Contents in Community Health Nursing: Chun Mi Kim, Song Yi Han, Young Ran Chin; J Korean Acad Community Health Nurs. 2021;32(4):555-565. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.555

602 View
28 Download
1 Citations

Abstract PDF

Purpose
This study was conducted to develop the contents of disaster nursing education in community health nursing at universities. Methods: To validate contents, the Delphi method was used. We categorized two domains(indirect disaster management and direct disaster management) and developed 48 draft items. This study applied two round surveys and 23 experts participated in this study. The content validity was calculated using content validity ratio and coefficient of variation. Results: Indirect disaster management domain was composed of three categories including 12 items: 1) Understanding of the disaster, 2) disaster management system, and 3) response by disaster stage and recovery. Direct disaster management domain was composed of nine categories including 30 items: 1) Ethical considerations, 2) communication in disasters, 3) nursing activity by disaster stage, 4) emergency nursing in disasters, 5) patient severity classification in disasters, 6) disaster nursing for vulnerable groups, 7) disaster nursing for victims, 8) psychosocial nursing and health in disasters, and 9) cases of disaster nursing in communities. Conclusion: This Delphi study identified the contents of disaster nursing education curriculum, and confirmed the validity for disaster education program in community health nursing. Based on the results, it will be helpful for training the disaster nursing and improving the competency on disaster nursing of the nursing students.

Citations

Citations to this article as recorded by

A study on the types of disaster awareness in nursing students: Q methodology
Mihyeon Seong, Dajung Ryu, Sohyune Sok
BMC Nursing.2023;[Epub] CrossRef

The Relationship between the Prevalence of Suicidal Ideation among Older Adults and Individual · Regional Factors: Young Ran Chin, Chun Mi Kim, Il Su Park, Song Yi Han; J Korean Acad Community Health Nurs. 2020;31(Suppl):577-590. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.577

596 View
9 Download
2 Citations

Abstract PDF

Purpose
The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex.
Methods
This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4.
Results
The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814).
Conclusion
In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

Citations

Citations to this article as recorded by

Identifying the suicidal ideation risk group among older adults in rural areas: Developing a predictive model using machine learning methods
Junglyun Kim, DongHyeon Gwak, Seonhee Kim, Moonhee Gang
Journal of Advanced Nursing.2023; 79(2): 641. CrossRef
Factors Related to Suicidal Ideation and Prediction of High-Risk Groups among Youngest-Old Adults in South Korea
Eungyung Kim, Jee-Seon Yi
International Journal of Environmental Research and Public Health.2022; 19(16): 10028. CrossRef

The Related Factors to Urgent Disease in Triaging Patients with Acute Abdominal Pain in Emergency Department: Sang Rim Lee, In Sook Lee, Eun Hee Jung, Ju Won Kim, Young Ran Chin, Hyun Sook Hong, Daewon Yu; J Korean Acad Community Health Nurs. 2019;30(4):581-587. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.581

854 View
3 Download

Abstract PDF: PURPOSE
Abdominal pain is the most common symptom of patients visiting the emergency department (ED). Abdominal pain is caused by a variety of causes, so it is difficult for a triage nurse to determine the urgency of a patient, but it is still a must. The purpose of this study was to identify the related factors to the urgent diseases of patients with abdominal pain visiting ED.
METHODS
This study was a retrospective descriptive study. The study setting was an ED in a tertiary hospital in Korea. Data were collected from September 1, 2017 to October 15, 2017. During the study period, of a total of 6,181 patients visiting the ED, 731 complained of abdominal pain. Patients with obvious cause of pain and patients who could not express detailed symptoms were excluded. The 573 patients were included in the final analysis. We collected demographics, clinical characteristics, and final diagnosis. We divided final diagnoses into urgent diseases which were more likely to be life-threatening without treatment and non-urgent diseases. We identified the related factors to the urgent diseases of patients with abdominal pain using the logistic regression.
RESULTS
173 (30.2%) patients had urgent diseases. Age (OR=1.02, 95% CI=1.00~1.03), referral from other clinics (OR=2.92, 95% CI=1.86~4.60), ambulance utilization (OR=2.00, 95% CI=1.27~3.15), diarrhea (OR=0.44, 95% CI=0.25~0.76), and tachycardia (OR=2.27, 95% CI=1.44~3.58) were related to urgent diseases.
CONCLUSION
Triage nurse should take into account the patient's age, mode of visiting, and route of visiting ED; and check the symptom of tachycardia or diarrhea.

The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center: Dong Ok Lee, Young Ran Chin; J Korean Acad Community Health Nurs. 2019;30(4):528-538. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.528

829 View
15 Download
3 Citations

Abstract PDF

PURPOSE
The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years.
METHODS
We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used.
RESULTS
Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (Î²=0.29, p < .001), age (70~79 to 60~69; Î²=0.98, p=.018) and sex (female to male; Î²=2.55, p < .001).
CONCLUSION
This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of â€˜community careâ€™ and â€˜ageing in placeâ€™.

Citations

Citations to this article as recorded by

Factors influencing the stages of frailty among Korean older adults focusing on objective and subjective social isolation
Song Yi Han, Hye Young Jang, Young Ko
BMC Geriatrics.2022;[Epub] CrossRef
Long-term Monitoring of Changes in Blood Pressure, Blood Glucose, and Total Cholesterol Levels among Frail Older Individuals Receiving Home Health Care Nursing in South Korea
Young-Ran Chin, Hyo Young Lee
Journal of Community Health Nursing.2021; 38(1): 13. CrossRef
Type 1 Diabetes Home Care Project and Educational Consultation
Eun Chong Shin
The Journal of Korean Diabetes.2020; 21(2): 88. CrossRef

Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure: Sang Rim Lee, In Sook Lee, Seung June Oh, Sung Hwa Kim, Young Ran Chin; J Korean Acad Community Health Nurs. 2018;29(4):467-475. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.467

1,079 View
11 Download

Abstract PDF: PURPOSE
The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP).
METHODS
This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed.
RESULTS
The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence.
CONCLUSION
Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.

Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types: Hee Girl Kim, Ryoun Sook Lee, Soong Nang Jang, Kwang Byung Kim, Young Ran Chin; J Korean Acad Community Health Nurs. 2018;29(3):267-278. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.267

822 View
9 Download
5 Citations

Abstract PDF

PURPOSE
This study is to investigate working conditions including job stress among visiting nurses in public health centers in Korea.
METHODS
An social network based mobile survey was conducted in May 2017 (N=936, response rate: 47.0%).
RESULTS
The visiting nurses in this study had their average total career as a nurse is 13.7 years. The 68.3% of them were employed in an indefinite term, 17.0% were hired in a fixed term, and 11.0% came from outsourcing. They responded as high job-stress level including inadequate compensation (71.22/100) and job demands (71.91/100). They experienced down-talk (63.4%), swearwords (32.9%), being made a dirty face (39.9%), sexual jokes (30.8%), or being likened or evaluated with their appearance sexually (14.3%). Among the causes of job related conflicts and discrimination, deprived salary level was the most frequent reason (83.4%). The conflicts and discrimination were incurred by government officers (52.4%). There were no significant differences in overall job stress, emotional labor, organizational commitment, violence, and discrimination experience based on their employment types.
CONCLUSION
The differences in working conditions among the non-regular nurses were trivial, and their overall working conditions were poor. It is necessary to improve non-regular nurses' working conditions in order to make up the limitations of the Korean healthcare system which is centered on hospitals.

Citations

Citations to this article as recorded by

Classifying Studies on Workplace Violence for Visiting Nurses Using the Social-Ecological Model: A Scoping Review
Eunjoo Kim, Juna Lee
Journal of Community Health Nursing.2024; 41(2): 96. 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
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
Nursing Students' Practice Experience on Community Visiting Nursing
Jae-Hyun Ha, Jeong-Hee Park
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43. CrossRef
Emotional Labor, Job Stress and Professional Quality of Life of Public Health Nurses according to the Employment Type
Kyung Sook Cho, Yunmi Kim
Journal of Korean Academy of Nursing Administration.2019; 25(5): 467. CrossRef

A Comparative Study between American Public Health Nurse Core Competency and Community Health Nursing Practicum in a Province: Han Ju Lee, Jung Hyun Choi, Sa Saeng Hyeon, Chun Mi Kim, Young Ran Chin; J Korean Acad Community Health Nurs. 2017;28(3):334-346. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.334

850 View
5 Download
4 Citations

Abstract PDF

PURPOSE
This study attempts to examine the extent to which competencies were identified in a Korean community nursing practice based on the 11 core competencies required by US health nurses.
METHODS
This was a descriptive research study, and the subjects of this study were 11 students who were in a four-year nursing course. Data were collected by means of a questionnaire from October 19 to November 22, 2016.
RESULTS
Core competencies in total were practiced in 60.0% to 98.5% of schools in Korea. Among these, competencies corresponding to the practice level of â€˜highâ€™ were identified as â€˜communicating effectively with community nursing subjects and colleagues, and accepting various personal characteristics without criticism or prejudiceâ€™. On the other hand, competencies corresponding to the practice level of â€˜lowâ€™ were identified as â€˜to comply with social justice, public good, public health principles, and leadership in a community nursing practiceâ€™.
CONCLUSION
This study can be used as a resource to categorize the competence of nursing students expected in the field of community nursing. Based on a careful review of core competencies with low practice, it is necessary to seek specific practical strategies to strengthen these competencies in the future.

Citations

Citations to this article as recorded by

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
A Preliminary Study for the Curriculum Development of Community Care Coordinators: Educational Needs Analysis
Han Nah Park, Ju Young Yoon, Soong-Nang Jang, Hye Jin Nam
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 153. CrossRef
A Study on Global Nursing Practice Education Experience
Eun Sil Cho, Myoung Hee Seo, Soo Ok You, Ok Hee Ahn, Myeoung Hi Song
Journal of Korean Academy of Community Health Nursing.2021; 32(4): 485. CrossRef
Educational needs for the development of a simulation module of home visiting care for the frail elderly
Junhee Ahn, Youngran Yang
The Journal of Korean Academic Society of Nursing Education.2021; 27(1): 68. CrossRef

Review

Direction of the Community Health Nursing Practice Education Focusing on the Nursing Education Accreditation Criteria: Kyung Ja June, Young Ran Chin, Hee Girl Kim, Chun Mi Kim, Yeon Yi Song, Souk Young Kim, Han Ju Lee, Ihn Sook Jeong, Ki Soon Seo, Kyung Won Choi; J Korean Acad Community Health Nurs. 2016;27(2):183-192. Published online June 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.2.183

822 View
8 Download
6 Citations

Abstract PDF

PURPOSE
The purpose of this study was to seek the direction of community health nursing practice education focus on the nursing education accreditation criteria.
METHODS
We collected data through e-mail survey to all of 202 Korean nursing baccalaureate education institute in April, 2016. The 93 professors teaching community health nursing was responded about their affiliated institute (response rate 46.0%).
RESULTS
The Korean nursing graduates in Feb. 2016 was practiced 3.01 credits, 131.6 hours in community health nursing course. Community health nursing practice agency was public health center (98.9%), Public health center post (43.0%), Public health center branch (32.3%) in order. The possibility to achieve the course objectives up to national examination was recognised Public health center (3.4), Public health center post (3.3), Public health center branch and school (3.2) from 5 score likert scale. A lot of nursing education institute have difficulty in clinical placement in community health nursing practice agency that meet eligibility of preceptor and space gaining for only nursing students.
CONCLUSION
The nursing education accreditation criteria in 3rd cycle have to be considered real community health nursing practice situation and newly emerging community health nursing fields.

Citations

Citations to this article as recorded by

A Preliminary Study for the Curriculum Development of Community Care Coordinators: Educational Needs Analysis
Han Nah Park, Ju Young Yoon, Soong-Nang Jang, Hye Jin Nam
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 153. CrossRef
Educational needs for the development of a simulation module of home visiting care for the frail elderly
Junhee Ahn, Youngran Yang
The Journal of Korean Academic Society of Nursing Education.2021; 27(1): 68. CrossRef
A Study on Global Nursing Practice Education Experience
Eun Sil Cho, Myoung Hee Seo, Soo Ok You, Ok Hee Ahn, Myeoung Hi Song
Journal of Korean Academy of Community Health Nursing.2021; 32(4): 485. CrossRef
Development and Effects of Head-Mounted Display-Based Home-Visits Virtual Reality Simulation Program for Nursing Students
Min Kweon Ahn, Chong Mi Lee
Journal of Korean Academy of Nursing.2021; 51(4): 465. CrossRef
Analysis of Current Status of the Community Health Nursing Practice Education
Yoo Hyang Cho, Eun Young Do, Kyung Sook Kang, Young Me Kim, Younkyoung Kim, Farrah Rou, Chong Mi Lee, In Hee Choi, Hee Chung Choi
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 347. CrossRef
A Comparative Study between American Public Health Nurse Core Competency and Community Health Nursing Practicum in a Province
Hanju Lee, Junghyun Choi, Sa Saeng Hyeon, Chun Mi Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 334. CrossRef

Original Articles

The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community: Gwang Ha Jung, Young Ran Chin; J Korean Acad Community Health Nurs. 2015;26(2):69-78. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.69

857 View
1 Download
1 Citations

Abstract PDF

PURPOSE
This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP).
METHODS
This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks.
RESULTS
After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group.
CONCLUSION
These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

Citations

Citations to this article as recorded by

The Role of Disability Acceptance and Emotional Support in the Association between Negative Experiences and Depression in Disabled People with Cancer: A Moderated Mediation Model
Young Won Shin, Min Jin Jin, Myoung-Ho Hyun
STRESS.2022; 30(4): 244. CrossRef

Analysis of the Current Hypertension Control Program in Public Health Centers: In Sook Lee, Young Ran Chin; J Korean Acad Community Health Nurs. 2004;15(3):385-396. Published online September 30, 2004

209 View
0 Download

Abstract PDF: PURPOSE
Hypertension has been a major cause of death in Korea since the 1970s, and has resulted in being a significant economic burden to the finances of national health care. The Ministry of Health and Welfare made several efforts, but hypertension control programs in Korea are still non-standardized and ineffective. We wanted to investigate the current hypertension control program in public health centers systematically and suggest the direction for future programs.
METHOD
The design of this study is a cross-sectional investigation. From September to October in 2002, we sent a set of questionnaires to all PHCs, and 179 centers responded (response rate= 74.0 %). The instrument was developed based on components of National health systems.
RESULTS
1) Resources: The department responsible for hypertension control programs is the Department of Health Promotion, Health Education Center, Community Health Center, Citizen's Health Center, etc. The chief personnel of those departments are nurses, but 27.4% of PHCs have no full time nurse for hypertension management programs. PHCs had a lot of teaching materials (nine types per a PHC) and most of the recommended contents were included. But, periodical evaluation and revision were not being made. 2) Management: Nurses' (13.03 9.46 in 23 score) actions for hypertension control were not qualitative, but regular training and evaluation were seldom carried out. Need assessment (25.9%) and evaluation (about 10-20%) for the hypertension control program were indicated as low. 3) Programs: Programs focused on individuals rather than community or public, and 2nd prevention rather than 1st, 3rd prevention.
CONCLUSION
The Ministry of Health and Welfare has to construct the infrastructure for hypertension control programs. Related scholars and committees should develop and declare standardized manuals for hypertension control and the management system, as well.

Analysis of the Effects and Nursing Intervention of Home Health Care in Public Health Centers: Young Ran Chin, In Sook Lee, Hyun Sook Chang; J Korean Acad Community Health Nurs. 2004;15(3):353-364. Published online September 30, 2004

168 View
0 Download

Abstract PDF: PURPOSE
The purpose of this study was to investigate the types and frequencies of nursing intervention of home health care in Public Health Centers and its effects.
METHOD
The data collection period for this study lasted from March 1 to December 31, 2003. The clients were sampled by a stratified randomized method among those who had been cared for at least 3 months. The data was analyzed by SPSS for description, ANOVA, paired t-test, etc.
RESULT
The types and frequencies of nursing intervention in major chronic health problems were significantly different. The main types of nursing intervention in hypertension and DM patients included education on disease management, regular exercise, stress management, diets, etc. CVA patients were intervened in pain control (ice or hot pack, massage), position changes, and ROM exercise. Cancer patients received imaginary or relaxation therapy, pain control (ice or hot pack, massage), hospice, etc. After the intervention, the drug compliance of hypertension (8.2 days per month) and DM patients (6.2 days per month) improved. Blood sugar levels (FBS 7.6, post-partum 2hrs 21.4 (mg/dl) and blood pressure(systolic 9.8, diastolic 4.3 mmHg) lowered significantly. All aspects of QOL also improved (total 3.68).
CONCLUSION
The types and frequencies of nursing intervention were determined by characteristics of the health problems, and home health care nursing intervention in Public Health Centers was effective to the elderly of the community in many aspects.

Effect of Rhythmic Exercise Program to Elderly on Risk Factors of Fall Injury: In Sook Lee, Young Ran Chin, Dong Ok Lee, Yun A Kim, Kyeng Ae Baek; J Korean Acad Community Health Nurs. 2001;12(3):600-608. Published online December 31, 2001

170 View
0 Download

Abstract PDF: Accidents are the fourth-leading causal factor of death among the elderly, and fall is a major type of accident (53.17%). Many cases of falls in the elderly result in delayed discovery and loss of quality of life. As the number of the elderly grows, falls will be a more important health problem. Most previous research on falls investigated prevalence, mortality, and the related factors. There are many studies proving the effect of rhythmic movements. But few researches considered linking risk factors of fall with rhythmic movements. PURPOSE: We want to show the changes after performing rhythmic movement program, in risk factors of falls and mobility such as flexibility, balance, muscle power and persistency in the elderly, in order to provide basic information needed for the development of fall injury prevention program for the elderly.
METHOD
The design of this study is quasi-experimental, the equivalent control group, pretest-posttest. The subjects consist of 124 people who lived in Do-Bong-Gu, Seoul, agreed to participate in this study, and were able to follow this rhythmic movement program. About 93% of them are from 65 to 84 years (Mean+/-sd: 73.7+/-5.7); 64% are female. The rhythmic movement program was designed, and performed by two community health nurses working in the Do-Bong-Gu Public Health Center, regularly twice a week from May, 4 to December, 17, in 10 senior citizens' community centers. Risk factors of fall were measured with RAFS-II (Risk Assessment for Falls Scale II) by asking about each item; mobility was measured by observing their specific movements asked by investigators.
RESULTS
1. After performing the program during 7 months, risk factors score of falls were decreased significantly (paired-t = 4.77, p>0.01). 2. After performing the program during 7 months, flexibility (paired-t = 2.26, p=0.03) and mobility were improved (paired-t = 4.98, p>0.01), but muscle power and persistency did not change (paired-t = 0.33, p=0.74). Overall, mobility affecting the occurrence of falls was improved significantly (paired-t = 5.15, p>0.01).
CONCLUSIONS
A regular rhythmic movement program can be helpful in preventing falls in the elderly. Further, we can develop a fall injury prevention program using rhythmic movement.

A Trend of Research in Community Health Nursing: In Sook Lee, Yu Na Kim, Key Won Choi, Young Ran Chin; J Korean Acad Community Health Nurs. 2001;12(1):288-298. Published online March 31, 2001

143 View
0 Download

Abstract PDF: This article makes an attempt to evaluate the extent of developing community health nursing knowledge and to suggest the direction of developing a body of knowledge henceforth through the results of analysis for contents and outcomes of all literatures, which have been published in the Journal related to community health nursing. Refer to the following for the result of this article. 1. The total number of literatures analyzed amounted to 100 pieces in Journal of community health nursing society, 78 in Journal of industrial nursing society, 134 in Journal of school health society, 40 in Journal of home care nursing society. 2. Journal of community health nursing society Health needs and educational-behavioral diagnoses, which are more concrete nursing assessments and diagnoses, formed the main current(54%) of articles published in Journal of community health nursing society since 1992. There was a quantitative growth as well as a qualitative advance. Through a classification by the type of a body of knowledge, It was found that the knowledge providing nursing practice with bases, commanded an overwhelming majority(71.8%). Also, Researches on systemic supports for nursing practice are showing a tendency to increase. 3. Journal of industrial nursing society 52.6% of research papers presented in Journal of industrial nursing society dealt with health problem of workers, assessment of risk factors, diagnosis of health behaviors. Because of the beginning of an industrial nursing, the domain of nursing management to establish the role and task, work condition, training, documentary system made up 23 percent of research subjects. A knowledge providing nursing practice with bases have a majority, 69.2%. In addition, the subject concerning a systemic support and quality assurance was scarce but continuously presented. 4. Journal of school health society The major point of this journal is the identification of health problems and risk factors which belong to assessment and diagnosis domain(56.8%) regardless of year. Because of the interdisciplinary characteristic, The knowledge on quality assurance of nursing practice is relatively rare. But, articles related to a systemic support is plentiful. 5. Journal of home care nursing society In its infancy, there was a large number of papers concerning need assessment and diagnosis. Comparing others, this journal has introduced a good many of articles related to program management, delivery system, service fee, etc that belong to domain of systemic support for nursing practice. 6. It is showing definitely that quantity and extent of research have grown for a short period. See the analysis in terms of nursing process, studies related to the domain of assessment and diagnosis command an absolute majority regardless of kinds of journal. Although articles referring to program management and implementation is increasing in number, it is scarce to evaluate a nursing program and grope for an improvement. Also, program development based on a theoretical framework is little. Therefore much more scientific effort to ensure profession should be executed. 7. In the methodological aspect, longitudinal study needs to be carried out so that we could show the evidence based nursing theory. To develop a more general theory, we have to conduct a study of various subjects and improve a validity of tools through a repeat test. In addition, the effort for interdisciplinary cooperation is needed.

First
Prev
Page of 1
Next
Last

Search