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

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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.

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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

Health Management Experience of Residents through Participation in the Community Based Hypertension and Diabetes Registry Program: Mi Kyoung Park, Hyeung Keun Park, Hyun Ju Kim, Ok Jin Kim, Moon Yeon Gong; J Korean Acad Community Health Nurs. 2021;32(4):518-528. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.518

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Abstract PDF

Purpose
This study was conducted to explore the healthcare experience of residents participating in the CommunityBased Hypertension and Diabetes Registry Program.
Methods
This study used qualitative content analysis. Data were collected from in depth interviews of fifteen participants, who either participated in the program hosted by the Training Center for Hypertension and Diabetes for more than two years or participated in an intensive one-on-one education program.
Results
The results showed that the core theme in healthcare of participants was ‘Proactive healthcare with attention and systematic guidance of experts’. The positive reinforcement of staffs and the improvement of self-efficacy through effective close management were found to be positive influencing factors of participation. The theme consisted of the following categories: ‘Participation in the program with positive expectations on healthcare’, ‘Interest in body and health’, ‘Vitality in life’, ‘Confidence in dealing with disease’, ‘Thankfulness for close care and attention’, and ‘Desire for continuous care’.
Conclusion
When establishing policies on managing chronic diseases, a strategy that reflects the results of the study is required. It is necessary to build up emotional relationship among stakeholders, and expand opportunities for close healthcare such as one-on-one customized training, and mutual cooperation with various organizations in the local community.

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Public–Private Partnership: Participants’ Experiences of the Web-Based Registration-and-Management System for Patients with Hypertension and Diabetes Mellitus
Seonah Lee, Nanyoung Song, Suhyun Kim
Healthcare.2023; 11(9): 1297. CrossRef
Community-Based Intervention for Elderly Patients with Diabetes Mellitus: Assessing the Effectiveness of a YouTube Self-Education Program during the Global COVID-19 Pandemic
Hyo-Rim Son, So Youn Park, Ye-Jin Ko, Da-Woon Jung, Eun-Sook Won, Aie-Hee Cho, Do Hyun Shin, Chun-Bae Kim
The Journal of Korean Diabetes.2023; 24(4): 232. CrossRef
Changes in daily physical activities by income level according to the prevalence of hypertension and diabetes during the COVID-19 pandemic: The 2020 Community Health Survey
Minsun Yoon, Hyunsuk Jeong, Boyoung Bae, Nayoung Hong, Hyeon Woo Yim
Korean Journal of Health Education and Promotion.2022; 39(2): 15. CrossRef

Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone: Mi Sook Song, Sun Joo Boo; J Korean Acad Community Health Nurs. 2016;27(4):319-326. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.319

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Abstract PDF

PURPOSE
The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs.
METHODS
This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions.
RESULTS
Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased.
CONCLUSION
Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.

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Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study
Eun Jeong Hwang, In Ok Sim
International Journal of Environmental Research and Public Health.2019; 17(1): 220. CrossRef
Factors related to the difference in the incidence of caries between children in fluoridated and non-fluoridated areas
Sang-Jun Han, Yong-Bong Kwon, Se-Yeon Kim, Ji-Soo Kim, Jung-Ha Lee, Jin-Bom Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 136. CrossRef
Associations of Community Water Fluoridation with Caries Prevalence and Oral Health Inequality in Children
Han-Na Kim, Jeong-Hee Kim, Se-Yeon Kim, Jin-Bom Kim
International Journal of Environmental Research and Public Health.2017; 14(6): 631. CrossRef
Logistic regression analysis of factors affecting the survival of central incisors in Korean adults
Jong-bae Kim, Sung-Suk Chung, Hae-Jin Lee, Young-Sam Kim, Jae-Gyu Jeon, Kee-Wan Chang
Journal of Korean Academy of Oral Health.2014; 38(4): 263. CrossRef
Logistic regression analysis of factors affecting survival of permanent second molars in Korean adults
Gwang-Seok Kim, Hae-Jin Lee, Young-Sam Kim, Jae-Gyu Jeon, Kee-Wan Chang
Journal of Korean Academy of Oral Health.2013; 37(4): 232. CrossRef

A Systematic Review of Literature on Community Health Center Exercise Programs: Suk Jung Han, Young Ran Lee, Chung Min Cho, Mee Young Im; J Korean Acad Community Health Nurs. 2015;26(1):18-30. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.18

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Abstract PDF

PURPOSE
The purpose of this study was to investigate the research methods, types and effects of community health center exercise programs for the elderly.
METHODS
We established the PICOTS-SD (Participants, Interventions, Comparisons, Outcomes, Timing of outcome measurement, Setting, Study Design), reviewed 583 studies from electronic database of DBpia, KoreaMed, KISS, RISS, NDSL and Pubmed, and finally selected 20 studies based on the inclusion and exclusion criteria. Methodological quality was assessed with the Risk-of-Bias Assessment tool for non-randomized studies.
RESULTS
With regard to research methods, the majority of studies on community health center exercise programs for the elderly were performed after 2010 and using non-equivalent control group pretest-posttest research design. As for the types and effects of exercise programs, the exercise period ranged from 6 to 28 weeks, and the most common exercise frequency was three times a week for 60 minutes. In addition, mixed-type and group exercise programs were performed most commonly.
CONCLUSION
The results of this study provide a basis for the development of exercise programs to improve elders' health.

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Effects of Changes in Physical Activity with Cognitive Decline in Korean Home-Dwelling Older Adults
Hyunjong Song, Jin-Hwa Park
Journal of Multidisciplinary Healthcare.2022; Volume 15: 333. CrossRef
A grounded theory approach toward the walking practice and health promotion of urban older adults
Dong Ha Kim, Seunghyun Yoo
Korean Journal of Health Education and Promotion.2022; 39(1): 73. CrossRef
Deriving the Components of Lifestyle-Related Occupational Therapy Intervention Program for the Elderly: Through the Delphi Technique
Yun-Chan Shin, Da-Sol Park, Eun-Hye Cho, Kyung-A Won, Dae-Sung Han, Jung-Ran Kim
Journal of Korean Society of Occupational Therapy.2020; 28(1): 45. CrossRef

The Effectiveness of a Forest-experience-integration Intervention for Community Dwelling Cancer Patients' Depression and Resilience: Yeon Hee Choi, Young Sun Ha; J Korean Acad Community Health Nurs. 2014;25(2):109-118. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.109

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PURPOSE
This study examined the effectiveness of a forest-experience-integration intervention in community dwelling cancer patients.
METHODS
The study was done with a nonequivalent control group pretest-posttest design. The subjects of the present study were 53 community dwelling cancer patients who were registered in a community health center in Gyeongsangbuk-do. The subjects were divided into an experimental group (n=26) who participated in the forest-experience-integration intervention and a control group (n=27) who did not participate. Data were collected from May to June in 2011. Collected data were analyzed using SPSS PC+ 19.0 through chi2 test, and independent t-test.
RESULTS
There were significant differences between the groups in depression (t=-4.51, p<.001), self-regulation resilience (t=6.95, p<.001), interpersonal resilience (t=10.10, p<.001), positivity resilience (t=9.67, p<.001), and total resilience (t=13.93, p<.001) measurements.
CONCLUSION
The forest-experience-integration intervention delivered to community dwelling cancer patients was an effective method for relieving depression and enhancing self-regulation resilience, interpersonal resilience, positivity resilience, and total resilience, and can be utilized as an effective nursing intervention for community dwelling cancer patients.

Citations

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Effects of an urban forest healing program on cancer-related fatigue in cancer survivors
Kwang-Hi Park, Haneul Lee, Eun Young Park, Ji Hyun Sung, Min Kyung Song, Miyoung An, Esther Bang, Sang Yi Baek, Yerim Do, Sieun Lee, Youngeun Lim
Supportive Care in Cancer.2024;[Epub] CrossRef
Analysis of Perceptions, Preferences, and Participation Intention of Urban Forest Healing Program among Cancer Survivors
Eun Young Park, Min Kyung Song, Sang Yi Baek
International Journal of Environmental Research and Public Health.2023; 20(2): 1604. CrossRef
A present from the forest: Focus group interviews on cancer survivors’ forest experiences
Eun Young Park, Mi Young An, Ji Hyun Sung
Asia-Pacific Journal of Oncology Nursing.2022; 9(8): 100105. CrossRef
Forest therapy can prevent and treat depression: Evidence from meta-analyses
Claudio D. Rosa, Lincoln R. Larson, Silvia Collado, Christiana C. Profice
Urban Forestry & Urban Greening.2021; 57: 126943. CrossRef
Effect of Forest Therapy on Depression and Anxiety: A Systematic Review and Meta-Analysis
Poung-Sik Yeon, Jin-Young Jeon, Myeong-Seo Jung, Gyeong-Min Min, Ga-Yeon Kim, Kyung-Mi Han, Min-Ja Shin, Seong-Hee Jo, Jin-Gun Kim, Won-Sop Shin
International Journal of Environmental Research and Public Health.2021; 18(23): 12685. CrossRef
Resilience in Koreans With Cancer
Shin-Young Lee, Haeok Lee, Jacqueline Fawcett, Jeong-Hwan Park
Journal of Hospice & Palliative Nursing.2019; 21(5): 358. CrossRef
Effects of Forest Therapy on Depressive Symptoms among Adults: A Systematic Review
Insook Lee, Heeseung Choi, Kyung-Sook Bang, Sungjae Kim, MinKyung Song, Buhyun Lee
International Journal of Environmental Research and Public Health.2017; 14(3): 321. CrossRef
The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency
Young Sil Kang, In Soo Kwon, Eunyoung Hong
Journal of Korean Public Health Nursing.2016; 30(3): 445. CrossRef

Nursing Students' Experience in Community Health Center Practice: Hyun Joo Park, In Sun Jang; J Korean Acad Community Health Nurs. 2010;21(2):188-199. Published online June 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.2.188

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Abstract PDF

PURPOSE
The objective of this study was to understand the meaning of experience on community health centers (post) practice of nursing students.
METHODS
This is qualitative research using focus groups. Data were collected through in-depth interviews performed from November 10 to December 11, 2009. The focus group interviews were conducted to 22 nursing students on their subjective experiences. The data were analyzed by the Colaizzi's method, in which the meaningful statements were extracted.
RESULTS
Seven theme-clusters were identified from fourteen themes and thirty-one sub-themes. The seven theme-clusters were 1) widening of experiences; 2) feeling of warm heart; 3) feeling of satisfaction; 4) feeling of being unfulfilled; 5) difficulties; 6) new awareness; and 7) good memories.
CONCLUSION
Through a variety of relationships and self-regulation in community health centers (post) practice, the nursing students may have the feeling of worthiness, new awareness of community nursing, and visions for the future to rebuild.

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Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman's Stress-Coping Model
Sung Hae Kim, JuHee Lee, MiRa Jang
Journal of Korean Academy of Nursing.2019; 49(4): 437. 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

The Effects of Walking on the Physical Health of Residents in Rural Areas: Chun Mi Kim; J Korean Acad Community Health Nurs. 2008;19(3):349-357. Published online September 30, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to analyze the effect of walking on physical health such as body composition, blood pressure, blood glucose and blood lipids for residents in rural areas.
METHOD
Data were collected from 109 residents at 4 community health centers and during the 12 weeks' period between May and July, 2007 with quasi-experimental pre/post-test design. The data were processed with SPSS Win 12.0.
RESULT
69.5% of the subjects had chronic degenerative diseases such as hypertension, arthritis and diabetes mellitus. Also, 52.9% had overweight and 14.7% had excessive obesity. There were significant positive changes in BMI, blood pressure, blood glucose and LDL among obese residents. However, there was no significant difference in total cholesterol, triglycerides and HDL among blood lipids.
CONCLUSION
This study showed that a 3 months' walking program had positive effects on physical health and it should be continued.

Evaluation of Community Health Center for Vulnerable Population in Urban Areas: Kyung Min Park, Chung Nam Kim, Hyo Jung Koh, Yeong Sook Park, Jung Sook Park; J Korean Acad Community Health Nurs. 2007;18(2):266-275. Published online June 30, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to evaluate achievements of a community health center for vulnerable population in urban areas and to find out its strength and weakness.
METHOD
This evaluative study employed system theories and analytic techniques.
RESULTS
The purpose of improving vulnerable population's health-related self-care abilities adequately met the operation of programs. This center maintained close connection to a nursing college as a information resource. The subjects' satisfaction was high because team members who visited them were faithful and there were face-to-face contact, sufficient time set, closeness and resourcefulness. There were needs for regular meetings to discuss overall matters in organizing the program and to improve management skills. The mean score of health promotion lifestyle was 2.23 on a 4 point scale. This score indicates what in higher than vulnerable people in other communities.
CONCLUSIONS
Community-based nursing centers for vulnerable population in urban areas should be developed as support organizations and community network.

The Effect of an Obesity Control Program on Body Composition and Blood Lipid Level among Middle-aged Obese Women in a Health Center: Jeoung Ha Sim, Dae Gyu Go, Young Ju Yoo; J Korean Acad Community Health Nurs. 2007;18(2):201-210. Published online June 30, 2007

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Abstract PDF: PURPOSE
The Purpose of this study was to examine an obesity control program using dietary consult and physical exercise among middle-aged obese women in a health center.
METHOD
This study used a pretest-posttest design. The subjects were 63 middle-aged women with over BMI 25(Kg/m2) or %BF 28 who participated in the obesity control program for 12 weeks.
RESULTS
After the program for 12 weeks, BMI(p= .02) and TC(p= .00) decreased significantly compared with those before the program.
CONCLUSION
Obesity control programs in health centers can decrease the degree of obesity in middle-aged obese women. Therefore health centers should develop strategies for their members' continuous participation in such an obesity control program.

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