Research in Community and Public Health Nursing

Review Article

[English] Trends in Disaster Nursing Competency Research: A Keyword Network Analysis: Seunyoung Joe, Seoyoung Baek, Mijung Lee; Res Community Public Health Nurs. 2025;36(4):447-460. Published online December 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01228

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Abstract PDF: Purpose
This study aimed to examine research trends and thematic keyword networks in disaster nursing competency literature published up to September 15, 2024. Methods: A retrospective descriptive design was used to analyze English-language articles retrieved from five databases (CINAHL, Cochrane, Embase, PubMed, and Web of Science) through September 15, 2024. Following PRISMA guidelines, 256 articles and 1,318 keywords were extracted. NetMiner 4.0 was used for keyword preprocessing and analysis. Word clouds and text network analyses were performed. Degree and betweenness centralities were calculated to determine keyword prominence and network roles. Results: Annual publications increased notably after 2020, coinciding with the COVID-19 pandemic. Studies originated from 32 countries, with the United States, China, and Iran leading. Cross-sectional quantitative (34.0%) and qualitative studies (26.6%) were the most commonly used study designs. From 44 high-frequency keywords, “nurses,” “preparedness,” “competency,” and “disaster nursing” ranked highest in both centrality measures. “Education” and “management” also showed strong centralities. Cluster analysis revealed that preparedness and response phases were emphasized more than mitigation and recovery. Conclusion: This study provides a comprehensive visualization of disaster nursing competency research. Findings highlight the dominance of preparedness-focused studies, limited exploration of mitigation and recovery. Future research should prioritize broader disaster phases, standardize terminology, and conduct evidence-based intervention studies to strengthen disaster nursing practice and education.

Original Articles

[English] Effects of a Flipped Learning-Based Integrated Theory and Practice Educational Program on Excretion Care Robot: Yoo Jin Sim, Mi Young Kim; Res Community Public Health Nurs. 2025;36(4):407-419. Published online December 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01214

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Abstract PDF: Purpose
This study aimed to develop a flipped learning–based integrated education program that combines video-based prelearning, theoretical lectures, and hands-on training on excretion care robots. The program was applied to nurses to verify its effects on their knowledge, attitudes, and skills related to excretion care and the use of such robots. Methods: A randomized controlled trial was conducted with 50 nurses working at a hospital in Seoul, Republic of Korea. The experimental group received a flipped learning–based integrated education program, which included asynchronous pre-learning, in-person didactic session, and in-person hands-on session. The control group received basic education on the use of excretion care robots. Outcome variables included knowledge, attitudes (self-efficacy, perceived usefulness and ease of use, anxiety, intention to use), and skills (proficiency, accuracy of execution and outcomes). The data were analyzed using independent t-tests. Results: Compared to the control group, the experimental group showed significantly higher scores in knowledge, self-efficacy, perceived usefulness and ease of use, intention to use, proficiency, and accuracy of the performance. Additionally, their level of anxiety regarding excretion care robots was significantly lower (p<.05). Conclusion: The integrated education program combining video, theoretical, and practical components was effective in enhancing nurses' knowledge, attitudes, and skills. These results suggest that such a program can serve as a valuable educational strategy to facilitate the clinical adoption of technology-based care devices like excretion care robots.

[English] Education Needs for Public Health Crisis Using an Importance-Performance Analysis and Borich Needs Assessment Model: Focused on Aircraft Quarantine Officials: Jiyun Park, Gye Joung Yeom, Seok Hwan Kim; Res Community Public Health Nurs. 2025;36(4):361-372. Published online December 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01193

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Abstract PDF: Purpose
This study aimed to investigate the importance and performance levels of the duties related to public health crisis response of the aircraft quarantine officials and to analyze their educational needs for public health crisis. Methods: The subjects were quarantine officials at Incheon airport in Korea, and data from a total of 121 individuals were utilized for analysis. Data were analyzed by an independent t-test, paired t-test, and one-way ANOVA for the importance and performance of duties regarding public health crisis according to general characteristics. An Importance-performance analysis (IPA) and Borich needs assessment model were used to analyze public health crisis education needs. Results: The IPA analysis revealed that the area requiring focused improvement efforts (concentrate here), where importance is high, but performance is low, primarily includes epidemiological investigation of emerging infectious diseases. The Borich needs assessment was used to identify the following priority items: epidemiological investigation of emerging infectious diseases, occurrence of social disaster after patient isolation, donning and doffing of personal protective equipment (PPE), and epidemiological investigation of respiratory infectious diseases. Conclusion: Based on these results, it will be necessary to develop and implement practical education and training programs for aircraft quarantine officials.

[Korean] The Midwifery Training Program at Ilshin Women’s Hospital and Its Meaning: From 1953 to 1978: Eunyoung Kim, Jihyun Lee; Res Community Public Health Nurs. 2025;36(3):292-303. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01109

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Abstract PDF: Purpose
The purpose of this study is to examine the meaning of the midwifery training program initiated by Australian missionaries at Ilshin Women’s Hospital in 1953. Methods: Historical methodology using the annual reports (1953-1970) published by Ilshin Women's Hospital and related newspapers, magazines, and books as the primary source. Results: The Ilshin Women’s Hospital was established in 1952 by Australian missionaries Helen P. Mackenzie and Catherine M. Mackenzie. In response to the exigencies of the Korean War, the hospital initiated a program to train midwives in 1953. The objective of midwifery training program was to improve the health of women and children by providing nurses with sufficient education and training to be responsible for prenatal care and normal delivery service. As of December 1978, a total of 1,037 nurses had received midwifery training over a period of 26 years. These midwives have advanced into urban and rural areas across the country to take charge of maternal and child health care, contributing to reducing the gap in maternal and child health practice. Conclusion: The midwifery training program at Ilshin Women's Hospital has had an impact on enhancing maternal and child health at the community and national levels by graduating professional healthcare personnel through hands-on training that can be put into practice. It has also improved the level of maternal and child health in Korea through its systematic midwifery education and management system.

[Korean] Exploring Future Directions for Multicultural-Friendly Health Education Programs: Peer Mentorship and Family-Centered Approach: Hyesun Jang, HyuKyoung Park, Sojung Lee, EunSeok Cha; Res Community Public Health Nurs. 2025;36(3):257-267. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01095

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Abstract PDF: Purpose
With the growing number of immigrants in Korea, immigrant health has become a significant public health concern. This study aimed to explore immigrant women's motivations for and experiences of participating in a community-based prenatal pilot program, with the goal of informing the future development and expansion of multicultural-friendly educational content and effective delivery systems to promote health.
Methods
Among 19 participants in the program, six immigrant women who had lived in Korea for over three years were invited to participate in an exit group interview. The two-hour session was moderated by two qualitative research experts, digitally recorded, and transcribed verbatim. A content analysis was conducted using triangulation to ensure credibility and depth.
Results
Participants were motivated to join the program both to receive help and to offer help to others. Their experiences included a sense of comfort and joy from receiving accurate health information and forming new relationships, as well as building trust through educational and emotional support. They also expressed unmet needs, such as expanding health education content and including their family members as part of the target audience. Furthermore, they wished to be acknowledged as active contributors to Korean society by serving as peer mentors.
Conclusions
There is a need to develop culture-friendly health education programs for improving immigrant health. Bilingual and bicultural immigrant women can play vital roles as community health workers, promoting public health and health equity. This approach may also support their social reintegration and empowerment.

[English] Job Analysis of Nurses Working at Dementia Care Centers Using DACUM: Yong-Sun Shin, Jong-Eun Lee; Res Community Public Health Nurs. 2025;36(1):21-34. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00927

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Abstract PDF: Purpose
The purpose of this study is to conduct job analysis of nurses at dementia care centers and to identify the importance, frequency, and difficulty of each duty and task.
Methods
Through Developing a Curriculum (DACUM) Committee workshop, the committee members developed a job analysis tool using DACUM, and the nurses working at dementia care centers evaluated the importance, frequency, and difficulty of each duty and task.
Results
The jobs of the nurses were derived from 10 duties and 66 tasks, and each duty consisted of 3 to 10 tasks. The important duties were ‘public guardianship project for dementia’ and ‘dementia diagnosis screening,’ the most frequent duties were ‘consultation and registration management,’ and ‘dementia diagnosis screening,’ and the most difficult duties were ‘public guardianship project for dementia’ and ‘project planning and evaluation.’ Based on these results, the core duties and tasks were derived, and the top priority duties were ‘consultation and registration management,’ ‘case management,’ and ‘support for families and carers of dementia patients’.
Conclusion
The most recent duties of nurses, who have the largest proportion of workers at dementia care centers, were identified, and the core duties that should be given priority in selecting the direction of education for job performance and professional improvement were presented. Based on the application method of education and training presented in this study, it is important to detail education and training that is appropriate for and applicable to each duty to support the professionalism of nurses at dementia care centers.

[Korean] Factors Influencing Participation in Hypertension Management Education Among Diagnosed Hypertensive Patients in Busan: Utilizing the 2021 Community Health Survey: Hye Jung Jun, Kyoung Mi Kim; Res Community Public Health Nurs. 2024;35(4):424-433. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00759

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Abstract PDF: Purpose
This study investigated the completion rate of hypertension management education and its influencing factors among adults in the Busan region, utilizing data from the 2021 Community Health Survey.
Methods
The study included 3,660 adults aged 19 years or older who had been diagnosed with hypertension. Data were analyzed using SAS 9.4, focusing on demographic, socioeconomic, and health status characteristics.
Results
The results indicated that 22.1% of participants had completed hypertension management education. Key influencing factors varied by region: in the Western region, age, income, education level, marital status, and life satisfaction were significant factors associated with participation in hypertension management education. In the Southern region, income and education level were identified as relevant factors. Additionally, in the Central and Eastern regions, education level was a significant determinant.
Conclusion
Therefore, tailored hypertension management education programs that consider age, income, marital status, and life satisfaction are essential for residents in the Western region of Busan. Moreover, it is critical to enhance access to hypertension management education for low-income populations in the Southern region. Educational programs should also be designed to align with the educational levels of Busan residents to ensure effective hypertension management education.

[English] Effects of Virtual Reality Cardiopulmonary Resuscitation Practice on the Knowledge, Skills, and Attitudes of Nursing Students: A single-blind randomized controlled trial (RCT): Jui Kim, Jung-Hee Song, Young-Ok Ha; Res Community Public Health Nurs. 2024;35(4):415-423. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00689

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Abstract PDF

Purpose
This study aimed to assess the effects of virtual reality (VR) cardiopulmonary resuscitation (CPR)—as compared to those of face-to-face Basic Life Support (BLS) education—on nursing students’ knowledge, skills, and attitudes.
Methods
Forty-four participants were recruited from nursing schools in Gyeonggi-do, Republic of Korea, and randomized into two groups: VR CPR (experimental group) and BLS (control group). The participants’ CPR knowledge, cardiac compression quality, self-efficacy, confidence, and attitudes toward education were evaluated.
Results
At enrollment, the control and experimental groups showed similar results for all the variables. After the intervention, results showed that the cardiac compression score and the hand position accuracy in the experimental group were significantly higher than in the control group. Meanwhile, knowledge, self-efficacy, and confidence were improved in both groups, though there was no significant difference between the two groups.
Conclusion
The study results showed that VR CPR education is just as effective as face-to-face BLS training for nursing students. Therefore, developing high-quality VR educational content in the future is necessary.

Citations

Citations to this article as recorded by

Evaluating the effectiveness of virtual reality simulation in cpr training for nursing students: A randomized controlled trial
Gonul Bodur, Zehra Turhan, Yunus Emre Altun, Kimya Kilicaslan, Berkay Ali̇kan, Fatih Özer, Gülbeyaz Can
Nurse Education in Practice.2025; 87: 104486. CrossRef

[English] Effects of a School-Based Health Education for Cardiovascular Disease Prevention Among High School Girls: Minah Kang, Jina Choo; Res Community Public Health Nurs. 2024;35(4):363-374. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00647

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Abstract PDF: Purpose
We aimed to evaluate effects of a school-based health education for cardiovascular disease (CVD) prevention among high school girls.
Methods
Non-randomized cluster trial was conducted by recruiting two female high schools located in Seoul and allocating one school as a cluster to an experimental group and the other school as the other cluster to a control group. Participants were 169 first-year female high school students in two clusters. Of the participants, 84 were recruited in the experimental group and 85 in the control group. An intervention was an eight-week "School-based Health Education for CVD prevention". The experimental group received the intervention, while the control group received a CVD prevention handout. Measures were knowledge, self-efficacy, and health behaviors for CVD prevention. The pre-test and post-test were conducted.
Results
The experimental group participating in "School-Based Health Education for CVD Prevention" had significantly higher changes in knowledge, self-efficacy scores to prevent CVD, and health behaviors than the control group over eight weeks.
Conclusions
The "School-based Health Education for CVD Prevention" program may improve high school students' knowledge and self-efficacy as determinants of health behaviors as well as health behaviors to prevent cardiovascular disease.

[English] Analysis of Educational Needs of Home Care Nurses: Utilizing Borich’s Needs Assessment and the Locus for Focus Model: Dasom Kim, Hyeongsu Kim, Young Ko; Res Community Public Health Nurs. 2024;35(3):240-253. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00605

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Abstract PDF

Purpose
This study analyzed educational needs of home care nurses to improve the quality of home care service and identify priority educational subjects.
Methods
This study analyzed the training priorities of 54 home care nurses working at community service centers or public health centers in Seoul, Korea, using the Borich Needs Assessment and the Locus of Focus model. The home care nurses’ tasks were categorized into 21 tasks and 85 task elements.
Results
Six priority educational subjects were identified: 1) health assessment and monitoring, 2) nursing records and information management, 3) health education and counseling techniques, 4) home care supplies management, 5) recipient identification and communication skills, and 6) care recipient classification and management. Activities related to one-on-one health management, such as health screening, measurements, and disease management counseling, were found to be high priorities. In contrast, small group program planning and operation were rated as a low priority.
Conclusion
This study underscores the importance of incorporating identified educational needs into training curricula for home care nurses. Regular assessment and integration of these needs into educational programs are crucial for enhancing nursing competence and service quality.

Citations

Citations to this article as recorded by

Simulation Needs Assessment Project (SNAP): Use of the Borich Model in Undergraduate Medical Education
Samantha Wong, Bradson Serikawa, Meliza Roman, Nicole Hada, Jannet Lee-Jayaram, Benjamin W. Berg
International Medical Education.2025; 4(4): 42. CrossRef

[English] Developing a community-based, multicultural-friendly prenatal education pilot program: EunSeok Cha, Sojung Lee, Gui-Nam Kim, Byung Hun Kang, Minsun Jeon; Res Community Public Health Nurs. 2024;35(3):226-239. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00507

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Abstract PDF: Purpose
The purpose of this study was to examine the acceptability, availability and sustainability of a pilot prenatal program developed by an interdisciplinary team.
Methods
Out of 19 multicultural women participated in the 6-session prenatal program, 6 women took part in an exit- focus group interview as a part of formative evaluation. The verbatim transcriptions of semi-structured interview data were analyzed using conventional content analysis.
Results
In general, the participants expressed high satisfaction with program content, educators and education methods. A hybrid model including health professionals and community health workers and using online and offline education modes was suggested as a way to disseminate the program at a national level. Interventions using aesthetic approaches such as music and an integrated method such as the introduction of available social services in pregnancy and during the postpartum period may play a role as the facilitator of the program participation of multicultural women. These approaches may also help them develop healthy coping skills, problem solving skills and empowerment in multicultural childbearing women who need to adjust to life in a new country simultaneously taking a new role as a mother.
Conclusion
An interdisciplinary prenatal program using a holistic approach contributes to enhancing multicultural women’s empowerment to become a mother in a new country.

[English] Factors Associated with Homosexual Adolescents in South Korea: Jong Gun Kim; Res Community Public Health Nurs. 2024;35(3):207-215. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00332

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Abstract PDF: Purpose
The purpose of this study was to investigate factors related to homosexual adolescents in South Korea.
Methods
Using statistics from the 12th (2016) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. The study sample comprised 65,528 middle and high school students aged 12 to 18 years.
Results
The significant predictors of homosexual intercourse were gender, attempted suicide, bullying at school experience, ever drinking, ever smoking, habitual or purposeful drug use, cohabitation with family, weekly allowance, and mother’s education levels.
Conclusions
The results suggest that gender-related interventions should be considered in school health education programs and that sexual health interventions for high-risk groups may be needed, given the factors predicting homosexual intercourse.

[English] Educational Status and Needs of Premature Birth Prevention and Its Association with Preconception Health Behavior among Women of Childbearing Age in Korea: Sun Hee Kim, Ji-Yeon Hong, Mi Kyung Park; J Korean Acad Community Health Nurs. 2022;33(4):372-384. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.372

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Abstract PDF

Purpose
The aim of this study was to investigate the educational status and needs of premature birth prevention, and to identify factors associated with preconception health behaviors. Methods: The study design was a crosssectional descriptive study. Data were collected through an online questionnaire survey, and the subjects were 192 women of childbearing age in Korea. Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, Spearman's correlation coefficients, and multiple regression. Results: The proportion of subjects who received education on premature birth prevention was 8.9%, and 75.5% of subjects answered that they needed education on premature birth prevention. They demanded education through online media, small groups, cases, cartoons (webtoon) with stories, pictures, and videos. A related factor of preconception health behavior was self-efficacy for high-risk pregnancy health care (β=.20, p=.012), which accounted for 8.2% of the total variance related to preconception health behavior. Conclusion: There was a need for more development of education programs to prevent premature birth for women of childbearing age. Its education programs should be applied with online, small group activities using various educational media. It is also required to promote preconception health behavior through self-efficacy for high-risk pregnancy health care.

Citations

Citations to this article as recorded by

Operation status, quality, and premature birth information in obstetrics and gynecology facility websites in Korea: an evaluation study
Sun-Hee Kim
Women's Health Nursing.2025; 31(3): 203. CrossRef
Factors associated with clinical nurses’ preconception health behavior in Korea: a cross-sectional survey
Yoon-Jung Park, Sun-Hee Kim
Women's Health Nursing.2024; 30(1): 79. CrossRef
Examining the Effectiveness of Interactive Webtoons for Premature Birth Prevention: Protocol for a Randomized Controlled Trial
Sun-Hee Kim, Jennie C De Gagne
JMIR Research Protocols.2024; 13: e58326. CrossRef

[English] The Effect of the Delivery Format on Teaching Presence, Learning Presence, and Learning Outcomes in Distance Learning of Nursing Students: Synchronous versus Asynchronous Learning: Min A Kim, So Eun Choi; J Korean Acad Community Health Nurs. 2022;33(3):312-320. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.312

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Abstract PDF

Purpose
This study was performed to explore the effect of the delivery format on teaching presence, learning presence, and learning outcomes in distance learning of nursing students. Methods: A descriptive survey was conducted to understand teaching presence, learning presence, and learning outcomes depending on the delivery format of distance learning. Quota sampling methodology was used to recruit 295 nursing students from all over the country, and data collection was done from July 27 to September 10, 2020. The first delivery format for distance learning was synchronous learning in which communication between the instructor and students occurred simultaneously. The second delivery format was asynchronous learning in which prerecorded videos were provided and communication did not occur simultaneously. Results: In synchronous learning, teaching presence (especially direct facilitation) and learning presence (especially emotional expression) had a statistical significance that was higher than in asynchronous learning. However, in learning outcomes, there was no statistically significant difference. There were significant positive correlations between teaching presence, learning presence, and learning outcomes, and there were significant positive correlations. Conclusion: It can be suggested that learning outcomes can be improved if presence is improved in the distance learning environment based on the results of this study. It is necessary to add contact with nursing students and instructors to improve teaching presence in the asynchronous learning, and it is necessary to help students express their emotions to improve learning presence.

Citations

Citations to this article as recorded by

Presence in Teaching-Learning: Witnessing Unfolding
Teresa Hamilton
Nursing Science Quarterly.2025; 38(3): 226. CrossRef

[English] 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; J Korean Acad Community Health Nurs. 2022;33(2):153-163. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.153

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2 Citations

Abstract PDF

Purpose
A care coordinator is an emerging nursing professional role in South Korea. The purpose of this study was to identify educational needs and priorities for care coordinators among nurses. Methods An online survey was conducted on 661 current or retired nurses from January 30 to February 28, 2021. A total of 17 essential competencies for care coordinators, recognized based on literature review, were used to analyze the educational needs. The data were analyzed using descriptive statistics, a paired t-test, and one-way analysis of variance with SPSS 25.0. The educational needs analysis was conducted by using a paired t-test, the Borich Needs Assessment Model, and the Locus for Focus Model. Results Five contents were identified as the first priorities for educational needs: ‘Health program planning and evaluation’, ‘Care planning’, ‘Coordinating community-based services’, ‘Case management’, and ‘Transitional care’. The second priorities for educational needs included 'Population health management' and'Welfare resource linkages via communicating with social workers’. Conclusion The priority items derived from this study offer underpinning insights for the development of care coordination training program.

Citations

Citations to this article as recorded by

Factors Influencing Care Coordination for Chronic Disease Patients with a Usual Source of Care
Hyunsang Kwon, Ju Young Yoon
Research in Community and Public Health Nursing.2025; 36: 339. CrossRef
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

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