Research in Community and Public Health Nursing

Original Articles

[Korean] Institutionalization of Visiting Nursing Services Provided By Public Health Centers and the Formation of Employment Structures for Visiting Nurses, 1990–2012: Yeon Yi Song, Dahye Jeong; Res Community Public Health Nurs. 2026;37(2):152-165. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01333

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Abstract PDF: Purpose
This study aims to examine the history of visiting nursing services at Korean public health centers from 1990 to 2012 in Korea’s historical and institutional context.
Methods
We collected and analyzed materials from metropolitan/provincial archives; government policy documents; guidelines and reports from the Korea Health Industry Development Institute and Korea Health Promotion Institute; newspapers; the Public Health Nursing Newsletter(Bogeon Ganho Sosik); and memoirs of public health center nurses.
Results
Visiting nursing was formalized in the 1990s through Seoul pilot projects and took root as a public health service focused on low-income populations. After the 1997–1998 financial crisis of Korea, a public-works–based visiting nursing project expanded and standardized services nationwide but entrenched a short-term, low-wage employment structure. Driven by Health Plan 2010(HP2010), established in 2002, the 2005 Urban Visiting Health Pilot Project, and the 2007 Customized Visiting Health Care Services, the program’s target population and workforce expanded markedly, and nationwide implementation began. In the early 2000s, guidelines and training materials were developed and the Field Management Training Program(FMTP) was introduced, strengthening professional capacity; however, establishing sustainable regular staffing and a stable training system remained limited.
Conclusion
Between the 1990s and 2012, visiting nursing at public health centers became institutionalized and expanded into a nationwide, routine program, accompanied by changes in program nomenclature, staffing standards, and delivery modalities. Maintaining visiting nursing as a core universal service of public health centers requires public systems that foster the accumulation of visiting nurses’ professional expertise and reflect the value of care.

[English] Modelling of Family Functioning, Dietary Diversity, Family Environmental Sanitation, Household Food Insecurity Access, and Stunting: A Cross-Sectional Study in Rural Areas of Indonesia: Tantut Susanto, Hanny Rasni, Emi Wuri Wuryaningsih, Eka Afdi Septiyono, Vigo Agustilano Salim; Res Community Public Health Nurs. 2026;37(2):125-135. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01305

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Abstract PDF Supplementary Material: Purpose
Risk factors associated with stunting are often studied individually, while their combined effect within a single framework is poorly understood. This study aimed to model the interrelationships between family function, dietary diversity, family environmental sanitation, and household food insecurity access as predictors of stunting in rural areas of Indonesia.
Methods
A descriptive-analytic, cross-sectional approach was conducted on 339 mothers with stunted children under five years of age in a rural area of Indonesia from June to August 2025. Data were collected using questionnaires and measurements of stunting. Data analysis utilised Structural Equation Modelling (SEM) based on Partial Least Squares (PLS) to examine the relationships among mothers' factors, child factors, family functioning (as measured by the Family Assessment Device - FAD), dietary diversity, family environmental sanitation (FES), household food insecurity access (HFIA), and stunting.
Results
The final structural model demonstrated that dietary diversity (p=.001; β=.16) and family functioning (p=.003; β=.20) were the most significant direct predictors of stunting. Notably, 'child factors' (e.g., medical history) also had a direct effect on stunting (p=.029; β=0.14), but more importantly, exerted a powerful indirect influence by significantly shaping family functioning, FES, and HFIA. While 'mother factors' (e.g. education) influenced household food and hygiene, they did not have a direct statistical effect on stunting in the final model.
Conclusion
Alongside dietary diversity, family functioning is a key predictor of stunting. To be effective, community nursing interventions must integrate strategies that support family dynamics with traditional nutritional guidance.

[English] Structural Barriers and Strategic Directions for the Professional Role of Local Government Public Health Nurses in Integrated Community Care: A Qualitative Study: Han Nah Park, Hye Jin Nam, Sujin Lee; Res Community Public Health Nurs. 2026;37(1):81-89. Published online March 31, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01417

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Abstract PDF: Purpose
Local government public health nurses (LG PHNs) in South Korea deliver integrated community health and welfare services. However, their professional identity is often challenged within welfare-centered administrative structures, and the structural barriers to their role performance have not been fully explored.
Methods
An exploratory qualitative study using focus group interviews was conducted. Seven LG PHNs from various local government divisions participated. Data were analyzed thematically to identify key challenges in role performance.
Results
Three main themes emerged: (1) Systemic unreadiness and structural support gaps in deployment, characterized by inadequate orientation and ambiguous role boundaries resulting from rapid policy implementation; (2) Challenges in professional identity negotiation within integrated welfare-health frameworks, where the underutilization of nursing expertise and overlapping responsibilities within administrative settings led to role confusion and professional marginalization; and (3) Institutional isolation and absence of clinical governance, resulting from a lack of systematic clinical supervision and institutional backing. Participants reported significant difficulty prioritizing specialized nursing tasks due to limited resources and structural hierarchies.
Conclusion
LG PHNs’ effectiveness is hindered by fundamental structural limitations and governance gaps. To prepare for the 2026 nationwide implementation of integrated care, a transition toward nursing-led care management is essential. Policy measures should include establishing a legal role framework, implementing dual-reporting systems for clinical supervision, and promoting inter-professional education (IPE) to empower LG PHNs as proactive community health leaders.

Invited Paper

[Korean] Mixed Methods Systematic Review Approach to Combine Quantitative Evidence And Qualitative Evidence: Hyun-Ju Seo; Res Community Public Health Nurs. 2025;36(4):353-360. Published online December 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01410

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Abstract PDF: Purpose
This article aims to provide detailed information on mixed methods systematic reviews (MMSRs), including formulating review questions, related processes focused on a convergent integrated approach, and integrating qualitative and quantitative review evidence, and to suggest recommendations for reviewers undertaking MMSRs. Methods: This article provides a brief introduction to the researchers on the purpose of MMSRs, the methodological framework with related examples, and practical tips for conducting MMSRs. Results: MMSRs are a relatively emerging approach to evidence synthesis methods that provide a line of argument or overall configuration derived from primary quantitative, qualitative, or mixed-methods research. By integrating quantitative and qualitative synthesized findings, a deeper understanding of the phenomenon of interest can be obtained, particularly for complex interventions in health systems or public health contexts. Conclusion: Due to the complex process of conducting MMSRs, reviewers need to adhere to methodological guidance to enhance the validity and robustness of review findings.

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

[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] Korea’s First Manual of Public Health Nursing: A Foundation for Public Health Nursing Practice in Korea: Junho Jung, Kyunghee Yi; Res Community Public Health Nurs. 2025;36(3):245-256. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01102

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Abstract PDF: Purpose
This study aims to understand the functions and roles of public health nursing, which played a key role in public health center activities during the formative years of the organizations in Korea. It does so by analyzing the structure and content of Manual of Public Health Nursing, the first of its kind published in Korea, as well as its authors’ records—particularly the U.S. nurse advisors. Methods: Manual of public health nursing was investigated from the cover to the appendix with other related records from the U.S. National Archives and Records Administration (NARA). Results: The manual was published in response to the expansion of health centers and the increasing need for standardized practice for public health nurses. It includes theoretical and practical guidelines on maternal and child health, communicable disease control, school health, health education, etc. as well as the qualifications of public health nurses. The manual was influenced by U.S. nursing education and international public health manuals. Conclusion: The manual played a critical role in shaping early public health nursing practices in Korea by providing essential knowledge and standardizing public health services. It reflected Korea’s evolving public health system, heavily influenced by U.S. aid and technical assistance. Despite its significance, challenges such as a shortage of trained public health nurses and an underdeveloped administrative structure remained unresolved.

[English] DACUM Job Development for Nurses in Child Daycare Centers: Strengthening Expertise in Infant and Toddler Health Care: Kyung Hee Lee, Won-Oak Oh, Jihee Han, Myung Jin Jung, Yoo-Jin Heo, Eunji Lee; Res Community Public Health Nurs. 2025;36(2):192-209. Published online June 27, 2025; DOI: https://doi.org/10.12799/rcphn.2025.00983

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Abstract PDF: Purpose
This study aimed to enhance healthcare for children in daycare centers by analyzing the job development and educational needs of daycare nurses and presenting foundational data on their duties and tasks. Methods: This descriptive study focused on defining daycare nurses' roles and developing their duties and tasks. The DACUM committee included 10 daycare nurses, with 61 nurses participating in a field survey to validate their duties and analyze educational needs. The analysis employed the coefficient of determination, paired t-test, IPA, Borich Needs Assessment Model, and Locus for Focus Model. Results: Job analysis identified 10 major duties and 50 tasks for daycare nurses, including monitoring children's health, screening for growth and development, health and safety education, child abuse prevention, infectious disease management, staff health management, environmental hygiene, and professional development. Tasks with the highest educational need were 'Health management for children with chronic diseases and disabilities' and 'Child abuse prevention education.' The role of nurses in child daycare centers is defined as the planning and implementation of health and safety measures to promote children's growth, development, and overall well-being. Conclusion: The definition of daycare nurses identified in this study provides the qualifications, goals, and guidelines for job performance that daycare nurses in South Korea should possess. The analysis of the educational needs of the identified duties and tasks not only provides the foundation for the target training program for daycare nurses but also offers the priorities for the job training program that must be established as the most important and urgent.

[English] The Effect of Digital Health Literacy, Self-Efficacy on Self-Care Behaviors among Community-Dwelling Elderly: Focusing on Gyeongsangbuk-do: Hyojin Son, Youngran Han; Res Community Public Health Nurs. 2025;36(1):59-72. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00801

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4 Citations

Abstract PDF

Purpose
This study aimed to explore the relationship between digital health literacy, self-efficacy, and self-care behaviors, and to identify the effects of digital health literacy and self-efficacy on self-care behaviors among the community-dwelling elderly.
Methods
This descriptive study used self-reported questionnaires and was conducted from January to April 2024. This study included 197 participants aged 65 or older, residing in nine cities and counties within Gyeongsangbuk-do. Data were analyzed using SPSS/WIN 23.0, employing descriptive statistics, t-test, One-way ANOVA, Scheffé tests, Pearson correlation coefficients, and hierarchical regression analysis.
Results
The average scores were as follows: digital health literacy, 21.97±8.38 (out of 40 points); self-efficacy, 3.27±0.72 (out of 5 points); and self-care behaviors, 70.22±10.55 (out of 96 points). Self-efficacy (β=.32, p<.001) was identified as the primary factor influencing self-care behaviors. Additionally, job (β=-.20, p=.002) and gender (β=-.18, p=.007) were also significant factors. These factors explained 22.8% of the variance of self-care behaviors.
Conclusion
Based on the above study results, we found that to promote self-care behaviors of community-dwelling elderly people, developing and implementing training programs that enhance self- efficacy are imperative. Furthermore, efforts should be made to overcome regional disparities by developing and implementing various policies and programs at the government, local government, and community levels to enhance the digital health literacy of the elderly.

Citations

Citations to this article as recorded by

The effect of mothers' digital health literacy on fever management: The mediating role of perceived maternal self-efficacy
Fatoş Uncu, Hasan Evcimen, Elanur Bulut
Journal of Pediatric Nursing.2026; 87: 58. CrossRef
Anxiety and its associations with digital health literacy, self-efficacy and self-care habits among Indian university students
Brency A. Parekh, Ritu Sharma
Health Education.2026; : 1. CrossRef
The Influence of e-Health Literacy, Technostress, and Subjective Health Status on Health Promotion Behaviors among Older Adults
Whang Sun A
Journal of Korea Society for Simulation in Nursing.2025; 13(1): 71. CrossRef
Variables influencing digital health literacy in older adults: a systematic review and meta-analysis
Jin Hwa Park, Eun Ju Mun
Journal of Korean Academy of Nursing.2025; 55(4): 651. CrossRef

[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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5 Citations

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

Simulation-based education in paramedic training: effects of perceived competence and practice frequency on clinical skills
Demet Turan, Hilal Pekmezci
BMC Medical Education.2026;[Epub] CrossRef
Impacto del uso de tecnologías de la información y la comunicación (TICs) en la formación de competencias clínicas en estudiantes de enfermería: una revisión sistemática.
Génesis Viviana Solis-Amaguaya , Amanda Cristhina Freres-Salvatierra , Karla Alexandra Sovenis-Goya , Gabriela Elizabeth Poma-Ortega
Más Vita.2026; 8(1): 98. CrossRef
Effects of virtual reality-based simulation education for nursing students: a systematic review and meta-analysis
Yean-Hee Jeong, Jihoo Her
Journal of Korean Biological Nursing Science.2026; 28(1): 43. CrossRef
Effects of Immersive Virtual Reality Simulation on Nursing Students’ Learning Outcomes: A Systematic Review and Meta‐Analysis
Xia Li, Yanling Hu, Hanmei Peng, Shiqi Luo, Chunsong Yang, Biru Luo, Xingli Wan, Yuan Li, Jose Alberto Laredo-Aguilera
Journal of Nursing Management.2026;[Epub] CrossRef
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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2 Citations

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
Analysis of Educational Needs Based on Job Competencies among Public Health Center Personnel Involved in Integrated Health Promotion Programs
Bongjeong Kim, Jooeun Hyun, Guna Lee
Journal of Korean Public Health Nursing.2025; 39(3): 293. CrossRef

[English] Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts: Saeryun Kim, Younkyoung Kim; Res Community Public Health Nurs. 2024;35(3):195-206. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00493

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Abstract PDF Supplementary Material: Purpose
This study aimed to analyze the factors influencing self-leadership among public health nurses as they implement health promotion projects in public health centers and primary healthcare posts.
Methods
The study sampled 120 public health nurses from 22 public health centers and their associated primary healthcare posts in J province. Data were collected from October 11 through October 25, 2022.
Results
Employment at a primary healthcare post instead of a public health center (β=.23, p=.012), was significantly associated with self-leadership in model 1 (adjusted R2=.17, F=4.56, p<.001). Furthermore, communicative competence (β=.48, p<.001) and nursing professionalism (β=.26, p=.001) were significantly associated with self-leadership in model 2 (adjusted R2=.51, F=14.77, p<.001).
Conclusion
Open and self-directed work environments, along with opportunities for education and training, are necessary to enhance communicative competence and nursing professionalism. These improvements may, in turn, strengthen self-leadership among nurses, facilitating the implementation of health promotion projects within public health institutions.

[English] Development and Effectiveness of a Basic Epidemiological Investigation Simulation Program of Emerging Respiratory Infectious Diseases for Nursing Students: Application of Standardized Patients: Jiyun Park, Gye Jeong Yeom; Res Community Public Health Nurs. 2023;34(4):267-280. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00241

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2 Citations

Abstract PDF

Purpose
This study aimed to develop a simulation-based education program of emerging respiratory infectious diseases using standardized patients for nursing students, and to test the effects on basic epidemiological investigation performed while wearing Level D Personal Protective Equipment (PPE).
Methods
A total of 64 senior nursing students were recruited and assigned to either the experimental group (n=33) or a control group (n=31) in May 2022. This program was developed based on the analysis, design, development, implementation, and evaluation model. The analysis phase consisted of a literature review and target group survey. In addition, learning objectives and a structure were designed, and a scenario was developed with expert consulting. In the implementation phase, the program was conducted the course of 3 hours. The evaluation phase involved verification of the effects on clinical performance, self-efficacy, and anxiety related to basic epidemiological investigation, as well as an assessment of satisfaction with the program.
Results
There were significant differences between the experimental and control groups in clinical performance (Z=-2.15, p=.010) and anxiety related to basic epidemiological investigation (Z=-4.02, p<.001). However, there was no significant difference in self-efficacy related to basic epidemiological investigation.
Conclusion
The results indicate that this simulation-based education program was effective in improving clinical performance and reducing anxiety related to basic epidemiological investigation of nursing students. In addition, this program is expected to be widely used as an epidemiological investigation education for the initial prevention of infectious diseases.

Citations

Citations to this article as recorded by

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
Research in Community and Public Health Nursing.2025; 36: 361. CrossRef
Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students
GyeJeong Yeom, Jiyun Park
BMC Nursing.2024;[Epub] CrossRef

[Korean] A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si: Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi; Res Community Public Health Nurs. 2023;34(2):127-134. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00045

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Abstract PDF: Purpose
The government has implemented a pilot project for community care for older adults and the integrated visiting nursing center in Bucheon-si operated by public fund of government to provide visiting nursing service for older adults. This study aimed to analyze the outcomes of the utilization of visiting nursing service at the integrated visiting nursing center in Bucheon-si.
Methods
This study linked the personal data from the pilot project for community care with the National Health Insurance data. The final subjects comprised 30 participants and 110 of the matched control group. The length of home stay, hospitalization, and the admission for long-term care facilities or convalescent hospitals were measured. Statistical analysis was performed through difference-in-differences analysis using generalized estimating equation and Cox proportional hazards model.
Results
The results indicated an increase of 28.2 days for length of home stay and a reduction of 69% in hospitalization from medical institutions and 81% in admission of long-term care facilities or convalescent hospitals among participants compared to the control group.
Conclusion
The visiting nursing service of the integrated visiting nursing center was effective in extending length of home stay and lowering the hospitalization of medical institutions and admission of long-term care facilities or convalescent hospitals.

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