Research in Community and Public Health Nursing

Original Article

[English] Factors Influencing Care Coordination for Chronic Disease Patients with a Usual Source of Care: Hyunsang Kwon, Ju Young Yoon; Res Community Public Health Nurs. 2025;36(3):339-351. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01186

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Abstract PDF: Purpose
Care coordination is a key function that enables consistent and integrated care by connecting various medical, welfare, community resources throughout a patient’s healthcare journey. This study was aimed at examining the provision of care coordination and its associated factors among adult patients with hypertension or diabetes who have a usual source of care, using Andersen’s Behavioral Model. Methods: A total of 2,576 adults with hypertension or diabetes who reported having a usual source of care were analyzed by using data from the 2021 Korea Health Panel Survey. Both patient-level and provider-level variables were categorized into predisposing, enabling, and need factors based on Andersen’s model. Complex sample logistic regression analysis was performed. Results: Only 44.7% of participants reported experiencing care coordination. The likelihood of receiving care coordination was significantly lower among females, and higher among those not currently employed, those not engaging in regular physical activity, individuals with multiple chronic conditions, and those whose usual source of care was a general practitioner. Conclusion: Care coordination is essential for ensuring continuity of care and effective management among patients with chronic conditions, and it is influenced by both patient and provider characteristics. As Korea prepares to launch a nationwide community-based integrated care system in 2026, care coordination will serve as a vital foundation for linking local resources and delivering comprehensive care. Based on the patient and provider factors identified in this study, effective support at the policy and system levels will be necessary to operate and sustain this function.

Invited Paper

[Korean] Current status of systematic review studies on patient-reported outcome measures published in Korean journals: Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee; Res Community Public Health Nurs. 2025;36(1):1-8. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01032

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Abstract PDF: Purpose
This study aimed to explore the current status of systematic review studies on patient-reported outcome measures (PROMS) published in Korean journals.
Methods
Studies on the systematic review of PROMs, which applied the COnsensus-based Standards for selecting health Measurement Instruments (COSMIN) methodology. There were searched from the KoreaMed. The studies were evaluated based on the eight steps suggested by the COSMIN systematic review processes.
Results
A total of eight systematic review studies were published in seven Korean journals. Patient-reported outcome measures (PROMS) measure for post-traumatic growth, social adjustment, physical impairment in post-intensive care syndrome, sleep quality, constipation, discharge readiness, post-traumatic stress disorder, and eHealth literacy.
Conclusions
No studies adhered to the steps of the COSMIN systematic review guidelines. Among the steps, the weakest points were searching strategies and evaluating measurement properties.

Original Articles

[English] A Scale for Continuity of Care in Home Health Care: A Development and Validation Study: Jiyeon Kim, Sook-Ja Yang; Res Community Public Health Nurs. 2025;36(1):35-48. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00780

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Abstract PDF Supplementary Material: Purpose
This study aims to develop and test the psychometric properties of a scale for measuring the continuity of care specific to home health care patients in the context of Korean long-term care insurance services.
Methods
In phase 1, the initial item pool was created based on the concept analysis results using a literature review and in-depth interviews. Phase 2 evaluated the psychometric properties of the scale in the survey conducted in 2021 using a sample of 202 receiving longterm care visiting nursing services. Exploratory factor analysis (EFA) was used to examine the construct validity. An internal consistency was examined using Cronbach’s α. Known group validity and criterion validity were assessed.
Results
The EFA suggested five factors: therapeutic relationship, coordination of care, service availability, customized care plan, and consistency in service provision. The internal consistency reliability of the continuity of care scale was satisfactory (Cronbach’s α=.96). Known-group validity was established by comparing the continuity of care scores for high utilizers of home-visiting nursing services and low utilizers of home-visiting nursing services. Criterion validity was confirmed through the correlation between the developed scale and the performance of the visiting nurse service scale.
Conclusion
The developed scale was found to be reliable and relatively valid for measuring the patient’s perceived continuity of care within the Korean long-term care visiting nursing system.

[English] Illness Experience of Glaucoma Patients: Hyeon ae Lee, Seon Nyeo Kim, Hwa Young Kim, Sue Kyung Sohn; Res Community Public Health Nurs. 2024;35(1):99-111. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00458

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Abstract PDF: Purpose
The purpose of this study was to understand and describe the experiences of patients with glaucoma.
Methods
Data were collected from March to April in 2023, through individual in-depth interviews with 10 glaucoma patients. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis.
Results
Six theme clusters were extracted that described patients’ experiences: 1) The frightening disease unexpectedly discovered; 2) A dismal life gradually trapped in darkness; 3) Fear of the unseen; 4) Following treatment without any other options; 5) Grateful for the help but feeling miserable; 6) Realizing the importance of eyes and health.
Conclusion
The results of this study provide a deep understanding and insight into the experience of Glaucoma patients. Glaucoma patients experienced physical, mental, and social pain through the disease process. Therefore, psychological nursing interventions are needed to understand and reduce mental pain along with medical treatment to relieve physical symptoms in glaucoma patients. Furthermore, it will be necessary to prepare institutional support measures to minimize various social restrictions.

[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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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

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

[English] Factors Related to Smoking Relapse Within Six-Months of Smoking Cessation Among Inpatients: Ji Eun Bae, Chul-Woung Kim, Seung Eun Lee, Myungwha Jang; Res Community Public Health Nurs. 2023;34(4):307-319. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00213

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Abstract PDF: Purpose
The purpose of this study is to identify factors associated with smoking relapse within 6 months after quit attempts among inpatients of a university hospital.
Methods
The subjects of this study were 572 inpatients of the National University Hospitals in Daejeon & Sejong who had enrolled in the smoking cessation service provided by the Daejeon·Sejong Tobacco Control Center and attempted to quit smoking. The data used in the study were extracted from the Smoking Cessation Service Integrated Information System. The Kaplan-Meier method and Cox Proportional hazards model were used to identify variables associated with smoking relapse within 6 months.
Results
The smoking relapse rate within 6 months was 76.7%, and variables associated with relapse included the absence of supporters for quitting smoking (hazard ratio [HR]=1.42, 95% confidence interval [CI]=1.00-2.02), nicotine dependence (HR=1.09, 95% CI=1.03-1.15), the use of prescription medications (including varenicline or bupropion) (HR=3.99, 95% CI=1.83-8.71), and the number of consultations (HR=0.67, 95% CI= 0.63-0.70).
Conclusion
As a result of the study, the number of consultations showed the strongest correlation with abstinence within 6 months. This implies that it is necessary to increase the counseling participation rate of the subjects so that smoking cessation counseling can be continued after discharge, and it is also required to provide support education to guardians during hospitalization for effective smoking relapse prevention.

[English] Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project: Yun Hee Hwang, Ga Eon Lee; J Korean Acad Community Health Nurs. 2021;32(3):382-395. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.382

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Abstract PDF

Purpose
The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes.
Methods
The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps.
Results
The seven themes derived in this study were ‘Space to escape’, ‘Reliable supporter opened the way to discharge’, ‘Comfortable life at home’,‘Obstacles to independent life’, ‘Struggling to live alone’, ‘Fence for community life’, and ‘Energizing in daily life’ Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

Citations

Citations to this article as recorded by

Experiences of Transitional Care for Medicaid Case Managers
Yunhee Hwang, Gaeon Lee
Journal of Korean Academy of Nursing.2023; 53(5): 556. CrossRef

[English] Concept Analysis of Self-stigma in Patients with Tuberculosis: Seon Mi Yeom, Jeong Hee Kang, Young Ran Yang; J Korean Acad Community Health Nurs. 2021;32(3):312-324. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.312

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Abstract PDF: Purpose
Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis.
Methods
The analysis was conducted using Walker and Avant’s conceptual approach. Twenty-seven studies met the selection criteria.
Results
Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.

[English] The Effect of Health Literacy and Self-care Performance on Health Care Utilization of Medicaid Elderly: Yun Hee Hwang, Ga Eon Lee; J Korean Acad Community Health Nurs. 2019;30(4):484-493. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.484

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Abstract PDF

PURPOSE
The purpose of this study was to examine the effect of health literacy and self-care performance on health care utilization of medicaid elderly.
METHODS
A total of 203 medicaid elderly over 65 and living in B-metropolitan city were interviewed. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and Hierarchical Multiple regression.
RESULTS
The average score of the health literacy was 7.88Â±2.84 out of 12. The average score of self-care was 3.26Â±0.77 points on the 5 point scale. The frequency of health care utilization by the subjects was 6.65Â±5.25 a month. The health literacy and self-care performance showed a statistically significant positive correlation. The health literacy and self-care performance showed a statistically significant negative correlation with health care utilization. The factors affecting health care utilization of the subjects were self-care performance, health literacy, and religion, and the explanatory power was 25%.
CONCLUSION
The results indicate that the self-care performance, health literacy, religion are significant factors of health care utilization in medicaid elderly. Therefore, it is necessary to develop strategies to improve their self-care performance and health literacy for reasonable health care utilization. Also, it is necessary to provide the elderly with correct information about medical use from accessible religious institutions, senior community center, and welfare centers.

Citations

Citations to this article as recorded by

Factors influencing handwashing among community dwelling older adults, using the 2021 Community Health Survey: A secondary analysis study
Yun Hee Hwang, Hye Jung Jun
Journal of Korean Gerontological Nursing.2023; 25(2): 197. CrossRef

[English] Hand Hygiene Compliance among Visitors at a Long-term Care Hospital in Korea: A Covert Observation Study: Min Young Jung, Ja Hyun Kang; J Korean Acad Community Health Nurs. 2019;30(1):99-107. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.99

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Abstract PDF

PURPOSE
This study aimed to assess hand hygiene (HH) compliance among visitors at a long-term care hospital in South Korea.
METHODS
The study was conducted at a 502-bed long-term care hospital located in Gyeonggi-do Province. From July 1 to August 15, 2017, including more than 6 weekends and one holiday, a trained observer covertly assessed visitors' HH at all five units (360 beds in total) of the study hospital building until the completion of 1,000 HH opportunities (i.e., 200 opportunities per unit). The modified World Health Organization (WHO) HH observation form was used. Instead of professional categories and the â€œbefore clean/aseptic procedureâ€ moment, the estimated age range for each visitor were recorded in four categories: children (<14 years old), adolescents (14~18), adults (19~64), and the elderly (â‰¥65). The collected data were analyzed using SPSS 22.0.
RESULTS
A total of 1,000 HH opportunities were observed from 766 visitors (an average of 1.31 per visitor) and the overall HH compliance rate was 20.3%. Overall, 53.7% of the HH cases were performed with soap and water. Among the 4 HH moments, the â€œafter body fluid exposure riskâ€ moment showed the highest compliance rate (83.5%); 93.9% used soap and water. The most commonly exposed potential body fluid among visitors was saliva (48.1%).
CONCLUSION
For hospital visitors in long-term care hospitals, HH education programs including HH moments need to be developed and implemented. Further studies are necessary to evaluate visitors' HH compliance in various hospital settings and find the related variables influencing visitors' HH.

Citations

Citations to this article as recorded by

Hand hygiene compliance among hospital visitors: A systematic review and meta-analysis of observational studies
Gaviota Khalish, Made Satya Nugraha Gautama
Journal of Infection Prevention.2025; 26(3): 138. CrossRef
Knowledge and Skills in Infection Prevention and Control Measures Amongst Visitors to Long-Term Care Homes: A Mixed methods Study
Caroline Gibbons, Pamela Durepos, Natasha Taylor, Lisa Keeping-Burke, Matt Rogers, Karen Furlong, Rose McCloskey
Nursing: Research and Reviews.2024; Volume 14: 149. CrossRef
Compliance of patient companions and visitors with hand hygiene: an observational study
H.N. Kaya, B. Süslü, R. Aydın, S. Atay
Journal of Hospital Infection.2023; 136: 85. CrossRef
Hand Hygiene Compliance of Caregivers for Hospitalized Patients in Liver Transplant Wards at a Tertiary-care Hospital in Korea
Songhee Namgung, JaHyun Kang, Mina Yun, Younjin Kim, Seonhee Kwon
Korean Journal of Healthcare-Associated Infection Control and Prevention.2023; 28(2): 233. CrossRef
Exploring factors influencing the compliance of patients and family carers with infection prevention and control recommendations across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Titik Respati, Eka Nurhayati, Md. Saiful Islam, Kamal Ibne Amin Chowdhury, Holly Seale
Frontiers in Public Health.2022;[Epub] CrossRef
Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Holly Seale
American Journal of Infection Control.2020; 48(6): 599. CrossRef

[English] Mediating Effects of Hope and Therapeutic Relationship in the Relation between General Social Functions and Mental Health Recovery of Community People with Mental Illness: Sun Hwa Shin, Jung Hee Hwang; J Korean Acad Community Health Nurs. 2019;30(1):69-78. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.69

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Abstract PDF: PURPOSE
This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness.
METHODS
This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects.
RESULTS
This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery.
CONCLUSION
The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

[English] 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

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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.

Citations

Citations to this article as recorded by

Studying the Effects of Clean Intermittent Self-Catheterization on the Quality of Life and Anxiety of Patients
Doreen McClurg, Kerry Walker, Rob Pickard, Paul Hilton, Holly Ainsworth, Kelly Leonard, Sheeba Suresh, Annette Nilsson, Nicola Gillespie
Journal of Integrative Nursing and Palliative Care.2021; 2(2): 22. CrossRef

[English] Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals: Hae Sagong, Ga Eon Lee; J Korean Acad Community Health Nurs. 2016;27(4):309-318. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.309

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28 Citations

Abstract PDF

PURPOSE
This study investigated the correlation between person-centered care (PCC) and nursing service quality of nurses in long-term care hospitals.
METHODS
The subjects were 114 nurses working in 8 long-term care hospitals. Instruments for evaluating PCC and nursing service quality were used. The data were analyzed by descriptive statistics, two samples-test, one-way ANOVA, Pearson's correlation and Multiple regression.
RESULTS
The mean of PCC was 3.25Â±0.45 out of 5 and the nursing service quality was 3.87Â±0.40. There were significant differences in PCC in terms of age and income satisfaction, the application of their opinions, the satisfaction of hospital managers, administrators and nurse managers. There were significant differences in nursing service quality according to age, position, the satisfaction of hospital managers, administrators and nurse managers. Nurses' PCC showed a significant positive correlation with nursing service quality. Factors influencing nursing service quality included PCC, their position and age and the most influencing one was PCC.
CONCLUSION
This study suggests that the PCC is the strongest affecting element to the quality of nursing service in long-term care hospitals. Therefore, the strategies to improve the practice of person-centered care should be carried out to enhance the quality of nursing service.

Citations

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“Elderly care through new eyes: Insights from Spain's future nurses” A phenomenological study
Eva García-Carpintero Blas, Cristina Gómez Moreno, Alberto Tovar Reinoso, Estela Álvarez Gómez, Montserrat Ruiz Lopez, Esperanza Vélez Vélez
Geriatric Nursing.2024; 59: 401. CrossRef
Development of a Tool to Measure Slow Nursing for Older Adults in Long-term Care Hospitals: A Methodological Study
Hyeon Mi Woo
Korean Journal of Adult Nursing.2024; 36(3): 212. CrossRef
Latent profile analysis of empathy ability and its relationship with professional quality of life among hospice nurses in China
Yaling Wang, Chuntao Wang, Ziwei Yang, Yuezhong Tang, Wen Chen, Yawen Zheng, Zhiming Wei, Huiling Li
BMC Nursing.2024;[Epub] CrossRef
Nursing students' experiences and perceptions of barriers to the implementation of person‐centred care in clinical settings: A qualitative study
Seonho Kim, Myoungsuk Kim
Nursing Open.2023; 10(3): 1889. CrossRef
The influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals: A cross-sectional study
Yoon Saeng Choi, Su Hyun Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 116. CrossRef
The effect of nursing work environment on slow nursing among long-term care hospital nurses: A descriptive study
Hyeon-mi Woo
Journal of Korean Gerontological Nursing.2023; 25(2): 206. CrossRef
Factors associated with the person-centered care competence of nursing students
Ju Young Park, Chung Hee Woo
The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48. CrossRef
Patients' perceptions of the quality of nursing services
Ali Reza Yusefi, Shakiba Rohani Sarvestani, Zahra Kavosi, Jamshid Bahmaei, Morteza Mortazavi Mehrizi, Gholamhossein Mehralian
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Myoungsuk Kim
International Journal of Environmental Research and Public Health.2022; 19(5): 2787. CrossRef
Structural Equation Modeling of Person-Centered Nursing in Hospital Nurses
Yeon Hee Bae, Hye-Ah Yeom
Healthcare.2022; 10(3): 514. CrossRef
Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
Journal of Nursing Management.2022; 30(7): 2227. CrossRef
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Korean Journal of Adult Nursing.2020; 32(4): 354. CrossRef
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Journal of Nursing Research.2020; 28(5): e114. CrossRef
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[English] Development and Evaluation of Cardiovascular Disease Prevention Education Materials for Middle-aged Korean-Chinese Female Workers: Applying Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P): Hyeon Kyeong Lee, Jung Hee Kim, Ri Yoo, Ja yin Lee; J Korean Acad Community Health Nurs. 2016;27(3):284-298. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.284

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7 Citations

Abstract PDF

PURPOSE
The purpose of this study was to develop and evaluate the quality (understandability and actionability) of health education materials for Korean-Chinese (KC) female migrant workers, using Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P).
METHODS
Educational needs assessment was conducted with 3 focus groups with 20 KC women and a focus group with 4 community stakeholders. The quality of the educational materials was evaluated by 3 experts and a community stakeholder, followed by a survey with 15 KC women using 17 items for understandability and 7 items for actionability by means of a Korean version PEMAT-P.
RESULTS
The health educational calendar consists of 12 subjects out of 9 topics related to healthy lifestyles for preventing cardiovascular diseases. The overall mean understandability score was 98.8% and the overall mean actionability was 100%.
CONCLUSION
Involvement of KC women and community stakeholders in the development of educational materials was found to be an effective strategy for increasing understandability and actionability of educational materials for KC female migrant workers. This study also demonstrates the PEMAT-P is a useful evaluation tool, emphasizing the actionability of educational materials.

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Arabic version of the patient education materials assessment tool (PEMAT): translation and validation
Marwan A. Alrasheed, Aliyah Almobarak, Hisham M. Alfayyadh, Abdulelah Alkahtani, Bander Balkhi
Saudi Pharmaceutical Journal.2025;[Epub] CrossRef
Effect of a pragmatic lifestyle modification intervention on physical activity levels and body mass index among obese and overweight adolescents in Udupi, India: a cluster randomized trial
prateek srivastav, Vaishali K, H Vinod Bhat, Suzanne Broadbent
F1000Research.2024; 13: 859. CrossRef
The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
Yu Zhu Zhang, Seon Young Hwang
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[English] Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care: Sang Jin Lee, Chanyeong Kwak; J Korean Acad Community Health Nurs. 2016;27(3):272-283. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.272

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Abstract PDF

PURPOSE
This is a comparative study using secondary data from the Korean national long term care (LTC) insurance.
METHODS
Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC.
RESULTS
Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits.
CONCLUSION
The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.

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